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1639611

registered interest
date	23/05/2023
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	Urinary Tract Infections: 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, how many people are admitted to hospital each year with urinary tract infections; what the cost was to the public purse of the NHS of treating people with urinary tract infections in the last financial year; and whether the NHS plans to take steps to improve options for community-based services to treat urinary tract infections.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	186316
answer	answer is ministerial correction date of answer 02/06/2023 answer text <p>The following table shows the number of people admitted to hospital each year in the last five years with urinary tract infections (UTIs).</p><table><tbody><tr><td><p>Year</p></td><td><p>Admissions</p></td></tr><tr><td><p>2018/19</p></td><td><p>184,794</p></td></tr><tr><td><p>2019/20</p></td><td><p>179,785</p></td></tr><tr><td><p>2020/21</p></td><td><p>135,594</p></td></tr><tr><td><p>2021/22</p></td><td><p>152,695</p></td></tr></tbody></table><p><br> Source: Hospital Episode Statistics (HES), NHS England</p><p>Data for 2021/22 is latest data available. We cannot provide data on the total cost to the NHS of treating patients with UTI in the last financial year (2022/23). <br> <br> NHS England published on 9 May 2023 its Delivery plan for recovering access to primary care. This sets out proposals to improve options for community-based services to treat urinary tract infections. Appropriately trained community pharmacists will be commissioned to provide a clinical service to care for patients with urinary symptoms, providing timely access to assessment, information and advice.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 02/06/2023 11:06:52 answering member 4527 label Biography information for Helen Whately
tabling member	1453 label Biography information for Andrew Selous

1022873

registered interest
date	10/12/2018
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many (a) tier 3 and (b) tier 4 weight management services have been decommissioned in each (i) region and (ii) Clinical Commissioning Group area in each of the last five calendar years.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	200573
answer	answer is ministerial correction date of answer 18/12/2018 answer text <p><strong></strong>The requested information is not held centrally. No assessment has been made of the effect on patients of clinical commissioning groups (CCGs) decommissioning tier 3 and tier 4 weight management services. CCGs have a statutory responsibility to commission services which meet the healthcare needs of their local population.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200574 200575 200682 201217 question first answered 18/12/2018 17:11:57 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

1022876

registered interest
date	10/12/2018
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which Clinical Commissioning Groups commission (a) a multidisciplinary tier 3 and (b) a tier 4 weight management service.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	200574
answer	answer is ministerial correction date of answer 18/12/2018 answer text <p><strong></strong>The requested information is not held centrally. No assessment has been made of the effect on patients of clinical commissioning groups (CCGs) decommissioning tier 3 and tier 4 weight management services. CCGs have a statutory responsibility to commission services which meet the healthcare needs of their local population.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200573 200575 200682 201217 question first answered 18/12/2018 17:11:57 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

1022879

registered interest
date	10/12/2018
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many patients have received (a) a tier 3 and (b) a tier 4 weight management service in each (i) region and (ii) Clinical Commissioning Group area in each of the last five calendar years.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	200575
answer	answer is ministerial correction date of answer 18/12/2018 answer text <p><strong></strong>The requested information is not held centrally. No assessment has been made of the effect on patients of clinical commissioning groups (CCGs) decommissioning tier 3 and tier 4 weight management services. CCGs have a statutory responsibility to commission services which meet the healthcare needs of their local population.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200573 200574 200682 201217 question first answered 18/12/2018 17:11:57 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

923504

registered interest
date	13/06/2018
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	Health Professions: Operating Theatres
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the the potential merits of NHS England making huddles mandatory for all medical staff at the start of the day in operating theatres.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	153221
answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>The use of the World Health Organization (WHO) safety checklist for surgical interventions is universally acknowledged to be best practice and is well supported by the relevant Royal Colleges and professional associations. Trusts are expected to track performance against elements and stages of the checklist. There are three stages: ‘sign in’, ‘time out’ and ‘sign out’.</p><p> </p><p>Huddles correspond to the ‘time out’ stage of checklist completion. Failure to use this part of the checklist would be flagged through Care Quality Commission inspection or staff concerns, and would be viewed by NHS Improvement as a serious deficiency in a trust’s safety standards.</p><p> </p><p>However, as with a number of procedures that are considered best practice, mandating the WHO safety checklist for all surgical interventions across the whole of the health service at all times could give rise to unintended risk on those occasions when there is a need to act immediately to save life and a delay in surgical action could be detrimental.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2018 15:34:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1453 label Biography information for Andrew Selous

867518

registered interest
date	20/03/2018
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	Obesity
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 improve access to tier 4 obesity services.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	133493
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>Clinical commissioning groups have a statutory responsibility to commission services which meet the needs of their local population including access to tier 4 obesity services.</p><p> </p><p>The Department has not made an assessment of the cost effectiveness of tier 4 obesity services. It is for the National Institute for Health and Care Excellence (NICE) to provide national clinical guidance and advice, based on best evidence of clinical and cost effectiveness, for use of interventions, technology and devices.</p><p> </p><p>To help practitioners deliver the best possible care and give people the most effective treatments NICE has produced a suite of guidance on tackling obesity including “Obesity: identification, assessment and management of overweight and obesity in children, young people and adults”, which includes access to all tiers of obesity services. This guidance is available at:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg189" target="_blank">www.nice.org.uk/guidance/cg189</a></p><p> </p><p>The Department does not hold information on the number of tier 3 obesity services commissioned by clinical commissioning groups or local authorities.</p><p> </p><p>Public Health England has explored the evidence base for tier 3 weight management interventions with adults and children, which concludes that tier 3 obesity services can provide positive outcomes and support to individuals in managing severe and often complex forms of obesity. Outputs from this work are published in: “Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review” and “Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2-18 years in the UK: a rapid systematic review”. These documents are available at:</p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/28695579" target="_blank">www.ncbi.nlm.nih.gov/pubmed/28695579</a></p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/29228233" target="_blank">www.ncbi.nlm.nih.gov/pubmed/29228233</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 133496 133499 133501 133502 133606 question first answered 27/03/2018 14:46:10 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

867521

registered interest
date	20/03/2018
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the cost effectiveness of tier 4 obesity services.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	133496
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>Clinical commissioning groups have a statutory responsibility to commission services which meet the needs of their local population including access to tier 4 obesity services.</p><p> </p><p>The Department has not made an assessment of the cost effectiveness of tier 4 obesity services. It is for the National Institute for Health and Care Excellence (NICE) to provide national clinical guidance and advice, based on best evidence of clinical and cost effectiveness, for use of interventions, technology and devices.</p><p> </p><p>To help practitioners deliver the best possible care and give people the most effective treatments NICE has produced a suite of guidance on tackling obesity including “Obesity: identification, assessment and management of overweight and obesity in children, young people and adults”, which includes access to all tiers of obesity services. This guidance is available at:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg189" target="_blank">www.nice.org.uk/guidance/cg189</a></p><p> </p><p>The Department does not hold information on the number of tier 3 obesity services commissioned by clinical commissioning groups or local authorities.</p><p> </p><p>Public Health England has explored the evidence base for tier 3 weight management interventions with adults and children, which concludes that tier 3 obesity services can provide positive outcomes and support to individuals in managing severe and often complex forms of obesity. Outputs from this work are published in: “Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review” and “Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2-18 years in the UK: a rapid systematic review”. These documents are available at:</p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/28695579" target="_blank">www.ncbi.nlm.nih.gov/pubmed/28695579</a></p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/29228233" target="_blank">www.ncbi.nlm.nih.gov/pubmed/29228233</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 133493 133499 133501 133502 133606 question first answered 27/03/2018 14:46:10 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

867524

registered interest
date	20/03/2018
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many clinical commissioning groups have commissioned tier 3 obesity services in each of the last five years.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	133499
answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>Clinical commissioning groups have a statutory responsibility to commission services which meet the needs of their local population including access to tier 4 obesity services.</p><p> </p><p>The Department has not made an assessment of the cost effectiveness of tier 4 obesity services. It is for the National Institute for Health and Care Excellence (NICE) to provide national clinical guidance and advice, based on best evidence of clinical and cost effectiveness, for use of interventions, technology and devices.</p><p> </p><p>To help practitioners deliver the best possible care and give people the most effective treatments NICE has produced a suite of guidance on tackling obesity including “Obesity: identification, assessment and management of overweight and obesity in children, young people and adults”, which includes access to all tiers of obesity services. This guidance is available at:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg189" target="_blank">www.nice.org.uk/guidance/cg189</a></p><p> </p><p>The Department does not hold information on the number of tier 3 obesity services commissioned by clinical commissioning groups or local authorities.</p><p> </p><p>Public Health England has explored the evidence base for tier 3 weight management interventions with adults and children, which concludes that tier 3 obesity services can provide positive outcomes and support to individuals in managing severe and often complex forms of obesity. Outputs from this work are published in: “Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review” and “Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2-18 years in the UK: a rapid systematic review”. These documents are available at:</p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/28695579" target="_blank">www.ncbi.nlm.nih.gov/pubmed/28695579</a></p><p> </p><p><a href="http://www.ncbi.nlm.nih.gov/pubmed/29228233" target="_blank">www.ncbi.nlm.nih.gov/pubmed/29228233</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 133493 133496 133501 133502 133606 question first answered 27/03/2018 14:46:10 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

862152

registered interest
date	14/03/2018
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	Food: Labelling
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 he has had with food manufacturers on increasing the uptake of front-of-pack traffic light labelling on pre-packaged foods.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	132571
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>My Rt. hon. Friend, the Secretary of State for Health and Social Care, has not had any recent discussions with the food and drinks industry on calorie labelling, including carbohydrate content, on pre-packaged foods or food sold in restaurants, cafes, fast food outlets and takeaways.</p><p> </p><p>The mandatory nutrient declaration for pre-packaged food must include values for carbohydrate and calories. We welcome the actions taken by responsible producers and retailers who have adopted the front of pack and out of home nutrition labelling schemes. Businesses that have adopted the front of pack nutrition labelling scheme account for approximately two thirds of the market for pre-packed foods and drinks, and around a quarter of the food consumed outside the home currently has calories labelled at the point of choice, for example on menus and menu boards. But the challenge to industry to make further progress remains.</p><p> </p><p>The United Kingdom’s decision to leave the European Union will give us greater flexibility to determine what information should be presented on packaged food, and how it should be displayed. We want to build on the success of our current labelling scheme, and review additional opportunities to go further and ensure we are using the most effective ways to communicate information. This might include clearer visual labelling, such as teaspoons of sugar, that help consumers understand more about the sugar content in packaged food and drink.</p><p> </p><p>There has been no central assessment of the merits of introducing mandatory recommended dietary allowance guidelines on fast food packaging or in fast food outlets.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 132569 132585 132586 132587 132888 132890 132943 question first answered 22/03/2018 17:35:07 answering member 4067 label Biography information for Steve Brine
tabling member	1453 label Biography information for Andrew Selous

802385

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Children: Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for what reason school nurses are not permitted to pass on the names of children who they assess to be obese to their GPs; and if she will make a statement.
tabling member constituency	South West Bedfordshire
tabling member printed	Andrew Selous
uin	118072
answer	answer is ministerial correction date of answer 11/12/2017 answer text <p>School nurses do not hold a data base of children who are overweight or obese. If a school nurse, as the lead for the Healthy Child Programme (5-19), identifies a child who is overweight or obese they would work with the child and family, together with other professionals, to provide evidenced-based interventions regarding healthy weight and healthy eating. Parents would be encouraged to discuss the issue with their local general practitioner. School nurses would only share information as agreed within the local data sharing protocol.</p><p><br></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/12/2017 18:53:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1453 label Biography information for Andrew Selous