Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to the Answer of 9 May 2016 to Question 36176, what steps his Department is taking to increase awareness of endometriosis among (a) primary healthcare professionals and (b) women of reproductive age.
Answered by Jane Ellison
It is important that women with endometriosis receive appropriate treatment and support. Information on endometriosis is readily available to both the public and healthcare professionals. NHS Choices have published information for the public on the symptoms, diagnosis and treatment of endometriosis available at:
http://www.nhs.uk/conditions/Endometriosis/Pages/Introduction.aspx
The Department of Health in England has asked the National Institute of Health and Care Excellence to develop a guideline on the diagnosis and management of endometriosis for healthcare professionals, including those in primary care. The guidance will be published in July 2017.
All obstetricians and gynaecologists have been trained in the diagnosis, investigation and management of endometriosis, which is specifically listed as a topic in the core curriculum for obstetrics and gynaecology.
To support clinicians, the European Society of Human Reproduction and Embryology has published a comprehensive guideline and app on the management and treatment of endometriosis. Guideline available at:
https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Endometriosis-guideline.aspx
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to the Answer of 9 May 2016 to Question 36176, what assessment his Department has made of the reasons for the increase in the count of finished admission episodes with a primary or secondary diagnosis of endometriosis, between 2010-11 and 2014-15.
Answered by Jane Ellison
The Department has not conducted a formal assessment of the reasons for the increase in hospital admissions with a primary or secondary diagnosis of endometriosis, between 2010-11 and 2014-15. However, it has asked the National Institute for Health and Care Excellence to develop a guideline on the diagnosis and management of endometriosis. This will include: use of staging systems to guide treatment decisions; timing of interventions; and pharmacological and surgical treatments. A consultation on the draft guidelines is scheduled to run from 27 February 2017 until the 10 April 2017, with an expected publication date of September 2017.
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to the Answer of 9 May 2016 to Question 36176, what steps his Department is taking to support research to develop a non-invasive diagnostic technique for endometriosis.
Answered by George Freeman
The Department's National Institute for Health Research (NIHR) welcomes funding applications for research into any aspect of human health, including diagnosis of endometriosis. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.
The Director of the NIHR Diagnostic Evidence Cooperative Oxford, University of Oxford, provided mentorship and methodological expertise to support a recent systematic review and meta-analysis of the diagnostic accuracy of cancer antigen 125 for endometriosis. This was published in May this year in BJOG: An International Journal of Obstetrics and Gynaecology.
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will estimate the average length of time between a person developing endometriosis and diagnosis of that condition.
Answered by Jane Ellison
Endometriosis can be asymptomatic; however, some studies have shown that the length of time from the onset of symptoms to the diagnosis of endometriosis can be up to eight years in the United Kingdom.
Due to the fact that endometriosis can be asymptomatic it is not possible to estimate the precise prevalence of the condition. The number of people who are affected by endometriosis but have not been diagnosed with the condition is therefore unknown.
However, estimates of the prevalence of the condition range from 2% to 10% of women of reproductive age, to 50% of infertile women. Endometriosis UK estimates that around 1.5 million to 2 million women in the UK have the condition.
The number of people who have been diagnosed with endometriosis is not collected centrally. However the table below shows a count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, for the years 2010-11 to 2014-15. However, the data only includes the diagnosis of endometriosis where there was a hospital admission. There may be further cases of the condition that were diagnosed and treated in another healthcare setting. These data should not be described as counts of people as the same person may have been admitted to hospital on more than one occasion within any given time period.
Count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, 2010-11 to 2014-15
Year | FAEs |
2010-11 | 34,963 |
2011-12 | 37,370 |
2012-13 | 37,742 |
2013-14 | 40,218 |
2014-15 | 42,977 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
The Department’s Innovation, Excellence and Strategic Development Grant for Endometriosis UK was awarded in the 2014/15 funding round. The project title to which the grant was allocated to was ‘Endometriosis Patient Support Groups aligned to Specialised Endometriosis Centres’. The funding granted per the award letter (2015-16 and 2016-17 funding was indicative at the time of the grant) was:
2014-15 £63,686
2015-16 £59,718
2016-17 £65,403
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people have been diagnosed with endometriosis; and if he will estimate the number of people who are affected by endometriosis but have not been diagnosed with that condition.
Answered by Jane Ellison
Endometriosis can be asymptomatic; however, some studies have shown that the length of time from the onset of symptoms to the diagnosis of endometriosis can be up to eight years in the United Kingdom.
Due to the fact that endometriosis can be asymptomatic it is not possible to estimate the precise prevalence of the condition. The number of people who are affected by endometriosis but have not been diagnosed with the condition is therefore unknown.
However, estimates of the prevalence of the condition range from 2% to 10% of women of reproductive age, to 50% of infertile women. Endometriosis UK estimates that around 1.5 million to 2 million women in the UK have the condition.
The number of people who have been diagnosed with endometriosis is not collected centrally. However the table below shows a count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, for the years 2010-11 to 2014-15. However, the data only includes the diagnosis of endometriosis where there was a hospital admission. There may be further cases of the condition that were diagnosed and treated in another healthcare setting. These data should not be described as counts of people as the same person may have been admitted to hospital on more than one occasion within any given time period.
Count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, 2010-11 to 2014-15
Year | FAEs |
2010-11 | 34,963 |
2011-12 | 37,370 |
2012-13 | 37,742 |
2013-14 | 40,218 |
2014-15 | 42,977 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
The Department’s Innovation, Excellence and Strategic Development Grant for Endometriosis UK was awarded in the 2014/15 funding round. The project title to which the grant was allocated to was ‘Endometriosis Patient Support Groups aligned to Specialised Endometriosis Centres’. The funding granted per the award letter (2015-16 and 2016-17 funding was indicative at the time of the grant) was:
2014-15 £63,686
2015-16 £59,718
2016-17 £65,403
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much funding his Department has allocated to charities which support women affected by endometriosis in each of the last three years.
Answered by Jane Ellison
Endometriosis can be asymptomatic; however, some studies have shown that the length of time from the onset of symptoms to the diagnosis of endometriosis can be up to eight years in the United Kingdom.
Due to the fact that endometriosis can be asymptomatic it is not possible to estimate the precise prevalence of the condition. The number of people who are affected by endometriosis but have not been diagnosed with the condition is therefore unknown.
However, estimates of the prevalence of the condition range from 2% to 10% of women of reproductive age, to 50% of infertile women. Endometriosis UK estimates that around 1.5 million to 2 million women in the UK have the condition.
The number of people who have been diagnosed with endometriosis is not collected centrally. However the table below shows a count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, for the years 2010-11 to 2014-15. However, the data only includes the diagnosis of endometriosis where there was a hospital admission. There may be further cases of the condition that were diagnosed and treated in another healthcare setting. These data should not be described as counts of people as the same person may have been admitted to hospital on more than one occasion within any given time period.
Count of finished admission episodes (FAEs) with a primary or secondary diagnosis of endometriosis, 2010-11 to 2014-15
Year | FAEs |
2010-11 | 34,963 |
2011-12 | 37,370 |
2012-13 | 37,742 |
2013-14 | 40,218 |
2014-15 | 42,977 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
The Department’s Innovation, Excellence and Strategic Development Grant for Endometriosis UK was awarded in the 2014/15 funding round. The project title to which the grant was allocated to was ‘Endometriosis Patient Support Groups aligned to Specialised Endometriosis Centres’. The funding granted per the award letter (2015-16 and 2016-17 funding was indicative at the time of the grant) was:
2014-15 £63,686
2015-16 £59,718
2016-17 £65,403
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people in Wealden constituency are registered as (a) blind and (b) partially sighted.
Answered by Alistair Burt
Information on the numbers of people with sight impairment is collected by the Health and Social Care Information Centre every three years. Data is not collected at constituency level as part of the Registered Blind and Partially Sighted collection and so a response has been provided covering East Sussex, the council with adult social services responsibility which includes the Wealden constituency. According to the Registered Blind and Partially Sighted People report for England for the year ending 31 March 2014, there were 1,915 people registered as blind and 1,990 people registered as partially sighted within the East Sussex local authority area.
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many full-time equivalent GPs were employed in general practices in Wealden constituency in (a) 2009-10, (b) 2010-11, (c) 2011-12, (d) 2012-13 and (e) 2013-14.
Answered by Alistair Burt
The information is shown in the following table.
Total general practitioners (GPs) in selected area, Full Time Equivalents 2009-2014:
| 2009 | 2010 | 2011 | 2012 | 2013 | 2014 |
East Sussex Downs and Weald Primary Care Trust (PCT) |
|
|
|
|
|
|
Total GPs | 236 | 240 | 243 | 242 |
|
|
GPs (excluding registrars) | 213 | 213 | 219 | 220 |
|
|
GPS (excluding retainers and registrars) | 208 | 211 | 217 | 218 |
|
|
GP Provider | 179 | 173 | 173 | 173 |
|
|
GP Other | 29 | 38 | 43 | 45 |
|
|
GP Registrar | 22 | 27 | 25 | 21 |
|
|
GP Retainer | 5 | 2 | 2 | 2 |
|
|
NHS High Weald Lewes Havens Clinical Commissioning Group (CCG) |
|
|
|
|
|
|
Total GPs |
|
|
|
| 115 | 110 |
GPs (excluding registrars) |
|
|
|
| 110 | 110 |
GPS (excluding retainers and registrars) |
|
|
|
| 109 | 109 |
GP Provider |
|
|
|
| 80 | 78 |
GP Other |
|
|
|
| 29 | 31 |
GP Registrar |
|
|
|
| 5 | 1 |
GP Retainer |
|
|
|
| 0 | 0 |
Source: The Health and Social Care Information Centre General and Personal Medical Services Statistics
Notes:
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of (a) children and (b) adults in (i) Wealden constituency, (ii) East Sussex and (iii) England were classified as (A) overweight and (B) obese in each of the last 10 years.
Answered by Jane Ellison
Child and adult overweight and obesity prevalence data are not published using parliamentary constituency boundaries, however the data is available for the corresponding local authority of Wealden.
Local authority level data on overweight and obese children are collected through the National Child Measurement Programme (NCMP). The NCMP measures the height and weight of primary school children in Reception (age four-five years) and Year six (age 10-11 years). Data for each local authority, county, region and England are available to download from:
http://www.hscic.gov.uk/catalogue/PUB19109
and
http://fingertips.phe.org.uk/profile/national-child-measurement-programme
(The first link is the latest NCMP data, 2014/15. The second link includes counts and rates of children and trend data from 2006/07 to 2014/15).
Data on overweight and obese adults at a sub-national level are available through the active people survey and are published as pooled data for the period 2012-2014. The data for adults are from a sample survey (Active People Survey). The Active People Survey only began collecting data on adult height and weight in 2012, therefore local authority level data are not available before this date. Data for each local authority, county, region and England are available to download from:
http://www.noo.org.uk/visualisation
(the third article on the web page).
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients are registered at each GP surgery in Wealden constituency; what the capacity of each such surgery is; and how many such surgeries are oversubscribed.
Answered by Alistair Burt
NHS England advises that the Wealden constituency includes practices from two clinical commissioning groups (CCGs) – High Weald Lewes Havens CCG and Eastbourne, Hailsham and Seaford CCG.
NHS England advises that surgeries do not have a specific maximum number of patients allowed to register at a general practitioner (GP) surgery. If a practice considers that it has too many patients registered, or wishing to register, then it may request a temporary list closure, try and recruit more GPs/nurses, or may extend its premises.
NHS England confirms that none of these surgeries currently have closed lists.
NHS England has provided the information as shown in the following tables.
GP practices in the High Weald Lewis Havens CCG area, with current list sizes (number of registered patients)
Ashdown Forest Health Centre | 9,705 |
Beacon Surgery | 10,638 |
Bird-In-Eye Surgery | 7,761 |
Buxted Medical Centre | 10,602 |
Groombridge and Hartfield Medical Group | 5,099 |
Heathfield Surgery | 12,512 |
Manor Oak Surgery | 3,466 |
Rotherfield Surgery | 7,376 |
Saxonbury House Surgery | 9,236 |
The Meads | 8,366 |
Wadhurst Medical Group | 8,802 |
Woodhill Surgery | 3,237 |
Source: NHS England. Validated but unpublished information on GP practice list sizes from an approved statistical collection.
GP practices in Eastbourne, Hailsham and Seaford CCG area, with current list sizes (number of registered patients)
Downlands Surgery, Polegate | 10,539 |
Manor Park Surgery, Polegate | 6,740 |
Bridgeside Surgery, Hailsham | 5,827 |
Hailsham Medical Group | 13,067 |
Quintins Medical Centre, Hailsham | 6,699 |
Herstmonceux Health Centre | 3,804 |
Crescent Medical Centre, Hailsham | 1,540 |
Stone Cross Surgery | 11,817 |
Source: NHS England. Validated but unpublished information on GP practice list sizes from an approved statistical collection.