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1695234
registered interest false more like this
date less than 2024-03-12more like thismore than 2024-03-12
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, whether her Department is taking steps to increase uptake in the use of monitoring technologies by patients with diabetes. more like this
tabling member constituency Linlithgow and East Falkirk more like this
tabling member printed
Martyn Day more like this
uin 18214 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-03-20more like thismore than 2024-03-20
answer text <p>The National Institute for Health and Care Excellence (NICE) has recently issued clinical guidelines in relation to the management of insulin dependent diabetes, covering patients living with type 1 and insulin dependent type 2 diabetes. This includes devices to support blood glucose monitoring. These recommendations are now being implemented by integrated care boards (ICBs).</p><p> </p><p>On 19 December 2023, NICE published its final recommendation on the hybrid closed loop system for people with type 1 diabetes. NICE has agreed with NHS England that all children and young people, women who are pregnant or planning a pregnancy, and those people who already have an insulin pump will be first to be offered a hybrid closed loop system as part of a 5-year roll-out plan. NHS England has set out priorities for access, to help reduce healthcare inequalities through their implementation plan.</p><p> </p><p>Responsibility for the delivery of services and the implementation of NICE recommendations rests with the appropriate National Health Service commissioner. As diabetes care is commissioned by local ICBs, they are responsible for developing commissioning policies. ICBs must pay due regard to NICE guidance, however local decision making applies in terms of deciding whether to utilise their funding to implement the recommendation or not.</p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
question first answered
less than 2024-03-20T17:11:23.963Zmore like thismore than 2024-03-20T17:11:23.963Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4488
label Biography information for Martyn Day more like this
1694161
registered interest false more like this
date less than 2024-03-06more like thismore than 2024-03-06
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 February 2024 to Question 15459 on Diabetes: Medical Equipment, what the evidential basis is for growth in the prescribing of diabetes technology for people living with type 2 diabetes. more like this
tabling member constituency Linlithgow and East Falkirk more like this
tabling member printed
Martyn Day more like this
uin 17412 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-03-13more like thismore than 2024-03-13
answer text <p>The National Institute for Care and Excellence (NICE) published a recommendation in March 2023 that people with type 2 diabetes, who have multiple daily insulin injections and a condition or disability that means they cannot use capillary blood glucose monitoring, should be offered Continuous Glucose Monitoring (CGM) technology, either real time or intermittent, to support self-monitoring.</p><p> </p><p>The NICE also recommended in March 2023 that adults with insulin-treated type 2 diabetes having their blood glucose monitored by a care worker or healthcare professional, are offered CGM. The rationale is that CGM can help to improve glycaemic control in adults with type 2 diabetes who use insulin.</p> more like this
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
question first answered
less than 2024-03-13T16:04:37.597Zmore like thismore than 2024-03-13T16:04:37.597Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4488
label Biography information for Martyn Day more like this
1691367
registered interest false more like this
date less than 2024-02-23more like thismore than 2024-02-23
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, whether her Department plans to take steps to ensure that every person with diabetes has access to medical technology that helps them manage their condition. more like this
tabling member constituency Linlithgow and East Falkirk more like this
tabling member printed
Martyn Day more like this
uin 15459 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-02-29more like thismore than 2024-02-29
answer text <p>Standard care for type 1 diabetes involves regularly measuring blood glucose levels by self-monitoring, blood testing, or by using a continuous glucose monitor, real-time or intermittently scanned.</p><p>The NHS Long Term Plan committed that 20% of people with type 1 diabetes would benefit from life changing flash glucose monitors. Data to quarter three of 2022/23 shows that 73% of people with type 1 diabetes were prescribed flash glucose monitoring, against the 20% target.</p><p>In March 2023 the National Institute for Health and Care Excellence (NICE) recommended that insulin dependent patients with type 2 diabetes should also benefit from flash or continuous glucose monitoring devices. We are now starting to see a growth in prescribing within the type 2 diabetes patient group.</p><p>On 19 December 2023 the NICE published its final recommendation on the hybrid closed loop system. The NICE has agreed with NHS England that all children and young people, women who are pregnant or planning a pregnancy, and those people who already have an insulin pump will be the first to be offered a hybrid closed loop system, as part of a five-year roll-out plan. Access to hybrid closed loop systems will be through a five-year phased roll out, in line with NHS England’s implementation plans.</p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
question first answered
less than 2024-02-29T14:08:08.19Zmore like thismore than 2024-02-29T14:08:08.19Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4488
label Biography information for Martyn Day more like this
1689034
registered interest false more like this
date less than 2024-02-16more like thismore than 2024-02-16
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, how many and what proportion of patients with type 1 diabetes use (a) finger-pricking monitoring and (b) continuous monitoring to track their glucose levels. more like this
tabling member constituency Knowsley more like this
tabling member printed
Sir George Howarth more like this
uin 13903 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-02-21more like thismore than 2024-02-21
answer text <p>Standard care for type 1 diabetes involves regularly measuring blood glucose levels by self-monitoring, blood testing, or by using a continuous glucose monitor, real-time or intermittently scanned.</p><p>The NHS Long Term Plan committed that 20% of people with type 1 diabetes would benefit from life changing flash glucose monitors. Data to quarter three of 2022/23 shows that 73% of people with type 1 diabetes were prescribed flash glucose monitoring, against the 20% target. As a result of the recent National Institute for Health and Care Excellence guidance that also recommended that insulin dependent patients with type 2 diabetes should benefit from flash or continuous glucose monitoring devices, we are now starting to see a growth in prescribing within the type 2 diabetes patient group.</p> more like this
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN 13904 more like this
question first answered
less than 2024-02-21T16:21:48.407Zmore like thismore than 2024-02-21T16:21:48.407Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
481
label Biography information for Sir George Howarth more like this
1689035
registered interest false more like this
date less than 2024-02-16more like thismore than 2024-02-16
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, how many and what proportion of patients with type 1 diabetes use real time continuous glucose monitoring to manage their diabetes. more like this
tabling member constituency Knowsley more like this
tabling member printed
Sir George Howarth more like this
uin 13904 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-02-21more like thismore than 2024-02-21
answer text <p>Standard care for type 1 diabetes involves regularly measuring blood glucose levels by self-monitoring, blood testing, or by using a continuous glucose monitor, real-time or intermittently scanned.</p><p>The NHS Long Term Plan committed that 20% of people with type 1 diabetes would benefit from life changing flash glucose monitors. Data to quarter three of 2022/23 shows that 73% of people with type 1 diabetes were prescribed flash glucose monitoring, against the 20% target. As a result of the recent National Institute for Health and Care Excellence guidance that also recommended that insulin dependent patients with type 2 diabetes should benefit from flash or continuous glucose monitoring devices, we are now starting to see a growth in prescribing within the type 2 diabetes patient group.</p> more like this
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN 13903 more like this
question first answered
less than 2024-02-21T16:21:48.453Zmore like thismore than 2024-02-21T16:21:48.453Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
481
label Biography information for Sir George Howarth more like this
1689462
registered interest false more like this
date less than 2024-02-16more like thismore than 2024-02-16
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, what steps her Department plans to take to support ICBs in increasing the adoption of real time continuous glucose monitoring for patients with type 2 diabetes. more like this
tabling member constituency Dewsbury more like this
tabling member printed
Mark Eastwood more like this
uin 14361 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-02-26more like thismore than 2024-02-26
answer text <p>Diabetes care is commissioned by local integrated care boards (ICBs). ICBs are responsible for developing commissioning policies and making local decisions on how to utilise their funding.</p><p>Real time continuous glucose monitoring (CGM) for people living with type 1 and type 2 diabetes is prescribed in both primary and secondary care settings. Regrettably, as the reporting systems for secondary care prescribing varies across England, and depends on local commissioning arrangements, we do not have accurate figures for secondary care prescribing.</p><p>Our latest reports indicate that 70% of patients with type 1 diabetes in the West Yorkshire ICB are prescribed real time CGM in primary care. There will be additional patients who are prescribed real time CGM in secondary care, but we are unable to identify those patients from national reporting.</p><p>We are currently developing an alternative reporting model to provide reports that identify people with both type 1 and type 2 diabetes. The ICB recognises and continues to explore options to address the need for an end-to-end data solution for CGM and other diabetes technology, which allows the monitoring of access, uptake and health inequalities, care quality and safety, and spend.</p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN 14362 more like this
question first answered
less than 2024-02-26T10:07:12.79Zmore like thismore than 2024-02-26T10:07:12.79Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4807
label Biography information for Mark Eastwood more like this
1684916
registered interest false more like this
date less than 2024-01-24more like thismore than 2024-01-24
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the adequacy of the availability of continuous glucose monitoring for people with type-1 diabetes; and if she will make an assessment of the potential merits of taking steps to increase access to that monitoring. more like this
tabling member constituency Birmingham, Selly Oak more like this
tabling member printed
Steve McCabe more like this
uin 11244 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2024-02-06more like thismore than 2024-02-06
answer text <p>The NHS Long Term Plan made a commitment that 20% of people with type 1 diabetes would benefit from life changing flash glucose monitors. Data up to the third quarter of 2022/23 shows that 73% of people with type 1 diabetes were prescribed flash glucose monitoring, against the 20% target. As a result of the recent National Institute for Health and Care Excellence guidance that also recommended that insulin dependent patients with type 2 diabetes should benefit from flash or continuous glucose monitoring devices, we are now starting to see a growth in prescription within the type 2 diabetes patient group.</p><p>Variation ratio in prescribing between the most and least affluent Indices of Multiple Deprivation (IMD) quintiles has been monitored on a quarterly basis. Variation between these IMD quintiles has reduced in every English region. When the programme started, Flash was twice as likely to be prescribed to patients living in the most affluent areas. The current ratio between most and least affluent geographies is now at a ratio of 1 to 1.02, meaning there is virtually parity between the most and least deprived patient groups across England.</p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
question first answered
less than 2024-02-06T17:40:01.927Zmore like thismore than 2024-02-06T17:40:01.927Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
298
label Biography information for Steve McCabe more like this
1672463
registered interest false more like this
date less than 2023-11-22more like thismore than 2023-11-22
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, what steps she is taking to monitor the effectiveness of hybrid closed loop technology implementation on (i) glycaemic control, (ii) quality of life and (iii) reduction in complications for patients. more like this
tabling member constituency St Albans more like this
tabling member printed
Daisy Cooper more like this
uin 3354 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2023-11-28more like thismore than 2023-11-28
answer text <p>The National Institute of Health and Care Excellence (NICE) has published their draft guidance on hybrid closed loop (HCL) technology for managing blood glucose levels in type 1 diabetes.</p><p>HCL technology represents a step change in care for patients living with type one diabetes, which is why NICE has agreed a five-year roll out of this technology with NHS England. This is to ensure the National Health Service has the staff training and patient support in place to safely roll out this new technology.</p><p>Access to medical devices should be determined by clinical need. It is our priority to ensure that all patients have access to the most innovative treatment options, wherever they live in the country.</p><p>Integrated care boards (ICBs) are responsible for developing a plan for meeting the health needs of their population, managing the NHS budget, and arranging for the provision of health services in the integrated care systems.</p><p>For HCL, NHS England will make clinicians aware of priority patients to help ensure equality of access and will keep this under review as it rolled out expands to other groups over the implementation period. NHS England will engage with patient representative groups, ICB leads, trust clinical leads working within children, young people and adult services, and professional bodies as part of the implementation strategy’s development.</p><p> </p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN
3355 more like this
3356 more like this
3357 more like this
question first answered
less than 2023-11-28T12:43:13.18Zmore like thismore than 2023-11-28T12:43:13.18Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4769
label Biography information for Daisy Cooper more like this
1672465
registered interest false more like this
date less than 2023-11-22more like thismore than 2023-11-22
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, whether she plans to (a) involve patients with and (b) raise awareness of the (i) potential merits and (ii) availability of hybrid closed loop technology. more like this
tabling member constituency St Albans more like this
tabling member printed
Daisy Cooper more like this
uin 3355 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2023-11-28more like thismore than 2023-11-28
answer text <p>The National Institute of Health and Care Excellence (NICE) has published their draft guidance on hybrid closed loop (HCL) technology for managing blood glucose levels in type 1 diabetes.</p><p>HCL technology represents a step change in care for patients living with type one diabetes, which is why NICE has agreed a five-year roll out of this technology with NHS England. This is to ensure the National Health Service has the staff training and patient support in place to safely roll out this new technology.</p><p>Access to medical devices should be determined by clinical need. It is our priority to ensure that all patients have access to the most innovative treatment options, wherever they live in the country.</p><p>Integrated care boards (ICBs) are responsible for developing a plan for meeting the health needs of their population, managing the NHS budget, and arranging for the provision of health services in the integrated care systems.</p><p>For HCL, NHS England will make clinicians aware of priority patients to help ensure equality of access and will keep this under review as it rolled out expands to other groups over the implementation period. NHS England will engage with patient representative groups, ICB leads, trust clinical leads working within children, young people and adult services, and professional bodies as part of the implementation strategy’s development.</p><p> </p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN
3354 more like this
3356 more like this
3357 more like this
question first answered
less than 2023-11-28T12:43:13.273Zmore like thismore than 2023-11-28T12:43:13.273Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4769
label Biography information for Daisy Cooper more like this
1672466
registered interest false more like this
date less than 2023-11-22more like thismore than 2023-11-22
answering body
Department of Health and Social Care more like this
answering dept id 17 remove filter
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Diabetes: Medical Equipment remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health and Social Care, what steps she is taking to help ensure access to hybrid closed loop technology. more like this
tabling member constituency St Albans more like this
tabling member printed
Daisy Cooper more like this
uin 3356 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2023-11-28more like thismore than 2023-11-28
answer text <p>The National Institute of Health and Care Excellence (NICE) has published their draft guidance on hybrid closed loop (HCL) technology for managing blood glucose levels in type 1 diabetes.</p><p>HCL technology represents a step change in care for patients living with type one diabetes, which is why NICE has agreed a five-year roll out of this technology with NHS England. This is to ensure the National Health Service has the staff training and patient support in place to safely roll out this new technology.</p><p>Access to medical devices should be determined by clinical need. It is our priority to ensure that all patients have access to the most innovative treatment options, wherever they live in the country.</p><p>Integrated care boards (ICBs) are responsible for developing a plan for meeting the health needs of their population, managing the NHS budget, and arranging for the provision of health services in the integrated care systems.</p><p>For HCL, NHS England will make clinicians aware of priority patients to help ensure equality of access and will keep this under review as it rolled out expands to other groups over the implementation period. NHS England will engage with patient representative groups, ICB leads, trust clinical leads working within children, young people and adult services, and professional bodies as part of the implementation strategy’s development.</p><p> </p>
answering member constituency Pendle more like this
answering member printed Andrew Stephenson more like this
grouped question UIN
3354 more like this
3355 more like this
3357 more like this
question first answered
less than 2023-11-28T12:43:13.357Zmore like thismore than 2023-11-28T12:43:13.357Z
answering member
4044
label Biography information for Andrew Stephenson more like this
tabling member
4769
label Biography information for Daisy Cooper more like this