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173563

registered interest
date	14/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the rate and extent of the spread of Lyme disease in (1) the United Kingdom, (2) other parts of the European Union, and (3) other parts of the world.
tabling member printed	Lord Greaves
uin	HL4123
answer	answer is ministerial correction date of answer 26/01/2015 answer text <p>Public Health England monitors laboratory-confirmed Lyme disease (also known as Lyme borreliosis) in England and Wales, devolved administrations of Scotland and Northern Ireland have separate local arrangements in place.</p><p> </p><p> </p><p> </p><p>The rate of laboratory-confirmed Lyme borreliosis and its regional distribution in England and Wales has not changed significantly in recent years, data for 2013 will be published shortly.</p><p> </p><p> </p><p> </p><p>Assessment of Lyme borreliosis in other European Union (EU) countries is co-ordinated by the European Centre for Disease Prevention and Control (ECDC). Reporting systems and criteria are not standardised throughout EU countries and this data is not routinely collected by ECDC. Therefore as an assessment of Lyme borreliosis using routinely collected data across the EU is not available.</p><p> </p><p> </p><p> </p><p>Reporting of Lyme borreliosis worldwide is co-ordinated by the World Health Organization (WHO) based on the heterogeneous reporting systems and criteria adopted by individual countries.</p><p> </p> answering member printed Earl Howe question first answered 26/01/2015 13:01:20 answering member 2000 label Biography information for Earl Howe
tabling member	2569 label Biography information for Lord Greaves

173564

registered interest
date	14/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the recorded number of occurrences of Lyme disease in the United Kingdom in each of the past 10 years; whether they have estimated the extent of under-reporting; and what assessment they have made of the number of cases of Lyme disease in (1) the United States, and (2) other member countries of the European Union, in the latest year for which they have information.
tabling member printed	Lord Greaves
uin	HL4124
answer	answer is ministerial correction date of answer 26/01/2015 answer text <p>The recorded number of occurrences of Lyme disease in the United Kingdom from 2004-2012 is shown in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year of report</p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p> </p><p>Lyme disease cases in UK</p><p> </p></td><td><p>586</p></td><td><p>693</p></td><td><p>940</p></td><td><p>1,027</p></td><td><p>1,098</p></td><td><p>1,093</p></td><td><p>1,213</p></td><td><p>1,189</p></td><td><p>1,163</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Data from 2013 is not currently available.</p><p> </p><p> </p><p> </p><p>It is estimated that between 1,000 and 2,000 additional cases of Lyme disease may occur each year in England and Wales.</p><p> </p><p> </p><p> </p><p>The recorded number of occurrences of Lyme disease in the United States in each of the past 10 years is shown in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td></tr><tr><td><p>TOTAL USA</p></td><td><p>19,804</p></td><td><p>23,305</p></td><td><p>19,931</p></td><td><p>27,444</p></td><td><p>28,921</p></td><td><p>29,959</p></td><td><p>22,561</p></td><td><p>24,364</p></td><td><p>22,014</p></td><td><p>27,203</p></td></tr></tbody></table><p> </p><p><em>Source:</em> CDC <a href="http://www.cdc.gov/lyme/stats/index.html" target="_blank">http://www.cdc.gov/lyme/stats/index.html</a></p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>The recorded number of occurrences of Lyme disease are not systematically reported. A paper in 2009 provided an estimate of 65,000 cases (Hubalek 2009 <a href="http://www.ncbi.nlm.nih.gov/pubmed/19367096" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/19367096</a>)</p><p> </p><p> </p><p> </p><p>Data on the number of occurrences of Lyme disease in other European Union member states is not held.</p><p> </p> answering member printed Earl Howe question first answered 26/01/2015 15:02:12 answering member 2000 label Biography information for Earl Howe
tabling member	2569 label Biography information for Lord Greaves

173565

registered interest
date	14/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what information, advice and training is provided to doctors and nurses on the symptoms and treatment of Lyme disease; what advice is provided to general practitioners on the reference to specialists of patients exhibiting symptoms of Lyme disease; and which centres provide specialist treatment for that disease.
tabling member printed	Lord Greaves
uin	HL4125
answer	answer is ministerial correction date of answer 28/01/2015 answer text <p>Public Health England (PHE) and the National Health Service have detailed information on the recognition, diagnosis, treatment and management of Lyme disease. PHE has also written a guide on how to refer patients for specialist advice, which is attached. The National Institute for Health and Care Excellence also has an online guide for general practitioners (GP) and other health professionals.</p><p> </p><p> </p><p> </p><p>PHE issues a letter to all GPs on an annual basis at the beginning of the tick season describing Lyme disease and highlighting the need to be aware and to recognise the condition. The majority of cases are managed by GPs without reference to specialists, but problem cases can be referred to neurology, rheumatology, cardiology and infectious disease clinics depending on the local provision and of services and patient’s symptoms. In addition to the attached guidance, <em>Suggested referral pathway for patients with symptoms related to Lyme disease</em>, PHE offers a telephone helpline for GPs and consultants to discuss particular cases. PHE works closely with the patient group Lyme Disease Action, who will also represent individuals who have trouble obtaining specialist advice, and can thus help in suggesting potential routes of referral.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member printed Baroness Jolly question first answered 28/01/2015 14:04:57 answering member 4203 label Biography information for Baroness Jolly attachment 1 file name Lyme disease referral pathway Jan 2015.pdf title Lyme Disease Referral Pathway
tabling member	2569 label Biography information for Lord Greaves

173409

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of deaths caused by infection with HIV or hepatitis C through exposure to contaminated blood and blood products.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	220665
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The <em>Review of the Support Available to Individuals Infected with Hepatitis C and/or HIV by NHS-supplied Blood Transfusions or Blood Products and their Dependants</em>, which this Government published in January 2011, included estimates that around 1,300 individuals had been infected with HIV through treatment with National Health Service-supplied blood or blood products, of whom approximately 400 remained alive at the end of 2010. Similarly, it is estimated that around 33,000 individuals may have been infected with hepatitis C, of whom it is estimated that approximately 9,000 remained alive in 2003. The Department does not hold information on the cause of death; however, it is likely that many of those infected with hepatitis C will have died of unrelated causes.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/01/2015 14:37:34 answering member 3918 label Biography information for Jane Ellison
tabling member	1591 label Biography information for Tim Farron

173410

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Trust Development Authority
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual (a) salary and (b) pension contribution is of the Chief Executive of the NHS Trust Development Agency; what performance-related measures the salary package for that post includes; and what steps his Department takes to monitor the performance of that Chief Executive.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	220636
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The details of both the salary and pension contributions of the NHS Trust Development Authority’s (NHS TDA’s) Chief Executive are published in the authority’s annual report and accounts, a copy of which is attached.</p><p> </p><p>The performance related measures in the Chief Executive’s salary are set out in the <em>DH Pay Framework for Very Senior Managers in Arms-Length Bodies (Special Health Authorities and Executive Non-Departmental Public Bodies)</em>, a copy of which is also attached.</p><p> </p><p>The NHS TDA’s Chief Executive is accountable to the organisations Chair and Board for the delivery of the organisation’s strategic objectives. The Chief Executive and the Chair account to Ministers for NHS TDA’s performance at quarterly Ministerial accountability meetings.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS TDA Annual Reports and Accounts 2013-14.pdf title NHS TDA Annual Reports and Accounts 2013-14 2 file name Pay Framework 25 April.pdf title Pay Framework for Very Senior Managers in ALBs question first answered 16/01/2015 14:32:18 answering member 3918 label Biography information for Jane Ellison
tabling member	1533 label Biography information for Dame Diana Johnson

173411

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has received any adverse notifications from the Penrose Inquiry relating to people in Scotland infected with hepatitis C and HIV acquired from exposure to contaminated blood and blood products.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	220642
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The Penrose Inquiry has stated that the identities of the recipients of warning letters are confidential. We are therefore unable to either confirm or deny whether the Department has received a warning letter.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/01/2015 14:39:35 answering member 3918 label Biography information for Jane Ellison
tabling member	1591 label Biography information for Tim Farron

173413

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 12 January 2014 to Question 220083, on breast cancer: drugs, when he expects the roundtable event his Department is planning to take place; and whether NICE's report on its feedback will be published after that event.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	220660
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The roundtable event will take place on 11 February 2015. We understand that the National Institute for Health and Care Excellence has no plans to publish the feedback, which is intended to inform the discussion at the roundtable event.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/01/2015 14:21:52 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4243 label Biography information for Dan Jarvis

173414

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his Department's policy is on the long-term use of locum consultants to run dermatology services in England.
tabling member constituency	Chesham and Amersham
tabling member printed	Mrs Cheryl Gillan
uin	220539
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The Department expects National Health Service organisations to have a strong grip on their workforce planning and management across all their specialties including dermatology, making permanent appointments to consultant posts wherever possible. Via Monitor, the NHS Trust Development Authority and the Care Quality Commission, the Department is working with the NHS to reduce trusts’ reliance on temporary staffing including the long term use of locum consultants.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/01/2015 14:23:02 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	18 label Biography information for Dame Cheryl Gillan

173415

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many antibiotics were prescribed by out-of-hours dentists in each quarter of the last three years.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	220536
answer	answer is ministerial correction date of answer 20/01/2015 answer text <p>The exact information requested is not available. Dental prescribing data is published annually at national level and antibiotic prescribing by dentists can be found in table 4.2 on page 20 in the report “Prescribing by Dentists, England 2013” which is available at the link below. This information is not collected in a form that separates in and out of hours prescribing, nor is there quarterly data.</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB14016/pres-dent-eng-2013-rpt.pdf" target="_blank">http://www.hscic.gov.uk/catalogue/PUB14016/pres-dent-eng-2013-rpt.pdf</a></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 20/01/2015 13:59:46 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4073 label Biography information for Dr Sarah Wollaston

173416

registered interest
date	13/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dermatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many consultant dermatologists with (a) permanent contracts, (b) agency contracts and (c) other contractual or financial arrangements worked in the NHS on 13 January 2015.
tabling member constituency	Chesham and Amersham
tabling member printed	Mrs Cheryl Gillan
uin	220537
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>Information on vacancies is not collected by the Department. The last annual National Health Service vacancy survey in England was undertaken by the Health and Social Care Information Centre in 2010. The survey was suspended in 2011 and then discontinued in 2013 following the publication of the Fundamental Review of Data Returns, which aimed to reduce the burden of the collection of data from NHS organisations.</p><p> </p><p> </p><p> </p><p>Information on the number of consultant dermatologists who hold agency contracts and other contractual or financial arrangements is not held by the Department</p><p> </p><p> </p><p> </p><p>The latest annual workforce census data, published by the Health and Social Care Information Centre (HSCIC), shows there were 486 directly employed consultant dermatologists working in the NHS in England as at 30 September 2013.</p><p> </p><p> </p><p> </p><p>The next census will be published by the HSCIC on the 25 March 2015 and will provide data for September 2014.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 220553 question first answered 16/01/2015 13:59:03 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	18 label Biography information for Dame Cheryl Gillan