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143393

	registered interest
	date	07/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to promote the Sign up to Safety campaign; and if he will make a statement.
	tabling member constituency	Bromley and Chislehurst
	tabling member printed	Robert Neill
	uin	213871
	answer	answer is ministerial correction date of answer 19/11/2014 answer text <p>The Sign up to Safety campaign was launched on 24 June 2014. Each organisation that has joined the campaign has committed to improving patient safety through the implementation of a Safety Improvement Plan. The Safety Improvement Plan builds on the pledges the organisation set out when joining. The pledges are expanded in more detail in the plan, which sets out what the organisation wants to achieve and by when. Each organisation is expected to demonstrate how they will measure the local impact of their aims over the next three years via a measurement section within their plans. They will then implement their aims over the next three years.</p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign is being promoted by means of:</p><p> </p><p>- a national campaign website;</p><p> </p><p>- regional and national presentations at events across the country delivered by the Campaign Director, the Secretary of State and others;</p><p> </p><p>- Twitter with over 1,500 followers;</p><p> </p><p>- a blog by the Campaign Director;</p><p> </p><p>- an online seminar programme (webinars);</p><p> </p><p>- through partner organisations including NHS England, Care Quality Commission, Monitor, NHS Trust Development Authority, NHS Litigation Authority, Health Education England, and NHS Improving Quality;</p><p> </p><p>- mini poster campaigns, such as the Safe Care Costs Less, and individual events, such as the launch of the Patient Briefing Video; and</p><p> </p><p>- through participant websites and local events.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. Each participant organisation is expected to set out how they will contribute to the campaign’s three year objective via their Safety Improvement Plan – they are expected to quantify the expected impact of their actions on a reduction of avoidable harm and saving lives. The measurement and evaluation of the impact at a regional and national level will be led by NHS England working with NHS Improving Quality as part of the integrated measurement strategy for both the campaign and the Patient Safety Collaborative programme. This will include the National Reporting and Learning System, harms via the Safety Thermometer and mortality rates, case studies of individual organisations and patient record reviews.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213870 213872 question first answered 19/11/2014 15:47:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1601 label Biography information for Sir Robert Neill

143394

	registered interest
	date	07/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Sign up to Safety campaign is on course to achieve its three-year objective to (a) reduce avoidable harm by 50 per cent and (b) save 6,000 lives.
	tabling member constituency	Bromley and Chislehurst
	tabling member printed	Robert Neill
	uin	213872
	answer	answer is ministerial correction date of answer 19/11/2014 answer text <p>The Sign up to Safety campaign was launched on 24 June 2014. Each organisation that has joined the campaign has committed to improving patient safety through the implementation of a Safety Improvement Plan. The Safety Improvement Plan builds on the pledges the organisation set out when joining. The pledges are expanded in more detail in the plan, which sets out what the organisation wants to achieve and by when. Each organisation is expected to demonstrate how they will measure the local impact of their aims over the next three years via a measurement section within their plans. They will then implement their aims over the next three years.</p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign is being promoted by means of:</p><p> </p><p>- a national campaign website;</p><p> </p><p>- regional and national presentations at events across the country delivered by the Campaign Director, the Secretary of State and others;</p><p> </p><p>- Twitter with over 1,500 followers;</p><p> </p><p>- a blog by the Campaign Director;</p><p> </p><p>- an online seminar programme (webinars);</p><p> </p><p>- through partner organisations including NHS England, Care Quality Commission, Monitor, NHS Trust Development Authority, NHS Litigation Authority, Health Education England, and NHS Improving Quality;</p><p> </p><p>- mini poster campaigns, such as the Safe Care Costs Less, and individual events, such as the launch of the Patient Briefing Video; and</p><p> </p><p>- through participant websites and local events.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. Each participant organisation is expected to set out how they will contribute to the campaign’s three year objective via their Safety Improvement Plan – they are expected to quantify the expected impact of their actions on a reduction of avoidable harm and saving lives. The measurement and evaluation of the impact at a regional and national level will be led by NHS England working with NHS Improving Quality as part of the integrated measurement strategy for both the campaign and the Patient Safety Collaborative programme. This will include the National Reporting and Learning System, harms via the Safety Thermometer and mortality rates, case studies of individual organisations and patient record reviews.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213870 213871 question first answered 19/11/2014 15:47:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1601 label Biography information for Sir Robert Neill

143397

	registered interest
	date	07/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress organisations which have participated in the Sign up to Safety campaign have made on fulfilling the pledges in that campaign; and if he will make a statement.
	tabling member constituency	Bromley and Chislehurst
	tabling member printed	Robert Neill
	uin	213870
	answer	answer is ministerial correction date of answer 19/11/2014 answer text <p>The Sign up to Safety campaign was launched on 24 June 2014. Each organisation that has joined the campaign has committed to improving patient safety through the implementation of a Safety Improvement Plan. The Safety Improvement Plan builds on the pledges the organisation set out when joining. The pledges are expanded in more detail in the plan, which sets out what the organisation wants to achieve and by when. Each organisation is expected to demonstrate how they will measure the local impact of their aims over the next three years via a measurement section within their plans. They will then implement their aims over the next three years.</p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign is being promoted by means of:</p><p> </p><p>- a national campaign website;</p><p> </p><p>- regional and national presentations at events across the country delivered by the Campaign Director, the Secretary of State and others;</p><p> </p><p>- Twitter with over 1,500 followers;</p><p> </p><p>- a blog by the Campaign Director;</p><p> </p><p>- an online seminar programme (webinars);</p><p> </p><p>- through partner organisations including NHS England, Care Quality Commission, Monitor, NHS Trust Development Authority, NHS Litigation Authority, Health Education England, and NHS Improving Quality;</p><p> </p><p>- mini poster campaigns, such as the Safe Care Costs Less, and individual events, such as the launch of the Patient Briefing Video; and</p><p> </p><p>- through participant websites and local events.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. Each participant organisation is expected to set out how they will contribute to the campaign’s three year objective via their Safety Improvement Plan – they are expected to quantify the expected impact of their actions on a reduction of avoidable harm and saving lives. The measurement and evaluation of the impact at a regional and national level will be led by NHS England working with NHS Improving Quality as part of the integrated measurement strategy for both the campaign and the Patient Safety Collaborative programme. This will include the National Reporting and Learning System, harms via the Safety Thermometer and mortality rates, case studies of individual organisations and patient record reviews.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213871 213872 question first answered 19/11/2014 15:47:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1601 label Biography information for Sir Robert Neill

164370

	registered interest
	date	24/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to increase the use of patient experience surveys in the NHS to inform patient safety initiatives; and if he will make a statement.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	215718
	answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Patient experience surveys are a valuable source of evidence and the results are used in a range of ways, including the assessment of National Health Service performance as well as in regulatory activities such as registration, monitoring ongoing compliance and reviews. The Care Quality Commission has developed a new Intelligent Monitoring tool to give inspectors a clear picture of the areas of care that need to be followed up within an NHS acute trust or a specialist NHS trust. The system is built on a set of indicators that look at a range of information including patient experience, staff experience and performance.</p><p> </p><p> </p><p> </p><p>In addition to the patient experience surveys hospital boards and other providers and commissioners of services can also consider the results of the Friends and Family Test (FFT) to consider the implications for quality and safety. While not a traditional survey, the FFT provides near real-time feedback to identify both good and poor quality patient experience. A NHS England review of the FFT found that it is performing well as a service improvement tool, with 85% of trusts reporting that it is being used to improve patient experience, and 78% saying that FFT has increased the emphasis placed on patient experience in their trusts.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:09:16 answering member 4020 label Biography information for George Freeman
	tabling member	1503 label Biography information for Mr Jamie Reed

228161

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to his Department's recent report, Culture change in the NHS, Cm 9009, whether he plans to place responsibility for patient safety alerts within (a) NHS England or (b) an arms-length organisation.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	228119
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 228067 228068 question first answered 23/03/2015 17:55:34 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

228187

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS trusts and foundation trusts have had action taken against them for not implementing guidance from patient safety alerts since May 2010; and what action was taken in each such case.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	228067
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 228068 228119 question first answered 23/03/2015 17:55:34 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

228188

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans (a) his Department, (b) NHS England and (c) the Care Quality Commission have to ensure that patient safety alert guidance is implemented; and how his Department plans to monitor compliance with that guidance.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	228068
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>Healthcare providers are expected to implement all the actions contained in a patient safety alert that are relevant to them and ensure that all relevant parts of their organisation and staff are aware of the information and/or the required changes. Providers should be scrutinising the implementation of their alerts and satisfying themselves that the alerts are complete by the designated deadline.</p><p> </p><p> </p><p> </p><p>NHS England publishes monthly data about any trusts who have failed to declare compliance with stage one, two, or three of the National Patient Safety Alerting System’s (NaPSAS) alerts by their set due date. Provider compliance should also be an integral part of the commissioners’ responsibilities for improving quality.</p><p> </p><p> </p><p> </p><p>As part of its inspections, the Care Quality Commission (CQC) looks at how providers respond to patient safety alerts as evidence of how effectively they manage and address safety concerns, and how they use this as learning to improve their safety systems and processes. CQC is continuing to develop and embed its approach to the use of data and intelligence across all the sectors it regulates as an integral part of its new approach to inspections, and has given greater prominence to safety alerts in its revised surveillance model. CQC’s Intelligent Monitoring system for the Acute Sector includes a composite indicator around completion of safety alerts and CQC is currently considering whether this can be implemented for the other sectors it regulates. This contributes to providers’ overall risk scores, which inform both the scheduling and prioritisation of inspections and the identification of focus areas for inspections.</p><p> </p><p> </p><p> </p><p>Monitor is responsible for ensuring NHS foundation trusts are well-led so that they can provide quality care on a sustainable basis and would expect to be alerted by their providers of anything that might have a bearing on compliance with their licence including where there are significant issues regarding compliance with patient safety alerts. The NHS Trust Development Authority (TDA), as part of its oversight and escalation process, uses quality surveillance monitoring which it reviews on a monthly basis and which it uses to hold trusts to account for the timely compliance with alerts. This is undertaken via the TDA’s regular integrated delivery meetings with the trusts.</p><p> </p><p> </p><p> </p><p>The Government has agreed to consider with relevant organisations the options for transferring NHS England’s responsibilities for safety to a single national body and this will include responsibility for patent safety alerts. No decision has yet been taken about the specific functions to be transferred and until such time, NHS England will continue to be responsible for these functions.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 228067 228119 question first answered 23/03/2015 17:55:34 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

758760

	registered interest
	date	07/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many never events have occurred involving (a) audiologists, (b) cardiac physiologists, (c) gastro-intestinal physiologists, (d) neurophysiologists, (e) respiratory physiologists and (f) sleep physiologists in the last five years.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	9435
	answer	answer is ministerial correction date of answer 15/09/2017 answer text <p>This data is not collected centrally. Never events are reported through a tool called the Strategic Executive Information System which does not routinely collect information on the specialty of staff involved in never events.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 15/09/2017 12:10:34 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

922422

	registered interest
	date	12/06/2018
	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	Patients: Safety
	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 never events were recorded by NHS trusts in each of the last five years.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	152793
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>Never Events are serious incidents that are entirely preventable because guidance or safety recommendations providing strong systemic protective barriers are available at a national level, and should have been implemented by all healthcare providers.</p><p> </p><p>National Health Service providers are encouraged to report all Never Events through the National Reporting and Learning System. The Care Quality Commission views failure to report a Never Event as a breach of a provider’s registration requirement and which may attract sanctions.</p><p> </p><p>Below are the total numbers of Never Events for the last five years which are published online by NHS Improvement and can be accessed at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/never-events-data/" target="_blank">https://improvement.nhs.uk/resources/never-events-data/</a></p><p> </p><p>The last column contains the total of Never Events reported by NHS trusts.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of Never Events</p></td><td><p>Total number of Never Events from NHS trusts</p></td></tr><tr><td><p>2013/14</p></td><td><p>338</p></td><td><p>322</p></td></tr><tr><td><p>2014/15</p></td><td><p>306</p></td><td><p>288</p></td></tr><tr><td><p>2015/16</p></td><td><p>442</p></td><td><p>412</p></td></tr><tr><td><p>2016/17</p></td><td><p>445</p></td><td><p>414</p></td></tr><tr><td><p>2017/18 (provisional data subject to change as local investigations take place)</p></td><td><p>469</p></td><td><p>434</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/06/2018 10:18:13 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4418 label Biography information for Justin Madders

934259

	registered interest
	date	03/07/2018
	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	Patients: Safety
	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 19 June 2018 to Question 152793 on Patients: Safety, whether any steps have been taken to determine the reason for the increase in never events.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	160274
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>The Government is committed to eradicating Never Events and ensuring best practice is shared throughout the health care system.</p><p>That is why in December 2017, the Secretary of State commissioned the Care Quality Commission (CQC) to undertake a safety thematic review of Never Events, under Section 48 of the Health and Social Care Act 2008.</p><p>The CQC’s review, which is expected to report in autumn 2018, will examine the underlying issues in National Health Service trusts in England that contribute to the occurrence of Never Events and identify the learning that can be applied to wider safety issues.</p><p>The ‘Never Events Policy and Framework’ was revised in March 2015 and the definition of Never Events changed to provide further clarity over their purpose, and; to ensure incidents are easily identifiable when they occur and are not dependent on the severity of outcome of the incident.</p><p>The list of Never Events was reviewed at the same time to ensure that they were all compliant with the revised definition and to consider any new issues that were appropriate to be introduced as Never Events into the NHS in England.</p><p>Further revisions to the Never Events policy and framework and an updated Never Events list were published in January 2018. Therefore it is not possible to compare the number of Never Events reported on an annual basis.</p><p>As mentioned in my earlier reply to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-12/152793/" target="_blank">152793</a>, NHS providers are encouraged to report all Never Events, and the CQC regards failure to report a Never Event, a breach of a provider’s registration requirement.</p><p>The number of Never Events reported by independent providers is also increasing as they report more incidents to our National Reporting and Learning System.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/07/2018 16:40:10 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4418 label Biography information for Justin Madders