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528056

registered interest
date	20/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 representations he has received from (a) the Royal Free London NHS Trust, (b) University College London Hospitals NHS Trust and (c) Barts Health NHS Trust on patient safety of the emergency department at North Middlesex University Hospital NHS Trust.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40855
answer	answer is ministerial correction date of answer 04/07/2016 answer text <p>NHS Improvement is working alongside NHS England and the local health and care system to improve patient care in the emergency department at North Middlesex University NHS Trust (NMUH).</p><p> </p><p>Ministers in the Department have not received any representations from the trusts listed on patient safety in the emergency department at NMUH.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 04/07/2016 14:08:26 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525612

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 steps he plans to take in response to the decision by the Care Quality Commission to issue a warning notice to North Middlesex University Hospital NHS Trust regarding the standard of care in the emergency department at that hospital; and if he will make a statement.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40745
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>Patient safety remains a key priority for the Government and whilst progress has been made there is clearly much more to be done. The Department is aware of the situation at North Middlesex University Hospital NHS Trust and the relevant regulatory bodies, led by NHS Improvement, are taking appropriate action.</p><p>The Warning Notice, issued to North Middlesex University Hospital NHS Trust by the Care Quality Commission (CQC) on 6 June 2016 requires the trust to significantly improve the treatment of patients attending the emergency department (ED).</p><p>NHS Improvement has given assurance that North Middlesex University Hospital carried out immediate actions to support the staffing concerns raised by the regulators.</p><p>A new Clinical Director and an experienced Medical Director have been appointed to provide the ED with dedicated substantive leadership. The Clinical Director will provide leadership to the department and oversee the recruitment to currently vacant posts. In addition, there is also focus on reducing the medical work load in the ED through added support from other clinical services and professionals. This includes the appointment of new matrons and a new dedicated service manager with extensive ED experience.</p><p>Further, local general practitioners are increasing the level of support they provide to the department both to prevent admissions and to improve discharges. All of these measures will be in place by the end of June 2016.</p><p>On staffing, the local National Health Service is working with the Trust to ensure it can provide emergency care to the required standards. NHS Improvement and NHS England have put in place enhanced oversight mechanisms to assure themselves that services remain safe at all times.</p><p>An external specialist review of the consultant and middle grade rotas for June, July, August and September has been commissioned to provide independent assurance of the appropriate competencies within each rota.</p><p>NHS Improvement will continue to work with system colleagues, Health Education England and the General Medical Council to assure themselves that the improvements being put in place meet the requirements that they need to see from both the Trust and the system both in the short term and the long term.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40761 40843 question first answered 27/06/2016 13:55:07 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525614

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 steps he plans to take in response to the announcement by Health Education England that it will not allow postgraduate training to continue in North Middlesex University Hospital NHS Trust's emergency department because of concerns about support and supervision of trainee doctors at that hospital.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40749
answer	answer is ministerial correction date of answer 01/07/2016 answer text <p>We understand that no announcement has been made by Health Education England (HEE) about ceasing postgraduate training in North Middlesex University Hospital NHS Trust's emergency department.</p><p> </p><p>We are determined to make the National Health Service the safest and most transparent healthcare system in the world, transforming patient safety and changing the culture of the NHS to support patients and doctors alike.</p><p> </p><p>Patient safety is the key concern of the Government. HEE’s role is to ensure that trainees have access to safe, high quality learning. Excellence in healthcare education leads to safe, high quality care for patients in both the short term and the long term.</p><p> </p><p>HEE continues to work with the Trust, NHS Improvement, NHS England and the General Medical Council (GMC) to support the Trust and ensure it has an achievable action plan for trainees to meet GMC standards.</p><p> </p><p>HEE has required the Trust to have sufficient middle grade and senior cover so that junior doctors are appropriately supported. The Trust has appointed a Clinical Director to lead the improvement work required. Enhanced oversight arrangements imposed by NHS Improvement and NHS England will ensure that rotas are safely staffed. Additional support has been provided to the Trust by other NHS organisations.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40752 question first answered 01/07/2016 10:00:55 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525615

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 representations officials, advisers and Ministers of his Department have made to the Chief Executive and Chair of North Middlesex University Hospital NHS Trust since May 2015 on the standard of care in that hospital's emergency department.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40747
answer	answer is ministerial correction date of answer 01/07/2016 answer text <p>The Department has not approached the Chief Executive or Chair of North Middlesex University Hospital NHS Trust directly about this matter.</p><p> </p><p>NHS Improvement is responsible for overseeing hospital trusts. It offers the support that providers need to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable.</p><p> </p><p>NHS Improvement is continuing to work alongside NHS England and the local health and care system to ensure that the Trust has the resources it needs to ensure that patients receive safe, high quality care.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/07/2016 10:20:01 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525616

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 discussions he has had with NHS England on that body's efforts to recruit additional accident and emergency specialists from other hospitals in London to work in the emergency department at North Middlesex University Hospital NHS Trust.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40746
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>NHS Improvement (NHSI) is working alongside NHS England and the local health and care system to both improve patient care in the emergency department at North Middlesex University Hospital NHS Trust and to assure Health Education England (HEE) and the General Medical Council that patients are safe and that trainee doctors receive adequate support.</p><p>Ministers in the Department have held regular discussions and received updates from NHSI, NHS England and HEE and will continue to do so.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40750 40762 question first answered 27/06/2016 14:06:11 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525618

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chase Farm Hospital: 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 assessment his Department has carried out of the effect of the closure of the emergency department at Chase Farm Hospital in 2013 on other hospital emergency departments in (a) Enfield and (b) North London.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40744
answer	answer is ministerial correction date of answer 01/07/2016 answer text <p>This is a matter for the local National Health Service.</p><p> </p><p>The closure of the emergency department at Chase Farm Hospital was informed by the Barnet, Enfield and Haringey (BEH) Clinical Strategy, which took full account of the likely effects and implications of that closure.</p><p> </p><p>The BEH Clinical Strategy has been through a rigorous due process, including a thorough planning and development phase, a public consultation and a number of gateway reviews and checkpoints.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/07/2016 10:05:09 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525630

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Members: Correspondence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to respond to the letter of (a) 3 June 2016 from the right hon. Member for Enfield North and (b) 10 June 2016 from the hon. Member for Edmonton on the emergency department at North Middlesex University Hospital NHS Trust.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40835
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>I responded to the Rt. hon. and hon. Members’ letters of 3 June and 10 June 2016 on 20 June 2016.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 27/06/2016 13:54:05 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525632

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 assessment he has made of the implications for his policy of the findings of the Care Quality Commission's recent inspection report for North Middlesex University Hospital NHS Trust on the (a) level and (b) grade of staff in the accident and emergency department.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40843
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>Patient safety remains a key priority for the Government and whilst progress has been made there is clearly much more to be done. The Department is aware of the situation at North Middlesex University Hospital NHS Trust and the relevant regulatory bodies, led by NHS Improvement, are taking appropriate action.</p><p>The Warning Notice, issued to North Middlesex University Hospital NHS Trust by the Care Quality Commission (CQC) on 6 June 2016 requires the trust to significantly improve the treatment of patients attending the emergency department (ED).</p><p>NHS Improvement has given assurance that North Middlesex University Hospital carried out immediate actions to support the staffing concerns raised by the regulators.</p><p>A new Clinical Director and an experienced Medical Director have been appointed to provide the ED with dedicated substantive leadership. The Clinical Director will provide leadership to the department and oversee the recruitment to currently vacant posts. In addition, there is also focus on reducing the medical work load in the ED through added support from other clinical services and professionals. This includes the appointment of new matrons and a new dedicated service manager with extensive ED experience.</p><p>Further, local general practitioners are increasing the level of support they provide to the department both to prevent admissions and to improve discharges. All of these measures will be in place by the end of June 2016.</p><p>On staffing, the local National Health Service is working with the Trust to ensure it can provide emergency care to the required standards. NHS Improvement and NHS England have put in place enhanced oversight mechanisms to assure themselves that services remain safe at all times.</p><p>An external specialist review of the consultant and middle grade rotas for June, July, August and September has been commissioned to provide independent assurance of the appropriate competencies within each rota.</p><p>NHS Improvement will continue to work with system colleagues, Health Education England and the General Medical Council to assure themselves that the improvements being put in place meet the requirements that they need to see from both the Trust and the system both in the short term and the long term.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40745 40761 question first answered 27/06/2016 13:55:08 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525644

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 assessment he has made of the adequacy of doctor staffing levels in the emergency department at North Middlesex University Hospital NHS Trust.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40761
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>Patient safety remains a key priority for the Government and whilst progress has been made there is clearly much more to be done. The Department is aware of the situation at North Middlesex University Hospital NHS Trust and the relevant regulatory bodies, led by NHS Improvement, are taking appropriate action.</p><p>The Warning Notice, issued to North Middlesex University Hospital NHS Trust by the Care Quality Commission (CQC) on 6 June 2016 requires the trust to significantly improve the treatment of patients attending the emergency department (ED).</p><p>NHS Improvement has given assurance that North Middlesex University Hospital carried out immediate actions to support the staffing concerns raised by the regulators.</p><p>A new Clinical Director and an experienced Medical Director have been appointed to provide the ED with dedicated substantive leadership. The Clinical Director will provide leadership to the department and oversee the recruitment to currently vacant posts. In addition, there is also focus on reducing the medical work load in the ED through added support from other clinical services and professionals. This includes the appointment of new matrons and a new dedicated service manager with extensive ED experience.</p><p>Further, local general practitioners are increasing the level of support they provide to the department both to prevent admissions and to improve discharges. All of these measures will be in place by the end of June 2016.</p><p>On staffing, the local National Health Service is working with the Trust to ensure it can provide emergency care to the required standards. NHS Improvement and NHS England have put in place enhanced oversight mechanisms to assure themselves that services remain safe at all times.</p><p>An external specialist review of the consultant and middle grade rotas for June, July, August and September has been commissioned to provide independent assurance of the appropriate competencies within each rota.</p><p>NHS Improvement will continue to work with system colleagues, Health Education England and the General Medical Council to assure themselves that the improvements being put in place meet the requirements that they need to see from both the Trust and the system both in the short term and the long term.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40745 40843 question first answered 27/06/2016 13:55:08 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan

525645

registered interest
date	15/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Middlesex University Hospital: 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 (a) Health Education England, (b) the General Medical Council and (c) the Care Quality Commission on the standard of treatment provided to patients at North Middlesex University Hospital NHS Trust's emergency department; and on what dates he received those representations.
tabling member constituency	Enfield North
tabling member printed	Joan Ryan
uin	40762
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>NHS Improvement (NHSI) is working alongside NHS England and the local health and care system to both improve patient care in the emergency department at North Middlesex University Hospital NHS Trust and to assure Health Education England (HEE) and the General Medical Council that patients are safe and that trainee doctors receive adequate support.</p><p>Ministers in the Department have held regular discussions and received updates from NHSI, NHS England and HEE and will continue to do so.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 40746 40750 question first answered 27/06/2016 14:06:11 answering member 3988 label Biography information for Ben Gummer
tabling member	166 label Biography information for Joan Ryan