Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to encourage innovation in gene and cell therapies and ensure that such therapies reach those patients who will benefit from such therapies.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The United Kingdom is a global leader in providing access to pioneering cell and gene therapies for treating diseases such as cancer, cystic fibrosis, heart disease and diabetes. Indeed, 24% of developers of advanced therapy medicinal products in Europe are headquartered in the UK. Last year the National Health Service was the first health system in Europe to agree full access for a revolutionary new CAR-T treatment, representing one of the fastest funding approvals in the history of our health service.
Together with the Cell and Gene Therapy Catapult we have nine specialist hospitals delivering approved CAR-T therapies as well as three Advanced Therapy Treatment Centres across the UK. These centres have been assigned £30 million by UK Research and Innovation - including project funding and an Apprenticeship Training Scheme.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the potential merits of NICE modifying its Single Technology Appraisal ICER thresholds to recognise the value of treatments for severe and rare conditions that are not put through NICE’s Highly Specialised Technology pathway.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The National Institute for Health and Care Excellence (NICE) is currently reviewing its technology appraisal and highly specialised technology evaluation methods. The methods review will include a review of a wide range of methods, including those relevant to severe and rare conditions.
The Voluntary Scheme for Branded Medicines Pricing and Access 2019 - an agreement between the Government and the Association of the British Pharmaceutical Industry - states that the standard cost effectiveness threshold used by NICE will be retained at the current range (£20,000 - £30,000 per Quality Adjusted Life Year).
In the current Single Technology Appraisal process there are several factors that may currently be considered by NICE committees when deliberating, including some that may affect the value of a treatment. NICE’s methods review will explore if these factors are still relevant for patients and the National Health Service, whether there is a need to modify the approach and whether any additional factors should be taken into account when making a recommendation on a technology.
The review will also consider other methods that are important for rare and severe conditions, including methods for measuring and valuing the health-related quality of life for people with rare diseases, dealing with uncertainty and sourcing different types of evidence. Proposals will be presented for six weeks of public consultation in the summer of 2020.
Furthermore, in parallel with the methods review, NICE is reviewing its highly specialised technologies topic selection criteria – to make them clearer, more specific, and more transparent and predictable.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the implementation of the guidance on Commissioning Excellent Nutrition and Hydration 2015 to 2018.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.
Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.
In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the document entitled Guidance – Commissioning Excellent Nutrition and Hydration 2015 – 2018, published by NHS England in October 2015, how many commissioners have identified a local senior or executive champion to drive local work on nutrition and hydration and to make improvements.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.
Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.
In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of commissioners that (a) reviewed existing service provision and (b) agreed improvement trajectories as set out in the NHS England Commissioning Excellent Nutrition and Hydration 2015 to 2018 guidance.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.
Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.
In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has plans to update the Commissioning Excellent Nutrition and Hydration 2015-2018 NHS England guidance.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
The importance of good quality food for patients, visitor and staff is recognised both in terms of improving health and for their overall experience of services. Patients have the right to receive tasty, nutritious and free food as part of their National Health Service treatment.
Data is not collected centrally on the number of local senior or executive champions to drive local work on nutrition, the number of commissioners that reviewed existing service provision or agreed improvement trajectories as set out in the guidance.
In July 2018 the Healthcare Food Standards and Strategy Group started a review of the national standards for Healthcare Food for patients, staff and visitors. This work is building on the Hospital Food Panel report of 2014 and is focusing on marking out the way in which organisations need to comply with the five core standards and bringing in a wealth of tools, resources and examples of good practice to help them achieve the standards.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of hospital admissions there were for adults with malnutrition as a (a) primary and (b) secondary condition in (i) England (ii) each Clinical Commissioning Group and (iii) each parliamentary constituency in each of the last ten years; and if he will make a statement.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
NHS Digital has provided a count of finished admission episodes (FAEs) in each of the last 10 years with a primary or secondary diagnosis of malnutrition for adult and child patients resident in England. This information is provided in the attached tables.
Information by clinical commissioning group and parliamentary constituency is too small to be meaningful and has not been provided in order to protect patient confidentiality.
Activity for adults in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.
Year | Total Admissions | Primary Diagnosis | Secondary Diagnosis | ||
Admissions | Percentage | Admissions | Percentage | ||
2008-09 | 11,953,809 | 348 | 0.0029% | 2,545 | 0.0213% |
2009-10 | 12,319,781 | 417 | 0.0034% | 3,113 | 0.0253% |
2010-11 | 12,629,229 | 485 | 0.0038% | 3,843 | 0.0304% |
2011-12 | 12,744,605 | 608 | 0.0048% | 4,475 | 0.0351% |
2012-13 | 12,837,889 | 626 | 0.0049% | 4,564 | 0.0356% |
2013-14 | 13,159,078 | 589 | 0.0045% | 5,707 | 0.0434% |
2014-15 | 13,554,017 | 683 | 0.0050% | 6,268 | 0.0462% |
2015-16 | 13,869,134 | 703 | 0.0051% | 6,664 | 0.0480% |
2016-17 | 14,078,269 | 732 | 0.0052% | 7,132 | 0.0507% |
2017-18 | 14,154,577 | 735 | 0.0052% | 7,802 | 0.0551% |
Source: Hospital Episode Statistics (HES), NHS Digital
Activity for children in English NHS Hospitals and English NHS commissioned activity in the independent sector.
Year | Total Admissions | Primary Diagnosis | Secondary Diagnosis | ||
Admissions | Percentage | Admissions | Percentage | ||
2008-09 | 1,850,531 | 26 | 0.0014% | 176 | 0.0095% |
2009-10 | 1,894,664 | 40 | 0.0021% | 134 | 0.0071% |
2010-11 | 1,928,249 | 43 | 0.0022% | 180 | 0.0093% |
2011-12 | 1,449,122 | 38 | 0.0026% | 157 | 0.0108% |
2012-13 | 1,484,907 | 37 | 0.0025% | 168 | 0.0113% |
2013-14 | 1,964,359 | 25 | 0.0013% | 185 | 0.0094% |
2014-15 | 1,984,768 | 37 | 0.0019% | 193 | 0.0097% |
2015-16 | 2,038,411 | 29 | 0.0014% | 267 | 0.0131% |
2016-17 | 2,043,080 | 47 | 0.0023% | 243 | 0.0119% |
2017-18 | 2,020,591 | 57 | 0.0028% | 263 | 0.0130% |
Source: HES, NHS Digital
Notes:
1. A finished admission episode (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. 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. ICD-10 codes used to define malnutrition are:
E40 Kwashiorkor;
E41 Nutritional marasmus E42 Marasmic kwashiorkor;
E43 Unspecified severe protein–energy malnutrition;
E44 Protein–energy malnutrition of moderate and mild degree;
E45 Retarded development following protein–energy malnutrition;
E46 Unspecified protein–energy malnutrition; and O25 Malnutrition in pregnancy.
5. Adult: the patient was 18 years old or greater at the start of the episode of care.
6. Child: the patient was under 18 years old at the start of the episode of care.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many children were admitted to hospital with malnutrition as a (a) primary and (b) secondary condition in (i) England, (ii) each clinical commissioning group and (iii) each parliamentary constituency in each of the last 10 years; and if he will make a statement.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
NHS Digital has provided a count of finished admission episodes (FAEs) in each of the last 10 years with a primary or secondary diagnosis of malnutrition for adult and child patients resident in England. This information is provided in the attached tables.
Information by clinical commissioning group and parliamentary constituency is too small to be meaningful and has not been provided in order to protect patient confidentiality.
Activity for adults in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.
Year | Total Admissions | Primary Diagnosis | Secondary Diagnosis | ||
Admissions | Percentage | Admissions | Percentage | ||
2008-09 | 11,953,809 | 348 | 0.0029% | 2,545 | 0.0213% |
2009-10 | 12,319,781 | 417 | 0.0034% | 3,113 | 0.0253% |
2010-11 | 12,629,229 | 485 | 0.0038% | 3,843 | 0.0304% |
2011-12 | 12,744,605 | 608 | 0.0048% | 4,475 | 0.0351% |
2012-13 | 12,837,889 | 626 | 0.0049% | 4,564 | 0.0356% |
2013-14 | 13,159,078 | 589 | 0.0045% | 5,707 | 0.0434% |
2014-15 | 13,554,017 | 683 | 0.0050% | 6,268 | 0.0462% |
2015-16 | 13,869,134 | 703 | 0.0051% | 6,664 | 0.0480% |
2016-17 | 14,078,269 | 732 | 0.0052% | 7,132 | 0.0507% |
2017-18 | 14,154,577 | 735 | 0.0052% | 7,802 | 0.0551% |
Source: Hospital Episode Statistics (HES), NHS Digital
Activity for children in English NHS Hospitals and English NHS commissioned activity in the independent sector.
Year | Total Admissions | Primary Diagnosis | Secondary Diagnosis | ||
Admissions | Percentage | Admissions | Percentage | ||
2008-09 | 1,850,531 | 26 | 0.0014% | 176 | 0.0095% |
2009-10 | 1,894,664 | 40 | 0.0021% | 134 | 0.0071% |
2010-11 | 1,928,249 | 43 | 0.0022% | 180 | 0.0093% |
2011-12 | 1,449,122 | 38 | 0.0026% | 157 | 0.0108% |
2012-13 | 1,484,907 | 37 | 0.0025% | 168 | 0.0113% |
2013-14 | 1,964,359 | 25 | 0.0013% | 185 | 0.0094% |
2014-15 | 1,984,768 | 37 | 0.0019% | 193 | 0.0097% |
2015-16 | 2,038,411 | 29 | 0.0014% | 267 | 0.0131% |
2016-17 | 2,043,080 | 47 | 0.0023% | 243 | 0.0119% |
2017-18 | 2,020,591 | 57 | 0.0028% | 263 | 0.0130% |
Source: HES, NHS Digital
Notes:
1. A finished admission episode (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. 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. ICD-10 codes used to define malnutrition are:
E40 Kwashiorkor;
E41 Nutritional marasmus E42 Marasmic kwashiorkor;
E43 Unspecified severe protein–energy malnutrition;
E44 Protein–energy malnutrition of moderate and mild degree;
E45 Retarded development following protein–energy malnutrition;
E46 Unspecified protein–energy malnutrition; and O25 Malnutrition in pregnancy.
5. Adult: the patient was 18 years old or greater at the start of the episode of care.
6. Child: the patient was under 18 years old at the start of the episode of care.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many patients readmitted to hospital within (a) zero to seven and (b) eight to 180 days were recorded as suffering malnutrition as a primary or secondary condition in each of the last ten years.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
Information could only be obtained at disproportionate cost.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce obesity related stigma; and if he will make a statement.
Answered by Seema Kennedy
Our focus is on tackling the causes of obesity, improving diets and preventing ill health. Many of the measures in the chapters of the childhood obesity plan will have an impact on tackling obesity and improving diets across all age groups.
In addition, Public Health England encourages the population to follow a healthy balanced diet through the 5 A Day campaign, Change4Life and OneYou social marketing campaigns.