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1012115

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many amputee sockets the NHS fitted in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and in each year, what was the cost of casting and fitting these.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11642
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11643 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012116

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the average (1) time, and (2) number of appointments between the casting process in the NHS to create an amputee test socket and the final fit of the sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11643
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012117

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what types of casting processes the NHS currently use to create amputee test sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11644
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012118

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many sockets did not fit amputees following the NHS casting process and needed to be discarded in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and how much this cost the NHS in each of those years.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11645
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012119

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when the last review by the NHS of the provision of amputee sockets, including (1) the cost, and (2) methods of fitting, was carried out.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11646
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012120

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many complaints the NHS received about the casting, fitting and provision of amputee sockets in (1) 2013, (2) 2014, (3) 2015, (4) 2016, (5) 2017; and of those, how many were upheld.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11647
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11646 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990146

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to update the guidance by NHS England Saving Babies’ Lives Care Bundle to include advice on how to reduce poor outcomes in multiple pregnancies; and if not, why not.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10768
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Saving Babies’ Lives Care Bundle is undergoing review by an oversight group consisting of nationally recognised experts, including representatives of the Royal College of Obstetricians and Gynaecologists and the British Maternal and Fetal Medicine Society. Upon completion of the review, and subject to necessary approvals, NHS England aims to publish an updated version of the Care Bundle.</p><p>There are no plans to include a new, specific element relating to multiple pregnancies in the updated version of the Care Bundle. Guidance relating to the management of multiple pregnancies is currently available from the National Institute for Health and Care Excellence (NICE). The Twins and Multiple Births Association has promoted the widespread adoption of this guidance. The oversight group concluded that inclusion of an additional element specifically focusing on multiple pregnancies would and add little benefit beyond compliance with NICE guidance.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:53:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990147

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to support a randomised control trial of the different growth charts used across England to monitor twin pregnancies in order to understand better how effective they are in preventing poor outcomes.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10769
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department is aware of the Twins and Multiple Births Association’s launch in July last year of growth charts specifically designed to monitor twin pregnancies.</p><p>The Department’s National Institute for Health Research welcomes funding applications for research into any aspect of human health, including pregnancy. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:55:46 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990148

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Avoiding Term Admissions Into Neonatal units programme has been successful in reducing neonatal admissions in twin pregnancies.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10770
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>NHS England collects neonatal unit admission data. However, this data cannot be disaggregated to identify admissions of twins.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:56:04 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990150

registered interest
date	17/10/2018
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	NHS: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much they spent in each of the last five years on clinical negligence pay-outs; and what proportion of the NHS budget this equates to.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10772
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The following table shows total Government spending on clinical negligence pay-outs managed through the Clinical Negligence Scheme for Trusts (CNST) and NHS England total funding for the past five financial years. Government spending on clinical negligence pay-outs for CNST in the last five financial years has accounted for between 1.1% and 1.9% of the total funding provided to NHS England during the same period.</p><p>The rising costs of clinical negligence are a major concern and something the Government is committed to tackling, given that National Health Service resources used on clinical negligence are not available for front-line care. Building on the National Audit Office (NAO) report <em>Managing the costs of clinical negligence in trusts</em>, published in September 2017, we have been working intensively across Government and expect to set out more detail on the way forward in due course. The NAO report set out key recommendations for NHS Resolution to promote better and more consistent data, develop greater insight on the causes of clinical negligence claims and work more closely with legal services regulators. A copy of the report is attached.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Government spending on CNST clinical negligence pay-outs (£ billion)</p></td><td><p>NHS England total funding (cash) (£ billion)</p></td><td><p>Government spending on CNST clinical negligence pay-outs as a proportion of NHS England total funding</p></td></tr><tr><td><p>2013-14</p></td><td><p>1.1</p></td><td><p>93.9</p></td><td><p>1.2%</p></td></tr><tr><td><p>2014-15</p></td><td><p>1.1</p></td><td><p>97.3</p></td><td><p>1.1%</p></td></tr><tr><td><p>2015-16</p></td><td><p>1.4</p></td><td><p>100.5</p></td><td><p>1.4%</p></td></tr><tr><td><p>2016-17</p></td><td><p>1.6</p></td><td><p>106.0</p></td><td><p>1.5%</p></td></tr><tr><td><p>2017-18</p></td><td><p>2.1</p></td><td><p>109.8</p></td><td><p>1.9%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The NHS England total funding figures represent the total amount of funding provided to NHS England through the mandate each year.</li><li>The Government spending figures only cover spending specifically attributed to clinical negligence, principally pay-outs pertaining to CNST as managed by NHS Resolution plus associated administration costs. They do not include any unrecorded costs, for example staff employed by trusts to deal with claims. The figures do not include the cost of clinical negligence claims in primary care as primary care funding includes an unspecified element for indemnity premia.</li><li>The Government spending figure for 2017-18 includes the cost of additional funding to cover the change to the Personal Injury Discount Rate in February 2017 from 2.5% to -0.75%.</li><li>The figures do not include clinical negligence pay-outs relating to Department-funded indemnity schemes in respect of legacy bodies such as primary care trusts and Regional Health Authorities.</li></ol> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:28:04 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name NAO 11531-001 Clinical negligence report as published.pdf title Managing the costs of clinical negligence
tabling member	4301 label Biography information for Baroness Hodgson of Abinger