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759372

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eyes: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have been diagnosed with eyesight problems or diseases in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10000
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is not possible to provide data on the number of people diagnosed with eyesight problems or disease diagnosis in each of the last five years given that there are many conditions and diseases of the eye, not all of which will be captured by national statistics.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:28:48 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

759368

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prostate Cancer: Screening
	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 men are able to access early prostate tests.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10002
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Prostate Cancer Risk Management Programme (PCRMP) provides general practitioners and primary care professionals with information to counsel men who ask about prostate cancer and/or prostate-specific antigen (PSA) testing. Men over 50 who decide to have a PSA test based on this information can do so for free on the NHS.</p><p>The PCRMP information pack was revised and updated in March 2016 and is available at the following link:</p><p><a href="http://www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview" target="_blank">www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview</a></p><p>The PCRMP has also produced information leaflets that healthcare professionals can use when discussing the test with eligible men, which are available at the following link.</p><p><a href="http://www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents" target="_blank">www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:33:03 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

759342

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) knee, (b) hip and (c) shoulder replacements have been undertaken by the NHS in each of the last five years; and how many people aged (i) 30 to 40, (ii) 41 to 50, (iii) 51 and 60 and (iv) over 60 had such replacements.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10007
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>A count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedure<sup>2</sup> for 'joint replacement surgery'<sup>3</sup> which includes shoulder, hip and knee<sup>4</sup> in total and for selected age groups in England from 2011/12 to 2015/16<sup>5</sup> is provided in the tables below.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Knee replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>83,312</p></td><td><p>263</p></td><td><p>2,713</p></td><td><p>12,155</p></td><td><p>68,089</p></td></tr><tr><td><p>2012-13</p></td><td><p>82,976</p></td><td><p>271</p></td><td><p>2,838</p></td><td><p>12,558</p></td><td><p>67,200</p></td></tr><tr><td><p>2013-14</p></td><td><p>85,934</p></td><td><p>237</p></td><td><p>2,894</p></td><td><p>13,199</p></td><td><p>69,493</p></td></tr><tr><td><p>2014-15</p></td><td><p>91,542</p></td><td><p>228</p></td><td><p>2,964</p></td><td><p>14,076</p></td><td><p>74,148</p></td></tr><tr><td><p>2015-16</p></td><td><p>92,735</p></td><td><p>229</p></td><td><p>2,964</p></td><td><p>14,157</p></td><td><p>75,272</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Hip replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>104,434</p></td><td><p>1,126</p></td><td><p>3,895</p></td><td><p>11,245</p></td><td><p>87,683</p></td></tr><tr><td><p>2012-13</p></td><td><p>105,499</p></td><td><p>1,145</p></td><td><p>4,239</p></td><td><p>11,369</p></td><td><p>88,249</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,635</p></td><td><p>1,099</p></td><td><p>4,228</p></td><td><p>12,113</p></td><td><p>92,686</p></td></tr><tr><td><p>2014-15</p></td><td><p>113,111</p></td><td><p>1,157</p></td><td><p>4,386</p></td><td><p>12,796</p></td><td><p>94,227</p></td></tr><tr><td><p>2015-16</p></td><td><p>112,625</p></td><td><p>1,075</p></td><td><p>4,339</p></td><td><p>12,669</p></td><td><p>94,010</p></td></tr></tbody></table><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="5"><p>Shoulder replacements</p></td></tr><tr><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,852</p></td><td><p>61</p></td><td><p>222</p></td><td><p>518</p></td><td><p>5,010</p></td></tr><tr><td><p>2012-13</p></td><td><p>6,210</p></td><td><p>60</p></td><td><p>216</p></td><td><p>624</p></td><td><p>5,281</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,827</p></td><td><p>78</p></td><td><p>219</p></td><td><p>676</p></td><td><p>5,809</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,174</p></td><td><p>62</p></td><td><p>198</p></td><td><p>617</p></td><td><p>6,252</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,343</p></td><td><p>71</p></td><td><p>229</p></td><td><p>687</p></td><td><p>6,326</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p><sup>1 </sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p><sup>2 </sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p><sup>3 </sup>Included in the codes are for both partial and total joint replacements as well as conversion and revision codes. The ‘Conversion to’ codes provided in this resolution (e.g. W40.2) are assigned when the procedure has converted to the specified type of joint replacement from a different type of joint replacement. Examples could include conversion to a cemented total shoulder replacement following previous partial shoulder replacement or conversion to a total shoulder replacement following a previous uncemented shoulder replacement. This principle would apply to all ‘Conversion to’ prosthetic joint procedures provided. The ‘Conversion to’ codes could be considered ‘revisions’ in clinical terms, and you may wish to include these codes in your data search.</p><p><sup>4 </sup>A range of OPCS codes covering knee replacements, hemiarthroplasty knees, unicomparmental knee replacements, hip replacements, hemiarthroplasty hips, shoulder replacements and hemiarthroplasty shoulder have been included.</p><p><sup>5 </sup>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 National Health Service 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. 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 Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 13:01:41 answering member 1542 label Biography information for Philip Dunne
	tabling member	4131 label Biography information for Jim Shannon

418447

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Statins
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to ensure patients prescribed statins can make a choice on what type of statins they receive.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10020
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Decisions regarding the appropriateness of a particular treatment, including statins, should be made by clinicians in partnership with patients. The individual circumstances of each patient should be taken into account, alongside their medical history, needs and preferences.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 10:04:02 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

418448

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Smoking
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information his Department holds on how many people of what age ranges gave up smoking in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10021
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The Health and Social Care Information Centre collects this information on behalf of the Department and it is made publicly available at the following web addresses:</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB00417/nhs-stop-smok-serv-eng-2010-2011-tab.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB00417/nhs-stop-smok-serv-eng-2010-2011-tab.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB07011/stat-stop-smok-eng-apr-11-mar-12-tab1.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB07011/stat-stop-smok-eng-apr-11-mar-12-tab1.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB12228/stat-stop-smok-serv-eng-apr-12-mar-13-tab1.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB12228/stat-stop-smok-serv-eng-apr-12-mar-13-tab1.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB14610/stat-stop-smok-serv-eng-apr-13-mar-14-tab.xlsx" target="_blank">http://www.hscic.gov.uk/catalogue/PUB14610/stat-stop-smok-serv-eng-apr-13-mar-14-tab.xlsx</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB18002/stat-stop-smok-serv-eng-annual-1415.xlsx" target="_blank">http://www.hscic.gov.uk/catalogue/PUB18002/stat-stop-smok-serv-eng-annual-1415.xlsx</a></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 10:05:51 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

418936

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dementia: Diabetes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with the Royal College of Physicians on a link between type 2 diabetes and dementia; and what steps he is taking to treat dementia caused in that way.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10243
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS England is implementing the NHS Diabetes Prevention Programme, and it is possible that prevention of Type 2 diabetes may in the longer term reduce dementia risk, although at this point this is speculative rather than being based on evidence.</p><p> </p><p> </p><p> </p><p>The treatment of dementia associated with Type 2 diabetes is as for any dementia, although it is important to also address the Type 2 diabetes and vascular risk. People with dementia who also have diabetes need support to manage their condition.</p><p> </p><p> </p><p> </p><p>Improving the treatment and care of people with dementia, reducing the incidence of dementia and improving dementia research, is a key priority for the Government. That is why in February 2015, the Prime Minister launched his Challenge on Dementia 2020 as a successor to the Prime Minister’s Challenge on Dementia 2012-2015.</p><p> </p><p><strong> </strong></p><p> </p><p>My Rt. hon. Friend the Secretary of State has had and continues to have discussions on these matters with a range of organisations including the Royal College of Physicians.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 15:01:16 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

418937

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dementia: Vitamin D
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with the Royal College of Physicians on using vitamin D as a treatment for delaying or preventing dementia.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10244
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Current evidence is not supportive of using vitamin D as a treatment for delaying or preventing dementia.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 15:04:47 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

418938

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescriptions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department takes to monitor the level of prescriptions issued by GPs; and if he will make a statement.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10256
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Clinicians are responsible for their own treatment decisions taking any relevant guidance into account. They should always satisfy themselves that the drugs or other substances they consider appropriate for their patients can be safely prescribed, that patients are adequately monitored and that, where necessary, additional support or supervision is available.</p><p> </p><p><strong> </strong></p><p> </p><p>Within the General Medical Services (GMS) and Personal Medical Services Regulations and Alternative Provider Medical Services Directions there are clauses in relation to prescribing and dispensing. The GMS Contracts Regulations Schedule 6 Part 3 paragraph 46 says:</p><p> </p><p> </p><p> </p><p>“Excessive prescribing</p><p> </p><p>46 - (1) The contractor shall not prescribe drugs, medicines or appliances whose cost or quantity, in relation to any patient is, by reason of the character of the drug, medicine or appliance in question in excess of that</p><p> </p><p>which was reasonably necessary for the proper treatment of that patient.</p><p> </p><p> </p><p> </p><p>(2) In considering whether a contractor has breached its obligations under sub-paragraph (1) NHS England must seek the views of the Local Medical Committee (if any) for the area in which the contractor provides services under the contract.”</p><p> </p><p> </p><p> </p><p>Practitioners are encouraged to prescribe rationally and to make the best possible use of National Health Service resources.</p><p> </p><p> </p><p> </p><p>Professional bodies issue standards and/or guidance for their members on prescribing. An example of this is the General Medical <em>Council’s “Good practice in prescribing and managing medicines and devices”</em>. It provides more detailed advice on how to comply with these principles when prescribing and managing medicines and medical devices, including appliances. If clinicians act outside of this guidance they can be held to account and potentially lose their professional registration, meaning they are unable to practice.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 15:37:56 answering member 1201 label Biography information for Alistair Burt
	tabling member	4131 label Biography information for Jim Shannon

418939

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will hold discussions with representatives of the pharmaceuticals industry on the potential merits of the use of identity cards for the use of prescription drugs to minimise misuse of such drugs.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10257
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>We have no plans to do so.</p><p> </p><p> </p><p> </p><p>My Rt. hon. Friend the Home Secretary commissioned the Advisory Council on the Misuse of Drugs to explore the potential for medical and social harms arising from the diversion and illicit supply of prescription drugs.</p><p> </p><p> </p><p> </p><p>The Committee’s report is expected later this year and we will consider its conclusions carefully.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 15:37:09 answering member 4020 label Biography information for George Freeman
	tabling member	4131 label Biography information for Jim Shannon

418940

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Drugs: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assistance his Department provides to people addicted to legal highs.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10258
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The dependence-forming potential of many new psychoactive substances (NPS) is still largely unknown, and the number of people attending specialist drug treatment services is relatively small. If users need help, it will more likely be because they have acute NPS-related problems (eg, agitation, palpitations, seizures) and they will probably first present at accident and emergency (A&amp;E) departments.</p><p> </p><p> </p><p> </p><p>Local authorities are responsible for assessing drug treatment needs in their local areas and providing services to meet that need. This includes determining the scale of NPS use and harm in their areas and ensuring there are services to tackle that harm.</p><p> </p><p> </p><p> </p><p>Public Health England (PHE) supports local authorities in their work of assessing need and planning services, by improving data, intelligence and information sharing systems, to ensure prevention and treatment are as effective as they can be in the changing NPS market.</p><p> </p><p> </p><p> </p><p>PHE has produced an NPS toolkit for substance misuse commissioners which gives a broad overview of the challenges from NPS and provides commissioners with resources and advice to inform their work.</p><p> </p><p> </p><p> </p><p>PHE has also supported Project NEPTUNE, which is producing detailed and practical clinical guidance and tools for A&amp;E, drug treatment and other services that deal with people who have NPS problems.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 14:54:24 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon