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806514

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
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 a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in England in each of the last three years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119590
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Data for the estimated average unit cost to NHS providers in 2014-15 to 2016-17 for a hip replacement, knee replacement, cataract operation and hernia operation is shown in the table below. The data is sourced from reference costs, which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td colspan="3"><p>Average unit cost per one finished consultant episode</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£6,793</p></td><td><p>£7,090</p></td><td><p>£7,032</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£5,944</p></td><td><p>£6,253</p></td><td><p>£6,181</p></td></tr><tr><td><p>Cataract operation</p></td><td><p>£747</p></td><td><p>£805</p></td><td><p>£811</p></td></tr><tr><td><p>Hernia operation</p></td><td><p>£2,193</p></td><td><p>£2,331</p></td><td><p>£2,308</p></td></tr></tbody></table><p> </p><p>The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/12/2017 12:13:25 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

748557

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department has issued to clinical care groups on providing surgery for people who are overweight or who smoke.
tabling member constituency	Batley and Spen
tabling member printed	Tracy Brabin
uin	3228
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Individual clinical commissioning groups are responsible for commissioning the care that will provide the best possible outcomes for their patients in line with their legal duties and with regard to National Institute for Health and Care Excellence guidance for different conditions and treatments.</p><p>Weight and smoking status are considerations that clinicians should take into account when considering surgery as a treatment option because these factors have a significant bearing on patient outcomes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 16:30:26 answering member 4067 label Biography information for Steve Brine
tabling member	4588 label Biography information for Tracy Brabin

723012

registered interest
date	20/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the average cost to the NHS of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in 2016-17.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	71523
answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>The information requested is not yet available.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:34:45 answering member 1542 label Biography information for Philip Dunne
tabling member	1521 label Biography information for Mrs Sharon Hodgson

694241

registered interest
date	24/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps NHS England is taking to ensure that clinical commissioning groups provide obese patients and smokers with access to appropriate treatment before operations.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65462
answer	answer is ministerial correction date of answer 01/03/2017 answer text <p>Public health is primarily a matter for local authorities, which includes preventative services around obesity and smoking cessation.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for working with local authorities to understand and meet the needs of their local populations, and making decisions on how to best commission services which meet that population’s health needs.</p><p> </p><p>NHS England does not have a formal process in place to ensure that CCGs provide obese patients and smokers with access to appropriate treatment before operations. However, CCGs are encouraged to obtain the advice of NHS England regional teams before putting forward proposals which would affect access to services.</p><p> </p><p>CCGs also have a legal duty to have due regard to National Institute for Health and Care Excellence guidelines.</p><p> </p><p>CCGs have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes of services. NHS England can exercise its formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge this duty.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 01/03/2017 14:39:09 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

693772

registered interest
date	23/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65368
answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.</p><p> </p><p>Information on CCGs’ commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs’ commissioning intentions are available from individual CCGs.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:15:59 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

684051

registered interest
date	03/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether clinical commissioning group restrictions on access to joint surgery for obese patients and smokers are compatible with NICE guidance on osteoarthritis: care and management, that patient-specific factors, including age, sex, smoking, obesity and co-morbidities, should not be barriers to referral for joint surgery.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	63000
answer	answer is ministerial correction date of answer 09/02/2017 answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning services to meet the requirements of their population, including the obese and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and take into account national guidelines.</p><p> </p><p>The evidence suggests that major surgery poses higher risks for severely overweight patients who smoke. CCGs are therefore right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but also saves money for the National Health Service and taxpayers.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients such as smokers or overweight people getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 09/02/2017 11:01:26 answering member 4080 label Biography information for David Mowat
tabling member	4418 label Biography information for Justin Madders

671791

registered interest
date	11/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many surgical procedures were cancelled in each NHS acute hospital trust in December 2016.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	59598
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>NHS England publishes data on the number of cancelled elective operations each quarter. Quarter 3, which includes December 2016, will be published on 10 February 2017.</p><p> </p><p>The data will be available via this link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/01/2017 14:21:41 answering member 1542 label Biography information for Philip Dunne
tabling member	429 label Biography information for Derek Twigg

660151

registered interest
date	16/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance NICE has issued on whether it is clinically appropriate to delay surgery for (a) obese patients for 12 months and (b) smokers for 6 months.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	58010
answer	answer is ministerial correction date of answer 23/12/2016 answer text <p>The National Institute for Health and Care Excellence has advised that it has not made any specific recommendations on delaying surgery for obese patients or patients who smoke, and that its guidelines tend to focus on the diagnosis, care and management of health conditions, rather than protocols for the delivery of services.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 23/12/2016 10:20:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4471 label Biography information for Rachael Maskell

658724

registered interest
date	14/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many NHS hospital operations have been cancelled since August 2016 because of a shortage of (1) beds, or (2) staff.
tabling member printed	The Marquess of Lothian
uin	HL4142
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The information is not available in the format requested.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 17:09:06 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	259 label Biography information for The Marquess of Lothian

649497

registered interest
date	01/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department and NHS England plan to take to prevent clinical commissioning groups from rationing treatments by restricting routine surgery for patients who smoke or are clinically obese.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	55790
answer	answer is ministerial correction date of answer 06/12/2016 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning services to meet the requirements of their population, including obese patients and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence and take into account national guidelines.</p><p> </p><p>Major surgery poses much higher risks for severely overweight patients and those who smoke. So local general practitioner-led CCGs are entirely right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but saves the National Health Service and taxpayers millions of pounds.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients, such as smokers, getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 06/12/2016 14:23:43 answering member 4080 label Biography information for David Mowat
tabling member	1439 label Biography information for Norman Lamb