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830251

	registered interest
	date	24/01/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of women suffering from Lipedema.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124912
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124915 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830254

	registered interest
	date	24/01/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what clinical commissioning groups offer treatment for Lipedema as standard.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124915
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830256

	registered interest
	date	24/01/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what Lipedema treatments have been approved by NICE.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124917
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124915 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830400

	registered interest
	date	25/01/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what learning modules are approved by NHS England to clinicians dealing with Lipedema cases.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124966
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>It is not the role of NHS England to routinely endorse or approve clinical learning modules. Learning modules are developed by a broad range of organisations, including: Health Education England, the national organisation responsible for overseeing the workforce recruitment, education and training in the National Health Service; clinical professional membership organisations, such as the Royal College of General Practitioners (RCGP); and health charities.</p><p> </p><p>In May 2014, the RCGP, in partnership with the charity Lipoedema UK, developed and published an e-learning module for general practitioners on the diagnosis and management of lipoedema. The module was endorsed by the Royal College of Nursing and can be found at the following link:</p><p> </p><p>elearning.rcgp.org.uk/course/info.php?id=146&amp;popup=0</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/02/2018 11:47:34 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

861161

	registered interest
	date	13/03/2018
	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	Health Visitors
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of (a) actual and (b) full time equivalent health visitors who have been employed in each of the last seven years.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	132310
	answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>NHS Digital publishes information on workforce statistics and the following table shows the full time equivalent (FTE) and headcount (HC) figures for health visitors working in National Health Service trusts and clinical commissioning groups (CCGs) in each of the last seven years.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Health visitors in NHS trusts and CCGs in England as at 30 November each specified year (FTE and HC).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Health visitors (FTE)</p></td><td><p>Health visitors (HC)</p></td></tr><tr><td><p>November 2010</p></td><td><p>7,961</p></td><td><p>9,884</p></td></tr><tr><td><p>November 2011</p></td><td><p>7,812</p></td><td><p>9,626</p></td></tr><tr><td><p>November 2012</p></td><td><p>7,963</p></td><td><p>9,647</p></td></tr><tr><td><p>November 2013</p></td><td><p>8,526</p></td><td><p>10,213</p></td></tr><tr><td><p>November 2014</p></td><td><p>9,629</p></td><td><p>11,407</p></td></tr><tr><td><p>November 2015</p></td><td><p>10,279</p></td><td><p>12,173</p></td></tr><tr><td><p>November 2016</p></td><td><p>9,376</p></td><td><p>11,142</p></td></tr><tr><td><p>November 2017</p></td><td><p>8,317</p></td><td><p>9,995</p></td></tr></tbody></table><p><br>Source: Provisional NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/03/2018 11:59:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

890275

	registered interest
	date	24/04/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the cost of Lipedema to the (a) NHS and (b) economy in lost working days in the last twelve months.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	137380
	answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Department has made no estimate on the cost of Lipedema to the National Health Service and to the economy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:15:08 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

890282

	registered interest
	date	24/04/2018
	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	Postnatal Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason the General Medical Contract includes a requirement for GP practices to undertake a check of a baby but not a mother at six weeks post-natally despite guidance by NICE that a new mother's physical emotional and social well being should be reviewed at that time; and if he will take steps to ensure that such a check of a mother is undertaken at that time.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	137381
	answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The General Medical Service contract sets out that where a general practitioner (GP) practice provides maternity medical services, the practice is required to provide to female patients and their babies all necessary maternity medical services throughout the postnatal period other than neonatal checks. The GP contract regulations define the postnatal period as “the period beginning with the conclusion of the delivery of the baby or the patient’s discharge from secondary care services (whichever is the later) and ending on the fourteenth day after the birth”.</p><p> </p><p>Any changes to GP contracting arrangements to specifically include a six week postnatal check-up would need to be negotiated with the General Practitioners’ Committee of the British Medical Association as part of the annual contract negotiations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:12:49 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

896564

	registered interest
	date	02/05/2018
	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	Prescription Drugs: Waste Disposal
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the value of unused prescription drugs returned to pharmacies and NHS outlets for disposal in the last 12 months for which figures are available.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	140545
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>Information is not held centrally on the value of unused prescription drugs returned to pharmacies and National Health Service outlets for disposal.</p><p> </p><p>The Department commissioned the York Health Economics Consortium and the School of Pharmacy at the University of London to carry out research to determine the scale, causes and costs of waste medicines in England. The report, Evaluation of the Scale, Causes and Costs of Waste Medicines, was published on 23 November 2010. This found that the gross cost of unused prescription medicines in primary and community care in the NHS in England in 2009 was £300 million a year and that up to £150 million of this was avoidable. The report is available at:</p><p> </p><p><a href="http://discovery.ucl.ac.uk/1350234/" target="_blank">http://discovery.ucl.ac.uk/1350234/</a></p><p> </p><p>A number of initiatives have been rolled out which NHS England expects will directly impact on medicines wastage, including the deployment of clinical pharmacists and pharmacy technicians in general practice and also in care homes to undertake medicines reviews; and rolling out dose-banded chemotherapy drugs for cancer. In addition, work to address problematic polypharmacy and ensure appropriate de-prescribing, the establishment of a patient and public medicines adherence campaign and addressing variation through the use of RightCare principles will also contribute to a reduction in medicines waste.</p><p> </p><p>While recognising the importance of reducing medicines wastage from a value for money perspective, the key to securing a reduction in medicines wastage is implementation of the principles of medicines optimisation, ensuring that each patient receives the right medicine, at the right dosage, at the right time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/05/2018 15:07:54 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

911195

	registered interest
	date	24/05/2018
	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	Mental Health Services: Children and Young People
	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 Transforming Children and Young People’s Mental Health Provision: a Green Paper, jointly published by his Department and the Department for Education, when the Government plans to publish its response to the consultation on that Green Paper.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	147776
	answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>We plan to publish a Government response to the consultation on the Green Paper ahead of summer recess.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/06/2018 14:18:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

971811

	registered interest
	date	11/09/2018
	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what facilities in the UK offer high-energy proton beam cancer therapy treatment in (a) the NHS and (b) the private sector.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	173485
	answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>In April 2012, the Secretary of State for Health and Social Care announced that £250 million would be invested to build proton beam therapy facilities at The Christie Hospital in Manchester and University College London Hospital (UCLH). Contracts were signed with Varian Medical Systems, Interserve Construction at The Christie, and Bouygues UK at UCLH at the end of July 2015. The Christie has been operational since 20 August 2018 and expects the first patients to be treated in the autumn. UCLH is currently on schedule to begin treating patients in summer 2020.</p><p> </p><p>NHS England does not hold information about high-energy proton beam provision in the private sector.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:53:23 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton