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921858

	registered interest
	date	11/06/2018
	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	Diabetes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of people who were diagnosed with diabetes in (a) Strangford constituency and (b) in each of the devolved nations in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	152172
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p><strong></strong></p><p>NHS Digital have provided the following data showing the number of people who were diagnosed with type 1, or type 2 and other, diabetes in each of the five calendar years 2012 to 2016 in England.</p><p> </p><table><tbody><tr><td><p>Calendar year</p></td><td><p>Newly diagnosed with type 1 diabetes</p></td><td><p>Newly diagnosed with type 2 and other diabetes</p></td></tr><tr><td><p>2012</p></td><td><p>6,920</p></td><td><p>167,780</p></td></tr><tr><td><p>2013</p></td><td><p>6,890</p></td><td><p>183,370</p></td></tr><tr><td><p>2014</p></td><td><p>6,695</p></td><td><p>172,520</p></td></tr><tr><td><p>2015</p></td><td><p>7,345</p></td><td><p>194,640</p></td></tr><tr><td><p>2016</p></td><td><p>7,740</p></td><td><p>203,145</p></td></tr></tbody></table><p>Source: National Diabetes Audit (NDA)</p><p> </p><p>Disclosure control has been applied to all figures, as per the NDA publication - all numbers are rounded to the nearest five, unless the number is one to seven, in which case it is rounded to ‘five’.</p><p>Data for devolved administrations, including Strangford constituency, is not centrally held as health is a devolved matter.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:50:45 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

921931

	registered interest
	date	11/06/2018
	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	Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the evidential basis was which was used to inform the introduction of a £100,000 quality adjusted life year threshold into the highly specialised technology process.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	152181
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>In April 2017, the National Institute for Health and Care Excellence (NICE) amended its methodology for the evaluation of highly specialised technologies to introduce a weighted cost per Quality Adjusted Life Year (QALY). Under the new methodology, technologies that deliver very significant health benefits can be recommended for routine use up to £300,000 per QALY gained.</p><p> </p><p>NICE introduced the new methodology following a public consultation and took into account a report produced by its Decision Support Unit titled ‘Priorities for the NICE Highly Specialised Technologies Programme Review of Methods’ as well as modelling of the impact on topics that had previously been evaluated through the highly specialised technologies programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:57:16 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

921997

	registered interest
	date	11/06/2018
	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	General Practitioners: Kent
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to increase capacity in general practice in (a) Kent, (b) Medway and (c) Gillingham and Rainham constituency.
	tabling member constituency	Gillingham and Rainham
	tabling member printed	Rehman Chishti
	uin	152130
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>In response to the Ten Point Plan ‘Building the Workforce ‒ the New Deal for General Practice’, clinical commissioning groups (CCGs) in Kent and Medway are responding to current workforce challenges through a system of learning hubs, termed Community Education Provider Networks (CEPNs). These are the community equivalent of hospital postgraduate medical centres and are responsible for providing an overview of the primary care workforce and its development and education.</p><p> </p><p>CEPNs have prioritised a number of key areas to improve the retention of general practitioners (GPs) while at the same time maximising recruitment of new GPs. These initiatives include Hub/Place Based Education Training and Support to develop the current and future workforce allowing senior GPs to refresh their working patterns and develop educational and mentorship skills, which may prolong careers by providing varied and stimulating career opportunities. GPs are also being encouraged to develop a specialism through the GP Specialisms with those taking part in East Kent reporting greater professional satisfaction through increased variety and stimulation in their role.</p><p> </p><p>NHS Medway Clinical Commissioning Group is working with local GPs through the Medway Practices Alliance to ensure the nationally mandated core requirements are in place for 100% of the Medway population by October 2018.</p><p><strong> </strong></p><p>In Medway, including Rainham and Gillingham, this will result in an additional 150 hours of consultation capacity per week. In line with the Medway Model – the Medway interpretation of the Kent and Medway Local Care agenda – improved access will be offered across the area, operating from healthy living centres.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:57:39 answering member 4067 label Biography information for Steve Brine
	tabling member	3987 label Biography information for Rehman Chishti

922117

	registered interest
	date	11/06/2018
	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	Cocaine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the European Drug Report 2018, published by the European Monitoring Centre for Drugs and Drug Addiction on 7 June 2018, what assessment he has made of the reasons for the rise in cocaine-related deaths in the UK.
	tabling member constituency	Manchester, Withington
	tabling member printed	Jeff Smith
	uin	152221
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>The European Drug Report 2018 publishes national data from around Europe, and includes drug-related deaths data from the Office for National Statistics. This is available at the following link:</p><p> </p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2016registrations" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2016registrations</a></p><p> </p><p>The number of cocaine-related deaths in England and Wales has increased over the last six years. However, this figure includes those deaths involving crack cocaine, and it is unknown which deaths relate to powder cocaine and which relate to crack cocaine. Crack cocaine is often used alongside heroin by the most vulnerable drug users at greatest risk of health harm and death, and heroin deaths are also increasing. Many cocaine deaths are also associated with other drugs.</p><p> </p><p>There has been a recent increase in crack use and Public Health England is working with the Home Office in an England-wide investigation, including an in-depth review in six localities with high crack prevalence, aiming to get a better understanding of the underlying reasons behind the increase, which is expected to lead to improved efforts to reduce crack use and the deaths associated with it.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:55:47 answering member 4067 label Biography information for Steve Brine
	tabling member	4456 label Biography information for Jeff Smith

918436

	registered interest
	date	06/06/2018
	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	Vertex
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he or a Minister of his Department has (a) met and (b) plans to meet representatives of Vertex Pharmaceuticals; and if he will make a statement.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	150619
	answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>The Parliamentary Under Secretary of State (Lord O’Shaughnessy) met with representatives from Vertex in October 2017.</p><p>The Parliamentary Under Secretary of State and I wrote to Vertex in April following a Westminster Hall debate, to encourage the company to work with NHS England on a proposal that represents value to the National Health Service and the taxpayer.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/06/2018 06:59:14 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

921929

	registered interest
	date	11/06/2018
	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	Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the compatibility with the NHS constitution of the introduction of a Quality-Adjusted Life-Year threshold for highly specialised technologies .
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	152180
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>The changes to the methodology used by the National Institute for Health and Care Excellence (NICE) in the development of guidance on highly specialised technologies do not affect the right enshrined in the NHS Constitution to NICE recommended drugs. National Health Service patients continue to have a right to drugs and treatments recommended in NICE technology appraisal and highly specialised technologies guidance provided their clinician considers it is appropriate treatment for them.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:56:28 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

921880

	registered interest
	date	11/06/2018
	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	Cystic Fibrosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will publish the (a) the number of hospital admissions for patients with cystic fibrosis and (b) average number of days a person with cystic fibrosis spent in hospital in England in (a) 2017, (b) 2016, (c) 2015, (d) 2014 and (e) 2013.
	tabling member constituency	Enfield, Southgate
	tabling member printed	Bambos Charalambous
	uin	152266
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>The following table shows a count of finished admission episodes (FAEs) with a primary diagnosis for cystic fibrosis as well as the mean and median for days spent in hospital for cystic fibrosis between 2012/13 and 2016/17.</p><p> </p><p>This activity is from English National Health Service Hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td rowspan="2"><p>FAE</p></td><td rowspan="2"><p>Mean length of stay in hospital (days)</p></td><td rowspan="2"><p>Median length of stay in hospital (days)</p></td></tr><tr><td><p>2012/13</p></td><td><p>13,884</p></td><td><p>9.7</p></td><td><p>9.0</p></td></tr><tr><td><p>2013/14</p></td><td><p>13,379</p></td><td><p>9.9</p></td><td><p>9.0</p></td></tr><tr><td><p>2014/15</p></td><td><p>13,297</p></td><td><p>10.0</p></td><td><p>10.0</p></td></tr><tr><td><p>2015/16</p></td><td><p>13,580</p></td><td><p>10.0</p></td><td><p>10.0</p></td></tr><tr><td><p>2016/17</p></td><td><p>13,879</p></td><td><p>10.0</p></td><td><p>10.0</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>FAEs</li></ol><p>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><ol start="2"><li>Primary diagnosis</li></ol><p>The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><ol start="3"><li>ICD-10 codes: cystic fibrosis</li></ol><p>The following ICD-10 codes classify cystic fibrosis:</p><p>E84- Cystic fibrosis</p><p> </p><ol start="4"><li>Assessing growth through time (admitted patient care)</li></ol><p>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p>It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/06/2018 16:54:06 answering member 4067 label Biography information for Steve Brine
	tabling member	4610 label Biography information for Bambos Charalambous