Coeliac Disease: Diagnosis

Department of Health and Social Care written question – answered at on 20 May 2024.

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Photo of Dean Russell Dean Russell Chair, Speaker's Advisory Committee on Works of Art

To ask the Secretary of State for Health and Social Care, which part of NHS England has accountability for coeliac disease diagnoses.

Photo of Andrew Stephenson Andrew Stephenson Assistant Whip, Minister of State (Department of Health and Social Care)

Integrated care boards (ICB) commission services to meet the needs of their local populace. Diagnosis of coeliac disease falls within the portfolio of ICB-commissioned services. As such, NHS England does not have central accountability. However, NHS England has invested in senior clinical leadership in gastroenterology, which includes coeliac disease, as a priority workstream in the national Getting It Right First Time programme.

The diagnosis of coeliac disease commonly involves a blood test and, in some cases, a biopsy of the small intestine. Post-diagnosis, further blood tests, which check the levels of iron and other vitamins and minerals, may be required to assess how the condition has affected the individual, such as the potential for iron deficiency anaemia due to poor absorption of nutrients. A bone density scan may also be recommended if the condition is thought to affect the individual’s bones.

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