NHS England is developing a diabetes transformation dashboard which will be used to monitor outcomes of the allocations made through the transformation funding. The diabetes transformation dashboard will pull together data from a number of sources to enable short-term indicators of effectiveness, as well as long-term outcomes to be monitored.<\/p>
<\/p>
NHS England developed a Best Possible Value framework to inform the allocation of funding to clinical commissioning groups and Sustainability and Transformation Partnerships. This approach aimed to place consideration of value to populations, to patients and to taxpayers at the heart of decision-making. It aimed to identify where the potential for improvement was greatest. The approach to allocation of funding also included consideration of existing inequalities in service provision.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-10-16", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "107307"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-10-16T16:44:15.257Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-10-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Diabetes"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps his Department is taking to assess the effect on improving the treatment of diabetes of the transformation funding for diabetes services; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/163", "label" : {"_value" : "Biography information for Sir Stephen Timms"} } , "tablingMemberConstituency" : {"_value" : "East Ham"} , "tablingMemberPrinted" : [{"_value" : "Stephen Timms"} ], "uin" : "107308"} , {"_about" : "http://data.parliament.uk/resources/768957", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/768957/answer", "answerText" : {"_value" : "
NHS England is developing a diabetes transformation dashboard which will be used to monitor outcomes of the allocations made through the transformation funding. The diabetes transformation dashboard will pull together data from a number of sources to enable short-term indicators of effectiveness, as well as long-term outcomes to be monitored.<\/p>
<\/p>
NHS England developed a Best Possible Value framework to inform the allocation of funding to clinical commissioning groups and Sustainability and Transformation Partnerships. This approach aimed to place consideration of value to populations, to patients and to taxpayers at the heart of decision-making. It aimed to identify where the potential for improvement was greatest. The approach to allocation of funding also included consideration of existing inequalities in service provision.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-10-16", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "107308"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-10-16T16:44:15.193Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-10-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Diabetes"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what plans his Department has to focus diabetes transformation funding on areas where the need for service improvement is greatest; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/163", "label" : {"_value" : "Biography information for Sir Stephen Timms"} } , "tablingMemberConstituency" : {"_value" : "East Ham"} , "tablingMemberPrinted" : [{"_value" : "Stephen Timms"} ], "uin" : "107307"} , {"_about" : "http://data.parliament.uk/resources/768970", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/768970/answer", "answerText" : {"_value" : "
The Department is committed to improving diabetes treatment and outcomes for people with both Type 1 and Type 2 diabetes. That is why this year, NHS England has invested £42 million to local areas to:<\/p>
<\/p>
- Improve the achievement of the National Institute for Health and Care Excellence recommended treatment targets (HbA1c, cholesterol and blood pressure) and driving down variation between clinical commissioning groups;<\/p>
- Improve uptake of structured education;<\/p>
- Reduce amputations by improving the timeliness of referrals from primary care to a multi-disciplinary foot team for people with diabetic foot disease; and<\/p>
- Reduce lengths of stay for diabetic inpatients.<\/p>
The Spending Review has made provision for significant transformation funding through to 2020/21. We expect this to be spent in line with priorities set out in NHS England\u2019s Mandate, including for diabetes.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-10-16", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-10-16T16:10:01.737Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-10-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Diabetes"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what plans he has for the diabetes transformation fund beyond 2017-18.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4610", "label" : {"_value" : "Biography information for Bambos Charalambous"} } , "tablingMemberConstituency" : {"_value" : "Enfield, Southgate"} , "tablingMemberPrinted" : [{"_value" : "Bambos Charalambous"} ], "uin" : "107200"} , {"_about" : "http://data.parliament.uk/resources/711794", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/711794/answer", "answerText" : {"_value" : "
The number of finished admission episodes1 <\/sup>with a primary diagnosis2<\/sup> of diabetes between 2009-10 and 2015-16 is shown in the following table.<\/p> <\/p> 2009-10<\/p><\/td> 2010-11<\/p><\/td> 2011-12<\/p><\/td> 2012-13<\/p><\/td> 2013-14<\/p><\/td> 2014-15<\/p><\/td> 2015-16<\/p><\/td><\/tr> 73,655<\/p><\/td> 79,845<\/p><\/td> 75,606<\/p><\/td> 65,375<\/p><\/td> 64,641<\/p><\/td> 65,002<\/p><\/td> 68,920<\/p><\/td><\/tr><\/tbody><\/table> Source: Hospital Episode Statistics (HES)<\/p> There have been no discussions with the Royal College of Nursing or other health representative groups on the implications of gum disease for diagnoses of diabetes.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4019", "label" : {"_value" : "Biography information for Baroness Blackwood of North Oxford"}
}
, "answeringMemberConstituency" : {"_value" : "Oxford West and Abingdon"}
, "answeringMemberPrinted" : {"_value" : "Nicola Blackwood"}
, "dateOfAnswer" : {"_value" : "2017-03-21", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-03-21T10:13:15.17Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-03-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Diabetes"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, what discussions he has had with (a) the Royal College of Nursing and (b) other health representative groups on the implications of gum disease for diagnoses of diabetes.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"}
}
, "tablingMemberConstituency" : {"_value" : "Strangford"}
, "tablingMemberPrinted" : [{"_value" : "Jim Shannon"}
], "uin" : "67644"}
, {"_about" : "http://data.parliament.uk/resources/709352", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/709352/answer", "answerText" : {"_value" : " 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> NICE has published a clinical guideline on the identification, assessment and management of obesity that contains recommendations for assessment for bariatric surgery to be considered for people with recent-onset type 2 diabetes within specified criteria:<\/p> <\/p><\/td> Mean Length of stay (days)<\/p><\/td> Median length of stay (days)<\/p><\/td><\/tr> Primary diagnosis of diabetes<\/p><\/td> 3<\/p><\/td> 1<\/p><\/td><\/tr> Primary and secondary diagnosis of diabetes<\/p><\/td> 4<\/p><\/td> 1<\/p><\/td><\/tr><\/tbody><\/table> <\/p> A count of finished admission episodes where patients have been admitted from accident and emergency with a primary diagnosis for diabetes and arrived to accident and emergency by ambulance in England and within East Leicestershire and Rutland, Leicester City and West Leicestershire clinical commissioning groups (CCGs) areas of residence for 2015/16 are provided in the following table.<\/p> <\/p> <\/p><\/td> Primary diagnosis admissions for diabetes<\/p><\/td> Admissions for diabetes who arrived by ambulance<\/p><\/td><\/tr> England<\/p><\/td> 27,201<\/p><\/td> 16,937<\/p><\/td><\/tr> East Leicestershire and Rutland CCG<\/p><\/td> 90<\/p><\/td> 62<\/p><\/td><\/tr> Leicester City CCG<\/p><\/td> 174<\/p><\/td> 130<\/p><\/td><\/tr> West Leicestershire CCG<\/p><\/td> 110<\/p><\/td> 70<\/p><\/td><\/tr><\/tbody><\/table> <\/p> Data on how many diabetic patients experienced complications with that condition, separate from the reason for their admittance, while they were in hospital as inpatients is not available in the format requested.<\/p> <\/p> Data on the number of ambulance call-outs for patients experiencing diabetic complications in 2016 is not available in the format requested.<\/p> <\/p> Approximately 240 bids have been received for National Health Service transformation funding for diabetes prevention and treatment.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4019", "label" : {"_value" : "Biography information for Baroness Blackwood of North Oxford"}
}
, "answeringMemberConstituency" : {"_value" : "Oxford West and Abingdon"}
, "answeringMemberPrinted" : {"_value" : "Nicola Blackwood"}
, "dateOfAnswer" : {"_value" : "2017-01-20", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "59794"}
, {"_value" : "59795"}
, {"_value" : "59857"}
, {"_value" : "59858"}
, {"_value" : "59859"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-01-20T13:48:29.533Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-01-12", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Diabetes"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, what the average length of hospital admittance of diabetic inpatients was in 2016.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/338", "label" : {"_value" : "Biography information for Keith Vaz"}
}
, "tablingMemberConstituency" : {"_value" : "Leicester East"}
, "tablingMemberPrinted" : [{"_value" : "Keith Vaz"}
], "uin" : "59793"}
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