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The Secretary of State may remember that I brought a group of mental health reformers to see him, to make the case for culture change in mental health services to address clear human rights abuses such as locking people up when they do not need to be locked up, often...
The Secretary of State may remember that I brought a group of mental health reformers to see him, to make the case for culture change in mental health services to address clear human rights abuses such as locking people up when they do not need to be locked up, often...
To ask the Secretary of State for Health and Social Care, how many sexual health screenings have been undertaken in sexual health clinics in each year since 2013.
To ask the Secretary of State for Health and Social Care, how many sexual health screenings have been undertaken in sexual health clinics in each year since 2013.
In England 7,373,761 sexually transmitted infection (STI) tests were carried out in 2013; 7,604,000 were carried out in 2014; 7,778,264 were carried out in 2015; 7,808,902 were carried out in 2016 and 7,772,537 were carried out in 2017. Data on testing for hepatitis A/B/C and herpes simplex virus are not available prior to 2015. Therefore, the STI testing total from 2015 onwards is not directly comparable to data from previous years.
Data are not available by sexual health clinic.
To ask the Secretary of State for Health and Social Care what information his Department holds on levels of (a) breast cancer, (b) bowel cancer, (c) cervical cancer, (d) diabetic eye, (e) abdominal aortic aneurysm and (f) fetal anomaly screening in each year since those NHS screening programmes were introduced.
To ask the Secretary of State for Health and Social Care what information his Department holds on levels of (a) breast cancer, (b) bowel cancer, (c) cervical cancer, (d) diabetic eye, (e) abdominal aortic aneurysm and (f) fetal anomaly screening in each year since those NHS screening programmes were introduced.
The National Health Service Breast Screening Programme began in 1988. Data on the levels of Breast screening from 2004 to 2016 is available at:
https://digital.nhs.uk/data-and-information/publications/statistical/breast-screening-programme
Data outside this time period are not available in the format requested.
The NHS Cervical Screening Programme began in 1988. Data on the levels of Cervical screening from 2004 to 2016 are available at:
https://digital.nhs.uk/data-and-information/publications/statistical/cervical-screening-programme
Data outside this time period are not available in the format requested.
The NHS Bowel Cancer Screening Programme started in 2006. Data for years 2016/17 are available in the following table. Data outside this time period are not available in the format requested.
NHS bowel cancer screening data for 2016/17
Indicator | Period | Rate for England |
Persons, 60-69, screened for bowel cancer within six months of invitation (Uptake, %) | 2016/17 | 57% |
Persons, 60-69, screened for bowel cancer in the last 30 months (2.5 year coverage, %) | 2016/17 | 57.4% |
Source: https://fingertips.phe.org.uk/search/cancer
The NHS Diabetic Eye Screening Programme began in 2007. Data for 2016/17 (by clinical commissioning group/region) are available here:
Data outside this time period are not available in the format requested.
The NHS Abdominal Aortic Aneurysm Screening Programme started in 2009. Data on coverage for 2016/17 (by region) are available here:
https://fingertips.phe.org.uk/search/Abdominal%20aortoa#pat/15/ati/6/par/E92000001
Data outside this time period are not available in the format requested.
The NHS Foetal Anomaly Screening Programme began in 2001. Data for 2016/17 are available in the Annual KPI data: April 2016 to March 2017 document here:
A copy is attached. Data outside this time period are not available in the format requested.
To ask the Secretary of State for Health, with reference to the recommendation on the NHS Choices website that all children are offered vision screening between the ages of four and five by an orthoptist-led service, if he will introduce a national vision screening programme for children.
To ask the Secretary of State for Health, with reference to the recommendation on the NHS Choices website that all children are offered vision screening between the ages of four and five by an orthoptist-led service, if he will introduce a national vision screening programme for children.
The UK National Screening Committee recommends that all children between 4 - 5 years of age should continue to be screened for vision defects by an orthoptist led service.
This service is already offered nationally as part of the NHS Healthy Child Programme.
To ask the Secretary of State for Health, how many prisons in England have adopted a system of opt-out blood-borne virus testing.
To ask the Secretary of State for Health, how many prisons in England have adopted a system of opt-out blood-borne virus testing.
Blood Borne Virus opt-out testing is expected to be implemented across the whole adult prison estate in England by end of the financial year 2016-17.
To date over 20 prisons in the North West, Yorkshire and Humber, East Midlands and the South West have either fully adopted the opt-out blood-borne virus testing system or are very close to adopting it fully. A further 15 prisons aim to implement the policy early in the New Year.
To ask the Secretary of State for Health, what steps he is taking to ensure that psychological tests able to screen for anorexia are available through the NHS.
To ask the Secretary of State for Health, what steps he is taking to ensure that psychological tests able to screen for anorexia are available through the NHS.
Treatment for eating disorders is provided through child and adolescent mental health services and through adult mental health services. The National Institute for Health and Care Excellence has produced guidance on the treatment of anorexia which includes tools that can be used to diagnose eating disorders.
To ask the Secretary of State for Health what proportion of NHS trusts offer a screening programme of osteoporosis to reduce falls and fractures.
To ask the Secretary of State for Health what proportion of NHS trusts offer a screening programme of osteoporosis to reduce falls and fractures.
The UK National Screening Committee (UK NSC) advises Ministers and the national health service in all four countries about all aspects of screening policy and supports implementation.
The UK NSC has reviewed the evidence for screening for osteoporosis in postmenopausal women and recommended that screening should not be offered. The UK NSC will review the evidence for screening again in 2016-17 as part of its three yearly review policy cycle.
A preferred approach is to target higher risk groups (post-menopausal women, those on long term steroid use and after a first fracture). Prevention, assessment and treatment is covered in National Institute for Health and Clinical Excellence guidelines as follows:
http://pathways.nice.org.uk/pathways/osteoporosis
www.nice.org.uk/guidance/TA160
www.nice.org.uk/guidance/TA161
www.nice.org.uk/guidance/CG146
There is patient information on the management of and living with osteoporosis on the NHS Choices website:
www.nhs.uk/Conditions/Osteoporosis/Pages/Introduction.aspx
To ask the Secretary of State for Health which NHS trusts offer a screening programme for osteoporosis.
To ask the Secretary of State for Health which NHS trusts offer a screening programme for osteoporosis.
The UK National Screening Committee (UK NSC) advises Ministers and the national health service in all four countries about all aspects of screening policy and supports implementation.
The UK NSC has reviewed the evidence for screening for osteoporosis in postmenopausal women and recommended that screening should not be offered. The UK NSC will review the evidence for screening again in 2016-17 as part of its three yearly review policy cycle.
A preferred approach is to target higher risk groups (post-menopausal women, those on long term steroid use and after a first fracture). Prevention, assessment and treatment is covered in National Institute for Health and Clinical Excellence guidelines as follows:
http://pathways.nice.org.uk/pathways/osteoporosis
www.nice.org.uk/guidance/TA160
www.nice.org.uk/guidance/TA161
www.nice.org.uk/guidance/CG146
There is patient information on the management of and living with osteoporosis on NHS Choices website:
www.nhs.uk/Conditions/Osteoporosis/Pages/Introduction.aspx
To ask the Secretary of State for Health what the average waiting period was for bone density (DXA) scans in each of the last five years.
To ask the Secretary of State for Health what the average waiting period was for bone density (DXA) scans in each of the last five years.
The information is shown in the following table:
| Average
(median) waiting times for bone density (DXA) scans in each month, from
January 2009 to January
2014 | |
| Month | Median
waiting time
(weeks) |
| 2009 | |
| January | 1.4 |
| February | 1.6 |
| March | 1.7 |
| April | 1.7 |
| May | 1.8 |
| June | 1.6 |
| July | 1.6 |
| August | 1.7 |
| September | 1.5 |
| October | 1.6 |
| November | 1.5 |
| December | 2.0 |
| 2010 | |
| January | 1.5 |
| February | 1.6 |
| March | 1.7 |
| April | 1.6 |
| May | 1.7 |
| June | 1.7 |
| July | 1.7 |
| August | 1.9 |
| September | 1.6 |
| October | 1.7 |
| November | 1.6 |
| December | 2.1 |
| 2011 | |
| January | 1.5 |
| February | 1.7 |
| March | 1.8 |
| April | 2.2 |
| May | 1.7 |
| June | 1.7 |
| July | 1.6 |
| August | 1.9 |
| September | 1.5 |
| October | 1.6 |
| November | 1.6 |
| December | 2.2 |
| 2012 | |
| January | 1.5 |
| February | 1.7 |
| March | 1.9 |
| April | 1.7 |
| May | 1.7 |
| June | 1.7 |
| July | 1.8 |
| August | 2.0 |
| September | 1.8 |
| October | 1.8 |
| November | 1.6 |
| December | 2.3 |
| 2013 | |
| January | 1.6 |
| February | 1.8 |
| March | 2.0 |
| April | 1.8 |
| May | 2.0 |
| June | 1.8 |
| July | 1.9 |
| August | 2.1 |
| September | 1.8 |
| October | 1.9 |
| November | 1.9 |
| December | 2.5 |
| 2014 | |
| January | 1.8 |
| Source: Monthly diagnostic waiting times and activity, NHS England. |
To ask the Secretary of State for Health how many bone density scanning machines were available in each region of the UK in each of the last five years.
To ask the Secretary of State for Health how many bone density scanning machines were available in each region of the UK in each of the last five years.
The Department is responsible only for health services in England and data related to the number of bone density scanning machines in England is not held centrally.
To ask the Secretary of State for Health how many people with learning disabilities received annual health checks in each year since 2009.
To ask the Secretary of State for Health how many people with learning disabilities received annual health checks in each year since 2009.
The numbers of people who received a check under the Clinical Directed Enhanced Services learning disabilities health check scheme are as follows:
| Number
of people who received a
check | |
| 2008-09 | 27,011 |
| 2009-10 | 58,919 |
| 2010-111 | 73,068 |
| 2011-121 | 86,134 |
| 2012-13 | 92,329 |
| 1
Revised. Note: Following the publication of the 2010-11 figures by the National Health Service Omnibus survey to primary care trusts (PCTs) a small number of PCTs reported that they had returned incorrect figures and asked to be allowed to revise these. In each of the last two collections (May 2012 for 2011-12 figures and May 2013 for 2012-13 figures) PCTs were allowed to submit revised numbers for people eligible and receiving health checks in the previous year. Where indicated, numbers shown are the revised figures. |
To ask the Secretary of State for Health (1) what steps his Department is taking to ensure all people with learning difficulties receive annual health checks;
To ask the Secretary of State for Health (1) what steps his Department is taking to ensure all people with learning difficulties receive annual health checks;
The learning disabilities health check scheme was introduced into the general practitioner (GP) contract in 2010-11. Take-up of the scheme by GP practices has steadily increased, and 83% of practices now offer this service to people with learning disabilities who are on their registered patient list. We have agreed with the GP Committee of the British Medical Association, to increase the qualifying cohort for health checks to include all patients from the age of 14.
We are very much committed to building on this progress, so that all people with moderate or severe learning disabilities have access to health checks. We consider that this is best done by continuing to extend take-up among the 17% of practices that are not yet providing the service. NHS England will work with system providers to develop a standard template that will address the priorities stated above. This template will enable GP practices to deliver a high standard of care to all patients
As part of the Enhanced Service Specification for those practices signed up to the learning disabilities health check scheme, it is a requirement that all eligible patients will be offered an annual health check. Work will continue with those practices who have not yet signed up to the scheme.
There are no targets set for annual health checks.
(2) what targets his Department has set for the number of people with learning difficulties who will receive annual health checks in (a) 2014 and (b) 2015.
Chris Heaton-Harris:
(2) what targets his Department has set for the number of people with learning difficulties who will receive annual health checks in (a) 2014 and (b) 2015.
Chris Heaton-Harris:
The learning disabilities health check scheme was introduced into the general practitioner (GP) contract in 2010-11. Take-up of the scheme by GP practices has steadily increased, and 83% of practices now offer this service to people with learning disabilities who are on their registered patient list. We have agreed with the GP Committee of the British Medical Association, to increase the qualifying cohort for health checks to include all patients from the age of 14.
We are very much committed to building on this progress, so that all people with moderate or severe learning disabilities have access to health checks. We consider that this is best done by continuing to extend take-up among the 17% of practices that are not yet providing the service. NHS England will work with system providers to develop a standard template that will address the priorities stated above. This template will enable GP practices to deliver a high standard of care to all patients
As part of the Enhanced Service Specification for those practices signed up to the learning disabilities health check scheme, it is a requirement that all eligible patients will be offered an annual health check. Work will continue with those practices who have not yet signed up to the scheme.
There are no targets set for annual health checks.
To ask the Secretary of State for Health if he will review the effectiveness of the test used to diagnose those with pernicious anaemia; and if he will make a statement.
To ask the Secretary of State for Health if he will review the effectiveness of the test used to diagnose those with pernicious anaemia; and if he will make a statement.
A range of guidance on the testing and treatment of pernicious anaemia is available from sources including the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries. NICE works to ensure its guidance reflects the latest available evidence.
It is the responsibility of general practitioners, using their clinical judgment and supported by relevant guidance, to arrange the appropriate tests and investigations may lead to an appropriate diagnosis.
To ask the Secretary of State for Health what assessment his Department has made of the cost of NHS England funding the RAS test and other companion diagnostic tests.
To ask the Secretary of State for Health what assessment his Department has made of the cost of NHS England funding the RAS test and other companion diagnostic tests.
The Department has made no such assessment.
In August 2013, the National Institute for Health and Care Excellence issued diagnostics guidance on the use of epidermal growth factor receptor tyrosine kinase (EGFR-TK) mutation testing in adults with locally advanced or metastatic non-small-cell lung cancer which is accompanied by a costing statement for the national health service.
To ask the Secretary of State for Health what discussions he has had with NICE on developing new guidelines for diagnosing B12 deficiency including (a) an active B12 test, (b) Methylmalonic Acid tests and (c) assessment of the clinical picture; and if he will make a statement.
To ask the Secretary of State for Health what discussions he has had with NICE on developing new guidelines for diagnosing B12 deficiency including (a) an active B12 test, (b) Methylmalonic Acid tests and (c) assessment of the clinical picture; and if he will make a statement.
No such discussions have taken place.
NHS England now commissions clinical guidelines from the National Institute for Health and Care Excellence (NICE). We are not aware of plans to ask NICE to develop guidance specifically on the diagnosis of B12 deficiency.
It is a pleasure to serve under your chairmanship for the first time, Madam Deputy Speaker. I congratulate the hon. Member for Nottingham South (Lilian Greenwood) on securing the debate and championing this cause. I will state at the start that I am very happy to maintain a dialogue with...
It is a pleasure to serve under your chairmanship for the first time, Madam Deputy Speaker. I congratulate the hon. Member for Nottingham South (Lilian Greenwood) on securing the debate and championing this cause. I will state at the start that I am very happy to maintain a dialogue with...
My responsibilities stretch only to England, but clear co-ordination and joint working with the devolved Administrations absolutely makes sense on an issue that transcends borders, so I agree with the ambition that the hon. Gentleman sets.
This cannot just be about prevention because that is not always possible; it is also...
My responsibilities stretch only to England, but clear co-ordination and joint working with the devolved Administrations absolutely makes sense on an issue that transcends borders, so I agree with the ambition that the hon. Gentleman sets.
This cannot just be about prevention because that is not always possible; it is also...
I do not want to give a bland answer, but I take this issue very seriously. I have noted what the hon. Lady has said. Health Education England is responsible for the training of health professionals. I will pursue the hon. Lady’s point and would be very happy to report...
I do not want to give a bland answer, but I take this issue very seriously. I have noted what the hon. Lady has said. Health Education England is responsible for the training of health professionals. I will pursue the hon. Lady’s point and would be very happy to report...
The hon. Lady is just in time.
The hon. Lady is just in time.