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1006649

	registered interest
	date	13/11/2018
	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	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what consideration they are giving to the needs of people living with HIV as part of their development of a long-term plan for the NHS.
	tabling member printed	Lord Black of Brentwood
	uin	HL11429
	answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>Following the announcement in June 2018, the Prime Minister has asked the National Health Service to develop a long term plan for the service. The plan will set out how the NHS will develop over the coming years, underpinned by a five-year funding offer which will see the NHS budget grow by over £20.5 billion a year in real terms by 2023-24. It provides an excellent opportunity to look at how HIV and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p> answering member printed Lord O'Shaughnessy question first answered 27/11/2018 15:31:11 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

677376

	registered interest
	date	23/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many cases of hepatitis C have been diagnosed in each of the last five years for which figures are available; and how many of those were diagnosed in the Accident and Emergency department of a hospital.
	tabling member printed	Lord Black of Brentwood
	uin	HL4842
	answer	answer is ministerial correction date of answer 27/01/2017 answer text <p>Public Health England (PHE) receives laboratory reports of hepatitis C cases from England and these are shown, for the last five years where data is available, in the following table. This data can also be found in the attached report, <em>Hepatitis C in the UK 2015 report</em>.</p><p><strong> </strong></p><p>PHE does not routinely collect information on cases of hepatitis C diagnosed in accident and emergency departments.</p><p> </p><p>Laboratory reports of hepatitis C England, 2011 to 2015</p><table><tbody><tr><td><p>Year</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td></tr><tr><td><p>Total</p></td><td><p>9,905</p></td><td><p>10,855</p></td><td><p>11,055</p></td><td><p>11,471</p></td><td><p>11,548</p></td></tr></tbody></table><p><em>Source: </em>Hepatitis C in the UK 2015 report</p> answering member printed Lord O'Shaughnessy question first answered 27/01/2017 12:10:55 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Hepatitis C in the UK 2015 report.pdf title Hepatitis in the UK 2015
	tabling member	4171 label Biography information for Lord Black of Brentwood

685921

	registered interest
	date	07/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the last five years, how many new HIV diagnoses have been classified as "late diagnosis".
	tabling member printed	Lord Black of Brentwood
	uin	HL5325
	answer	answer is ministerial correction date of answer 20/02/2017 answer text <p>A late HIV diagnosis is defined as having a CD4 cell count less than 350 cells/mm<sup>3</sup> within three months (91 days) of diagnosis.</p><p> </p><p>The following table shows the number of adults (aged 15 years and above) diagnosed with a CD4 count less than 350 cells/mm<sup>3</sup> within 91 days of diagnosis in the United Kingdom in 2011 - 2015.</p><p> </p><p>The data for 2016 are due to be published in October 2017.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td></tr><tr><td><p>Number with CD4 cell count less than 350 cells/mm<sup>3</sup></p></td><td><p>2,624</p></td><td><p>2,449</p></td><td><p>2,132</p></td><td><p>2,115</p></td><td><p>1,958</p></td></tr></tbody></table><p> </p><p><em>Source:</em> National HIV Surveillance data tables, 2016</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2017 12:17:22 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

693048

	registered interest
	date	22/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord O’Shaughnessy on 20 February (HL 5325), what is the percentage of overall new HIV infections classified as late diagnosis for each of the last five years.
	tabling member printed	Lord Black of Brentwood
	uin	HL5535
	answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>A late HIV diagnosis is defined as having a CD4 cell count less than 350 cells/mm<sup>3</sup> within three months (91 days) of diagnosis. The following table shows the percentage of HIV diagnoses classified as late among adults (aged 15 years and above) diagnosed in the United Kingdom for each of the last five years:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>HIV diagnosis (%)</p></td></tr><tr><td><p>2011</p></td><td><p>48%</p></td></tr><tr><td><p>2012</p></td><td><p>46%</p></td></tr><tr><td><p>2013</p></td><td><p>42%</p></td></tr><tr><td><p>2014</p></td><td><p>41%</p></td></tr><tr><td><p>2015</p></td><td><p>39%</p></td></tr></tbody></table><p><em>Source: </em>Official Statistics – HIV: annual data tables</p><p> </p><p>Late diagnosis data for 2016 will be published in October 2017.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 28/02/2017 17:00:00 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

714340

	registered interest
	date	27/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Atrial Fibrillation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 13 June 2016 (HL459), whether the National Institute for Health Research project HTA-14/141/01 on screening strategies for atrial fibrillation is still expected to be published in spring 2017.
	tabling member printed	Lord Black of Brentwood
	uin	HL6361
	answer	answer is ministerial correction date of answer 30/03/2017 answer text <p>The researchers involved in National Institute for Health Research project HTA 14/141/01 are currently considering how to disseminate their findings most effectively. As a result, the project findings will not be available in spring 2017. Further information will be available when the publication timeline is clarified.</p> answering member printed Lord O'Shaughnessy question first answered 30/03/2017 15:17:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

714341

	registered interest
	date	27/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Atrial Fibrillation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 13 July 2016 (HL1005), whether the UK National Screening Committee has considered the timing of its review of the evidence for screening people aged 65 and over for atrial fibrillation; and whether there will be an opportunity for organisations to submit evidence to that review.
	tabling member printed	Lord Black of Brentwood
	uin	HL6362
	answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Where the UK National Screening Committee (UK NSC) does not recommend screening for a particular condition, the evidence is reviewed again in three years as part of its regular review cycle. The next evidence review for atrial fibrillation is expected to commence in 2017/18.</p><p> </p><p>If any new published peer reviewed evidence emerges before the upcoming review, which may change the current recommendation, individuals or organisations may alert the UK NSC to this.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 04/04/2017 11:32:31 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

714342

	registered interest
	date	27/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many Clinical Commissioning Groups have added pulse checking to GP- or pharmacy-enhanced services for people aged over 65.
	tabling member printed	Lord Black of Brentwood
	uin	HL6363
	answer	answer is ministerial correction date of answer 30/03/2017 answer text <p>This information is not held by the Department or NHS England, as general practice and pharmacy contracts do not mandate pulse checks as part of the existing enhanced services for people over 65.</p><p><strong> </strong></p><p>In England, however, all local authorities are required to offer the NHS Health Check programme, with the large majority commissioning general practice to provide them on their behalf. Between 2014 and 2018, over 15 million people aged 40 – 74 are, have been or will be eligible for an NHS Health Check. The programme’s best practice guidance recommends that a pulse check is carried out as part of the process of taking a blood pressure reading and that those individuals who are found to have an irregular pulse rhythm should be referred for further investigation.</p> answering member printed Lord O'Shaughnessy question first answered 30/03/2017 15:16:19 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

714343

	registered interest
	date	27/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Atrial Fibrillation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they are taking to identify people with atrial fibrillation at high risk of stroke who are (1) not anticoagulated, or (2) not maintained in therapeutic range.
	tabling member printed	Lord Black of Brentwood
	uin	HL6364
	answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>The National Institute for Health and Care Excellence has produced guidance and quality standards on anticoagulation for people with atrial fibrillation. NHS England has identified improved management of atrial fibrillation as a priority for reducing premature mortality.</p><p>Tools are available that enable general practitioners (GPs) to monitor whether patients are in the therapeutic range or not. There are also incentives for GPs to ensure that atrial fibrillation patients receive appropriate anticoagulation.</p><p>NHS England continue to support and promote the use of an audit tool that enables GPs to search patients’ data in order to identify patients at a high risk of atrial fibrillation, and then review those patients’ treatment options. In practices that use the tool regularly, there has been an increase in high risk patients prescribed oral anticoagulants (from 61% to 68%), with a corresponding decrease in high risk patients prescribed antiplatelets, such as aspirin (from 28% to 21%).</p> answering member printed Lord O'Shaughnessy question first answered 04/04/2017 11:31:46 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

748833

	registered interest
	date	05/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many hospital admissions for acute anxiety have been recorded in each of the last five years for which figures are available.
	tabling member printed	Lord Black of Brentwood
	uin	HL496
	answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>The following table shows the number of finished admission episodes (FAEs) with a primary diagnosis of acute anxiety from 2011/12 to 2015/16.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Sum of FAEs</p></td></tr><tr><td><p>2011-12</p></td><td><p>8,662</p></td></tr><tr><td><p>2012-13</p></td><td><p>8,680</p></td></tr><tr><td><p>2013-14</p></td><td><p>9,293</p></td></tr><tr><td><p>2014-15</p></td><td><p>9,874</p></td></tr><tr><td><p>2015-16</p></td><td><p>10,199</p></td></tr></tbody></table><p><em>Source</em>: Hospital Episode Statistics, NHS Digital</p><p> </p><ol><li>A FAE is the first period of admitted patient care under one consultant within one healthcare provider.</li><li>FAEs are counted against the year or month in which the admission episode finishes.</li><li>Admissions do not represent the number of patients, as a person may have more than one admission within the period.</li></ol> answering member printed Lord O'Shaughnessy question first answered 18/07/2017 10:46:48 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

748834

	registered interest
	date	05/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many diagnoses of HIV were made as a result of the admission of a patient to a hospital accident and emergency department in each of the last five for which figures are available.
	tabling member printed	Lord Black of Brentwood
	uin	HL497
	answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>It is not possible to identify HIV in the Hospital Episodes Statistics (HES) accident and emergency (A&amp;E) Diagnosis scheme. A table showing unpublished data collected through the HIV and AIDS Reporting System with Public Health England, is attached due to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 18/07/2017 16:07:54 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL497 table formatted.docx title HIV diagnoses in A&E 2011-15
	tabling member	4171 label Biography information for Lord Black of Brentwood