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759123

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the adverse consequences for patients of restricting the use of blue-light filtering intraocular lenses, as laid out in the NICE draft guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1492
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The Government has made no such assessment. The National Institute for Health and Care Excellence (NICE) has not yet issued its final clinical guideline on the management of cataracts and it would not be appropriate to pre-empt its final recommendations. NICE recently consulted on the draft clinical guideline and will take the comments it received in response to the consultation fully into account in developing its final guidance, due for publication in October 2017.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:30:19 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

759124

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what were the exceptional circumstances that led to the addition of a review question on blue-light filtering intraocular lenses in the final scope of the NICE guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1493
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) has advised that there were no exceptional circumstances that led to the addition of a review question on blue-light filtering intraocular lenses in the development of its guideline on the management of cataracts. The draft review questions in the scope for the guideline referred to various aspects of lens design and, during the NICE Guideline Committee’s work on this area, the question relating to blue-light filtering intraocular lenses was added and subsequently signed off through all the normal processes. This is consistent with the normal way in which questions are refined by committees during guidance development.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:37:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

759125

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what investigation they have conducted into evidence reporting lower incidence of age-related macular degeneration in patients with blue-light filtering intraocular lenses; and what account was taken of that evidence in the preparation of the NICE draft guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1494
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The Government has not conducted any such investigation. The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service. NICE will consider all the evidence fully in developing its final guidance on the management of cataracts due for publication in October 2017.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:24:10 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

709714

registered interest
date	09/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 25 October 2016 to Question HL2227, how his Department monitors clinical commissioning groups on waiting times for cataracts surgery.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	67261
answer	answer is ministerial correction date of answer 14/03/2017 answer text <p>The Department uses the National Health Service performance data published on a monthly basis by NHS England in respect of waiting times for consultant-led referral to treatment waiting times to monitor compliance with waiting times targets for treatment. Referral to treatment data are collected by 18 specialties and are not condition or procedure specific. Cataract surgery is included in the ophthalmology specialty. This information is published at both provider and commissioner level and is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/03/2017 17:23:59 answering member 1542 label Biography information for Philip Dunne
tabling member	4077 label Biography information for Emma Reynolds

654277

registered interest
date	07/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to introduce new innovative technologies into the NHS and to assess laser technologies and the impact which they can have on cataract waiting times, efficiency, and capacity management as part of a national cataract strategy.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3942
answer	answer is ministerial correction date of answer 16/12/2016 answer text <p>The Department does not stipulate what surgical techniques should be used. In the absence of positive National Institute for Health and Care Excellence (NICE) technology appraisal guidance on a particular treatment, it is for National Health Service commissioners to make funding decisions based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances.</p><p> </p><p>The commissioning of cataract surgery is the responsibility of clinical commissioning groups, and decisions on the use of particular techniques are made locally on the basis of evidence to inform commissioning decisions.</p><p> </p><p>The National Institute for Health Research is funding a clinical trial comparing standard cataract surgery with femtosecond laser assisted cataract surgery. The report is expected to be published in 2018.</p><p> </p><p>In light of concerns about lengthy waits for treatment and unacceptable variations in care, the Secretary of State has asked NICE to bring forward its guidance on cataracts from 2018 to 2017. This will provide NHS commissioners with evidence based guidance from NICE and help to ensure patients have access to the most effective treatment as early as possible.</p> answering member printed Lord Prior of Brampton question first answered 16/12/2016 13:18:32 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

620942

registered interest
date	25/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cataract operations were performed in NHS hospitals in each of the last five years.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	50237
answer	answer is ministerial correction date of answer 31/10/2016 answer text <p>The number of finished consultant episodes with a main or secondary procedure of cataract operation broken down by provider type, for 2010-11 to 2014-15 are shown in in the table below. It shows activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Provider Type</p></td><td><p> </p></td></tr><tr><td><p>Year</p></td><td><p>NHS</p></td><td><p>Independent</p></td><td><p>Total</p></td></tr><tr><td><p>2010-11</p></td><td><p>314,188</p></td><td><p>25,808</p></td><td><p>339,996</p></td></tr><tr><td><p>2011-12</p></td><td><p>303,694</p></td><td><p>30,058</p></td><td><p>333,752</p></td></tr><tr><td><p>2012-13</p></td><td><p>298,332</p></td><td><p>35,273</p></td><td><p>333,605</p></td></tr><tr><td><p>2013-14</p></td><td><p>319,649</p></td><td><p>45,821</p></td><td><p>365,470</p></td></tr><tr><td><p>2014-15</p></td><td><p>338,297</p></td><td><p>59,801</p></td><td><p>398,098</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics, NHS Digital</p> answering member constituency Warrington South answering member printed David Mowat question first answered 31/10/2016 16:21:22 answering member 4080 label Biography information for David Mowat
tabling member	1521 label Biography information for Mrs Sharon Hodgson

600471

registered interest
date	12/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the statement by the Secretary of State for Health on 10 August that any patient who needs cataract surgery should get it without delay, what is their assessment of the impact on cataract surgery waiting times and local capacity to deliver cataract treatment of a higher priority being afforded to such treatment.
tabling member printed	Lord Harrison
uin	HL2224
answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>Clinical commissioning groups are responsible for commissioning cataract surgery for their local populations. Patients have the right to start consultant-led treatment within 18 weeks of referral for non-urgent conditions, or alternatively have the right to ask for an alternative provider who can see them sooner. All patients should be treated without unnecessary delay and according to their clinical priority.</p><p>Where National Institute for Health and Care Excellence (NICE) guidance does not exist on a particular treatment, it is for local National Health Service commissioners to make funding decisions based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances. However, in light of concerns about lengthy waits for treatment and unacceptable variations in care, the Secretary of State has asked NICE to bring forward its guidance on cataracts from 2018 to 2017. This will provide NHS commissioners with evidence based guidance from NICE and ensure patients have access to the most effective treatment as early as possible.</p><p>The Government has not made an assessment of the effect of hospital-initiated postponement of cataract surgery on patients’ sight or of the impact of innovative technologies; we anticipate that these aspects will be considered by NICE in their assessment.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2225 HL2228 question first answered 25/10/2016 16:19:13 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2488 label Biography information for Lord Harrison

600472

registered interest
date	12/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, what is their assessment of the impact of innovative technology and improvements in efficiency on outcomes for cataract treatment.
tabling member printed	Lord Harrison
uin	HL2225
answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>Clinical commissioning groups are responsible for commissioning cataract surgery for their local populations. Patients have the right to start consultant-led treatment within 18 weeks of referral for non-urgent conditions, or alternatively have the right to ask for an alternative provider who can see them sooner. All patients should be treated without unnecessary delay and according to their clinical priority.</p><p>Where National Institute for Health and Care Excellence (NICE) guidance does not exist on a particular treatment, it is for local National Health Service commissioners to make funding decisions based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances. However, in light of concerns about lengthy waits for treatment and unacceptable variations in care, the Secretary of State has asked NICE to bring forward its guidance on cataracts from 2018 to 2017. This will provide NHS commissioners with evidence based guidance from NICE and ensure patients have access to the most effective treatment as early as possible.</p><p>The Government has not made an assessment of the effect of hospital-initiated postponement of cataract surgery on patients’ sight or of the impact of innovative technologies; we anticipate that these aspects will be considered by NICE in their assessment.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2224 HL2228 question first answered 25/10/2016 16:19:13 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2488 label Biography information for Lord Harrison

600474

registered interest
date	12/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what were the waiting times for cataract surgery for each of the past 10 years for each clinical commissioning group.
tabling member printed	Lord Harrison
uin	HL2227
answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>The information is not available in the format requested. Referral to treatment data are collected by 18 treatment functions and are not condition or procedure specific. Cataract surgery is included in the ophthalmology treatment function. The attached table sets out the median waiting time for completed admitted pathways for the ophthalmology treatment function, by primary care trust and clinical commissioning group, for the years that full data is available, 2007-08 to 2015-16.</p> answering member printed Lord Prior of Brampton question first answered 25/10/2016 16:21:11 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL2227 Annual Ophthalmology Median Waits for Completed Admitted Pathways By PCT and CCG.xls title Ophthalmology Waiting Times
tabling member	2488 label Biography information for Lord Harrison

600475

registered interest
date	12/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many people have lost their sight or had their vision impaired as a result of delays in the provision of cataract surgery.
tabling member printed	Lord Harrison
uin	HL2228
answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>Clinical commissioning groups are responsible for commissioning cataract surgery for their local populations. Patients have the right to start consultant-led treatment within 18 weeks of referral for non-urgent conditions, or alternatively have the right to ask for an alternative provider who can see them sooner. All patients should be treated without unnecessary delay and according to their clinical priority.</p><p>Where National Institute for Health and Care Excellence (NICE) guidance does not exist on a particular treatment, it is for local National Health Service commissioners to make funding decisions based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances. However, in light of concerns about lengthy waits for treatment and unacceptable variations in care, the Secretary of State has asked NICE to bring forward its guidance on cataracts from 2018 to 2017. This will provide NHS commissioners with evidence based guidance from NICE and ensure patients have access to the most effective treatment as early as possible.</p><p>The Government has not made an assessment of the effect of hospital-initiated postponement of cataract surgery on patients’ sight or of the impact of innovative technologies; we anticipate that these aspects will be considered by NICE in their assessment.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2224 HL2225 question first answered 25/10/2016 16:19:13 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2488 label Biography information for Lord Harrison