Information about National Health Service spending on bariatric surgery is available from reference costs, which are the average cost to NHS trusts and NHS foundation trusts for providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by Healthcare Resource Groups (HRGs), which are standard groupings of clinically similar treatments that consume common levels of healthcare resource. The HRGs in the attached table are specific to bariatric surgery.<\/p>
<\/p>
Estimated cost of bariatric surgery to NHS providers in England by HRG, 2012-13<\/p><\/td><\/tr> | ||
Total cost (£ million)<\/p><\/td><\/tr> | ||
FZ84Z<\/p><\/td> | Stomach Bypass Procedures for Obesity<\/p><\/td> | 16.6<\/p><\/td><\/tr> |
FZ85Z<\/p><\/td> | Restrictive Stomach Procedures for Obesity<\/p><\/td> | 8.4<\/p><\/td><\/tr> |
FZ86Z<\/p><\/td> | Endoscopic Insertion of Gastric Balloon for Obesity<\/p><\/td> | 0.4<\/p><\/td><\/tr> |
<\/p><\/td> | Total estimated cost<\/p><\/td> | 25.3<\/p><\/td><\/tr><\/tbody><\/table> <\/p> Source: <\/em>Reference costs, Department of Health<\/p> <\/p> <\/p> <\/p> Notes:<\/em><\/p> <\/p> Data includes the cost of procedures performed in day case, ordinary elective, non-elective and outpatient settings. Other costs outside of these settings are not included.<\/p> <\/p> <\/p> <\/p> We have given local authorities a budget of £8.2 billion over three years to help them manage public health issues including lifestyle intervention programmes including NHS Health Checks and the National Child Measurement Programme.<\/p> <\/p> <\/p> <\/p> In addition, Public Health England runs a range of well-known marketing programmes such as Change4Life, Smokefree, Be Clear on Cancer and, most recently, Dementia Friends. These deliver positive health outcomes, such as reducing adult smoking prevalence and increasing early diagnosis of cancer. These marketing programmes utilise behavioural science, commercial best practice and digital tools to engage hundreds of thousands of people. The total core marketing budget for 2014-2015 is £53 million.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
}
, "answeringMemberConstituency" : {"_value" : "Battersea"}
, "answeringMemberPrinted" : {"_value" : "Jane Ellison"}
, "dateOfAnswer" : {"_value" : "2014-10-23", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2014-10-23T15:46:27.6295805Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Obesity"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, how much his Department spends on (a) bariatric surgery for obesity and (b) lifestyle intervention programmes.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
}
, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210927"}
, {"_about" : "http://data.parliament.uk/resources/93825", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/93825/answer", "answerText" : {"_value" : " We understand that the World Health Organization intends to undertake a prevalence study on fetal alcohol spectrum disorder (FASD) in a number of countries.<\/p> <\/p> <\/p> <\/p> The feasibility of estimating prevalence is not yet fully clear, given uncertainties around diagnostic criteria for a number of conditions included within FASD. Studies internationally vary in methods and in how they address diagnostic issues.<\/p> <\/p> <\/p> <\/p> We intend to follow this study with interest and believe it would be prudent to await developments in this study, before considering any further prevalence work.<\/p> <\/p> <\/p> <\/p> <\/p> <\/p> <\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
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, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Foetal Alcohol Spectrum Disorder"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, what plans he has to commission a prevalence study of foetal alcohol spectrum disorder and foetal alcohol syndrome in England.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
}
, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210929"}
, {"_about" : "http://data.parliament.uk/resources/93826", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/93826/answer", "answerText" : {"_value" : " As part of the Public Health Responsibility Deal, alcohol retailers and producers have committed to putting on clear unit content, National Health Service guidelines and an agreed warning or a pregnancy warning logo on 80% of labels on bottles and cans by the end of 2013.<\/p> <\/p> <\/p> <\/p> Subject to publication of the final independent market survey, we believe that just under 80% of bottles and cans had that information.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
}
, "answeringMemberConstituency" : {"_value" : "Battersea"}
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, "dateOfAnswer" : {"_value" : "2014-10-23", "_datatype" : "dateTime"}
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, "questionFirstAnswered" : [{"_value" : "2014-10-23T15:37:55.5082259Z", "_datatype" : "dateTime"}
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, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Alcoholic Drinks: Labelling"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, when he expects the final independent market survey on compliance with the Government's Responsibility Deal pledge on alcohol labelling to be published.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
}
, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210930"}
, {"_about" : "http://data.parliament.uk/resources/93834", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/93834/answer", "answerText" : {"_value" : " The consultation Smoking in private vehicles carrying children - consultation on proposed regulations to be made under the Children and Families Act 2014<\/em> closed on 27 August 2014. We are now considering all responses carefully and will make a decision on the content of the regulations.<\/p> <\/p> <\/p> <\/p> A consultation on the introduction of regulations for standardised packaging of tobacco products<\/em> closed on 7 August 2014. In line with European Union requirements, the draft regulations must be considered under the European Technical Standards Directive at the stage at which substantial amendments can still be made. The draft regulations were notified to the European Commission (EC) on 29 August.<\/p> <\/p> <\/p> <\/p> The notification requires a \u2018stand still\u2019 period of three months for the EC and other Member States to consider the content of the draft regulations and give us their opinions. If a detailed opinion is provided, the Government is obliged to extend the period to six months. We anticipate that this will be the case. Under European rules, we will not be able to make the regulations until the period has elapsed.<\/p> <\/p> <\/p> <\/p> The Government has not yet made a final decision on whether to introduce regulations to require standardised packaging of tobacco products.<\/p> <\/p> <\/p> <\/p> Summary reports on both consultations will be published in due course.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
}
, "answeringMemberConstituency" : {"_value" : "Battersea"}
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, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Smoking"}
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, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, when the Government plans to publish the results of the consultations on regulations on (a) smoking in cars with children present and (b) standardised packaging of tobacco; and when his Department plans to lay these regulations before the House.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
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, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
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], "answer" : {"_about" : "http://data.parliament.uk/resources/93841/answer", "answerText" : {"_value" : " In accordance with section 118(1) of the Health and Social Care Act 2012, Monitor is required to send a notice of the proposals for the National Tariff to all licensed providers and unlicensed providers who provide NHS healthcare services where there is a proposed national price. These providers may comment on any of the policy proposals that are contained in the consultation notice and, in particular, may object to any method proposed under section 118(3)(b) of the Act.<\/p> <\/p> <\/p> <\/p> It is currently Monitor\u2019s intention to release this notice at the end of October. Responses to this consultation will be released along with the final tariff publication.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
}
, "answeringMemberConstituency" : {"_value" : "Battersea"}
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, "questionFirstAnswered" : [{"_value" : "2014-10-21T15:51:38.2547423Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
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, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services"}
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, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, when he will publish the response to the public consultation on the NHS National Tariff Payment System 2015-16.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
}
, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210854"}
, {"_about" : "http://data.parliament.uk/resources/93842", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/93842/answer", "answerText" : {"_value" : " The review is currently underway and we expect to be able to consult on any new guidelines by summer 2015.<\/p> <\/p> <\/strong><\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
}
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, "questionFirstAnswered" : [{"_value" : "2014-10-21T15:49:12.5177927Z", "_datatype" : "dateTime"}
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, "date" : {"_value" : "2014-10-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Alcoholic Drinks"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, when the Chief Medical Officer will report on the UK-wide review of all alcohol guidelines.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
}
, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210855"}
, {"_about" : "http://data.parliament.uk/resources/93254", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/93254/answer", "answerText" : {"_value" : " The Health and Social Care Act 2012 sets out criteria for nationally commissioned services that National Health Service England and the NHS Commissioning Board need to consider when commissioning specialised services. Services for the treatment of Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorder do not fall within these.<\/p> <\/p> <\/p> <\/p> <\/p> <\/p> The National Institute for Health and Care Excellence Antenatal Care guideline includes recommendations for doctors and midwives on the advice they should give to pregnant women about drinking alcohol, and we would expect that Clinical Commissioning Groups have regard to their guidelines when commissioning services.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3918", "label" : {"_value" : "Biography information for Jane Ellison"}
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, "answeringMemberConstituency" : {"_value" : "Battersea"}
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, "questionFirstAnswered" : [{"_value" : "2014-10-21T16:05:21.8248721Z", "_datatype" : "dateTime"}
]}
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, "answeringDeptShortName" : {"_value" : "Health"}
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, "date" : {"_value" : "2014-10-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Foetal Alcohol Spectrum Disorder"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health, what assessment he has made of the adequacy of current commissioning arrangements for treating foetal alcohol syndrome and foetal alcohol spectrum disorder; and if he will assess the merits of establishing a national service commissioned by NHS England for those conditions.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"}
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, "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"}
, "tablingMemberPrinted" : [{"_value" : "Luciana Berger"}
], "uin" : "210443"}
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|