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Written Question
Diseases: Diagnosis and Medical Treatments
Thursday 23rd January 2025

Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to improve (a) diagnosis and (b) treatment pathways for patients with (i) hypermobile Ehlers-Danlos Syndrome, (ii) Postural Orthostatic Tachycardia Syndrome and (iii) Mast Cell Activation Syndrome.

Answered by Andrew Gwynne

The Government is committed to improving the lives of those living with rare diseases, such as hypermobile Ehlers-Danlos syndrome (hEDS) and mast cell activation syndrome. The UK Rare Diseases Framework sets out four priorities, collaboratively developed with the rare disease community, which include helping patients get a final diagnosis faster and improving access to specialist care, treatments, and drugs. We remain committed to delivering under the framework and will publish an annual England action plan in 2025. With over 7,000 identified rare diseases, the framework and action plans focus on shared challenges across all rare diseases.

NHS England has a website page on hEDS and this notes the passing of information on to the National Congenital Anomaly and Rare Diseases Registration Service (NCARDRS) to help scientists look for better ways to prevent and treat this condition. NHS England’s website page is available at the following link:

https://www.nhs.uk/conditions/ehlers-danlos-syndromes/

Be Part of Research is a tool that can support people living with rare diseases in engaging with research. Currently on Be Part of Research there is a study recruiting those with hEDS to take part in research to help advance the understanding of diagnostic imaging in this condition. Further information is available at the following link:

https://bepartofresearch.nihr.ac.uk/trial-details/trial-detail?trialId=24730&location=&distance=

To improve awareness of postural orthostatic tachycardia syndrome (PoTS) amongst healthcare professionals, and specifically general practitioners, the Royal College of General Practitioners provides training on PoTS as part of its syncope toolkit. Further information is available at the following link:

https://elearning.rcgp.org.uk/course/view.php?id=500

In addition, the NICE has produced a clinical knowledge summary on blackouts and syncope, last updated in November 2023, which outlines how clinicians should assess and diagnose PoTS. The NICE’s clinical knowledge summary is available at the following link:

https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/


Select Committee
British Association for Neurodiversity (committee member)
SEN0524 - Solving the SEND Crisis

Written Evidence Mar. 17 2025

Inquiry: Solving the SEND Crisis
Inquiry Status: Closed
Committee: Education Committee (Department: Department for Education)

Found: chronic pain, autoimmunity, dysautonomia, gastrointestinal conditions, allergies and other forms of mast


Scottish Parliament Debate - Committee
New Petitions - Wed 29 May 2024

Mentions:
1: Carlaw, Jackson (Con - Eastwood) research into symptoms and illnesses that result from vaccination, improved diagnosis and treatment for mast - Speech Link


Arms Length Body Publication (Awaiting development)
NICE

Source Page: Depemokimab for treating chronic rhinosinusitis with nasal polyps ID 6449
Document: 31124-Depemokimab-for-Asthma-V1.0-MAR2024-NON-CONF.pdf (nihr.ac.uk) (PDF)

Found: eosinophilia, which is when there are unusually high levels of eosinophil s (a type of white blood cell


Arms Length Body Publication (Published)
NICE

Nov. 06 2024

Source Page: Avapritinib for treating advanced systemic mastocytosis
Publication Type: Supporting evidence
Document: Committee papers (PDF 10.16 MB) (webpage)

Found: and therefore halting further downstream signalling pathways that promote mast cell activation.9,11


Arms Length Body Publication (Published)
NICE

Oct. 03 2024

Source Page: Avapritinib for treating advanced systemic mastocytosis
Publication Type: Final draft guidance
Document: Committee papers (PDF 10.15 MB) (webpage)

Found: and therefore halting further downstream signalling pathways that promote mast cell activation.9,11


Deposited Papers

Jul. 16 2009

Source Page: Mobile telecommunications and health research programme report 2007. Incl. appendices. 64 p.
Document: DEP2009-2066.pdf (PDF)

Found: collaborative working between specialists in different disciplines such as radio engineering and cell


Non-Departmental Publication (Transparency)
Medicines and Healthcare products Regulatory Agency

Mar. 14 2024

Source Page: Freedom of Information responses from the MHRA - week commencing 4 December 2023
Document: FOI 23/857 - attachment 2 (PDF)

Found: : MedDRA 26.1 Reaction Name Total Fatal Blood disorders Coagulopathies Antiphospholipid syndrome


Closed Petition closed 30th May 2024

Fund increased care and support for people with Mast Cell Activation Syndrome - Final Signatures: 4,048

As someone affected by MCAS challenges, including misdiagnosis, limited awareness, and medication access, I urge government to fund activities to enhance awareness, increase research funding, support medication access and collaborate with patient advocacy to support a patient-centric approach.

Found: Fund increased care and support for people with Mast Cell Activation Syndrome


Non-Departmental Publication (Transparency)
Medicines and Healthcare products Regulatory Agency

Jan. 17 2024

Source Page: Freedom of Information responses from the MHRA - week commencing 17 October 2022
Document: Freedom of Information request (FOI 22/981) - attachment 3 (PDF)

Found: Anaemias NEC Anaemia 11 0 Anaemias haemolytic mechanical factor Haemolytic uraemic syndrome