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I am so glad that the hon. Gentleman came into the Chamber just to tell me that; I am sure we are grateful for the clarification. However, Olly is an Essex boy, is he not, so he and the hon. Member for Colchester can both claim a bit of him....
I am so glad that the hon. Gentleman came into the Chamber just to tell me that; I am sure we are grateful for the clarification. However, Olly is an Essex boy, is he not, so he and the hon. Member for Colchester can both claim a bit of him....
Member
Keith Vaz
(Labour)
Type
Proceeding contributions
Subjects
Costs; Development aid; Diabetes; Finance; Extradition; Diseases; Medical treatments; Police; Public expenditure; Research; USA; Yemen; National Policing Improvement Agency; McKinnon, Gary
Date
16 December 2009
Reference
502 c1017-21
Chamber / Committee
House of Commons chamber
House
House of Commons
To ask the Secretary of State for Health how much was spent by Leicestershire Primary Care Trust on (a) diabetes prevention measures, (b) treatment of diabetes and (c) treatment of diabetes-related illnesses in each of the last three years.
To ask the Secretary of State for Health how much was spent by Leicestershire Primary Care Trust on (a) diabetes prevention measures, (b) treatment of diabetes and (c) treatment of diabetes-related illnesses in each of the last three years.
Asked by
Keith Vaz
(Labour)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
8 December 2009
For answer on
10 December 2009
Answered on
15 December 2009
The information is not available in the format requested.Estimated expenditure on diabetes for Leicester City Teaching Primary Care Trust (PCT) and Leicestershire County and Rutland PCT for 2005-06 to 2007-08 is shown in the following table.
| Programme budgeting estimated expenditure on diabetes 2005-06 to 2007-08 | ||
|---|---|---|
| £000 | ||
| Programme budgeting category 04a diabetes | ||
| Expenditure on own population | Leicester City Teaching PCT | Leicestershire County and Rutland PCT |
| 2005-06 | 5,672 | 8,499 |
| 2006-07 | 7,219 | 10,371 |
| 2007-08 | 8,156 | 13,618 |
| Notes: | ||
| 1. The programme budgeting data collection is complex. Therefore, expenditure figures are best estimates rather than precise measurements. Year on year comparisons are not straightforward due to annual refinements to the data collection methodology and changes to underlying data sources. | ||
| 2. Diabetes is a subcategory of endocrine, nutritional and metabolic problems. Subcategory level data tend to be less robust than main category data as they are smaller categories and are therefore subject to greater variation. | ||
| 3. Figures include expenditure across all sectors. Disease specific expenditure does not include expenditure on prevention, or GP expenditure, but does include prescribing expenditure. | ||
| 4. Programme budgeting data for 2004-05 to 2007-08 are published on the Department website. 2008-09 expenditure data have been collected and are undergoing validation prior to publication. | ||
| Source: | ||
| Annual PCT programme budgeting financial returns |
Subjects
Diabetes; Leicester
Date
15 December 2009
Reference
502 c1052W; 306342
House
House of Commons
Last weekend a much-loved Leicestershire teacher, Mark Parker, died aged only 56 following a hypoglycaemic attack because of his diabetes. We currently spend £1 million an hour on treating diabetes-related illnesses, but there are still an estimated 7 million Britons with a pre-diabetes condition, probably including Members of Parliament. I was diagnosed only three years ago. What steps will the Government take to ensure that every person in this country has access to a diabetes test? That would save money, and in the long run save lives.
Last weekend a much-loved Leicestershire teacher, Mark Parker, died aged only 56 following a hypoglycaemic attack because of his diabetes. We currently spend £1 million an hour on treating diabetes-related illnesses, but there are still an estimated 7 million Britons with a pre-diabetes condition, probably including Members of Parliament. I was diagnosed only three years ago. What steps will the Government take to ensure that every person in this country has access to a diabetes test? That would save money, and in the long run save lives.
Asked by
Keith Vaz
(Labour)
Answering body
Prime Minister
Prime Minister's questions - 1st Supplementary
Status
Answered
Answered on
9 December 2009
My right hon. Friend is right about the importance of dealing with diabetes. The test for identifying those at risk of developing type 2 diabetes is included in the NHS health check that will be offered to those aged 40 to 74. It will also assess people's risk of heart disease, stroke and kidney disease, and help individuals to manage that risk. We believe that we will be able to identify at least 20,000 cases of diabetes and kidney disease earlier, and that will be important for the health of our country and for preventing the further costs that result when people suffer from those diseases. Investment in that programme now will save money later, and it is the right way forward for the national health service to give people personal guarantees that they will have those health checks free of charge.
Subjects
Diabetes; Screening
Date
9 December 2009
Reference
502 c355
Chamber / Committee
House of Commons chamber
House
House of Commons
Asked by
Keith Vaz
(Labour)
Answered by
Gordon Brown
(Labour)
Answering body
Prime Minister
Prime Minister's questions - Lead
Status
Answered
Answered on
9 December 2009
Notes
Lead question not printed.
Subjects
Diabetes; Screening
Date
9 December 2009
Reference
502 c355; 304967
Chamber / Committee
House of Commons chamber
House
House of Commons
My right hon. Friend is right about the importance of dealing with diabetes. The test for identifying those at risk of developing type 2 diabetes is included in the NHS health check that will be offered to those aged 40 to 74. It will also assess people's risk of heart disease, stroke and kidney disease, and help individuals to manage that risk. We believe that we will be able to identify at least 20,000 cases of diabetes and kidney disease earlier, and that will be important for the health of our country and for preventing the further costs that result when people suffer from those diseases. Investment in that programme now will save money later, and it is the right way forward for the national health service to give people personal guarantees that they will have those health checks free of charge.
My right hon. Friend is right about the importance of dealing with diabetes. The test for identifying those at risk of developing type 2 diabetes is included in the NHS health check that will be offered to those aged 40 to 74. It will also assess people's risk of heart disease, stroke and kidney disease, and help individuals to manage that risk. We believe that we will be able to identify at least 20,000 cases of diabetes and kidney disease earlier, and that will be important for the health of our country and for preventing the further costs that result when people suffer from those diseases. Investment in that programme now will save money later, and it is the right way forward for the national health service to give people personal guarantees that they will have those health checks free of charge.
Answered by
Gordon Brown
(Labour)
Asked by
Keith Vaz
(Labour)
Answering body
Prime Minister
Type
Oral answers to questions
Last weekend a much-loved Leicestershire teacher, Mark Parker, died aged only 56 following a hypoglycaemic attack because of his diabetes. We currently spend £1 million an hour on treating diabetes-related illnesses, but there are still an estimated 7 million Britons with a pre-diabetes condition, probably including Members of Parliament. I was diagnosed only three years ago. What steps will the Government take to ensure that every person in this country has access to a diabetes test? That would save money, and in the long run save lives.
Subjects
Diabetes; Screening
Date
9 December 2009
Reference
502 c355
Chamber / Committee
House of Commons chamber
House
House of Commons
To ask the Secretary of State for Health how many emergency hospital admissions of (a) males and (b) females in each age group in each primary care trust area were recorded for (i) diabetic ketoacidosis and (ii) hypoglycaemia in each of the last five years, broken down by type of...
To ask the Secretary of State for Health how many emergency hospital admissions of (a) males and (b) females in each age group in each primary care trust area were recorded for (i) diabetic ketoacidosis and (ii) hypoglycaemia in each of the last five years, broken down by type of...
Asked by
John Leech
(Liberal Democrat)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
19 November 2009
For answer on
23 November 2009
Answered on
3 December 2009
Tables which show emergency hospital admissions with a primary diagnosis of diabetic ketoacidosis or hypoglycaemic coma between 2004-05 and 2008-09 have been placed in the Library. The data are broken down by age, gender, strategic health authority (SHA) and diabetes type.The data provided is by SHA of residence, because the figures at primary care trust (PCT) level would be too small to give a meaningful indication of the level of emergency admissions and most would be suppressed for patient confidentiality reasons.In July 2006, the national health service reorganised SHAs and PCTs in England. As a result data from 2006-07 onwards is not directly comparable with previous years.
Subjects
Diabetes
Date
3 December 2009
Reference
501 c935W; 301406
House
House of Commons
Deposited by
Department of Health
Type
Deposited papers
Author
Department of Health
Committed on
3 December 2009
Received on
3 December 2009
Subjects
Admissions; Age; Diabetes; Hospitals; Gender; Health authorities; Patients
Date
3 December 2009
Reference
DEP2009-3016
House
House of Commons
To ask the Secretary of State for Health what recent assessment his Department has made of the adequacy of (a) psychological support and (b) education for people suffering from (i) Type 1 and (ii) Type 2 diabetes; and what steps he plans to take to improve such support.
To ask the Secretary of State for Health what recent assessment his Department has made of the adequacy of (a) psychological support and (b) education for people suffering from (i) Type 1 and (ii) Type 2 diabetes; and what steps he plans to take to improve such support.
Asked by
Mark Hunter
(Liberal Democrat)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
18 November 2009
For answer on
23 November 2009
Answered on
26 November 2009
We have not made any recent assessments into the adequacy of either psychological support or education for people suffering from (i) Type 1 and (ii) Type 2 diabetes. It is for primary care trusts to commission comprehensive diabetes services that meet the needs of their local population.We recognise the important role emotional and psychological support has in enabling people with diabetes to self-manage their condition on a day-to-day basis. The Department is working with National Health Service Diabetes and Diabetes UK to identify what needs to be done to enable the national health service and local care services to meet the psychological and emotional needs of all people with diabetes.Since the publication of the Department of Health and Diabetes UK joint report: 'Structured Patient Education in Diabetes' in June 2005, a copy of which has been placed in the Library, we have been working with NHS Diabetes to find ways to increase the spread of patient education programmes.
Subjects
Diabetes
Date
26 November 2009
Reference
501 c351W; 300860
House
House of Commons
The Department of Health and the Medical Research Council are jointly investing the £51 million to which I referred earlier. One of the funded studies is focusing on the rising number of children and young people with diabetes. We are working with the Juvenile Diabetes Research Foundation. King’s College has been awarded £3 million to look at juvenile diabetes research and to investigate the causes of type 1 diabetes. The noble Lord is completely correct that we still do not know what causes it.
The Department of Health and the Medical Research Council are jointly investing the £51 million to which I referred earlier. One of the funded studies is focusing on the rising number of children and young people with diabetes. We are working with the Juvenile Diabetes Research Foundation. King’s College has been awarded £3 million to look at juvenile diabetes research and to investigate the causes of type 1 diabetes. The noble Lord is completely correct that we still do not know what causes it.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Walton of Detchant
(Crossbench)
Type
Oral answers to questions
My Lords, as the Minister has made clear, type 1 diabetes is an auto-immune disease. It is an absolute mystery why this increased incidence has arisen in the past few years. Have the Government been in touch with the Medical Research Council about establishing a research programme which might in the end lead to a prevention and a reversal of this trend?
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c251
Chamber / Committee
House of Lords chamber
House
House of Lords
Is the Minister aware that diabetics have an increased incidence of periodontal disease and that diabetes is a significant risk factor for gum problems? Does she agree that a regular dental check-up might help identify diabetes at an early stage?
Is the Minister aware that diabetics have an increased incidence of periodontal disease and that diabetes is a significant risk factor for gum problems? Does she agree that a regular dental check-up might help identify diabetes at an early stage?
Asked by
Lord Colwyn
(Conservative)
Oral questions - Supplementary
Status
Answered
Answered on
24 November 2009
The noble Lord is absolutely correct. As we all know, a whole range of health issues arises from diabetes. Health, dental and eye checks are all an important part of care.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I declare a family interest. I understand that a new pump is available for sufferers in the United States, but not in this country. Is it the cost of providing the pump or the cost of training nurses in its maintenance that is holding up its introduction in this country?
My Lords, I declare a family interest. I understand that a new pump is available for sufferers in the United States, but not in this country. Is it the cost of providing the pump or the cost of training nurses in its maintenance that is holding up its introduction in this country?
Asked by
Lord Morris of Aberavon
(Labour)
Oral questions - Supplementary
Status
Answered
Answered on
24 November 2009
In raising insulin pumps, the noble and learned Lord points to an important issue. We are concerned that in certain parts of the country insulin pumps for children even under 12 are readily available, while in other parts of the country they are not. This may be due to clinicians being unfamiliar with the new technology. The technology is much more prevalent in the United States than it is here. We are keen to introduce it and to make it available to young people in the UK.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250-1
Chamber / Committee
House of Lords chamber
House
House of Lords
The noble Lord points to a difference in diabetic retinopathy screening programmes in England and Scotland. We are very interested in the latest techniques being introduced in Scotland. We are aware of pressure to bring on these screening services. We are following what our colleagues in Scotland are doing and we expect the gap between the number of retinopathy screenings being offered and the number of people taking them up to continue to decline. We should get 100 per cent coverage over the next few years, and we shall watch what is happening in Scotland very carefully.
The noble Lord points to a difference in diabetic retinopathy screening programmes in England and Scotland. We are very interested in the latest techniques being introduced in Scotland. We are aware of pressure to bring on these screening services. We are following what our colleagues in Scotland are doing and we expect the gap between the number of retinopathy screenings being offered and the number of people taking them up to continue to decline. We should get 100 per cent coverage over the next few years, and we shall watch what is happening in Scotland very carefully.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord McColl of Dulwich
(Conservative)
Type
Oral answers to questions
My Lords, as the Government are very concerned about new technology, why are the latest proven techniques not in use to help improve the performance of the diabetic retinopathy programme in England? After all, they have been developed in Scotland and will be deployed in January.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c251
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, as the Government are very concerned about new technology, why are the latest proven techniques not in use to help improve the performance of the diabetic retinopathy programme in England? After all, they have been developed in Scotland and will be deployed in January.
My Lords, as the Government are very concerned about new technology, why are the latest proven techniques not in use to help improve the performance of the diabetic retinopathy programme in England? After all, they have been developed in Scotland and will be deployed in January.
Asked by
Lord McColl of Dulwich
(Conservative)
Oral questions - Supplementary
Status
Answered
Answered on
24 November 2009
The noble Lord points to a difference in diabetic retinopathy screening programmes in England and Scotland. We are very interested in the latest techniques being introduced in Scotland. We are aware of pressure to bring on these screening services. We are following what our colleagues in Scotland are doing and we expect the gap between the number of retinopathy screenings being offered and the number of people taking them up to continue to decline. We should get 100 per cent coverage over the next few years, and we shall watch what is happening in Scotland very carefully.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c251
Chamber / Committee
House of Lords chamber
House
House of Lords
The noble Lord is absolutely correct. As we all know, a whole range of health issues arises from diabetes. Health, dental and eye checks are all an important part of care.
The noble Lord is absolutely correct. As we all know, a whole range of health issues arises from diabetes. Health, dental and eye checks are all an important part of care.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Colwyn
(Conservative)
Type
Oral answers to questions
Is the Minister aware that diabetics have an increased incidence of periodontal disease and that diabetes is a significant risk factor for gum problems? Does she agree that a regular dental check-up might help identify diabetes at an early stage?
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, the research referred to in The Lancet sought to predict the burden of type 1 diabetes in children across Europe, and, indeed, the number is rising. We are addressing all areas of clinical care for children with type 1 diabetes as set out in the Diabetes National Service Framework for England. The national clinical directors for children and for diabetes are working to support the NHS and the education system to deliver improved care for these children and young people.
My Lords, the research referred to in The Lancet sought to predict the burden of type 1 diabetes in children across Europe, and, indeed, the number is rising. We are addressing all areas of clinical care for children with type 1 diabetes as set out in the Diabetes National Service Framework for England. The national clinical directors for children and for diabetes are working to support the NHS and the education system to deliver improved care for these children and young people.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Harrison
(Labour)
Type
Oral answers to questions
To ask Her Majesty’s Government what measures they propose to introduce following the increase in insulin-dependent type 1 diabetes in children under 15 and the greater increase in those under five, as recently reported in The Lancet.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c249-50
Chamber / Committee
House of Lords chamber
House
House of Lords
My noble friend is quite right. We know that many children and young people with diabetes are not achieving the recommended NICE blood glucose target of less than 7.5 per cent, and we are very concerned about it. In response to this, the national clinical directors for diabetes and for children are working with stakeholders to improve the delivery of care. We have put out a call for action to the NHS for this situation to be rectified. My noble friend is quite right that specialist nurses play an important role in dealing with the challenges faced by children and young people with diabetes, but he will also be aware that we can encourage nurses to gain specialist skills in our national service framework, but that decision ultimately rests at local level.
My noble friend is quite right. We know that many children and young people with diabetes are not achieving the recommended NICE blood glucose target of less than 7.5 per cent, and we are very concerned about it. In response to this, the national clinical directors for diabetes and for children are working with stakeholders to improve the delivery of care. We have put out a call for action to the NHS for this situation to be rectified. My noble friend is quite right that specialist nurses play an important role in dealing with the challenges faced by children and young people with diabetes, but he will also be aware that we can encourage nurses to gain specialist skills in our national service framework, but that decision ultimately rests at local level.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Harrison
(Labour)
Type
Oral answers to questions
I acknowledge the great strides made in the treatment of some 25,000 children with type 1 diabetes, but is my noble friend still alarmed to learn that less than one in five of those children is achieving the safe blood glucose levels that are required to avert further complications, and that that ratio is the lowest in Europe? Will she attend to the number of paediatric specialist diabetic nurses, who currently have to deal with 160 children as opposed to the Royal College of Nursing’s ideal of 70 to one nurse?
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250
Chamber / Committee
House of Lords chamber
House
House of Lords
I acknowledge the great strides made in the treatment of some 25,000 children with type 1 diabetes, but is my noble friend still alarmed to learn that less than one in five of those children is achieving the safe blood glucose levels that are required to avert further complications, and that that ratio is the lowest in Europe? Will she attend to the number of paediatric specialist diabetic nurses, who currently have to deal with 160 children as opposed to the Royal College of Nursing’s ideal of 70 to one nurse?
I acknowledge the great strides made in the treatment of some 25,000 children with type 1 diabetes, but is my noble friend still alarmed to learn that less than one in five of those children is achieving the safe blood glucose levels that are required to avert further complications, and that that ratio is the lowest in Europe? Will she attend to the number of paediatric specialist diabetic nurses, who currently have to deal with 160 children as opposed to the Royal College of Nursing’s ideal of 70 to one nurse?
Asked by
Lord Harrison
(Labour)
Oral questions - 1st Supplementary
Status
Answered
Answered on
24 November 2009
My noble friend is quite right. We know that many children and young people with diabetes are not achieving the recommended NICE blood glucose target of less than 7.5 per cent, and we are very concerned about it. In response to this, the national clinical directors for diabetes and for children are working with stakeholders to improve the delivery of care. We have put out a call for action to the NHS for this situation to be rectified. My noble friend is quite right that specialist nurses play an important role in dealing with the challenges faced by children and young people with diabetes, but he will also be aware that we can encourage nurses to gain specialist skills in our national service framework, but that decision ultimately rests at local level.
Subjects
Children; Diabetes; Health services; Nurses
Date
24 November 2009
Reference
715 c250
Chamber / Committee
House of Lords chamber
House
House of Lords
The noble Baroness is right. There is a 97 per cent difference in the number of people with type 1 and type 2 diabetes. A very small, but increasing, number of children have type 2 diabetes, which we know is linked largely to lifestyle and diet. We are putting £51 million into research, working in particular with universities specialising in research into type 1 diabetes and its rising incidence. In certain parts of Europe, it is rising very rapidly. We do not know as yet why that should be the case and whether it is linked to viruses or environment, so it definitely has to be addressed.
The noble Baroness is right. There is a 97 per cent difference in the number of people with type 1 and type 2 diabetes. A very small, but increasing, number of children have type 2 diabetes, which we know is linked largely to lifestyle and diet. We are putting £51 million into research, working in particular with universities specialising in research into type 1 diabetes and its rising incidence. In certain parts of Europe, it is rising very rapidly. We do not know as yet why that should be the case and whether it is linked to viruses or environment, so it definitely has to be addressed.
Answered by
Baroness Thornton
(Labour)
Asked by
Baroness Tonge
(Liberal Democrat)
Type
Oral answers to questions
My Lords, while the increase in type 2 diabetes in children could be attributable to childhood obesity, are the Government putting enough effort into encouraging research into type 1 diabetes in children, which is increasing so rapidly?
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250
Chamber / Committee
House of Lords chamber
House
House of Lords
In raising insulin pumps, the noble and learned Lord points to an important issue. We are concerned that in certain parts of the country insulin pumps for children even under 12 are readily available, while in other parts of the country they are not. This may be due to clinicians being unfamiliar with the new technology. The technology is much more prevalent in the United States than it is here. We are keen to introduce it and to make it available to young people in the UK.
In raising insulin pumps, the noble and learned Lord points to an important issue. We are concerned that in certain parts of the country insulin pumps for children even under 12 are readily available, while in other parts of the country they are not. This may be due to clinicians being unfamiliar with the new technology. The technology is much more prevalent in the United States than it is here. We are keen to introduce it and to make it available to young people in the UK.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Morris of Aberavon
(Labour)
Type
Oral answers to questions
My Lords, I declare a family interest. I understand that a new pump is available for sufferers in the United States, but not in this country. Is it the cost of providing the pump or the cost of training nurses in its maintenance that is holding up its introduction in this country?
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c250-1
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, as the Minister has made clear, type 1 diabetes is an auto-immune disease. It is an absolute mystery why this increased incidence has arisen in the past few years. Have the Government been in touch with the Medical Research Council about establishing a research programme which might in the end lead to a prevention and a reversal of this trend?
My Lords, as the Minister has made clear, type 1 diabetes is an auto-immune disease. It is an absolute mystery why this increased incidence has arisen in the past few years. Have the Government been in touch with the Medical Research Council about establishing a research programme which might in the end lead to a prevention and a reversal of this trend?
Asked by
Lord Walton of Detchant
(Crossbench)
Oral questions - Supplementary
Status
Answered
Answered on
24 November 2009
The Department of Health and the Medical Research Council are jointly investing the £51 million to which I referred earlier. One of the funded studies is focusing on the rising number of children and young people with diabetes. We are working with the Juvenile Diabetes Research Foundation. King’s College has been awarded £3 million to look at juvenile diabetes research and to investigate the causes of type 1 diabetes. The noble Lord is completely correct that we still do not know what causes it.
Subjects
Children; Diabetes
Date
24 November 2009
Reference
715 c251
Chamber / Committee
House of Lords chamber
House
House of Lords