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1002492
star this property registered interest false more like this
star this property date less than 2018-11-06more like thismore than 2018-11-06
star this property answering body
Cabinet Office more like this
star this property answering dept id 53 more like this
star this property answering dept short name Cabinet Office more like this
star this property answering dept sort name Cabinet Office more like this
star this property hansard heading Gulf National Security Secretariat Implementation Group more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what role, if any, the Gulf National Security Secretariat Implementation Group (NSSIG) has within the Cabinet Office; and how the role and responsibilities of the NSSIG differs from those of the Integrated Delivery Board. more like this
star this property tabling member printed
Lord Scriven more like this
star this property uin HL11333 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2018-11-20more like thismore than 2018-11-20
star this property answer text <p><del class="ministerial">The requested information is not readily available. The information requested can only be provided at disproportionate cost. </del></p><p><ins class="ministerial"><strong><em> </em></strong></ins></p><p><ins class="ministerial">National Security Strategy and Implementation Groups (NSSIGs) were established after the 2017 National Security Capability Review to support the delivery of national security priority programmes, including by better utilising the full range of national security capabilities. Each NSSIG is chaired by a Senior Responsible Official (SRO), who is accountable to the National Security Council.</ins></p><p><ins class="ministerial">The Gulf Delivery Board has not met since the establishment of the Gulf &amp; Iran NSSIG, which subsumed its primary roles and responsibilities in April 2018. Cabinet Office officials are members of the Gulf &amp; Iran NSSIG and attend all meetings. The Cabinet Office also provides some secretariat support to the NSSIG, alongside that provided by the Foreign and Commonwealth Office.</ins></p><p> </p>
star this property answering member printed Lord Young of Cookham more like this
star this property question first answered
less than 2018-11-20T16:57:28.727Zmore like thismore than 2018-11-20T16:57:28.727Z
star this property question first ministerially corrected
less than 2018-11-20T17:09:59.22Zmore like thismore than 2018-11-20T17:09:59.22Z
star this property answering member
57
star this property label Biography information for Lord Young of Cookham more like this
star this property previous answer version
86171
star this property answering member printed Lord Young of Cookham more like this
star this property answering member
57
star this property label Biography information for Lord Young of Cookham more like this
star this property tabling member
4333
star this property label Biography information for Lord Scriven more like this
1012543
star this property registered interest false more like this
star this property date less than 2018-11-22more like thismore than 2018-11-22
star this property answering body
Cabinet Office more like this
star this property answering dept id 53 more like this
star this property answering dept short name Cabinet Office more like this
star this property answering dept sort name Cabinet Office more like this
star this property hansard heading Ministers: Resignations more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government which ministers, set out by name and by ministerial responsibility, have resigned from office since the 2017 General Election. more like this
star this property tabling member printed
Lord Tebbit more like this
star this property uin HL11735 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer remove maximum value filtermore like thismore than 2018-12-04
star this property answer text <p>The following ministers have resigned from office since the formation of the Government on 11 June 2017:</p><p> </p><ul><li>Lord Price CVO, former Minister of State for Trade Policy</li><li>Lord Nash, former Parliamentary Under Secretary of State for the School System</li><li>The Rt Hon Baroness Anelay of St. Johns DBE, former Minister of State for Exiting the European Union</li><li>The Rt Hon Michael Fallon MP, former Secretary of State for Defence</li><li>The Rt Hon Priti Patel MP, former Secretary of State for International Development</li><li>The Rt Hon Damian Green MP, former First Secretary of State and Minister for the Cabinet Office</li></ul><p> </p><p> </p><p> </p><p> </p><ul><li>The Rt Hon Justine Greening MP, former Secretary of State for Education and Minister for Women and Equalities</li><li>Baroness Chisholm of Owlpen, former Baroness in Waiting (Government Whip)</li><li>The Rt Hon Amber Rudd MP, former Secretary of State for the Home Department and Minister for Women and Equalities</li><li>Dr Philip Lee MP, former Parliamentary Under Secretary of State for Youth Justice, Victims, Female Offenders and Offender Health</li><li>The Rt Hon Greg Hands MP, former Minister for Trade Policy</li><li>The Rt Hon David Davis MP, former Secretary of State for Exiting the European Union</li><li>The Rt Hon Boris Johnson MP, former Secretary of State for Foreign Affairs</li><li>Steve Baker MP, former Parliamentary Under Secretary of State for Exiting the European Union</li><li>Andrew Griffiths MP, former Parliamentary Under Secretary of State, Minister for Small Business Consumers and Corporate Responsibility</li><li>Guto Bebb MP, former Minister for Defence Procurement</li><li>Tracey Crouch MP, former Parliamentary Under Secretary of State for Sport and Civil Society</li><li>Jo Johnson MP, former Minister of State for Transport and Minister for London</li><li>The Rt Hon Dominic Raab MP, former Secretary of State for Exiting the European Union</li><li>The Rt Hon Esther McVey MP, former Secretary of State for Work and Pensions</li><li>Suella Braverman MP, former Parliamentary Under Secretary of State for Exiting the European Union</li><li>Shailesh Vara MP, former Minister of State for Northern Ireland</li><li><ins class="ministerial">Sam Gyimah MP, former Minister of State for Universities, Science, Research and Innovation</ins></li></ul>
star this property answering member printed Lord Young of Cookham more like this
star this property question first answered
less than 2018-12-04T14:35:32.71Zmore like thismore than 2018-12-04T14:35:32.71Z
star this property question first ministerially corrected
less than 2018-12-04T16:53:58.463Zmore like thismore than 2018-12-04T16:53:58.463Z
star this property answering member
57
star this property label Biography information for Lord Young of Cookham more like this
star this property previous answer version
89851
star this property answering member printed Lord Young of Cookham more like this
star this property answering member
57
star this property label Biography information for Lord Young of Cookham more like this
star this property tabling member
952
star this property label Biography information for Lord Tebbit more like this
347943
star this property registered interest false more like this
star this property date less than 2015-06-02more like thismore than 2015-06-02
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Human Papillomavirus: Vaccination more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government, to date, how many adverse reactions to (1) Cervarix, (2) Gardasil and (3) generic human papilloma virus vaccines have been reported to the Medicines and Healthcare products Regulatory Agency; for each category, how many of those reports are of serious adverse reactions; and what age-specific rate those figures represent. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL229 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-06-16more like thismore than 2015-06-16
star this property answer text <p>A total of 8,243 suspected adverse drug reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA), via the Yellow Card Scheme, up to 3 June 2015.</p><p> </p><p> </p><p> </p><p>To date, more than 8 million doses of HPV vaccine have been given across the United Kingdom as part of the routine immunisation programme. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><p>It is important to note that a Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Yellow Card data cannot be used as a reliable indicator of the frequency of suspected ADRs to vaccines or medicines. The level of ADR reporting may fluctuate between given years due to a variety of reasons such as a medicine being new (reporting rates are generally higher when a product is first introduced), stimulated interest/publicity and variations in exposure to the medicine.</p><p> </p><p> </p><p> </p><p>The possible known side effects, and the frequency, are listed in the product information which is provided with the vaccines. The vast majority of the 8,243 ADRs relate to the known risks of vaccination that are well-described in the available product information. The proportion of suspected ADRs for HPV vaccines that were reported as serious (32%) is less than the proportion reported as serious for other routinely used vaccines (68% overall) during the same time period. The expected benefits in protecting against HPV-related mortality and disease outweigh the known side effects of HPV vaccine.</p><p> </p><p> </p><p> </p><p>The following table provides a breakdown of UK suspected spontaneous ADRs received via the Yellow Card Scheme in association with the HPV vaccine. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Vaccine Brand</p></td><td><p>Total number of reports</p></td><td><p>Number of serious reports (% of total)</p></td><td><p>Reporting rate per 1000 doses (serious reporting rates per 1000)</p></td></tr><tr><td><p>Cervarix</p></td><td><p>6,266</p></td><td><p>1,768 (28%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.78 (0.22)</del></p></td></tr><tr><td><p>Gardasil</p></td><td><p>1,471</p></td><td><p>504 (34%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.18 (0.06)</del></p></td></tr><tr><td><p>HPV Brand unspecified</p></td><td><p>507</p></td><td><p>326 (64%)</p></td><td><p><ins class="ministerial">n/a ** </ins><del class="ministerial">0.06 (0.04)</del></p></td></tr><tr><td><p>Total for Human Papilloma virus vaccines</p></td><td><p>*8,244</p></td><td><p>2,598 (32%)</p></td><td><p>1.03 (0.32)</p></td></tr></tbody></table><p> </p><p><em>Source:</em> MHRA sentinel database for adverse reactions.</p><p> </p><p>* It should be noted that the total number of reports received will not be equal to the totals in the table above as some reports of suspected adverse reactions may have included more than one vaccine.</p><p><ins class="ministerial">**Updated UK-wide brand-specific usage data are not available to MHRA at the time of writing based on a minimum of 8 million combined doses of Cervarix and Gardasil administered across the UK to date.</ins></p><p> </p><p><ins class="ministerial"> <p> </p><p> </p><p> </p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The seriousness criteria for ADR reporting were determined by a working group of the Council for International Organizations of Medical Sciences (CIOMS) and are defined as 6 possible categories which are explained on the Yellow Card. The MHRA asks reporters to select one of the following criteria by ticking the appropriate box on the Yellow Card: (1) patient died due to reaction; (2) life threatening; (3) resulted in hospitalisation or prolonged inpatient hospitalisation; (4) congenital abnormality; and (5) involved persistent or significant disability or incapacity; or (6) if the reaction was deemed medically significant. In addition to this, seriousness of reaction terms has also been defined by the MHRA in its medical dictionary. Therefore an ADR report can be serious because the reporter considers the reaction to be serious or because the reaction term itself is considered serious in the MHRA medical dictionary.</p><p> </p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-06-16T14:35:02.313Zmore like thismore than 2015-06-16T14:35:02.313Z
star this property question first ministerially corrected
less than 2015-07-03T14:01:13.16Zmore like thismore than 2015-07-03T14:01:13.16Z
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
5462
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this
348825
star this property registered interest false more like this
star this property date less than 2015-06-08more like thismore than 2015-06-08
star this property answering body
Cabinet Office more like this
star this property answering dept id 53 more like this
star this property answering dept short name Cabinet Office more like this
star this property answering dept sort name Cabinet Office more like this
star this property hansard heading Iraq Committee of Inquiry more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government whether they expect the report of the Chilcot Inquiry to be published before the summer recess; and, if not, why not. more like this
star this property tabling member printed
Lord Stoddart of Swindon more like this
star this property uin HL304 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-06-23more like thismore than 2015-06-23
star this property answer text <p>Sir John Chilcot and the Prime Minister exchanged letters on 15 and 17 <ins class="ministerial">January</ins> <del class="ministerial">June</del>. In his letters, Sir John said that once the essential Maxwellisation process was complete, it was his intention to provide the Prime Minister with a timetable for the completion of the Inquiry’s report.</p><p> </p><p> </p> more like this
star this property answering member printed Lord Bridges of Headley more like this
star this property attachment
1
star this property file name 2015-01-20_Chilcot_to_Cameron.pdf more like this
star this property title Sir John Chilcot to David Cameron Letter more like this
2
star this property file name 2015-01-20_Cameron_to_Chilcot.pdf more like this
star this property title David Cameron to Sir John Chilcot Letter more like this
star this property question first answered
less than 2015-06-23T11:16:54.347Zmore like thismore than 2015-06-23T11:16:54.347Z
star this property question first ministerially corrected
less than 2015-06-24T11:40:17.517Zmore like thisremove minimum value filter
star this property answering member
4535
star this property label Biography information for Lord Bridges of Headley more like this
star this property previous answer version
7535
star this property answering member printed Lord Bridges of Headley more like this
star this property attachment
1
star this property file name 2015-01-20_Chilcot_to_Cameron.pdf more like this
star this property title Sir John Chilcot to David Cameron Letter more like this
2
star this property file name 2015-01-20_Cameron_to_Chilcot.pdf more like this
star this property title David Cameron to Sir John Chilcot Letter more like this
star this property answering member
4535
star this property label Biography information for Lord Bridges of Headley more like this
star this property tabling member
950
star this property label Biography information for Lord Stoddart of Swindon more like this
383716
star this property registered interest false more like this
star this property date less than 2015-06-18more like thismore than 2015-06-18
star this property answering body
Ministry of Justice more like this
star this property answering dept id 54 more like this
star this property answering dept short name Justice more like this
star this property answering dept sort name Justice more like this
star this property hansard heading Secure Colleges: Leicestershire more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what assessment they have made of the costs that will have been incurred in the event that the planned provision of a secure college on the Glen Parva site does not go ahead. more like this
star this property tabling member printed
Lord Beecham more like this
star this property uin HL624 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-02more like thismore than 2015-07-02
star this property answer text <p><ins class="ministerial">The Coalition government legislated for secure colleges and we are now considering the next steps.</ins></p><br /><p><ins class="ministerial">Estimated s</ins><del class="ministerial">S</del>pend up to and including 30 April 2015 on the Secure College pathfinder was £1.56m resource (mainly expenditure on staff pay and procurement) and £4.04m capital (mainly design fees and site preparation costs).<ins class="ministerial"> These figures are subject to review by the National Audit Office in January 2016.</ins></p><br /><p>No additional costs would be incurred in the event that the pathfinder did not go ahead. The design work produced for the pathfinder could be used or adapted for various other forms of adult or youth custody. The prepared site at Glen Parva could be used for a range of developments.</p> more like this
star this property answering member printed Lord Faulks more like this
star this property question first answered
less than 2015-07-02T15:59:41.537Zmore like thismore than 2015-07-02T15:59:41.537Z
star this property question first ministerially corrected
less than 2015-12-07T16:13:38.163Zmore like thismore than 2015-12-07T16:13:38.163Z
star this property answering member
4183
star this property label Biography information for Lord Faulks more like this
star this property previous answer version
10857
star this property answering member printed Lord Faulks more like this
star this property answering member
4183
star this property label Biography information for Lord Faulks more like this
star this property tabling member
4181
star this property label Biography information for Lord Beecham more like this
385301
star this property registered interest false more like this
star this property date less than 2015-06-24more like thismore than 2015-06-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Hepatitis more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government why the national waiting time criterion for referral to hepatitis C treatment is 18 weeks whereas the national waiting time criterion for referral to specialist services for HIV treatment is two weeks. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL784 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-08more like thismore than 2015-07-08
star this property answer text <p><del class="ministerial">NHS England and Public Health England (PHE) are working alongside a coalition of other organisations and patient groups to draft a framework for hepatitis C improvement. This hepatitis C improvement framework will set high level aims for the public health system towards elimination of hepatitis C related liver disease as a significant public health concern.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">The hepatitis C improvement framework will be referred to in PHE’s liver disease framework.</del></p><p> </p><p><ins class="ministerial">Timing for access to care or treatments for all NHS England service specifications or policies is based on an assessment of the evidence for clinical effectiveness, cost effectiveness and affordability.</ins></p><p> </p><p> </p> more like this
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-08T13:53:15.517Zmore like thismore than 2015-07-08T13:53:15.517Z
star this property question first ministerially corrected
less than 2015-07-08T14:59:37.913Zmore like thismore than 2015-07-08T14:59:37.913Z
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
12907
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
387705
star this property registered interest false more like this
star this property date less than 2015-07-06more like thismore than 2015-07-06
star this property answering body
Department for Business, Innovation and Skills more like this
star this property answering dept id 26 more like this
star this property answering dept short name Business, Innovation and Skills more like this
star this property answering dept sort name Business, Innovation and Skills more like this
star this property hansard heading Overseas Students more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what steps they are taking to ensure that overseas students continue to consider studying in the United Kingdom. more like this
star this property tabling member printed
Lord Taylor of Warwick more like this
star this property uin HL1082 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-16more like thismore than 2015-07-16
star this property answer text <p><ins class="ministerial">The UK welcomes genuine international students and there is no cap on the number that can </ins>study here. The Government promotes study in the UK through the Britain is GREAT marketing campaign and through the British Council, which promotes UK education in over 100 countries, connecting millions of people with the United Kingdom.</p><p> </p><p> </p><p> </p><p>The Government also has major education agreements with overseas partners. Key programmes include the UK-China Partners in Education Programme, the UK-India Education Research Initiative and engagement in Brazil’s ‘Science without Borders’ scholarship scheme. It has also tripled funding (to £48m) in 2014/15 for Chevening scholarships for international students with leadership potential.</p><p> </p><p> </p><p> </p><p>Government also supports student exchange, such as through the Erasmus Scheme, which enables international students to take short placements in the UK and British students to gain valuable overseas experience.</p><p> </p><p> </p><p> </p>
star this property answering member printed Baroness Neville-Rolfe more like this
star this property question first answered
less than 2015-07-16T13:03:31.463Zmore like thismore than 2015-07-16T13:03:31.463Z
star this property question first ministerially corrected
less than 2015-07-17T10:31:32.473Zmore like thismore than 2015-07-17T10:31:32.473Z
star this property answering member
4284
star this property label Biography information for Baroness Neville-Rolfe more like this
star this property previous answer version
15383
star this property answering member printed Baroness Neville-Rolfe more like this
star this property answering member
4284
star this property label Biography information for Baroness Neville-Rolfe more like this
star this property tabling member
1796
star this property label Biography information for Lord Taylor of Warwick more like this
389132
star this property registered interest false more like this
star this property date less than 2015-07-13more like thismore than 2015-07-13
star this property answering body
Department for Transport more like this
star this property answering dept id 27 more like this
star this property answering dept short name Transport more like this
star this property answering dept sort name Transport more like this
star this property hansard heading Network Rail more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government which studies or investigations are currently examining past, present or future issues relating to Network Rail; who commissioned each study or investigation; and what are the names of the study or investigation leaders, terms of reference and planned reporting dates for each. more like this
star this property tabling member printed
Lord Berkeley more like this
star this property uin HL1318 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-23more like thismore than 2015-07-23
star this property answer text <p>The Government has recently commissioned three pieces of work looking into Network Rail:</p><p> </p><p>- Dame Colette Bowe is looking at what lessons can be learnt from the planning of the Control Period 5 programme in order to improve future rail infrastructure investment. This will report in September.</p><p> </p><p>- Sir Peter Hendy is looking at how we can put the current investment programme back on a sustainable footing. This will also report in the autumn.</p><p> </p><p>- Nicola Shaw will look to the future: advising the government on how it should approach the future shape and financing of Network Rail in the longer term. This will report in time for Budget 2016.</p><p> </p><p>The terms of reference for Bowe are available in the Libraries of the House.<ins class="ministerial"> Those for Shaw will also be placed in the Libraries of the House. Terms of reference for Hendy have not been published.</ins></p><p> </p><p><del class="ministerial">Terms of reference for the other two pieces of work have not been published.</del></p><p> </p><p>Network Rail and the Office of Rail and Road are also conducting their own reviews internally. Any terms of reference are held by the respective organisations.</p><p> </p>
star this property answering member printed Lord Ahmad of Wimbledon more like this
star this property question first answered
less than 2015-07-23T16:20:15.443Zmore like thismore than 2015-07-23T16:20:15.443Z
star this property question first ministerially corrected
less than 2015-08-05T09:19:44.127Zmore like thismore than 2015-08-05T09:19:44.127Z
star this property answering member
4210
star this property label Biography information for Lord Ahmad of Wimbledon more like this
star this property previous answer version
17330
star this property answering member printed Lord Ahmad of Wimbledon more like this
star this property answering member
4210
star this property label Biography information for Lord Ahmad of Wimbledon more like this
star this property tabling member
3526
star this property label Biography information for Lord Berkeley more like this
390599
star this property registered interest false more like this
star this property date less than 2015-07-16more like thismore than 2015-07-16
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Anaemia more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what action they are taking to address the problems associated with the late diagnosis of pernicious anaemia, in the light of the results of the survey published in the <i>British Nursing Journal</i> in April 2014. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL1539 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-24more like thismore than 2015-07-24
star this property answer text <p>It is important that patients suffering from pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, receive a prompt and appropriate diagnosis. Pernicious anaemia develops gradually, and can cause a range of symptoms, including fatigue, lethargy, feeling faint and headaches, which vary from patient to patient. Because of the gradual progression of the condition, the variety of symptoms, which are shared with a range of other conditions, diagnosis at early onset can be challenging.</p><p>To support the diagnosis of pernicious anaemia, the British Committee for Standards in Haematology (BCSH) has published <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders,</em> which sets out that cobalamin status is the recommended first line diagnostic test. However, the guidance states that there is no gold standard test for the condition and makes it clear that the clinical picture of a patient is the most important factor in assessing the significance of the test results. This means clinicians should take into account all of the symptoms the patent is experiencing, their medical history, age and other relevant factors when considering the implications of a patient’s cobalamin status. The BCSH guidance highlights the risk of neurological impairment if treatment is delayed.</p><p><br /> The BCSH operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice in the diagnosis and treatment of patients with pernicious anaemia were needed, including whether any new or additional tests were appropriate. A copy of the BCSH guidance document <del class="ministerial">has already been placed in the Library and</del> is attached.</p><p><br /> More general clinical guidance on the diagnosis and management of pernicious anaemia can also be found on the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries website. This is a freely accessible online resource that covers the causes, symptoms, diagnosis and treatment of pernicious anaemia, as well as potential complications of the condition. In addition to this, NHS Choices provides similar, though less technical, information on pernicious anaemia for the public.</p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-24T13:21:19.45Zmore like thismore than 2015-07-24T13:21:19.45Z
star this property question first ministerially corrected
less than 2015-10-14T11:21:08.233Zmore like thismore than 2015-10-14T11:21:08.233Z
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property previous answer version
17459
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this
390600
star this property registered interest false more like this
star this property date less than 2015-07-16more like thismore than 2015-07-16
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Anaemia more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government how they propose to alert medical practitioners to the severe and irreversible nerve damage that can occur when pernicious anaemia is misdiagnosed. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL1540 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-24more like thismore than 2015-07-24
star this property answer text <p>It is important that patients suffering from pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, receive a prompt and appropriate diagnosis. Pernicious anaemia develops gradually, and can cause a range of symptoms, including fatigue, lethargy, feeling faint and headaches, which vary from patient to patient. Because of the gradual progression of the condition, the variety of symptoms, which are shared with a range of other conditions, diagnosis at early onset can be challenging.</p><p>To support the diagnosis of pernicious anaemia, the British Committee for Standards in Haematology (BCSH) has published <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders,</em> which sets out that cobalamin status is the recommended first line diagnostic test. However, the guidance states that there is no gold standard test for the condition and makes it clear that the clinical picture of a patient is the most important factor in assessing the significance of the test results. This means clinicians should take into account all of the symptoms the patent is experiencing, their medical history, age and other relevant factors when considering the implications of a patient’s cobalamin status. The BCSH guidance highlights the risk of neurological impairment if treatment is delayed.</p><p><br /> The BCSH operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice in the diagnosis and treatment of patients with pernicious anaemia were needed, including whether any new or additional tests were appropriate. A copy of the BCSH guidance document <del class="ministerial">has already been placed in the Library and</del> is attached.</p><p><br /> More general clinical guidance on the diagnosis and management of pernicious anaemia can also be found on the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries website. This is a freely accessible online resource that covers the causes, symptoms, diagnosis and treatment of pernicious anaemia, as well as potential complications of the condition. In addition to this, NHS Choices provides similar, though less technical, information on pernicious anaemia for the public.</p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-24T13:21:19.357Zmore like thismore than 2015-07-24T13:21:19.357Z
star this property question first ministerially corrected
less than 2015-10-14T11:21:19.847Zmore like thismore than 2015-10-14T11:21:19.847Z
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property previous answer version
17460
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this