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809601

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support his Department plans to offer to those NHS trusts in those areas unlikely to be able to offer mechanial thrombectomy as a treatment immediately.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120249
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England does not anticipate being able to offer thrombectomy to all eligible stroke patients immediately, because of the need to develop and train further specialists to undertake the procedure. NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p>NHS England anticipates that it will take a minimum of five years to achieve full 24/7 services and in the initial roll out phase of implementation most services will not be in a position to safely deliver this service 24/7, as delivering thrombectomy is a complex and highly technical procedure.</p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120250 question first answered 22/12/2017 11:41:14 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809604

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how his Department plans to ensure that eligible stroke patients get access to mechanical thrombectomy treatment.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120250
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England does not anticipate being able to offer thrombectomy to all eligible stroke patients immediately, because of the need to develop and train further specialists to undertake the procedure. NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p>NHS England anticipates that it will take a minimum of five years to achieve full 24/7 services and in the initial roll out phase of implementation most services will not be in a position to safely deliver this service 24/7, as delivering thrombectomy is a complex and highly technical procedure.</p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120249 question first answered 22/12/2017 11:41:14 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809607

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the Great North Care Record and its opt-in model for data sharing.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120251
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The Great North Care Record is a local initiative led by the Connected Health Cities initiative and supported by general practices, hospitals, community and mental health trusts across the North East and North Cumbria region. It aims to make an agreed set of information from each organisation immediately available between health and care professionals using a secure, electronic system to help provide the best treatment.</p><p> </p><p>The Department understands that people receiving treatment at emergency departments or out of hours services ‘opt in’ at the point of care by giving permission for their Great North Care Record to be viewed by health professionals and that people can ‘opt out’ of the scheme via their general practitioner practice.</p><p> </p><p>The Department has not made any assessment of the effectiveness of these arrangements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:12:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4124 label Biography information for Chi Onwurah

809081

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support the NHS roll-out of new and innovative mechanical thrombectomy techniques in the treatment of strokes.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120190
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is working to develop well-staffed and effective units capable of delivering high quality thrombectomy. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p> </p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p> </p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is developing models of training for interventional radiologists and a credential model in collaboration with the GMC.</p><p> </p><p>NHS services in Scotland and Wales are matters for the Scottish and Welsh Governments.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120191 120192 120193 120204 question first answered 22/12/2017 11:48:16 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809082

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government plans to take to (a) promote innovation within the NHS and (b) support existing drives for innovation such as the recently commissioned stroke treatment mechanical thrombectomy.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120191
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is working to develop well-staffed and effective units capable of delivering high quality thrombectomy. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p> </p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p> </p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is developing models of training for interventional radiologists and a credential model in collaboration with the GMC.</p><p> </p><p>NHS services in Scotland and Wales are matters for the Scottish and Welsh Governments.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120190 120192 120193 120204 question first answered 22/12/2017 11:48:16 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809083

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support his Department provides to NHS England to ensure that NHS Trusts can provide mechanical thrombectomies for the treatment of stroke.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120192
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is working to develop well-staffed and effective units capable of delivering high quality thrombectomy. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p> </p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p> </p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is developing models of training for interventional radiologists and a credential model in collaboration with the GMC.</p><p> </p><p>NHS services in Scotland and Wales are matters for the Scottish and Welsh Governments.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120190 120191 120193 120204 question first answered 22/12/2017 11:48:17 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809084

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
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 variations in the level of access to mechanical thrombecomy across England, Scotland and Wales; and how his Department plans to address those variations.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120193
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is working to develop well-staffed and effective units capable of delivering high quality thrombectomy. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p> </p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p> </p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is developing models of training for interventional radiologists and a credential model in collaboration with the GMC.</p><p> </p><p>NHS services in Scotland and Wales are matters for the Scottish and Welsh Governments.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120190 120191 120192 120204 question first answered 22/12/2017 11:48:17 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

809095

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
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 adequacy of the number of trained interventional neuroradiologists to perform mechanical thrombectomies.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	120204
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England is working to develop well-staffed and effective units capable of delivering high quality thrombectomy. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p> </p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, which would require 150 interventionists.</p><p> </p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is developing models of training for interventional radiologists and a credential model in collaboration with the GMC.</p><p> </p><p>NHS services in Scotland and Wales are matters for the Scottish and Welsh Governments.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 120190 120191 120192 120193 question first answered 22/12/2017 11:48:17 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

805271

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support the NHS roll-out of new and innovative mechanical thrombectomy techniques in the treatment of stroke.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	118943
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>In April this year, NHS England announced that it will commission mechanical thrombectomy so it can become more widely available for patients who have certain types of acute ischaemic stroke – a severe form of the condition.</p><p> </p><p>Work by NHS England is now underway to assess the readiness of 24 neuroscience centres across the country. It is expected the treatment will start to be phased in shortly with an estimated 1,000 patients set to benefit across the first year of introduction.</p><p> </p><p>The National Institute for Health and Care Excellence published interventional procedure guidance in February 2016, titled “mechanical clot retrieval for treating acute ischaemic stroke”. The guidance reviews the safety and efficacy of the procedure. The decision on whether to fund this procedure is made at a local National Health Service level and usually on a case-by-case basis.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/12/2017 16:29:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4124 label Biography information for Chi Onwurah

805272

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government plans to take to (a) promote innovation within the NHS and (b) support existing initiatives for innovation (i) stroke treatment and mechanical thrombectomy techniques and (ii) other areas?
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	118944
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Thrombectomy cannot be provided without the staff equipped to deliver it. NHS England’s priority is therefore to develop well-staffed and effective units capable of delivering safe care. NHS England is supporting networking between thrombectomy centres to cover extended daytime hours while service development is under discussion in each of the regions. Full 24/7 implementation of this relatively new technique across the country will take time. NHS England will explore the possibility of providing care to patients in remote areas using helicopter transfer.</p><p>NHS England is initially proposing to set up 24 thrombectomy centres providing care 24 hours a day, seven days a week which would require a minimum of five interventional clinicians for each centre (120 clinicians). Ultimately NHS England expects to need at least 30 centres to provide equitable geographical coverage, so would therefore need 150 interventionists.</p><p>To strengthen the available workforce, models of training are being discussed by Health Education England (HEE) and the General Medical Council (GMC). HEE is supportive of these models of training, which will consider interventional radiologists who are already registered as interventional radiologists and have an interest in neuro-intervention. This would form a two year training programme. The second element of this work is a credential model in collaboration with the GMC. The GMC are supportive of this work. Discussions have started to achieve a credentialing model for other appropriate consultant staff.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118945 118946 question first answered 20/12/2017 17:10:34 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah