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1088444

registered interest
date	13/03/2019
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 Fatigue Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent discussions he has had with representatives of medical training bodies on ensuring that training programs for doctors, nurses and other health professionals include the most up to date guidance on diagnosis and appropriate treatment of myalgic encephalomyelitis.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	231932
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>Ministers at the Department regularly meet with medical training bodies including the General Medical Council, to discuss many issues. However, there have been no recent discussions with medical training bodies to discuss the guidance on myalgic encephalomyelitis (ME).</p><p> </p><p>In terms of training, the General Medical Council sets out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate and Royal Medical Colleges, such as the Royal College of General Practitioners (RCGP) set the standards for postgraduate medical education in general practice. General practice is where most patients with chronic fatigue syndrome (CFS)/ME are likely to be managed, and the condition is identified as a key area of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide.</p><p> </p><p>The AKT is a summative assessment of the knowledge base that underpins general practice in the UK within the context of the NHS and is a key part of general practitioners’ qualifying exams.</p><p> </p><p>On 20 September 2017, the National Institute for Health and Care Excellence announced its decision to undertake a full update of the guideline, ‘Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, following a review of the latest available evidence on the diagnosis and management of CFS/ME and a public consultation. New guidance is expected in October 2020. More information on this decision can be found at the following link:</p><p><a href="http://www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me" target="_blank">www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2019 16:16:03 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

1088450

registered interest
date	13/03/2019
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 Fatigue Syndrome: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has had with NICE on bringing forward the release of the revised NICE guidelines on ME, due to be published in October 2020.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	231933
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and responsible for developing its guidelines in accordance with its published methods and processes. NICE expects to publish its final updated guideline in October 2020 with a consultation on draft guidance starting in April 2020.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2019 16:20:42 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

1088452

registered interest
date	13/03/2019
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 Fatigue Syndrome: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has had with NICE on issuing an interim warning on the potential dangers of graded exercise therapy (GET) as a treatment for ME, prior to issuing its revised guideline in October 2020.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	231934
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for developing its guidance in accordance with its published methods and processes. NICE takes into account the best available evidence in determining whether to recommend a treatment.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2019 16:19:47 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

784931

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
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 encourage the take-up of flu vaccination in people with chronic respiratory disease.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	111655
answer	answer is ministerial correction date of answer 17/11/2017 answer text <p>Encouraging take-up of the flu vaccination in people with chronic respiratory disease is primarily a matter for Public Health England (PHE). PHE, in partnership with NHS England, is currently running the national multi-channel campaign ‘Stay Well This Winter’, which encourages people who are most at-risk of preventable emergency admission to hospital to take actions to help them stay well, such as getting a flu vaccination and visiting a pharmacy at the first sign of a winter illness.</p><p> </p><p>Television adverts encourage people with long-term health conditions including breathlessness and lung disease to get the flu vaccine. The radio and social media advertising specifically target people with chronic lung diseases, including chronic obstructive pulmonary disease, emphysema, bronchitis and asthma. PHE also works with the British Lung Foundation and Asthma UK to help promote flu vaccine take-up to their supporters.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/11/2017 11:53:23 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

784932

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has made an assessment of the potential relationship between the uptake of the flu vaccination in people with chronic respiratory disease and hospital admission rates for people with that disease.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	111657
answer	answer is ministerial correction date of answer 17/11/2017 answer text <p>Public Health England (PHE) is responsible for monitoring public health vaccination programmes, including the influenza vaccine programme. It particularly monitors vaccine uptake, effectiveness and safety.</p><p> </p><p>Hospital admissions in persons with chronic respiratory disease are due to a wide range of causes, one of which can be flu. No study has been undertaken on the potential relationship between uptake of the flu vaccine in people with chronic respiratory disease and hospital admissions for people with chronic respiratory disease. However, PHE flu vaccine uptake monitoring has shown that the group 16-65 years of age with chronic respiratory disease had an uptake of 49.1% in 2016/17. There was an estimated flu vaccine effectiveness of 40.6% in this age-group against laboratory confirmed influenza, which would include individuals with chronic respiratory disease.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/11/2017 11:51:51 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

780469

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Slaughterhouses: CCTV
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 (a) the number and (b) which slaughterhouses do not have comprehensive CCTV installed on their premises.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	110364
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>In May 2016 the Food Standards Agency carried out a CCTV survey in all 278 operating slaughterhouses in England and Wales.</p><p> </p><p>The results from this survey showed:</p><p> </p><p>- 102 out of 207 red meat slaughterhouses (49.3%) and 50 out of 71 white meat slaughterhouses (70.4%) had some form of CCTV in use for animal welfare purposes.</p><p> </p><p>In respect of which slaughterhouses do not have comprehensive CCTV installed on its premises, this information is commercially sensitive and cannot be released.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 11:53:02 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham