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445765

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	South East Coast Ambulance Service NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 17 November 2015 (HL3303), whether Monitor has decided on (1) the terms of reference of the independent review into the actions of the South East Coast Ambulance Trust in delaying responses to patients with life-threatening conditions who contacted the 111 service, and (2) whether that review will be made public.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5175
answer	answer is ministerial correction date of answer 29/01/2016 answer text <p>We are advised by Monitor that it is currently agreeing the terms of reference of the review with South East Coast Ambulance Service NHS Foundation Trust. The review will look at the impact of the 111 project on patients, covering both benefit and harm.</p><br /><p>We are also informed by Monitor that the exact format of the review and what information will be made public are still to be determined. Monitor has made clear that the review should identify lessons and best practice which can be shared across the ambulance sector.</p><br /><p>We are advised that it is expected that the findings of the review will be available before the summer.</p> answering member printed Lord Prior of Brampton question first answered 29/01/2016 12:00:20 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445766

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111: East Midlands
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the outcome of the Clinical Commissioning Group review into recent allegations about the NHS 111 service in the East Midlands.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5176
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>NHS England advises that North Derbyshire Clinical Commissioning Group (CCG) comprehensively and swiftly investigated the allegations about the NHS 111 service in the East Midlands. The core of the allegations has no substance.</p><p>The report however made a number of recommendations for the service, and the CCG will update NHS England regularly as these are implemented.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:15:05 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445767

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the planned replacement of student bursaries by loans, how many nurse placements will be funded by Health Education England in 2017–18.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5177
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>It is not possible to determine these numbers at this stage as these will be based on the Health Education England (HEE) workforce plan, which is completed annually ahead of each student intake. HEE will continue to have a key leading role in the commissioning of nursing, midwifery and allied health courses. It will continue to provide sufficient clinical placement funding for those places needed to meet the workforce planning needs of the National Health Service.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:15:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445770

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Podiatry
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 6 January (HL4745), on what evidence the forecast in Health Education England's (HEE) commissioning and investment plan for 2016–17 of a rise in podiatry workforce demand of 1.5 per cent between 2015 and 2020 is based; and why HEE decided to reduce the number of commissioned education and training courses in podiatry in 2016–17 by 9.7 per cent compared to 2015–16.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5180
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>National Health Service future workforce demand is based on a comprehensive collection of NHS provider forecasts taken up by Health Education England (HEE) and discussed both locally and nationally with commissioners and professional leaders as to likely direction of travel.</p><br /><p>In order to afford the expansion of priority areas such as adult nurse, paramedic and mental health training numbers, HEE has taken a risk assessment based approach to deciding on where to focus commissions for training places in 2016/17.</p><br /><p>The HEE commissioning and investment plan - 2016/17 includes a forecast increase in the level of podiatry commissions of 36.4% by 2020.</p><br /> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:14:13 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445784

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Greater Manchester
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many (1) children, and (2) adults, had an appointment with an NHS dentist in each of the 10 districts of Greater Manchester in each of the last five years.
tabling member printed	Lord Bradley
uin	HL5194
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>Information is not available in the format requested.</p><br /><p>The attached tables show the unique number of patients who received National Health Service dental care in the previous 24 months. An equivalent measure covering the 12 month period is not available.</p><br /> <br /> <br /> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:12:44 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Greater Manchester dental appointment tables HL5194.docx title Greater Manchester dental care
tabling member	452 label Biography information for Lord Bradley

445785

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fluoride: Drinking Water
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to introduce fluoride into the water of the North West of England.
tabling member printed	Lord Bradley
uin	HL5195
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>There are currently water fluoridation schemes in the North West of England serving parts of Cumbria and Cheshire.</p><p>It has been the policy of successive governments that decisions on water fluoridation are best taken locally. The Health and Social Care Act 2012 gave powers to upper tier and unitary local authorities to make proposals in relation to fluoridation.</p> answering member printed Lord Prior of Brampton question first answered 01/02/2016 17:36:02 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	452 label Biography information for Lord Bradley

445809

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their policy on safe staffing levels for qualified nurses in the NHS and other health and care establishments subject to Care Quality Commission or Monitor inspections.
tabling member printed	Lord Willis of Knaresborough
uin	HL5219
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5220 HL5221 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough

445810

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the evidential base to support their current policy on safe staffing levels for qualified nurses, and whether they will place a copy of that evidence in the Library of the House.
tabling member printed	Lord Willis of Knaresborough
uin	HL5220
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5221 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough

445811

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government  what are the criteria for safe staffing levels for qualified nurses in (1) EU countries, (2) the US, and (3) Australia, and what discussions UK officials have had about comparing patient outcomes in those countries with those in England.
tabling member printed	Lord Willis of Knaresborough
uin	HL5221
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5220 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough

445812

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what research has been commissioned or published showing the correlation between nursing numbers and (1) patient outcomes, and (2) patient mortality, in England.
tabling member printed	Lord Willis of Knaresborough
uin	HL5222
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5220 HL5221 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4151 label Biography information for Lord Willis of Knaresborough