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174744

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
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 support patients with cirrhosis liver conditions.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	221356
answer	answer is ministerial correction date of answer 27/01/2015 answer text <p>NHS England, Public Health England (PHE) and the Department are working jointly with stakeholders to make sure that patients with liver disease, including cirrhosis, are supported. This work includes taking forward the recommendations of the recent Lancet Commission report on liver disease in the United Kingdom. In addition, PHE is working with stakeholders to develop a liver disease framework.</p><p> </p><p> </p><p> </p><p>We are also taking action to prevent people developing liver disease in the first place by tackling two of the main causes of liver disease – obesity and alcohol misuse. This includes:</p><p> </p><p> </p><p> </p><p>- our Call to Action on Obesity, which sets out two national ambitions for a downward trend in level of excess weight in children and adults by 2020;</p><p> </p><p>- our Alcohol Strategy, which aims to cut the number of people drinking above the lower-risk guidelines; and</p><p> </p><p>- PHE’s five outcome focussed priorities which includes helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with, amongst others, alcohol.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, the National Institute for Health and Care Excellence is developing clinical guidance on the assessment and management of cirrhosis. The guidance is due to be published in May 2016.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/01/2015 12:32:11 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

171813

registered interest
date	02/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
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 support the early identification of liver disease.
tabling member constituency	Cheadle
tabling member printed	Mark Hunter
uin	219598
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives.</p><p> </p><p> </p><p> </p><p>In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. PHE has also issued liver profiles to each local authority area, which include information about hepatitis C, as well as modelling tools to assist local commissioners in establishing need at local level. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p> </p><p> </p><p>NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England is adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/01/2015 13:38:47 answering member 3918 label Biography information for Jane Ellison
tabling member	1598 label Biography information for Mark Hunter

114840

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to Question 211147, what the timeline is for publication of the Liver Disease Framework under development by Public Health England; and whether there will be a full public consultation during that process.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	213661
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Public Health England plans to publish its framework for tackling liver disease in the summer of 2015.</p><p> </p><p> </p><p> </p><p>The framework will lay out clearly the scope of Public Health England activities. This will range from the investigation of hepatitis viruses to support local authorities in their work to tackle the effects of alcohol consumption and obesity on liver disease. It will also cover the life course from antenatal screening, vaccination of babies born, to mothers with chronic Hepatitis B, to improving the care of patients dying from liver disease.</p><p> </p><p> </p><p> </p><p>Public Health England is not intending to hold a formal consultation on the framework but is conducting extensive engagement with a wide range of stakeholders in its development. These include NHS England, the liver disease related charities, hepatologists (liver disease specialists) from across the country and local authority representatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:08:11 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

100031

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>.
tabling member printed	Lord Avebury
uin	HL2237
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. <br> <br> In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p><br> NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:52:44 answering member 2000 label Biography information for Earl Howe
tabling member	1665 label Biography information for Lord Avebury

99879

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions officials in his Department have had with (a) Public Health England and (b) NHS England on the development of a liver strategy or liver framework; and if he will make a statement.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211147
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>Public Health England (PHE) has a wide ranging programme designed to tackle the rising mortality and morbidity from liver disease. At each stage officials at the Department are in discussion with PHE.</p><p> </p><p> </p><p> </p><p>In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p> </p><p> </p><p>A meeting will be held on 25 November between PHE officials, NHS England officials, Departmental officials and representatives of Charities to outline the emerging framework and to seek comment and advice. The Lead for Liver Disease at PHE is working closely with the National Clinical Director for Gastroenterology. The Department is kept informed of PHE’s work programme on liver disease through discussion and communication.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/10/2014 15:27:46 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

66081

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people were admitted to hospital with a (a) primary and (b) secondary diagnosis of liver disease in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204314
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The attached table shows a count of finished admission episodes (FAEs) for individuals who were admitted to hospital with a primary and secondary diagnosis of liver disease from 2009-10 to 2012-13.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 15:38:06 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ204314_Berger_hosp_admissions_for_liver_disease(1).xlsx title Liver Disease Hospital Admissions since 2010
tabling member	4036 label Biography information for Luciana Berger

64348

registered interest
date	26/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the costs to the NHS of untreated liver disease in one person.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	202827
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>The Department has made no recent assessment of the costs to the National Health Service of untreated liver disease.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/07/2014 14:37:49 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

64354

registered interest
date	26/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many children aged (a) under 10 and (b) 10 years and over were admitted to hospital with a (i) primary and (ii) secondary diagnosis of liver disease in each year since 1997.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	202830
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>The attached tables give the number of finished admission episodes for children aged (a) under 10 years and (b) 10 - 17years,who were admitted to hospital with a (i) primary and (ii) secondary diagnosis of liver disease from 1997-98 to 2012-13.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/07/2014 13:56:05 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ202830 - Table.docx title Table
tabling member	4036 label Biography information for Luciana Berger

64052

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he or other Ministers of his Department have visited a liver unit since taking office.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	202467
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>Since May 2010 the following visits were undertaken by Ministers in the Department to liver units.</p><p> </p><p>23 November 2010 Anne Milton King's College Hospital</p><p>Tour of our Haematology and Liver Transplantation</p><p>departments</p><p><strong> </strong></p><p>13 January 2011 Mr Andrew Lansley King's College Hospital NHS</p><p>Foundation Trust</p><p>Tour of Liver Intensive Therapy Unit (LITU) on Cheyne Wing</p><p> </p><p>Since May 2010, the following visits were undertaken by Ministers in the Department to alcohol dependency units that also specialise in liver treatment.</p><p> </p><p>16 December 2010 Anne Milton Hope House in Clapham</p><p>(Drugs/alcohol dependency)</p><p> </p><p>21 July 2011 Earl Howe Royal Bolton Hospital</p><p>(Alcohol dependency)</p><p> </p><p>1 March 2012 Mr Andrew Lansley The Carpenters Arms</p><p>(Rehabilitation charity for alcohol and drugs)</p><p> </p><p>25 October 2012 Anna Soubry Bristol Tranquiliser Project</p><p>(Drugs/alcohol dependency)</p><p> </p><p>29 March 2012 Earl Howe Mossley Hill Hospital</p><p>(Alcohol dependency treatment centre)</p><p> </p><p>24 January 2013 Anna Soubry Mount Carmel (charity)</p><p>(Alcohol Treatment Centre)</p><p> </p><p> </p><p>6 June 2013 Dr Daniel Poulter Brighton Housing Trust</p><p>(Meeting Community Alcohol NHS Team)</p><p> </p><p>13 February 2014 Dr Daniel Poulter The Habour centre, Alcohol and drug service, Plymouth</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/07/2014 16:42:34 answering member 3932 label Biography information for Dr Dan Poulter previous answer version 7091 answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

64087

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to publish the strategy for combating liver disease referred to in the Prime Minister's message of support for World Hepatitis Day, published on the 10 Downing Street website on 28 July 2011.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	202468
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>Responsibility for determining the overall national approach to improving clinical outcomes from healthcare services, including services for people with liver disease, lies with NHS England.</p><p> </p><p>NHS England advises that it is adopting a broad strategy for delivering improvements in relation to premature mortality. It is working with commissioners and Public Health England to support clinical commissioning groups to understand where local challenges lie and to identify the evidence in relation to the priorities for reducing mortality at a national level. NHS England is generally not working within a condition specific framework and has no plans to produce a liver specific strategy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 15:13:50 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger