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174220

registered interest
date	16/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that hospitals in Greater Manchester meet the Government's A&E waiting time target.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221094
answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/01/2015 13:51:02 question first ministerially corrected 23/01/2015 14:02:22 answering member 3918 label Biography information for Jane Ellison previous answer version 39987 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
tabling member	1506 label Biography information for Andrew Gwynne

174221

registered interest
date	16/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with local authorities in Greater Manchester on increased attendances in A&E over the winter and delayed discharges.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221095
answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/01/2015 13:51:02 question first ministerially corrected 23/01/2015 14:02:55 answering member 3918 label Biography information for Jane Ellison previous answer version 39989 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
tabling member	1506 label Biography information for Andrew Gwynne

174223

registered interest
date	16/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with Monitor, the Care Quality Commission and NHS England on hospitals in Greater Manchester which have not met the Government's A&E waiting time target.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221081
answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/01/2015 13:51:02 question first ministerially corrected 23/01/2015 14:02:44 answering member 3918 label Biography information for Jane Ellison previous answer version 39988 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
tabling member	1506 label Biography information for Andrew Gwynne

173089

registered interest
date	12/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether any of the new marginal tariff payments proposed by NHS England for specialised services activity will be zero.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220364
answer	answer is ministerial correction date of answer 15/01/2015 answer text <p>The proposed gain and risk share arrangement for acute specialised services would operate on the following basis: if the actual value of relevant activity undertaken by the provider is higher than the base value of specialised services 2013-14 activity levels, then the provider will receive 50% of the value of this over-performance. If the actual value of relevant activity undertaken by the provider is lower than the base value, then the provider will benefit from receiving 50% of the difference between actual performance and the base value. If the actual contract value equals the base value, then no payment adjustment will be required. A provider would have a base value of zero if they had no contract for the provision of prescribed specialised services, in which case this new policy would not affect them.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 15/01/2015 17:32:13 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

173108

registered interest
date	12/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients with long-term medical conditions in (a) England, (b) Greater Manchester, (c) Tameside and Glossop and (d) Stockport visited A&E before they were able to visit a GP or walk-in centre in the last three months.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220381
answer	answer is ministerial correction date of answer 19/01/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 19/01/2015 15:25:38 answering member 1439 label Biography information for Norman Lamb
tabling member	1506 label Biography information for Andrew Gwynne

173109

registered interest
date	12/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the number of patients admitting themselves to A&E for a pre-existing medical condition before they reach the top of a waiting list for the same issue, in (a) England, (b) Greater Manchester, (c) Tameside and Glossop and (d) Stockport in the last three months.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220382
answer	answer is ministerial correction date of answer 19/01/2015 answer text <p>This information is not available centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/01/2015 17:00:56 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

172902

registered interest
date	09/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Re-employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS staff have been made redundant and subsequently re-employed by NHS organisations on a (a) permanent and (b) fixed-term contract basis since the provisions of the Health and Social Care Act 2012 came into force.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220252
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The current redundancy terms for National Health Service staff were laid down in 2006, however this Government is working to improve value for the tax payer by introducing legislation in the form of the Small Business, Enterprise and Employment Bill which is due to receive Royal Assent in March 2015. This Bill allows for recovery of contractual redundancy payments when an individual earning over £100,000 returns to the same subsector (eg NHS or local government) within a year of the termination date. This Bill will come into effect in 2016.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The number of NHS staff made redundant between 1 April 2013 and 30 June 2014 (the latest date for which redundancy data is published), and subsequently reemployed on a permanent contract is 618 and on a fixed term contract is 274. These include only those reemployed up until 30 November 2014. The number made redundant over that period is 5,714.</p><p> </p><p> </p><p> </p><p>These estimates are derived from unvalidated data from the Electronic Staff Record (ESR) Data Warehouse, and so only cover redundancies from, and re-employment to those organisations that use ESR. Two NHS trusts do not use ESR.</p><p> </p><p> </p><p> </p><p>The figures above relate to redundancies across the whole of the NHS including those as a result of the Health and Social Care Act reforms. However, the Government’s changes to the NHS mean a huge net gain for the taxpayer. My Rt. hon. Friend the Secretary of State for Health, Jeremy Hunt, issued a written ministerial statement on 22 July 2014; Official Reports, column 119WS setting out the costs and benefits of NHS modernisation. The total costs are expected to be no higher than £1.5billion, which includes £456 million spent on staff redundancies to the end of March 2014. Any costs associated with the recent NHS reforms are one-off and dwarfed by the savings they will make: £6.4 billion during this Parliament and £1.5 billion every year thereafter, for patient care.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/01/2015 14:09:30 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name NHS Modernisation (Cost and Benefits).docx title NHS Modernisation (Cost and Benefits) WMS
tabling member	1506 label Biography information for Andrew Gwynne

172904

registered interest
date	09/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GP practices informed NHS England they would (a) reduce their opening hours and (b) not offer face-to-face appointments at any point over the 2014-15 Christmas and New Year period.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220302
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The number of general practitioner (GP) practices that informed NHS England that they would reduce their opening hours and not offer face-to-face appointments at any point over the 2014-15 Christmas and New Year period is not held centrally.</p><p> </p><p> </p><p> </p><p>NHS England wrote to all GP practices in September 2014 giving details of expectations over the Christmas and New Year period, including that:</p><p> </p><p> </p><p> </p><p>- 24 December 2014 and 31 December 2014 were to be considered normal working days and therefore NHS England expected all practices to be open as normal, along with partner health and social care agencies.</p><p> </p><p>- Each practice was required to detail the practice opening times and provide availability for telephone access and face to face appointments.</p><p> </p><p>- If a patient was not able to speak to the practice’s receptionist during core hours (08.00-18.30hrs Monday to Friday, excluding Bank Holidays) over the holiday period, the practice should confirm what arrangements were in place to deliver their contractual obligations.</p><p> </p><p>- Practices that provided extended hours on 24 or 31 December were reminded that they may wish to move these hours to another day within the week, where it was part of the practice’s broader plans to manage expected demand over that period.</p><p> </p><p>- The practice retained responsibility for ensuring that the care provided during core hours was appropriate to meet the reasonable needs of patients.</p><p> </p><p>- If the practice was not open during core hours, then patients needed to have absolute clarity about how to access essential services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 220303 question first answered 16/01/2015 13:38:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

172905

registered interest
date	09/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance NHS England gave GP practices on opening hours during the 2014-15 Christmas and New Year period.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220303
answer	answer is ministerial correction date of answer 16/01/2015 answer text <p>The number of general practitioner (GP) practices that informed NHS England that they would reduce their opening hours and not offer face-to-face appointments at any point over the 2014-15 Christmas and New Year period is not held centrally.</p><p> </p><p> </p><p> </p><p>NHS England wrote to all GP practices in September 2014 giving details of expectations over the Christmas and New Year period, including that:</p><p> </p><p> </p><p> </p><p>- 24 December 2014 and 31 December 2014 were to be considered normal working days and therefore NHS England expected all practices to be open as normal, along with partner health and social care agencies.</p><p> </p><p>- Each practice was required to detail the practice opening times and provide availability for telephone access and face to face appointments.</p><p> </p><p>- If a patient was not able to speak to the practice’s receptionist during core hours (08.00-18.30hrs Monday to Friday, excluding Bank Holidays) over the holiday period, the practice should confirm what arrangements were in place to deliver their contractual obligations.</p><p> </p><p>- Practices that provided extended hours on 24 or 31 December were reminded that they may wish to move these hours to another day within the week, where it was part of the practice’s broader plans to manage expected demand over that period.</p><p> </p><p>- The practice retained responsibility for ensuring that the care provided during core hours was appropriate to meet the reasonable needs of patients.</p><p> </p><p>- If the practice was not open during core hours, then patients needed to have absolute clarity about how to access essential services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 220302 question first answered 16/01/2015 13:38:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

172539

registered interest
date	07/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Organs: Donors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of people in Denton and Reddish constituency are registered organ donors; and what plans he has to increase the number of organ donors.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	220079
answer	answer is ministerial correction date of answer 14/01/2015 answer text <p>Denton and Reddish constituency figures can be found below, with comparative information for the North West region and the United Kingdom.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="2"><p>NHS Organ Donor Register registrations</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p> </p></td><td><p>Denton and Reddish</p></td><td><p>North West</p></td><td><p>UK</p></td></tr><tr><td><p>Mid-2012 population estimate</p></td><td><p>86,073</p></td><td><p>7,080,000</p></td><td><p>63,930,000</p></td></tr><tr><td><p>ODR as at 8 January 2015</p></td><td><p>26,762</p></td><td><p>2,137,957</p></td><td><p>20,894,599</p></td></tr><tr><td><p>% of population on the ODR</p></td><td><p>31.1</p></td><td><p>30.2</p></td><td><p>32.7</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p><em>Source:</em> NHS Blood and Transplant (NHSBT)</p></td><td><p><em> </em></p></td><td><p><em> </em></p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>The UK Health Departments and NHSBT have committed to develop national strategies to promote a shift in public attitudes. A new seven year UK-wide organ donation and transplantation strategy <em>Taking</em><em> Organ Donation towards 2020 </em>was published by NHSBT in July 2013. The strategy focuses on increasing consent rates, encouraging people to be proud to donate, making the UK system comparable with the best of the world and giving many more people the opportunity of receiving a transplant. The strategy is available online at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhsbt.nhs.uk/to2020/" target="_blank">http://www.nhsbt.nhs.uk/to2020/</a></p><p> </p><p> </p><p> </p><p>In partnership with the Cabinet Office and the Department of Health, NHSBT has developed an approach to prompt people to sign up to the NHS Organ Donor Register via Government owned channels such as applying for a driving licence and paying car tax online. Most recently, NHSBT’s Christmas campaign in December 2014 encouraged people to sign up to the NHS organ donor register.</p><p> </p><p> </p><p> </p><p>In the UK by April 2014, organ donation rates increased by 60% and transplant rates by 47% since 2008. The government continues to support work to further increase donation and transplantation rates, particularly promoting collaborative working amongst organisations and raising awareness of donation in the Black, Asian and Minority Ethnic population.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/01/2015 16:39:57 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne