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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

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

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

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

416386

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, what criteria he has set for NHS Trusts to receive support from the Emergency Care Improvement Programme.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	8996
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>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.</p><p> </p><p> </p><p> </p><p>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.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 16:16:21 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

391275

registered interest
date	20/07/2015
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, further to the answer by Lord Prior of Brampton on 16 July (HL Deb, col 686) regarding police ambulance support, what number of conveyances to Accident and Emergency departments 0.1 per cent represents.
tabling member printed	Lord Hughes of Woodside
uin	HL1640
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>A Metropolitan Police (MPS) Freedom of Information revealed that they conveyed 931 patients to hospital in 2014. This makes up 0.1% of London Ambulance Service’s (LAS) case load in the same year. MPS and LAS continue to work together to develop protocols for dealing with the issue.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/07/2015 11:06:19 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1051 label Biography information for Lord Hughes of Woodside

391052

registered interest
date	17/07/2015
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 what are the latest figures available for the number of people conveyed to Accident and Emergency departments by police officers.
tabling member printed	Lord Harris of Haringey
uin	HL1590
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>This information is not collected centrally. There is an ongoing national dialogue between the ambulance and police services to understand the nature of demand better and to develop a comprehensive and cross-service solution. Locally, services are putting in joint procedures to also address the issue.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/07/2015 11:10:15 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2671 label Biography information for Lord Harris of Haringey

349027

registered interest
date	08/06/2015
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, how many people attended accident and emergency (a) in Barking, Havering and Redbridge University Hospitals NHS Trust, (b) in Queen's Hospital, (c) in King George Hospital, (d) across London and (e) in England in each of the last four (i) quarters and (ii) years.
tabling member constituency	Barking
tabling member printed	Margaret Hodge
uin	1455
answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The information is not collected in the format requested. Information on the number of attendances in Barking, Havering and Redbridge University Hospitals NHS Trust, London NHS Trusts and in England for the last four quarters and in the years 2011-12 to 2014-15 are provided in the tables below. Data is not available for individual hospital sites. Queen’s Hospital and King George’s Hospital are part of the Barking, Havering and Redbridge University Hospitals NHS Trust – attendances at these hospital sites are included within the figures for the Trust.</p><p> </p><p> </p><p> </p><p>Accident and emergency (A&amp;E) attendances, Quarter 1 to Quarter 4 2014-15</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Quarter</p></td><td><p>England</p></td><td><p>London</p></td><td><p>Barking, Havering and Redbridge University Hospitals NHS Trust</p></td></tr><tr><td><p>2014-15 Q1</p></td><td><p>5,797,900</p></td><td><p>1,173,860</p></td><td><p>64,971</p></td></tr><tr><td><p>2014-15 Q2</p></td><td><p>5,604,239</p></td><td><p>1,103,694</p></td><td><p>62,054</p></td></tr><tr><td><p>2014-15 Q3</p></td><td><p>5,387,678</p></td><td><p>1,159,072</p></td><td><p>66,712</p></td></tr><tr><td><p>2014-15 Q4</p></td><td><p>5,387,678</p></td><td><p>1,122,209</p></td><td><p>62,634</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>A&amp;E attendances by year, 2011-12 to 2014-15</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>England</p></td><td><p>London</p></td><td><p>Barking, Havering and Redbridge University Hospitals NHS Trust</p></td></tr><tr><td><p>2011-12</p></td><td><p>21,481,402</p></td><td><p>4,433,336</p></td><td><p>219,208</p></td></tr><tr><td><p>2012-13</p></td><td><p>21,738,637</p></td><td><p>4,506,904</p></td><td><p>247,373</p></td></tr><tr><td><p>2013-14</p></td><td><p>21,778,657</p></td><td><p>4,510,123</p></td><td><p>243,895</p></td></tr><tr><td><p>2014-15</p></td><td><p>22,363,638</p></td><td><p>4,558,835</p></td><td><p>256,371</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em></p><p> </p><p>A&amp;E Attendances and Emergency Admissions, NHS England</p><p> </p><p><em> </em></p><p> </p><p><em>Note:</em></p><p> </p><p>For years 2011-12 and 2012-13, this data covers all trusts within the London Strategic Health Authority. For years 2013-14 and 2014-15, all trusts located within the London Area Team are included.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/06/2015 15:29:39 answering member 3918 label Biography information for Jane Ellison
tabling member	140 label Biography information for Dame Margaret Hodge