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451414

registered interest
date	03/02/2016
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the performance of NHS emergency medicine services.
tabling member constituency	Kirkcaldy and Cowdenbeath
tabling member printed	Roger Mullin
uin	903558
answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>NHS staff in England continue to provide quality services in the face of increasingly high-levels of demand throughout the emergency healthcare system. Front-line services are treating record numbers of patients with more than nine out of 10 patients seen within four hours in A&amp;E departments. Ambulance services are delivering over 2800 more emergency journeys every day compared to 2010 and responding to the majority of life-threatening cases in under 8 minutes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/02/2016 15:06:05 answering member 3918 label Biography information for Jane Ellison
tabling member	4468 label Biography information for Roger Mullin

448714

registered interest
date	28/01/2016
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what research his Department has undertaken or assessed on the relationship between the distance travelled to an A&E department and the likelihood of fatality after admission.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	24752
answer	answer is ministerial correction date of answer 05/02/2016 answer text <p>Clinical consensus is that for patient outcomes and mortality what matters is the time from becoming ill to receiving specialist, life-saving care. That is why we are developing ambulance services that act as mobile assessment and treatment services and networked urgent and emergency care services to ensure patients are treated in the facility best equipped to provide whatever care is needed. For some patients requiring specialist care this may be in a hospital that is further away.</p><p> </p><p>NHS England, in its guidance ‘Planning, assuring and delivering service changes for patients’, emphasise that NHS change planners include an analysis of distance and travel times, the impact of these on transport users, as well as the ambulance service.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/02/2016 13:17:52 answering member 3918 label Biography information for Jane Ellison
tabling member	411 label Biography information for Mr Barry Sheerman

447401

registered interest
date	25/01/2016
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will amend its A&E waiting times target to set a target time for patients to wait from their arrival at hospital to admission.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	24036
answer	answer is ministerial correction date of answer 28/01/2016 answer text <p>NHS England’s urgent and emergency care review is supporting the delivery of new ways of delivering urgent and emergency care to provide highly responsive, effective and personalised care as close to patients’ homes as possible and ensure people with more serious or life threatening emergency care needs are treated in centres with the very best expertise and facilities.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/01/2016 17:05:10 answering member 3918 label Biography information for Jane Ellison
tabling member	4518 label Biography information for Tulip Siddiq

446470

registered interest
date	20/01/2016
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 assessment they have made of how the reorganisation of accident and emergency departments in England has affected the time taken for a patient with a serious emergency to be taken from their home to the nearest fully-equipped accident and emergency unit.
tabling member printed	Baroness Pinnock
uin	HL5242
answer	answer is ministerial correction date of answer 03/02/2016 answer text <p>NHS England has advised that it does not collect data on the average time taken in England for the ambulance service to take a patient from their home to an accident and emergency department.</p><p> </p><p>The Government is clear the reconfiguration of front line health services is a matter for the local NHS. Services should be tailored to meet the needs of the local population, and proposals for substantial service change must meet the four tests of reconfiguration which are: (i) support from GP commissioners; (ii) strengthened public and patient engagement; (iii) clarity on the clinical evidence base and (iv) support for patient choice.</p><p> </p><p>Locally driven elements of reconfiguration mean delivery will largely be managed by NHS England, who will work closely with commissioners, the Trust Development Authority and Monitor, and only approve the progression of proposals to consultation that have local support. We are aware that NHS England, in their guidance ‘Planning and delivering service changes for patients’, emphasise that NHS service change planners include an analysis of distance and travel times, the impact of these on transport users, as well as the ambulance service. A copy of this guidance is attached.</p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Lord Prior of Brampton grouped question UIN HL5241 HL5244 question first answered 03/02/2016 15:12:15 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name NHS E planning service chnage guidance.pdf title NHS England Service Change Planning Guidance
tabling member	4341 label Biography information for Baroness Pinnock

446473

registered interest
date	20/01/2016
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 whether there is an expectation that an area with a population of over 400,000 should be served by a fully-equipped accident and emergency service.
tabling member printed	Baroness Pinnock
uin	HL5245
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The detailed configuration of services is a matter for local commissioners.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 01/02/2016 15:23:35 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4341 label Biography information for Baroness Pinnock

439421

registered interest
date	17/12/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on average, how many patients were admitted to A&E on a (a) Monday, (b) Tuesday, (c) Wednesday, (d) Thursday, (e) Friday, (f) Saturday and (g) Sunday in the last 12 months for which data is available.
tabling member constituency	Altrincham and Sale West
tabling member printed	Mr Graham Brady
uin	20656
answer	answer is ministerial correction date of answer 08/01/2016 answer text <p>The average (mean) number of patients who died in accident and emergency (A&amp;E) and who attended A&amp;E on a (a) Monday, (b) Tuesday, (c) Wednesday, (d) Thursday, (e) Friday, (f) Saturday and (g) Sunday in 2013-14 is shown in the following table. These figures are taken from the Health and Social Care Information Centre’s Hospital Episode Statistics (HES). Final data for 2014-15 will be published on 28 January 2016.</p><br /><table><tbody><tr><td><p>Weekday</p></td><td><p>Average (mean) deaths in A&amp;E department</p></td><td><p>Average (mean) attendances at A&amp;E</p></td></tr><tr><td><p>Monday</p></td><td><p>59.3</p></td><td><p>55,212.7</p></td></tr><tr><td><p>Tuesday</p></td><td><p>54.0</p></td><td><p>49,660.8</p></td></tr><tr><td><p>Wednesday</p></td><td><p>56.0</p></td><td><p>48,667.0</p></td></tr><tr><td><p>Thursday</p></td><td><p>53.7</p></td><td><p>48,600.3</p></td></tr><tr><td><p>Friday</p></td><td><p>55.6</p></td><td><p>47,932.3</p></td></tr><tr><td><p>Saturday</p></td><td><p>55.8</p></td><td><p>48,614.6</p></td></tr><tr><td><p>Sunday</p></td><td><p>57.1</p></td><td><p>50,202.9</p></td></tr></tbody></table><br /><p><em>Source:</em> (HES), Health and Social Care Information Centre</p><p><em></em></p><p><em>Notes:</em></p><p>1. The table shows the mean of A&amp;E attendances, and the mean of A&amp;E attendances where the patient died in the department, by weekday for 2013-14. The HES A&amp;E database is recorded at attendance level, not patient level.</p><p>2. The data cannot be described as an average number of people as the same person may have had more than one A&amp;E attendance within the time period presented.</p><p>3. The data excludes planned follow-up attendances.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 20655 question first answered 08/01/2016 15:10:10 answering member 3918 label Biography information for Jane Ellison
tabling member	435 label Biography information for Sir Graham Brady

442439

registered interest
date	17/12/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will estimate the number of patients who went to A&E after being unable to make an appointment with their GP in the most recent period for which figures are available.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	902882
answer	answer is ministerial correction date of answer 05/01/2016 answer text <p>Of those patients who either were not able to get an appointment or get a convenient appointment in the last GP Patient Survey, 9.9% indicated that they went to accident and emergency or a walk-in centre (an increase of 0.5 percentage points since 2013-14).</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 05/01/2016 17:05:50 answering member 1201 label Biography information for Alistair Burt
tabling member	4397 label Biography information for Peter Dowd

423726

registered interest
date	26/10/2015
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 how many patients waited at least 12 hours in Accident and Emergency in 2014–5, and in each year since 2005.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2990
answer	answer is ministerial correction date of answer 04/11/2015 answer text <p>The information is not collected in the format requested. Information on the number of patients waiting more than 12 hours from decision to admit to admission in accident and emergency (A&amp;E) departments in 2011-12 to 2014-15 is shown in the table below. The first full year for which data is available is 2011-12 as data was not collected prior to August 2010.</p><br /><table><tbody><tr><td><p>Year</p></td><td><p>Number of patients spending more than 12 hours from decision to admit to admission in A&amp;E departments</p></td></tr><tr><td><p>2011-12</p></td><td><p>123</p></td></tr><tr><td><p>2012-13</p></td><td><p>170</p></td></tr><tr><td><p>2013-14</p></td><td><p>240</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,239</p></td></tr></tbody></table><p><em>Source: Annual A&amp;E Activity and Emergency Admissions statistics, NHS and independent sector organisations in England</em></p> answering member printed Lord Prior of Brampton question first answered 04/11/2015 15:08:27 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420057

registered interest
date	09/10/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what contingency plans he has prepared to ease pressures on A&E services during winter 2015-16.
tabling member constituency	Middlesbrough South and East Cleveland
tabling member printed	Tom Blenkinsop
uin	11266
answer	answer is ministerial correction date of answer 14/10/2015 answer text <p>This year winter planning has been integrated into the overall planning process for the National Health Service with winter monies put into clinical commissioning group baseline funding. As part of planning for the winter, each local system has been asked to implement eight high impact interventions to improve patient flow, the key driver of performance.</p><p>To support the systems under the most pressure, the Emergency Care Improvement Programme will provide intensive expert support over winter to drive improvements in performance.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/10/2015 14:34:51 answering member 3918 label Biography information for Jane Ellison
tabling member	4037 label Biography information for Tom Blenkinsop

416385

registered interest
date	04/09/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by what indicators he plans to use to assess the improvement of Trusts receiving support from the Emergency Care Improvement Programme.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	8995
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p><del class="ministerial">Public Health England has developed a campaign to raise awareness of the symptom of breathlessness which ran as a local pilot in Oldham and Rochdale from 24 February – 23 March 2014 and as a regional pilot in the East of England 2 February – 1 March 2015.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">The Breathlessness campaign aims to encourage those with inappropriate breathlessness (breathlessness that is disproportionate to the level of activity undertaken i.e. at rest or on minimal exertion) to go and see their general practitioner (GP). It is primarily aimed at earlier diagnosis of heart and lung disease, including chronic obstructive pulmonary disease, with scope to reduce premature mortality and to improve the quality of life of those living with these conditions. The key message of the campaign is “If you get out of breath doing things that you used to be able to do, see your GP. Getting out of breath could be a sign of heart or lung disease. Finding it early makes it more treatable, so don’t ignore it, tell your doctor”.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">Evaluation of the regional pilot is still underway, although early findings from follow-up in-depth interviews with a sample of local GPs and pharmacists and pre and post awareness tracking research among the public, are positive.</del></p><p> </p><p> </p><p><ins class="ministerial"> <p> </p><p><ins class="ministerial">The Emergency Care Improvement Programme (ECIP) is a clinically led programme that will offer practical help and support to the 27 urgent and emergency care systems across England that are under the most pressure. </ins></p><p> </p><p><ins class="ministerial"> </ins></p><p> </p><p><ins class="ministerial">The progress of trusts taking part in ECIP will be measured by monitoring improvements in their accident and emergency (A&amp;E) four hour waiting time standard, along with patient outcome and experience indicators. The urgent and emergency care systems taking part in this programme were selected based on performance against the A&amp;E four hour standard in 2014/15 and Q1 of 2015/16 alongside discussions with regional teams from NHS England, Monitor and the Trust Development Authority.</ins></p><p><ins class="ministerial"> </ins></p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 15:55:26 question first ministerially corrected 14/09/2015 17:19:34 answering member 3918 label Biography information for Jane Ellison previous answer version 21204 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed