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Written Question
Tobacco: Standards
Wednesday 26th April 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what representations he has received on introducing a standard for chewed tobacco products; and if he will make a statement.

Answered by Baroness Blackwood of North Oxford

The Department has not received any representations on the introduction of a standard for chewed tobacco products. The Tobacco and Related Products Regulations 2016 introduced strict marketing rules for all tobacco products, including chewed tobacco products.


Written Question
Aortic Dissection
Tuesday 25th April 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many cases of aortic dissection there were in England in each of the last 10 years.

Answered by David Mowat

Data is not held on the number of cases of aortic dissection. Data is however held on the number of National Health Service hospital attendances for patients with aortic dissection. This data only includes patients that have been admitted into hospital and the same person may have been admitted into a NHS hospital on more than one occasion.

The table contains a count of finished admission episodes with a primary diagnosis of aortic dissection for England within the financial years between 2006-07 and 2015-16.

A count of finished admission episodes (FAEs)1 with a primary diagnosis2 of Aortic dissection3, for England within the financial years between 2006-07 and 2015-164.

Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

Financial year

FAEs

2006-07

906

2007-08

929

2008-09

1,020

2009-10

979

2010-11

1,041

2011-12

1,032

2012-13

1,130

2013-14

1,271

2014-15

1,328

2015-16

1,430

Source: Hospital Episode Statistics (HES), NHS Digital

Notes:

1. Finished admission episodes

A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.

2. Primary diagnosis

The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.

3. Aortic Dissection

ICD-10 Clinical Coding Diagnosis:

I71.0 - Aortic Dissection

4. Assessing growth through time (Admitted patient care)

HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

It should be noted that HES include activity ending in the year in question and run from April to March, for example 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.


Written Question
Coeliac Disease: Prescriptions
Monday 24th April 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment (a) his Department and (b) NHS England has made of the potential financial effect on people of ending access to gluten-free prescriptions.

Answered by Baroness Blackwood of North Oxford

The Department has undertaken a first stage impact assessment that evaluates the cost and health impacts of all three options that are contained in the published Gluten Free consultation. The impact assessment will be developed further once the consultation outcomes have been analysed. More information can be found by following this link:

https://www.gov.uk/government/consultations/availability-of-gluten-free-foods-on-nhs-prescription


Written Question
Aortic Dissection
Monday 24th April 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps his Department is taking to improve early diagnosis and treatment of aortic dissection.

Answered by David Mowat

NHS England has established 23 urgent and emergency care networks across the four regions of England to ensure that services work together to deliver appropriate care for patients in need of emergency and urgent care, including aortic dissection.

Some parts of the country have arranged rotas across hospitals so that specialist surgeons can be involved in the care of patients with aortic dissection. The cardiac clinical reference group of NHS England is considering how this practice can be encouraged elsewhere.


Written Question
Tobacco
Wednesday 19th April 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, pursuant to the Answer of 19 December 2016 to Question HL3875, on tobacco, if his Department will collect data on the use of snus and other chewed tobacco products.

Answered by Baroness Blackwood of North Oxford

The 2016 Health Survey for England collects data on the use of non-smoked tobacco, which includes snus and chewing tobacco. The 2017 Survey will collect the same data.

The results of the 2016 survey are scheduled to be published by NHS Digital by the end of the year.


Written Question
Ticks
Thursday 30th March 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how information on the safe removal of ticks is publicised.

Answered by Baroness Blackwood of North Oxford

Public Health England (PHE) provides details of a range of tick awareness information on the www.gov.uk website including a leaflet detailing: what ticks are and where they can be found; how people come into contact with ticks; the main health threats; how to perform a tick check; and what to do if bitten. PHE is also working with a range of local authorities to improve tick awareness and what to do when bitten.

There is also information on tick removal on the NHS Choices website:

http://www.nhs.uk/Conditions/Bites-insect/Pages/Treatment.aspx

In addition, the Lyme Disease Action website includes information on tick removal:

http://www.lymediseaseaction.org.uk/about-ticks/tick-removal/


Written Question
MMR Vaccine
Thursday 30th March 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many children have received the MMR vaccination in each year since 2012 in (a) Pendle constituency, (b) Lancashire and (c) England.

Answered by Baroness Blackwood of North Oxford

Annual uptake data is collected at national and local authority level; therefore data is available for Lancashire and England, but not Pendle constituency. The data can be found in the Cover of vaccination evaluated rapidly (COVER) programme reports, available at:

https://www.gov.uk/government/collections/vaccine-uptake


Written Question
Encephalitis
Thursday 30th March 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many people have been diagnosed with encephalitis in each year since 2010.

Answered by Baroness Blackwood of North Oxford

Acute encephalitis is a notifiable disease but given most cases are mild, in practice the majority of cases are not reported. The numbers reported for England and Wales in 2010-15 are available to view here:

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/572816/NOIDS_Annual_Totals.xlsx


Written Question
Encephalitis
Thursday 30th March 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what recent assessment he has made of the level of NHS card and support available to people who have been diagnosed with encephalitis.

Answered by Baroness Blackwood of North Oxford

The Department has not made a recent assessment of the diagnosis of encephalitis or the level of National Health Service support available to people who have been diagnosed with encephalitis.

The new Emergency Care Data Set will be introduced from October 2017, and will improve the recording of the diagnosis of encephalitis in English accident and emergency departments, and allow a greater understanding of the current scope and scale of the problem.


Written Question
Encephalitis
Thursday 30th March 2017

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what recent steps the Government has taken to improve diagnosis of encephalitis.

Answered by Baroness Blackwood of North Oxford

The Department has not made a recent assessment of the diagnosis of encephalitis or the level of National Health Service support available to people who have been diagnosed with encephalitis.

The new Emergency Care Data Set will be introduced from October 2017, and will improve the recording of the diagnosis of encephalitis in English accident and emergency departments, and allow a greater understanding of the current scope and scale of the problem.