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1015138

	answering dept short name	Health and Social Care
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 04/12/2018 17:27:21
	tabling member	411 label Biography information for Mr Barry Sheerman

1006860

	answering dept short name	Health and Social Care
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 22/11/2018 11:43:09
	tabling member	4471 label Biography information for Rachael Maskell

895370

	answering dept short name	Health and Social Care
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 08/05/2018 13:43:30
	tabling member	4125 label Biography information for Catherine McKinnell

890015

	answering dept short name	Health and Social Care
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 26/04/2018 16:37:41
	tabling member	4125 label Biography information for Catherine McKinnell

806514

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 19/12/2017 12:13:25
	tabling member	4244 label Biography information for Jonathan Ashworth

748557

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 10/07/2017 16:30:26
	tabling member	4588 label Biography information for Tracy Brabin

723012

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction answer text <p>The information requested is not yet available.</p> question first answered 25/04/2017 14:34:45
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

694241

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 01/03/2017 14:39:09
	tabling member	4471 label Biography information for Rachael Maskell

693772

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 28/02/2017 14:15:59
	tabling member	4471 label Biography information for Rachael Maskell

684051

	answering dept short name	Health
	hansard heading	Surgery
	legislature	25259 pref label House of Commons
	type	WrittenParliamentaryQuestion
	answer	answer is ministerial correction 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> question first answered 09/02/2017 11:01:26
	tabling member	4418 label Biography information for Justin Madders