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1166956

registered interest
date	29/10/2019
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	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to increase the rate of early cancer diagnosis.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	900207
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We have committed within the NHS Long Term Plan to have 75% of cancers diagnosed within the first two stages. In September 2019 we announced funding of £200 million for new equipment to drive earlier diagnosis of cancer and improve survival.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2019 16:53:33 answering member 4070 label Biography information for Matt Hancock
tabling member	1390 label Biography information for Mr John Baron

1166605

registered interest
date	28/10/2019
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	NHS: Negligence
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 assessment he has made of the criteria by which the NHS assess the merits of clinical negligence claims prior to litigation.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	6246
answer	answer is ministerial correction date of answer 31/10/2019 answer text <p>NHS Resolution manages clinical negligence and other claims against the National Health Service in England, and shares learning from claims to help improve safety for patients and staff. NHS Resolution has a responsibility to settle justified claims fairly and promptly and defend unjustified claims to secure NHS resources. Each case must be considered on its own merits and it is important that a proper investigation is undertaken. NHS Resolution aims to get to the right answer as quickly as possible in every case and to help resolve claims sooner, and without the need for court proceedings. To support this NHS Resolution launched a new mediation service in December 2016.</p><p>NHS Resolution is an arm’s length body of the Department and is accountable to the Department and its performance is subject to regular review through the Department’s sponsorship arrangements. The Department’s assessment is that NHS Resolution is a well-run and efficient organisation and that it has had some success, within the current legal framework, in containing the cost of NHS litigation, a view that was supported by the National Audit Office, in its report ‘Managing the costs of clinical negligence in trusts’ published in September 2017 which can be viewed at the following link:</p><p><a href="https://www.nao.org.uk/report/managing-the-costs-of-clinical-negligence-in-trusts/" target="_blank">https://www.nao.org.uk/report/managing-the-costs-of-clinical-negligence-in-trusts/</a></p><p>NHS Resolution regularly agrees large-scale contracts for legal services, using its position as a bulk purchaser to obtain the best expertise at value for money for the health service. The contracts include a combination of fixed and capped fees as well as competitive hourly rates for its panel firms, which are also required to support NHS Resolution’s work to learn from claims to improve safety.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 6247 question first answered 31/10/2019 12:01:36 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1390 label Biography information for Mr John Baron

1166606

registered interest
date	28/10/2019
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	NHS: Legal Costs
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 assessment he has made of the merits of the practice of the NHS paying their lawyers the same fee regardless of the outcome of a claim.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	6247
answer	answer is ministerial correction date of answer 31/10/2019 answer text <p>NHS Resolution manages clinical negligence and other claims against the National Health Service in England, and shares learning from claims to help improve safety for patients and staff. NHS Resolution has a responsibility to settle justified claims fairly and promptly and defend unjustified claims to secure NHS resources. Each case must be considered on its own merits and it is important that a proper investigation is undertaken. NHS Resolution aims to get to the right answer as quickly as possible in every case and to help resolve claims sooner, and without the need for court proceedings. To support this NHS Resolution launched a new mediation service in December 2016.</p><p>NHS Resolution is an arm’s length body of the Department and is accountable to the Department and its performance is subject to regular review through the Department’s sponsorship arrangements. The Department’s assessment is that NHS Resolution is a well-run and efficient organisation and that it has had some success, within the current legal framework, in containing the cost of NHS litigation, a view that was supported by the National Audit Office, in its report ‘Managing the costs of clinical negligence in trusts’ published in September 2017 which can be viewed at the following link:</p><p><a href="https://www.nao.org.uk/report/managing-the-costs-of-clinical-negligence-in-trusts/" target="_blank">https://www.nao.org.uk/report/managing-the-costs-of-clinical-negligence-in-trusts/</a></p><p>NHS Resolution regularly agrees large-scale contracts for legal services, using its position as a bulk purchaser to obtain the best expertise at value for money for the health service. The contracts include a combination of fixed and capped fees as well as competitive hourly rates for its panel firms, which are also required to support NHS Resolution’s work to learn from claims to improve safety.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 6246 question first answered 31/10/2019 12:01:36 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1390 label Biography information for Mr John Baron

1151333

registered interest
date	22/10/2019
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	NHS: Negligence
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 assessment he has made of the financial implications for the NHS of the level of damages payments issued to resolve clinical negligence claims before legal proceedings; and if he will review the NHS policy of avoiding litigation.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	3592
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The rising costs of clinical negligence are a major concern and something we are committed to tackling, given that National Health Service funds spent on clinical negligence are resources not available for front-line care. In 2018/19 total clinical negligence provision was £83 billion (Clinical Negligence Scheme for Trusts provision was £77.6 billion).</p><p> </p><p>NHS Resolution has a responsibility to settle justified claims fairly and promptly and defend unjustified claims to secure NHS resources. Each case must be considered on its own merits and it is important that a proper investigation is undertaken. NHS Resolution aims to get to the right answer as quickly as possible in every case and to help resolve claims sooner, and without the need for court proceedings. To support this NHS Resolution launched a new mediation service in December 2016.</p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 28/10/2019 16:33:41 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1390 label Biography information for Mr John Baron

1151335

registered interest
date	22/10/2019
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	NHS: Legal Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of paying NHS lawyers regardless of case outcome on (a) incentivising deny-delay-defend behaviour, (b) prolonging indefensible cases and (c) rewarding poor assessment of case merits prior to litigation.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	3593
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>If the National Health Service gets something wrong and patients are harmed, it is quite right that the NHS is held to account. However, we are concerned about the rising cost associated with clinical negligence and is something we are taking very seriously.</p><p> </p><p>NHS Resolution has a responsibility to settle justified claims fairly and promptly and defend unjustified claims to secure NHS resources. In doing so, NHS Resolution is committed to the use of alternative dispute resolution (ADR), including increasing its use of mediation, and consequently, the percentage of claims moving into formal litigation is the lowest it has ever been. In 2018/19, 70.7% of the 15,655 claims settled, both clinical and non-clinical negligence, were resolved with the use of ADR, without the cases going into formal court proceedings and, in these early stages, more cases are resolved without the payment of damages than with payment of damages.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3594 question first answered 28/10/2019 16:34:29 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1390 label Biography information for Mr John Baron

1151336

registered interest
date	22/10/2019
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	NHS: Legal Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to pay NHS lawyers by (a) fixed fees, (b) capped fees and (c) conditional fees according to the success of the defence; and if he will make a statement.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	3594
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>If the National Health Service gets something wrong and patients are harmed, it is quite right that the NHS is held to account. However, we are concerned about the rising cost associated with clinical negligence and is something we are taking very seriously.</p><p> </p><p>NHS Resolution has a responsibility to settle justified claims fairly and promptly and defend unjustified claims to secure NHS resources. In doing so, NHS Resolution is committed to the use of alternative dispute resolution (ADR), including increasing its use of mediation, and consequently, the percentage of claims moving into formal litigation is the lowest it has ever been. In 2018/19, 70.7% of the 15,655 claims settled, both clinical and non-clinical negligence, were resolved with the use of ADR, without the cases going into formal court proceedings and, in these early stages, more cases are resolved without the payment of damages than with payment of damages.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3593 question first answered 28/10/2019 16:34:29 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1390 label Biography information for Mr John Baron