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890275

registered interest
date	24/04/2018
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	Lipoedema
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the cost of Lipedema to the (a) NHS and (b) economy in lost working days in the last twelve months.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	137380
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Department has made no estimate on the cost of Lipedema to the National Health Service and to the economy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:15:08 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

890282

registered interest
date	24/04/2018
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	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason the General Medical Contract includes a requirement for GP practices to undertake a check of a baby but not a mother at six weeks post-natally despite guidance by NICE that a new mother's physical emotional and social well being should be reviewed at that time; and if he will take steps to ensure that such a check of a mother is undertaken at that time.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	137381
answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The General Medical Service contract sets out that where a general practitioner (GP) practice provides maternity medical services, the practice is required to provide to female patients and their babies all necessary maternity medical services throughout the postnatal period other than neonatal checks. The GP contract regulations define the postnatal period as “the period beginning with the conclusion of the delivery of the baby or the patient’s discharge from secondary care services (whichever is the later) and ending on the fourteenth day after the birth”.</p><p> </p><p>Any changes to GP contracting arrangements to specifically include a six week postnatal check-up would need to be negotiated with the General Practitioners’ Committee of the British Medical Association as part of the annual contract negotiations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:12:49 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

861161

registered interest
date	13/03/2018
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 Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of (a) actual and (b) full time equivalent health visitors who have been employed in each of the last seven years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	132310
answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>NHS Digital publishes information on workforce statistics and the following table shows the full time equivalent (FTE) and headcount (HC) figures for health visitors working in National Health Service trusts and clinical commissioning groups (CCGs) in each of the last seven years.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Health visitors in NHS trusts and CCGs in England as at 30 November each specified year (FTE and HC).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Health visitors (FTE)</p></td><td><p>Health visitors (HC)</p></td></tr><tr><td><p>November 2010</p></td><td><p>7,961</p></td><td><p>9,884</p></td></tr><tr><td><p>November 2011</p></td><td><p>7,812</p></td><td><p>9,626</p></td></tr><tr><td><p>November 2012</p></td><td><p>7,963</p></td><td><p>9,647</p></td></tr><tr><td><p>November 2013</p></td><td><p>8,526</p></td><td><p>10,213</p></td></tr><tr><td><p>November 2014</p></td><td><p>9,629</p></td><td><p>11,407</p></td></tr><tr><td><p>November 2015</p></td><td><p>10,279</p></td><td><p>12,173</p></td></tr><tr><td><p>November 2016</p></td><td><p>9,376</p></td><td><p>11,142</p></td></tr><tr><td><p>November 2017</p></td><td><p>8,317</p></td><td><p>9,995</p></td></tr></tbody></table><p><br>Source: Provisional NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/03/2018 11:59:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

830400

registered interest
date	25/01/2018
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	Lipoedema
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what learning modules are approved by NHS England to clinicians dealing with Lipedema cases.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	124966
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>It is not the role of NHS England to routinely endorse or approve clinical learning modules. Learning modules are developed by a broad range of organisations, including: Health Education England, the national organisation responsible for overseeing the workforce recruitment, education and training in the National Health Service; clinical professional membership organisations, such as the Royal College of General Practitioners (RCGP); and health charities.</p><p> </p><p>In May 2014, the RCGP, in partnership with the charity Lipoedema UK, developed and published an e-learning module for general practitioners on the diagnosis and management of lipoedema. The module was endorsed by the Royal College of Nursing and can be found at the following link:</p><p> </p><p>elearning.rcgp.org.uk/course/info.php?id=146&amp;popup=0</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/02/2018 11:47:34 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

830251

registered interest
date	24/01/2018
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	Lipoedema
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of women suffering from Lipedema.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	124912
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124915 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

830254

registered interest
date	24/01/2018
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	Lipoedema
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what clinical commissioning groups offer treatment for Lipedema as standard.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	124915
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton

830256

registered interest
date	24/01/2018
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	Lipoedema
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what Lipedema treatments have been approved by NICE.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	124917
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124915 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
tabling member	114 label Biography information for Tim Loughton