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1007175

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients with chronic obstructive pulmonary disease have been referred for pulmonary rehabilitation in accordance with NICE guidelines in the most recent period for which figures are available; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191255
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>National Institute for Health and Care Excellence (NICE) Guidelines state that “Pulmonary rehabilitation should be made available to all appropriate people with chronic obstructive pulmonary disease (COPD) including those who have had a recent hospitalisation for an acute exacerbation” <sup>1</sup>.</p><p> </p><p>NHS England supports the national Asthma and COPD Audit Programme – led by the Royal College of Physicians – which provides data on a range of indicators to show opportunities for improving COPD outcomes. The audit shows that 13% of people with COPD are referred to pulmonary rehabilitation services<sup>2</sup>. A continuous clinical audit of service provision and delivery of pulmonary rehabilitation is due to start in March 2019.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Chronic obstructive pulmonary disease in over 16s: diagnosis and management Clinical guideline Published 23 June 2010 <a href="http://www.nice.org.uk/guidance/cg101" target="_blank">www.nice.org.uk/guidance/cg101</a></p><p> </p><p><sup>2</sup><a href="https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream" target="_blank">https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:24:39 answering member 4067 label Biography information for Steve Brine previous answer version 85821 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007176

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
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 ensure that all patients diagnosed with chronic obstructive pulmonary disease have access to community rehabilitation in accordance with NICE guidelines; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191256
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Pulmonary rehabilitation (PR) is one of the most effective treatments for chronic obstructive pulmonary disease (COPD). The Department supports the National Health Service to increase access to PR and improve the quality of care for people with long-term respiratory conditions.</p><p> </p><p>Respiratory disease is clinical priority in the NHS Long Term Plan. A working group has been developing policy proposals with the aim of delivering specific improvements in respiratory disease. One of the areas under review is the current service provision for PR services in England.</p><p> </p><p>The NHS RightCare COPD pathway, which is now being rolled out nationally through clinical commissioning groups, includes timely access to PR as part of the optimal treatment pathway.</p><p> </p><p>NHS England is working with NHS Improvement, Public Health England and the third sector to ensure all components of the COPD pathway including identification, diagnosis, treatment and management of respiratory conditions are coordinated across the health system.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:21:40 answering member 4067 label Biography information for Steve Brine previous answer version 85827 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007180

registered interest
date	14/11/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Colombia: Politics and Government
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what discussions he has had with the Government of Colombia on protection for leaders of the FARC party since the attempted murder of Fancy Urrego (Erika Montero), a member of that party's leadership; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191257
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>I discussed the killings of former members of the FARC, human rights defenders and social activists in Colombia with President Duque's advisor for international affairs and human rights on 17 October. I also condemn the attempted murder of FARC leader Erika Montero in Medellin on 4 November which seeks to undermine confidence in the peace process.</p><p>The Colombian Government has taken welcome steps to train protection teams for FARC leaders, with recruits including former FARC combatants. The UK has raised the importance of providing security guarantees set out in the peace deal during discussions at the UN Security Council where the UK holds the pen for the peace process, and through CSSF funding we have strengthened the Colombian Government's capacity to do this. The UK has also called for improved protection measures for human rights defenders, including through recommendations that Colombia accepted during its Universal Periodic Review of Human Rights at the UN (Geneva) in May.</p><p>The UK fully supports implementation of the 2016 historic peace agreement and continues to work closely with the new Colombian Government and international partners to ensure a safer more prosperous future for all Colombians.</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan grouped question UIN 191258 question first answered 19/11/2018 15:58:55 answering member 343 label Biography information for Sir Alan Duncan
tabling member	165 label Biography information for Clive Efford

1007182

registered interest
date	14/11/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Colombia: Politics and Government
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, whether he has received reports alleging that police in Colombia have passed information to the FARC party warning of plans they have uncovered to kill members of their party leadership; if he will make representations to the Government in Colombia on the protection of those people; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191258
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>I discussed the killings of former members of the FARC, human rights defenders and social activists in Colombia with President Duque's advisor for international affairs and human rights on 17 October. I also condemn the attempted murder of FARC leader Erika Montero in Medellin on 4 November which seeks to undermine confidence in the peace process.</p><p>The Colombian Government has taken welcome steps to train protection teams for FARC leaders, with recruits including former FARC combatants. The UK has raised the importance of providing security guarantees set out in the peace deal during discussions at the UN Security Council where the UK holds the pen for the peace process, and through CSSF funding we have strengthened the Colombian Government's capacity to do this. The UK has also called for improved protection measures for human rights defenders, including through recommendations that Colombia accepted during its Universal Periodic Review of Human Rights at the UN (Geneva) in May.</p><p>The UK fully supports implementation of the 2016 historic peace agreement and continues to work closely with the new Colombian Government and international partners to ensure a safer more prosperous future for all Colombians.</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan grouped question UIN 191257 question first answered 19/11/2018 15:58:55 answering member 343 label Biography information for Sir Alan Duncan
tabling member	165 label Biography information for Clive Efford