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1130892

	registered interest
	date	10/06/2019
	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	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance NHS England has given to (a) clinical commissioning groups and (b) other NHS bodies on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	262333
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1130891

	registered interest
	date	10/06/2019
	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	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what NHS England’s policy is on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	262332
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262333 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1005984

	registered interest
	date	13/11/2018
	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	Health Services: Standards
	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 his Department has made of the potential effectiveness of quality incentive schemes in improving the quality of care to patients.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	190931
	answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Several different quality incentive schemes operate in the National Health Service.</p><p> </p><p>The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.</p><p> </p><p>The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.</p><p> </p><p>CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:43:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4657 label Biography information for Anneliese Dodds

972430

	registered interest
	date	12/09/2018
	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	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the (a) effectiveness of local authority health scrutiny committees and (b) ability of those committees to identify decisions and practices in the local health sector which have subsequently been changed.
	tabling member constituency	Ipswich
	tabling member printed	Sandy Martin
	uin	174164
	answer	answer is ministerial correction date of answer 10/10/2018 answer text <p>Local government plays a vital role in planning local health services and in scrutinising the local National Health Service’s plans for the delivery and the improvement of those services. Members are accountable to their electorate for their actions, and guidance and support is available to help them. The Independent Reconfiguration Panel is also available to help scrutiny committee’s oversight of the NHS.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2018 12:47:01 answering member 4067 label Biography information for Steve Brine
	tabling member	4678 label Biography information for Sandy Martin

810054

	registered interest
	date	20/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	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 cost to the public purse of meeting the 18 week referral to treatment target in the next 12 months; and what the effect of meeting that target will be on other areas of expenditure and the NHS deficit.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	120520
	answer	answer is ministerial correction date of answer 12/01/2018 answer text <p>NHS England has set out their approach to meeting and improving patient access standards in the ‘Next steps on the NHS Five Year Forward View’<sup>1</sup> and has produced an annex ‘NHS England Funding and Resource 2017-19: supporting Next Steps for the NHS Five Year Forward View’<sup>2</sup> to explain its funding distribution.</p><p> </p><p>The health service continues to face high demand on services caused by the United Kingdom’s ageing population and rapidly advancing technology. That is why the National Health Service will receive £2.8 billion of additional resource funding in England by 2018/19 to help it get back on track and meet performance standards on waiting times including the 18 week referral to treatment target.</p><p> </p><p>Notes:</p><p><sup>1</sup><a href="https://www.england.nhs.uk/publication/next-steps-on-the-nhs-five-year-forward-view/" target="_blank">https://www.england.nhs.uk/publication/next-steps-on-the-nhs-five-year-forward-view/</a></p><p><sup>2</sup><a href="https://www.england.nhs.uk/publication/nhs-england-funding-and-resource-2017-19/" target="_blank">https://www.england.nhs.uk/publication/nhs-england-funding-and-resource-2017-19/</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 12/01/2018 11:20:53 answering member 4095 label Biography information for Steve Barclay
	tabling member	4523 label Biography information for Catherine West

797441

	registered interest
	date	29/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	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 on encouraging clinical commissioning groups to require providers to complete the Improving Quality in Physiological Services (IQIPS) self-assessment tool and apply for accreditation with UKAS and achieve accreditation within the duration of their contract.
	tabling member constituency	Poplar and Limehouse
	tabling member printed	Jim Fitzpatrick
	uin	116404
	answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>NHS England does not collect information about the progress made on encouraging clinical commissioning groups (CCGs) to require providers to complete the Improving Quality in Physiological Services (IQIPS) self-assessment tool and apply for accreditation with United Kingdom Accreditation Service (UKAS) and achieve accreditation within the duration of their contract.</p><p> </p><p>However, Commissioning Services for People with Hearing Loss – a Framework for CCGs, published in July 2016, strongly encourages CCGs to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2017 15:15:51 answering member 4067 label Biography information for Steve Brine
	tabling member	197 label Biography information for Jim Fitzpatrick

784912

	registered interest
	date	06/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to hold NHS England and NHS Improvement to account about the failure of the NHS to meet the 18-week referral to treatment target since February 2016.
	tabling member constituency	Exeter
	tabling member printed	Mr Ben Bradshaw
	uin	111718
	answer	answer is ministerial correction date of answer 17/11/2017 answer text <p>Maintaining and improving patient access standards, including the 18-week referral to treatment (RTT) target, is a key objective of the Mandate to NHS England in 2017/18. NHS England has set out their approach to meeting and improving patient access standards in the ‘Next steps on the NHS Five Year Forward View’<sup>1</sup> which was produced in partnership with organisations including NHS Improvement.</p><p> </p><p>The Department uses performance data<sup>2</sup> published on a monthly basis by NHS England to monitor compliance with the referral to treatment standard. There are robust processes in place to hold NHS England and NHS Improvement to account and action to ensure compliance with the RTT standard is discussed in the course of this process.</p><p> </p><p>The latest published data for September 2017 shows that average waiting times for consultant led RTT remain low, at 6.4 weeks for non-admitted patients and 10.4 weeks for admitted patients.</p><p> </p><p> </p><p>Notes:</p><p><sup>1</sup><a href="https://www.england.nhs.uk/publication/next-steps-on-the-nhs-five-year-forward-view/" target="_blank">https://www.england.nhs.uk/publication/next-steps-on-the-nhs-five-year-forward-view/</a></p><p><sup>2</sup><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/11/2017 11:03:28 answering member 1542 label Biography information for Philip Dunne
	tabling member	230 label Biography information for Mr Ben Bradshaw

765603

	registered interest
	date	06/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which NHS operational standards have not been met during the period from May 2015 to date.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	106201
	answer	answer is ministerial correction date of answer 16/10/2017 answer text <p>Official statistics are published by NHS England on a monthly basis in respect of National Health Service performance against waiting times standards. This information is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 16/10/2017 12:06:43 answering member 1542 label Biography information for Philip Dunne
	tabling member	4518 label Biography information for Tulip Siddiq

758188

	registered interest
	date	06/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether NHS England has made an assessment of the level of financial resource required for the NHS to meet the 18 week referral to treatment target.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	9233
	answer	answer is ministerial correction date of answer 11/09/2017 answer text <p>A number of factors impact on meeting the 18 week referral to treatment target, including levels of demand, productivity and resources. NHS England has set these out in their Next Steps on the National Health Service Five Year Forward View. There is a significant programme of work underway focussed on these areas.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 11/09/2017 15:15:01 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth

753507

	registered interest
	date	18/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether there is a mechanism to measure delays in the NHS treatment encountered by British citizens when moving back to the UK from abroad.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	5934
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>No information is held centrally to measure waiting times for National Health Service treatment for British citizens who have moved back to the United Kingdom from abroad. When a patient is referred for treatment, they should be treated according to clinical priority and then in the chronological order of when they were added to the list.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 05/09/2017 13:26:04 answering member 1542 label Biography information for Philip Dunne
	tabling member	4243 label Biography information for Dan Jarvis