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1015138

	registered interest
	date	26/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average cost to the NHS is of an overnight stay in hospital for a patient that has undergone surgery.
	tabling member constituency	Huddersfield
	tabling member printed	Mr Barry Sheerman
	uin	195481
	answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Whilst the information is not collected centrally in the format requested, NHS Improvement collect and publish reference costs data and the 2017/18 reference costs were published on 15 November.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 195482 195483 195484 question first answered 04/12/2018 17:27:21 answering member 1585 label Biography information for Stephen Hammond
	tabling member	411 label Biography information for Mr Barry Sheerman

1006860

	registered interest
	date	14/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on patient outcomes of delaying access to elective surgical procedures on the basis of (a) body weight and (b) smoking status.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	191434
	answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. No such assessment has been made by the Department or NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 11:43:09 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

895370

	registered interest
	date	01/05/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 April 2018 to Question 137067, whether his Department holds data on the reasons NHS operations were cancelled in England.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	140089
	answer	answer is ministerial correction date of answer 08/05/2018 answer text <p>This data is not collected centrally. It was a matter for local National Health Service trusts to make decisions on whether to postpone operations over the winter period.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 08/05/2018 13:43:30 answering member 4095 label Biography information for Steve Barclay
	tabling member	4125 label Biography information for Catherine McKinnell

890015

	registered interest
	date	23/04/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many NHS operations were cancelled in (a) the North East and (b) England in each of the last three months.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	137067
	answer	answer is ministerial correction date of answer 26/04/2018 answer text <p>This information is not available in the format requested.</p><p>NHS England publishes quarterly performance data on cancelled elective operations, which includes national, regional and provider level activity, and this can be accessed at:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/</a></p><p>Data for quarter 3 (October – December 2017) was published on 8 February 2018 with quarter 4 (January – March 2018) due for release on 10 May 2018.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 26/04/2018 16:37:41 answering member 4095 label Biography information for Steve Barclay
	tabling member	4125 label Biography information for Catherine McKinnell

806514

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average cost to the NHS was of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in England in each of the last three years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	119590
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Data for the estimated average unit cost to NHS providers in 2014-15 to 2016-17 for a hip replacement, knee replacement, cataract operation and hernia operation is shown in the table below. The data is sourced from reference costs, which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td colspan="3"><p>Average unit cost per one finished consultant episode</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£6,793</p></td><td><p>£7,090</p></td><td><p>£7,032</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£5,944</p></td><td><p>£6,253</p></td><td><p>£6,181</p></td></tr><tr><td><p>Cataract operation</p></td><td><p>£747</p></td><td><p>£805</p></td><td><p>£811</p></td></tr><tr><td><p>Hernia operation</p></td><td><p>£2,193</p></td><td><p>£2,331</p></td><td><p>£2,308</p></td></tr></tbody></table><p> </p><p>The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 12:13:25 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth

748557

	registered interest
	date	05/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance his Department has issued to clinical care groups on providing surgery for people who are overweight or who smoke.
	tabling member constituency	Batley and Spen
	tabling member printed	Tracy Brabin
	uin	3228
	answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Individual clinical commissioning groups are responsible for commissioning the care that will provide the best possible outcomes for their patients in line with their legal duties and with regard to National Institute for Health and Care Excellence guidance for different conditions and treatments.</p><p>Weight and smoking status are considerations that clinicians should take into account when considering surgery as a treatment option because these factors have a significant bearing on patient outcomes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 16:30:26 answering member 4067 label Biography information for Steve Brine
	tabling member	4588 label Biography information for Tracy Brabin

723012

	registered interest
	date	20/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the average cost to the NHS of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in 2016-17.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	71523
	answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>The information requested is not yet available.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:34:45 answering member 1542 label Biography information for Philip Dunne
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

694241

	registered interest
	date	24/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	65462
	answer	answer is ministerial correction date of answer 01/03/2017 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> answering member constituency Warrington South answering member printed David Mowat question first answered 01/03/2017 14:39:09 answering member 4080 label Biography information for David Mowat
	tabling member	4471 label Biography information for Rachael Maskell

693772

	registered interest
	date	23/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	65368
	answer	answer is ministerial correction date of answer 28/02/2017 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> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:15:59 answering member 4080 label Biography information for David Mowat
	tabling member	4471 label Biography information for Rachael Maskell

684051

	registered interest
	date	03/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	63000
	answer	answer is ministerial correction date of answer 09/02/2017 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> answering member constituency Warrington South answering member printed David Mowat question first answered 09/02/2017 11:01:26 answering member 4080 label Biography information for David Mowat
	tabling member	4418 label Biography information for Justin Madders