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101567

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ebola
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what contingency plans the Government is making for quarantine procedures for people entering the UK from countries where the Ebola virus is present in the event of a further spread of that virus.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	212378
	answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>In addition to departure screening in affected countries, entry screening has been introduced for people travelling to the United Kingdom from Ebola infected areas. This also provides them with clear advice about immediate actions should they develop any relevant symptoms.</p><p> </p><p> </p><p> </p><p>There are already public health powers in place to enable the quarantining of an individual suffering from the symptoms of Ebola should they be needed.</p><p> </p><p> </p><p> </p><p>The Government keeps the threat posed to the UK by the spread of Ebola virus disease, and the measures required to tackle it, under regular review.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/11/2014 15:23:28 answering member 3918 label Biography information for Jane Ellison
	tabling member	4079 label Biography information for Julian Sturdy

101647

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Drugs: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make an assessment of the potential merits of charging for NHS services required because of injuries caused by alcohol or drug misuse.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	212524
	answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>We recognise that drinking alcohol and drug use does place significant strain on the National Health Service, but there are both ethical and practical reasons not to seek payment from patients. The founding principle of the NHS is that services are free of charge, available to all on the basis of need, not ability to pay. It is funded accordingly, from general taxation.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/11/2014 15:40:41 answering member 3918 label Biography information for Jane Ellison
	tabling member	4079 label Biography information for Julian Sturdy

49470

	registered interest
	date	01/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent steps he has taken to raise awareness of the conditions that can lead to young sudden cardiac death and sudden death syndrome.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	197438
	answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>The UK National Screening Committee advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation. It is currently reviewing the evidence for screening young people between the ages of 12 to 39 years for the major causes of sudden cardiac death. A public consultation will open shortly.</p><p><strong> </strong></p><p>NHS England is working with the Chief Coroner to discuss what the coronial system can do to help reduce sudden cardiac death in the young. As a result, the Chief Coroner has written to local Coroners asking them to make families of those who have died of the condition aware that it may be inherited, and encouraging them to contact either the British Heart Foundation, Cardiac Risk in the Young, or their general practitioner for testing and counselling.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4079 label Biography information for Julian Sturdy

57963

	registered interest
	date	04/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cystic Fibrosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Cystic Fibrosis Trust's report entitled Hope for More: Improving access to lung transplantation and care for people with cystic fibrosis, what assessment he has made of the donor lung utilisation rate for transplantation; and what measures he has identified as having the greatest potential to increase such utilisation.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	199027
	answer	answer is ministerial correction date of answer 11/06/2014 answer text <p>Currently donated lungs are allocated to the designated cardiothoracic transplant centres on a zonal basis. However, the Cardiothoracic Organs Advisory Group (CTAG) have recently reviewed the allocation policy and have recommended that the size of the allocation zones be adjusted to help ensure equity of access. NHS Blood and Transplant (NHSBT) have therefore confirmed that for cardiothoracic organs, the zones will be reviewed in August 2014 to coincide with changes in liver allocation zones and from August 2015, heart and lung zones will be disaggregated and the zones reviewed separately.</p><p> </p><p>CTAG have also recommended that NHSBT reviews the consequences of introducing two levels of priority for listing for lung transplants - urgent and routine, and suggest a national allocation scheme for urgent listed patients, and zonal allocation for routine listed patients.</p><p> </p><p>Any proposed change would need to be validated by NHSBT, who will review the criteria for urgent listing and the statistical modelling of the potential impact of such a system. NHSBT will continue to work closely with the Cystic Fibrosis Trust to improve outcomes for patients requiring lung transplants.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/06/2014 15:43:54 answering member 3918 label Biography information for Jane Ellison
	tabling member	4079 label Biography information for Julian Sturdy

64517

	registered interest
	date	27/06/2014
	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, how many organ donations have been received in Yorkshire and the Humber in 2008-09 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202899
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The information requested is in the following tables:</p><p> </p><p>Deceased organ donors at hospitals in Yorkshire and the Humber - by financial year as at 30 June 2014</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number</p></td></tr><tr><td><p>2008-09</p></td><td><p>57</p></td></tr><tr><td><p>2009-10</p></td><td><p>81</p></td></tr><tr><td><p>2010-11</p></td><td><p>79</p></td></tr><tr><td><p>2011-12</p></td><td><p>74</p></td></tr><tr><td><p>2012-13</p></td><td><p>86</p></td></tr><tr><td><p>2013-14</p></td><td><p>87</p></td></tr><tr><td><p>2014-15 (to date)</p></td><td><p>19</p></td></tr><tr><td><p>Total</p></td><td><p>483</p></td></tr></tbody></table><p><em> </em></p><p><em>Source</em>: NHS Blood and Transplant</p><p> </p><p> </p><p>Total organ transplants for Yorkshire and the Humber residents<sup>1</sup> - by financial year as at 30 June 2014</p><p> </p><table><tbody><tr><td><p>Total</p></td><td><p>2008-09</p></td><td><p>2009-10</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><p>(to date)</p></td></tr><tr><td><p>Organs</p></td><td><p>305</p></td><td><p>266</p></td><td><p>300</p></td><td><p>321</p></td><td><p>320</p></td><td><p>381</p></td><td><p>94</p></td></tr></tbody></table><p> </p><p><sup>1</sup>Transplant counts are based on recipient residence postcode rather than transplant unit</p><p> </p><p><em>Source</em>: NHS Blood and Transplant</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 14:39:48 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64521

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Teaching Hospital NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients had been waiting for (a) over six months and (b) three months for in-patient admission at York Teaching Hospitals NHS Foundation Trust in March 1997 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202887
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Information is not available in the format requested. Information on the number of patients waiting over six months and three months for in-patient admission at what is now York Teaching Hospital NHS Foundation Trust from March 1997 to March 2010 is shown in the attached table.</p><p>Since 2007, waiting times on a referral to treatment (RTT) basis have been published. Information on the number of patients who waited over six months and over three months on an admitted RTT pathway at York Teaching Hospital NHS FT between March 2008 and March 2012 is shown in the attached table.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name 202887 Waiting times In-patient York Teaching Hosp FT.docx title Inpatient Waiting Times York Teaching Hospital FT 2 file name 202887 RTT Waiting Times York Teaching Hosp FT.docx title RTT Waiting Times York Teaching Hospital FT question first answered 07/07/2014 15:24:43 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64522

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Teaching Hospital NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients were waiting for elective admission at York Hospitals NHS Foundation Trust on 1 April in 1996 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202888
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The number of patients waiting for elective admission at York Hospitals NHS Foundation Trust for each year between March 1996 and March 2010 is shown in the following table:</p><p><strong> </strong></p><table><tbody><tr><td colspan="2"><p>Month ending</p></td><td colspan="2"><p>Number waiting at period end</p></td><td><p><strong> </strong></p></td><td><p><strong> </strong></p></td></tr><tr><td colspan="2"><p>March 1996</p></td><td colspan="2"><p>6,081</p></td><td><p><strong> </strong></p></td><td><p><strong> </strong></p></td></tr><tr><td colspan="2"><p>March 1997</p></td><td colspan="2"><p>6,846</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 1998</p></td><td colspan="2"><p>8,445</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 1999</p></td><td colspan="2"><p>6,715</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2000</p></td><td colspan="2"><p>6,477</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2001</p></td><td colspan="2"><p>6,317</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2002</p></td><td colspan="2"><p>6,354</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2003</p></td><td colspan="2"><p>6,425</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2004</p></td><td colspan="2"><p>5,714</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2005</p></td><td colspan="2"><p>5,211</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2006</p></td><td colspan="2"><p>4,738</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2007</p></td><td colspan="2"><p>3,055</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2008</p></td><td colspan="2"><p>2,536</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2009</p></td><td colspan="2"><p>2,675</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>March 2010</p></td><td colspan="2"><p>2,336</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="6"><p><em> </em></p><p><em>Note: </em>Data on inpatient waiting lists not collected after March 2010</p></td></tr><tr><td> </td><td colspan="2"> </td><td colspan="2"> </td><td> </td></tr><tr><td> </td><td colspan="2"> </td><td colspan="2"> </td><td> </td></tr><tr><td colspan="6"><p><em>Source:</em> Department of Health KH07, Monthly monitoring return</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr></tbody></table><p><strong> </strong></p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 13:32:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64523

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Teaching Hospital NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the mean and median waiting time was for treatment at accident and emergency in York Teaching Hospital NHS Foundation Trust in 2007-08 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202889
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The attached table shows the mean and median waiting times for assessment, treatment, and departure at accident and emergency departments at York Teaching Hospital NHS Foundation Trust.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 15:39:13 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202889 Waiting times A&E York Teaching Hospitals FT.docx title Waiting Times A&E York Teaching Hospitals FT
	tabling member	385 label Biography information for Sir Hugh Bayley

64524

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Teaching Hospital NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients were waiting for a first out-patient appointment at York Hospitals NHS Foundation Trust on 1 April and 1 October in 2004 and on the same dates in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202890
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Information is not available in the format requested. The number of patients waiting for a first out-patient appointment at York Hospitals NHS Foundation Trust on 1 April and 1 October in each year since 2004 are shown in the following table:</p><p><strong> </strong></p><table><tbody><tr><td><p>Month ending</p></td><td><p>Number waiting at period end</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>September 2004</p></td><td><p>4,800</p></td></tr><tr><td><p>March 2005</p></td><td><p>7,697</p></td></tr><tr><td><p>September 2005</p></td><td><p>7,644</p></td></tr><tr><td><p>March 2006</p></td><td><p>5,530</p></td></tr><tr><td><p>September 2006</p></td><td><p>4,416</p></td></tr><tr><td><p>March 2007</p></td><td><p>2,728</p></td></tr><tr><td><p>September 2007</p></td><td><p>3,423</p></td></tr><tr><td><p>March 2008</p></td><td><p>2,237</p></td></tr><tr><td><p>September 2008</p></td><td><p>2,311</p></td></tr><tr><td><p>March 2009</p></td><td><p>2,067</p></td></tr><tr><td><p>September 2009</p></td><td><p>1,987</p></td></tr><tr><td><p>March 2010</p></td><td><p>1,602</p></td></tr></tbody></table><p> </p><p><em>Notes: </em></p><ol type="1"><li>Outpatient waiting times are measured from general practitioner referral to first outpatient appointment.</li><li>Figures first published June 2004 and last published March 2010.</li></ol><p> </p><p><em>Source:</em> Department of Health QM08, monthly monitoring return</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 16:02:34 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64530

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Alcoholic Drinks: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many admissions there were for alcohol-related illnesses in (a) York, (b) North Yorkshire and York Primary Care Trust area and (c) England in 2008-09 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202896
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The following tables contain the sum of the estimated alcohol attributable fractions (AAFs) for admissions for patients in (a) York (b) North Yorkshire and York primary care trust (PCT) area and (c) England over for the years 2008-09 to 2012-13.</p><p> </p><p>It should be noted that these figures are not a count of people and represent an estimated number of admissions that were attributable to alcohol.</p><p> </p><p>AAFs are based on the proportion of a given diagnosis or injury that is estimated to be attributed to alcohol. Some diagnoses or injuries will, by definition, be wholly attributable to alcohol and have an AAF of one, others will only be partly attributable to alcohol and have an AAF greater than zero, but less than one. Diagnoses or injuries that are not attributable at all to alcohol will have an AAF of zero.</p><p> </p><p>These figures are derived by summing all AAFs for the relevant admissions and should therefore only be interpreted as an estimate of the number of admissions that can be attributed to alcohol.</p><p> </p><p>In addition, partially AAFs are not applicable to children aged under 16 years, therefore figures for this age group relate only to wholly – attributable admissions.</p><p> </p><p>The NHS Information Centre for Health and Social Care - Statistics on Alcohol: England, 2014 report manually implemented new methodology against the 2012-13 data in their report. However, no change to the underlying Hospital Episode Statistics (HES) data has been currently made.</p><p> </p><p>Sum of partially and wholly alcohol attributable fractions<sup>1</sup> for finished admission episodes (FAEs)<sup>2</sup> for patients for York Teaching Hospital NHS Trust, North Yorkshire and York PCT of treatment and England for 2008-09 to 2012-13<sup>3</sup></p><table><tbody><tr><td><p>York Teaching Hospital NHS Trust</p></td><td><p>Sum of wholly alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Sum of partially alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>1,185</p></td><td><p>3,775.21</p></td><td><p>4,960.21</p></td></tr><tr><td><p>2009-10</p></td><td><p>1,259</p></td><td><p>3,673.31</p></td><td><p>4,932.31</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,268</p></td><td><p>4,065.70</p></td><td><p>5,333.70</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,225</p></td><td><p>3,952.58</p></td><td><p>5,177.58</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,217</p></td><td><p>7,936.95</p></td><td><p>10,153.95</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>North Yorkshire and York PCT</p></td><td><p>Sum of wholly alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Sum of partially alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>2,669</p></td><td><p>7,480.90</p></td><td><p>10,149.90</p></td></tr><tr><td><p>2009-10</p></td><td><p>3,029</p></td><td><p>9,246.72</p></td><td><p>12,275.72</p></td></tr><tr><td><p>2010-11</p></td><td><p>3,124</p></td><td><p>10,340.52</p></td><td><p>13,464.52</p></td></tr><tr><td><p>2011-12</p></td><td><p>3,097</p></td><td><p>10,846.87</p></td><td><p>13,943.87</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,930</p></td><td><p>11,465.32</p></td><td><p>14,395.32</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>Sum of wholly alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Sum of partially alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>237,820</p></td><td><p>707,649.50</p></td><td><p>945,469.50</p></td></tr><tr><td><p>2009-10</p></td><td><p>265,246</p></td><td><p>791,716.34</p></td><td><p>1,056,962.34</p></td></tr><tr><td><p>2010-11</p></td><td><p>287,198</p></td><td><p>881,067.56</p></td><td><p>1,168,265.56</p></td></tr><tr><td><p>2011-12</p></td><td><p>304,206</p></td><td><p>916,087.40</p></td><td><p>1,220,293.40</p></td></tr><tr><td><p>2012-13</p></td><td><p>294,786</p></td><td><p>937,677.63</p></td><td><p>1,232,463.63</p></td></tr></tbody></table><p> </p><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.</p><p><strong> </strong></p><p><em>Notes: </em></p><p> </p><p><sup>1</sup>Alcohol –related admissions</p><p>The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO), which uses 48 indicators for alcohol-related illnesses, determining the proportion of a wide range of diseases and injuries that can be partly attributed to alcohol as well as those that are, by definition, wholly attributable to alcohol. Further information on these proportions can be found at:</p><p> </p><p>www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf</p><p> </p><p>The AAF is set to 1 (100%) where the admission is considered to be entirely due to alcohol, e.g. in the case of alcoholic liver disease - these records are described as wholly alcohol attributable. The AAF is set to a value greater than 0 but less than 1 according to the NWPHO definition, e.g. the alcohol fraction of an admission with a primary diagnosis of C00 - malignant neoplasm of lip, where the patient is male and between 65 and 74 is 0.44 - these records are described as partly alcohol attributable.</p><p>These wholly and partly AAFs can be aggregated to supply an estimate of activity which can be considered wholly or partly attributable to alcohol.</p><p> </p><p>Partly AAFs are not applicable to children under 16. Therefore figures for this age group relate only to wholly-attributable admissions, where the attributable fraction is one.</p><p> </p><p><sup>2</sup>Finished admissions episodes</p><p>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><p><sup>3</sup>Assessing growth through time (Admitted patient care)</p><p>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p><strong> </strong></p><p><em>Source:</em> Hospital Episode Statistics (HES), The NHS Information Centre for Health and Social Care</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 13:34:44 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64531

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Teaching Hospital NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many finished consultant episodes there were at York Teaching Hospital NHS Foundation Trust in each year since 2008-09 and in each year since.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	202897
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The information requested is shown in the following table:</p><p> </p><p>Count of Finished Consultant Episodes<sup>1</sup> where the provider was York Teaching Hospitals NHS Foundation Trust, for the years 2008-09 to 2012-13<sup>2</sup></p><p><sup> </sup></p><table><tbody><tr><td><p>Year</p></td><td><p>FCEs</p></td></tr><tr><td><p>2008-09</p></td><td><p>87,023</p></td></tr><tr><td><p>2009-10</p></td><td><p>91,528</p></td></tr><tr><td><p>2010-11</p></td><td><p>97,719</p></td></tr><tr><td><p>2011-12</p></td><td><p>103,847</p></td></tr><tr><td><p>2012-13</p></td><td><p>164,691</p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p><em> </em></p><p><sup>1</sup>Finished Consultant Episode (FCE)</p><p>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p><sup>2</sup>Assessing growth through time (Admitted patient care)</p><p>Hospital Episode Statistics figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years) and changes in National Health Service practice. For example, changes in activity may be due to changes in the provision of care.</p><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 16:10:46 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64995

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients were on waiting lists for in-patient or day surgery at York Hospital on 1 April 1997 and on the same date in each subsequent year; and of these how many had waited longer than 18 weeks, 26 weeks and 52 weeks.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203408
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>Data is not available in the format requested. The following table shows the number of patients waiting for elective admission at York Hospitals NHS Foundation Trust each year from 1997 to 2010.</p><p><strong> </strong></p><table><tbody><tr><td><p>Month ending</p></td><td><p>Number waiting at period end</p></td><td><p>Number who had waited over 18 weeks</p></td><td><p>Number who had waited over 26 weeks (6 months)</p></td><td><p>Number who had waited over 52 weeks (12 months)</p></td></tr><tr><td><p>31 March 1997</p></td><td><p>6,846</p></td><td><p>n/a</p></td><td><p>1,317</p></td><td><p>0</p></td></tr><tr><td><p>31 March 1998</p></td><td><p>8,445</p></td><td><p>n/a</p></td><td><p>2,744</p></td><td><p>384</p></td></tr><tr><td><p>31 March 1999</p></td><td><p>6,715</p></td><td><p>n/a</p></td><td><p>1,641</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>6,477</p></td><td><p>n/a</p></td><td><p>1,752</p></td><td><p>73</p></td></tr><tr><td><p>31 March 2001</p></td><td><p>6,317</p></td><td><p>n/a</p></td><td><p>1,884</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>6,354</p></td><td><p>n/a</p></td><td><p>1,900</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>6,425</p></td><td><p>n/a</p></td><td><p>1,711</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>5,714</p></td><td><p>n/a</p></td><td><p>826</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>5,211</p></td><td><p>n/a</p></td><td><p>532</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>4,738</p></td><td><p>n/a</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>3,055</p></td><td><p>129</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2008</p></td><td><p>2,536</p></td><td><p>43</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2009</p></td><td><p>2,675</p></td><td><p>103</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>31 March 2010</p></td><td><p>2,336</p></td><td><p>44</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table><p><strong> </strong></p><p><em>Source: </em>Department of Health KH07, Monthly monitoring return</p><p><strong> </strong></p><p><em>Notes: </em></p><p>Data on inpatient waiting lists not collected after March 2010.</p><p>Data collected in months up to 2006, and weeks thereafter. Therefore 18 week split not possible prior to 2006.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 14:53:10 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64996

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what was the end of year (a) income and (b) expenditure of York Hospital in (i) cash terms and (ii) current prices in 1996-97 and each year since then.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203407
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>The information is not available in the format requested.</p><p> </p><p>The income and expenditure of York Hospitals NHS Trust in the financial year 2006-07 is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Name</p></td><td><p>Income</p><p>£000s</p></td><td><p>Expenditure</p><p>£000s</p></td></tr><tr><td><p>York Hospitals NHS Trust</p></td><td><p>181,011</p></td><td><p>184,496</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Data is taken from the audited summarisation schedules of NHS trusts, from which</p><p>the NHS (England) Summarised Accounts were prepared for 2006-07.</p><p> </p><p><em>Notes:</em></p><p>1. In common with many other public and private sector organisations the Department of Health only holds accounting data at organisation level for seven years, and therefore 2006-07 is the first year for which this data can be provided.</p><p> </p><p>2. Data collected from the NHS is prepared on an accruals basis, and details of pure cash categories are not reported or collected centrally.</p><p><strong> </strong></p><p>The Department does not collect data from individual NHS foundation trusts. York Hospitals NHS Trust gained Foundation Trust status on 1 April 2007. Data for the remaining years is available on the Trust's website at the following address:</p><p>www.yorkhospitals.nhs.uk/about_us/reports_and_publications/annual_report_york/</p><p> </p><p>Foundation trusts are also required to present their annual accounts and reports to Parliament. Copies are available from the Library.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 14:43:48 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

64998

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many and what proportion of patients referred to York Hospital for (a) elective surgery and (b) outpatient appointments waited longer than 18 weeks from referral to treatment in 2009-10 and each year since then; and what the average waiting time was in each of those years.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203411
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>Data is not available in the format requested. Information as is available is shown in the attached. Table 1 shows the number of patients admitted to York Hospital NHS Foundation Trust who waited over 18 weeks and the average waiting time in each year from 2009-10 to 2013-14. Table 2 shows the number of outpatients treated at York Hospital NHS Foundation Trust who waited over 18 weeks and the average waiting time in each year from 2009-10 to 2013-14.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 14:31:17 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ203411 - Table.docx title Tables
	tabling member	385 label Biography information for Sir Hugh Bayley

64999

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients were on waiting lists for in-patient or day surgery at York Hospital (a) in total and (b) in each clinical speciality on 1 April 2000 and on the same date in each subsequent year.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203409
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>Data is not available in the format requested. The following tables shows the number of patients waiting for elective admission in each speciality at York Hospitals NHS Foundation Trust at end of March in each year from 2000 to 2007, and the total number of patients waiting for elective admission to all specialities at end of March in each year from 2000 to 2010.</p><p><strong> </strong></p><table><tbody><tr><td><p>Month ending</p></td><td><p>Specialty</p></td><td><p>Number waiting at period end</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>General Surgery</p></td><td><p>1,202</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Urology</p></td><td><p>533</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,717</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Ear, Nose and Throat (ENT)</p></td><td><p>660</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Ophthalmology</p></td><td><p>1,285</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Oral Surgery</p></td><td><p>360</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Anaesthetics</p></td><td><p>161</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>General Medicine</p></td><td><p>6</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Dermatology</p></td><td><p>4</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Gynaecology</p></td><td><p>549</p></td></tr><tr><td><p>31 March 2000</p></td><td><p>Total</p></td><td><p>6,477</p></td></tr><tr><td><p>31 March 2001</p></td><td><p>General Surgery</p></td><td><p>1,374</p></td></tr><tr><td><p>31 March 2001</p></td><td><p>Urology</p></td><td><p>609</p></td></tr><tr><td><p>31 March 2001</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,610</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>ENT</p></td><td><p>779</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Ophthalmology</p></td><td><p>1,210</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Oral Surgery</p></td><td><p>142</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Anaesthetics</p></td><td><p>87</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>General Medicine</p></td><td><p>5</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Dermatology</p></td><td><p>6</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Medical Oncology</p></td><td><p>1</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Gynaecology</p></td><td><p>494</p></td></tr><tr><td><p>31 Mar 2001</p></td><td><p>Total</p></td><td><p>6,317</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>General Surgery</p></td><td><p>1,236</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>Urology</p></td><td><p>614</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,742</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>ENT</p></td><td><p>955</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>Ophthalmology</p></td><td><p>878</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>Oral Surgery</p></td><td><p>213</p></td></tr><tr><td><p>31 Mar 2002</p></td><td><p>Anaesthetics</p></td><td><p>73</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>General Medicine</p></td><td><p>4</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>Dermatology</p></td><td><p>5</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>Medical Oncology</p></td><td><p>2</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>Gynaecology</p></td><td><p>632</p></td></tr><tr><td><p>31 March 2002</p></td><td><p>Total</p></td><td><p>6,354</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>General Surgery</p></td><td><p>1,353</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Urology</p></td><td><p>614</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,959</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>ENT</p></td><td><p>592</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Ophthalmology</p></td><td><p>703</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Oral Surgery</p></td><td><p>315</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Anaesthetics</p></td><td><p>65</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>General Medicine</p></td><td><p>16</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Dermatology</p></td><td><p>3</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Gynaecology</p></td><td><p>805</p></td></tr><tr><td><p>31 March 2003</p></td><td><p>Total</p></td><td><p>6,425</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>General Surgery</p></td><td><p>1,185</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Urology</p></td><td><p>565</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,806</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>ENT</p></td><td><p>338</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Ophthalmology</p></td><td><p>440</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Oral Surgery</p></td><td><p>349</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Anaesthetics</p></td><td><p>113</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>General Medicine</p></td><td><p>227</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Gynaecology</p></td><td><p>691</p></td></tr><tr><td><p>31 March 2004</p></td><td><p>Total</p></td><td><p>5,714</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>General Surgery</p></td><td><p>996</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Urology</p></td><td><p>636</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,500</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>ENT</p></td><td><p>322</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Ophthalmology</p></td><td><p>453</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Oral Surgery</p></td><td><p>315</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Anaesthetics</p></td><td><p>209</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>General Medicine</p></td><td><p>186</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Gynaecology</p></td><td><p>594</p></td></tr><tr><td><p>31 March 2005</p></td><td><p>Total</p></td><td><p>5,211</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>General Surgery</p></td><td><p>960</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Urology</p></td><td><p>620</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>1,107</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>ENT</p></td><td><p>423</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Ophthalmology</p></td><td><p>397</p></td></tr><tr><td><p> </p><p>31 March 2006</p></td><td><p> </p><p>Oral Surgery</p></td><td><p>353</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Anaesthetics</p></td><td><p>246</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>General Medicine</p></td><td><p>149</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Medical Oncology</p></td><td><p>1</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Gynaecology</p></td><td><p>482</p></td></tr><tr><td><p>31 March 2006</p></td><td><p>Total</p></td><td><p>4,738</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>General Surgery</p></td><td><p>626</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Urology</p></td><td><p>279</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Trauma and Orthopaedics</p></td><td><p>474</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>ENT</p></td><td><p>264</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Ophthalmology</p></td><td><p>418</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Oral Surgery</p></td><td><p>242</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Anaesthetics</p></td><td><p>285</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>General Medicine</p></td><td><p>164</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Medical Oncology</p></td><td><p>3</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Gynaecology</p></td><td><p>300</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>Total</p></td><td><p>3,055</p></td></tr><tr><td><p>31 March 2008</p></td><td><p>Total</p></td><td><p>2,536</p></td></tr><tr><td><p>31 March 2009</p></td><td><p>Total</p></td><td><p>2,675</p></td></tr><tr><td><p>31 March 2010</p></td><td><p>Total</p></td><td><p>2,336</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Department of Health KH07, Monthly monitoring return</p><p><strong> </strong></p><p><em>Notes:</em></p><p>Data on inpatient waiting lists not collected after March 2010</p><p>Specialty level data not collected after 2007</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 14:39:37 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

65001

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many and what proportion of patients attending the accident and emergency department at York Hospital waited longer than four hours before seeing a doctor in 2009-10 and each year since then; and what the average waiting time was in each of those years.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203410
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>Data is not available in the format requested. Information as is available is shown in the attached. Table 1 shows the number and percentage of patients waiting more than four hours for discharge, admission, or transfer from York Hospitals NHS Foundation Trust accident and emergency (A&amp;E) departments: Table 2 shows the mean and median waiting times for assessment, treatment, and departure at A&amp;E departments at York Teaching Hospital NHS Foundation Trust.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 14:15:06 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ203410 - Table.docx title Tables
	tabling member	385 label Biography information for Sir Hugh Bayley

65149

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many and what proportion of patients at York Hospital were unable to get (a) an MRI scan, (b) a CT scan and (c) another diagnostic test carried out within the six week timescale specified in the NHS Constitution in 2009-10 and each year since then.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	203412
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>This information is not available in the format requested. Tables showing monthly data from April 2009 to April 2014 have been placed in the Library. These are waiting list figures and show the number of patients waiting at month end. Therefore, these cannot be added to obtain an annual figure as the same patient could potentially appear in several consecutive months.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/07/2014 16:10:43 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ203412 - Lib Doc - Tables.xls title Library Document
	tabling member	385 label Biography information for Sir Hugh Bayley

60866

	registered interest
	date	04/06/2014
	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, what recent estimate he has made of the number of patients visiting A&E departments after having been unable to make an appointment with their GP.
	tabling member constituency	Wythenshawe and Sale East
	tabling member printed	Mike Kane
	uin	904119
	answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>There are over 300 million consultations in general practice each year. The latest general practitioner (GP) patient survey results show that less than 2% of patients attended a walk-in centre or accident and emergency department because they were unable to get a convenient appointment with their GP at their practice.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/06/2014 15:25:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4316 label Biography information for Mike Kane

49366

	registered interest
	date	30/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 the cases of the 67 doctors who were found to have pre-signed abortion referral forms following investigations by the Care Quality Commission in 2012 are referred to the police.
	tabling member constituency	Wycombe
	tabling member printed	Steve Baker
	uin	197311
	answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>Allegations referred to the Department were passed on to the relevant police forces for them to investigate. Other allegations of pre-signing were investigated by the General Medical Council. Decisions about whether to prosecute rest with the Crown Prosecution Service.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4064 label Biography information for Mr Steve Baker

49367

	registered interest
	date	30/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 potential effects of regulatory changes allowing registered medical practitioners to form an opinion about the mental or physical health of a female patient without meeting or examining her; and if he will make a statement.
	tabling member constituency	Wycombe
	tabling member printed	Steve Baker
	uin	197310
	answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>The approach to abortion in the United Kingdom is set out in the Abortion Act 1967 and this remains unchanged. The Act sets out that two doctors must certify that in their opinion, which must be formed in good faith, a request for an abortion meets at least one (and the same) of the grounds set out in the Act.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4064 label Biography information for Mr Steve Baker

78002

	registered interest
	date	15/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average cost per night is of a bed in (a) an intensive therapy unit or high dependency unit, (b) a district general hospital, (c) a spinal cord injury centre and (d) a spinal cord injury centre for a ventilated spinal cord injured patient.
	tabling member constituency	Wrexham
	tabling member printed	Ian Lucas
	uin	205785
	answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>Information is not available in the format requested.</p><p> </p><p>Such information as is available is from reference costs, which are the average unit costs to National Health Service trusts and foundation trusts of providing defined services in a given financial year to NHS patients. Unit costs for inpatient care, including spinal cord injury, requiring the use of a hospital bed for at least one night are submitted per finished consultant episode rather than per night. Only unit costs for inpatient stays beyond the expected length of stay for each treatment are submitted per bed day. Unit costs for critical care, including in an intensive therapy unit or high dependency unit, are submitted per critical care bed day. This information is shown in the following table.</p><p> </p><p>National average unit costs of adult critical care, elective and non-elective care, and spinal cord injury care in England, 2012-13</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Unit cost per finished consultant episode<sup>4</sup></p></td><td><p>Unit cost per excess bed day<sup>5</sup></p></td><td><p>Unit cost per critical care bed day<sup>6</sup></p></td></tr><tr><td><p>Adult critical care<sup>1</sup></p></td><td><p>-</p></td><td><p>-</p></td><td><p>1,173</p></td></tr><tr><td><p>Inpatient care<sup>2</sup></p></td><td><p>1,758</p></td><td><p>273</p></td><td><p>-</p></td></tr><tr><td><p>Spinal cord injury care<sup>3</sup></p></td><td><p>7,649</p></td><td><p>354</p></td><td><p>-</p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p><sup>1</sup>National average adult critical care costs submitted in reference costs by all NHS trusts and NHS foundation trusts that provided patient care in critical care units during 2012-13 give the nearest equivalent to the average cost per night of a bed in an intensive therapy unit or high dependency unit. They relate to parts of the patient’s hospital stay that require organ system support in a designated critical care bed. These are conventionally grouped into critical care areas, such as an intensive therapy unit or high dependency unit, but may include temporary, non-standard locations.</p><p> </p><p><sup>2</sup>National average elective and non-elective inpatient costs submitted in reference costs by all NHS trusts and NHS foundation trusts that admitted patients during 2012-13 give the nearest equivalent to the average cost per night of a bed in a district general hospital. No attempt has been made to distinguish between district general hospitals and other types of trust, such as specialist or teaching trusts.</p><p> </p><p><sup>3</sup>National average elective and non-elective inpatient costs submitted in reference costs against treatment function code 323, spinal injuries, by the following eight trusts providing spinal cord injury centres in England give the nearest equivalent to the average cost per night of a bed in a spinal cord injury centre:</p><p>(a) Buckinghamshire Healthcare NHS Trust</p><p>(b) Mid Yorkshire Hospitals NHS Trust</p><p>(c) Salisbury NHS Foundation Trust</p><p>(d) Sheffield Teaching Hospitals NHS Foundation Trust</p><p>(e) South Tees Hospitals NHS Foundation Trust</p><p>(f) Southport and Ormskirk Hospital NHS Trust</p><p>(g) St George's Healthcare NHS Trust</p><p>(h) The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust</p><p> </p><p><sup>4</sup>Reference costs for elective and non-elective inpatient episodes of care distinguish between the inlier unit cost below a statistically derived expected length of stay (known as a trim point) for a given treatment, and an excess bed day cost for each bed day over the trim point. Inlier unit costs cover the costs of active treatment and are submitted per finished consultant episode rather than per bed day.</p><p> </p><p><sup>5</sup>Excess bed day costs are used to estimate the cost of an overnight stay in a hospital bed and generally include routine ward costs such as nursing, dressings, and blood tests, although they may also include the costs of active treatment where this continues beyond the trim point, especially for specialised services.</p><p> </p><p><sup>6</sup>Adult critical care costs are submitted per critical care bed day.</p><p> </p><p><em>Source:</em> Reference costs, Department of Health</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/07/2014 16:26:57 answering member 3918 label Biography information for Jane Ellison
	tabling member	1470 label Biography information for Ian C. Lucas

78491

	registered interest
	date	16/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Spinal Injuries
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many beds in each UK spinal cord injury centre are ring fenced for the exclusive treatment of spinal cord injured readmissions or outpatients.
	tabling member constituency	Wrexham
	tabling member printed	Ian Lucas
	uin	206237
	answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>NHS England’s Spinal Cord Injuries (SCI) service specification clearly sets out what providers must have in place to offer evidence-based, safe and effective services. It sets a core requirement that each specialised SCI Centre (SCIC) can demonstrate they have a minimum of 20 beds dedicated exclusively for the treatment and rehabilitation of SCI patients. Specialised SCI Services encompass all activity for SCI patients provided by the host trust of the SCIC, including any readmission or attendance for SCI-related care, wherever the treatment is located in the trust. A copy of the specification can be found at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/04/d13-spinal-cord-0414.pdf</p><p> </p><p>NHS England is aware that a number of beds in one ward at Stoke Mandeville spinal injuries unit are being used as escalation beds by medical specialties to assist with patient flow. It is planned for these beds to re-open as specialist spinal beds from September 2014.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 206236 206238 question first answered 21/07/2014 16:34:32 answering member 3918 label Biography information for Jane Ellison
	tabling member	1470 label Biography information for Ian C. Lucas

78493

	registered interest
	date	16/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Spinal Injuries
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many beds in each UK spinal cord injury centre have been ring fenced for the treatment of spinal cord injured readmissions or outpatients in each of the last five years.
	tabling member constituency	Wrexham
	tabling member printed	Ian Lucas
	uin	206236
	answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>NHS England’s Spinal Cord Injuries (SCI) service specification clearly sets out what providers must have in place to offer evidence-based, safe and effective services. It sets a core requirement that each specialised SCI Centre (SCIC) can demonstrate they have a minimum of 20 beds dedicated exclusively for the treatment and rehabilitation of SCI patients. Specialised SCI Services encompass all activity for SCI patients provided by the host trust of the SCIC, including any readmission or attendance for SCI-related care, wherever the treatment is located in the trust. A copy of the specification can be found at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/04/d13-spinal-cord-0414.pdf</p><p> </p><p>NHS England is aware that a number of beds in one ward at Stoke Mandeville spinal injuries unit are being used as escalation beds by medical specialties to assist with patient flow. It is planned for these beds to re-open as specialist spinal beds from September 2014.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 206237 206238 question first answered 21/07/2014 16:34:32 answering member 3918 label Biography information for Jane Ellison
	tabling member	1470 label Biography information for Ian C. Lucas

78494

	registered interest
	date	16/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Stoke Mandeville Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will investigate the alleged misallocation of the specialist spinal injury beds at Stoke Mandeville Hospital and the use by non-spinal cord injury patients.
	tabling member constituency	Wrexham
	tabling member printed	Ian Lucas
	uin	206238
	answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>NHS England’s Spinal Cord Injuries (SCI) service specification clearly sets out what providers must have in place to offer evidence-based, safe and effective services. It sets a core requirement that each specialised SCI Centre (SCIC) can demonstrate they have a minimum of 20 beds dedicated exclusively for the treatment and rehabilitation of SCI patients. Specialised SCI Services encompass all activity for SCI patients provided by the host trust of the SCIC, including any readmission or attendance for SCI-related care, wherever the treatment is located in the trust. A copy of the specification can be found at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/04/d13-spinal-cord-0414.pdf</p><p> </p><p>NHS England is aware that a number of beds in one ward at Stoke Mandeville spinal injuries unit are being used as escalation beds by medical specialties to assist with patient flow. It is planned for these beds to re-open as specialist spinal beds from September 2014.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 206236 206237 question first answered 21/07/2014 16:34:32 answering member 3918 label Biography information for Jane Ellison
	tabling member	1470 label Biography information for Ian C. Lucas

50368

	registered interest
	date	08/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will investigate reports that the Neurology department at Royal Preston Hospital is allocating appointments to patients and then instructing them not to attend on the date and time given as the appointment is only made for consultants to view the patient's referral letter; whether (a) his Department for (b) NHS England issues guidance on the allocation of appointments which patients are instructed not to attend; and if he will make a statement.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	198218
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p /> <p /> <p>The allocation of appointments is a local matter for the National Health Service and the hon. Member should contact the Chief Executive of Lancashire Teaching Hospitals NHS Foundation Trust for further information. We understand the Trust has already investigated this issue and posted an explanation on its website:</p><p> </p><p>www.lancsteachinghospitals.nhs.uk/neurology-non-appointment-letters</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1588 label Biography information for Barbara Keeley

76371

	registered interest
	date	08/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Meningitis: Vaccination
	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 the Chancellor of the Exchequer on the approval of his Department's business case for the meningococcal B vaccine.
	tabling member constituency	Workington
	tabling member printed	Sir Tony Cunningham
	uin	204486
	answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Senior officials in the Department and Her Majesty's Treasury have discussed the business case for meningococcal B immunisation.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/07/2014 10:03:14 answering member 3918 label Biography information for Jane Ellison
	tabling member	1469 label Biography information for Sir Tony Cunningham

100426

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cord Blood
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent discussions his Department has had with NHS Trusts on (a) increasing the number of hospitals that are able to collect umbilical cord blood for transport and (b) promoting the donation of umbilical cord blood for transplant.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	211439
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>NHS Blood and Transport (NHSBT) manages the NHS Cord Blood Bank and provides specialist services related to the provision of stem cells which can turn into blood cells for the treatment of blood cancers. This service is an integral part of the Anthony Nolan and NHS Stem Cell Registry. NHSBT is also responsible for raising awareness of these issues, in collaboration with its delivery partners. NHSBT has informed the Department that it has no plans to open new collection centres at present.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/10/2014 17:40:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	4078 label Biography information for Paul Uppal

49640

	registered interest
	date	02/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what figures he holds on the life expectancy of men with metastatic castrate-resistant prostate cancer.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	197677
	answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>The Government's Mandate to NHS England sets out an ambition to make England one of the most successful countries in Europe at preventing premature deaths from all cancers, including prostate cancer.</p><p> </p><p>Cancer indicators in the NHS Outcomes Framework and the Public Health Outcomes Framework will help NHS England to assess progress in improving cancer survival and mortality for men with prostate cancer.</p><p> </p><p>Data related to men with metastatic castration-resistant prostate cancer is not collected to permit the calculation of a reliable figure for average life expectancy.</p><p> </p><p>However, Cancer Research UK has estimated that men with advanced, incurable prostate cancer treated in trials or under drug access schemes at the Royal Marsden Hospital survived on average 41 months, compared to between 13 and 16 months 10 years ago.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4078 label Biography information for Paul Uppal

78908

	registered interest
	date	18/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	EU Law
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many times the UK has lost EU infraction proceedings since May 2010 which relate to matters that fall within his Department's responsibility.
	tabling member constituency	Wokingham
	tabling member printed	Mr John Redwood
	uin	206658
	answer	answer is ministerial correction date of answer 02/09/2014 answer text <p> </p><p>The United Kingdom has never been fined for an infraction.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/09/2014 14:27:59 answering member 3918 label Biography information for Jane Ellison
	tabling member	14 label Biography information for Sir John Redwood

89695

	registered interest
	date	29/08/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	EU Law
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many new EU directives and regulations have been transposed into UK law by his Department since May 2010.
	tabling member constituency	Wokingham
	tabling member printed	Mr John Redwood
	uin	207261
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Details of all European Union legislation, including full details of all EU Directives and Regulations that have come into force since May 2010, can be found on the Commission’s website:</p><p> </p><p> </p><p> </p><p>http://eur-lex.europa.eu/homepage.html</p><p> </p><p> </p><p> </p><p>The Department has transposed seven EU Directives and implemented four Regulations since May 2010.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 14:15:09 answering member 3918 label Biography information for Jane Ellison
	tabling member	14 label Biography information for Sir John Redwood

89677

	registered interest
	date	29/08/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent steps he has taken to ensure that foreign nationals pay for healthcare they receive in the UK.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	207406
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The Department is working to support the National Health Service to increase the recovery of costs from overseas visitors and migrants. We aim to recover £500 million annually by the middle of the next Parliament, which will be reinvested into the NHS to support the sustainability of NHS frontline services.</p><p> </p><p> </p><p> </p><p>The Department published its Implementation Plan on 14 July 2014 at:</p><p> </p><p> </p><p> </p><p>www.gov.uk/government/publications/recovering-costs-of-nhs-healthcare-from-visitors-and-migrants</p><p> </p><p> </p><p> </p><p>This sets out how the Department will improve the recovery rates from overseas visitors and migrants over the next year. It announced a number of measures to support these efforts but also laid the foundations for additional areas to be looked at as the programme progresses.</p><p> </p><p> </p><p>As part of the programme the Department is starting a programme of financial incentives to support the NHS in identifying chargeable visitors and migrants using the NHS. These incentives recognise the administrative and financial burdens that can face NHS trusts in the recovery process and aim to counter balance these. The implementation plan provides the full detail of these schemes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:16:37 answering member 3918 label Biography information for Jane Ellison
	tabling member	1586 label Biography information for Adam Afriyie

101564

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of the active time of North West Ambulance Service ambulances stationed outside South Lakeland District is spent inside that District.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	212422
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally but might be obtained from the North West Ambulance Service NHS Trust. The Government expects all ambulance trusts to provide a quality response to their populations based on the clinical needs of the patients.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212421 question first answered 03/11/2014 17:47:42 answering member 3918 label Biography information for Jane Ellison
	tabling member	1591 label Biography information for Tim Farron

101573

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of the active time of the North West Ambulance Service ambulances stationed in South Lakeland District is spent outside that district.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	212421
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally but might be obtained from the North West Ambulance Service NHS Trust. The Government expects all ambulance trusts to provide a quality response to their populations based on the clinical needs of the patients.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212422 question first answered 03/11/2014 17:47:42 answering member 3918 label Biography information for Jane Ellison
	tabling member	1591 label Biography information for Tim Farron

66070

	registered interest
	date	07/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Christie NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether a compromise agreement has been reached, or is in the process of being reached, with the currently suspended chief executive of the Christie NHS Foundation Trust on the termination of her employment.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	204260
	answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The decision to settle a dispute with an employee is an employment matter between the Trust and the employee.</p><p> </p><p>We have written to Sir Hugh Taylor, Interim Chair of The Christie NHS Foundation Trust, informing him of this enquiry. He will reply shortly and a copy of the letter will be placed in the Library.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 204258 question first answered 10/07/2014 15:34:45 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

66103

	registered interest
	date	07/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Christie NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will direct Monitor to publish its strategy for engaging with whistleblowers in its fact-finding investigation into alleged wrongdoing at the Christie NHS Foundation Trust.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	204257
	answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>No. This is a matter for Monitor as the system regulator of health services in England.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 15:40:56 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

66105

	registered interest
	date	07/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Christie NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to ensure that no settlement is reached between the Christie NHS Foundation Trust and its chief executive, Caroline Shaw, on the termination of her employment until Monitor and the Care Quality Commission have concluded their current investigations into allegations of wrongdoing and published the outcome.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	204258
	answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The decision to settle a dispute with an employee is an employment matter between the Trust and the employee.</p><p> </p><p>We have written to Sir Hugh Taylor, Interim Chair of The Christie NHS Foundation Trust, informing him of this enquiry. He will reply shortly and a copy of the letter will be placed in the Library.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 204260 question first answered 10/07/2014 15:34:46 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

66107

	registered interest
	date	07/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Christie NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information his Department holds on allegations that tissue samples were sold by the Christie NHS Foundation Trust to pharmaceutical companies without the knowledge of the patients concerned; whether his attention was drawn to any such allegations; and what investigation his Department has (a) conducted and (b) plans to conduct into such allegations.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	204255
	answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>These allegations were not previously known to either the Department or Ministers.</p><p> </p><p>This written question has been brought to the attention of The Christie NHS Foundation Trust, and the system regulators – in this case, Monitor, the Care Quality Commission, and the Human Tissue Authority. The regulators are best placed to deal with such concerns as they have statutory powers to take action where necessary.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 15:38:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

77643

	registered interest
	date	14/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress has been made in achieving a sustained downward trend in excess weight in children by 2020.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	205534
	answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>Data on the prevalence of overweight and obesity are published annually by the Health and Social Care Information Centre. The latest data available are from the Health Survey for England for 2012 and from the National Child Measurement Programme for the school year 2012-13, showing that obesity rates in children are levelling off.</p><p> </p><p>The Government continues to take action through key initiatives such as Change4Life, Change4Life Sports Clubs, the National Child Measurement Programme, School Sports Funding and the School Food Plan.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/07/2014 14:13:11 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

77644

	registered interest
	date	14/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what form the engagement announced by NHS England on 9 May 2014 at the launch of its specialised commissioning taskforce will take.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	205535
	answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>NHS England has advised that the work of the specialised commissioning task force is not a wholesale review of specialised commissioning. It is best described as work to support financial control in 2014-15 and to plan for 2015-16.</p><p> </p><p>There are aspects of the task force work which will require specific engagement appropriate and proportionate to the nature of the issue or service via the routes relevant to the topic. For example, there is engagement with clinical commissioning groups via the Commissioning Assembly on the future portfolio of specialised services. There is also engagement via the Patient and Public Voice Assurance Group about a range of commissioning issues.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/07/2014 14:24:31 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

78726

	registered interest
	date	17/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services
	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 process used to appoint Dr Anthony Marsh to the post of Chief Executive for (a) West Midlands Ambulance Service NHS Trust and (b) East of England Ambulance Service NHS Trust; if he will place in the Library copies of all correspondence between his Department and both ambulance trusts on these appointments; what level of salary Dr Anthony Marsh receives for each role; and if he will make a statement.
	tabling member constituency	West Bromwich East
	tabling member printed	Mr Tom Watson
	uin	206570
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Anthony Marsh was appointed Chief Executive of West Midlands Ambulance Service NHS Trust (WMAS) in July 2006. Dr Marsh was previously Chief Executive of Essex Ambulance Service.</p><p> </p><p>Dr Marsh became Chief Executive of East of England Ambulance Service NHS Trust (EEAST) from 1 January 2014. He was seconded to EEAST at the request of the NHS Trust Development Authority (NHS TDA) because of persistent poor performance at EEAST and the Trust’s failure to appoint a substantive Chief Executive when it attempted to recruit to the post on several occasions in recent years. He is contracted to work three days a week at EEAST in addition to continuing in his chief executive role at WMAS.</p><p> </p><p>The NHS TDA advises that Dr Marsh’s salary is £232,226.42 per annum in total, which includes a £50,000 uplift to his former WMAS salary for his additional duties at EEAST. EEAST pays 60% of Dr Marsh’s salary. The £50,000 additional salary payment was agreed between the remuneration committees of WMAS and EEAST for the increased responsibility of running two trusts.</p><p> </p><p>The NHS TDA believes that Dr Marsh has already made a significant impact at EEAST, with the recruitment of 400 additional paramedics expected this year, 147 new ambulances now ordered and a £1 million reduction in management costs, which is being re-invested into the front line.</p><p> </p><p>A search of the Department’s Ministerial correspondence database has not identified any correspondence between the Department and either ambulance trust on these appointments. This search represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 16:08:24 answering member 3918 label Biography information for Jane Ellison
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

78729

	registered interest
	date	17/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Association of Ambulance Chief Executives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what funding and support his Department provides to the Association of Ambulance Chief Executives; and if he will make a statement.
	tabling member constituency	West Bromwich East
	tabling member printed	Mr Tom Watson
	uin	206557
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>The Association of Ambulance Chief Executives (AACE) is an independent organisation set up and run by the ambulance trusts themselves, like the parallel organisations for Police and Fire services.</p><p> </p><p>The Department does not directly provide any money or support to the AACE.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 16:02:35 answering member 3918 label Biography information for Jane Ellison
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

78730

	registered interest
	date	17/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	East of England Ambulance Service NHS Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will place in the Library copies of the resignation letters from the former chairs of the East of England Ambulance Service NHS Trust (a) Dr Geoffrey Harris and (b) Maria Bell; and if he will make a statement.
	tabling member constituency	West Bromwich East
	tabling member printed	Mr Tom Watson
	uin	206556
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>The Department does not hold copies of resignation letters from the former chairs of the East of England Ambulance Service NHS Trust.</p><p> </p><p>The hon. Member may wish to approach the NHS Trust Development Authority (TDA), which will hold the relevant information. However, the NHS TDA has advised that, as a personal letter, permission would be required before placing this in the public domain in order to meet obligations under the Data Protection Act 1998.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 16:00:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

78737

	registered interest
	date	17/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, on how many occasions (a) Ministers and (b) officials in his Department have met Dr Anthony Marsh in the last three years; what the purpose was of such meetings; and if he will make a statement.
	tabling member constituency	West Bromwich East
	tabling member printed	Mr Tom Watson
	uin	206572
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>The Minister of State (Norman Lamb) has met Dr Anthony Marsh on two occasions in the last three years to discuss the East of England Ambulance Service NHS Trust (EEAST) - 11 June 2013 and 24 January 2014.</p><p> </p><p>The Parliamentary Under Secretary of State (Earl Howe) has met Dr Marsh on the following occasions in the last three years:</p><p> </p><p>- 12 September 2012 at a meeting of the Ministerial Steering Group on Emergency Services Collaboration;</p><p>- 12 October 2012 at a meeting of the National Ambulance Service Network to discuss national issues;</p><p>- 6 November 2012 to discuss the West Midlands Ambulance Service NHS Trust;</p><p>- 10 April 2013 to discuss national ambulance policy and Dr Marsh’s review of the governance of EEAST;</p><p>- 30 May 2013 during a visit to EEAST, to discuss Dr Marsh’s review of the governance of EEAST;</p><p>- 11 June 2013 when Earl Howe hosted a meeting for local Members of Parliament to discuss EEAST. Dr Marsh was present at the meeting;</p><p>- 31 October 2013 to discuss national ambulance policy and issues relating to EEAST;</p><p>- 21 January 2014 to discuss winter pressures on ambulance performance nationally, and to provide an update on EEAST actions;</p><p>- 11 February 2014 to discuss EEAST performance with local Members of Parliament;</p><p>- 8 July 2014 to discuss EEAST performance; and</p><p>- 17 July 2014 (via phone call) to discuss national ambulance policy.</p><p> </p><p>The Parliamentary Under Secretary of State (Dr Daniel Poulter) attended EEAST’s Long Service and Excellence Awards on 9 May 2014 to present awards. Dr Marsh is likely to have been present at the event.</p><p> </p><p>Departmental officials are likely to have been present at the Ministerial meetings. Departmental officials have also met Dr Marsh separately on the following occasions:</p><p> </p><p>- 19 April 2013 (via phone call) to discuss EEAST;</p><p>- 20 November 2013 to discuss EEAST; and</p><p>- 30 June 2014 - Department of Health officials, together with Department for Communities and Local Government officials, facilitated a meeting between the Chief Fire Officers Association and the Association of Ambulance Chief Executives (AACE). Dr Marsh was present at this meeting as Chair of AACE. The meeting focused on progressing co-responding between the fire service and ambulance services across the country.</p><p><strong> </strong></p><p><em>Notes:</em></p><p>1. Archived diaries for some former ministers cannot be accessed. The list of Ministerial meetings may not therefore be comprehensive.</p><p>2. There is no official record of meetings between Departmental officials and Dr Marsh. The list may not therefore be comprehensive.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 15:55:53 answering member 3918 label Biography information for Jane Ellison
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

100180

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many meetings the Parliamentary Under-Secretary of State for Public Health has had with James Palmer, Clinical Director for Specialised Commissioning at NHS England since 1 April 2014.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	211213
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>I have had no meetings with James Palmer, Clinical Director for Specialised Commissioning at NHS England since 1 April 2014.</p><p> </p><p><strong> </strong></p><p> </p><p>There is regular contact between Departmental officials and Clinical Directors at NHS England, including the Clinical Director for Specialised Commissioning.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 17:45:28 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

100196

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the signature authorising Individual Funding Requests made to NHS England for Gamma Knife treatment by University College Hospital London, Queen Square, is that of a senior clinician employed by University College Hospital London.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	211310
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>We are advised by NHS England that the clinician who authorises Individual Funding Requests for Gamma Knife treatment to be undertaken at the Queens Square Radiology Centre Ltd (QSRC) is a surgeon at the National Hospital for Neurosurgery and Neurology (NHNN), part of University College London Hospitals NHS Foundation Trust (UCLH).</p><p> </p><p> </p><p> </p><p>Gamma Knife treatment is not undertaken by UCLH but by the private company QSRC, which is based at NHNN but has no formal relationship with UCLH.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 16:54:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

48954

	registered interest
	date	29/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if NHS England will publish the details of all contracts it has signed with providers of radiosurgery services in England.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	197025
	answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197023 197024 question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

48955

	registered interest
	date	29/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the names of all referring consultants, patients groups, charities and any other service providers it consulted prior to making its decision not to allow patients to be treated with the Gamma Knife at University College London Hospital.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	197024
	answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197023 197025 question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

48956

	registered interest
	date	29/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the objective evidence on which it based its decision not to allow patients to be treated with the Gamma Knife at University College London Hospital.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	197023
	answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197024 197025 question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

49236

	registered interest
	date	30/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress NHS England is making on improving access to stereotactic ablative radiotherapy for patients suffering with cancer of the prostate, liver, pancreas, spinal tumours and cancer of the head and neck.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	197267
	answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>The business case for the gamma-knife centre at Oxford was originally agreed with the primary care trust (PCT) prior to April 2013, with an assumption that the PCT would stop sending patients to other centres elsewhere, and start sending them to the new centre once it was completed.</p><p> </p><p>As of April 2013, commissioning of these services transferred to the specialist commissioning team in NHS England.</p><p> </p><p>NHS England is currently undertaking a review of stereotactic radiosurgery (SRS) (e.g. Gamma Knife) and stereotactic ablative radiotherapy (SABR, e.g. Cyber-knife) for intracranial conditions to establish what the national demand is in line with its national clinical commissioning policies on SRS and SABR, and what the national capacity requirements are for this specialised treatment.</p><p> </p><p>Until the capacity requirements are clear, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p><p>As part of the transition of this service to NHS England, it developed, consulted upon and published a series of national clinical commissioning policies for intracranial SRS and SRT treatment.</p><p> </p><p>A report setting out the emerging findings of this review has been shared with clinical reference groups to seek their views and help NHS England develop a final draft. Once the views of stakeholders have been gathered, this will then go to Specialised Commissioning Oversight Group (SCOG) to agree a preferred option. Once the SCOG has a preferred option, NHS England will consult with patients and professionals and take account of those views when taking a final decision. If it is concluded there are to be significant changes in the provision of services, there will be a full public consultation before any changes are made.</p><p> </p><p>NHS England is expecting that the draft report will be ready for consideration at SCOG in June and then it would commence a public consultation on the draft report and preferred option during July to September. The report and recommendations will then be finalised after taking account of the views expressed during the consultation stage and a final decision taken by SCOG in September 2014.</p><p> </p><p>NHS England inherited the range of gamma knife providers currently in place, of which University College London Hospitals (UCLH) was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision. There are two long established providers of gamma knife surgery commissioned by NHS England located in central London to whom patients from all six London specialist neurosurgical centres have been referred for gamma knife treatment for a number of years, including patients from UCLH.</p><p> </p><p>Finally, there was no contract in place with UCLH to provide gamma knife surgery for any PCT prior to 1 April 2013. Any activity that may have been undertaken there would have been done on an ad-hoc, non-contracted basis and NHS England does not hold this information.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197268 197298 197299 question first answered 08/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

49237

	registered interest
	date	30/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to encourage NHS England to respond to the Oxford Radiosurgery Centre's request that NHS patients in Oxfordshire and surrounding counties who require radiosurgery be treated there.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	197268
	answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>The business case for the gamma-knife centre at Oxford was originally agreed with the primary care trust (PCT) prior to April 2013, with an assumption that the PCT would stop sending patients to other centres elsewhere, and start sending them to the new centre once it was completed.</p><p> </p><p>As of April 2013, commissioning of these services transferred to the specialist commissioning team in NHS England.</p><p> </p><p>NHS England is currently undertaking a review of stereotactic radiosurgery (SRS) (e.g. Gamma Knife) and stereotactic ablative radiotherapy (SABR, e.g. Cyber-knife) for intracranial conditions to establish what the national demand is in line with its national clinical commissioning policies on SRS and SABR, and what the national capacity requirements are for this specialised treatment.</p><p> </p><p>Until the capacity requirements are clear, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p><p>As part of the transition of this service to NHS England, it developed, consulted upon and published a series of national clinical commissioning policies for intracranial SRS and SRT treatment.</p><p> </p><p>A report setting out the emerging findings of this review has been shared with clinical reference groups to seek their views and help NHS England develop a final draft. Once the views of stakeholders have been gathered, this will then go to Specialised Commissioning Oversight Group (SCOG) to agree a preferred option. Once the SCOG has a preferred option, NHS England will consult with patients and professionals and take account of those views when taking a final decision. If it is concluded there are to be significant changes in the provision of services, there will be a full public consultation before any changes are made.</p><p> </p><p>NHS England is expecting that the draft report will be ready for consideration at SCOG in June and then it would commence a public consultation on the draft report and preferred option during July to September. The report and recommendations will then be finalised after taking account of the views expressed during the consultation stage and a final decision taken by SCOG in September 2014.</p><p> </p><p>NHS England inherited the range of gamma knife providers currently in place, of which University College London Hospitals (UCLH) was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision. There are two long established providers of gamma knife surgery commissioned by NHS England located in central London to whom patients from all six London specialist neurosurgical centres have been referred for gamma knife treatment for a number of years, including patients from UCLH.</p><p> </p><p>Finally, there was no contract in place with UCLH to provide gamma knife surgery for any PCT prior to 1 April 2013. Any activity that may have been undertaken there would have been done on an ad-hoc, non-contracted basis and NHS England does not hold this information.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197267 197298 197299 question first answered 08/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt