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1713406

registered interest
date	24/04/2024
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	Health Services: Coronavirus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what her timetable is for the rollout of Endo Barriers on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	23480
answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The implantation of a duodenal–jejunal bypass liner, also known as an endo barrier, for managing type 2 diabetes, is not recommended by the NICE, and therefore not available on the National Health Service. Current evidence on the safety and efficacy of the device for managing type 2 diabetes is limited in quality and quantity. For this reason, the NICE recommends that the procedure should only be done as part of a research study. Further information on the NICE guidelines is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ipg518/chapter/1-Recommendations" target="_blank">https://www.nice.org.uk/guidance/ipg518/chapter/1-Recommendations</a></p><p>The NICE may update the guidance, upon publication of further evidence. The NICE recommends that people with type 2 diabetes receive eight care processes at least annually, to support them to achieve three treatment targets to prevent diabetes related complications. The care processes include checks on blood glucose and body mass index, to support weight management. Delivery of all eight care processes is associated with reduced emergency admissions, amputations, and retinopathy. NHS England commissions two national lifestyle services to support adults with type 2 diabetes to manage their weight and improve their health and wellbeing. These are the NHS Digital Weight Management Programme and the NHS Type 2 Diabetes Path to Remission Programme. The NICE guidance for the care and management for adults with type 2 diabetes is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng28" target="_blank">https://www.nice.org.uk/guidance/ng28</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 30/04/2024 16:33:44 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1713409

registered interest
date	24/04/2024
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	Hormone Replacement Therapy
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 she is taking to help ensure equitable provision of Hormone Replacement Therapy for women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	23482
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>The menopause is a priority area within the Women’s Health Strategy, and the Government and National Health Service are implementing an ambitious programme of work to improve menopause care, so all women can access the support they need, including hormone replacement therapy (HRT).</p><p>We have reduced the cost of HRT prescriptions through the HRT prescription prepayment certificate (PPC), which enables women who pay for their prescriptions to pay less than £20 for all their HRT prescriptions for a year. In the first year, 1 April 2023 to 31 March 2024, 566,042 HRT PPCs have been purchased.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/05/2024 14:35:27 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1712662

registered interest
date	22/04/2024
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	Strokes: Depressive Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether her Department (a) has taken and (b) plans to take steps to (a) monitor the incidence of depression among stroke survivors and (b) improve interventions to enhance (i) aftercare and (ii) quality of life for those people.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22946
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>Depression affects approximately one third of people with stroke, and stroke services in the National Health Service are very aware of the impact this can have on the quality of life and level of independence of people who experienced a stroke, and the importance of understanding through measurement which people are affected, to support appropriate management.</p><p>The National Clinical Guideline for Stroke 2023 recommends that people with stroke should be routinely screened for anxiety and depression using standardised tools, the results of which should be used alongside other sources of information to inform clinical formulation of treatment and support needs.</p><p>The latest published Sentinel Stroke National Audit Programme (SSNAP) data, from October to December 2023, showed that 92.4% of stroke patients were screened for mood disturbances, including depression, in hospital. 75% of stroke patients who were followed up at six months post stroke also had a mood screen, with 53% of patients receiving the psychological support needed.</p><p>NHS England is driving implementation of the National Service Model for an Integrated Community Stroke Service (ICSS) with a number of specific projects aimed at improving delivery of psychological rehabilitation. The ICSS model is vital to support psychological recovery, return to work, and improved quality of life. From July 2024, the SSNAP will record the amount of psychological rehabilitation provided to patients, and measure changes in quality of life over time.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/04/2024 12:17:40 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1712663

registered interest
date	22/04/2024
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	Attention Deficit Hyperactivity Disorder: Diagnosis
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 her Department is taking to help reduce waiting times for an ADHD diagnosis on the NHS for children.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22947
answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>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 access to attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD, and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.</p><p>We know that children and young people often seek an ADHD diagnosis through Child and Adolescent Mental Health Services. Through the NHS Long Term plan, the Government is investing record amounts into children and young people’s mental health services.</p><p>There is, at present, no single, established dataset that can be used to monitor waiting times for assessment or treatment for ADHD nationally. The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting time data collection.</p><p>NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD, and help provide a joined-up approach in response to concerns around rising demand for assessments and support.</p><p>Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems who are trialling innovative ways of delivering ADHD services to ensure best practice is captured and shared across the system.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/04/2024 16:32:42 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1712664

registered interest
date	22/04/2024
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: Women
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 she is taking to increase public awareness of links between heart disease in women and alcohol consumption.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22948
answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The NHS Health Check is England’s cardiovascular disease prevention programme. It aims to prevent heart disease, stroke, diabetes, and kidney disease, and some cases of dementia among adults aged 40 to 74 years old. Each year the programme engages over one million people, including women, and prevents approximately 400 heart attacks or strokes. The provision of an alcohol risk assessment, and brief advice about alcohol harm, is a requirement in the NHS Health Check. The guidance to practitioners sets out that people identified as drinking at higher-risk levels should be referred for a liver check, as recommended by the National Institute for Health and Care Excellence. In addition, the United Kingdom’s Chief Medical Officer’s Low risk drinking guidelines and National Health Service guidance highlight that alcohol use is a risk factor for heart disease.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 29/04/2024 14:56:09 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4131 label Biography information for Jim Shannon

1712665

registered interest
date	22/04/2024
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	Attention Deficit Hyperactivity Disorder: 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 discussions she has had with her counterparts in the devolved administrations on ensuring (a) a consistent approach and (b) the applicability of the NHS National Review to ADHD services.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22949
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>My Rt hon. Friend, the Secretary of State for Health and Social Care has regular discussions on a wide range of matters, with a wide range of people. NHS England is establishing a new attention deficit hyperactivity disorder (ADHD) taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD, and help provide a joined-up approach in response to concerns around rising demand for assessments and support. NHS England will continue to engage widely throughout the process, and will engage with the devolved administrations as appropriate.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 25/04/2024 16:55:48 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1712666

registered interest
date	22/04/2024
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	Accident and Emergency Departments: Standards
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 she is taking to reduce excess deaths as a result of patients waiting longer than 12 hours for emergency care.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22950
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>It has not proved possible to respond to the hon. Member in the time available before Dissolution.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 24/05/2024 13:58:59 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4131 label Biography information for Jim Shannon

1712667

registered interest
date	22/04/2024
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	Cancer: Screening
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 her Department is taking to (a) trial and (b) roll-out early cancer screening.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22951
answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>In England, early cancer screening is already in place for cervical, breast, and bowel cancer. The UK National Screening Committee (UK NSC) does not currently recommend screening for prostate cancer due to the inaccuracy of the current best test, called Prostate Specific Antigen. We are providing £16 million of funding to Prostate Cancer UK's £42 million trial, which is aimed at helping us find a way of catching prostate cancer in men as early as possible. The UK NSC is also commissioning evidence for six possible approaches to targeted prostate screening for those at higher risk. The UK NSC will publish its recommendations when complete.</p><p>NHS England is responsible for the running of the Targeted Lung Health Check Programme, and its conversion to a nationally rolled out NHS Targeted Lung Cancer Screening Programme by 2030.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 24/04/2024 14:48:02 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon

1712668

registered interest
date	22/04/2024
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	Insomnia: Exercise
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she is taking steps to increase public awareness of the potential merits of regular exercise in reducing the effects of insomnia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22952
answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>Being active can help prevent and manage chronic conditions and diseases, including coronary heart disease, stroke, type 2 diabetes, obesity, cancer, depression, and musculoskeletal conditions. It is also important for a range of other things, including energy balance, to maintain a healthy body weight, cognitive functioning, and sleep.</p><p>Our current focus is supporting people who are the most inactive to become more active, as this is where the greatest health gains can be achieved. This includes promoting easy and fun ways to get active through the Better Health social marketing campaign, including Couch to 5k, and Active 10 apps.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 29/04/2024 15:01:11 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4131 label Biography information for Jim Shannon

1701263

registered interest
date	16/04/2024
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	Semaglutide: Health Hazards
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 her Department is taking to increase the public's awareness of the side effects that can arise from taking weight loss drugs such as Ozempic.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	21989
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) plays a pivotal role in ensuring the safety, efficacy, and quality of medicines and healthcare products available to patients in the United Kingdom. Patient safety remains the MHRA’s highest priority, and they take every opportunity to encourage reporting of any safety concerns to the Yellow Card scheme, which helps to improve the safe use of medicines and medical devices for everyone.</p><p>New medicines including, Mounjaro and Wegovy, are intensively monitored to ensure that any new safety concerns are identified promptly. The Commission on Human Medicines and the MHRA encourages the reporting of all suspected reactions to newer drugs and vaccines, which are denoted by an inverted Black Triangle symbol. This symbol appears next to the name of a relevant product in drug safety updates, the British National Formulary and the Nurse Prescribers’ Formulary, the monthly index of medical specialities, the electronic medicines compendium, and advertising material. Patient information leaflets accompanying licensed medicines in the UK must include a description of the adverse reactions which may occur in normal use of the medicinal product, as well as information on how to report them. All adverse reactions must be reflected in the leaflet, in language that the patient will understand.</p><p>The MHRA has received a small number of reports of falsified and unlicenced medicines being sold illegally online as a treatment for weight loss. The agency has issued public health messaging warning of the dangers of buying such medicines from illegal trading sources online.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 22/04/2024 11:07:07 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4131 label Biography information for Jim Shannon