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To ask Her Majesty’s Government what was the cost of the National Chlamydia Screening Programme in the last year for which figures are available; and what is their assessment of the value of such screening as compared to screening only those young people recently treated for chlamydia.[HL6679]
To ask Her Majesty’s Government what was the cost of the National Chlamydia Screening Programme in the last year for which figures are available; and what is their assessment of the value of such screening as compared to screening only those young people recently treated for chlamydia.[HL6679]
The department does not collect data on the cost of chlamydia screening. The advice we have received from Public Health England (PHE) is that in 2009 the Health Protection Agency (now PHE) conducted a costing review of chlamydia screening, which estimated that a cost of £33 per screening episode was achievable. The review calculated that total cost of screening 35% of the 15 to 24 year-old population at the estimated cost of £33 per screen would be £76 million per year.
In 2011-12, 1.96 million screening tests were conducted, an estimated 29% of young adults, and 144,000 diagnoses of chlamydia infection were made. Using the figure of £33 per test this equates to an annual cost of £65 million. However, this figure may be an overestimate as since 2009 efficiencies should have resulted from changes to the way the National Chlamydia Screening Programme (NCSP) is commissioned and delivered, with integration of chlamydia screening and its co-ordination into local sexual and primary care health services.
The comparative value of screening only those young adults recently treated for chlamydia has not been assessed, as this approach would miss most asymptomatic infections. The aim of the NCSP is to control chlamydia through early detection and treatment of asymptomatic infections in young adults. The majority of infections detected through the programme are in young adults who have not had a previous diagnosis. Therefore restricting screening to those previously diagnosed would have a limited effect on the onward transmission of chlamydia and on the harmful consequences of chlamydia infection. The opportunity to deliver wider sexual health behavioural interventions would also be limited if screening was restricted to those previously diagnosed.
To ask the Secretary of State for Health whether he plans to introduce early coeliac screening blood tests.
[152253]
To ask the Secretary of State for Health whether he plans to introduce early coeliac screening blood tests.
[152253]
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. Using research evidence, pilot programmes and economic evaluation, the Committee assesses the evidence for programmes against a set of internationally recognised criteria.
The UK NSC reviewed the evidence for screening for coeliac disease in 2008 and concluded that it does not meet the criteria for a national screening programme. There was a lack of knowledge of the natural history of the undetected cases and it was unclear whether patients detected through screening would adhere to a gluten free diet, therefore the real benefit of screening was questionable.
The policy is due to be reviewed later in the year.
To ask the Secretary of State for Health which groups will henceforward be responsible for commissioning personalised and stratified medicine genomic tests that assess the need for chemotherapy.
[151382]
To ask the Secretary of State for Health which groups will henceforward be responsible for commissioning personalised and stratified medicine genomic tests that assess the need for chemotherapy.
[151382]
The commissioning of all chemotherapy drugs is defined as a prescribed service for direct commissioning by NHS England. Medical Genetics is additionally a prescribed service for direct commissioning by NHS England. National clinical reference groups have been established for both chemotherapy drugs and for Medical Genetics to improve the commissioning of these services.
To ask the Secretary of State for Health whether a diagnostic test which assesses the need for chemotherapy for breast cancer patients will be commissioned within the specialised commissioning budget.
[151383]
To ask the Secretary of State for Health whether a diagnostic test which assesses the need for chemotherapy for breast cancer patients will be commissioned within the specialised commissioning budget.
[151383]
The suitability of a diagnostic for specialised commissioning would be a matter for NHS England.
The National institute for Health and Care Excellence (NICE) is consulting on draft diagnostic guidance on tests to assess the suitability of chemotherapy in certain breast cancer patients. It is anticipated that the final guidance ‘Gene expression profiling and expanded immunohistochemistry tests to guide the use of adjuvant chemotherapy in early breast cancer management: MammaPrint, Oncotype DX, IHC4 and Mammostrat’ will be published in September 2013. The guidance can be found on the NICE website at:
www.nice.org.uk
by typing ‘gene expression profiling’ into the search bar.
To ask Her Majesty’s Government how many of the posts in NHS Commissioning Board local area teams have been filled by applicants with a background in immunisation; and how many have been filled by those who are experts in screening.[HL6394]
To ask Her Majesty’s Government how many of the posts in NHS Commissioning Board local area teams have been filled by applicants with a background in immunisation; and how many have been filled by those who are experts in screening.[HL6394]
There are a total of 241 specialist public health screening and immunisation posts in NHS Commissioning Board local area teams. The position in early March 2013 was that 124 posts had been successfully filled mainly through internal recruitment process, the remaining posts were advertised and interviews set up. A detailed breakdown of individual applicants’ backgrounds is not available nationally, but local teams are undertaking reviews of skills and training needs while training programmes have been set up for people to book on to.
Unallotted backbench debate (half day). Motion that this House has considered the e-petition relating to preventable cardiac deaths arising from Sudden Adult Death Syndrome. Agreed to on question.
Unallotted backbench debate (half day). Motion that this House has considered the e-petition relating to preventable cardiac deaths arising from Sudden Adult Death Syndrome. Agreed to on question.
I beg to move,
That this House has considered the e-petition relating to preventable cardiac deaths arising from Sudden Adult Death Syndrome.
I shall explain the slight typographical error in the motion in a second, but Mr Amess, you will have to excuse me if, at times, my throat is a little...
I beg to move,
That this House has considered the e-petition relating to preventable cardiac deaths arising from Sudden Adult Death Syndrome.
I shall explain the slight typographical error in the motion in a second, but Mr Amess, you will have to excuse me if, at times, my throat is a little...
I am most grateful to the hon. Gentleman, not only for allowing me to intervene, but for securing the debate. A moment ago, he mentioned a number of hon. Members who could not be here. May I take the opportunity to do something for my hon. Friend the Member for...
I am most grateful to the hon. Gentleman, not only for allowing me to intervene, but for securing the debate. A moment ago, he mentioned a number of hon. Members who could not be here. May I take the opportunity to do something for my hon. Friend the Member for...
I thank the hon. and learned Gentleman for his contribution. Until I did some research, I did not realise what a huge problem SADS actually is. I drew out some statistics, which I will share with the Chamber: some 250 people die every single day in the UK as a...
I thank the hon. and learned Gentleman for his contribution. Until I did some research, I did not realise what a huge problem SADS actually is. I drew out some statistics, which I will share with the Chamber: some 250 people die every single day in the UK as a...
Will the hon. Gentleman explain what he just said in more detail? I am very concerned if he is saying that any Minister has refused to meet campaigners. If that is the case, I assure him that it should not be. I certainly do not have any problems with meeting...
Will the hon. Gentleman explain what he just said in more detail? I am very concerned if he is saying that any Minister has refused to meet campaigners. If that is the case, I assure him that it should not be. I certainly do not have any problems with meeting...
It is fantastic that the Minister has agreed to meet campaigners. Some are here, and if she has time at the end of today’s debate, I am sure that they would be happy to spend a few minutes trying to organise something more substantial in future. I am sure that...
It is fantastic that the Minister has agreed to meet campaigners. Some are here, and if she has time at the end of today’s debate, I am sure that they would be happy to spend a few minutes trying to organise something more substantial in future. I am sure that...
I am most grateful to the hon. Gentleman for allowing me to intervene. He has just touched on the importance of speed in an emergency, and I wonder what level of knowledge, understanding and expertise would be required of a member of public to be effective in an emergency and...
I am most grateful to the hon. Gentleman for allowing me to intervene. He has just touched on the importance of speed in an emergency, and I wonder what level of knowledge, understanding and expertise would be required of a member of public to be effective in an emergency and...
All I can tell the hon. Lady is that if I can use a defibrillator, anyone can use one. We had people come into the House to demonstrate what an AED does. I was under the illusion that it was like something out of an episode of “Casualty”: someone picks...
All I can tell the hon. Lady is that if I can use a defibrillator, anyone can use one. We had people come into the House to demonstrate what an AED does. I was under the illusion that it was like something out of an episode of “Casualty”: someone picks...
I declare an interest as a first responder who on a number of occasions has had to attempt resuscitation. Defibrillators are indeed incredibly easy to use. One of the saddest things is turning up at someone’s house and finding people just standing around, worried or frightened that if they attempt...
I declare an interest as a first responder who on a number of occasions has had to attempt resuscitation. Defibrillators are indeed incredibly easy to use. One of the saddest things is turning up at someone’s house and finding people just standing around, worried or frightened that if they attempt...
I will highlight some of the statistical evidence relating to what the hon. Gentleman says, but if nothing else, if we can debunk the myth that we will do damage if we try to intervene and that the use of defibrillators will cause complications, that will be a start. The...
I will highlight some of the statistical evidence relating to what the hon. Gentleman says, but if nothing else, if we can debunk the myth that we will do damage if we try to intervene and that the use of defibrillators will cause complications, that will be a start. The...
I congratulate my hon. Friend on securing this very important debate. He will share my sadness at the death last week of Eleanor Murphy, who was the mayoress in Barrow last year and who, along with her husband, the mayor, was able to raise £40,000 to buy 20 new defibrillators...
I congratulate my hon. Friend on securing this very important debate. He will share my sadness at the death last week of Eleanor Murphy, who was the mayoress in Barrow last year and who, along with her husband, the mayor, was able to raise £40,000 to buy 20 new defibrillators...
Absolutely. What campaigners, or indeed anyone who is sensible enough to understand that we are in times of austerity, will say is that it is not for the Government to do everything. The example given by my hon. Friend of £40,000 being raised and the example of the OK Foundation,...
Absolutely. What campaigners, or indeed anyone who is sensible enough to understand that we are in times of austerity, will say is that it is not for the Government to do everything. The example given by my hon. Friend of £40,000 being raised and the example of the OK Foundation,...
I congratulate the hon. Gentleman on securing the debate. Will he join me in congratulating small communities such as Lockerley in my constituency? I learned on Friday night that there is a defibrillator in the village hall, and I was told at a meeting there of, I have to say,...
I congratulate the hon. Gentleman on securing the debate. Will he join me in congratulating small communities such as Lockerley in my constituency? I learned on Friday night that there is a defibrillator in the village hall, and I was told at a meeting there of, I have to say,...
Yes. Certain people expect us, as parliamentarians, to know everything about everything, but actually we do not know an awful lot about an awful lot. I hope that if it does nothing else, today’s debate and the publicity that will be generated through the campaigners will ensure that people are...
Yes. Certain people expect us, as parliamentarians, to know everything about everything, but actually we do not know an awful lot about an awful lot. I hope that if it does nothing else, today’s debate and the publicity that will be generated through the campaigners will ensure that people are...