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521229

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average cost to the NHS was of supporting a patient on dialysis in (a) England and (b) Teesside in each year since 2010.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	38249
answer	answer is ministerial correction date of answer 06/06/2016 answer text <p>The information requested for Teesside is not available. However, such information as is available is shown in the table below and is from reference costs, which are the average unit cost to National Health Service trusts and foundation trusts of providing defined services in a given financial year. Reference costs are published annually, with most recently available data being for 2014-15.</p><p> </p><p>Reference costs for acute care are published by healthcare resource group (HRG), which are standard groupings of similar treatments that use similar resources. The HRGs in the table below describe renal dialysis activity for the treatment of chronic kidney disease and acute kidney injury.</p><p><strong> </strong></p><p>Unit cost to NHS hospitals of renal dialysis activity for the treatment of chronic kidney disease and acute kidney injury<sup>1</sup> in England and Teesside<sup>2</sup>, 2010-11 to 2014-15</p><p> </p><table><tbody><tr><td><p> </p></td><td><p> </p></td><td colspan="2"><p>Unit cost per activity (£)</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p>England</p></td><td><p>South Tees Hospital NHS Foundation Trust<sup>3</sup></p></td></tr><tr><td><p>2010-11</p></td><td><p>Renal dialysis for chronic kidney disease</p></td><td><p>128</p></td><td><p>93</p></td></tr><tr><td><p>2011-12</p></td><td><p>Renal dialysis for chronic kidney disease</p></td><td><p>128</p></td><td><p>145</p></td></tr><tr><td rowspan="2"><p>2012-13</p></td><td><p>Renal dialysis for chronic kidney disease</p></td><td><p>127</p></td><td><p>165</p></td></tr><tr><td><p>Renal dialysis for acute kidney injury</p></td><td><p>681</p></td></tr><tr><td rowspan="2"><p>2013-14</p></td><td><p>Renal dialysis for chronic kidney disease</p></td><td><p>130</p></td><td><p>155</p></td></tr><tr><td><p>Renal dialysis for acute kidney injury</p></td><td><p>631</p></td></tr><tr><td rowspan="2"><p>2014-15</p></td><td><p>Renal dialysis for chronic kidney disease</p></td><td><p>131</p></td><td><p>176</p></td></tr><tr><td><p>Renal dialysis for acute kidney injury</p></td><td><p>680</p></td></tr></tbody></table><p><em>Source: </em>Reference costs, Department of Health</p><p><strong> </strong></p><p><em>Notes:</em></p><ol><li>The following HRGs are included in the table:</li></ol><p>2010-11</p><p>LD01A Hospital Haemodialysis/Filtration with access via haemodialysis catheter 19 years and over</p><p>LD01B Hospital Haemodialysis/Filtration with access via haemodialysis catheter 18 years and under</p><p>LD02A Hospital Haemodialysis/Filtration with access via arteriovenous fistula or graft 19 years and over</p><p>LD02B Hospital Haemodialysis/Filtration with access via arteriovenous fistula or graft 18 years and under</p><p>LD03A Hospital Haemodialysis/Filtration with access via haemodialysis catheter with blood borne virus 19 years and over</p><p>LD03B Hospital Haemodialysis/Filtration with access via haemodialysis catheter with blood borne virus 18 years and under</p><p>LD04A Hospital Haemodialysis/Filtration with access via arteriovenous fistula or graft with blood borne virus 19 years and over</p><p>LD04B Hospital Haemodialysis/Filtration with access via arteriovenous fistula or graft with blood borne virus 18 years and under</p><p>LD05A Satellite Haemodialysis/Filtration with access via haemodialysis catheter 19 years and over</p><p>LD05B Satellite Haemodialysis/Filtration with access via haemodialysis catheter 18 years and under</p><p>LD06A Satellite Haemodialysis/Filtration with access via arteriovenous fistula or graft 19 years and over</p><p>LD06B Satellite Haemodialysis/Filtration with access via arteriovenous fistula or graft 18 years and under</p><p>LD07A Satellite Haemodialysis/Filtration with access via haemodialysis catheter with blood borne virus 19 years and over</p><p>LD08A Satellite Haemodialysis/Filtration with access via arteriovenous fistula or graft with blood borne virus 19 years and over</p><p>LD09A Home Haemodialysis/Filtration with access via haemodialysis catheter 19 years and over</p><p>LD09B Home Haemodialysis/Filtration with access via haemodialysis catheter 18 years and under</p><p>LD10A Home Haemodialysis/Filtration with access via arteriovenous fistula or graft 19 years and over</p><p>LD10B Home Haemodialysis/Filtration with access via arteriovenous fistula or graft 18 years and under</p><p>LD11A Continuous Ambulatory Peritoneal Dialysis 19 years and over</p><p>LD11B Continuous Ambulatory Peritoneal Dialysis 18 years and under</p><p>LD12A Automated Peritoneal Dialysis 19 years and over</p><p>LD12B Automated Peritoneal Dialysis 18 years and under</p><p> </p><p>2011-12</p><p>Removed from 2010-11</p><p>LD03B Hospital Haemodialysis/Filtration with access via haemodialysis catheter with blood borne virus 18 years and under</p><p>Added in 2011-12</p><p>LD13A Assisted Automated Peritoneal Dialysis, 19 years and over</p><p> </p><p>2012-13</p><p>Added in 2012-13</p><p>LD07B Satellite Haemodialysis or Filtration, with Access via Haemodialysis Catheter, with Blood-borne Virus, 18 years and under</p><p>LD08B Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-borne Virus, 18 years and under</p><p>LD13B Assisted Automated Peritoneal Dialysis, 18 years and under</p><p>LE01A Haemodialysis for Acute Kidney Injury, 19 years and over</p><p>LE01B Haemodialysis for Acute Kidney Injury, 18 years and under</p><p>LE02A Peritoneal Dialysis for Acute Kidney Injury, 19 years and over</p><p>LE02B Peritoneal Dialysis for Acute Kidney Injury, 18 years and under</p><p> </p><p>2013-14</p><p>Removed from 2013-14</p><p>LD04B Hospital Haemodialysis/Filtration with access via arteriovenous fistula or graft with blood borne virus 18 years and under</p><p>LD07B Satellite Haemodialysis or Filtration, with Access via Haemodialysis Catheter, with Blood-borne Virus, 18 years and under</p><p>LD08B Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-borne Virus, 18 years and under</p><p> </p><p>2014-15</p><p>Removed from 2014-15</p><p>LE02B Peritoneal Dialysis for Acute Kidney Injury, 18 years and under</p><p> </p><ol start="2"><li>In 1974 the County Borough of Teesside was abolished. The former historic county of Teesside is locally used to refer to the north east of England around the urban centre of Middlesbrough.</li></ol><p> </p><ol start="3"><li>In answering this question we used data for the two trusts within Teesside, North Tees and Hartlepool NHS Foundation Trust and South Tees Hospitals NHS Foundation Trust. North Tees and Hartlepool NHS Foundation Trust had no data to answer this question.</li></ol><p> </p><ol start="4"><li>For each HRG or other currency in the reference cost collection, NHS hospital trusts submit a unit cost and amount of activity undertaken.</li></ol> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/06/2016 16:14:39 answering member 3918 label Biography information for Jane Ellison
tabling member	4449 label Biography information for Anna Turley

453295

registered interest
date	19/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average cost to the NHS has been of supporting a patient on dialysis in each of the last three years.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	27376
answer	answer is ministerial correction date of answer 29/02/2016 answer text <p>The information is not available in the format requested.</p><p> </p><p>National Health Service reference costs are the average unit costs to NHS hospital trusts of providing defined services to patients in a given year. Reference costs for acute care are published by healthcare resource group (HRG), which are standard groupings of similar treatments that use similar resources. The HRGs describe renal dialysis activity for the treatment of chronic kidney disease and acute kidney injury separately. NHS reference costs data for each of the years requested can be found at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/480791/2014-15_National_Schedules.xlsx" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/480791/2014-15_National_Schedules.xlsx</a></p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/397469/03a_2013-14_National_Schedule_-_CF-NET_updated.xls" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/397469/03a_2013-14_National_Schedule_-_CF-NET_updated.xls</a></p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/260405/2012-13_national_schedule_of_reference_costs.xls" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/260405/2012-13_national_schedule_of_reference_costs.xls</a>.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/02/2016 13:58:02 answering member 3918 label Biography information for Jane Ellison
tabling member	4405 label Biography information for Julie Cooper

226298

registered interest
date	10/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
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 on the changes in the level of funding allocated to renal patients on dialysis.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	226939
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>Funding is not allocated to renal patients on dialysis in the way that the question seems to suggest. The National Tariff Payment System, which is the responsibility of Monitor and NHS England, does however include prices for renal dialysis that are payable to providers.</p><p> </p><p> </p><p> </p><p>Draft prices for 2015/16, based on the costs of providing treatment as reported by National Health Service providers, were published in July 2014. Feedback from this engagement exercise, which ended on 15 August, was carefully considered and further discussions about the draft prices for renal dialysis took place with stakeholders, including the National Kidney Federation, British Kidney Patient Association, Renal Association, Kidney Research UK.</p><p> </p><p> </p><p> </p><p>A meeting was held on 1 October at which the concerns raised by the renal community in relation to the draft prices published in July were discussed. As a result of that discussion, it was agreed that the 2014/15 haemodialysis best practice tariff prices would be rolled forward for 2015/16 (subject to the adjustment for efficiency and costs), subject to the outcome of the statutory consultation on the 2015/16 National Tariff.</p><p> </p><p> </p><p> </p><p>As an interim measure, Monitor and NHS England offered providers a choice between an Enhanced Tariff Option (based on 2015/16 prices and revised proposals) or to default, staying with 2014/15 prices. The roll-over of 2014/15 haemodialysis best practice tariff prices is included in the Enhanced tariff Option offer.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 226940 question first answered 17/03/2015 17:32:21 answering member 3918 label Biography information for Jane Ellison
tabling member	411 label Biography information for Mr Barry Sheerman

226299

registered interest
date	10/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
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 (a) health experts, (b) charities, (c) lobby groups, (d) NHS patients and (e) doctors and nurses on the change in the level of funding allocated to renal patients on dialysis.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	226940
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>Funding is not allocated to renal patients on dialysis in the way that the question seems to suggest. The National Tariff Payment System, which is the responsibility of Monitor and NHS England, does however include prices for renal dialysis that are payable to providers.</p><p> </p><p> </p><p> </p><p>Draft prices for 2015/16, based on the costs of providing treatment as reported by National Health Service providers, were published in July 2014. Feedback from this engagement exercise, which ended on 15 August, was carefully considered and further discussions about the draft prices for renal dialysis took place with stakeholders, including the National Kidney Federation, British Kidney Patient Association, Renal Association, Kidney Research UK.</p><p> </p><p> </p><p> </p><p>A meeting was held on 1 October at which the concerns raised by the renal community in relation to the draft prices published in July were discussed. As a result of that discussion, it was agreed that the 2014/15 haemodialysis best practice tariff prices would be rolled forward for 2015/16 (subject to the adjustment for efficiency and costs), subject to the outcome of the statutory consultation on the 2015/16 National Tariff.</p><p> </p><p> </p><p> </p><p>As an interim measure, Monitor and NHS England offered providers a choice between an Enhanced Tariff Option (based on 2015/16 prices and revised proposals) or to default, staying with 2014/15 prices. The roll-over of 2014/15 haemodialysis best practice tariff prices is included in the Enhanced tariff Option offer.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 226939 question first answered 17/03/2015 17:32:21 answering member 3918 label Biography information for Jane Ellison
tabling member	411 label Biography information for Mr Barry Sheerman

223625

registered interest
date	25/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans for the transfer of dialysis treatment to clinical commissioning groups to take place.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	225442
answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>Ministers are responsible for deciding which specialised services should be commissioned by NHS England. Ministers obtain advice to inform these decisions from the Prescribed Specialised Services Advisory Group (PSSAG), a Department of Health expert committee.</p><p> </p><p> </p><p> </p><p>PSSAG considered a proposal from NHS England to transfer commissioning responsibility for renal dialysis services from NHS England to clinical commissioning groups (CCGs). PSSAG advised Ministers, that on the evidence presented to it, renal dialysis services were suitable for commissioning by CCGs and did not meet the requirements for national commissioning by NHS England.</p><p> </p><p> </p><p> </p><p>However, the proposal has since been referred back to PSSAG for reconsideration after the Department became aware that PSSAG was provided with incorrect evidence when it first considered the proposals.</p><p> </p><p> </p><p> </p><p>No further decision on the transfer of commissioning responsibility for renal dialysis services can be made until PSSAG has reconsidered the proposal and provided Ministers with its updated advice. Commissioning responsibility for these services will therefore remain with NHS England at least until 1 April 2016.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 225439 225441 question first answered 03/03/2015 10:34:56 answering member 4020 label Biography information for George Freeman
tabling member	298 label Biography information for Steve McCabe

223626

registered interest
date	25/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to ensure equal patient access to dialysis treatment throughout the UK when the provision for dialysis treatment is transferred to clinical commissioning groups.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	225439
answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>Ministers are responsible for deciding which specialised services should be commissioned by NHS England. Ministers obtain advice to inform these decisions from the Prescribed Specialised Services Advisory Group (PSSAG), a Department of Health expert committee.</p><p> </p><p> </p><p> </p><p>PSSAG considered a proposal from NHS England to transfer commissioning responsibility for renal dialysis services from NHS England to clinical commissioning groups (CCGs). PSSAG advised Ministers, that on the evidence presented to it, renal dialysis services were suitable for commissioning by CCGs and did not meet the requirements for national commissioning by NHS England.</p><p> </p><p> </p><p> </p><p>However, the proposal has since been referred back to PSSAG for reconsideration after the Department became aware that PSSAG was provided with incorrect evidence when it first considered the proposals.</p><p> </p><p> </p><p> </p><p>No further decision on the transfer of commissioning responsibility for renal dialysis services can be made until PSSAG has reconsidered the proposal and provided Ministers with its updated advice. Commissioning responsibility for these services will therefore remain with NHS England at least until 1 April 2016.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 225441 225442 question first answered 03/03/2015 10:34:56 answering member 4020 label Biography information for George Freeman
tabling member	298 label Biography information for Steve McCabe

223627

registered interest
date	25/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, who his Department consulted on the transfer of dialysis treatment to clinical commissioning groups.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	225440
answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>Ministers have obtained advice from the Prescribed Specialised Services Advisory Group (PSSAG), a Department of Health expert committee, on the proposal to transfer commissioning responsibility for renal dialysis services. Ministers have also consulted with NHS England. The Department ran a six week public consultation on the timing and logistics of the proposed transfer, which received responses from a wide range of individuals and organisations, including patients, clinical commissioning groups, clinicians, National Health Service trusts, charities, and trade organisations.</p><p> </p><p> </p><p> </p><p>Ministers have now referred the proposal back to PSSAG for reconsideration taking account of corrected evidence.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/03/2015 10:30:29 answering member 4020 label Biography information for George Freeman
tabling member	298 label Biography information for Steve McCabe

223628

registered interest
date	25/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what protocols are in place for the transfer of responsibility for the provision of dialysis treatment to local clinical commissioning groups.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	225441
answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>Ministers are responsible for deciding which specialised services should be commissioned by NHS England. Ministers obtain advice to inform these decisions from the Prescribed Specialised Services Advisory Group (PSSAG), a Department of Health expert committee.</p><p> </p><p> </p><p> </p><p>PSSAG considered a proposal from NHS England to transfer commissioning responsibility for renal dialysis services from NHS England to clinical commissioning groups (CCGs). PSSAG advised Ministers, that on the evidence presented to it, renal dialysis services were suitable for commissioning by CCGs and did not meet the requirements for national commissioning by NHS England.</p><p> </p><p> </p><p> </p><p>However, the proposal has since been referred back to PSSAG for reconsideration after the Department became aware that PSSAG was provided with incorrect evidence when it first considered the proposals.</p><p> </p><p> </p><p> </p><p>No further decision on the transfer of commissioning responsibility for renal dialysis services can be made until PSSAG has reconsidered the proposal and provided Ministers with its updated advice. Commissioning responsibility for these services will therefore remain with NHS England at least until 1 April 2016.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 225439 225442 question first answered 03/03/2015 10:34:56 answering member 4020 label Biography information for George Freeman
tabling member	298 label Biography information for Steve McCabe

222584

registered interest
date	20/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
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 effect of the transfer of kidney dialysis commissioning to local clinical commissioning groups on future capital funding for maintenance and renewal of dialysis facilities and equipment.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	224750
answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>Significant work has been undertaken by NHS England to analyse current specialised commissioning expenditure patterns at clinical commissioning group (CCG) level. This CCG level monitoring will continue in 2015/16 with the aim of improving commissioning decisions.</p><p> </p><p> </p><p> </p><p>There is no planned transfer of renal dialysis budgets from NHS England to CCGs in either the current financial year or during 2015-16. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>Neither NHS England specialised commissioners nor CCGs have control over capital funding for dialysis facilities and maintenance. Capital funding for renewal of dialysis facilities and equipment remains with the incumbent providers. Ensuring that these facilities are of appropriate quality is achieved through the application of detailed service specifications which form part of the contract with providers.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 224747 question first answered 25/02/2015 17:57:27 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

175103

registered interest
date	21/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which bodies his Department and NHS England consulted before deciding to remove specialised commissioned service status from dialysis and passing down the commissioning of that treatment to clinical commissioning group level.
tabling member constituency	Chesterfield
tabling member printed	Toby Perkins
uin	221559
answer	answer is ministerial correction date of answer 28/01/2015 answer text <p>Ministers make the final decision about services that should be included on the specialised services list in legislation. This includes deciding whether or not to transfer commissioning responsibility for renal dialysis services from NHS England to clinical commissioning groups. No ministerial decision has yet been made.</p><p> </p><p> </p><p> </p><p>Ministers make provision in a statutory instrument for those services which should be included on the prescribed specialised services list. This is laid before Parliament and subject to annulment in pursuance of a resolution of either House of Parliament.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 221560 221561 question first answered 28/01/2015 17:12:13 answering member 3918 label Biography information for Jane Ellison
tabling member	3952 label Biography information for Mr Toby Perkins