Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made, if any, (1) of the study and treatment of Lyme disease, and (2) of the delay of any tests, treatment, and misdiagnoses of Lyme disease in the UK.

The Department commissioned four reviews on Lyme disease published by the Evidence for Policy and Practice Information group in December 2017. This was followed by definitive advice on treatment, testing and diagnosis of Lyme disease developed by National Institute for Health and Care Excellence in April 2018. Most cases are diagnosed on clinical signs by general practitioners, but laboratory testing is widely available through the National Health Service for more complicated cases. NHS testing follows the international best practice on Lyme disease tests and accords with European and US best practice. Some private clinics and laboratories offer their own tests which are not recognised by national health authorities, and for which little literature exists to support their veracity.