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713494

registered interest
date	23/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Familial Hypercholesterolaemia
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 ensure that diagnosis and management of familial hypercholesterolaemia is consistent across England.
tabling member constituency	Mansfield
tabling member printed	Sir Alan Meale
uin	69039
answer	answer is ministerial correction date of answer 30/03/2017 answer text <p>NHS England and Public Health England are working to raise the profile of familial hypercholesterolaemia (FH) and break down the barriers to genetic testing. Specifically, FH is emphasised in the NHS England Prevention aide memoire to support Sustainability and Transformation Planning, which is available at:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/05/stp-aide-memoire-prevention.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/05/stp-aide-memoire-prevention.pdf</a></p><p> </p><p>NHS England’s National Clinical Director for heart disease chairs an FH steering group which comprises representatives from relevant stakeholder organisations, including Public Health England. This group, with funding from the British Heart Foundation, has established FH specialist nurses in many areas of England, aimed at increasing FH cascade testing across the country so that more affected families can be identified. The steering group aims to develop a systems approach to the detection and management of FH.</p><p> </p><p>One third of England is now covered by these FH nurses as well as cascade testing, and over the last three years more than 1,000 new people with FH have been identified.</p><p> </p><p>Software to support cascade testing and provide a database for FH is available and will be increasingly used in England as FH services are established.</p><p> </p><p>NHS England has also identified FH as a possible condition that it could focus on as part of the work looking into personalised medicine and how the NHS might make better use of increased genetic testing.</p><p> </p><p>Finally, a cholesterol test is included as part of the NHS Health Check that is mandated by the Health and Social Care Act for delivery across all local authorities in England. Revised NHS Best Practice Guidance published in February now includes strengthened guidance for detection of FH as part of the NHS Health Check. Every patient with a cholesterol test result above 7.5mmol/l (as per National Institute for Health and Care Excellence guidance) will be alerted to their general practitioner for consideration of FH in combination with other diagnostic criteria.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 69040 question first answered 30/03/2017 14:03:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	361 label Biography information for Sir Alan Meale

713495

registered interest
date	23/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Familial Hypercholesterolaemia
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 help all clinical commissioning groups to provide adequate access to genetic cascade testing services for familial hypercholesterolemia in their areas.
tabling member constituency	Mansfield
tabling member printed	Sir Alan Meale
uin	69040
answer	answer is ministerial correction date of answer 30/03/2017 answer text <p>NHS England and Public Health England are working to raise the profile of familial hypercholesterolaemia (FH) and break down the barriers to genetic testing. Specifically, FH is emphasised in the NHS England Prevention aide memoire to support Sustainability and Transformation Planning, which is available at:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/05/stp-aide-memoire-prevention.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/05/stp-aide-memoire-prevention.pdf</a></p><p> </p><p>NHS England’s National Clinical Director for heart disease chairs an FH steering group which comprises representatives from relevant stakeholder organisations, including Public Health England. This group, with funding from the British Heart Foundation, has established FH specialist nurses in many areas of England, aimed at increasing FH cascade testing across the country so that more affected families can be identified. The steering group aims to develop a systems approach to the detection and management of FH.</p><p> </p><p>One third of England is now covered by these FH nurses as well as cascade testing, and over the last three years more than 1,000 new people with FH have been identified.</p><p> </p><p>Software to support cascade testing and provide a database for FH is available and will be increasingly used in England as FH services are established.</p><p> </p><p>NHS England has also identified FH as a possible condition that it could focus on as part of the work looking into personalised medicine and how the NHS might make better use of increased genetic testing.</p><p> </p><p>Finally, a cholesterol test is included as part of the NHS Health Check that is mandated by the Health and Social Care Act for delivery across all local authorities in England. Revised NHS Best Practice Guidance published in February now includes strengthened guidance for detection of FH as part of the NHS Health Check. Every patient with a cholesterol test result above 7.5mmol/l (as per National Institute for Health and Care Excellence guidance) will be alerted to their general practitioner for consideration of FH in combination with other diagnostic criteria.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 69039 question first answered 30/03/2017 14:03:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	361 label Biography information for Sir Alan Meale

713503

registered interest
date	23/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genomics: Research
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will provide an update on his Department's work on the 100,000 Genomes Project; and if he will make a statement.
tabling member constituency	Mansfield
tabling member printed	Sir Alan Meale
uin	69038
answer	answer is ministerial correction date of answer 31/03/2017 answer text <p>The 100,000 Genomes Project is making good progress. The project is at the leading edge of global science, developing ground breaking new techniques and protocols.</p><p> </p><p>Genomics England has developed semi-automated bioinformatics to analyse genomic data to find the cause of disease. To date, over 29,000 whole genomes have been sequenced and reports are already being returned to the National Health Service who are responsible for discussing clinical interpretations and next steps with patients.</p><p> </p><p>The project is already changing the lives of patients with a rare disease – providing many patients with diagnoses for the first time, often after years of uncertainty and distress whilst helping to reduce considerable costs to health and social care budgets.</p><p> </p><p>Genomics England and NHS England are actively developing a fast track pipeline for patients with cancer who are participating in the Project. We are aiming to reduce the time from sample acquisition to the return of a report to four weeks. This will increase the utility of the service to clinicians and patients alike.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 31/03/2017 09:32:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	361 label Biography information for Sir Alan Meale

652324

registered interest
date	05/12/2016
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Pigs: Animal Welfare
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what steps she is taking to improve enforcement of (a) paragraph 15 on environmental enrichment for pigs of Schedule 8 to the Aftercare of Farmed Animals (England) Regulations 2007 and (b) paragraph 5 on tail docking of pigs of Schedule 3 to the Mutilations (Permitted Procedures) (England) Regulations 2007.
tabling member constituency	Mansfield
tabling member printed	Sir Alan Meale
uin	56158
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>Defra’s Code of Recommendations for pigs, which all pig-keepers must be familiar with, provides guidance on how to comply with the legal requirements in relation to environmental enrichment and routine tail-docking. When carrying out an inspection of a pig unit, the Animal Health and Plant Health Agency evaluate the provision of enrichment material and whether pigs are routinely tail-docked without a justifiable reason and will apply breaches where non-compliances are found.</p><p> </p><p>There are health and welfare reasons for continuing to tail-dock in certain circumstances, but we and the pig industry recognise a need to improve the quality of enrichment materials available for all pigs and increase opportunities to stop tail-docking.</p><p> </p><p>Defra contributed to a European Commission research project by Bristol University which informed the EU Commission’s recently published guidance on tail docking and enrichment materials. We are working with the industry to implement these recommendations on tail docking and enrichment which were published earlier this year.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Camborne and Redruth answering member printed George Eustice question first answered 13/12/2016 17:56:03 answering member 3934 label Biography information for George Eustice
tabling member	361 label Biography information for Sir Alan Meale

631952

registered interest
date	08/11/2016
answering body	Prime Minister
answering dept id	23
answering dept short name	Prime Minister
answering dept sort name	Prime Minister
hansard heading	Honours
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Prime Minister, whether her nomination of people for a peerage takes account of age as well as merit; and if she will make a statement.
tabling member constituency	Mansfield
tabling member printed	Sir Alan Meale
uin	52210
answer	answer is ministerial correction date of answer 18/11/2016 answer text <p>Any appointments would be made in the usual way and would be vetted for propriety by the House of Lords Appointments Commission.</p> answering member constituency Maidenhead answering member printed Mrs Theresa May question first answered 18/11/2016 10:18:22 answering member 8 label Biography information for Mrs Theresa May
tabling member	361 label Biography information for Sir Alan Meale