§ Mr. DrewTo ask the Secretary of State for Health what plans he has to make more funds available to ring fence funds to prevent sudden deaths in epilepsy. [62987]
§ Jacqui Smith[holding answer 19 June 2002]:Local health and social care organisations are responsible for planning and providing services for people with epilepsy. The recently announced budget settlements for the national health service (representing an annual average increase of 7.6 per cent. above inflation over the five years 2003–04 to 2007–08) and personal social services (PSS) (representing an annual average increase of 6.0 per cent. above inflation over the three years 2003–04 to 2005–06), will provide the investment needed to support services which best meet patients' and users' needs.
The Department has recently welcomed the publication of the Government funded national sentinel audit of epilepsy-related death. The audit looked at investigations into epilepsy deaths, care provided prior to death and contact with bereaved families. The Department has given a commitment to consider the recommendations of the audit and develop an action plan by September 2002 to try to improve epilepsy services and reduce the number of preventable deaths from epilepsy.
The Department is also undertaking a range of initiatives to improve services for the care and management of people with epilepsy. For example, we have:
Provided funding to the Joint Epilepsy Council (JEC) to develop a "National Statement of Good Practice for the Treatment and Care of People who have Epilepsy", which was published in May 2002. The statement makes a series of recommendations for good1100W
Treatment modality Average baseline waiting time (weeks) Maximum acceptable length of wait (weeks) 1999–2000 2002–03 2003–04 In-patient detoxification 6.1 4 2 Community prescribing—specialist 10.2 6 3 Community prescribing—GPs 5 4 2 Structured counselling 4 4 2 Structured day care programme 3.3 4 3 Residential rehabilitation 5.4 4 3
quality epilepsy services. It is intended to facilitate commissioning and will be of use to NHS purchasers, providers and service users.Asked the National Institute for Clinical Excellence (NICE) to develop a clinical guideline (due in summer 2004) for the diagnosis, management and treatment of epilepsy to help address widespread variations in clinical practice and contribute to the improvement of services. This will be supported by a technology appraisal (due autumn 2003) of the clinical and cost-effectiveness of new anti-epileptic drugs in children and adults, to help promote appropriate uptake and equitable access.Announced that the national service framework (NSF) for long term conditions is expected to develop standards of care for specific neurological conditions, including epilepsy. The NSF is expected to be published in 2004. Implementation is expected to start from 2005.Developed the expert patients programme, which aims to provide training in self-management skills for people with long term chronic conditions. The first pilot phase will include people with epilepsy.Provided funding to the national society for epilepsy for its living well project. The project aims to promote independent living by providing locally based short-term courses for people with epilepsy to develop self-help and self-management techniques.