Heart Diseases: Medical Treatments

Department of Health and Social Care written question – answered on 23rd September 2021.

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Photo of Steve McCabe Steve McCabe Labour, Birmingham, Selly Oak

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effectiveness of the implementation of NHS England's commissioning policy for percutaneous mitral valve leaflet repair for primary degenerative mitral regurgitation in adults, which was published in July 2019.

Photo of Steve McCabe Steve McCabe Labour, Birmingham, Selly Oak

To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of patients who are eligible for percutaneous mitral valve leaflet repair for primary degenerative mitral regurgitation in any given year; and how many patients have been treated with percutaneous mitral valve leaflet repair for primary degenerative mitral regurgitation in each year since that treatment was first commissioned by the NHS.

Photo of Steve McCabe Steve McCabe Labour, Birmingham, Selly Oak

To ask the Secretary of State for Health and Social Care, what plans the NHS has to commission transcatheter tricuspid valve leaflet repair routinely.

Photo of Maria Caulfield Maria Caulfield The Parliamentary Under-Secretary for Health and Social Care

No specific assessment has been made of the effectiveness of the implementation of NHS England's commissioning policy for percutaneous mitral valve leaflet repair for primary degenerative mitral regurgitation in adults. NHS England and NHS Improvement continue to provide access to mitral valve leaflet repair by commissioning on an interim basis from the three National Health Service trusts that supported the clinical evaluation of this procedure. All cardiology services in England were made aware they should continue to refer patients to these centres in advance of a formal provider selection taking place.

Data submitted to the National Institute for Cardiovascular Outcomes research (NICOR) registry indicates that 94 patients in 2018 and 175 patients in 2019 had mitral valve leaflet repair. Cardiology activity and completeness of NICOR data submissions were significantly impacted during 2020 due to COVID and therefore data is incomplete for that year. Overall, NHS England and NHS Improvement estimate that 4,000 patients may be considered for the mitral valve leaflet repair procedure and approximately 400 patients would be referred for the procedure per year after five years. NHS England and NHS Improvement have no plans to commission transcatheter tricuspid valve leaflet repair.

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