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1062076

registered interest
date	15/02/2019
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	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many student specialist dermatologists there were in each of the last 10 years for which data is available.
tabling member constituency	Lichfield
tabling member printed	Michael Fabricant
uin	221977
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The number of doctors in dermatology specialty training programmes in England is shown in the following table. Data is not available for years prior to 2012.</p><p> </p><p>Number of doctors in dermatology specialty training at March of each year in England</p><table><tbody><tr><td><p>Year in training</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>Number of dermatology trainees</p></td><td><p>193</p></td><td><p>193</p></td><td><p>192</p></td><td><p>201</p></td><td><p>199</p></td><td><p>201</p></td><td><p>206</p></td></tr></tbody></table><p>Source: Published General Medical Council (GMC) data</p><p> </p><p>Doctors wishing to enter specialty training in the United Kingdom need to have completed an undergraduate medical degree and two years of foundation training, after which they can enter a six-year specialty training programme. This comprises of one of three two-year core training programmes (Core Medical Training, Acute Care Common Stem in Acute Medicine or Level 1 Paediatric training), followed by four years of dermatology training, and upon successful completion they can gain registration with the GMC as a specialist doctor.</p><p> </p><p>The data in the table is specific to years three to six of this training pathway.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 17:05:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	280 label Biography information for Michael Fabricant

1062077

registered interest
date	15/02/2019
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	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many patients were treated by consultant dermatologists for skin diseases in (a) the last 12 months for which data are available, (b) 2014 and (c) 2009.
tabling member constituency	Lichfield
tabling member printed	Michael Fabricant
uin	221978
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The information is unavailable in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:42:26 answering member 4067 label Biography information for Steve Brine
tabling member	280 label Biography information for Michael Fabricant

1062078

registered interest
date	15/02/2019
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	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the availability of professional training places for medical graduates wishing to specialise in dermatology; and if he will make a statement.
tabling member constituency	Lichfield
tabling member printed	Michael Fabricant
uin	221979
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The number of medical specialty training places that are available each year is set by Health Education England (HEE) and based on their assessment of service gaps and predicted workforce needs.</p><p> </p><p>Data from the HEE National Recruitment Office shows that there has been a 100% fill rate in dermatology specialty training in each of the past six years. The numbers of training places available in each year since 2013, the earliest available data, are shown in the following table.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>Total national training numbers</p></td><td><p>49</p></td><td><p>46</p></td><td><p>49</p></td><td><p>49</p></td><td><p>46</p></td><td><p>65</p></td></tr></tbody></table><p>Source: ST3 recruitment website: <a href="https://www.st3recruitment.org.uk/specialties/dermatology" target="_blank">https://www.st3recruitment.org.uk/specialties/dermatology</a></p><p> </p><p>Note: Data includes England, Scotland and Wales</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 17:03:52 answering member 1585 label Biography information for Stephen Hammond
tabling member	280 label Biography information for Michael Fabricant

674840

registered interest
date	18/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce geographic variation in access to dermatology services for patients with (a) skin diseases and (b) adult atopic dermatitis.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	60608
answer	answer is ministerial correction date of answer 25/01/2017 answer text <p>The Department has not made an estimate of the number of adults with atopic dermatitis in Strangford or in England. Health is a devolved subject; therefore it would be for the devolved administrations to comment on atopic dermatitis in Scotland, Wales and Northern Ireland. The National Institute for Health and Care Excellence (NICE) estimates that atopic eczema (atopic dermatitis) is common skin condition that affects between 15–20% of school-age children and 2–10% of adults.</p><p> </p><p>Clinical commissioning groups are responsible for commissioning the majority of dermatology services and are best placed to understand the needs of their local population. Most patients - adults and children - with skin problems can be well managed by primary care with support from dermatology departments in the community or local hospitals. The management and treatment of atopic eczema is well established.</p><p> </p><p>To support local commissioners and clinicians to shape and manage high quality services, in 2007 NICE produced the guideline Atopic eczema in under 12s: diagnosis and management,</p><p>which sets out best practice in the diagnosis and management of the condition. Diagnosis and treatment at an early stage will of course benefit children as they reach adulthood. NICE has also developed a clinical knowledge summary for the management of atopic eczema in adults. Both the clinical knowledge summary and the guideline can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg57/resources/atopic-eczema-in-under-12s-diagnosis-and-management-975512529349" target="_blank">www.nice.org.uk/guidance/cg57/resources/atopic-eczema-in-under-12s-diagnosis-and-management-975512529349 </a></p><p><a href="https://cks.nice.org.uk/eczema-atopic" target="_blank">https://cks.nice.org.uk/eczema-atopic</a></p><p>In order to understand the effectiveness of atopic eczema treatment and services, NICE recommends the use of validated patient experience tools including the Dermatology Life Quality Index. This assesses a patient’s quality of life and response to treatment.</p><p> </p><p>For those patients with the most severe forms of atopic eczema, who cannot be managed through routine access to treatments provided through primary or secondary care, a referral to a specialised dermatology service may be appropriate. NHS England commissions services for people with rare and complex skin conditions and has set out what providers must have in place in order to offer specialist dermatology care, supporting equity of access for patients wherever they live. These services may provide more intensive therapies with the involvement of a range of health and care professionals, subject to a patient’s needs. More information can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p><p> </p><p> </p><p>There is a range of information to raise awareness of the signs and symptoms of skin conditions such as atopic eczema on the NHS Choices website. In addition to this, in June 2014 Public Health England (PHE), in conjunction with the Department and NHS England, ran a Be Clear on Cancer campaign in the South West of England to raise awareness of the signs of skin cancer including information on how to reduce the risks of getting skin cancer. An interim evaluation report for the campaign was published in February 2016 and we will continue to work with PHE to assess how we take this work forward.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 60605 60606 60609 question first answered 25/01/2017 11:07:50 answering member 4080 label Biography information for David Mowat
tabling member	4131 label Biography information for Jim Shannon

652717

registered interest
date	06/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will place a list of NHS providers with whom NHS England holds contracts to provide specialist dermatology services in the Library.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	56284
answer	answer is ministerial correction date of answer 12/12/2016 answer text <p>A list of current specialised Dermatology providers, last updated on 31 October 2016, is below:</p><p> </p><table><tbody><tr><td><p>Barts Health NHS Trust</p></td></tr><tr><td><p>University Hospitals Bristol NHS Foundation Trust</p></td></tr><tr><td><p>Royal Free London NHS Foundation Trust</p></td></tr><tr><td><p>Alder Hey Children's NHS Foundation Trust</p></td></tr><tr><td><p>Sheffield Children's NHS Foundation Trust</p></td></tr><tr><td><p>Royal United Hospitals Bath NHS Foundation Trust</p></td></tr><tr><td><p>Cambridge University Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Royal Devon and Exeter NHS Foundation Trust</p></td></tr><tr><td><p>University Hospital Southampton NHS Foundation Trust</p></td></tr><tr><td><p>Sheffield Teaching Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Guy's and St Thomas' NHS Foundation Trust</p></td></tr><tr><td><p>St George's University Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>King's College Hospital NHS Foundation Trust</p></td></tr><tr><td><p>University Hospitals Coventry and Warwickshire NHS Trust</p></td></tr><tr><td><p>Norfolk and Norwich University Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Salford Royal NHS Foundation Trust</p></td></tr><tr><td><p>Great Ormond Street Hospital for Children NHS Foundation Trust</p></td></tr><tr><td><p>Birmingham Children's Hospital NHS Foundation Trust</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td></tr><tr><td><p>Chelsea and Westminster Hospital NHS Foundation Trust</p></td></tr><tr><td><p>Heart of England NHS Foundation Trust</p></td></tr><tr><td><p>Leeds Teaching Hospitals NHS Trust</p></td></tr><tr><td><p>University Hospitals Birmingham NHS Foundation Trust</p></td></tr><tr><td><p>University College London Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>The Newcastle Upon Tyne Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Oxford University Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>South Tees Hospitals NHS Foundation Trust</p></td></tr><tr><td><p>Hull and East Yorkshire Hospitals NHS Trust</p></td></tr><tr><td><p>University Hospitals of Leicester NHS Trust</p></td></tr><tr><td><p>Brighton and Sussex University Hospitals NHS Trust</p></td></tr><tr><td><p>Sandwell and West Birmingham Hospitals NHS Trust</p></td></tr><tr><td><p>Imperial College Healthcare NHS Trust</p></td></tr></tbody></table><p> </p> answering member constituency Warrington South answering member printed David Mowat question first answered 12/12/2016 15:46:09 answering member 4080 label Biography information for David Mowat
tabling member	1538 label Biography information for Rosie Cooper

386120

registered interest
date	29/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they plan to act on the recommendation by the independent investigation into the loss of dermatology specialist services at the Nottingham University Hospital NHS Trust that Health Education England consider increasing the number of consultant dermatologists.
tabling member printed	Baroness Masham of Ilton
uin	HL919
answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>In response to the independent report, Health Education East Midlands has led on the development of a local action plan aimed at the preservation and development of dermatology services in Nottingham. Health Education East Midlands facilitated a meeting on 15 June 2015 of dermatology consultants and nurses from Nottingham University Hospital and Circle Nottingham. This was a productive meeting and considered the best approach to working arrangements which would provide a good quality service for patients and training opportunities for supporting and developing consultants.</p><p> </p><p> </p><p> </p><p>It is locally recognised that there is a need for an expansion of dermatology training numbers. Health Education East Midlands will input into the investment and workforce plans developed annually by Health Education England (HEE).</p><p> </p><p> </p><p> </p><p>There have been no meetings between the Government and HEE about the independent report.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/07/2015 11:34:16 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

386121

registered interest
date	29/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what discussions they have had with Health Education England about the independent report into the loss of dermatology specialist services at the Nottingham University Hospital Trust.
tabling member printed	Baroness Masham of Ilton
uin	HL920
answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>In response to the independent report, Health Education East Midlands has led on the development of a local action plan aimed at the preservation and development of dermatology services in Nottingham. Health Education East Midlands facilitated a meeting on 15 June 2015 of dermatology consultants and nurses from Nottingham University Hospital and Circle Nottingham. This was a productive meeting and considered the best approach to working arrangements which would provide a good quality service for patients and training opportunities for supporting and developing consultants.</p><p> </p><p> </p><p> </p><p>It is locally recognised that there is a need for an expansion of dermatology training numbers. Health Education East Midlands will input into the investment and workforce plans developed annually by Health Education England (HEE).</p><p> </p><p> </p><p> </p><p>There have been no meetings between the Government and HEE about the independent report.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/07/2015 11:34:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

229124

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his Department's (a) direct and (b) indirect involvement in (i) the procurement of dermatology services from Nottingham University Hospitals Trust to Circle in 2007 and (ii) the reprocurement of those services in 2012; and whether that involvement was in an advisory capacity.
tabling member constituency	Nottingham South
tabling member printed	Lilian Greenwood
uin	228787
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The original contract for the Nottingham Treatment Centre was signed in July 2005 between the Secretary of State for Health, the local primary care trusts (PCTs) and Circle after approval of a business case for the scheme by the Department. The services provided by the Treatment Centre include dermatology. The Treatment Centre became operational in July 2008 after construction completion.</p><p> </p><p> </p><p> </p><p>The Department was not involved directly or indirectly in the reprocurement of the services. On 1 April 2013 the Department’s responsibility under the contract passed to NHS England. The reprocurement was managed locally by the clinical commissioning group and the local area team of NHS England; the contract was awarded to Circle after a competitive procurement process.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/03/2015 11:08:15 answering member 4020 label Biography information for George Freeman
tabling member	4029 label Biography information for Lilian Greenwood

179321

registered interest
date	11/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential merits of introducing a National Clinical Director for Dermatology.
tabling member constituency	Nottingham South
tabling member printed	Lilian Greenwood
uin	224258
answer	answer is ministerial correction date of answer 23/02/2015 answer text <p>Since 1 April 2013, NHS England has published information factsheets for a range of purposes. The main factsheet resource for commissioners has been produced to provide the costs and benefits of 25 specific interventions to reduce premature deaths:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/forward-view/sop/red-prem-mort/factsheets/" target="_blank">www.england.nhs.uk/ourwork/forward-view/sop/red-prem-mort/factsheets/</a></p><p> </p><p> </p><p> </p><p>Although there are currently no plans to produce a commissioning factsheet for dermatology, National Institute for Health and Care Excellence guidance in areas such as eczema and psoriasis continues to help commissioners to deliver high quality dermatological care.</p><p> </p><p> </p><p> </p><p>With regard to strategic clinical networks (SCNs), the first SCNs were chosen by NHS England using criteria developed with input from a broad range of stakeholders. These are initial groupings and it is expected that they will be expanded in the future. NHS England is undertaking a review of the role, purpose and function of the sub-regional infrastructure that it funds, which is focussed on supporting commissioners and providers to improve the quality of services including SCNs. This review is ongoing and is expected to reach its conclusions by the end of March.</p><p> </p><p> </p><p> </p><p>NHS England currently has no plans to introduce a National Clinical Director for Dermatology. However, NHS England has established a clinical reference group for specialised dermatology to bring together clinical experts, patients and carers to share best practice and improve services for patients.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 224232 224234 question first answered 23/02/2015 17:01:55 answering member 1439 label Biography information for Norman Lamb
tabling member	4029 label Biography information for Lilian Greenwood

176958

registered interest
date	02/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how Health Education England calculates the number of trainees in dermatology; and how those numbers are matched to future specialist consultant requirements for England.
tabling member printed	Baroness Finlay of Llandaff
uin	HL4588
answer	answer is ministerial correction date of answer 13/02/2015 answer text <p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development.</p><p> </p><p> </p><p> </p><p>HEE sets out its commissioning intentions based upon the needs of local employers, providers, commissioners and other stakeholders who come together as members of HEE’s Local Education Training Boards (LETBs).</p><p> </p><p> </p><p> </p><p>HEE’s national workforce plan for England is an aggregate of local LETBs’ plans, but the advice and input of clinical advisors and patient representatives, as well as the Royal Colleges and other stakeholders, is also listened to and considered. It is this discussion and involvement locally and nationally that makes this a plan for the whole of the National Health Service in England.</p><p> </p><p> </p><p> </p><p>HEE is in the process of reviewing investment in medical education in the context of current and forecast supply and demand, competing priorities, the NHS Five Year Forward View, and HEE’s Strategic Framework.</p><p> </p> answering member printed Earl Howe question first answered 13/02/2015 15:33:09 answering member 2000 label Biography information for Earl Howe
tabling member	3609 label Biography information for Baroness Finlay of Llandaff