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176469

registered interest
date	28/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tongue-tie
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will issue guidance to NHS maternity services to check routinely for tongue-tie routinely in newborn babies.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	222378
answer	answer is ministerial correction date of answer 04/02/2015 answer text <p>The Department does not set the content and standard of training for healthcare professionals. The issuing of clinical guidance is the responsibility of the National Institute for Health and Care Excellence (NICE).</p><p> </p><p> </p><p> </p><p>To assist the NHS, NICE considered the division of tongue tie in depth in July 2004. Current NICE guidelines recommend when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.</p><p> </p><p> </p><p> </p><p>Ultimately it is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.</p><p> </p><p> </p><p> </p><p>Health visitors complete a breastfeeding assessment at the new birth visit and if tongue tie is suspected they will refer for assessment through a locally agreed pathway; this is often a paediatrician referral, or some areas have a midwifery led service.</p><p> </p><p> </p><p> </p><p>The table below provides counts of finished admission episodes where there was a primary or secondary diagnosis of ankyloglossia (&quot;tongue-tie&quot;) for 2011-12 to 2013-14 broken down by patient age.</p><p> </p><p> </p><p> </p><p>Common definitions of the word newborn can include babies up until 28 days of age. For clarity the table breaks down our response into the following categories, under 1 day, 1 - 6 days, 7 - 28 days, 1 - 3 months. The table excludes patients older than three months.</p><p> </p><p> </p><p> </p><p>It should be noted that this is not a count of people as the same person may have had more than one admission episode within the same time period.</p><p> </p><table><tbody><tr><td> </td><td colspan="3"><p>Year</p></td></tr><tr><td><p>Age group</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>Less than 1 day</p></td><td><p>7,505</p></td><td><p>8,762</p></td><td><p>11,572</p></td></tr><tr><td><p>1 - 6 days</p></td><td><p>589</p></td><td><p>677</p></td><td><p>728</p></td></tr><tr><td><p>7 - 28 days</p></td><td><p>1,595</p></td><td><p>1,499</p></td><td><p>1,346</p></td></tr><tr><td><p>1 - under 3 months</p></td><td><p>1,218</p></td><td><p>1,018</p></td><td><p>1,214</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>No central assessment of the effect of the provision of infant feeding specialists on the early detection and treatment of tongue-tie in infant has been made. The provision of infant feeding specialists is decided at a local level.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 222379 222380 222381 question first answered 04/02/2015 10:56:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1589 label Biography information for Gordon Banks

176470

registered interest
date	28/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tongue-tie
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many newborn babies were diagnosed with tongue-tie in (a) 2012, (b) 2013 and (c) 2014.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	222379
answer	answer is ministerial correction date of answer 04/02/2015 answer text <p>The Department does not set the content and standard of training for healthcare professionals. The issuing of clinical guidance is the responsibility of the National Institute for Health and Care Excellence (NICE).</p><p> </p><p> </p><p> </p><p>To assist the NHS, NICE considered the division of tongue tie in depth in July 2004. Current NICE guidelines recommend when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.</p><p> </p><p> </p><p> </p><p>Ultimately it is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.</p><p> </p><p> </p><p> </p><p>Health visitors complete a breastfeeding assessment at the new birth visit and if tongue tie is suspected they will refer for assessment through a locally agreed pathway; this is often a paediatrician referral, or some areas have a midwifery led service.</p><p> </p><p> </p><p> </p><p>The table below provides counts of finished admission episodes where there was a primary or secondary diagnosis of ankyloglossia (&quot;tongue-tie&quot;) for 2011-12 to 2013-14 broken down by patient age.</p><p> </p><p> </p><p> </p><p>Common definitions of the word newborn can include babies up until 28 days of age. For clarity the table breaks down our response into the following categories, under 1 day, 1 - 6 days, 7 - 28 days, 1 - 3 months. The table excludes patients older than three months.</p><p> </p><p> </p><p> </p><p>It should be noted that this is not a count of people as the same person may have had more than one admission episode within the same time period.</p><p> </p><table><tbody><tr><td> </td><td colspan="3"><p>Year</p></td></tr><tr><td><p>Age group</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>Less than 1 day</p></td><td><p>7,505</p></td><td><p>8,762</p></td><td><p>11,572</p></td></tr><tr><td><p>1 - 6 days</p></td><td><p>589</p></td><td><p>677</p></td><td><p>728</p></td></tr><tr><td><p>7 - 28 days</p></td><td><p>1,595</p></td><td><p>1,499</p></td><td><p>1,346</p></td></tr><tr><td><p>1 - under 3 months</p></td><td><p>1,218</p></td><td><p>1,018</p></td><td><p>1,214</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>No central assessment of the effect of the provision of infant feeding specialists on the early detection and treatment of tongue-tie in infant has been made. The provision of infant feeding specialists is decided at a local level.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 222378 222380 222381 question first answered 04/02/2015 10:56:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1589 label Biography information for Gordon Banks

176471

registered interest
date	28/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tongue-tie
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department provides to relevant healthcare professionals on the diagnosis of tongue-tie in infants.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	222380
answer	answer is ministerial correction date of answer 04/02/2015 answer text <p>The Department does not set the content and standard of training for healthcare professionals. The issuing of clinical guidance is the responsibility of the National Institute for Health and Care Excellence (NICE).</p><p> </p><p> </p><p> </p><p>To assist the NHS, NICE considered the division of tongue tie in depth in July 2004. Current NICE guidelines recommend when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.</p><p> </p><p> </p><p> </p><p>Ultimately it is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.</p><p> </p><p> </p><p> </p><p>Health visitors complete a breastfeeding assessment at the new birth visit and if tongue tie is suspected they will refer for assessment through a locally agreed pathway; this is often a paediatrician referral, or some areas have a midwifery led service.</p><p> </p><p> </p><p> </p><p>The table below provides counts of finished admission episodes where there was a primary or secondary diagnosis of ankyloglossia (&quot;tongue-tie&quot;) for 2011-12 to 2013-14 broken down by patient age.</p><p> </p><p> </p><p> </p><p>Common definitions of the word newborn can include babies up until 28 days of age. For clarity the table breaks down our response into the following categories, under 1 day, 1 - 6 days, 7 - 28 days, 1 - 3 months. The table excludes patients older than three months.</p><p> </p><p> </p><p> </p><p>It should be noted that this is not a count of people as the same person may have had more than one admission episode within the same time period.</p><p> </p><table><tbody><tr><td> </td><td colspan="3"><p>Year</p></td></tr><tr><td><p>Age group</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>Less than 1 day</p></td><td><p>7,505</p></td><td><p>8,762</p></td><td><p>11,572</p></td></tr><tr><td><p>1 - 6 days</p></td><td><p>589</p></td><td><p>677</p></td><td><p>728</p></td></tr><tr><td><p>7 - 28 days</p></td><td><p>1,595</p></td><td><p>1,499</p></td><td><p>1,346</p></td></tr><tr><td><p>1 - under 3 months</p></td><td><p>1,218</p></td><td><p>1,018</p></td><td><p>1,214</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>No central assessment of the effect of the provision of infant feeding specialists on the early detection and treatment of tongue-tie in infant has been made. The provision of infant feeding specialists is decided at a local level.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 222378 222379 222381 question first answered 04/02/2015 10:56:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1589 label Biography information for Gordon Banks

176472

registered interest
date	28/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tongue-tie
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 effect of the provision of infant feeding specialists on the early detection and treatment of tongue-tie in infants.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	222381
answer	answer is ministerial correction date of answer 04/02/2015 answer text <p>The Department does not set the content and standard of training for healthcare professionals. The issuing of clinical guidance is the responsibility of the National Institute for Health and Care Excellence (NICE).</p><p> </p><p> </p><p> </p><p>To assist the NHS, NICE considered the division of tongue tie in depth in July 2004. Current NICE guidelines recommend when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.</p><p> </p><p> </p><p> </p><p>Ultimately it is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.</p><p> </p><p> </p><p> </p><p>Health visitors complete a breastfeeding assessment at the new birth visit and if tongue tie is suspected they will refer for assessment through a locally agreed pathway; this is often a paediatrician referral, or some areas have a midwifery led service.</p><p> </p><p> </p><p> </p><p>The table below provides counts of finished admission episodes where there was a primary or secondary diagnosis of ankyloglossia (&quot;tongue-tie&quot;) for 2011-12 to 2013-14 broken down by patient age.</p><p> </p><p> </p><p> </p><p>Common definitions of the word newborn can include babies up until 28 days of age. For clarity the table breaks down our response into the following categories, under 1 day, 1 - 6 days, 7 - 28 days, 1 - 3 months. The table excludes patients older than three months.</p><p> </p><p> </p><p> </p><p>It should be noted that this is not a count of people as the same person may have had more than one admission episode within the same time period.</p><p> </p><table><tbody><tr><td> </td><td colspan="3"><p>Year</p></td></tr><tr><td><p>Age group</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>Less than 1 day</p></td><td><p>7,505</p></td><td><p>8,762</p></td><td><p>11,572</p></td></tr><tr><td><p>1 - 6 days</p></td><td><p>589</p></td><td><p>677</p></td><td><p>728</p></td></tr><tr><td><p>7 - 28 days</p></td><td><p>1,595</p></td><td><p>1,499</p></td><td><p>1,346</p></td></tr><tr><td><p>1 - under 3 months</p></td><td><p>1,218</p></td><td><p>1,018</p></td><td><p>1,214</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>No central assessment of the effect of the provision of infant feeding specialists on the early detection and treatment of tongue-tie in infant has been made. The provision of infant feeding specialists is decided at a local level.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 222378 222379 222380 question first answered 04/02/2015 10:56:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1589 label Biography information for Gordon Banks

65501

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Food: Allergies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the potential long-term costs to the NHS in England of un-managed (a) coeliac disease and (b) other nutritional disorders.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	203846
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Annual incidence data concerning the number of peoplediagnosed with coeliac disease in England is not collected and there are no plans to establish a national register for people in England with this condition. However, the clinical guideline <em>Coeliac disease: Recognition and assessment of coeliac disease, </em>published by the National Institute for Health and Care Excellencein 2009,estimates that coeliac disease may be present in up to 1 in 100 of the population.</p><p> </p><p>No estimate has been made of the potential long-term costs to the National Health Service in England of un-managed coeliac disease and other nutritional disorders.</p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 203849 203850 question first answered 07/07/2014 15:57:02 answering member 1439 label Biography information for Norman Lamb
tabling member	1589 label Biography information for Gordon Banks

65502

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Foods: Prescriptions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the potential cost savings to the NHS of pharmacy-led gluten-free prescribing schemes; and if his Department will issue guidance on such schemes.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	203847
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>We have made no recent estimate.</p><p> </p><p>However, we are aware that some local assessments of these schemes have been undertaken and details of these are available at:</p><p> </p><p>www.coeliac.org.uk/healthcare-professionals/resources/community-pharmacy-supply-of-gluten-free-foods/</p><p> </p><p>NHS England can commission a gluten-free food supply service as a local enhanced pharmaceutical service in the light of local need. Neither we nor NHS England have plans to issue guidance on these schemes.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 203848 question first answered 07/07/2014 15:28:21 answering member 1439 label Biography information for Norman Lamb
tabling member	1589 label Biography information for Gordon Banks

65503

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Foods: Prescriptions
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 encourage the roll out of pharmacy-led gluten-free prescribing schemes in England.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	203848
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>We have made no recent estimate.</p><p> </p><p>However, we are aware that some local assessments of these schemes have been undertaken and details of these are available at:</p><p> </p><p>www.coeliac.org.uk/healthcare-professionals/resources/community-pharmacy-supply-of-gluten-free-foods/</p><p> </p><p>NHS England can commission a gluten-free food supply service as a local enhanced pharmaceutical service in the light of local need. Neither we nor NHS England have plans to issue guidance on these schemes.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 203847 question first answered 07/07/2014 15:28:21 answering member 1439 label Biography information for Norman Lamb
tabling member	1589 label Biography information for Gordon Banks

65504

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Coeliac Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will establish a national register of people with coeliac disease in England.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	203849
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Annual incidence data concerning the number of peoplediagnosed with coeliac disease in England is not collected and there are no plans to establish a national register for people in England with this condition. However, the clinical guideline <em>Coeliac disease: Recognition and assessment of coeliac disease, </em>published by the National Institute for Health and Care Excellencein 2009,estimates that coeliac disease may be present in up to 1 in 100 of the population.</p><p> </p><p>No estimate has been made of the potential long-term costs to the National Health Service in England of un-managed coeliac disease and other nutritional disorders.</p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 203846 203850 question first answered 07/07/2014 15:57:02 answering member 1439 label Biography information for Norman Lamb
tabling member	1589 label Biography information for Gordon Banks

65505

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Coeliac Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people of each gender, age bracket and household income bracket had diagnosed coeliac disease in England in the most recent year for which figures are available.
tabling member constituency	Ochil and South Perthshire
tabling member printed	Gordon Banks
uin	203850
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Annual incidence data concerning the number of peoplediagnosed with coeliac disease in England is not collected and there are no plans to establish a national register for people in England with this condition. However, the clinical guideline <em>Coeliac disease: Recognition and assessment of coeliac disease, </em>published by the National Institute for Health and Care Excellencein 2009,estimates that coeliac disease may be present in up to 1 in 100 of the population.</p><p> </p><p>No estimate has been made of the potential long-term costs to the National Health Service in England of un-managed coeliac disease and other nutritional disorders.</p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 203846 203849 question first answered 07/07/2014 15:57:02 answering member 1439 label Biography information for Norman Lamb
tabling member	1589 label Biography information for Gordon Banks