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971303

registered interest
date	10/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the primary outcome results of the Diabetes Remission Clinical Trial.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	172640
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>NHS England is aware of the literature that has been published to date in relation to the DiRECT Trial, and are of the view that the results of the trial suggest that very low calorie diets could potentially be highly impactful if it should prove possible to deliver the intervention at scale.</p><p> </p><p>At present, the duration of the effect of the intervention trialled (i.e. the duration of any period of remission) is unknown and NHS England has not yet seen a cost effectiveness analysis, or other economic data from the trial. It is therefore not yet possible to establish the overall effectiveness of the intervention at this time. Whilst waiting for the two year outcomes data to be published, NHS England is exploring opportunities to pilot these approaches at greater scale to further understand their potential.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/09/2018 12:54:35 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969161

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gemtuzumab Ozogamicin
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which Care Commissioning Groups make provide access to drug Mylotarg.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171285
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS England, not clinical commissioning groups, is responsible for commissioning most cancer drugs in the National Health Service in England, including gemtuzumab ozogamicin (Mylotarg) for the treatment of untreated acute myeloid leukaemia (AML). NHS England does not currently routinely fund gemtuzumab ozogamicin for the treatment of untreated AML, pending the outcome of the ongoing National Institute for Health and Care Excellence (NICE) technology appraisal. NICE published draft guidance for consultation on the use of gemtuzumab ozogamicin for untreated AML and is currently considering the comments received on its draft recommendations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 16:26:07 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969181

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people have (a) been referred to and (b) joined the NHS diabetes prevention programme.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171286
answer	answer is ministerial correction date of answer 14/09/2018 answer text <p>The NHS Diabetes Prevention Programme commenced roll out in June 2016 and, at the end of July 2018, 252,130 at risk individuals have been referred into the service and 107,254 individuals have now had an initial assessment. In 2018/19 the NHS Diabetes Prevention Programme achieved full national roll out, with services available to patients in every sustainability and transformation partnership in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2018 13:37:22 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969184

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Food: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps are being taken to improve the clarification of calorific food labelling in order to achieve his Department's 2024 calorie reduction targets.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171287
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>As part of chapter 2 of the childhood obesity plan, we will be launching a consultation on introducing consistent calorie labelling for the out of home sector later this year.</p><p> </p><p>We are also considering the opportunities offered by exiting the European Union, which include giving us greater flexibility to determine what information should be presented on packaged food and how it should be displayed, and we will work alongside industry and other stakeholders to decide what will be next for front of pack nutrition labelling. We want to build on the success of our current scheme and ensure we are using the most effective ways to communicate information to families.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 13:20:16 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969186

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes and Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to provide specialist bariatric weight assessment and management clinics for patients (a) with diabetes and (b) that are classified as obese.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171288
answer	answer is ministerial correction date of answer 14/09/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning complex obesity services for adults, which include all bariatric surgical procedures and the associated care. Children’s bariatric surgery remains the responsibility of NHS England Specialised Services.</p><p> </p><p>When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2018 10:40:13 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969188

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many bariatric operations were performed in (a) 2015, (b) 2016, (c) 2017 and (d) 2018 to date.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171289
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS Digital has provided a count of finished consultant episodes (FCE)<sup>1</sup> where bariatric operations were performed between the financial years 2014/15 to 2017/18 (provisional data)<sup>2,3</sup>.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>FCE</p></td></tr><tr><td><p>2014/15</p></td><td><p>6,122</p></td></tr><tr><td><p>2015/16</p></td><td><p>6,547</p></td></tr><tr><td><p>2016/17</p></td><td><p>6,876</p></td></tr><tr><td><p>2017/18</p></td><td><p>7,016 (Provisional)</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p><sup>2</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p> </p><p>It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p><sup>3</sup>The data are provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final data set. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 16:10:38 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969189

registered interest
date	06/09/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost is of a bariatric operation.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171290
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS Improvement has provided the national average unit cost of delivering bariatric procedures based on the 2016/17 reference costs submitted by providers for elective care. This information is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Procedure</p></td><td><p>National Average Unit Cost</p></td></tr><tr><td><p>Complex Surgical Procedures for Obesity</p></td><td><p>£4,548</p></td></tr><tr><td><p>Major Surgical Procedures for Obesity</p></td><td><p>£4,981</p></td></tr><tr><td><p>Sleeve Gastrectomy for Obesity</p></td><td><p>£4,444</p></td></tr><tr><td><p>Gastric Band Procedures for Obesity</p></td><td><p>£2,939</p></td></tr><tr><td><p>Adjustment of Gastric Band for Obesity</p></td><td><p>£1,870</p></td></tr></tbody></table> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 13:19:23 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

770032

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sugar: Sales
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to restrict the sale of high-sugar food and drink products at the point of sale.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	107668
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>As part of our plan to tackle childhood obesity we launched a broad, structured and independently monitored sugar reduction programme, led by Public Health England (PHE), to remove sugar from the products children eat most. This can be achieved through reduction of sugar levels in products, reducing portion size or shifting purchasing towards lower sugar alternatives.</p><p> </p><p>Since March 2017, PHE has engaged with all of the food industry (retailers, manufacturers and the out of home sector) to discuss what industry could do to meet the 20% reduction in sugar by 2020. PHE will continue these discussions and will publish regular updates on progress towards the 20% sugar reduction.</p><p> </p><p>A list of PHE’s industry and other stakeholder engagement on this agenda was published in March and can be viewed here:</p><p><a href="http://www.gov.uk/government/publications/sugar-reduction-and-wider-reformulation-stakeholder-engagement" target="_blank">www.gov.uk/government/publications/sugar-reduction-and-wider-reformulation-stakeholder-engagement</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 107586 question first answered 19/10/2017 16:15:25 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

769890

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sugar: Consumption
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the amount of sugar consumed by people over 65-years of age and the health implications of that level of consumption.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	107585
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>The most recent data from the National Diet and Nutrition Survey (NDNS), published in September 2016, show that men and women aged 65 years and older derived 11.4% and 10.2% respectively of their total dietary energy from sugars. This is more than double the level recommended by the Scientific Advisory Committee on Nutrition in its report ‘Carbohydrates and Health’ report published in July 2015 which recommended that the intake of free sugars should not exceed 5% of total dietary energy. The report is available at the following link:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf</a></p><p>The sugars included in the NDNS assessment are those added to food during manufacture or cooking in the form of table sugar, honey or similar products, or released from the cell structure of food during processing, such as the sugars in fruit juice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/10/2017 15:14:07 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

769891

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sugar
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to work with retailers to limit the availability of high sugar food and drink products at the point of sale.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	107586
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>As part of our plan to tackle childhood obesity we launched a broad, structured and independently monitored sugar reduction programme, led by Public Health England (PHE), to remove sugar from the products children eat most. This can be achieved through reduction of sugar levels in products, reducing portion size or shifting purchasing towards lower sugar alternatives.</p><p> </p><p>Since March 2017, PHE has engaged with all of the food industry (retailers, manufacturers and the out of home sector) to discuss what industry could do to meet the 20% reduction in sugar by 2020. PHE will continue these discussions and will publish regular updates on progress towards the 20% sugar reduction.</p><p> </p><p>A list of PHE’s industry and other stakeholder engagement on this agenda was published in March and can be viewed here:</p><p><a href="http://www.gov.uk/government/publications/sugar-reduction-and-wider-reformulation-stakeholder-engagement" target="_blank">www.gov.uk/government/publications/sugar-reduction-and-wider-reformulation-stakeholder-engagement</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 107668 question first answered 19/10/2017 16:15:25 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz