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647179

	registered interest
	date	28/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Working Hours
	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 28 November 2016 to Question 53350, if he will record the average number of hours worked each week by NHS job category in future; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	55189
	answer	answer is ministerial correction date of answer 01/12/2016 answer text <p>As set out in the Answer of 28 November to Question 53350, the Electronic Staff Record (ESR) does not clearly show the full extent of additional work carried out by National Health Service staff. Some inferences can be made about average hours by analysing data from ESR (which is the payroll system) and other sources such as trust rostering systems. There are different rostering systems for different staff groups in the NHS; not all employers use the same systems; and the working time contribution of consultants is measured in units which are of varying lengths of time depending on when they are worked. To collect data centrally on the average hours worked each week by NHS job category would place an unreasonable burden on NHS organisations. It is the responsibility of employers to ensure that hours worked are within statutory and contractual limits for working hours and patterns.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 01/12/2016 12:05:43 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

810619

	registered interest
	date	21/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	University Hospitals Coventry and Warwickshire NHS Trust: Acute Beds
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to support acute services at University Hospital Coventry.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	120964
	answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>In addition to its funding from local and specialised commissioners, University Hospital Coventry and Warwickshire NHS Trust has received £2,195,994 to support the delivery of urgent and emergency care over the winter period; of this £374,000 has been earmarked to support medical staffing in the Trust.</p><p> </p><p>The Trust has also has been receiving support from NHS Improvement’s Emergency Care Intensive Support Programme for the last 18 months, to help the Trust to improve its urgent and emergency care performance. The Trust has also engaged with a series of NHS Improvement Collaborative events on recruitment and retention.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 08/01/2018 16:58:31 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

809712

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Spinal Injuries: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have had spinal operations in the West Midlands in each of the last seven years.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	120332
	answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>Information is not held in the format requested. The available data from Hospital Episode Statistics (HES) dataset for the years 2010-11 through to 2016-17 is shown in the table below and provides a count of finished admission episodes<sup>1</sup> (FAEs) with a main or secondary spinal procedure<sup>2</sup>, for the West Midlands Government Office Region. Figures do not represent the number of individual patients, as a person may have more than one episode of care in the same year.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FAEs</p></td></tr><tr><td><p>2010-11</p></td><td><p>12,475</p></td></tr><tr><td><p>2011-12</p></td><td><p>11,893</p></td></tr><tr><td><p>2012-13</p></td><td><p>11,637</p></td></tr><tr><td><p>2013-14</p></td><td><p>11,641</p></td></tr><tr><td><p>2014-15</p></td><td><p>12,147</p></td></tr><tr><td><p>2015-16</p></td><td><p>12,422</p></td></tr><tr><td><p>2016-17</p></td><td><p>12,503</p></td></tr></tbody></table><p>Source: HES, NHS Digital</p><p>Notes:</p><p><sup>1</sup>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p><sup>2</sup>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures. The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 08/01/2018 14:16:14 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

670799

	registered interest
	date	10/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent representations he has received from NHS trusts requesting additional support for accident and emergency services in England; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	59328
	answer	answer is ministerial correction date of answer 13/01/2017 answer text <p>No recent representations have been received from National Health Service trusts in respect of additional support for accident and emergency services in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/01/2017 12:05:32 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

710549

	registered interest
	date	13/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases: Consultants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the adequacy of the number of cardiologists.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	67532
	answer	answer is ministerial correction date of answer 16/03/2017 answer text <p>Responsibility for staffing levels rests with individual National Health Service trusts and their boards who are best placed to decide how many staff they need to provide a given service, taking in to account skill mix and efficiency.</p><p> </p><p>Working with local providers, it is Health Education England’s responsibility to determine the appropriate numbers of students the NHS needs in training on an annual basis. Its latest Workforce Plan for England covering the period 2016/17 is available at the following link:</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/Workforce%20Plan%20for%20England%202016-17.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/Workforce%20Plan%20for%20England%202016-17.pdf</a></p><p> </p><p>As at November 2016 there were approximately 1,207 full time equivalent cardiology consultants employed in the NHS.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 16/03/2017 15:20:05 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

753500

	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	University Hospitals Coventry and Warwickshire NHS Trust: Vacancies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons University Hospitals Coventry and Warwickshire Trust has been unable to fill 1,042 vacancies as at the end of June 2017; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	5798
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>Since May 2010, there are 452 full time equivalent (FTE) more professionally qualified clinical staff (up by 12.8%), including 72 FTE (up by 22.5%) more consultants, and 165 FTE (up by 9.3%) more nurses and health visitors employed at the University Hospitals Coventry and Warwickshire Trust.</p><p> </p><p>Responsibility for staffing levels rests with individual National Health Service trusts and their boards who are best placed to decide how many staff they need to provide a given service, taking into account skill mix, efficiency and the needs of their local population.</p><p> </p><p>By increasing the number of medical school places in England by 1,500 over the next three years we are ensuring the right number of doctors are trained so that the National Health Service can continue to deliver safe, compassionate and effective care well into the future.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 05/09/2017 13:18:41 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

679711

	registered interest
	date	27/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) knee and (b) hip replacements have been carried out on the NHS in each of the last five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	62103
	answer	answer is ministerial correction date of answer 01/02/2017 answer text <p>Such information as is available is shown in the following table. Hospital episode statistics are published by NHS Digital and give a detailed breakdown of the number of individual episodes of care by procedure, including knee and hip replacements, and waiting times between decision to admit and admission.</p><p> </p><p>The numbers of people on a waiting list to start consultant-led treatment at the end of each month are published by NHS England for high volume specialties, such as trauma and orthopaedics, but not for individual procedures. The numbers of people waiting for knee and hip replacements in each of the last five years is therefore not held centrally.</p><p> </p><p>Number of finished consultant episodes<sup>1</sup> (FCEs) with a main<sup>2</sup> or secondary<sup>3</sup> procedure where a knee replacement<sup>4</sup> or hip replacement<sup>5</sup> has taken place in a National Health Service hospital, and the associated median waiting times in days from decision to admit to admission for these procedures<sup>6</sup>, 2011-12 to 2015-16<sup>.</sup></p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Number of FCEs</p></td><td colspan="2"><p>Average median waiting time in days from decision to admit to admission</p></td></tr><tr><td><p> </p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td></tr><tr><td><p>2011-12</p></td><td><p>67,751</p></td><td><p>91,067</p></td><td><p>89</p></td><td><p>83</p></td></tr><tr><td><p>2012-13</p></td><td><p>66,296</p></td><td><p>91,073</p></td><td><p>83</p></td><td><p>77</p></td></tr><tr><td><p>2013-14</p></td><td><p>66,882</p></td><td><p>93,915</p></td><td><p>80</p></td><td><p>76</p></td></tr><tr><td><p>2014-15</p></td><td><p>68,936</p></td><td><p>94,305</p></td><td><p>78</p></td><td><p>75</p></td></tr><tr><td><p>2015-16</p></td><td><p>66,974</p></td><td><p>92,380</p></td><td><p>81</p></td><td><p>76</p></td></tr></tbody></table><p><em>Source:</em> Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes:</em></p><ol><li>An 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.</li><li>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</li><li>As well as the main procedure, there are up to 23 secondary procedure fields in HES that show secondary procedures performed on the patient during the episode of care.</li><li>The following OPCS 4 codes were used to identify knee replacements: O18, W40-W42, W52-W54, W58, Z76, Z77, and Z84.</li><li>The following OPCS 4 codes were used to identify hip replacements: W37-W39, W46-W48 and W93-W95.</li><li>Time waited statistics from HES are not the same as published referral to treatment (RTT) time waited statistics. HES provide counts and time waited for all patients between decision to admit and admission to hospital within a given period. Published RTT waiting statistics measure the time waited between referral and start of treatment.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 62095 62139 question first answered 01/02/2017 16:53:38 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

679713

	registered interest
	date	27/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	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 waiting time for (a) knee and (b) hip operations in each of the last five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	62095
	answer	answer is ministerial correction date of answer 01/02/2017 answer text <p>Such information as is available is shown in the following table. Hospital episode statistics are published by NHS Digital and give a detailed breakdown of the number of individual episodes of care by procedure, including knee and hip replacements, and waiting times between decision to admit and admission.</p><p> </p><p>The numbers of people on a waiting list to start consultant-led treatment at the end of each month are published by NHS England for high volume specialties, such as trauma and orthopaedics, but not for individual procedures. The numbers of people waiting for knee and hip replacements in each of the last five years is therefore not held centrally.</p><p> </p><p>Number of finished consultant episodes<sup>1</sup> (FCEs) with a main<sup>2</sup> or secondary<sup>3</sup> procedure where a knee replacement<sup>4</sup> or hip replacement<sup>5</sup> has taken place in a National Health Service hospital, and the associated median waiting times in days from decision to admit to admission for these procedures<sup>6</sup>, 2011-12 to 2015-16<sup>.</sup></p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Number of FCEs</p></td><td colspan="2"><p>Average median waiting time in days from decision to admit to admission</p></td></tr><tr><td><p> </p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td></tr><tr><td><p>2011-12</p></td><td><p>67,751</p></td><td><p>91,067</p></td><td><p>89</p></td><td><p>83</p></td></tr><tr><td><p>2012-13</p></td><td><p>66,296</p></td><td><p>91,073</p></td><td><p>83</p></td><td><p>77</p></td></tr><tr><td><p>2013-14</p></td><td><p>66,882</p></td><td><p>93,915</p></td><td><p>80</p></td><td><p>76</p></td></tr><tr><td><p>2014-15</p></td><td><p>68,936</p></td><td><p>94,305</p></td><td><p>78</p></td><td><p>75</p></td></tr><tr><td><p>2015-16</p></td><td><p>66,974</p></td><td><p>92,380</p></td><td><p>81</p></td><td><p>76</p></td></tr></tbody></table><p><em>Source:</em> Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes:</em></p><ol><li>An 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.</li><li>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</li><li>As well as the main procedure, there are up to 23 secondary procedure fields in HES that show secondary procedures performed on the patient during the episode of care.</li><li>The following OPCS 4 codes were used to identify knee replacements: O18, W40-W42, W52-W54, W58, Z76, Z77, and Z84.</li><li>The following OPCS 4 codes were used to identify hip replacements: W37-W39, W46-W48 and W93-W95.</li><li>Time waited statistics from HES are not the same as published referral to treatment (RTT) time waited statistics. HES provide counts and time waited for all patients between decision to admit and admission to hospital within a given period. Published RTT waiting statistics measure the time waited between referral and start of treatment.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 62103 62139 question first answered 01/02/2017 16:53:38 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

679740

	registered interest
	date	27/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people were on the waiting list for (a) knee and (b) hip operations on the NHS in each of the last five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	62139
	answer	answer is ministerial correction date of answer 01/02/2017 answer text <p>Such information as is available is shown in the following table. Hospital episode statistics are published by NHS Digital and give a detailed breakdown of the number of individual episodes of care by procedure, including knee and hip replacements, and waiting times between decision to admit and admission.</p><p> </p><p>The numbers of people on a waiting list to start consultant-led treatment at the end of each month are published by NHS England for high volume specialties, such as trauma and orthopaedics, but not for individual procedures. The numbers of people waiting for knee and hip replacements in each of the last five years is therefore not held centrally.</p><p> </p><p>Number of finished consultant episodes<sup>1</sup> (FCEs) with a main<sup>2</sup> or secondary<sup>3</sup> procedure where a knee replacement<sup>4</sup> or hip replacement<sup>5</sup> has taken place in a National Health Service hospital, and the associated median waiting times in days from decision to admit to admission for these procedures<sup>6</sup>, 2011-12 to 2015-16<sup>.</sup></p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Number of FCEs</p></td><td colspan="2"><p>Average median waiting time in days from decision to admit to admission</p></td></tr><tr><td><p> </p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td><td><p>Knee replacements</p></td><td><p>Hip replacements</p></td></tr><tr><td><p>2011-12</p></td><td><p>67,751</p></td><td><p>91,067</p></td><td><p>89</p></td><td><p>83</p></td></tr><tr><td><p>2012-13</p></td><td><p>66,296</p></td><td><p>91,073</p></td><td><p>83</p></td><td><p>77</p></td></tr><tr><td><p>2013-14</p></td><td><p>66,882</p></td><td><p>93,915</p></td><td><p>80</p></td><td><p>76</p></td></tr><tr><td><p>2014-15</p></td><td><p>68,936</p></td><td><p>94,305</p></td><td><p>78</p></td><td><p>75</p></td></tr><tr><td><p>2015-16</p></td><td><p>66,974</p></td><td><p>92,380</p></td><td><p>81</p></td><td><p>76</p></td></tr></tbody></table><p><em>Source:</em> Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes:</em></p><ol><li>An 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.</li><li>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</li><li>As well as the main procedure, there are up to 23 secondary procedure fields in HES that show secondary procedures performed on the patient during the episode of care.</li><li>The following OPCS 4 codes were used to identify knee replacements: O18, W40-W42, W52-W54, W58, Z76, Z77, and Z84.</li><li>The following OPCS 4 codes were used to identify hip replacements: W37-W39, W46-W48 and W93-W95.</li><li>Time waited statistics from HES are not the same as published referral to treatment (RTT) time waited statistics. HES provide counts and time waited for all patients between decision to admit and admission to hospital within a given period. Published RTT waiting statistics measure the time waited between referral and start of treatment.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 62095 62103 question first answered 01/02/2017 16:53:38 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham

709968

	registered interest
	date	10/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the effect of public sector pay restraints on levels of expenditure by the NHS on agency staff in (a) Coventry and (b) the West Midlands.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	67421
	answer	answer is ministerial correction date of answer 15/03/2017 answer text <p>The independent NHS Pay Review Bodies, in place for decades, are relied on by Government and other stakeholders to consider all the written and oral evidence they receive and to make recommendations on the level of pay award that will enable the National Health Service to continue to recruit, retain and motivate the staff it needs. Both Pay Review Bodies received evidence on agency spend in 2016/17.</p><p>The NHS Pay Review Bodies recommended a 1% pay award for 2016/17 which the Government accepted in full.</p><p>My Rt. hon. Friend the Secretary of State introduced a series of radical measures to bring agency spending back under control in 2015, including price caps limiting the amount a trust can pay to an agency for temporary staff. The measures are working; as of Quarter 3, 2016-17 the NHS had spent £1 billion less on agency staff than it was projected to had we not taken tough action to bring in controls on agency spending, with further savings forecast for the current financial year.</p><p> </p><p>Data on agency spending is not currently collected by city or standard regions, but acute trusts in the Coventry and West Midlands fall under the NHS England Midlands and East region. An up-to-date list of these trusts is available at:</p><p><a href="https://www.england.nhs.uk/mids-east/ccg-trust/" target="_blank">https://www.england.nhs.uk/mids-east/ccg-trust/</a></p><p> </p><p>The latest national list of best and worst performers on agency spending is available at:</p><p><a href="https://improvement.nhs.uk/uploads/documents/Quarter_Three_201617_-_NHS_provider_sector_performance_report_-_Feb_2017.pdf" target="_blank">https://improvement.nhs.uk/uploads/documents/Quarter_Three_201617_-_NHS_provider_sector_performance_report_-_Feb_2017.pdf</a></p><p> </p><p>Three of the best performing Trusts are from the West Midlands – West Midlands Ambulance Service NHS Foundation Trust, Birmingham Women’s NHS Foundation Trust and Birmingham Childrens Hospital NHS Foundation Trust.</p><p> </p><p>Both Pay Review Bodies received evidence on agency spend for this year’s pay round – 2017/18.</p><p> </p><p>The Government has now received the NHS Pay Review Bodies reports for 2017/18 which it will consider very carefully. An announcement will be made in due course.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 15/03/2017 16:21:07 answering member 1542 label Biography information for Philip Dunne
	tabling member	308 label Biography information for Mr Jim Cunningham