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350111

	registered interest
	date	11/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why there has been an increase in the number of cancelled operations in the National Health Service since 2009–10.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL425
	answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL424 question first answered 19/06/2015 12:27:02 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

350110

	registered interest
	date	11/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they are taking to reduce the number of cancelled operations in the National Health Service.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL424
	answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL425 question first answered 19/06/2015 12:27:02 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

350109

	registered interest
	date	11/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the number of cancelled operations in the National Health Service in the final quarter of 2013–14 was the highest ever recorded.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL423
	answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 19/06/2015 10:58:30 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

658724

	registered interest
	date	14/12/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many NHS hospital operations have been cancelled since August 2016 because of a shortage of (1) beds, or (2) staff.
	tabling member printed	The Marquess of Lothian
	uin	HL4142
	answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The information is not available in the format requested.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 17:09:06 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	259 label Biography information for The Marquess of Lothian

637276

	registered interest
	date	15/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many centres carry out complex thoracic surgery in NHS England; what is their annual procedure volume; and when they will publish risk normalised outcome data for those centres.
	tabling member printed	Lord Freyberg
	uin	HL3201
	answer	answer is ministerial correction date of answer 24/11/2016 answer text <p>There are 28 centres undertaking complex thoracic procedures.</p><p> </p><p>Complex thoracic surgery involves a range of procedures, and therefore there is no overarching outcomes data set, only procedure-specific data.</p><p> </p><p>The predominant procedure is lung resection. The latest outcomes data for this is available in the <em>National Lung Cancer Audit annual report 2015 (for the audit period 2014)</em>, which is attached.</p> answering member printed Lord Prior of Brampton question first answered 24/11/2016 14:32:50 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 2015-12-02 National Lung Cancer Report.pdf title National Lung Cancer Report
	tabling member	2593 label Biography information for Lord Freyberg

155695

	registered interest
	date	17/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Lord Colwyn
	uin	HL2879
	answer	answer is ministerial correction date of answer 26/11/2014 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> answering member printed Earl Howe grouped question UIN HL2877 question first answered 26/11/2014 12:51:03 answering member 2000 label Biography information for Earl Howe
	tabling member	3394 label Biography information for Lord Colwyn

155693

	registered interest
	date	17/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Lord Colwyn
	uin	HL2877
	answer	answer is ministerial correction date of answer 26/11/2014 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> answering member printed Earl Howe grouped question UIN HL2879 question first answered 26/11/2014 12:51:01 answering member 2000 label Biography information for Earl Howe
	tabling member	3394 label Biography information for Lord Colwyn

420886

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of the reasons for the variation in elective surgery rates among the most affluent and least affluent areas of England recorded in the recent survey by the Health Service Journal.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2572
	answer	answer is ministerial correction date of answer 26/10/2015 answer text <p>NHS England has advised it is aware of the findings of the survey.</p><br /><p>The NHS Atlas of Variation in Healthcare, published in September 2015 by Public Health England, NHS England and NHS Right Care, aims to identify unwarranted variation, and the causes of variation, in the provision of health services. Linked to this, the NHS Right Care programme will advise local health systems on variation in elective surgery intervention rates and support them to look at reasons for this and identify any changes needed.</p><br /><p>The NHS Atlas of Variation in Healthcare is too large to attach to this reply, but can be found online at the following:</p><br /><p><a href="http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf" target="_blank">http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf</a></p><p><strong></strong></p><p><strong></strong></p> answering member printed Lord Prior of Brampton question first answered 26/10/2015 17:50:16 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

598113

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to prevent the late cancellation of operations.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2142
	answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The commitment that ‘all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice’ is included as a pledge in the Handbook to the NHS Constitution. A copy is attached.</p><p> </p><p>Every quarter, NHS England publishes the number of operations cancelled at the ‘last minute’ for non-clinical reasons. A last minute cancellation is defined as ‘when a patient’s operation is cancelled by the hospital on or after the day of admission (including the day of surgery) for non-clinical reasons’. The financial sanction for not meeting the pledge in 2016-17 is non-payment of costs associated with cancellation and non-payment or reimbursement (as applicable) of the re-scheduled episode of care.</p><p> </p><p>Every month, NHS England also publishes data on urgent operations that are cancelled by the trust for non-medical reasons, including those cancelled for a second or subsequent time. This includes all urgent operations cancelled, not just those cancelled at the last minute. Although there is no pledge for cancelled urgent operations, NHS England has set a National Quality Requirement that no urgent operation should be cancelled for a second time, and the NHS Standard Contract provides for a financial sanction of £5,000 per incidence.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:11:56 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name NHS_Constitution_Handbook_v2.pdf title Handbook to NHS Constitution
	tabling member	1796 label Biography information for Lord Taylor of Warwick

598098

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what has been the average number of hip and knee replacement operations per one million population performed weekly (1) by the NHS, and (2) privately, during each quarter since October 2015 in the English regions of (a) London, (b) the South, (c) the Midlands and East, and (d) the North.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2127
	answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The information requested is in the table attached.</p><p> </p><p>The data is activity in National Health Service Hospitals in England and NHS funded activity in the independent sector. Information on privately funded activity in the independent sector is not available.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:34:02 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL2127 FORMATTED TABLE.pdf title HL2127 TABLE
	tabling member	648 label Biography information for Lord Maginnis of Drumglass