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712468

registered interest
date	20/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to make continuous glucose monitors available on the NHS.
tabling member constituency	Wellingborough
tabling member printed	Mr Peter Bone
uin	68467
answer	answer is ministerial correction date of answer 23/03/2017 answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning diabetes services to meet the requirements of their populations. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence, taking into account national guidelines. This should include consideration of access to continuous glucose monitoring for people with type 1 diabetes who might benefit from it.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 23/03/2017 09:48:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1581 label Biography information for Mr Peter Bone

687062

registered interest
date	08/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when NICE plans to report on the availability of FreeStyle Libre on the NHS.
tabling member constituency	Tynemouth
tabling member printed	Mr Alan Campbell
uin	63557
answer	answer is ministerial correction date of answer 20/02/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) is developing a medtech innovation briefing (MIB) on FreeStyle Libre which it expects to publish in May 2017. NICE MIBs provide information on device and diagnostic technologies to aid local decision-making by clinicians, managers and procurement professionals. They contain no judgement on the value of the technology and they do not contain a recommendation from NICE.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 20/02/2017 12:01:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	529 label Biography information for Sir Alan Campbell

595780

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people (a) have access to and (b) use an insulin pump.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	46832
answer	answer is ministerial correction date of answer 13/10/2016 answer text <p>Data on insulin pump usage in England is now collected and published in the National Diabetes Insulin Pump Audit. The report for 2013-15 can be found at:</p><p><a href="http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0" target="_blank">http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0</a></p><p>Participation in the first audit was low, with 44 out of 183 units providing data, and so it does not provide an accurate count of the number of people using an insulin pump. Furthermore, the data does not provide information on access to insulin pumps or distinguish between insulin pumps provided by the National Health Service or those which are self-funded. This information is not collected centrally.</p><p>Information on the number of people using continuous glucose monitors is not collected centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46833 46834 question first answered 13/10/2016 13:15:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

595781

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people use a continuous glucose monitor (a) provided by the NHS and (b) that they have funded themselves.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	46833
answer	answer is ministerial correction date of answer 13/10/2016 answer text <p>Data on insulin pump usage in England is now collected and published in the National Diabetes Insulin Pump Audit. The report for 2013-15 can be found at:</p><p><a href="http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0" target="_blank">http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0</a></p><p>Participation in the first audit was low, with 44 out of 183 units providing data, and so it does not provide an accurate count of the number of people using an insulin pump. Furthermore, the data does not provide information on access to insulin pumps or distinguish between insulin pumps provided by the National Health Service or those which are self-funded. This information is not collected centrally.</p><p>Information on the number of people using continuous glucose monitors is not collected centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46832 46834 question first answered 13/10/2016 13:15:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

595782

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people use an insulin pump (a) provided by the NHS and (b) that they have funded themselves.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	46834
answer	answer is ministerial correction date of answer 13/10/2016 answer text <p>Data on insulin pump usage in England is now collected and published in the National Diabetes Insulin Pump Audit. The report for 2013-15 can be found at:</p><p><a href="http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0" target="_blank">http://www.hqip.org.uk/public/cms/253/625/19/520/National%20Diabetes%20Insulin%20Pump%20Audit%20report%202013-15.pdf?realName=hOfPw8.pdf?v=0</a></p><p>Participation in the first audit was low, with 44 out of 183 units providing data, and so it does not provide an accurate count of the number of people using an insulin pump. Furthermore, the data does not provide information on access to insulin pumps or distinguish between insulin pumps provided by the National Health Service or those which are self-funded. This information is not collected centrally.</p><p>Information on the number of people using continuous glucose monitors is not collected centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46832 46833 question first answered 13/10/2016 13:15:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

579506

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to make continuous glucose monitoring and insulin pump technology available to diabetics on the NHS.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45827
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>This Government is working hard to improve outcomes and quality of life for those already living with diabetes and those who will develop it in the coming years. One of our key goals in the mandate to the National Health Service is a measurable reduction in variation in the management and care of people with the condition within the lifetime of this Parliament. Funding has been secured through the spending review to help achieve this and NHS England is developing a programme to ensure that those clinical commissioning groups (CCGs) which need extra investment in this area, accompanied by sound plans for delivery, receive it.</p><p> </p><p>In addition, the Clinical Commissioning Group Improvement and Assessment Framework will play a key role in delivering this as it contains two recognised evidence based measures of whether patients with diabetes are being supported to successfully manage their condition (achievement of the National Institute for Health and Care Excellence treatment targets and participation in structured education programmes).</p><p> </p><p>Using data from the NHS Atlas of Variation, NHS Right Care is also working with CCGs and other local partners to make improvements in diabetes care and reduce variation by providing hands on practical support.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in the proportion of people newly diagnosed with diabetes recorded as being referred to structured education courses, designed to help them manage their condition in the long term. However, whilst we know that the data on take up needs improving, there is still much further to go in enabling people with diabetes to access these programmes.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to improve the take up of structured education including exploring how more diversity of provision might be delivered through digital and web based approaches. The Department recently held a seminar with key stakeholders to identify actions that would facilitate improved access.</p><p> </p><p>CCGs are primarily responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence, taking into account national guidelines. This should include consideration of access to continuous glucose monitoring for people with Type 1 diabetes who might benefit from it.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 45823 45828 question first answered 16/09/2016 14:49:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

539582

registered interest
date	18/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to make personal devices for instant monitoring of insulin levels available to people with diabetes on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	43045
answer	answer is ministerial correction date of answer 25/07/2016 answer text <p>We are not aware of any clinical utility associated with the instant monitoring of insulin levels. However, continuous glucose monitoring devices can measure glucose levels 24 hours a day and it is for National Health Service commissioners to decide whether to make these available to their local populations.</p><p> </p><p>In August 2015, National Institute for Health and Care Excellence (NICE) published guidelines which recommend that such devices should not be made routinely available to people with Type 1 diabetes unless they are willing to commit to using them at least 70% of the time and to calibrate them as needed (as well as meeting certain other criteria).</p><p> </p><p>NICE has found that, for some people, continuous glucose monitoring can have clinical benefit but generally it is not more effective than current methods of self-monitoring.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 25/07/2016 16:14:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4131 label Biography information for Jim Shannon

536154

registered interest
date	13/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the annual cost to people with Type 1 diabetes who self-fund a continuous glucose monitor.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	42637
answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>No estimate has been made of the annual cost to people with Type 1 diabetes who self-fund a continuous glucose monitor.</p><p> </p><p>In August 2015, the National Institute for Health and Care Excellence provided updated guidelines for both Type 1 diabetes and for children and young people with diabetes. In both, the cost effectiveness, as well as the clinical effectiveness, of continuous glucose monitoring was assessed. Both sets of guidelines outline specific clinical situations where the clinical and cost effectiveness justify consideration of the use of the technology.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 42741 question first answered 18/07/2016 14:55:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1503 label Biography information for Mr Jamie Reed

536278

registered interest
date	13/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the potential benefit to the UK economy of NHS investment in continuous glucose monitors for adults and children with Type 1 Diabetes.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	42741
answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>No estimate has been made of the annual cost to people with Type 1 diabetes who self-fund a continuous glucose monitor.</p><p> </p><p>In August 2015, the National Institute for Health and Care Excellence provided updated guidelines for both Type 1 diabetes and for children and young people with diabetes. In both, the cost effectiveness, as well as the clinical effectiveness, of continuous glucose monitoring was assessed. Both sets of guidelines outline specific clinical situations where the clinical and cost effectiveness justify consideration of the use of the technology.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 42637 question first answered 18/07/2016 14:55:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1503 label Biography information for Mr Jamie Reed