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1125835

registered interest
date	09/05/2019
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 4 December 2018 (HL11750), how many antibiotic prescriptions were issued by general dental practitioners in England in 2018.
tabling member printed	Lord Colwyn
uin	HL15625
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The Dental Prescribing Dashboard developed by the NHS Business Services Authority and Public Health England, includes data for National Health Service local area teams. Latest available data show general dental practitioners issued 2,912,579 prescriptions for all antimicrobials including antibiotics during April 2017 to March 2018. There were 715,545 prescriptions between January and March 2018. The Dental Prescribing Dashboard will be refreshed in summer 2019.</p><p>Analysis is based on items prescribed by NHS dentists, but some patients may attend a general medical practice with a dental infection and receive a prescription from their general practitioner (GP). These prescriptions are not included, as we cannot determine the reason why a GP prescribed antibiotics.</p><p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) Report 2018</em> provides information on NHS dental prescribing in dental practices and consultations. The ESPAUR report for 2019 scheduled for publication later this year will publish data for the 2018 calendar year. The ESPAUR 2018 report is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 22/05/2019 14:52:22 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name ESPAUR_2018_report.pdf title ESPAUR_2018_report
tabling member	3394 label Biography information for Lord Colwyn

1023622

registered interest
date	11/12/2018
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	Dental Health: Older People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to improve the oral health of those over 65.
tabling member printed	Lord Colwyn
uin	HL12180
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>In England, local authorities are responsible for assessing oral health needs and improving the oral health of their local population including those over the age of 65.</p><p>To support local authorities in this role Public Health England (PHE) published Commissioning better oral health for vulnerable older people: An evidence-informed toolkit for local authorities which gives an overview of the impact of oral diseases in vulnerable older people and presents the evidence of what works to improve their oral health. The toolkit for local authorities is attached. It is supported by an evidence review and a resource compendium to support oral health improvement of vulnerable older people in all settings.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Commissioning better oral health for vulnerable older people.pdf title HL12180 attached document
tabling member	3394 label Biography information for Lord Colwyn

1023623

registered interest
date	11/12/2018
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	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the forthcoming Green Paper on adult social care will include proposals to improve dental care for those living in residential care homes and supported housing.
tabling member printed	Lord Colwyn
uin	HL12181
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>While we are currently unable to confirm exact details of the Green Paper, NHS England has a legal duty to commission National Health Service dental services to meet local need including people living in care homes.</p><p>The forthcoming Green Paper will be based on a number of principles including whole-person, integrated care with the NHS and social care systems operating as one.</p><p>The National Institute for Health and Care Excellence Oral health in care homes quality standard provides guidance to care home staff on assessing the oral health needs of patients on admission and advises on the need for residents to be helped to find a dentist if they do not already have one. A copy of the quality standard is attached.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:35:59 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name NICE Report oral-health-in-care-homes.pdf title HL12181 attached document
tabling member	3394 label Biography information for Lord Colwyn

1023624

registered interest
date	11/12/2018
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	Dental Health: Surveys
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when they expect the next Adult Dental Health Survey to take place.
tabling member printed	Lord Colwyn
uin	HL12182
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>Timing of the next Adult and Child Dental Health Survey has yet to be confirmed.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:35:23 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1023626

registered interest
date	11/12/2018
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	Dental Services: Older People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to include in the quarterly NHS Dental Statistics for England the proportion of adults aged 65 and over who have visited an NHS dentist in the previous 24 months.
tabling member printed	Lord Colwyn
uin	HL12183
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>NHS Digital publishes quarterly information on the number of adults who have seen a National Health Service dentist in the previous 24 months and children who have seen an NHS dentist in the previous 12 months.</p><p>There are no current plans to change the age breakdown of the data that is routinely published.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:36:19 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1013190

registered interest
date	23/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many antibiotic prescriptions were issued by general dental practitioners in England in each of the last five years.
tabling member printed	Lord Colwyn
uin	HL11750
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Information on the numbers of prescriptions for all antimicrobials, including antibiotics, issued by general dental practitioners is only available for the complete years of 2016 and 2017. In these years 3,198,411 and 2,977,302 National Health Service prescriptions were issued respectively.</p><p> </p><p>From 2013 to 2017, the trend of antimicrobial prescriptions continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. In the previous five years the proportions of daily defined doses of antibiotics issued by general dental practitioners out of all prescriptions, from hospital inpatients and outpatients, general medical practitioners and other community practitioners, were 4.8% in 2013, 4.8% in 2014, 4.5% in 2015, 4.6% in 2016, 5.2% in 2017.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11751 question first answered 04/12/2018 14:22:45 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1013191

registered interest
date	23/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what proportion of all antibiotic prescriptions in England were issued by general dental practitioners in each of the last five years.
tabling member printed	Lord Colwyn
uin	HL11751
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Information on the numbers of prescriptions for all antimicrobials, including antibiotics, issued by general dental practitioners is only available for the complete years of 2016 and 2017. In these years 3,198,411 and 2,977,302 National Health Service prescriptions were issued respectively.</p><p> </p><p>From 2013 to 2017, the trend of antimicrobial prescriptions continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. In the previous five years the proportions of daily defined doses of antibiotics issued by general dental practitioners out of all prescriptions, from hospital inpatients and outpatients, general medical practitioners and other community practitioners, were 4.8% in 2013, 4.8% in 2014, 4.5% in 2015, 4.6% in 2016, 5.2% in 2017.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11750 question first answered 04/12/2018 14:22:45 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1012512

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of trends in primary care dental antibiotic prescribing in England since 2013.
tabling member printed	Lord Colwyn
uin	HL11704
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance Report 2018</em> provides information on National Health Service dental prescribing in dental practices and consultations. From 2013 to 2017, the trend of antimicrobial prescriptions which includes antibiotics, continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. The decline was largely attributed to less amoxicillin being prescribed between 2013 and 2017. A copy of the report is attached.</p><p>Information on how many children have been prescribed antibiotics or more than one course of antibiotics for dental problems in England over the last five years is not available as this data is not collected.</p><p>No assessment has been made of the potential impact of prescribing antibiotics to children who are waiting for tooth extractions due to tooth decay on their immune system and the levels of antimicrobial resistance.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11707 HL11708 HL11709 question first answered 04/12/2018 14:27:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name ESPAUR_2018_report.pdf title Antimicrobial Utilisation and Resistance Report
tabling member	3394 label Biography information for Lord Colwyn

1012513

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many patients presented to GPs in England with dental problems in each of the last five years; and, in each year, how many of them were prescribed antibiotics.
tabling member printed	Lord Colwyn
uin	HL11705
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>We do not hold this information.</p> answering member printed Lord O'Shaughnessy question first answered 06/12/2018 15:16:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1012514

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many patients presented to Accident and Emergency departments in England with dental problems in each of the last five years; and, in each year, how many of them were prescribed antibiotics.
tabling member printed	Lord Colwyn
uin	HL11706
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The Department does not hold information on whether patients have been prescribed antibiotics following an attendance at an accident and emergency department.</p> answering member printed Lord O'Shaughnessy question first answered 04/12/2018 14:20:53 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn