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To ask the Secretary of State for Health (1) what steps his Department has taken to provide a separate follow-up service to the NHS Heath Check Programme;
[R]
To ask the Secretary of State for Health (1) what steps his Department has taken to provide a separate follow-up service to the NHS Heath Check Programme;
[R]
The Government has no plans to mandate local authorities to commission follow-up services following an NHS health check. It is for local authorities, supported by Public Health England, to work closely with their partners across the health care system, including through health and wellbeing boards, to ensure the different elements of the programme, including follow-up services link together. The Department, jointly with Public Health England, have issued guidance to support local authorities
in delivering NHS health checks, including follow-up services. NHS England is also producing an action plan to improve patient management following an NHS health check by March 2015.
(2) if he will make it his policy to impose a duty on local authorities to commission follow-up services to the NHS Health Check.
[R]
Mr Sanders:
(2) if he will make it his policy to impose a duty on local authorities to commission follow-up services to the NHS Health Check.
[R]
Mr Sanders:
The Government has no plans to mandate local authorities to commission follow-up services following an NHS health check. It is for local authorities, supported by Public Health England, to work closely with their partners across the health care system, including through health and wellbeing boards, to ensure the different elements of the programme, including follow-up services link together. The Department, jointly with Public Health England, have issued guidance to support local authorities
in delivering NHS health checks, including follow-up services. NHS England is also producing an action plan to improve patient management following an NHS health check by March 2015.
To ask the Secretary of State for Health (1) what assessment Public Health England has made of and what evidence that body has collected on the effectiveness of the NHS health check programme in helping to diagnose diabetes; and if he will make a statement;
To ask the Secretary of State for Health (1) what assessment Public Health England has made of and what evidence that body has collected on the effectiveness of the NHS health check programme in helping to diagnose diabetes; and if he will make a statement;
Economic modelling has demonstrated the potential for the NHS Health Check programme to prevent 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease. Public Health England (PHE) recognises that empirical evidence of the programme's impact is limited and in July 2013 set out “Our Approach to the Evidence”:
www.healthcheck.nhs.uk/commissioners_and_healthcare_professionals/national_guidance/
As part of this approach both PHE and the Department are committed to encouraging the development of evidence. PHE is currently developing a research and evaluation strategy that will be published later this year and the Department's Research and Development division have already commissioned two independent studies.
In the last 12 months, PHE has also established an Expert Scientific and Clinical Advisory Panel (ESCAP) involving representatives from relevant experts in the fields of academia, medicine and public health. One such member is NHS England's National Clinical Director for diabetes. The purpose of ESCAP is to act in an advisory capacity to support successful roll-out,
maintenance/evaluation and the NHS Health Check programme's continued improvement based on emerging and best evidence.
Improving the detection of diabetes has already been raised as an item at ESCAP and the panel is currently considering a proposal to update the NHS Health Check diabetes filter.
(2) what plans Public Health England has to increase the number of people diagnosed with diabetes through the NHS health check programme;
Mr Sanders:
(2) what plans Public Health England has to increase the number of people diagnosed with diabetes through the NHS health check programme;
Mr Sanders:
Economic modelling has demonstrated the potential for the NHS Health Check programme to prevent 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease. Public Health England (PHE) recognises that empirical evidence of the programme's impact is limited and in July 2013 set out “Our Approach to the Evidence”:
www.healthcheck.nhs.uk/commissioners_and_healthcare_professionals/national_guidance/
As part of this approach both PHE and the Department are committed to encouraging the development of evidence. PHE is currently developing a research and evaluation strategy that will be published later this year and the Department's Research and Development division have already commissioned two independent studies.
In the last 12 months, PHE has also established an Expert Scientific and Clinical Advisory Panel (ESCAP) involving representatives from relevant experts in the fields of academia, medicine and public health. One such member is NHS England's National Clinical Director for diabetes. The purpose of ESCAP is to act in an advisory capacity to support successful roll-out,
maintenance/evaluation and the NHS Health Check programme's continued improvement based on emerging and best evidence.
Improving the detection of diabetes has already been raised as an item at ESCAP and the panel is currently considering a proposal to update the NHS Health Check diabetes filter.
(3) what representations his Department has received from experts in diabetes on the NHS health check programme in the last 12 months; and if he will make a statement.
Mr Sanders:
(3) what representations his Department has received from experts in diabetes on the NHS health check programme in the last 12 months; and if he will make a statement.
Mr Sanders:
Economic modelling has demonstrated the potential for the NHS Health Check programme to prevent 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease. Public Health England (PHE) recognises that empirical evidence of the programme's impact is limited and in July 2013 set out “Our Approach to the Evidence”:
www.healthcheck.nhs.uk/commissioners_and_healthcare_professionals/national_guidance/
As part of this approach both PHE and the Department are committed to encouraging the development of evidence. PHE is currently developing a research and evaluation strategy that will be published later this year and the Department's Research and Development division have already commissioned two independent studies.
In the last 12 months, PHE has also established an Expert Scientific and Clinical Advisory Panel (ESCAP) involving representatives from relevant experts in the fields of academia, medicine and public health. One such member is NHS England's National Clinical Director for diabetes. The purpose of ESCAP is to act in an advisory capacity to support successful roll-out,
maintenance/evaluation and the NHS Health Check programme's continued improvement based on emerging and best evidence.
Improving the detection of diabetes has already been raised as an item at ESCAP and the panel is currently considering a proposal to update the NHS Health Check diabetes filter.
To ask the Secretary of State for Health how many people have been diagnosed with diabetes through the NHS health check programme in each year of its operation.
[R]
To ask the Secretary of State for Health how many people have been diagnosed with diabetes through the NHS health check programme in each year of its operation.
[R]
The NHS Health Check is a locally implemented programme; the number of diabetes cases diagnosed as a result of the NHS Health Check Programme is not monitored nationally. Economic modelling has demonstrated the potential for the programme to prevent 4,000 people per year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease.
The recent NHS Health Check Implementation review recommended taking action to improve the flow of data across the system, improve evidence and the evaluation of the programme. Public Health England is currently developing a research and evaluation strategy that will be published later this year.
To ask the Secretary of State for Health if Public Health England will develop a template national service specification for the delivery of NHS health check services.
To ask the Secretary of State for Health if Public Health England will develop a template national service specification for the delivery of NHS health check services.
As the local delivery lead for the NHS Health Check programme, local authorities are best placed to determine the needs of their local population and, in turn, the best way of commissioning the programme in order to meet local need. A 'one size fits all' service specification is unlikely to be helpful in supporting them in this role.
Public Health England (PHE) has sought to disseminate best commissioning practice by publishing service specifications used by local authorities successfully commissioning the programme. These examples can be accessed and tailored for use by other NHS Health Check commissioners. PHE has also disseminated learning on commissioning arrangements at the recent NHS Health Check conference, which can found at:
www.healthcheck.nhs.uk/commissioners_and_healthcare_professionals/learning_network/presentations_and_resources/nhs_health_check_conference_feb_27th_2014/
To ask the Secretary of State for Health what steps he is taking to extend diabetes testing to people who are not eligible for the NHS Health Check Programme.
To ask the Secretary of State for Health what steps he is taking to extend diabetes testing to people who are not eligible for the NHS Health Check Programme.
At this time, there are no plans to extend the eligible age range for the NHS Health Check programme. However, in some local areas where there is a high representation of vulnerable or high risk groups, local authorities may choose to extend the eligibility age range to target these groups.
Where an individual is not eligible for an NHS Health Check, it is at the discretion of the health professional to determine whether an assessment of diabetes should be undertaken.
Currently, the National Institute for Health and Care Excellence recommends that health professionals should encourage people aged 25-39 of South Asian, Chinese, African-Caribbean, black African and other high-risk black and minority ethnic groups, as well as adults with a condition that increases the risk of type 2 diabetes to complete an diabetes assessment.
To ask the Secretary of State for Health how many cases of diabetes have been diagnosed as a result of the NHS Health Check programme in each year since that programme's inception.
To ask the Secretary of State for Health how many cases of diabetes have been diagnosed as a result of the NHS Health Check programme in each year since that programme's inception.
The number of diabetes cases diagnosed as a result of the NHS Health Check Programme is not currently recorded nationally. Economic modelling has demonstrated the potential for the programme to prevent 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease.
The recent NHS Health Check Implementation review recommended taking action to improve the flow of data across the system, improve evidence and the evaluation of the programme. Public Health England are currently developing a research and evaluation strategy that will be published later this year.
To ask the Secretary of State for Health what steps his Department is taking to ensure that people with diabetes who are unaware of their condition are tested for diabetes.
To ask the Secretary of State for Health what steps his Department is taking to ensure that people with diabetes who are unaware of their condition are tested for diabetes.
NHS England is putting a real emphasis on screening for high risk or the presence of Type 2 diabetes through NHS health checks. The NHS Health Check programme is a risk assessment and management programme, for those aged 40 to 74, aimed at raising awareness and preventing a range of illnesses, including Type 2 diabetes.
Delivery of the NHS Health Check programme has been mandated to local authorities from April 2013, and NHS England has an objective in its Mandate from the Department to work with Public Health England to support local government in this work.
Beginning on 23 September 2013, and supported by NHS England and Public Health England, Diabetes UK launched the largest ever Type 2 diabetes awareness campaign. The campaign aimed to raise awareness of the risk factors of Type 2 diabetes and enable people to
understand their risk of developing the condition. Advertising was used to drive people to Diabetes UK's online risk score or into pharmacies for an assessment with information on what people should do next, depending on their risk level, including visiting their general practitioner (GP) if recommended. The charity wrote to all GP surgeries across the United Kingdom as well as professional organisations to advise about the campaign.
That this House welcomes the Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should have a systematic call and recall system to ensure that people with diabetes receive an annual letter inviting them for screening; notes with concern that Government targets, of all people with diabetes being offered free digital retinal screening by the end of 2007, were not met and as a result one in four, up to 470,000, people with diabetes in England, are needlessly being put at risk of losing their sight; further notes that retinal screening is one of the most cost-effective interventions known in medicine, with 90 per cent. of cases of retinopathy being treatable with early intervention; and calls on the Government to ensure that primary care trusts put in place the appropriate facilities and allocate the necessary budget to their screening programme to prevent people with diabetes from needlessly losing their sight.
That this House welcomes the Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should...
That this House welcomes Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should have a systematic call and recall system to ensure that people with diabetes receive an annual letter inviting them for screening; notes with concern that Government targets of all people with diabetes being offered free digital retinal screening by the end of 2007 are not being met and as a result one in four (up to 470,000) people with diabetes in England are needlessly being put at risk of losing their sight; further notes that retinal screening is one of the most cost-effective interventions known in medicine, with 90 per cent. of cases of retinopathy being treatable with early intervention; and calls on the Government to ensure that primary care trusts put in place the appropriate facilities and allocate the necessary budget to their screening programme to prevent people with diabetes from needlessly losing their sight.
That this House welcomes Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should have...
That this House welcomes Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should have a systematic call and recall system to ensure that people with diabetes receive an annual letter inviting them for screening; notes with concern that Government targets of all people with diabetes being offered free digital retinal screening by the end of 2007 are not being met and as a result one in four (up to 470,000) people with diabetes in England are needlessly being put at risk of losing their sight; further notes that retinal screening is one of the most cost effective interventions known in medicine, with 90 per cent. of cases of retinopathy being treatable with early intervention; and calls on the Government to ensure that primary care trusts put in place the appropriate facilities and allocate the necessary budget to their screening programme to prevent people with diabetes from needlessly losing their sight.
That this House welcomes Diabetes UK's campaign Your Vision; recognises that diabetes is the leading cause of blindness in the UK working age population; considers that all people with diabetes should have access to free annual retinal screening with a digital camera and that each primary care trust should have...
That this House welcomes the rally of Parliament organised by Diabetes UK and the Royal National Institute of the Blind taking place on 17th May to highlight the need for retinopathy screening for all people with diabetes; notes that retinopathy is the leading cause of blindness in the working age population and can be prevented and treated if found early enough; further notes the Government targets for 70 per cent. of people with diabetes to be screened by June 2006 and 100 per cent. of people by the end of 2007; is concerned that the latest Department of Health figures show that only 59 per cent. of people with diabetes have received retinal screening in the 12 months up to March 2006; and calls on the Government to ensure that quality assured retinopathy screening programmes are in place across England.
That this House welcomes the rally of Parliament organised by Diabetes UK and the Royal National Institute of the Blind taking place on 17th May to highlight the need for retinopathy screening for all people with diabetes; notes that retinopathy is the leading cause of blindness in the working age...
To ask the Secretary of State for Health when she expects the National Screening Committee to issue its guidance on a national programme for the early identification of diabetes.
To ask the Secretary of State for Health when she expects the National Screening Committee to issue its guidance on a national programme for the early identification of diabetes.
To ask the Secretary of State for Health what percentage of people with diabetes have been offered retinal screening to test for signs of diabetic retinopathy as part of a systematic retinal screening programme in the past 12 months.
To ask the Secretary of State for Health what percentage of people with diabetes have been offered retinal screening to test for signs of diabetic retinopathy as part of a systematic retinal screening programme in the past 12 months.
To ask the Secretary of State for Health what measures are in place to ensure the delivery of independent and external quality assurance of local retinopathy programmes.
To ask the Secretary of State for Health what measures are in place to ensure the delivery of independent and external quality assurance of local retinopathy programmes.
To ask the Secretary of State for Health, how much of the allocated capital funding for years (a) one and (b) two has been spent on digital cameras and related software for the screening of people with diabetes.
To ask the Secretary of State for Health, how much of the allocated capital funding for years (a) one and (b) two has been spent on digital cameras and related software for the screening of people with diabetes.