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449853

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has for measures to reduce rates of hospital-acquired infections.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25407
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>There is no simple solution to reducing infections in hospitals or the wider health economy. Thus as part of implementation of the UK 5 Year Antimicrobial Resistance Strategy 2013 – 2018, a wide ranging programme of work is already underway to reduce the incidence of infections. The Strategy is available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018" target="_blank">https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018</a></p><p> </p><p>Plans are in hand to strengthen local leadership and reporting to support the drive to reduce healthcare associated infections. There are national evidence based guidelines for preventing healthcare associated infections and local and national surveillance to help us identify areas where more focused attention and effort is needed are part of this programme. Our expert scientific advisory committee is currently evaluating relevant data to identify interventions that can be used to reduce infections such as <em>Escherichia coli</em> blood stream infections.</p><p> </p><p>In addition a new indicator will bring together data into one website to help the National Health Service understand that cleanliness, infection prevention and control and antibiotic usage are linked issues which require urgent coherent action. This will support our aim of ensuring local delivery and more information will be in the second Strategy progress report due to be published in the spring.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 25382 25408 question first answered 05/02/2016 12:24:42 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449854

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	E. coli
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to address increases in the rate of E.coli infection.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25408
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>There is no simple solution to reducing infections in hospitals or the wider health economy. Thus as part of implementation of the UK 5 Year Antimicrobial Resistance Strategy 2013 – 2018, a wide ranging programme of work is already underway to reduce the incidence of infections. The Strategy is available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018" target="_blank">https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018</a></p><p> </p><p>Plans are in hand to strengthen local leadership and reporting to support the drive to reduce healthcare associated infections. There are national evidence based guidelines for preventing healthcare associated infections and local and national surveillance to help us identify areas where more focused attention and effort is needed are part of this programme. Our expert scientific advisory committee is currently evaluating relevant data to identify interventions that can be used to reduce infections such as <em>Escherichia coli</em> blood stream infections.</p><p> </p><p>In addition a new indicator will bring together data into one website to help the National Health Service understand that cleanliness, infection prevention and control and antibiotic usage are linked issues which require urgent coherent action. This will support our aim of ensuring local delivery and more information will be in the second Strategy progress report due to be published in the spring.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 25382 25407 question first answered 05/02/2016 12:24:43 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449972

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Infectious Diseases: Disease Control
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to improve infection control in primary health trusts.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25382
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>There is no simple solution to reducing infections in hospitals or the wider health economy. Thus as part of implementation of the UK 5 Year Antimicrobial Resistance Strategy 2013 – 2018, a wide ranging programme of work is already underway to reduce the incidence of infections. The Strategy is available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018" target="_blank">https://www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018</a></p><p> </p><p>Plans are in hand to strengthen local leadership and reporting to support the drive to reduce healthcare associated infections. There are national evidence based guidelines for preventing healthcare associated infections and local and national surveillance to help us identify areas where more focused attention and effort is needed are part of this programme. Our expert scientific advisory committee is currently evaluating relevant data to identify interventions that can be used to reduce infections such as <em>Escherichia coli</em> blood stream infections.</p><p> </p><p>In addition a new indicator will bring together data into one website to help the National Health Service understand that cleanliness, infection prevention and control and antibiotic usage are linked issues which require urgent coherent action. This will support our aim of ensuring local delivery and more information will be in the second Strategy progress report due to be published in the spring.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 25407 25408 question first answered 05/02/2016 12:24:42 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449974

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the most effective way to implement the use of rapid diagnostic technology for the purpose of accurately diagnosing infections in hospitals.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25383
answer	answer is ministerial correction date of answer 10/02/2016 answer text <p>An expert group has been looking at how we can improve access to rapid diagnostic testing as part of the implementation of the UK Antimicrobial Resistance Strategy. The group is currently formulating its conclusions and intends to start working with stakeholders to implement improvements across the system from 2016; a part of this work will include an economic analysis to support the rapid adoption of new tests.</p><p> </p><p>The Department has been feeding this work into the Accelerated Access Review, which will make recommendations to Government on speeding up access to transformative new medicines and technologies, including diagnostics, for National Health Service patients. The review is due to report in April 2016.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 10/02/2016 15:34:19 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449979

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he made of the potential merits of expanding the monitoring of healthcare-associated infections.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25411
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>Public Health England undertakes monitoring of healthcare associated infections, which includes the mandatory healthcare associated infections surveillance system. These arrangements are regularly reviewed and changes introduced in 2015 include enhanced surveillance for very antibiotic resistant infections (carbapenemase-producing Enterobacteriaceae).</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 05/02/2016 12:22:18 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449991

registered interest
date	02/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of whether common system failures contributed to the deaths of Sam Morrish in Devon in December 2010 and William Mead in Cornwall in December 2014; and what steps his Department is taking to address those failures.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25429
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>The Parliamentary and Health Services Ombudsman’s report into the death of Sam Morrish, published in June 2014, made several recommendations for local National Health Service organisations involved in Sam Morrish’s care to implement. NHS England advises that these have now been implemented.</p><p> </p><p>We are advised by NHS England that there has been ongoing dialogue with the Sam Morrish’s family, including their full involvement in development of an integrated care pathway for paediatric sepsis, which has been piloted in the South Devon and Torbay area and is currently being evaluated.</p><p> </p><p>The (NHS England South) Regional Quality Surveillance Group is responsible for ensuring that all the national recommendations outlined in NHS England’s report on the death of William Mead, in December 2014, are implemented.</p><p> </p><p>The Department will be keeping track of progress on this front.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 05/02/2016 12:34:59 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449992

registered interest
date	02/02/2016
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 steps he plans to take to ensure that out-of-hours GP services have access to patients' medical records.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25409
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>Summary Care Records are being introduced to improve the safety and quality of patient care. The Summary Care Record is a single electronic record held centrally so will give healthcare staff faster, easier access to essential information and help to give patients safe treatment during an emergency or when their general practitioner (GP) surgery is closed.</p><p> </p><p>55.06 million people have had a Summary Care Record created and the Summary Care Record is currently enabled in 102 out of 154 Out of Hours GP Services.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 05/02/2016 12:56:39 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

449402

registered interest
date	01/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients have died due to a hospital acquired infection in primary care trusts in (a) 2015, (b) 2014, (c) 2013, (d) 2012 and (e) 2011.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25066
answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>The Health and Social Care Information Centre has advised the general practitioner (GP) Extraction System is not currently flowing data from GP practices and primary care, so data from a community setting is not available.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 04/02/2016 16:50:23 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449423

registered interest
date	01/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sepsis: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cases of sepsis there were in children and infants under five years of age in each of the last five years.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25224
answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>The figures provided in the table refer only to hospital admissions and are not a count of patients as a patient may have had more than one episode of care within the same year.</p><p> </p><p>Data for finished discharge episodes with a primary or secondary diagnosis of sepsis for patients aged 0 to 4 years, in each year from 2010-11 to 2014-15.</p><p> </p><p>Information is not held centrally on patients diagnosed in a primary care setting.</p><p><strong> </strong></p><table><tbody><tr><td><p> </p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td></tr><tr><td><p>Finished discharged episodes</p></td><td><p>18,417</p></td><td><p>20,080</p></td><td><p>22,915</p></td><td><p>23,840</p></td><td><p>26,725</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics, Health and Social Care Information Centre</p><p><strong> </strong></p><p><em>Notes:</em></p><ol><li>Finished Discharge Episode - A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.</li><li>Number of episodes in which the patient had a primary or secondary diagnosis - The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</li><li>ICD-10 codes for Sepsis – “A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn, <br> The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together: A39.1 Waterhouse-Friderichsen syndrome, E35.1 Disorders of adrenal glands in diseases classified elsewhere.</li></ol><p> </p><p><strong> </strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 04/02/2016 16:51:52 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

449424

registered interest
date	01/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sepsis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department plans to take to ensure opportunities for diagnosis and intervention in sepsis are detected.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	25225
answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>NHS England is undertaking a number of steps to improve diagnosis and treatment of sepsis, which have been coordinated through a cross-system programme board run by NHS England.</p><p> </p><p>In April 2015 NHS England introduced a new national Commissioning for Quality and Innovation measure (financial incentive) to incentivise hospitals accepting emergency admissions to screen eligible patients for sepsis when they arrive, and to administer intravenous antibiotics within one hour for patients with severe sepsis or septic shock.</p><p> </p><p>Additionally NHS England has made available a voluntary audit tool for general practitioners (GPs) enabling them to assess their care of children with a fever under five years old against the National Institute for Health and Care Excellence (NICE) guidelines, which can be a pre-cursor to sepsis. Primary care IT suppliers have provided data entry templates for the tool which prompts GPs to enter the appropriate observations thereby improving the quality of the patient care record, as well as promoting the use of the NICE guidance.</p><p> </p><p>NICE is currently consulting on a new Sepsis Clinical Guideline that will be published this year, which will make recommendations about the assessment, diagnosis and initial management of patients with sepsis.</p><p> </p><p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development in the National Health Service in England.</p><p> </p><p>It is the responsibility of the professional regulators to set the standards and outcomes for education and training and approve training curricular to ensure newly qualified healthcare professionals are equipped with the knowledge, skills and attitudes to provide high quality patient care.</p><p> </p><p>HEE will work with bodies that set curricula such as the General Medical Council and the Royal College of General Practitioners (RCGP) to seek to ensure training meets the needs of patients.</p><p> </p><p>HEE is currently developing an awareness video that will target primary care staff on recognising sepsis in children. A separate piece of work involving the RCGP is focusing on an e-learning package on sepsis in primary care, to ensure that the primary care workforce is ably equipped to deal with sepsis in the general population, including children.</p><p> </p><p>HEE is currently undertaking a scoping exercise on training available for health professionals to recognise and manage sepsis in all patient groups. This survey scoped HEE local offices, NHS organisations, Academic Health Science Network, Ambulance Trusts and Royal Colleges on the resources currently available, which are being reviewed, and recommendations will be made in March 2016.</p><p> </p><p><strong> </strong></p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 25226 question first answered 04/02/2016 17:08:02 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders