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577007

registered interest
date	06/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the remarks by Lord Prior of Brampton on 22 October 2015 (HL Deb, col GC37), what progress has been made in establishing across the country a network of NHS practitioners interested in Lyme disease.
tabling member printed	Lord Alton of Liverpool
uin	HL1604
answer	answer is ministerial correction date of answer 13/09/2016 answer text <p>We will be considering options for improving professional engagement on Lyme disease in light of the reviews on the diagnosis, treatment and transmission of Lyme disease, commissioned by the Department to inform future decision making. Public Health England continues to work with local authorities and primary care providers to raise awareness.</p> answering member printed Lord Prior of Brampton question first answered 13/09/2016 16:26:09 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

521604

registered interest
date	25/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
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 (a) efficiency of existing diagnostic tests and (b) effectiveness of current treatments for Lyme disease.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	38421
answer	answer is ministerial correction date of answer 06/06/2016 answer text <p>Lyme disease is a complex infection where challenges in understanding of disease progression, and consequently diagnosis and treatment, remain.</p><p> </p><p>The National Health Service and Public Health England (PHE) use well established validated diagnostic tests for Lyme disease that are highly reproducible between laboratories. International External Quality Assurance schemes are in place to ensure consistency between different test centres. Commercial manufacturers and international academic groups have research programmes into improved tests and PHE continuously reviews new Lyme serology tests and will validate and implement new tests if appropriate.</p><p> </p><p>All treatment for Lyme disease within the NHS should be evidence based, and targeted at the disease mechanisms underlying those symptoms. Most cases are diagnosed in primary care and PHE has published a referral pathway for general practitioners to follow to ensure problem cases are seen by an appropriate NHS specialist.</p><p> </p><p>To further strengthen the evidence base we have commissioned the National Institute for Health and Care Excellence to develop a new clinical guideline on Lyme disease, for both primary and secondary care, for publication in 2018. The Department is also commissioning three Systematic Reviews by independent academic groups to cover</p><p> </p><p>― diagnosis and diagnostic tests;</p><p>― treatment; and</p><p>― epidemiology/transmission routes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/06/2016 14:00:30 answering member 3918 label Biography information for Jane Ellison
tabling member	4378 label Biography information for Colleen Fletcher

520843

registered interest
date	23/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to raise awareness of Lyme disease amongst medical professionals.
tabling member constituency	Erith and Thamesmead
tabling member printed	Teresa Pearce
uin	38038
answer	answer is ministerial correction date of answer 26/05/2016 answer text <p>The existing National Institute for Health and Care Excellence (NICE) guidance supports primary care doctors in managing Lyme disease but to further strengthen the evidence base we have commissioned NICE to develop guidelines for the recognition and treatment of Lyme disease; this is expected in June 2018.</p><p> </p><p>Public Health England (PHE) provides information on Lyme disease and tick awareness to the medical profession and the public, holds regular medical training days, and works with Lyme Disease Action to support the needs and interests of patients.</p><p> </p><p>NHS Choices also publishes information on its website to raise awareness of Lyme disease and encourage timely medical consultation because early diagnosis and treatment of Lyme disease is the best way of limiting complications from infection.</p><p> </p><p>The number of human cases can be reduced by raising public awareness of how to avoid tick bites, and by environmental measures in public places to reduce the long grass and scrub which harbor ticks. PHE works with interested local authorities to raise tick awareness, and has produced joint public information with local authorities in areas such as the New Forest with a significant incidence of Lyme disease.</p><p> </p><p>The number of laboratory confirmed cases of Lyme disease in England and Wales varies annually, in 2013 there were 878 and in 2014 there were 730, but the majority of diagnoses are made clinically by general practitioners and those figures are not recorded.</p><p> </p><p>Patients with late or complicated Lyme disease may be diagnosed in a variety of specialist clinics, and the numbers are not recorded. Based on the clinical information supplied with the laboratory request, only a small proportion of the annual number of cases fall into this category.</p><p> </p><p>There is no clear definition for chronic Lyme disease, and no general acceptance of what the term means, so no data is available.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 38039 38055 question first answered 26/05/2016 16:24:22 answering member 3918 label Biography information for Jane Ellison
tabling member	4003 label Biography information for Teresa Pearce

520844

registered interest
date	23/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to raise public awareness of Lyme disease and of the measures that can be taken to reduce the risk of infection.
tabling member constituency	Erith and Thamesmead
tabling member printed	Teresa Pearce
uin	38039
answer	answer is ministerial correction date of answer 26/05/2016 answer text <p>The existing National Institute for Health and Care Excellence (NICE) guidance supports primary care doctors in managing Lyme disease but to further strengthen the evidence base we have commissioned NICE to develop guidelines for the recognition and treatment of Lyme disease; this is expected in June 2018.</p><p> </p><p>Public Health England (PHE) provides information on Lyme disease and tick awareness to the medical profession and the public, holds regular medical training days, and works with Lyme Disease Action to support the needs and interests of patients.</p><p> </p><p>NHS Choices also publishes information on its website to raise awareness of Lyme disease and encourage timely medical consultation because early diagnosis and treatment of Lyme disease is the best way of limiting complications from infection.</p><p> </p><p>The number of human cases can be reduced by raising public awareness of how to avoid tick bites, and by environmental measures in public places to reduce the long grass and scrub which harbor ticks. PHE works with interested local authorities to raise tick awareness, and has produced joint public information with local authorities in areas such as the New Forest with a significant incidence of Lyme disease.</p><p> </p><p>The number of laboratory confirmed cases of Lyme disease in England and Wales varies annually, in 2013 there were 878 and in 2014 there were 730, but the majority of diagnoses are made clinically by general practitioners and those figures are not recorded.</p><p> </p><p>Patients with late or complicated Lyme disease may be diagnosed in a variety of specialist clinics, and the numbers are not recorded. Based on the clinical information supplied with the laboratory request, only a small proportion of the annual number of cases fall into this category.</p><p> </p><p>There is no clear definition for chronic Lyme disease, and no general acceptance of what the term means, so no data is available.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 38038 38055 question first answered 26/05/2016 16:24:22 answering member 3918 label Biography information for Jane Ellison
tabling member	4003 label Biography information for Teresa Pearce

519728

registered interest
date	19/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has had discussions with his German counterpart on improving the diagnosis and treatment of Lyme disease by the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	37543
answer	answer is ministerial correction date of answer 25/05/2016 answer text <p>No specific discussions have been held but the National Health Service, Public Health England and national laboratories across Europe use well established, standardised, tests and international External Quality Assurance schemes are in place to ensure consistency across Europe.</p><p>However, Lyme disease is a complex infection and we recognise that challenges in diagnosis and treatment remain. In light of this, the Department is commissioning three reviews on the diagnosis, treatment and transmission of Lyme disease to inform future decision making.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 25/05/2016 12:57:41 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon