Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much his Department has spent from the public purse on the Act FAST campaign in each year since that campaign began.
Answered by David Mowat
Public Health England (PHE) took over all the public health campaigns formerly run by the Department on 1 April 2013, including Act FAST.
The funding allocated to the Act FAST media spend is as follows:
2013-14: £870,000
2014-15: £850,000
2015-16: £930,000
Marketing spend is defined for this purpose as advertising spend covering only the media costs (inclusive of agency commission). These figures do not include recruitment/classified advertising costs and ad hoc spend under £10,000. All figures are rounded to the nearest £10,000.
2016-17 media spend figures are not available as the expenditure has not yet been committed.
All PHE spend over £25,000, including on public health campaigns, is published routinely and available on gov.uk:
https://www.gov.uk/government/collections/phe-spend-over-25000
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were admitted to hospital with a stroke in the latest year for which figures are available; and what proportion of those patients were treated with mechanical thrombectomy.
Answered by David Mowat
Information on mechanical thrombectomy is not centrally held, however we can provide information on thrombectomy (mechanical or otherwise), which is set out in the attached tables.
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will recommend mechanical thrombectomy for topic selection into the NICE technology appraisal programme.
Answered by Baroness Blackwood of North Oxford
There are no plans to ask the National Institute for Health and Care Excellence to develop technology appraisal guidance on mechanical thrombectomy.
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment his Department has made of the adequacy of the infrastructure in the NHS to deliver mechanical thrombectomy to stroke patients.
Answered by David Mowat
NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.
The Sentinel Stroke National Audit Programme (SSNAP) is now collecting data on patients treated with mechanical thrombectomy and the latest data shows that 124 patients were treated between October 2015 and March 2016. It should be noted, however, that this may not reflect all patients treated as some may not have had their data entered into SSNAP.
The SSNAP team is addressing this issue with the relevant clinicians. SSNAP data is freely available at:
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to support the wider implementation of mechanical thrombectomy in the treatment of stroke.
Answered by David Mowat
NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.
The Sentinel Stroke National Audit Programme (SSNAP) is now collecting data on patients treated with mechanical thrombectomy and the latest data shows that 124 patients were treated between October 2015 and March 2016. It should be noted, however, that this may not reflect all patients treated as some may not have had their data entered into SSNAP.
The SSNAP team is addressing this issue with the relevant clinicians. SSNAP data is freely available at:
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment has been made of the adequacy of skills within the NHS England workforce to deliver mechanical thrombectomy to stroke patients.
Answered by David Mowat
NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.
The Sentinel Stroke National Audit Programme (SSNAP) is now collecting data on patients treated with mechanical thrombectomy and the latest data shows that 124 patients were treated between October 2015 and March 2016. It should be noted, however, that this may not reflect all patients treated as some may not have had their data entered into SSNAP.
The SSNAP team is addressing this issue with the relevant clinicians. SSNAP data is freely available at:
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what information the Sentinel Stroke National Audit Programme (SSNAP) collects on the use of mechanical clot retrieval; if he will publish data from SSNAP on mechanical clot retrieval for the latest period in which figures are available; and if he will make a statement.
Answered by David Mowat
NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.
The Sentinel Stroke National Audit Programme (SSNAP) is now collecting data on patients treated with mechanical thrombectomy and the latest data shows that 124 patients were treated between October 2015 and March 2016. It should be noted, however, that this may not reflect all patients treated as some may not have had their data entered into SSNAP.
The SSNAP team is addressing this issue with the relevant clinicians. SSNAP data is freely available at:
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many mechanical thrombectomy procedures for the treatment of stroke patients were carried out in England in the latest year for which figures are available.
Answered by David Mowat
Information on mechanical thrombectomy is not centrally held, however we can provide information on thrombectomy (mechanical or otherwise), which is set out in the attached tables.
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment his Department has made of the effect of the use of mechanical thrombectomy in treatment of stroke on length of stay in hospital and bed occupancy rates.
Answered by David Mowat
As yet, there are insufficient patients being treated with mechanical thrombectomy to assess its impact on processes, such as length of hospital stay and bed occupancy rates, outcomes of care and the effect on post stroke rehabilitation.
However, the Sentinel Stroke National Audit Programme is now collecting data on patients treated with mechanical thrombectomy and the results will be reported as soon as it is feasible. Sufficient cases will need to be undertaken before conducting the necessary statistical analyses and reporting the data.
NHS England is considering whether mechanical thrombectomy should be an area covered by its specialised commissioning portfolio and work is underway on this.
Asked by: Cheryl Gillan (Conservative - Chesham and Amersham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what consideration has been given to using the information collected through the Sentinel Stroke National Audit Programme to assess the potential benefits of wider implementation of mechanical clot retrieval treatment and its side effect on post-stroke rehabilitation.
Answered by David Mowat
As yet, there are insufficient patients being treated with mechanical thrombectomy to assess its impact on processes, such as length of hospital stay and bed occupancy rates, outcomes of care and the effect on post stroke rehabilitation.
However, the Sentinel Stroke National Audit Programme is now collecting data on patients treated with mechanical thrombectomy and the results will be reported as soon as it is feasible. Sufficient cases will need to be undertaken before conducting the necessary statistical analyses and reporting the data.
NHS England is considering whether mechanical thrombectomy should be an area covered by its specialised commissioning portfolio and work is underway on this.