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77149

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Yorkshire and the Humber
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support provisions are in place for children and adolescents with mental health problems in Yorkshire; what the average time in Yorkshire is from referral by a GP of a child or adolescent with mental health problems until they are seen by a specialist; and how much funding was allocated to children and adolescents with mental health problems in (a) 2010 and (b) 2014.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	205200
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>The local National Health Service uses funds made available to it to provide support for all children and young people with mental health needs in Yorkshire.</p><p> </p><p>The following tables show the most recent data available for the estimated expenditure on child and adolescent mental health services (CAMHS) in the former Yorkshire and the Humber Strategic Health Authority (SHA) area and by former primary care trust (PCT).</p><p> </p><p>Data on waiting times for CAMHS is not available centrally.</p><p> </p><p>Table 1: Estimated expenditure on CAMHS for PCTs in Yorkshire and Humber SHA</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2006-07</p></td><td><p>25</p></td></tr><tr><td><p>2007-08</p></td><td><p>34</p></td></tr><tr><td><p>2008-09</p></td><td><p>46</p></td></tr><tr><td><p>2009-10</p></td><td><p>54</p></td></tr><tr><td><p>2010-11</p></td><td><p>43</p></td></tr><tr><td><p>2011-12</p></td><td><p>67</p></td></tr><tr><td><p>2012-13</p></td><td><p>68</p></td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England</p><p><em> </em></p><p><em>Notes: </em></p><ol type="1"><li>Expenditure data are taken from the 2006-07 to 2012-13 programme budgeting returns. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</li><li>'Child and Adolescent Mental Health Services' is a subcategory of the 'Mental Health Disorders' programme category. The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.</li><li>In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology each year. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.</li><li>Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other'. Expenditure on Primary Care appointments cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other' expenditure, rather than included within the CAMHS figures.</li></ol><p> </p><p>Table 2: Mental Health Spend 2006-07 to 2012-13 - PCT Totals</p><p><strong> </strong></p><table><tbody><tr><td><p>Financial Year</p></td><td><p>PCT Name</p></td><td><p>Estimated expenditure on Child and Adolescent Mental Health Services (£000s)</p></td></tr><tr><td><p>2006-07</p></td><td><p>North Lincolnshire PCT</p></td><td><p>1,687</p></td></tr><tr><td><p>2007-08</p></td><td><p>North Lincolnshire PCT</p></td><td><p>1,130</p></td></tr><tr><td><p>2008-09</p></td><td><p>North Lincolnshire PCT</p></td><td><p>1,299</p></td></tr><tr><td><p>2009-10</p></td><td><p>North Lincolnshire PCT</p></td><td><p>1,732</p></td></tr><tr><td><p>2010-11</p></td><td><p>North Lincolnshire PCT</p></td><td><p>2,568</p></td></tr><tr><td><p>2011-12</p></td><td><p>North Lincolnshire PCT</p></td><td><p>2,320</p></td></tr><tr><td><p>2012-13</p></td><td><p>North Lincolnshire PCT</p></td><td><p>3,523</p></td></tr><tr><td><p>2006-07</p></td><td><p>Rotherham PCT</p></td><td><p>729</p></td></tr><tr><td><p>2007-08</p></td><td><p>Rotherham PCT</p></td><td><p>2,067</p></td></tr><tr><td><p>2008-09</p></td><td><p>Rotherham PCT</p></td><td><p>2,534</p></td></tr><tr><td><p>2009-10</p></td><td><p>Rotherham PCT</p></td><td><p>2,931</p></td></tr><tr><td><p>2010-11</p></td><td><p>Rotherham PCT</p></td><td><p>2,985</p></td></tr><tr><td><p>2011-12</p></td><td><p>Rotherham PCT</p></td><td><p>3,575</p></td></tr><tr><td><p>2012-13</p></td><td><p>Rotherham PCT</p></td><td><p>5,036</p></td></tr><tr><td><p>2006-07</p></td><td><p>Calderdale PCT</p></td><td><p>2</p></td></tr><tr><td><p>2007-08</p></td><td><p>Calderdale PCT</p></td><td><p>481</p></td></tr><tr><td><p>2008-09</p></td><td><p>Calderdale PCT</p></td><td><p>2,846</p></td></tr><tr><td><p>2009-10</p></td><td><p>Calderdale PCT</p></td><td><p>2,736</p></td></tr><tr><td><p>2010-11</p></td><td><p>Calderdale PCT</p></td><td><p>2,458</p></td></tr><tr><td><p>2011-12</p></td><td><p>Calderdale PCT</p></td><td><p>1,412</p></td></tr><tr><td><p>2012-13</p></td><td><p>Calderdale PCT</p></td><td><p>1,787</p></td></tr><tr><td><p>2006-07</p></td><td><p>Barnsley PCT</p></td><td><p>1,879</p></td></tr><tr><td><p>2007-08</p></td><td><p>Barnsley PCT</p></td><td><p>2,396</p></td></tr><tr><td><p>2008-09</p></td><td><p>Barnsley PCT</p></td><td><p>2,824</p></td></tr><tr><td><p>2009-10</p></td><td><p>Barnsley PCT</p></td><td><p>2,435</p></td></tr><tr><td><p>2010-11</p></td><td><p>Barnsley PCT</p></td><td><p>2,749</p></td></tr><tr><td><p>2011-12</p></td><td><p>Barnsley PCT</p></td><td><p>3,476</p></td></tr><tr><td><p>2012-13</p></td><td><p>Barnsley PCT</p></td><td><p>1,865</p></td></tr><tr><td><p>2006-07</p></td><td><p>Leeds PCT</p></td><td><p>530</p></td></tr><tr><td><p>2007-08</p></td><td><p>Leeds PCT</p></td><td><p>1,155</p></td></tr><tr><td><p>2008-09</p></td><td><p>Leeds PCT</p></td><td><p>1,291</p></td></tr><tr><td><p>2009-10</p></td><td><p>Leeds PCT</p></td><td><p>10,807</p></td></tr><tr><td><p>2010-11</p></td><td><p>Leeds PCT</p></td><td><p>1,004</p></td></tr><tr><td><p>2011-12</p></td><td><p>Leeds PCT</p></td><td><p>2,225</p></td></tr><tr><td><p>2012-13</p></td><td><p>Leeds PCT</p></td><td><p>2,752</p></td></tr><tr><td><p>2006-07</p></td><td><p>Kirklees PCT</p></td><td><p>2,576</p></td></tr><tr><td><p>2007-08</p></td><td><p>Kirklees PCT</p></td><td><p>96</p></td></tr><tr><td><p>2008-09</p></td><td><p>Kirklees PCT</p></td><td><p>3,030</p></td></tr><tr><td><p>2009-10</p></td><td><p>Kirklees PCT</p></td><td><p>4,500</p></td></tr><tr><td><p>2010-11</p></td><td><p>Kirklees PCT</p></td><td><p>2,214</p></td></tr><tr><td><p>2011-12</p></td><td><p>Kirklees PCT</p></td><td><p>2,998</p></td></tr><tr><td><p>2012-13</p></td><td><p>Kirklees PCT</p></td><td><p>3,152</p></td></tr><tr><td><p>2006-07</p></td><td><p>Wakefield District PCT</p></td><td><p>196</p></td></tr><tr><td><p>2007-08</p></td><td><p>Wakefield District PCT</p></td><td><p>2,115</p></td></tr><tr><td><p>2008-09</p></td><td><p>Wakefield District PCT</p></td><td><p>3,177</p></td></tr><tr><td><p>2009-10</p></td><td><p>Wakefield District PCT</p></td><td><p>3,442</p></td></tr><tr><td><p>2010-11</p></td><td><p>Wakefield District PCT</p></td><td><p>705</p></td></tr><tr><td><p>2011-12</p></td><td><p>Wakefield District PCT</p></td><td><p>5,023</p></td></tr><tr><td><p>2012-13</p></td><td><p>Wakefield District PCT</p></td><td><p>6,197</p></td></tr><tr><td><p>2006-07</p></td><td><p>Sheffield PCT</p></td><td><p>5,672</p></td></tr><tr><td><p>2007-08</p></td><td><p>Sheffield PCT</p></td><td><p>7,388</p></td></tr><tr><td><p>2008-09</p></td><td><p>Sheffield PCT</p></td><td><p>7,122</p></td></tr><tr><td><p>2009-10</p></td><td><p>Sheffield PCT</p></td><td><p>7,425</p></td></tr><tr><td><p>2010-11</p></td><td><p>Sheffield PCT</p></td><td><p>9,739</p></td></tr><tr><td><p>2011-12</p></td><td><p>Sheffield PCT</p></td><td><p>11,481</p></td></tr><tr><td><p>2012-13</p></td><td><p>Sheffield PCT</p></td><td><p>12,638</p></td></tr><tr><td><p>2006-07</p></td><td><p>Doncaster PCT</p></td><td><p>1,491</p></td></tr><tr><td><p>2007-08</p></td><td><p>Doncaster PCT</p></td><td><p>2,143</p></td></tr><tr><td><p>2008-09</p></td><td><p>Doncaster PCT</p></td><td><p>2,723</p></td></tr><tr><td><p>2009-10</p></td><td><p>Doncaster PCT</p></td><td><p>2,673</p></td></tr><tr><td><p>2010-11</p></td><td><p>Doncaster PCT</p></td><td><p>3,152</p></td></tr><tr><td><p>2011-12</p></td><td><p>Doncaster PCT</p></td><td><p>5,626</p></td></tr><tr><td><p>2012-13</p></td><td><p>Doncaster PCT</p></td><td><p>6,224</p></td></tr><tr><td><p>2006-07</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>3,799</p></td></tr><tr><td><p>2007-08</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>5,880</p></td></tr><tr><td><p>2008-09</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>5,004</p></td></tr><tr><td><p>2009-10</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>5,034</p></td></tr><tr><td><p>2010-11</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>2,820</p></td></tr><tr><td><p>2011-12</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>5,366</p></td></tr><tr><td><p>2012-13</p></td><td><p>North Yorkshire and York PCT</p></td><td><p>7,136</p></td></tr><tr><td><p>2006-07</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>62</p></td></tr><tr><td><p>2007-08</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>83</p></td></tr><tr><td><p>2008-09</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>2,732</p></td></tr><tr><td><p>2009-10</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>2,860</p></td></tr><tr><td><p>2010-11</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>3,030</p></td></tr><tr><td><p>2011-12</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>5,221</p></td></tr><tr><td><p>2012-13</p></td><td><p>East Riding Of Yorkshire PCT</p></td><td><p>3,078</p></td></tr><tr><td><p>2006-07</p></td><td><p>Hull Teaching PCT</p></td><td><p>82</p></td></tr><tr><td><p>2007-08</p></td><td><p>Hull Teaching PCT</p></td><td><p>1,716</p></td></tr><tr><td><p>2008-09</p></td><td><p>Hull Teaching PCT</p></td><td><p>3,842</p></td></tr><tr><td><p>2009-10</p></td><td><p>Hull Teaching PCT</p></td><td><p>4,018</p></td></tr><tr><td><p>2010-11</p></td><td><p>Hull Teaching PCT</p></td><td><p>3,703</p></td></tr><tr><td><p>2011-12</p></td><td><p>Hull Teaching PCT</p></td><td><p>6,417</p></td></tr><tr><td><p>2012-13</p></td><td><p>Hull Teaching PCT</p></td><td><p>2,997</p></td></tr><tr><td><p>2006-07</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>4,784</p></td></tr><tr><td><p>2007-08</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>6,003</p></td></tr><tr><td><p>2008-09</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>6,161</p></td></tr><tr><td><p>2009-10</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>2,983</p></td></tr><tr><td><p>2010-11</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>2,445</p></td></tr><tr><td><p>2011-12</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>8,819</p></td></tr><tr><td><p>2012-13</p></td><td><p>Bradford and Airedale Teaching PCT</p></td><td><p>7,443</p></td></tr><tr><td><p>2006-07</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>1,450</p></td></tr><tr><td><p>2007-08</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>1,021</p></td></tr><tr><td><p>2008-09</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>1,564</p></td></tr><tr><td><p>2009-10</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>727</p></td></tr><tr><td><p>2010-11</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>3,155</p></td></tr><tr><td><p>2011-12</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>3,393</p></td></tr><tr><td><p>2012-13</p></td><td><p>North East Lincolnshire PCT</p></td><td><p>3,965</p></td></tr></tbody></table><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/07/2014 14:31:36 answering member 1439 label Biography information for Norman Lamb
tabling member	410 label Biography information for Jon Trickett

77151

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Wakefield
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many (a) GPs and (b) accident and emergency departments serving Wakefield have closed since 2010.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	205139
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>This information, whilst not collected centrally, can be obtained from the local NHS England Area Team.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/07/2014 14:47:23 answering member 3918 label Biography information for Jane Ellison
tabling member	410 label Biography information for Jon Trickett

77160

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Sussex
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in (a) Brighton Kemptown constituency, (b) Brighton and Hove and (c) Sussex have gained access to cancer drugs through the Cancer Drugs Fund in each year of that Fund's operation.
tabling member constituency	Brighton, Kemptown
tabling member printed	Simon Kirby
uin	205020
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>Prior to April 2013, information on the Cancer Drugs Fund was administered through clinical panels based in each strategic health authority and data on the number of patients who accessed treatment through the Fund in each constituency, city and county was not collected. Information on the number of patients who accessed treatment in South East Coast Strategic Health Authority (SHA) and England in 2010-11, 2011-12 and 2012-13 is shown as follows:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Number of patients funded in</p><p>2010-11</p></td><td><p>Number of patients funded in 2011-12</p></td><td><p>Number of patients funded in 2012-13</p></td><td><p>Total number of patients funded since October 2010<sup>1</sup></p></td></tr><tr><td><p>South East Coast SHA</p></td><td><p>306</p></td><td><p>1,241</p></td><td><p>1,426</p></td><td><p>2,973</p></td></tr><tr><td><p>England</p></td><td><p>2,780</p></td><td><p>11,798</p></td><td><p>15,456</p></td><td><p>30,034</p></td></tr></tbody></table><p> </p><p><sup>1 </sup>Some individual patients may be double-counted where a patient has received more than one drug treatment through the Cancer Drugs Fund</p><p> </p><p><em>Source</em>:</p><p>Information provided to the Department by SHAs</p><p> </p><p>NHS England has had oversight of the Fund since April 2013 and publishes information on patient numbers routinely on its website at:</p><p> </p><p>www.england.nhs.uk/ourwork/pe/cdf/</p><p> </p><p>Information published by NHS England shows that in 2013-14, 4,725 patients in the South of England region and 19,282 patients in England accessed treatment through the Fund. In addition, 89 individual cancer drugs fund request applications were approved by the Cancer Drugs Fund panel in the South of England region.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/07/2014 14:34:08 answering member 1439 label Biography information for Norman Lamb
tabling member	3929 label Biography information for Simon Kirby

77165

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Hospitals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with NHS England on the role of community hospitals.
tabling member constituency	Thirsk and Malton
tabling member printed	Miss Anne McIntosh
uin	204995
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>My Rt. hon. Friend the Secretary of State meets with NHS England on a regular basis and discusses a range of issues, both formally and informally, including the role of community hospitals.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/07/2014 14:44:44 answering member 3918 label Biography information for Jane Ellison
tabling member	384 label Biography information for Baroness McIntosh of Pickering

77264

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when the testing of the cerebrospinal fluid of patients suspected of having Lyme disease using the Trinity Biotech kit at the Health Protection Agency’s Lyme Borreliosis Unit began; how many patients' samples were tested in that way; and how many patients were recorded as being positive over that period of time.
tabling member printed	The Countess of Mar
uin	HL998
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The Trinity Biotech blot has been in use since 2007 by the former Health Protection Agency's Lyme Borreliosis Unit for testing cerebrospinal fluid (CSF) and proved very reliable. It has also been used in this way by other laboratories in Europe. However, CSF antibodies will not be present if there is no evidence of any other antibodies in the serum. Data is not collected centrally on specific samples from patients as the final diagnosis is made by the clinician on the basis of the test results and the clinical presentation.</p> answering member printed Earl Howe question first answered 24/07/2014 12:31:17 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

77265

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether, in December 2011, the Clinical Pathology Accreditation Service was made aware of modifications by the Health Protection Agency’s Lyme Borreliosis Unit to the Trinity Biotech immunoblot kit to be used for testing human cerebrospinal fluid.
tabling member printed	The Countess of Mar
uin	HL999
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit (HPA LBU) was accredited by Clinical Pathology Accreditation who had access to, and was able to review, all the standard operating procedures of the unit.</p><p> </p><p>The Trinity Biotech Lyme Western Blot is a qualitative in vitro assay for the detection of Immunoglobulin (IgG or IgM) antibodies in human samples against specific antigens/proteins of <em>Borrelia afzelii, Borrelia garinii and Borrelia burgdorferi</em>. The Trinity Biotech Lyme Western Blot is intended as a confirmatory assay for use in testing human samples which have been previously found to be positive or equivocal using an Enzyme Immunoassay and Immunofluroescent Assay or other appropriate screening method. Positive second-tier results are supportive evidence of infection with <em>B. burgdorferi</em>. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to <em>B. burgdorferi</em>. The Trinity Biotech blot has been in use since 2007 by the former HPA’s LBU for testing cerebrospinal fluid (CSF) and proved very reliable. This technique has also been in use widely across Europe during this period as a diagnostic test using CSF as a sample to support the diagnosis of neuroborreliosis.</p> answering member printed Earl Howe question first answered 24/07/2014 12:32:59 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

77266

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what evidence existed to show that the Health Protection Agency’s Lyme Borreliosis Unit (LBU) conformed with European Union and United Kingdom legislation for the use of the Trinity Biotech kit for <i>in vitro</i> testing when used with cerebrospinal fluid; and what testing was carried out by the LBU to verify that the use of that test kit was suitable, and sufficiently sensitive, for the detection of European and United Kingdom species of Borrelia infections in cerebrospinal fluid.
tabling member printed	The Countess of Mar
uin	HL1000
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit adhered to legislation related to diagnostic testing. The Trinity Biotech Lyme Western Blot technique was widely used in Europe at that time for serum and samples. Controls were run with each batch of the test to verify the tests accuracy and sensitivity. Quality assurance samples were run to ensure independent validation of the results.</p> answering member printed Earl Howe question first answered 24/07/2014 14:21:30 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

77267

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Health Protection Agency’s Lyme Borreliosis Unit adhered to the Health Protection Agency's published guidelines on <i>Commercial and In-House Diagnostic Tests: Evaluations and Validations</i> in carrying out testing of cerebrospinal fluid of patients suspected of having Lyme disease using the Trinity Biotech kit.
tabling member printed	The Countess of Mar
uin	HL1001
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's (HPA) Lyme Borreliosis Unit adhered to the HPA’s published guidelines on Commercial and In-House Diagnostic Tests.</p> answering member printed Earl Howe question first answered 24/07/2014 13:24:08 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

77268

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Health Protection Agency's Lyme Borreliosis Unit informed clinicians and patients of test results on cerebrospinal fluid in accordance with Medicines and Healthcare Products Regulatory Agency guidance in carrying out testing of cerebrospinal fluid of patients suspected of having Lyme disease using the Trinity Biotech kit.
tabling member printed	The Countess of Mar
uin	HL1002
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit (HPA LBU) informed requesting clinicians but not patients of the results on cerebrospinal fluid (CSF) and also provided a clinical interpretive service to the requesting clinician. Referring laboratories and clinicians managing patients with Lyme disease were aware of the limitations of diagnostic tests for serum and CSF through publications and educational meetings. It is the role of the requesting clinician to be guided by the interpretation of the laboratory result and to use these results in the light of the clinical presentation to make a diagnosis and a management plan for individual patients. It is also important to note that the former HPA’s LBU performed diagnostic tests on samples referred by other laboratories</p> answering member printed Earl Howe question first answered 24/07/2014 13:33:24 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

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registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Health Protection Agency's Lyme Borreliosis Unit informed clinicians and patients of test results on cerebrospinal fluid in accordance with Medicines and Healthcare Products Regulatory Agency guidance on devices used off-label.
tabling member printed	The Countess of Mar
uin	HL1003
answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit informed requesting clinicians but not patients of the results on cerebrospinal fluid (CSF) and also provided a clinical interpretive service to the requesting clinician. There was no approved ‘on-label’ test for CSF at that time, which is why the use of this test was carefully controlled and its quality assured in each test run. It is the role of the requesting clinician to be guided by the interpretation of the laboratory result and to use these results in the light of the clinical presentation to make a diagnosis and a management plan for individual patients. In addition to the controls for the test, the CSF sample was run with the patient’s serum. If the patient had Lyme disease, serology would have demonstrated this and the patient treated appropriately for their clinical presentation whether the CSF was positive or negative.</p> answering member printed Earl Howe question first answered 24/07/2014 14:20:46 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar