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1717158

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether her Department has made a recent assessment of the potential merits of adopting the (a) Infection & Orthopaedic Management (INFORM), (b) British Orthopaedic Association and (c) other guidelines for the treatment and management of prosthetic joint infections.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25603
answer	answer is ministerial correction date of answer 17/05/2024 answer text <p>The UK Health Security Agency manages a national surveillance programme, the Surgical Site Infection (SSI) Surveillance Service, which enhances the quality of patient care by providing hospitals with a framework for collection and comparison of their rates of SSI against national benchmarks. This information is used to review and guide clinical practice, to reduce the risk of infection following surgery. Hip and knee replacements are two of the 17 categories of surgery under surveillance by hospitals. Surveillance in at least one orthopaedic surgical category per quarter, per financial year is mandatory for all National Health Service hospitals undertaking orthopaedic surgery, with hip and knee replacements being the most numerous.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/05/2024 11:48:26 answering member 4044 label Biography information for Andrew Stephenson
tabling member	178 label Biography information for John McDonnell

1717159

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help tackle post-operative infections in the context of (a) an ageing population and (b) trends in the number of joint replacement operations.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25604
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The UK Health Security Agency manages a national surveillance programme, the Surgical Site Infection (SSI) Surveillance Service, which enhances the quality of patient care by providing hospitals with a framework for collection and comparison of their rates of SSI against national benchmarks. This information is used to review and guide clinical practice to reduce the risk of infection following surgery. Hip and knee replacements are two of the 17 categories of surgery under surveillance by hospitals. Surveillance in at least one orthopaedic surgical category per quarter, per financial year is mandatory for all National Health Service hospitals undertaking orthopaedic surgery, with hip and knee replacements being the most numerous.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 16/05/2024 13:55:11 answering member 4044 label Biography information for Andrew Stephenson
tabling member	178 label Biography information for John McDonnell

1717160

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that best practice guidelines for prosthetic infection are implemented across elective surgery clinical care pathways.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25605
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>The Government is working with NHS England to improve perioperative care. This should ensure best practice guidelines are implemented across surgery clinical care pathways, including for prosthetic infections. In May 2023, NHS England published guidance setting out five core perioperative care requirements relating to the care of adult patients awaiting planned inpatient surgery. These measures address the key objective of identifying health needs as early as possible in perioperative pathways, and then using time on the waiting list to optimise health. The NHS England National Elective Recovery and Outpatients programme is working with NHS England regional teams to help oversee and support compliance, and will continue to do so throughout 2024/25.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 16:56:42 answering member 4044 label Biography information for Andrew Stephenson
tabling member	178 label Biography information for John McDonnell

1717161

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of psychological support for post-surgical orthopaedic infections.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25606
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>We have made no such assessment. Anyone experiencing mental ill health as a result of a post-surgical orthopaedic infection should speak to their general practitioner, or refer themselves to their local NHS Talking Therapies service.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 15/05/2024 10:09:54 answering member 4492 label Biography information for Maria Caulfield
tabling member	178 label Biography information for John McDonnell

1717162

registered interest
date	10/05/2024
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 and Joint Replacements: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of expanding the holistic care approach for cancer (a) care and (b) delivery to (i) prosthetic infection and (ii) other clinical conditions.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25607
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The Department has not made a formal assessment of the merits of expanding the holistic approach, used for cancer, to prosthetic infection and other clinical conditions, however the National Health Service is working towards a holistic approach in infection prevention and control, and in long-term conditions. This includes improving perioperative care for surgical clinical care pathways, including for prosthetic infections, whereby patients receive proactive, personalised support to optimise their health before surgery.</p><p>The NHS works hard to deliver care to meet people’s needs as far as possible, given this can have a significant impact on their experience and quality of life. Cancer Alliances across England are working to ensure that every person receives personalised care and support from cancer diagnosis onwards. This involves holistic need assessments to ensure people's physical, practical, emotional, and social needs are identified and addressed at the earliest opportunity. It also involves accessible information about emotional support, coping with side effects, financial advice, getting back to work, and making healthy lifestyle choices, before, during, and after treatment.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 16/05/2024 13:51:44 answering member 4044 label Biography information for Andrew Stephenson
tabling member	178 label Biography information for John McDonnell

1717163

registered interest
date	10/05/2024
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	Joint Replacements: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase (a) awareness and (b) optimum management of prosthetic infection in primary care.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25608
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>General practitioners (GP) are responsible for ensuring their own clinical knowledge remains up to date, including for prosthetic joint infection, and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they can continue to provide high quality care to all patients.</p><p>All United Kingdom registered doctors are expected to meet the professional standards set out in the General Medical Council’s (GMC) Good Medical Practice. In 2012 the GMC introduced revalidation, which supports doctors in regularly reflecting on how they can develop or improve their practice, giving patients confidence that doctors are up to date with their practice, and promoting improved quality of care by driving improvements in clinical governance. The training curricula for postgraduate trainee doctors is set by the Royal College of General Practitioners, and must meet the standards set by the GMC.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 20/05/2024 11:38:50 answering member 4117 label Biography information for Andrea Leadsom
tabling member	178 label Biography information for John McDonnell

1717164

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase (a) awareness and (b) optimum management of prosthetic infection in all healthcare settings.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25609
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>Ensuring that healthcare staff have the requisite skills and training to implement and improve infection prevention and control (IPC) practices is the responsibility of each employer. The NHS England National Infection Prevention and Control manual (NIPCM), is an evidence-based practice manual that seeks to promote a common understanding, leading to improved knowledge and consistency of application of IPC practices. The manual supports the system in implementing IPC improvements aimed at minimising infection risk and meeting the ambitions set out in the United Kingdom’s 2024 to 2029 antimicrobial resistance national action plan across England.</p><p>In general, the management of prosthetic infection in all healthcare settings consists of surgery and antimicrobial therapy, with the approach depending on the timing and microbiology of infection, implant condition, soft tissue envelope quality, and individual patient circumstances.</p><p>Getting It Right First Time is an improvement programme within the National Health Service led by frontline clinicians designed to improve the quality of care within the NHS by reducing unwarranted variations. By sharing best practice nationally, it identifies changes that will help improve care and patient outcomes and delivers efficiencies such as the reduction of unnecessary procedures and cost savings.</p><p>The UK Health Security Agency manages the national Surgical Site Infection Surveillance Service (SSISS). This service enhances the quality of patient care by providing hospitals with a framework for collection and comparison of their rates of SSI against national benchmarks. The information is used to review and guide clinical practice to reduce the risk of infection following surgery. There are 17 categories of surgery under surveillance by hospitals, which include hip and knee replacement. For all NHS hospitals undertaking orthopaedic surgery, mandatory surveillance is carried out in at least one orthopaedic surgical category each quarter of the financial year, with hip and knee replacements being the most numerous. The service also encourages voluntary surveillance, which includes limb amputation.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 20/05/2024 16:59:55 answering member 4492 label Biography information for Maria Caulfield
tabling member	178 label Biography information for John McDonnell