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825683

registered interest
date	19/01/2018
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	Wirral University Teaching Hospital NHS Foundation Trust: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients at Wirral University Teaching Hospital NHS Foundation Trust were treated in A&E within one hour of their arrival at that hospital in the most recent quarter for which data is available.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	123751
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The count and proportion of unplanned accident and emergency (A&amp;E) attendances at Wirral University Teaching Hospitals NHS Foundation Trust with a treatment duration of up to and including one hour is shown in the table below. Also shown is the count and proportion of unplanned A&amp;E attendances at the trust with a duration to the conclusion of treatment of up to and including one hour. The data for both of these counts is for the period 1 July 2017 and 30 September 2017 and is provisional.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Attendances</p></td><td><p>Percentages</p></td></tr><tr><td><p>Duration to treatment (up to and including one hour)</p></td><td><p>9,390</p></td><td><p>39.6%</p></td></tr><tr><td><p>Duration to conclusion of treatment or attendance (up to and including one hour)</p></td><td><p>2,877</p></td><td><p>12.1%</p></td></tr></tbody></table><p><br></p><table><tbody><tr><td><p>Total A&amp;E attendances</p></td><td><p>23,695</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics, NHS Digital</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 13:54:06 answering member 4095 label Biography information for Steve Barclay
tabling member	478 label Biography information for Lord Field of Birkenhead

825820

registered interest
date	19/01/2018
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	Care Homes: Inspections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to improve the way local authorities and the Care Quality Commission (a) coordinate inspections of and (b) share information on care homes classed as (i) requiring improvement and (ii) inadequate.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123887
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>In October 2017 the Care Quality Commission reported 80% of adult social care providers had been rated as good or outstanding. However, when standards fall below those rightly expected by care home residents and their families, it is right that information is shared across the system. The Department is working with the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care. This includes actions to improve information collection and sharing and to support organisations to improve care services.</p><p> </p><p>The Care Quality Commission has provided the following response:</p><p> </p><p>There are a range of meetings by which the Care Quality Commission and local authorities share information. There are also protocols, and requirements that exist to coordinate between the Care Quality Commission and local authorities. For Inadequate or Requires Improvement services, if the Care Quality Commission take certain enforcement action, such as issuing a notice of proposal or a notice of decision, there is a requirement to share notices with the Association of Directors of Social Care Service and other relevant partners such as clinical commissioning groups.</p><p> </p><p>The Care Quality Commission inspectors regularly communicate with staff in local authorities as part of their everyday routine engagement, which informs inspection planning and whether risk needs to be escalated, or if joint visits are required.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:17:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825821

registered interest
date	19/01/2018
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	Care Homes: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to improve the regulation and oversight of the performance of care homes; and if he will make a statement.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123888
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Care Act 2014 placed duties on local authorities to shape their local markets to ensure all adult social care service users have a choice of high quality services. The Department is working with the Care Quality Commission and partners across the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care.</p><p> </p><p>The Care Quality Commission has provided the following response:</p><p> </p><p>The Care Quality Commission introduced an updated inspection methodology from 1 November for adult social care services, including care homes. The new methodology took into account learning from the inspection and rating of these services from October 2014 onwards as well as undertaking a public consultation in 2017.</p><p> </p><p>Changes introduced include more proportionate and targeted inspections; a stronger regulatory focus on services rated as requires improvement, using enforcement powers to require providers to take action when they need to improve; improvements in identifying, monitoring and responding to risks; developing and sharing information from providers, collected online, as a single shared view of quality; and on reporting, making reports clearer and more informative, including reference to serious incidents.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:23:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825822

registered interest
date	19/01/2018
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	Care Homes: Inspections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) bodies and (b) processes there are to review the joint performance of the Care Quality Commission and Clinical Commissioning Groups on care home inspections.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123889
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>There are no existing bodies or processes which review the joint performance of the Care Quality Commission and clinical commissioning groups on care home inspections. The Department is working with the Care Quality Commission, NHS England and partners across the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:24:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

823372

registered interest
date	16/01/2018
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	Ovarian Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timetable is for the introduction of new medicines to help prevent the spread of ovarian cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	122855
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) has published a number of technology appraisal guidance documents on the treatment of ovarian cancer. NICE technology appraisal guidance makes recommendations for the National Health Service on whether drugs and treatments represent a clinically and cost effective use of resources. NHS commissioners are legally required to fund drugs and treatments recommended through the technology appraisal programme within three months.</p><p> </p><p>NICE has positively appraised guidance on use of “Paclitaxel in the treatment of ovarian cancer” (TA:55), published in May 2005; “Olaparib for maintenance treatment of relapsed, platinum-sensitive, BRCA mutation-positive ovarian, fallopian tube and peritoneal cancer after response to second-line or subsequent platinum-based chemotherapy” (TA:381), published in January 2016; and, “Topotecan, pegylated liposomal doxorubicin hydrochloride, paclitaxel, trabectedin and gemcitabine for treating recurrent ovarian cancer” (TA:389), published in April 2016.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/01/2018 12:11:27 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

823373

registered interest
date	16/01/2018
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	Diabetes: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with GPs and clinical bodies on improving the rate at which diabetics take their medications.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	122856
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The appropriate use of prescribed medication for diabetes, and any actions to support this, can form part of the annual reviews between general practitioners and their diabetes patients. NHS England is also overseeing the investment of diabetes transformation funding towards improved access to diabetes structured education within individual clinical commissioning groups.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/01/2018 12:02:40 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

823382

registered interest
date	16/01/2018
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	Carillion
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 facilities management contracts Carillion plc holds with NHS Trusts.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	122865
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Information on the facilities management services provided through a Private Finance Initiative (PFI) agreement by Carillion at National Health Service trusts is provided in the table below. Of the 13 PFI agreements, 12 of these were agreed prior to May 2010. These are building maintenance, usually referred to as ‘Hard’ Facilities Management or ‘Hard FM’; and non-clinical support services (one of or a combination of cleaning, portering, laundry and others), usually referred to as ‘Soft’ Facilities Management or ‘Soft FM’.</p><p> </p><table><tbody><tr><td><p>Trust</p></td><td><p>Services</p></td><td><p>Date of PFI Contract Award</p></td></tr><tr><td><p>Cambridge University Hospitals NHS Trust</p></td><td><p>Hard FM only</p></td><td><p>27 October 2004</p></td></tr><tr><td><p>Dartford and Gravesham NHS Trust</p></td><td><p>Hard and Soft FM</p></td><td><p>30 July 1997</p></td></tr><tr><td><p>Derbyshire Healthcare NHS Foundation Trust</p></td><td><p>Hard FM only</p></td><td><p>9 October 2007</p></td></tr><tr><td><p>Great Western Hospitals NHS Foundation Trust</p></td><td><p>Hard and Soft FM</p></td><td><p>5 October 1999</p></td></tr><tr><td><p>Leicestershire Partnership NHS Trust</p></td><td><p>Hard FM only</p></td><td><p>19 June 2007</p></td></tr><tr><td><p>Lincolnshire Community NHS Trust</p></td><td><p>Hard FM only</p></td><td><p>1 May 2007</p></td></tr><tr><td><p>North Bristol NHS Trust</p></td><td><p>Hard FM only</p></td><td><p>25 February 2010</p></td></tr><tr><td><p>North Staffordshire Combined Healthcare</p></td><td><p>Hard and Soft FM</p></td><td><p>8 December 1999</p></td></tr><tr><td><p>Oxford University Hospitals NHS Trust</p></td><td><p>Hard and Soft FM</p></td><td><p>19 December 2003</p></td></tr><tr><td><p>Portsmouth Hospitals NHS Trust</p></td><td><p>Hard and Soft FM</p></td><td><p>15 December 2005</p></td></tr><tr><td><p>South Tees Hospitals NHS Foundation Trust</p></td><td><p>Hard and Soft FM</p></td><td><p>16 August 1999</p></td></tr><tr><td><p>Tees, Esk and Wear NHS Foundation Trust</p></td><td><p>Hard FM only</p></td><td><p>12 December 2007</p></td></tr><tr><td><p>The Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td><td><p>Hard FM only</p></td><td><p>13 December 2013</p></td></tr></tbody></table><p> </p><p>Services provided by Carillion under direct contracts with an NHS trust (outside a PFI agreement):</p><p>- Royal Liverpool and Broadgreen University Hospitals NHS Trust;</p><p>- Great Western Hospitals NHS Foundation Trust; and</p><p>- Nottingham University Hospitals NHS Trust.</p><p>Information on the award dates of these contracts is not held centrally.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 13:51:01 answering member 4095 label Biography information for Steve Barclay
tabling member	4658 label Biography information for Alex Sobel

823439

registered interest
date	16/01/2018
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	Great Western Hospitals NHS Foundation Trust
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 (a) doctors, (b) nurses) and (c) other clinical staff worked at the Great Western Hospital in Swindon in (i) May 2010 and (ii) the most recent date for which data is available.
tabling member constituency	North Swindon
tabling member printed	Justin Tomlinson
uin	122917
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Data is not available in the format requested. NHS Digital publishes workforce statistics, and is only available to the level of individual trusts and clinical commissioning groups.</p><p> </p><p>Nationally, the latest workforce statistics show an increase in professionally qualified clinical staff of almost 42,700 since May 2010, including over 14,900 more doctors and almost 14,200 more nurses on our wards since May 2010.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 14:10:03 answering member 4095 label Biography information for Steve Barclay
tabling member	4105 label Biography information for Justin Tomlinson

823440

registered interest
date	16/01/2018
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	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of people presenting at A&E who do not require hospital treatment.
tabling member constituency	North Swindon
tabling member printed	Justin Tomlinson
uin	122918
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>NHS Digital and NHS England’s joint ‘Hospital Accident and Emergency Activity 2016-17’ publication shows accident and emergency (A&amp;E) activity in the 2016-17 financial year.</p><p> </p><p>The publication shows the number of attendances categorised by ‘first A&amp;E treatment’, including those which were subsequently categorised as not needing hospital treatment. These are categorised as “none (consider guidance/advice option)”.The data for the 2015-16 and 2016-17 financial years is available in the table below:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of A&amp;E attendances not requiring hospital treatment</p></td><td><p>Percentage of all A&amp;E attendances</p></td></tr><tr><td><p>2015-16</p></td><td><p>2,164,828</p></td><td><p>10.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,117,049</p></td><td><p>10.1%</p></td></tr></tbody></table><p>Source: Hospital Accident and Emergency Activity 2016-17</p><p> </p><p>The ‘Hospital Accident and Emergency Activity 2016-17’ publication is available via the link below:</p><p> </p><p><a href="http://digital.nhs.uk/catalogue/PUB30112" target="_blank">http://digital.nhs.uk/catalogue/PUB30112</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 12:30:43 answering member 4095 label Biography information for Steve Barclay
tabling member	4105 label Biography information for Justin Tomlinson

823441

registered interest
date	16/01/2018
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	General Practitioners
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 hospitals have a GP co-located on site to provide triage services for patients.
tabling member constituency	North Swindon
tabling member printed	Justin Tomlinson
uin	122919
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>NHS Improvement report that in December 2017 (2017-18 Quarter 3), 134 out of 136 (98.5%) trusts with a Type 1 accident and emergency department have primary care streaming in place. This is an improvement from the November 2017 (Quarter 2) position of 91% (125/136) and the July 2017 (Quarter 1) position of 30% (41/136).</p><p> </p><p>There are two trusts still to implement primary care streaming (Isle of Wight NHS Trust and Great Western Hospitals NHS Foundation Trust). NHS Improvement are working with these trusts on implementation.</p><p> </p><p>Birmingham Women and Children’s NHS Foundation Trust and Dorset County Hospital NHS Foundation Trust are exempt based on local requirements.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 17:48:52 answering member 4095 label Biography information for Steve Barclay
tabling member	4105 label Biography information for Justin Tomlinson