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391462
star this property registered interest false more like this
star this property date less than 2015-07-20more like thismore than 2015-07-20
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what analysis his Department and NHS England have carried out to determine what standard of high-risk general surgery a site should be providing in order to be an appropriate site for carrying out (a) complex cardiac surgery and (b) other tertiary services. more like this
star this property tabling member constituency Altrincham and Sale West more like this
star this property tabling member printed
Mr Graham Brady more like this
star this property uin 7987 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2015-09-08more like thismore than 2015-09-08
unstar this property answer text <p>The standards a site should be providing in order to be an appropriate site for carrying out complex cardiac surgery and other tertiary services are already set out by the professional bodies (Royal College of Surgeons, Society of Cardiothoracic Surgeons of Great Britain and Ireland) and NHS England Specialised Services service specifications.</p><p> </p> more like this
star this property answering member constituency Ipswich more like this
star this property answering member printed Ben Gummer more like this
star this property question first answered
less than 2015-09-08T15:41:56.83Zmore like thismore than 2015-09-08T15:41:56.83Z
star this property answering member
3988
star this property label Biography information for Ben Gummer more like this
star this property tabling member
435
unstar this property label Biography information for Sir Graham Brady more like this
1057095
star this property registered interest false more like this
star this property date less than 2019-02-08more like thismore than 2019-02-08
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what comparative assessment his Department has made of the relative safety of surgical operations carried out in the daytime and overnight. more like this
star this property tabling member constituency Coventry South more like this
star this property tabling member printed
Mr Jim Cunningham more like this
star this property uin 218751 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-02-13more like thismore than 2019-02-13
unstar this property answer text <p>The Department has not conducted any comparative assessment centrally concerning the relative safety of surgical operations carried out in the daytime and overnight.</p><p> </p><p>Safeguards apply to all surgery and it is the responsibility of the professionals involved to ensure that they operate to the right level of competence, and of the organisations they work for to ensure that they have in place effective forms of oversight at all times.</p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2019-02-13T17:04:02.547Zmore like thismore than 2019-02-13T17:04:02.547Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
308
unstar this property label Biography information for Mr Jim Cunningham more like this
576850
star this property registered interest false more like this
star this property date less than 2016-09-06more like thismore than 2016-09-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment he has made of the potential benefits of mobile surgical health theatres; and whether such centres are included in the Sustainability and Transformation Plans. more like this
star this property tabling member constituency St Albans more like this
star this property tabling member printed
Mrs Anne Main more like this
star this property uin 45270 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2016-09-15more like thismore than 2016-09-15
unstar this property answer text <p>Under the Directed Enhanced Services directions to NHS England, there is a Minor Surgery Scheme, the underlying purpose of which is to ensure that a wide range of minor surgical procedures are made available as part of the primary medical services provided throughout England. Minor surgery is also one of the additional services which are set out in the General Medical Services Contract Regulations. It is for local areas to decide whether they include the development of these centres in their Sustainability and Transformation Plan.</p> more like this
star this property answering member constituency Warrington South more like this
star this property answering member printed David Mowat more like this
star this property question first answered
less than 2016-09-15T14:41:24.69Zmore like thismore than 2016-09-15T14:41:24.69Z
star this property answering member
4080
star this property label Biography information for David Mowat more like this
star this property tabling member
1568
unstar this property label Biography information for Mrs Anne Main more like this
649497
star this property registered interest false more like this
star this property date less than 2016-12-01more like thismore than 2016-12-01
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department and NHS England plan to take to prevent clinical commissioning groups from rationing treatments by restricting routine surgery for patients who smoke or are clinically obese. more like this
star this property tabling member constituency North Norfolk more like this
star this property tabling member printed
Norman Lamb more like this
star this property uin 55790 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2016-12-06more like thismore than 2016-12-06
unstar this property answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning services to meet the requirements of their population, including obese patients and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence and take into account national guidelines.</p><p> </p><p>Major surgery poses much higher risks for severely overweight patients and those who smoke. So local general practitioner-led CCGs are entirely right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but saves the National Health Service and taxpayers millions of pounds.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients, such as smokers, getting operations, which would be inconsistent with the NHS Constitution.</p> more like this
star this property answering member constituency Warrington South more like this
star this property answering member printed David Mowat more like this
star this property question first answered
less than 2016-12-06T14:23:43.217Zmore like thismore than 2016-12-06T14:23:43.217Z
star this property answering member
4080
star this property label Biography information for David Mowat more like this
star this property tabling member
1439
unstar this property label Biography information for Norman Lamb more like this
684051
star this property registered interest false more like this
star this property date less than 2017-02-03more like thismore than 2017-02-03
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, whether clinical commissioning group restrictions on access to joint surgery for obese patients and smokers are compatible with NICE guidance on osteoarthritis: care and management, that patient-specific factors, including age, sex, smoking, obesity and co-morbidities, should not be barriers to referral for joint surgery. more like this
star this property tabling member constituency Ellesmere Port and Neston more like this
star this property tabling member printed
Justin Madders more like this
star this property uin 63000 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-02-09more like thismore than 2017-02-09
unstar this property answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning services to meet the requirements of their population, including the obese and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and take into account national guidelines.</p><p> </p><p>The evidence suggests that major surgery poses higher risks for severely overweight patients who smoke. CCGs are therefore right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but also saves money for the National Health Service and taxpayers.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients such as smokers or overweight people getting operations, which would be inconsistent with the NHS Constitution.</p> more like this
star this property answering member constituency Warrington South more like this
star this property answering member printed David Mowat more like this
star this property question first answered
less than 2017-02-09T11:01:26.037Zmore like thismore than 2017-02-09T11:01:26.037Z
star this property answering member
4080
star this property label Biography information for David Mowat more like this
star this property tabling member
4418
unstar this property label Biography information for Justin Madders more like this
693772
star this property registered interest false more like this
star this property date less than 2017-02-23more like thismore than 2017-02-23
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
star this property uin 65368 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-02-28more like thismore than 2017-02-28
unstar this property answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.</p><p> </p><p>Information on CCGs’ commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs’ commissioning intentions are available from individual CCGs.</p> more like this
star this property answering member constituency Warrington South more like this
star this property answering member printed David Mowat more like this
star this property question first answered
less than 2017-02-28T14:15:59.437Zmore like thismore than 2017-02-28T14:15:59.437Z
star this property answering member
4080
star this property label Biography information for David Mowat more like this
star this property tabling member
4471
unstar this property label Biography information for Rachael Maskell more like this
694241
star this property registered interest false more like this
star this property date less than 2017-02-24more like thismore than 2017-02-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps NHS England is taking to ensure that clinical commissioning groups provide obese patients and smokers with access to appropriate treatment before operations. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
star this property uin 65462 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-03-01more like thismore than 2017-03-01
unstar this property answer text <p>Public health is primarily a matter for local authorities, which includes preventative services around obesity and smoking cessation.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for working with local authorities to understand and meet the needs of their local populations, and making decisions on how to best commission services which meet that population’s health needs.</p><p> </p><p>NHS England does not have a formal process in place to ensure that CCGs provide obese patients and smokers with access to appropriate treatment before operations. However, CCGs are encouraged to obtain the advice of NHS England regional teams before putting forward proposals which would affect access to services.</p><p> </p><p>CCGs also have a legal duty to have due regard to National Institute for Health and Care Excellence guidelines.</p><p> </p><p>CCGs have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes of services. NHS England can exercise its formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge this duty.</p>
star this property answering member constituency Warrington South more like this
star this property answering member printed David Mowat more like this
star this property question first answered
less than 2017-03-01T14:39:09.187Zmore like thismore than 2017-03-01T14:39:09.187Z
star this property answering member
4080
star this property label Biography information for David Mowat more like this
star this property tabling member
4471
unstar this property label Biography information for Rachael Maskell more like this
92945
star this property registered interest false more like this
star this property date less than 2014-10-13more like thismore than 2014-10-13
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what recent steps he has taken to ensure that surgeons do not work excessive hours. more like this
star this property tabling member constituency Strangford more like this
star this property tabling member printed
Jim Shannon more like this
star this property uin 210250 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-10-20more like thismore than 2014-10-20
unstar this property answer text <p>It is the responsibility of National Health Service trusts to ensure that service rotas are designed and staffed appropriately, and are in accordance with the Working Time Regulations.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The Department commissioned the Royal College of Surgeons to review the impact of the Working Time Directive on the health sector. A taskforce, chaired by Professor Norman Williams and comprising of representatives from across the medical profession, met on six occasions from October 2013 to February 2014 and a report was produced.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In relation to doctors working excessive hours, the report made recommendations that NHS trusts should review best practice in the design of working rotas and that the lack of flexibility be addressed whilst recognising doctors must not suffer undue fatigue.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The recommendations of the report have been accepted and the relevant organisations are taking them forward.</p><p> </p>
star this property answering member constituency Central Suffolk and North Ipswich more like this
star this property answering member printed Dr Daniel Poulter more like this
star this property question first answered
less than 2014-10-20T16:31:56.5836336Zmore like thismore than 2014-10-20T16:31:56.5836336Z
star this property answering member
3932
star this property label Biography information for Dr Dan Poulter more like this
star this property tabling member
4131
unstar this property label Biography information for Jim Shannon more like this
155693
star this property registered interest false more like this
star this property date less than 2014-11-17more like thismore than 2014-11-17
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government how many patients have undergone orthognathic treatment in each region of England in each of the last five years. more like this
star this property tabling member printed
Lord Colwyn more like this
star this property uin HL2877 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-11-26more like thismore than 2014-11-26
unstar this property answer text <p>Due to a lack of specific procedural codes, it is not possible to identify the number of patients who have undergone orthognathic treatment or the cost of this treatment from the data held by the Health and Social Care information Centre or the Department.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property grouped question UIN HL2879 more like this
star this property question first answered
less than 2014-11-26T12:51:01.217Zmore like thismore than 2014-11-26T12:51:01.217Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
3394
unstar this property label Biography information for Lord Colwyn more like this
155695
star this property registered interest false more like this
star this property date less than 2014-11-17more like thismore than 2014-11-17
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
unstar this property hansard heading Surgery remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government, for each region of England in each of the last five years, what has been the cost to the National Health Service of orthognathic treatment. more like this
star this property tabling member printed
Lord Colwyn more like this
star this property uin HL2879 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-11-26more like thismore than 2014-11-26
unstar this property answer text <p>Due to a lack of specific procedural codes, it is not possible to identify the number of patients who have undergone orthognathic treatment or the cost of this treatment from the data held by the Health and Social Care information Centre or the Department.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property grouped question UIN HL2877 more like this
star this property question first answered
less than 2014-11-26T12:51:03.253Zmore like thismore than 2014-11-26T12:51:03.253Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
3394
unstar this property label Biography information for Lord Colwyn more like this