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595752

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sepsis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne cases of sepsis in England were recorded in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47400
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Public Health England and NHS Digital do not collect this data to the level of detail and format as requested.</p><p> </p><p>NHS Digital is unable to identify the source of a sepsis infection. They are only able to provide data on a count of the number of Finished Discharge Episodes with a primary or secondary diagnosis of sepsis.</p><p> </p><p>I refer the hon. Member to the answer I gave to the hon. Member for Strangford (Jim Shannon MP) to Question 45207 regarding available information on sepsis.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:58:57 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595756

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne infectious diseases were recorded in England in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47404
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>In April 2013, Public Health England took over the mandatory surveillance of healthcare-associated infections (HCAIs), formerly undertaken by the Health Protection Agency.</p><p> </p><p>The total number of trust apportioned cases of HCAIs can be found in Table 1. For the purposes of answering this question trust apportioned cases can be considered “hospital-borne” infections.</p><p> </p><p>Data for the years 2000 and 2005 are not available.</p><p> </p><p>Table: Counts of trust apportioned HCAIs by financial year in 2010 and 2015:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>April 2010 to March 2011</p></td><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>Meticillin sensitive Staphylococcus aureus (MSSA)</p></td><td><p>ND</p></td><td><p>2,910</p></td></tr><tr><td><p>E.coli</p></td><td><p>ND</p></td><td><p>7,692</p></td></tr><tr><td><p>Clostridium difficile infection (patients aged 2 years and over)</p></td><td><p>10,417</p></td><td><p>5,164</p></td></tr><tr><td><p>Meticillin resistant Staphylococcus aureus (MRSA)</p></td><td><p>688</p></td><td><p>297</p></td></tr></tbody></table><p> </p><p><em>Notes</em>:</p><ol><li>ND - Not Determined</li><li>Cases are deemed to be trust apportioned if the following criteria are met:-</li></ol><p>- The location where the specimen was taken is given as ‘acute trust’ or is not known;</p><p>- The patient was either an ‘In-patient’, ‘Day-patient’, in ‘Emergency assessment’ or is not known.</p><p>- Patient’s specimen date is on, or after, the third day of the admission (or admission date is null), where the day of admission is day 1 (for MSSA or E. coli bacteraemia)</p><p>Or</p><p>- Patient’s specimen date is on, or after, the fourth day of the admission (or admission date is null), where the day of admission is day 1 (for Clostridium difficile infection).</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 15:42:42 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595757

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	MRSA
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne cases of MRSA were recorded in England in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47403
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>In April 2013 Public Health England took over the surveillance of methicillin-resistant staphylococcus aureus (MRSA) bacteraemia, formerly undertaken by the Health Protection Agency. We do not hold the data for 2000 and 2005.</p><p> </p><p>Cases are published according to both trust apportionment and trust assignment. For the purpose of answering this question trust apportionment or assignment can be considered as “hospital borne” cases.</p><p> </p><p>The assignment process was added to the MRSA surveillance in 2013 superseding the previously used apportionment method. The assignment process utilises individual case review and therefore allows for a much more considered categorisation of a case and associated learning to prevent similar cases occurring in the future, than was previously possible. The assignment process was only introduced in 2013 as MRSA numbers were previously considered to be too high to make this resource demanding method viable.</p><p> </p><p>The total number of trust apportioned and trust assigned cases are displayed in Tables 1 and 2 respectively.</p><p> </p><p>Table 1: Trust apportioned counts of MRSA bacteraemia in 2008, 2010 and 2015.</p><p> </p><table><tbody><tr><td><p>April 2008 to March 2009</p></td><td><p>April 2010 to March 2011</p></td><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>1,606</p></td><td><p>688</p></td><td><p>297</p></td></tr></tbody></table><p> </p><p>Table 2: Trust assigned counts of MRSA bacteraemia in 2015.</p><p> </p><table><tbody><tr><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>302</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Cases are published on a financial year basis.</li><li>Trust apportioned data are not available for the years 2000 and 2005.</li><li>Trust assigned are not available for the years 2000, 2005 and 2010.</li><li>Cases are deemed to be Trust apportioned if the following criteria are met:-</li></ol><p>- The location where the specimen was taken is given as ‘acute trust’ or is not known;</p><p>- The patient was either an ‘In-patient’, ‘Day-patient’, in ‘Emergency assessment’ or is not known.</p><p>- Patient’s specimen date is on, or after, the third day of the admission (or admission date is null), where the day of admission is day 1.</p><ol start="5"><li>Cases are deemed to be trust assigned on the basis of Post Infection Review (PIR) assignment and relevant cases are assigned to acute trusts.</li><li>The trust assignment method supersedes the apportionment one post 2013 and utilises case review by the teams caring for the patient.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:48:59 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595790

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to put in place measures to ensure that funding for atypical GP practices is ring-fenced.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46698
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>NHS England is developing national guidance for commissioners illustrating the workload challenges faced by practices with atypical patient populations, to assist them in making decisions regarding sustainable support.</p><p><strong> </strong></p><p>There is no formal ring-fencing of primary care allocations within commissioners’ plans.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:34:38 answering member 4080 label Biography information for David Mowat
tabling member	411 label Biography information for Mr Barry Sheerman

595791

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to increase public involvement in decision-making by clinical commissioning groups.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46699
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to make arrangements to involve the public in commissioning services for National Health Service patients. The duty ensures that CCGs act fairly and proportionately when decision making in circumstances where there may be an impact on services.</p><p> </p><p>To support CCGs, NHS England published statutory guidance entitled <em>Transforming Participation in Health and Care</em> in September 2013. CCGs must have regard to this guidance. A copy of the guidance can be found at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf</a></p><p> </p><p>In April NHS England also published <em>Annual Reporting on the Legal Duty to Involve Patients and the Public in Commissioning</em> which can be found here:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf</a></p><p> </p><p>NHS England has also published <em>Engaging Local People: A Guide for local areas developing Sustainability and Transformation Plans </em>in September 2016, available from:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf</a></p><p> </p><p>Revised guidance for CCGs in relation to their duty to involve the public will also be published in spring 2017.</p><p> </p><p>In addition, CCGs are required by statute to use the NHS Standard Contract when commissioning secondary healthcare services from providers. The NHS Standard Contract places obligations on providers, which if necessary are enforced by CCGs. Public involvement in the decision-making by providers is included in clause 12.5 of the NHS Standard Contract as follows:</p><p> </p><p><em>“The Provider must involve Service Users (and, where appropriate, their Carers and Legal Guardians), Staff, Service Users’ GPs and the public when considering and implementing developments to and redesign of Services. As soon as reasonably practicable following any reasonable request by the Co-ordinating Commissioner, the Provider must provide evidence of that involvement and of its impact.”</em></p><p> </p><p>Therefore, if a CCG and provider propose a change to a service, the provider must engage with the public.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:39:30 answering member 4080 label Biography information for David Mowat
tabling member	411 label Biography information for Mr Barry Sheerman

595805

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to educate people on the importance of hand-sanitising products in the prevention of infection in hospitals.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47067
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance sets 10 compliance criteria to manage healthcare associated infections. This includes one covering infection prevention and control which refers to hand hygiene and recommends that providers undertake hand hygiene audits. The Care Quality Commission will monitor a registered provider on how it complies with these requirements.</p><p> </p><p>NHS England Sign up to Safety is a national initiative to help National Health Service organisations and their staff achieve their patient safety aspirations, and care for their patients in the safest way possible. The World Health Organization leads the ‘Save Lives: Clean Your Hands’ campaign on 5 May each year. This is a global campaign which serves as a call to action for healthcare workers to improve hand hygiene. To coincide with this, on 5 May 2016, NHS England Sign up to Safety ran a promotion to remind staff of the important role of hand hygiene at the point of care:</p><p> </p><p><a href="https://www.england.nhs.uk/signuptosafety/2016/05/05/claire-kilpatrick-julie-storr/" target="_blank">https://www.england.nhs.uk/signuptosafety/2016/05/05/claire-kilpatrick-julie-storr/</a></p><p> </p><p>Public Health England operates a free health education resource called e-Bug, which aims to reduce antibiotic resistance by helping children and young people understand infections and antibiotic use. Hand hygiene is included in this teaching tool:</p><p> </p><p><a href="http://www.e-bug.eu/" target="_blank">http://www.e-bug.eu/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:27:16 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582514

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many calls NHS 111 has received in each of the last 12 months.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46221
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>NHS England publishes national data on the numbers of calls received (which are referred to as “offered”) through the NHS 111 number each month. This information provided in the table below.</p><p> </p><p>Number of calls offered through the NHS 111 number, August 2015 to July 2016</p><p> </p><table><tbody><tr><td><p>August 2015</p></td><td><p>1,033,643</p></td></tr><tr><td><p>September 2015</p></td><td><p>933,786</p></td></tr><tr><td><p>October 2015</p></td><td><p>1,062,248</p></td></tr><tr><td><p>November 2015</p></td><td><p>1,140,196</p></td></tr><tr><td><p>December 2015</p></td><td><p>1,329,398</p></td></tr><tr><td><p>January 2016</p></td><td><p>1,343,248</p></td></tr><tr><td><p>February 2016</p></td><td><p>1,194,928</p></td></tr><tr><td><p>March 2016</p></td><td><p>1,488,928</p></td></tr><tr><td><p>April 2016</p></td><td><p>1,169,311</p></td></tr><tr><td><p>May 2016</p></td><td><p>1,282,993</p></td></tr><tr><td><p>June 2016</p></td><td><p>1,105,485</p></td></tr><tr><td><p>July 2016</p></td><td><p>1,222,866</p></td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England, NHS 111 Minimum Data Set 2016-17</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:13:07 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582515

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of NHS 111 on reducing the uptake of other NHS services.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46222
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>NHS 111 providers are expected to conduct a patient survey every six months for each area they provide services for.</p><p>Considering the latest year for which survey results are available (April 2015 to September 2015 and October 2015 to March 2016 surveys), for 11.6% of triaged calls an ambulance was dispatched by the NHS 111 service and in 8.4% of calls the caller was advised to attend accident and emergency (A&amp;E). However, 18% of patients who responded to the survey reported they would have called for an ambulance if NHS 111 had not been available, and 28.3% would have attended A&amp;E.</p><p>For the full year period (April 2015 to March 2016), 11.3 million calls were triaged. From this we can estimate the impact of the 111 service. The differences mean that due to availability of the NHS 111 service, over 2.25 million people this year were directed away from using A&amp;E and over 750,000 were directed away from calling an ambulance.</p><p>Data about the service to which patients are recommended during an NHS 111 call (“dispositions”) are collected by NHS England and published on a monthly basis. Latest data are for July 2016 and can be found at the following website:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/nhs-111-minimum-data-set-2016-17/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/nhs-111-minimum-data-set-2016-17/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:18:28 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582517

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Travel
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department issues to clinical commissioning groups and NHS trusts on recommended travel times to local health services.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46223
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>It is for local commissioners to ensure services are provided in a manner that combines quality of provision with timeliness of access, taking into account local geography and other issues.</p><p> </p><p>When considering service reconfiguration, NHS England has issued guidance on <em>Planning and Delivering Service Change for Patients</em>, and as part of this guidance specify that: ‘Based on evidence and national clinical reference groups’ advice, commissioners need to determine the appropriate range of providers and interplay of key access requirements such as travel time.’</p><p> </p><p>The guidance can be found at:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:11:57 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582524

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Reorganisation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that clinical commissioning groups consider the effect of hospital reconfigurations on (a) other health services, (b) pharmacies, (c) GPs and (d) ambulance services.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46224
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>In November 2015, NHS England published a good practice guide for commissioners on the NHS England assurance process for major service changes and reconfigurations. This includes information about the involvement of patients and the public as well as other stakeholder engagement and consideration of the impact on other services.</p><p> </p><p>The Government’s four tests for service reconfiguration are: strong public and patient engagement; consistent with current and prospective need for patient choice; clear, clinical evidence base and support for proposals from commissioners.</p><p> </p><p>A copy of the guide can be found at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf</a> <strong> </strong></p> answering member constituency Warrington South answering member printed David Mowat question first answered 19/09/2016 13:28:31 answering member 4080 label Biography information for David Mowat
tabling member	411 label Biography information for Mr Barry Sheerman