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1132453
registered interest false more like this
date remove maximum value filtermore like thismore than 2019-06-17
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Arthritis: Health Services remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, what steps his Department has taken to (a) ensure patient safety and (b) support pioneering medical research to tackle (i) rheumatoid arthritis and (ii) other inflammatory conditions in the event that the UK leaves the EU without a deal. more like this
tabling member constituency Linlithgow and East Falkirk more like this
tabling member printed
Martyn Day more like this
uin 265579 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2019-06-20more like thismore than 2019-06-20
answer text <p>The Government remains committed to leaving the European Union with a deal. However, as a responsible Government, we must plan for every eventuality, including no deal.</p><p>We have been working closely with partners across the health and care system and industry to ensure the continued health and safety of patients, including ensuring supplies of medicines and medical products, and securing the future of our EU health and care workforce.</p><p>The Department has published EU Exit operational readiness guidance for the health and care system in England outlining actions that providers and commissioners of health and social care services should take to prepare for, and manage, the risks of a no deal exit scenario.</p><p>We continue to monitor and analyse overall staffing levels across the National Health Service and adult social care, and we are working across Government to ensure there will continue to be sufficient staff to deliver the high-quality services on which the public relies following the UK’s exit from the EU.</p><p>The UK has an outstanding track record for research into rheumatoid arthritis and other inflammatory conditions. The Government invests over £1 billion in health research through the National Institute for Health Research (NIHR). This provides direct funding for health research and clinical trials and also the skills, facilities and infrastructure to undertake clinical trials in the health and care service funded by public, charity and industry funders.</p><p>In 2017/18, the NIHR provided £11.7 million funding for research on the inflammatory and immune system (this includes rheumatoid arthritis, connective tissue diseases, autoimmune diseases, allergies and normal development and function of the immune system, as per the UK Clinical Research Collaboration Health Research Classification System, of which £1.2 million was for research on rheumatoid arthritis. In addition, the NIHR Clinical Research Network provides the support to deliver research by public, charity and industry funders in the health and care system.</p><p>The UK and the EU have a long record of jointly tackling global challenges, with strong existing links already in place between our research and innovation communities, and we want to continue this important collaboration in science, research and innovation, including in pioneering medical research for rheumatoid arthritis and other inflammatory conditions.</p><p>As a responsible Government, we are continuing to prepare for all scenarios. In the event that the UK leaves the EU without a deal at the end of this extension period, the Government has confirmed that the funding commitments made under the guarantee and the extension still stand. Through these commitments, the Government will underwrite funding for all successful competitive eligible UK bids to Horizon 2020 that are submitted before the end of the Programme. This guarantee will apply for the lifetime of projects and will provide funding for UK participation in pioneering Horizon 2020 medical research projects can continue.</p><p> </p>
answering member constituency Gosport more like this
answering member printed Caroline Dinenage more like this
question first answered
less than 2019-06-20T15:36:21.927Zmore like thismore than 2019-06-20T15:36:21.927Z
answering member
4008
label Biography information for Dame Caroline Dinenage more like this
tabling member
4488
label Biography information for Martyn Day more like this
997718
registered interest true more like this
date less than 2018-10-30more like thismore than 2018-10-30
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Arthritis: Health Services remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that people living with rheumatoid arthritis receive adequate levels of treatment and support. more like this
tabling member constituency Barnsley Central more like this
tabling member printed
Dan Jarvis more like this
uin 185612 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-05more like thismore than 2018-11-05
answer text <p>The National Institute for Health and Care Excellence (NICE) Guidance ‘Rheumatoid Arthritis in Adults: management’, updated in 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis (RA). This is because treatment at an early stage can halt progression of disease. The guidance also recommends patients with RA are managed by a multidisciplinary team, including physiotherapy, occupational therapy and psychology support.</p><p> </p><p>Patients can often be successfully managed disease-modifying antirheumatic drugs (DMARDs) or biologic drugs if DMARDs do not produce the desired results or are not tolerated. Biologicals target individual molecules and tend to work more quickly than conventional DMARDs. Local National Health Service commissioners should take NICE guidance into account when planning services for local populations. The full guidance can be viewed at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989" target="_blank">www.nice.org.uk/guidance/ng100/resources/rheumatoid-arthritis-in-adults-management-pdf-66141531233989</a></p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
question first answered
less than 2018-11-05T15:38:15.183Zmore like thismore than 2018-11-05T15:38:15.183Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
4243
label Biography information for Dan Jarvis more like this
756978
registered interest false more like this
date less than 2017-09-04more like thismore than 2017-09-04
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Arthritis: Health Services remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what estimate he has made of the number and proportion of people with suspected rheumatoid and early inflammatory arthritis who received diagnosis and management according to the NICE Quality Standard in each of the last five years. more like this
tabling member constituency Oxford West and Abingdon more like this
tabling member printed
Layla Moran more like this
uin 8277 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2017-09-11more like thismore than 2017-09-11
answer text <p>The total number and proportion of people with suspected rheumatoid and early inflammatory arthritis who were diagnosed and managed according to the National Institute for Care and Excellence (NICE) Quality Standard in each of the last five years is not available.</p><p>The National Rheumatoid and Early Inflammatory Arthritis Audit report, commissioned on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP) assesses the quality of care by specialist rheumatology services in England and Wales using criteria derived from sources such as the NICE Quality Standard on rheumatoid arthritis (RA). The audit includes patients with: RA, psoriatic arthritis; spondyloarthropathy with peripheral arthritis; and undifferentiated arthritis. Key findings from the second annual report of the audit published in July 2016, found that:</p><p>- 95% of patients agreed that they had a good experience of care, up from 78% in year one of the audit;</p><p>- 20% people with suspected persistent synovitis affecting the small joints of the hands or feet, or more than one joint, are referred to a rheumatology service within three working days of presentation (Quality Standard 1) and this is essentially unchanged from year one of the audit;</p><p>- 37% of patients were seen by a rheumatology service within three weeks of referral (Quality Standard 2) and this is essentially unchanged from year one of the audit; and</p><p>- 68% of patients received disease-modifying antirheumatic drugs within six weeks of referral (NICE Quality Standard 3), up from 53% in year one of the audit.</p><p>The audit is an important tool that helps commissioners and providers to scrutinise local services, highlight variation and drive improvement. The audit report makes a range of recommendations, including that local services improve training and awareness and amongst general practitioners (GP). Furthermore, in addition to the RA audit, the National Hip Fracture Audit, also commissioned by HQIP, is another way in which services for patients with Musculoskeletal (MSK) conditions are assessed in terms of timeliness and quality. Reports from both of the arthritis audits and the most recent hip fracture audit can be found at the following links:</p><p><a href="http://www.hqip.org.uk/resources/national-clinical-audit-for-rheumatoid-and-early-and-inflammatory-arthritis-annual-report-2015/" target="_blank">www.hqip.org.uk/resources/national-clinical-audit-for-rheumatoid-and-early-and-inflammatory-arthritis-annual-report-2015/</a></p><p><a href="http://www.hqip.org.uk/resources/rheumatoid-and-early-inflammatory-arthritis-2016/" target="_blank">www.hqip.org.uk/resources/rheumatoid-and-early-inflammatory-arthritis-2016/</a></p><p><a href="http://www.hqip.org.uk/resources/national-hip-fracture-database-nhfd-annual-report-2016/" target="_blank">www.hqip.org.uk/resources/national-hip-fracture-database-nhfd-annual-report-2016/</a></p><p>Additional information on the on the use of public services by people with long term conditions, including MSK conditions, can be found in surveys including the GP patient Survey and the Hospital Inpatient survey. Increasing the availability of data on National Health Service services and outcomes is important in driving improvement and delivering patient choice which is why it is identified in the Mandate as a key objective for the NHS to achieve.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
8112 more like this
8113 more like this
question first answered
less than 2017-09-11T15:20:11.06Zmore like thismore than 2017-09-11T15:20:11.06Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
4656
label Biography information for Layla Moran more like this