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1488728

registered interest
date	13/07/2022
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the impact of late presentation and diagnosis of liver disease on the incidence of hepatocellular carcinoma.
tabling member constituency	Rutherglen and Hamilton West
tabling member printed	Margaret Ferrier
uin	35973
answer	answer is ministerial correction date of answer 21/07/2022 answer text <p>No specific assessment has been made. We would expect general practitioners to use professional judgement in diagnosing liver disease and refer patients as appropriate.</p><p>Between 2015 and 2020, hepatitis C-related mortality from end stage liver disease and hepatocellular carcinoma has reduced by 20%. NHS England’s cancer programme is working with the hepatitis C elimination programme to deliver 11 community liver health check pilots. These pilots aim to support earlier detection and diagnosis of liver cancer by identifying and referring people with cirrhosis or advanced fibrosis into a liver surveillance pathway.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 21/07/2022 14:14:17 answering member 3992 label Biography information for James Morris
tabling member	4386 label Biography information for Margaret Ferrier

1472146

registered interest
date	21/06/2022
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	Liver Diseases
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 steps his Department has taken to help reduce stigma in respect of liver disease.
tabling member constituency	Luton South
tabling member printed	Rachel Hopkins
uin	22607
answer	answer is ministerial correction date of answer 27/06/2022 answer text <p>The National Health Service ‘Better Health’ campaign aims to promote greater awareness of liver disease and its main causes. The former Public Health England published ‘Better care for people with co-occurring mental health and alcohol/drug use conditions: A guide for commissioners and service providers’ which addresses potential issues of stigma and mistrust and other barriers preventing patients from accessing treatment.</p><p>From 1 April 2022, NHS England has introduced a Commissioning for Quality and Innovation measure to incentivise providers to improve earlier detection of liver disease for alcohol dependent in-patients. In addition, £27 million has been invested to establish specialist alcohol care teams in the 25% of hospitals with the highest rates of alcohol dependence-related admissions.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 22608 question first answered 27/06/2022 14:34:11 answering member 4492 label Biography information for Maria Caulfield
tabling member	4873 label Biography information for Rachel Hopkins

1279316

registered interest
date	21/01/2021
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to review the costs to the NHS associated with (a) liver disease, (b) alcohol-related liver disease, and (c) non-alcoholic fatty liver disease.
tabling member constituency	Nottingham North
tabling member printed	Alex Norris
uin	141591
answer	answer is ministerial correction date of answer 02/03/2021 answer text <p>Due to the way budgeting data is collected, it is not possible to disaggregate expenditure to show solely liver disease.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 02/03/2021 15:53:15 answering member 4380 label Biography information for Jo Churchill previous answer version 77416 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	4641 label Biography information for Alex Norris

1278629

registered interest
date	20/01/2021
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	Liver Diseases
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 help reduce the number of hospital admissions for alcohol-related liver disease.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	140728
answer	answer is ministerial correction date of answer 27/01/2021 answer text <p>As part of the NHS Long Term Plan, NHS England and NHS Improvement, with support from Public Health England (PHE), is helping acute hospitals with the highest rates of alcohol harm to establish or improve specialist alcohol care teams. PHE is supporting work to increase opportunities for the earlier detection of alcohol-related liver disease in people drinking at or above high-risk levels.</p><p> </p><p>This includes a new commissioning for quality and innovation (CQUIN) scheme to incentivise increased cirrhosis and fibrosis tests for alcohol dependent patients in acute and mental health services. The 2020-21 CQUIN is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/commissioning-for-quality-and-innovation-cquin-guidance-for-2020-2021/" target="_blank">https://www.england.nhs.uk/publication/commissioning-for-quality-and-innovation-cquin-guidance-for-2020-2021/</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 27/01/2021 14:25:50 answering member 4380 label Biography information for Jo Churchill previous answer version 76969 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	44 label Biography information for Sir David Amess

1278653

registered interest
date	20/01/2021
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of patients diagnosed with (a) liver disease, (b) alcohol-related liver disease and (c) non-alcoholic fatty liver disease in each local authority area in each of the last five years.
tabling member constituency	Nottingham North
tabling member printed	Alex Norris
uin	140924
answer	answer is ministerial correction date of answer 27/01/2021 answer text <p>Public Health England (PHE) does not hold data on liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease, rather than diagnoses.</p><p>In 2020, PHE published a comparison of liver disease to other causes of death, which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health" target="_blank">https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health</a></p><p> </p><p>PHE has not made an estimate of the number of people with undiagnosed liver disease.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 140925 140926 question first answered 27/01/2021 14:28:53 answering member 4380 label Biography information for Jo Churchill previous answer version 76964 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	4641 label Biography information for Alex Norris

1278655

registered interest
date	20/01/2021
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of people with undiagnosed liver disease.
tabling member constituency	Nottingham North
tabling member printed	Alex Norris
uin	140926
answer	answer is ministerial correction date of answer 27/01/2021 answer text <p>Public Health England (PHE) does not hold data on liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease, rather than diagnoses.</p><p>In 2020, PHE published a comparison of liver disease to other causes of death, which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health" target="_blank">https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health</a></p><p> </p><p>PHE has not made an estimate of the number of people with undiagnosed liver disease.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 140924 140925 question first answered 27/01/2021 14:28:53 answering member 4380 label Biography information for Jo Churchill previous answer version 76976 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	4641 label Biography information for Alex Norris

1274799

registered interest
date	08/01/2021
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	Liver Diseases
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 reduce the number of hospital admissions as a result of alcohol-related liver disease.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	134327
answer	answer is ministerial correction date of answer 26/01/2021 answer text <p>As part of the NHS Long Term Plan, NHS England and Improvement, with support from Public Health England (PHE), is helping acute hospitals with the highest rates of alcohol harm to establish or improve specialist alcohol care teams.</p><p> </p><p>PHE is supporting work to increase opportunities for the earlier detection of alcohol-related liver disease in people drinking at or above high-risk levels. This includes a new commissioning for quality and innovation scheme to incentivise increased cirrhosis and fibrosis tests for alcohol dependent patients in acute and mental health services.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 26/01/2021 12:02:38 answering member 4380 label Biography information for Jo Churchill
tabling member	44 label Biography information for Sir David Amess

1202844

registered interest
date	11/06/2020
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to respond to the Lancet Standing Commission report entitled Unacceptable failures: the final report of the Lancet Commission into liver disease in the UK, published in November 2019.
tabling member constituency	North West Durham
tabling member printed	Mr Richard Holden
uin	58822
answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>NHS England’s Hepatobiliary Clinical Reference Group has already taken action in response to the Lancet Commission report into liver disease in the United Kingdom, such as starting work on the development of liver networks in England.</p><p>More broadly, the Department is also taking action regarding key liver disease risk factors such as excessive alcohol consumption and obesity, and the Prevention Green Paper, ‘Advancing our health: prevention in the 2020s’, recognises the need for a range of actions to address causes of preventable ill health.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 18/06/2020 10:21:15 answering member 4527 label Biography information for Helen Whately
tabling member	4813 label Biography information for Mr Richard Holden

1202845

registered interest
date	11/06/2020
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	Liver Diseases
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 and what proportion of vacancies in the NHS are for hepatologists.
tabling member constituency	North West Durham
tabling member printed	Mr Richard Holden
uin	58823
answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>The Department does not hold the data requested.</p><p> </p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 18/06/2020 18:12:23 answering member 4527 label Biography information for Helen Whately
tabling member	4813 label Biography information for Mr Richard Holden

1183699

registered interest
date	09/03/2020
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	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish a national strategy for liver disease.
tabling member constituency	Woking
tabling member printed	Mr Jonathan Lord
uin	26921
answer	answer is ministerial correction date of answer 17/03/2020 answer text <p>From April 2020 a new National Health Service CQUIN (Commissioning for Quality and Innovation framework) will be introduced to support early identification of cirrhosis and enhanced fibrosis in alcohol dependent individuals. The CQUIN will incentivise acute and mental health providers to ensure that appropriate tests (transient elastography, enhanced liver fibrosis or STLT blood tests) are carried out on in-patients who have a diagnosis of alcohol dependence.</p><p>The delivery of the national CQUIN to support early identification of cirrhosis and enhanced fibrosis against a standard set of criteria will support tackling regional variation.</p><p>Specialised commissioning is also supporting a programme to identify people with hepatitis C infection at an early stage to avoid subsequent liver disease.</p><p>In 2019/20, Public Health England (PHE) awarded £6 million capital funding to 23 local authorities to support their ambitions to increase access to alcohol treatment. This includes supporting nine areas to purchase fibroscan machines to increase early detection and access to treatment for those with alcohol-related liver disease.</p><p>PHE is also supporting work to increase opportunities for the earlier detection of alcohol-related liver disease in people drinking at or above high-risk levels. This includes new NHS Health Check guidance to encourage referral for liver investigation.</p><p>Additionally, the rollout of optimal Alcohol Care Teams across England in the areas with the highest rates of alcohol dependence-related admissions will improve the care pathway, including the use of appropriate diagnostics, for patients and their families who have issues with alcohol dependence.</p><p> </p><p> </p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 26920 26922 26923 26924 question first answered 17/03/2020 12:30:20 answering member 4527 label Biography information for Helen Whately
tabling member	4090 label Biography information for Mr Jonathan Lord