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1109054

	registered interest
	date	02/04/2019
	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	Cytomegalovirus
	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 improve the (a) diagnosis and (b) treatment of cytomegalovirus in infants and children.
	tabling member constituency	Glasgow East
	tabling member printed	David Linden
	uin	240083
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Experts advise that cytomegalovirus (CMV) remains difficult to diagnose because in the majority of cases the baby presents normally at birth.</p><p> </p><p>In 2017, the Royal College of Obstetricians and Gynaecology (RCOG) published an update for the treatment of congenital CMV infection, acknowledging that therapeutic options such as antiviral therapy are still being evaluated within the research setting. The RCOG will consider whether the paper needed to be updated.</p><p> </p><p>Departmental officials will be meeting the charity CMV Action next month to discuss their recommendations to prevent, diagnose and intervene.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:32:18 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4640 label Biography information for David Linden

1109126

	registered interest
	date	02/04/2019
	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	Dermatology
	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 ensure patient experience is at the heart of commissioning for adult atopic dermatitis services in England.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	239948
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239949 239950 239951 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1109127

	registered interest
	date	02/04/2019
	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	Dermatology
	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 meetings his Department has had with (a) patient and (b) professional atopic dermatitis groups in the last 12 months.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	239949
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The commissioning and configuration of dermatology services in England is a local matter. The majority of patients with dermatological disorders are managed in primary and community care and the local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way.</p><p> </p><p>The National Institute for Health and Care Excellence has published guidance on a number of dermatological conditions, including eczema, also known as atopic dermatitis, to support commissioners to plan and deliver services for local populations. ‘Atopic eczema in under 12’s: diagnosis and management’ includes recommendations that healthcare professionals should adopt a holistic approach at each consultation, taking into account severity of a condition and the impact this may have on quality of life.</p><p> </p><p>Healthcare professionals should be aware that all categories of severity of atopic eczema, even mild, can have a negative impact on psychological and psychosocial wellbeing and quality of life and that assessment of wellbeing should be carried out at every consultation. Furthermore, the guidance recommends using validated tools in the management of patients, such as Children's Dermatology Life Quality Index, Infants' Dermatitis Quality of Life Index or Dermatitis Family Impact questionnaire for quality of life. Where quality of life and psychosocial wellbeing has not improved despite treatment and improvement, patients should be referred for psychological advice. The guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg57" target="_blank">www.nice.org.uk/guidance/cg57</a></p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, NHS England is taking action in range of areas to improve the care treatment and support provided to people with long term conditions. As part of this, it is continuing its expansion of Improving Access to Psychological Therapies (IAPT) services for adults with common mental health problems, with a focus on those with long-term conditions. IAPT services have now evolved to deliver benefits to people with long-term conditions, providing genuinely integrated care. By 2023/24, an additional 380,000 adults will be able to access IAPT services.</p><p> </p><p>No assessment has been made on the impact of atopic dermatitis on patient expenses, work days and mental health services. No meetings regarding atopic dermatitis have taken place in the last 12 months.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239948 239950 239951 question first answered 10/04/2019 13:36:32 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4056 label Biography information for Nic Dakin

1109188

	registered interest
	date	02/04/2019
	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	General Practitioners: Bexley
	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 waiting time for patients to see their GP in Bexley has been for (a) non-emergency appointments and (b) emergency appointments in the last twelve months.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	239895
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Bexley Clinical Commissioning Group (CCG) currently only captures data from four of its 23 general practices due to interoperability issues with one of the clinical system suppliers. However, national roll out of a new system to share this data is expected this month, meaning the relevant data for the remaining practices in Bexley should be available from May 2019.</p><p> </p><p>The time between booking an appointment with a general practice and having the appointment, in days, for the practices where data is currently collected in Bexley CCG is presented in the attached table for the last available published date which was February 2019. A 12 month average from March 2018 - February 2019 has also been presented along with a comparison to the average across all appointments in England. NHS Digital’s ‘Appointments in General Practice’ data is published monthly with a two-month time lag.</p><p> </p><p>The appointments data does not differentiate between emergency and routine appointments in general practice and the ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Bexley</p></td><td><p>England</p></td><td><p>Bexley</p></td><td><p>England</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>February 2019</p></td><td colspan="2"><p>March 2018 to February 2019</p></td></tr><tr><td><p>Same Day</p></td><td><p>35.8%</p></td><td><p>42.3%</p></td><td><p>38.1%</p></td><td><p>42.2%</p></td></tr><tr><td><p>1 Day</p></td><td><p>6.2%</p></td><td><p>6.8%</p></td><td><p>6.8%</p></td><td><p>6.8%</p></td></tr><tr><td><p>2 to 7 Days</p></td><td><p>20.6%</p></td><td><p>19.8%</p></td><td><p>22.9%</p></td><td><p>20.1%</p></td></tr><tr><td><p>8 to 14 Days</p></td><td><p>20.1%</p></td><td><p>14.4%</p></td><td><p>17.2%</p></td><td><p>13.8%</p></td></tr><tr><td><p>15 to 21 Days</p></td><td><p>8.5%</p></td><td><p>7.6%</p></td><td><p>7.4%</p></td><td><p>7.4%</p></td></tr><tr><td><p>22 to 28 Days</p></td><td><p>5.8%</p></td><td><p>5.1%</p></td><td><p>4.7%</p></td><td><p>5.0%</p></td></tr><tr><td><p>More than 28 Days</p></td><td><p>2.9%</p></td><td><p>4.0%</p></td><td><p>3.0%</p></td><td><p>4.7%</p></td></tr><tr><td><p>Total</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td></tr></tbody></table><p> </p><p>The time between booking an appointment with a general practice and having the appointment, in days, for all data available in Bexley CCG is presented above for the last published month February 2019 and as a 12 month average from March 2018 - February 2019 along with a comparison to the average across all appointments in England.</p><p>Notes:</p><ol><li>Data has only been able to be captured from up to four out of the 23 GP practices in Bexley due to interoperability issues with one of the clinical system suppliers.</li><li>NHS Digital currently only publish data from Egton Medical Information Systems (EMIS) and The Phoenix Partnership (TPP) practice systems but are working with other general practitioner (GP) systems to bring them on board in future developments.</li><li>There are several factors that drive the time from a booking to an appointment. This includes appointment availability at the practice, patient availability, the urgency of the appointment and GP advice.</li><li>The data does not differentiate between emergency and routine appointments in general practice.</li><li>The data does not include any information about the patients or clinical information.</li><li>The data in the response includes appointments with all healthcare professional types, including GPs and other practice staff.</li><li>Not all practices in England are included in the appointments in general practice publication, meaning the total number of appointments is not known.</li><li>Same day and next day bookings are of particular interest so are presented here separately. Further bookings are presented grouped by weeks.</li><li>The number of appointments that have already happened is provided as recorded in participating EMIS and TPP practices in England. The data presented only contains information which was captured on the GP practice systems. This limits the activity reported on and does not represent all work happening within a primary care setting.</li></ol><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:34:29 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1198 label Biography information for Sir David Evennett