Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of best practice for the (a) diagnosis and (b) treatment of Lyme disease in the (i) United States and (ii) Germany.
Answered by Maria Caulfield
The Government has not conducted an assessment of the adequacy of National Health Service capability and capacity to diagnose Lyme disease or a comparative assessment of best practice in the diagnosis and treatment of this disease in the United Kingdom, the United States and Germany. Diagnosis of Lyme disease in England and Wales is conducted by the Rare and Imported Pathogens Laboratory (RIPL). RIPL provides Lyme polymerase chain reaction PCR testing and a comprehensive serological panel which has been fully validated to UK Accreditation Service standards.
Published research, for example the VICTORY study in Lancet ID, indicates that cellular tests for Lyme borreliosis used by many private laboratories in Europe have a high false positive rate. A copy of the VICTORY study in Lancet ID, is available at the following link: https://doi.org/10.1016/S1473-3099(22)00205-5.)
UK Health Security Agency published accompanying guidance documents on Lyme disease in July 2018, which describe the clinical signs and symptoms and are consistent with the National Institute for Health and Care Excellence guidance. The guidance is available at the following link: https://www.gov.uk/guidance/lyme-disease-management-and-prevention
Services for the treatment of Lyme disease are commissioned locally. These services are the responsibility of integrated care board and general practitioners use their professional judgement in diagnosing and treating this condition.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the (a) capacity and (b) capability of the NHS to diagnose Lyme disease.
Answered by Maria Caulfield
The Government has not conducted an assessment of the adequacy of National Health Service capability and capacity to diagnose Lyme disease or a comparative assessment of best practice in the diagnosis and treatment of this disease in the United Kingdom, the United States and Germany.
Diagnosis of Lyme disease in England and Wales is conducted by the Rare and Imported Pathogens Laboratory (RIPL). RIPL provides Lyme polymerase chain reaction PCR testing and a comprehensive serological panel which has been fully validated to UK Accreditation Service standards.
Published research, for example the VICTORY study in Lancet ID, indicates that cellular tests for Lyme borreliosis used by many private laboratories in Europe have a high false positive rate. A copy of the VICTORY study in Lancet ID, is available at the following link:
https://doi.org/10.1016/S1473-3099(22)00205-5.)
UK Health Security Agency published accompanying guidance documents on Lyme disease in July 2018, which describe the clinical signs and symptoms and are consistent with the National Institute for Health and Care Excellence guidance. The guidance is available at the following link:
https://www.gov.uk/guidance/lyme-disease-management-and-prevention
Services for the treatment of Lyme disease are commissioned locally. These services are the responsibility of integrated care board and general practitioners use their professional judgement in diagnosing and treating this condition.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the cost to the public purse was of NHS treatment for people admitted to hospital with urinary tract infections in each financial year between 2018-19 and 2021-22.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
The information requested is not held centrally.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many people are admitted to hospital each year with urinary tract infections; what the cost was to the public purse of the NHS of treating people with urinary tract infections in the last financial year; and whether the NHS plans to take steps to improve options for community-based services to treat urinary tract infections.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
The following table shows the number of people admitted to hospital each year in the last five years with urinary tract infections (UTIs).
Year | Admissions |
2018/19 | 184,794 |
2019/20 | 179,785 |
2020/21 | 135,594 |
2021/22 | 152,695 |
Source: Hospital Episode Statistics (HES), NHS England
Data for 2021/22 is latest data available. We cannot provide data on the total cost to the NHS of treating patients with UTI in the last financial year (2022/23).
NHS England published on 9 May 2023 its Delivery plan for recovering access to primary care. This sets out proposals to improve options for community-based services to treat urinary tract infections. Appropriately trained community pharmacists will be commissioned to provide a clinical service to care for patients with urinary symptoms, providing timely access to assessment, information and advice.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help prevent people from developing dementia.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
We are focusing on the major conditions which contribute to early mortality and reduce years of good health and taking action to reduce the risk factors for cardiovascular disease that are also risk factors for vascular dementia. For example, encouraging people in mid-life to stop smoking, reduce their alcohol consumption and improve their diet to help reduce the risk of developing dementia, disability and frailty in later life.
The Government recently announced that it will publish a Major Conditions Strategy which will set out a strong and coherent policy agenda that sets out a shift to integrated, whole-person care. An interim report will be published in the summer.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress has been made in monitoring the implementation of the Excellence in Continence Care Guidelines.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England does not monitor the implementation of the Excellence in Continence Care Guidelines. NHS England will consider next steps on Excellence in Continence Care through its National Bladder and Bowel Health Project and will report shortly. NHS England does not currently have any plans to commission a new Continence Care Audit.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to commission a new Continence Care Audit.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England does not monitor the implementation of the Excellence in Continence Care Guidelines. NHS England will consider next steps on Excellence in Continence Care through its National Bladder and Bowel Health Project and will report shortly. NHS England does not currently have any plans to commission a new Continence Care Audit.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether there are patient representatives on the boards of integrated care boards and on primary care, commissioning and assurance committees; and if he will make a statement.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
The Health and Care Act 2022 sets out minimum membership requirements for integrated care boards (ICBs) that includes representatives from NHS Trusts, Primary Care and Local Authorities and does not mandate patient representation on ICBs. However, the local areas can, by local agreement, go beyond the legislative minimum requirements in order to address their local needs.
Primary care, commissioning and assurance committees are non-statutory ICB committees. There are no national requirements set by NHS England for how ICBs constitute any committee responsible for the discharge of any delegated primary care responsibilities including patient representation.
ICBs’ constitutions are expected to include principles and arrangements for how the ICB will work with patients and communities. ICBs are also legally bound (under section 13Q of the National Health Service Act 2006) to involve the public in the commissioning of services for National Health Service patients.
Currently there are no plans for the Secretary of State to make a statement to mandate any additional requirements for ICBs.