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1662748

registered interest
date	13/10/2023
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	Cardiovascular System: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will increase (a) funding and (b) staffing levels for vascular care.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200602
answer	answer is ministerial correction date of answer 19/10/2023 answer text <p>The Government has and will continue to prioritise investment into the National Health Service. Funding confirmed at the last Spending Review was on top of the historic long-term NHS settlement announced in 2018. Taken together with funding announced at the Autumn Statement 2022, this means that the NHS resource budget in England will increase in cash terms to £165.8 billion in 2024/25, up from £123.4 billion in 2019/20.</p><p>It is for local integrated care systems to determine the appropriate funding for vascular care for their populations. The NHS Long Term Workforce Plan commits to double the number of medical school training places. As these students graduate, we will work with stakeholders to ensure the commensurate growth in specialty training places is sustainable and focused in the service areas where need is greatest.</p><p>The cardiology specialty has seen a higher-than-average increase in the numbers of doctors working in the NHS. There are over 1,400 (63%) more doctors working in the cardiology specialty, including over 700 (89%) more cardiology consultants, compared to 2010.</p> answering member constituency Colchester answering member printed Will Quince question first answered 19/10/2023 14:35:29 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1662863

registered interest
date	13/10/2023
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	Coeliac Disease: Endoscopy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps to develop coeliac endoscopy NHS waiting lists.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200717
answer	answer is ministerial correction date of answer 19/10/2023 answer text <p>Whilst patients on coeliac endoscopy pathways will be recorded, there are currently no plans to publish specialty level data for coeliac endoscopy National Health Service waiting lists.</p><p>NHS England collects and publishes monthly referral to treatment (RTT) data which is used to monitor NHS waiting times performance against the standards set out in the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p>RTT data currently includes waiting list data for 23 treatment pathway categories, where one of these is gastroenterology.</p> answering member constituency Colchester answering member printed Will Quince question first answered 19/10/2023 14:36:57 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1663357

registered interest
date	13/10/2023
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	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to review the approval thresholds for new medications used by the National Institute for Health and Care Excellence.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	201211
answer	answer is ministerial correction date of answer 19/10/2023 answer text <p>There are no plans to review the standard cost-effectiveness range that the National Institute for Health and Care Excellence (NICE) uses in the evaluation of new medicines. NICE is responsible for the methods and processes it uses for health technology assessment, and concluded a comprehensive review of its methods and processes for the evaluation of new medicines in January 2022. As a result of the review, NICE introduced a new severity modifier that enables NICE to apply a weighting to medicines licensed for the treatment of more severe diseases. NICE is able to recommend the majority of medicines it appraises for use on the National Health Service, often as a result of confidential commercial agreements struck between the NHS and companies.</p> answering member constituency Colchester answering member printed Will Quince question first answered 19/10/2023 16:08:25 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1661733

registered interest
date	19/09/2023
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	Gastrointestinal System: Health
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 increase awareness of gut health.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200318
answer	answer is ministerial correction date of answer 20/10/2023 answer text <p>Information on digestive health is published by the National Health Service and is available at the following link:</p><p><a href="https://www.nhs.uk/live-well/eat-well/digestive-health/" target="_blank">https://www.nhs.uk/live-well/eat-well/digestive-health/</a></p><p>The National Institute for Health and Care Excellence (NICE) has published best practice guidance, and a corresponding quality standard, on diagnosing and managing irritable bowel syndrome (IBS) in people aged 18 and over [CG61 and QS114]. These set out recommendations and quality standards for clinicians on the care for patients with IBS by promoting effective management using dietary and lifestyle advice, pharmacological therapy and referral for psychological interventions.</p><p>To assist with increasing the visibility of its guidance, NICE promotes its guidance via its website, newsletters and other media. It also publishes information for the public, which explains the care people with IBS should receive as set out in the NICE guideline.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/10/2023 13:42:35 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1662059

registered interest
date	19/09/2023
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	Coeliac Disease: Diagnosis
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 implications for his policies of the recommendations of the APPG on Coeliac Disease's report on Diagnosing Coeliac Disease: Optimising the Pathway for Improved Patient Outcomes; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200323
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>We have made no assessment. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including the diagnosis and ongoing management of coeliac disease.</p><p>In making commissioning decisions, we would expect ICBs to consider relevant guidance, including the National Institute for Health and Care Excellence guideline on the recognition, assessment, and management of coeliac disease [NG20]. This guidance is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng20" target="_blank">https://www.nice.org.uk/guidance/ng20</a></p> answering member constituency Colchester answering member printed Will Quince question first answered 16/10/2023 14:50:52 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1662071

registered interest
date	19/09/2023
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	Heart Diseases: Health 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 steps he is taking to improve cardiovascular care.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200324
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The NHS Long Term Plan has committed to a number of key ambitions to improve care and outcomes for individuals with cardiovascular disease including enhanced diagnostic support in the community, better personalised planning and increasing access to cardiac rehabilitation. These ambitions will support the delivery of the aim to help prevent 150,000 heart attacks, strokes, and dementia cases by 2029.</p><p>The National Health Service is investing in cardiac networks to support whole pathway improvements for patients with cardiovascular disease. These networks have been developed to take an evidenced based, clinically led, whole pathway approach to improvement from prevention, diagnosis, treatment and through to end-of-life care.</p><p>To support elective recovery, the Government plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cardiovascular disease. Steps taken include rolling out up to 160 Community Diagnostic Centres which will provide echocardiography services by March 2025. In addition, the NHS will increase capacity, seeking alternative capacity in other trusts or the independent sector and increasing activity through dedicated and protected surgical hubs.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 200325 question first answered 16/10/2023 13:26:19 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1662072

registered interest
date	19/09/2023
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	Heart Diseases: Health 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 steps he is taking to reduce waiting lists for cardiovascular care.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	200325
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The NHS Long Term Plan has committed to a number of key ambitions to improve care and outcomes for individuals with cardiovascular disease including enhanced diagnostic support in the community, better personalised planning and increasing access to cardiac rehabilitation. These ambitions will support the delivery of the aim to help prevent 150,000 heart attacks, strokes, and dementia cases by 2029.</p><p>The National Health Service is investing in cardiac networks to support whole pathway improvements for patients with cardiovascular disease. These networks have been developed to take an evidenced based, clinically led, whole pathway approach to improvement from prevention, diagnosis, treatment and through to end-of-life care.</p><p>To support elective recovery, the Government plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cardiovascular disease. Steps taken include rolling out up to 160 Community Diagnostic Centres which will provide echocardiography services by March 2025. In addition, the NHS will increase capacity, seeking alternative capacity in other trusts or the independent sector and increasing activity through dedicated and protected surgical hubs.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 200324 question first answered 16/10/2023 13:26:19 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon

1660417

registered interest
date	13/09/2023
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	Walking
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 plans to update health guidelines on daily step counts.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	199329
answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>The Government encourages adults to focus on walking briskly rather than just counting steps to improve their health.</p><p>The Office for Health Improvement and Disparities’ (OHID) ‘Better Health’ programme offers a number of free, accessible and evidence-based resources to support adults and young people to be more active. This includes the NHS Active 10 app, which encourages adults to incorporate brisk walking into their days to improve their general health and wellbeing without the need for gyms or expensive fitness programmes. The app supports and motivates users to increase and monitor the intensity of their walking, rather than just focus on the distance or number of steps throughout the day. Just 10 minutes of brisk walking a day is an easy way for adults to introduce more moderate intensity physical activity into their day.</p><p>To support more individuals to reach a brisk walking pace and to achieve moderate intensity activity, OHID have just launched a new feature within the NHS Active 10 app, called ‘Pace Checker’. The feature helps walkers to find their brisk walking pace of 100 or more steps per minute, and motivates them to complete more Active 10s every day.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/09/2023 12:28:51 answering member 4679 label Biography information for Neil O'Brien
tabling member	4131 label Biography information for Jim Shannon

1660418

registered interest
date	13/09/2023
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	Alcoholic Drinks: Consumption
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 plans to take steps to update public health guidance on alcohol consumption.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	199330
answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>There are no current plans to do so. The existing United Kingdom Chief Medical Officers’ low risk drinking guidelines are available at the following link:</p><p><a href="https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking" target="_blank">https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking</a></p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/09/2023 12:31:03 answering member 4679 label Biography information for Neil O'Brien
tabling member	4131 label Biography information for Jim Shannon

1660420

registered interest
date	13/09/2023
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	Anticoagulants
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 potential impact of variation in the management of anticoagulant-associated bleeds on patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	199332
answer	answer is ministerial correction date of answer 20/09/2023 answer text <p>The clinical steps taken to address haemorrhage often vary from patient to patient and are influenced by a number of factors including but not limited to, the underlying indication for anticoagulation, the site of the bleed and its clinical consequences and the timing, volume and progression of the bleed. While no specific assessment has been made of the potential impact of variation in the management of anticoagulant-associated bleeds on patients, the Medicines and Healthcare products Regulatory Agency continually reviews the safety, efficacy and quality of medicines including treatments for anticoagulant associated bleeds, publishing drug safety updates where necessary to better inform clinicians and patients of the bleeding risk of anticoagulants.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/09/2023 09:51:27 answering member 4423 label Biography information for Will Quince
tabling member	4131 label Biography information for Jim Shannon