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1177503

registered interest
date	10/02/2020
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	Aortic Dissection: Diagnosis
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 he is taking to ensure the adequate diagnosis of Aortic Dissection at A&E departments.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	14724
answer	answer is ministerial correction date of answer 18/02/2020 answer text <p>We recognise that accurate and rapid assessment of suspected acute aortic dissection is crucial. Computerised tomography plays a central role in the diagnosis to allow expedited management and all acute hospitals with emergency departments have the capacity to make the diagnosis.</p><p>NHS England and NHS Improvement are aware of the findings of the Healthcare Safety Investigation Branch’s recent investigation into delayed recognition of acute Aortic Dissection, and these recommendations have been included in the actions being taken forward with hospitals.</p><p>NHS England and NHS Improvement Specialised Commissioning is progressing the Thoracic Aortic Dissection service specification and have identified resource to support this as one of the priorities within the Specialised Vascular Clinical Group work programme.</p><p>It should also be noted that the NHS England and NHS Improvement’s Getting It Right First Time Cardiothoracic Review recommended that acute aortic syndrome patients are only operated on by rotas of acute aortic syndrome specialist teams. This is being actioned across cardiac and vascular teams. The NHS England and NHS Improvement Specialised Cardiac Improvement Programme has developed a guide and toolkit to support implementation with the first Region rolling out from April 2020.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 18/02/2020 16:24:17 answering member 4380 label Biography information for Jo Churchill
tabling member	4025 label Biography information for Mrs Pauline Latham

1123233

registered interest
date	25/04/2019
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	Aortic Dissection: Diagnosis
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 help improve diagnosis of Aortic Dissection.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	247675
answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>NHS England Specialised Commissioning has a published service specification for cardiac surgery, to support national standards, which include this highly serious condition.</p><p>It is recognised that survival rates for emergency interventions are better when care is delivered by a surgeon supported by interventional specialists undertaking higher volumes of these procedures. This point was also highlighted in the Cardiac Surgery Getting It Right First Time (GIRFT) 2018 document, and the NHS England Specialised Cardiac Improvement cardiac surgery work stream is taking forward the GIRFT recommendations, which will also look at how pathways of care for this and other specialised cardiac conditions can be improved by better network working across providers.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 13:03:21 answering member 4455 label Biography information for Seema Kennedy
tabling member	4025 label Biography information for Mrs Pauline Latham

1123235

registered interest
date	25/04/2019
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	Aortic Dissection: Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the frequency of CT scanning in relation to aortic dissection; and what plans he has to increase the speed of access to that service.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	247676
answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>It is recognised the demand for cardiothoracic CT scanning procedures has increased considerably in recent years, for a number of indications.</p><p>The NHS Long Term Plan has identified the need to undertake an assessment of the capacity and demand for CT, including workforce implications.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 11:07:28 answering member 4455 label Biography information for Seema Kennedy
tabling member	4025 label Biography information for Mrs Pauline Latham

1123236

registered interest
date	25/04/2019
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	Heart Diseases: 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 specialist aortic surgery facilities there are in the UK; and if he will make an assessment of the potential merits of introducing more specialist aortic surgery centres.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	247677
answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>There are currently 28 specialised cardiac surgery centres in England.</p><p>NHS England and NHS Improvement has advised that the Specialised Cardiac Improvement Programme includes a workstream on cardiac surgery, but this and previous work has not identified the need for additional surgical centres. The aim is to further develop networked centres to increase access to surgeons who have developed and can maintain particular expertise in aortic dissection surgery.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 11:03:26 answering member 4455 label Biography information for Seema Kennedy
tabling member	4025 label Biography information for Mrs Pauline Latham

1123240

registered interest
date	25/04/2019
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	Genetics: Screening
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 he is taking to increase (a) access and (b) referral rates for genetic services.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	247678
answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>Building on the 100,000 Genomes Project and existing genetic services, NHS England announced in October 2018 that over the next 18 months, work to mobilise the NHS Genomic Medicine Service (GMS) would get underway, providing consistent and equitable care for the country’s 55 million population.</p><p>Investment for genomics was included as part of the NHS Long Term Plan, setting out commitments over the next five years to:</p><p>- Sequence 500,000 whole genomes by 2023/24, as part of a Government commitment to sequence 1 million whole genomes;</p><p>- Extend the use of molecular diagnostic testing and routine offering whole genome sequencing to seriously ill children who are likely to have a rare genetic disorder, children with cancer, and adults suffering from certain rare conditions or specific cancers;</p><p>- Link and correlate genomics, clinical data and data from patients, providing routes to new treatments, diagnostic patterns and information to help patients make informed decisions about their care; and</p><p>- Increase the number of people identified with familial hypercholesterolaemia (inherited high cholesterol) from 7% to 25% over the next five years.</p><p>The NHS Genomic Medicine Service will be supported by an informatics system that is being developed in partnership with Genomics England. When fully operational, the informatics system will enable NHS England to monitor the number of genomic tests being carried out across the country and benchmark activity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/05/2019 14:47:05 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4025 label Biography information for Mrs Pauline Latham

1123241

registered interest
date	25/04/2019
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	Hypertension: Clinics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of establishing additional specialist blood pressure clinics.
tabling member constituency	Mid Derbyshire
tabling member printed	Mrs Pauline Latham
uin	247679
answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>The number of individuals with resistant hypertension, requiring highly specialist input, is small and there are specialist clinics across the country.</p><p>NHS England and NHS Improvement has advised that the vast majority of people with hypertension will be satisfactorily managed in primary care, often with support from hospital specialists across cardiology, renal medicine, and clinical pharmacology.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 13:04:25 answering member 4455 label Biography information for Seema Kennedy
tabling member	4025 label Biography information for Mrs Pauline Latham

768952

registered interest
date	11/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has for widening the use of NHS Digital to enable pharmacists to update a patient's health record.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	107291
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>Pharmacists working across a range of care settings are able to update patient records. In particular the general practice clinical pharmacist programme is funding 2,000 pharmacists over four years to work alongside general practitioners (GPs) and nurses in general practice with read/write access to patient health records.</p><p> </p><p>Clinical pharmacists in hospital practice also have read/write access to hospital patient records to support clinical practice.</p><p> </p><p>In some areas, community pharmacists have been given read/write access to support working with general practices particularly linked to any prescribing role they have.</p><p> </p><p>In addition, 96% of community pharmacists in England have now been provided with read access to the summary care record, which provides a summary of the data in the patient’s general practice record. In addition, 80% have now been provided with a secure NHSmail account which allows safe and secure communication between the pharmacist and the GP practice regarding patient encounters.</p><p> </p><p>Further work is underway to develop a solution that integrates updates recorded by a pharmacist directly into the GP record. This will take time to develop and implement due to the complexity involved.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/10/2017 16:35:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4025 label Biography information for Mrs Pauline Latham

768962

registered interest
date	11/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes and Hypertension: Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to evolve Medicines Use Reviews to enable community pharmacists to better support people with long-term conditions such as diabetes and high blood pressure.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	107290
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>The Department is committed to supporting people with long term conditions manage their illness and take their medication correctly. In line with this ambition, eligibility for Medicine Use Reviews was amended from April 2015, to better target these services at patients who would derive the most benefit from it. This change required 70% of Medicine Use Reviews to be held with people within key target groups which included people with conditions such as diabetes or high blood pressure.</p><p> </p><p>The Department continues to develop and monitor the evidence base and effectiveness of all Advanced Services provided by community pharmacists to improve patient outcomes and make the best use of National Health Service resources. It will continue to do so and develop plans accordingly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/10/2017 16:24:21 answering member 4067 label Biography information for Steve Brine
tabling member	4025 label Biography information for Mrs Pauline Latham