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100036

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

100188

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much was spent by each NHS Trust and NHS foundation trust on contract and agency staff in each of the last five years.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	211294
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Following the Francis report many trusts increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their agency and temporary staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>Spend by each National Health Service foundation trust on contract and agency staff[1] in each of the last five years is attached.</p><p> </p><p> </p><p> </p><p>The amount spent by each NHS trust on contract and agency staff in 2013-14 is attached. Amounts for 2009-10 to 2012-13 were not separately identified from other non permanent staff[2].</p><p> </p><p> </p><p> </p><p> </p><p>1. The definition of Contract / Agency staff is: “Agency” employee payments for the employment of staff where the staff remain employees of the agency and “Contract staff” where the NHS trust has control over numbers and qualifications of staff (in contrast to a service obtained under contract) .</p><p> </p><p>[2] non-permanent staff are defined as “others engaged on the objectives of the organisation including staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS Trusts Contract and Agency Spend- 5 Years.xlsx title NHS trusts contract and agency spend- 5 years 2 file name NHS Trusts Contract and Agency Spend 2013-14.xlsx title NHS trusts contract and agency spend- 2013-14 question first answered 24/10/2014 12:25:09 answering member 3918 label Biography information for Jane Ellison
tabling member	478 label Biography information for Lord Field of Birkenhead

100205

registered interest
date	21/10/2014
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, what guidelines his Department issues to clinical commissioning groups; and if he will make a statement.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211371
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The commissioning responsibilities of clinical commissioning groups (CCGs) are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013, as amended.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has responsibility for issuing guidance to CCGs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:30:16 answering member 3918 label Biography information for Jane Ellison
tabling member	35 label Biography information for Sir Bob Russell

100199

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
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 his EU counterpart about their treatment strategy for those with scoliosis; and if he will make a statement.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211372
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211373 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
tabling member	35 label Biography information for Sir Bob Russell

100200

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
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 cost of each operation for scoliosis.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211373
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211372 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
tabling member	35 label Biography information for Sir Bob Russell

100209

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients with scoliosis were operated on in each of the last five years for which figures are available.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211378
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211372 211373 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
tabling member	35 label Biography information for Sir Bob Russell

100189

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Cumbria
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times each Minister in his Department has visited (a) West Cumberland Hospital and (b) Cumberland Infirmary, Carlisle since May 2010.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211280
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>On 8 July 2010, my Rt. hon Friend the then Secretary of State (Mr Andrew Lansley) visited West Cumberland hospital.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/10/2014 11:58:41 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

100190

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	West Cumberland Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many items of correspondence his Department has received on West Cumberland Hospital.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211281
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>A search of the Department’s Ministerial correspondence database has identified 145 items of correspondence received since 1 October 2013 about West Cumberland Hospital. This figure represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/10/2014 11:55:30 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

100191

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cromer Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the Minister of State for Care and Support has visited Cromer and District Hospital in his ministerial capacity.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211283
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Since September 2012 there have been no Ministerial visits to Cromer and District hospital.</p><p> </p><p>This excludes any visits that my Rt. hon Friend the Minister of State (Norman Lamb) may have undertaken in his constituency capacity.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/10/2014 12:01:32 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

100192

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Surrey
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times he has visited (a) Frimley Park Hospital and (b) Royal Surrey County Hospital in his ministerial capacity.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211282
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The information requested is as follows:</p><p> </p><p> </p><p> </p><p>6 April 2011, Mr Andrew Lansley visited Frimley Park hospital</p><p> </p><p>23 December 2013, Mr Jeremy Hunt visited Royal Surrey County hospital</p><p> </p><p>26 June 2014, Mr Jeremy Hunt visited Frimley Park Hospital NHS Foundation Trust</p><p> </p><p>4 August 2014, Mr Jeremy Hunt visited Royal Surrey County hospital</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 24/10/2014 11:51:43 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed