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100057

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>The Secretary of State for Health has said “The Care Quality Commission’s (CQC) State of Health and Adult Social Care in England 2013-14 report highlights examples of excellent care but it also exposes unacceptable levels of variation. It also confirms that the NHS has seen a period of “hard realities and rapid change” following the scandal at Mid Staffordshire NHS Foundation Trust. We need to keep building on this to ensure greater cultural change, continuing transparency and a focus on safety to drive up standards of care across the country.”</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100060

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

93738

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. The NHS is on track to make up to £20 billion efficiency savings this parliament to reinvest into frontline care. We are confident that it will continue to make the efficiency improvements necessary to meet rising demand and protect the quality of the services delivered.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In a recent report commissioned by the Department, Frontier Economics has estimated that poor care could be costing the NHS up to £2.5 billion every year. In order to focus attention on the harms contributing to these costs and the savings that could be reinvested, a poster and leaflet will go out to all NHS hospitals to display this vital information to their staff.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>We have introduced a wide range of measures, including the Sign Up to Safety Campaign, Patient Safety Collaboratives, a new tougher inspection regime for providers and a reformed National Patient Safety Alert System to reduce mistakes in practice. In order to promote a culture of openness and transparency, that will enable organisations to learn from their mistakes, there will be the duty of candour in the event of serious harm. We are also publishing information on hospital performance, including staffing levels, as part of the new MyNHS website.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

78955

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>Earlier this month, the National Institute for Health and Care Excellence (NICE) published guidance on the modification of blood lipids (cholesterol) for the primary and secondary prevention of cardiovascular disease (CVD).</p><p> </p><p>The guidance recognises the place of statins in the primary prevention of CVD. However, it does not propose that statins should be used instead of the lifestyle adjustments that people at risk of CVD need to make — such as stopping smoking, being more active, drinking less alcohol, eating more healthily and losing weight.</p><p> </p><p>The guidance encourages general practitioners to fully explore with their patients the ways in which people can reduce their risk of CVD, presenting all the options promoted by NICE’s guidance, including lifestyle changes, and to allow patients to make their own decisions.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

78956

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>National Health Service accident and emergency (A&amp;E) departments are measured against a standard that at least 95% of patients should be admitted, transferred or discharged within four hours of arrival. The standard applies to all types of (A&amp;E) departments, including major (A&amp;E) departments, minor injury units, and walk-in centres.</p><p> </p><p>This standard was met in all four quarters and for the whole of 2013-14, with performance at 95.7% for the year. It has been met for the first quarter (April to June) of 2014-15, with performance at 95.1%.</p><p> </p><p>There were 21.8 million attendances at (A&amp;E) departments in 2013-14 compared to 20.5 million in 2009-10, and in the face of rising demand not all patients are receiving care within the standard. NHS England, the NHS Trust Development Authority and Monitor are working with the most challenged providers and commissioners. £400 million has been made available this year to ensure local urgent and emergency care services are sustainable and prepared for winter.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

78957

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>Progress is being made in nearly every trust and the Chief Inspector of Hospitals has recommended that five of the initial 11 placed in special measures a year ago should come out. As a result the Department and its arm’s length bodies are finally turning around performance in failing hospitals.</p><p> </p><p>The Government will no longer tolerate services which persistently fail to reach an acceptable standard. It is therefore introducing a special measures regime from 1 April 2015 for all adult social care providers registered with and inspected by the Care Quality Commission (CQC).</p><p> </p><p>Providers that are rated as inadequate by the CQC under its new inspection regime will be given a clear timescale within which they will be expected to improve, or face actions which could lead to their closing down. This clarity on timing will provide an incentive for providers to improve quickly and help local authorities and others plan for alternative provision should services have to close. It will also give the public confidence that poor care will be tackled more quickly.</p><p> </p><p>During the autumn, the Department will work with the CQC, social care providers and people using services, their families and carers on the details of the regime, including what support can be given to failing providers to help them improve their services.</p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

78958

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>Progress is being made in nearly every trust and the Chief Inspector of Hospitals has recommended that five of the initial 11 placed in special measures a year ago should come out. As a result the Department and its arm’s length bodies are finally turning around performance in failing hospitals.</p><p> </p><p>The Government will no longer tolerate services which persistently fail to reach an acceptable standard. It is therefore introducing a special measures regime from 1 April 2015 for all adult social care providers registered with and inspected by the Care Quality Commission (CQC).</p><p> </p><p>Providers that are rated as inadequate by the CQC under its new inspection regime will be given a clear timescale within which they will be expected to improve, or face actions which could lead to their closing down. This clarity on timing will provide an incentive for providers to improve quickly and help local authorities and others plan for alternative provision should services have to close. It will also give the public confidence that poor care will be tackled more quickly.</p><p> </p><p>During the autumn, the Department will work with the CQC, social care providers and people using services, their families and carers on the details of the regime, including what support can be given to failing providers to help them improve their services.</p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

77786

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>No assessment has been made of the advice given by healthcare practitioners to patients with knee osteoarthritis. In 2008, the National Institute for Health and Care Excellence (NICE) published ‘<em>Osteoarthritis: the care and management in adults’,</em> which sets out best practice on the diagnosis treatment, care and support of patients with this condition, including patients suffering from osteoarthritis of the knee.</p><p> </p><p>Healthcare practitioners in the National Health Service are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not replace the knowledge and expertise of practitioners, who should make decisions on a case by case basis, taking into account the individual circumstances of each patient.</p><p> </p><p>The NICE Osteoarthritis clinical guideline was updated and replaced in February 2014 and can be found on the NICE website at the following link:</p><p> </p><p>www.nice.org.uk/guidance/cg177/resources/guidance-osteoarthritis-pdf.</p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

77787

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>The Health and Social Care Information Centre has provided a count of finished consultant episodes1 with a main or secondary procedure2 for knee replacement surgery (a) where there is a main or secondary diagnosis of obesity3 and (b) for all diagnosis, by gender and patients aged 30-34, 35-39, 40-44 and 45-49, 2009-10 to 2012-134. This information is provided in the following tables:</p><p> </p><table><tbody><tr><td colspan="13"><p>(a) main or secondary diagnosis of obesity</p></td></tr><tr><td> </td><td colspan="12"><p>Gender and age group</p></td></tr><tr><td> </td><td colspan="4"><p>Male</p></td><td colspan="4"><p>Female</p></td><td colspan="4"><p>Unknown</p></td></tr><tr><td><p>Year</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td></tr><tr><td><p>2009-10</p></td><td><p>3</p></td><td><p>2</p></td><td><p>17</p></td><td><p>39</p></td><td><p>-</p></td><td><p>5</p></td><td><p>23</p></td><td><p>67</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2010-11</p></td><td><p>-</p></td><td><p>6</p></td><td><p>22</p></td><td><p>77</p></td><td><p>1</p></td><td><p>5</p></td><td><p>45</p></td><td><p>126</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2011-12</p></td><td><p>2</p></td><td><p>4</p></td><td><p>31</p></td><td><p>83</p></td><td><p>8</p></td><td><p>13</p></td><td><p>50</p></td><td><p>159</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2012-13</p></td><td><p>3</p></td><td><p>3</p></td><td><p>31</p></td><td><p>99</p></td><td><p>6</p></td><td><p>9</p></td><td><p>61</p></td><td><p>162</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td colspan="13"><p> </p><p>(b) all diagnoses</p></td></tr><tr><td> </td><td colspan="12"><p>Gender and age group</p></td></tr><tr><td> </td><td colspan="4"><p>Male</p></td><td colspan="4"><p>Female</p></td><td colspan="4"><p>Unknown</p></td></tr><tr><td><p>Year</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td><td><p>30-34</p></td><td><p>35-39</p></td><td><p>40-44</p></td><td><p>45-49</p></td></tr><tr><td><p>2009-10</p></td><td><p>20</p></td><td><p>69</p></td><td><p>232</p></td><td><p>612</p></td><td><p>39</p></td><td><p>92</p></td><td><p>294</p></td><td><p>805</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>3</p></td></tr><tr><td><p>2010-11</p></td><td><p>21</p></td><td><p>55</p></td><td><p>210</p></td><td><p>619</p></td><td><p>29</p></td><td><p>73</p></td><td><p>329</p></td><td><p>861</p></td><td><p>-</p></td><td><p>-</p></td><td><p>1</p></td><td><p>-</p></td></tr><tr><td><p>2011-12</p></td><td><p>29</p></td><td><p>55</p></td><td><p>241</p></td><td><p>697</p></td><td><p>39</p></td><td><p>85</p></td><td><p>313</p></td><td><p>966</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>1</p></td></tr><tr><td><p>2012-13</p></td><td><p>28</p></td><td><p>43</p></td><td><p>261</p></td><td><p>723</p></td><td><p>45</p></td><td><p>82</p></td><td><p>361</p></td><td><p>975</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>3</p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p> </p><p><sup>1. </sup>A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p><sup>2. </sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a Hospital Episode Statistics (HES) record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients under going a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p><sup>3. </sup>The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</p><p><sup>4. </sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

77788

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>The National Institute for Health and Care Excellence (NICE) published its draft updated clinical guideline on the prevention, identification, assessment and management of overweight and obesity in adults and children on 11 July, proposing the expansion of weight loss surgery. The guideline is out for consultation until the 8 August and NICE will take stakeholders’ comments into account in developing the final guideline, which is scheduled for publication later in the year.</p><p> </p><p>We have a well-developed and wide ranging programme of actions to reduce levels of obesity. These include working with a wide range of partners including Public Health England, NHS England, government departments including the Department for Transport through the Public Health Responsibility Deal.</p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick