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1131666

	registered interest
	date	12/06/2019
	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	Arthritis: 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 recent assessment he has made of the effectiveness of training for GPs in the early diagnosis of rheumatoid arthritis.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263716
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263717 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

1131669

	registered interest
	date	12/06/2019
	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	Rheumatology
	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 access to specialist rheumatologists.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263717
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263716 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

934385

	registered interest
	date	03/07/2018
	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	Lung Diseases: 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 assessment his Department has made of the effect of (a) the Manchester Lung Health Check and (b) other lung cancer screening pilots; and what steps his Department is taking to improve early diagnosis of (i) lung cancer and (ii) other lung diseases throughout the country.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	160086
	answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>The Department considers the Manchester Lung Health Check to have been successful. Two thirds of patients who received a Manchester Lung Health Check and suffered from cancer had the cancer caught at the earliest stage as a result of this check. Diagnosing lung cancer this early increases the chance of survival. Following the success of the Manchester Lung Health Check, NHS England will be running other pilot programmes of low dose CT scanning in clinical commissioning groups with the lowest lung cancer survival rates.</p><p> </p><p>Improving early diagnosis of cancer is a priority for this Government. We have committed to delivering the recommendations in the Cancer Strategy for England, including the new 28 day faster diagnosis standard, and NHS England has confirmed £200 million of transformation funding over the next two years, including encouraging local areas to find new and innovative ways to diagnose cancer earlier.</p><p> </p><p>Improving care for people with other lung diseases is also crucial. This requires continued action to implement existing plans, including the NHS Outcomes Framework, which details National Health Service priority areas and includes reducing deaths from respiratory disease as a key indicator.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/07/2018 13:18:00 answering member 4067 label Biography information for Steve Brine
	tabling member	450 label Biography information for Tony Lloyd

934386

	registered interest
	date	03/07/2018
	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	Lung Cancer: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of a national lung cancer screening programme.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	160087
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>The United Kingdom National Screening Committee (UK NSC) last reviewed the evidence to screen for lung cancer in 2006 and recommended that population screening should not be introduced. This was due to a lack of evidence to support the use of the screen tests within a population screening programme and that the benefit to screen had not been demonstrated. The UK NSC will review the evidence again after the results of the NELSON randomised lung cancer screening trial are published.</p><p>The UK NSC recognises that lung cancer is common and unless found at an early stage the outcome is very poor. The Committee is currently working with the National Institute of Health Research to assess the effectiveness and cost of screening heavy smokers for lung cancer.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/07/2018 16:27:08 answering member 4067 label Biography information for Steve Brine
	tabling member	450 label Biography information for Tony Lloyd

934387

	registered interest
	date	03/07/2018
	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	Lung Diseases
	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 reduce lung health inequalities in deprived areas.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	160088
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>Two of the most significant respiratory health issues that impact deprived areas are poor air quality and smoking.</p><p>Minimising health inequalities is a core part of Public Health England’s (PHE’s) Mission and Strategic Vision for 2020. PHE was commissioned by the Department to review the evidence for effective interventions on air quality and provide recommendations that will significantly reduce harm from air pollution and impact on health inequalities at the local level.</p><p>PHE has also published a number of reports on urban design which aim to support reductions in air pollution.</p><p>Smoking is a leading cause of a number of respiratory diseases including lung cancer and chronic obstructive pulmonary disease and is the leading cause of health inequalities. The Government’s Tobacco Control Plan for England, published in July 2017, re-emphasises the important role of local areas in providing support for smokers to stop smoking. As part of a comprehensive programme of national and local tobacco control activity, this is an important means of tackling inequalities in lung health in disadvantaged communities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/07/2018 15:38:20 answering member 4067 label Biography information for Steve Brine
	tabling member	450 label Biography information for Tony Lloyd

934389

	registered interest
	date	03/07/2018
	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	Lung Diseases: Rehabilitation
	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 makes of the benefits of pulmonary rehabilitation for people with chronic breathing problems; and what steps his Department is taking to improve access to pulmonary rehabilitation throughout the country.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	160089
	answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>Pulmonary rehabilitation can be an effective treatment for many people with chronic lung disease.</p><p> </p><p>NHS England is working with partners to improve the treatment and care for respiratory disease. There have been several recent initiatives to improve care with tools and resources to support local health economies. These include:</p><p>- National Institute for Health and Care Excellence guidelines for Chronic Obstructive Pulmonary Disease (COPD) and asthma;</p><p>- NHS RightCare COPD pathway – which includes pulmonary rehabilitation services; and</p><p>- COPD Best Practice Tariff.</p><p> </p><p>The British Thoracic Society has a digital platform, supported by NHS England – ‘Respiratory Futures’, which enables collaboration in the respiratory community to support high quality respiratory care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/07/2018 13:29:01 answering member 4067 label Biography information for Steve Brine
	tabling member	450 label Biography information for Tony Lloyd

932185

	registered interest
	date	28/06/2018
	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	Social Services
	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 effect of the delay to publishing the green paper on social care on people who are not receiving an adequate level of care.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	158695
	answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>It is important to take the time to get the details right for a better care system, so that people receive high standards of care, helping them maintain their independence and well-being. This is why we want to integrate plans for social care with the new National Health Service plan, we therefore now intend to publish the social care Green Paper in the autumn around the same time as the NHS plan.</p><p> </p><p>In the meantime, all councils have statutory duties to look after the vulnerable, elderly and disabled people in their area. The Care Act 2014 requires that where a person is assessed as having eligible care and support needs, these must be met by their local authority. For those who do not meet the eligibility criteria, local authorities should signpost people to relevant services.</p><p> </p><p>The Care Act 2014 also placed a new duty on councils to offer a meaningful choice of services, so that people have a range of high quality, appropriate care options to choose from and that they get the services that best meet their needs.</p><p> </p><p>The Government recognises the pressures on the social care system. This is why the Government announced an additional £2 billion at Spring Budget 2017 for adult social care over the three years from 2017-18. With this, and other measures, the Government has given councils access to £9.4 billion dedicated funding for adult social care over three years.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2018 13:48:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	450 label Biography information for Tony Lloyd

931904

	registered interest
	date	27/06/2018
	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	Carers: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the (a) Green Paper on Social Care, and (b) parallel work-stream on working-age adults will include proposals for financial support for carers.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	158166
	answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>Carers need to be at the heart of discussions on a sustainable settlement for social care. As well as making an invaluable difference to the people they support, carers are vital partners in the health and social care system.</p><p> </p><p>The Green Paper will, therefore, include a focus on how society supports carers to ensure that they are properly valued, recognised and supported to provide care in a way that supports their own health and wellbeing. Further details will be included in the Green Paper.</p><p> </p><p>The workstream on working age adults will consider issues which uniquely affect working age adults. As caring is relevant to people of all ages, issues affecting carers will be included in the Green Paper.</p><p> </p><p>Carers have access to the full range of social security benefits according to their circumstances. Since 2010, the rate of Carer’s Allowance has increased from £53.90 to £64.60 a week, meaning an additional £550 a year for carers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2018 13:43:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	450 label Biography information for Tony Lloyd

900499

	registered interest
	date	09/05/2018
	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	Members: Correspondence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, by what date he plans to respond to the letter from the hon. Member for Rochdale dated 13 March 2018 reference number IW/0038.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	142340
	answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>I responded to the hon. Member’s letter today (14 May).</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 14/05/2018 12:53:02 answering member 4095 label Biography information for Steve Barclay
	tabling member	450 label Biography information for Tony Lloyd

837681

	registered interest
	date	06/02/2018
	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	General Practitioners: Labour Turnover
	house id	1
	legislature	25259 pref label House of Commons
	question text	What estimate his Department has made of the number of GPs who plan to leave general practice in the next five years; and if he will make a statement.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	903795
	answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>We know that one of the main reasons GPs leave general practice is retirement. That is why we have put in place comprehensive measures to ensure we meet our commitment of an extra 5,000 GPs in the NHS by 2020. GP Career Plus, the GP Retention Scheme and the National GP Induction and Refresher Scheme will all help get valuable experienced GPs back into our NHS. 3,157 GP training places were also filled in 2017 – the highest number ever.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/02/2018 15:44:28 answering member 4067 label Biography information for Steve Brine
	tabling member	450 label Biography information for Tony Lloyd