Ministers at the Department regularly meet with medical training bodies including the General Medical Council, to discuss many issues. However, there have been no recent discussions with medical training bodies to discuss the guidance on myalgic encephalomyelitis (ME).<\/p>
<\/p>
In terms of training, the General Medical Council sets out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate and Royal Medical Colleges, such as the Royal College of General Practitioners (RCGP) set the standards for postgraduate medical education in general practice. General practice is where most patients with chronic fatigue syndrome (CFS)/ME are likely to be managed, and the condition is identified as a key area of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide.<\/p>
<\/p>
The AKT is a summative assessment of the knowledge base that underpins general practice in the UK within the context of the NHS and is a key part of general practitioners\u2019 qualifying exams.<\/p>
<\/p>
On 20 September 2017, the National Institute for Health and Care Excellence announced its decision to undertake a full update of the guideline, \u2018Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children\u2019, following a review of the latest available evidence on the diagnosis and management of CFS/ME and a public consultation. New guidance is expected in October 2020. More information on this decision can be found at the following link:<\/p>
www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me<\/a><\/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" : "2019-03-21", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-03-21T16:16:03.537Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Chronic Fatigue Syndrome"}
, "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 and Social Care, what recent discussions he has had with representatives of medical training bodies on ensuring that training programs for doctors, nurses and other health professionals include the most up to date guidance on diagnosis and appropriate treatment of myalgic encephalomyelitis.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "231932"}
, {"_about" : "http://data.parliament.uk/resources/1088450", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1088450/answer", "answerText" : {"_value" : " The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and responsible for developing its guidelines in accordance with its published methods and processes. NICE expects to publish its final updated guideline in October 2020 with a consultation on draft guidance starting in April 2020.<\/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" : "2019-03-21", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-03-21T16:20:42.857Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Chronic Fatigue Syndrome: Medical Treatments"}
, "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 and Social Care, what discussions his Department has had with NICE on bringing forward the release of the revised NICE guidelines on ME, due to be published in October 2020.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "231933"}
, {"_about" : "http://data.parliament.uk/resources/1088452", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1088452/answer", "answerText" : {"_value" : " The Department has had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for developing its guidance in accordance with its published methods and processes. NICE takes into account the best available evidence in determining whether to recommend a treatment.<\/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" : "2019-03-21", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-03-21T16:19:47.077Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Chronic Fatigue Syndrome: Medical Treatments"}
, "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 and Social Care, what discussions his Department has had with NICE on issuing an interim warning on the potential dangers of graded exercise therapy (GET) as a treatment for ME, prior to issuing its revised guideline in October 2020.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "231934"}
, {"_about" : "http://data.parliament.uk/resources/784931", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/784931/answer", "answerText" : {"_value" : " Encouraging take-up of the flu vaccination in people with chronic respiratory disease is primarily a matter for Public Health England (PHE). PHE, in partnership with NHS England, is currently running the national multi-channel campaign \u2018Stay Well This Winter\u2019, which encourages people who are most at-risk of preventable emergency admission to hospital to take actions to help them stay well, such as getting a flu vaccination and visiting a pharmacy at the first sign of a winter illness.<\/p> <\/p> Television adverts encourage people with long-term health conditions including breathlessness and lung disease to get the flu vaccine. The radio and social media advertising specifically target people with chronic lung diseases, including chronic obstructive pulmonary disease, emphysema, bronchitis and asthma. PHE also works with the British Lung Foundation and Asthma UK to help promote flu vaccine take-up to their supporters.<\/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" : "2017-11-17", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-11-17T11:53:23.633Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-11-06", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Influenza: Vaccination"}
, "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 encourage the take-up of flu vaccination in people with chronic respiratory disease.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "111655"}
, {"_about" : "http://data.parliament.uk/resources/784932", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/784932/answer", "answerText" : {"_value" : " Public Health England (PHE) is responsible for monitoring public health vaccination programmes, including the influenza vaccine programme. It particularly monitors vaccine uptake, effectiveness and safety.<\/p> <\/p> Hospital admissions in persons with chronic respiratory disease are due to a wide range of causes, one of which can be flu. No study has been undertaken on the potential relationship between uptake of the flu vaccine in people with chronic respiratory disease and hospital admissions for people with chronic respiratory disease. However, PHE flu vaccine uptake monitoring has shown that the group 16-65 years of age with chronic respiratory disease had an uptake of 49.1% in 2016/17. There was an estimated flu vaccine effectiveness of 40.6% in this age-group against laboratory confirmed influenza, which would include individuals with chronic respiratory disease.<\/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" : "2017-11-17", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-11-17T11:51:51.517Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-11-06", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Influenza: Vaccination"}
, "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, whether his Department has made an assessment of the potential relationship between the uptake of the flu vaccination in people with chronic respiratory disease and hospital admission rates for people with that disease.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "111657"}
, {"_about" : "http://data.parliament.uk/resources/780469", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/780469/answer", "answerText" : {"_value" : " In May 2016 the Food Standards Agency carried out a CCTV survey in all 278 operating slaughterhouses in England and Wales.<\/p> <\/p> The results from this survey showed:<\/p> <\/p> - 102 out of 207 red meat slaughterhouses (49.3%) and 50 out of 71 white meat slaughterhouses (70.4%) had some form of CCTV in use for animal welfare purposes.<\/p> <\/p> In respect of which slaughterhouses do not have comprehensive CCTV installed on its premises, this information is commercially sensitive and cannot be released.<\/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" : "2017-11-07", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-11-07T11:53:02.843Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Slaughterhouses: CCTV"}
, "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 information his Department holds on (a) the number and (b) which slaughterhouses do not have comprehensive CCTV installed on their premises.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1441", "label" : {"_value" : "Biography information for Lord Bellingham"}
}
, "tablingMemberConstituency" : {"_value" : "North West Norfolk"}
, "tablingMemberPrinted" : [{"_value" : "Sir Henry Bellingham"}
], "uin" : "110364"}
, {"_about" : "http://data.parliament.uk/resources/607546", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/607546/answer", "answerText" : {"_value" : " We have not had any discussions with Eastbourne Borough Council about Beachy Head as a place used by people to take their own life. Local authorities are responsible for local suicide prevention by working with local agencies to implement local suicide prevention plans.<\/p> <\/p> Public Health England (PHE) published guidance in 2015, \u2018Preventing suicides in public places: A practice resource\u2019, to support local areas taking action in places known to be used for suicide:<\/p> <\/p> https://www.gov.uk/government/latest?departments%5B%5D=public-health-england<\/a><\/p> <\/p> PHE also published refreshed guidance on 25 October, \u2018Local suicide prevention planning: a practice resource\u2019, to support local areas to implement multi-agency suicide prevention plans which will bring together all local agencies to work collaboratively to prevent suicide:<\/p> <\/p>