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1334217

registered interest
date	14/06/2021
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to answer to question 5226, tabled on 21 May 2021, what data is mandatorily held by (a) health services and (b) his Department on the provision of joint replacement treatment.
tabling member constituency	Richmond Park
tabling member printed	Sarah Olney
uin	15343
answer	answer is ministerial correction date of answer 08/07/2021 answer text <p>Hospital trusts mandatorily submit data to the secondary uses services database, which includes information such as patient age and sex, admission and discharge, their diagnoses and which procedures were performed. NHS England and NHS Improvement can access the pseudonymised data through the Hospital Episode Statistics database held by NHS Digital or the National Commissioning Data Repository, held by NHS England and NHS Improvement.</p><p>Although not mandatory, NHS England and NHS Improvement extract data on hip, knee, and shoulder replacements and provide this information to trusts and health systems. The Department does not hold any data.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 08/07/2021 12:28:58 answering member 4362 label Biography information for Edward Argar previous answer version 7308 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	4591 label Biography information for Sarah Olney

1317076

registered interest
date	21/05/2021
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many hospitals in England provide joint replacement treatment within the 18 week target time.
tabling member constituency	Richmond Park
tabling member printed	Sarah Olney
uin	5226
answer	answer is ministerial correction date of answer 26/05/2021 answer text <p>The data is not held in the format requested.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 26/05/2021 16:11:55 answering member 4362 label Biography information for Edward Argar
tabling member	4591 label Biography information for Sarah Olney

1317078

registered interest
date	21/05/2021
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
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 his Department is taking to ensure that joint replacement surgeries are prioritised in the NHS.
tabling member constituency	Richmond Park
tabling member printed	Sarah Olney
uin	5227
answer	answer is ministerial correction date of answer 28/05/2021 answer text <p>The Department is taking steps to ensure the National Health Service can treat patients safely as quickly as possible. Joint replacement is being prioritised through the High Volume, Low Complexity programme and the Getting It Right First Time programme. These programmes will provide best practice examples to help improve and joint replacement surgeries across the NHS.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 28/05/2021 12:50:08 answering member 4362 label Biography information for Edward Argar previous answer version 3007 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	4591 label Biography information for Sarah Olney

1221454

registered interest
date	07/07/2020
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many hip and knee orthopaedic procedures have taken place in the NHS in each month since April 2019.
tabling member constituency	Peterborough
tabling member printed	Paul Bristow
uin	70515
answer	answer is ministerial correction date of answer 15/07/2020 answer text <p>The data requested is provided in the following table. It should be noted that the data is provisional and subject to review.</p><table><tbody><tr><td><p>Year</p></td><td><p>Month</p></td><td><p>Episodes</p></td></tr><tr><td rowspan="9"><p>2019</p></td><td><p>April</p></td><td><p>39,287</p></td></tr><tr><td><p>May</p></td><td><p>41,792</p></td></tr><tr><td><p>June</p></td><td><p>40,369</p></td></tr><tr><td><p>July</p></td><td><p>42,183</p></td></tr><tr><td><p>August</p></td><td><p>37,768</p></td></tr><tr><td><p>September</p></td><td><p>40,248</p></td></tr><tr><td><p>October</p></td><td><p>43,375</p></td></tr><tr><td><p>November</p></td><td><p>41,465</p></td></tr><tr><td><p>December</p></td><td><p>37,640</p></td></tr><tr><td rowspan="4"><p>2020</p></td><td><p>January</p></td><td><p>39,944</p></td></tr><tr><td><p>February</p></td><td><p>38,845</p></td></tr><tr><td><p>March</p></td><td><p>31,105</p></td></tr><tr><td><p>April</p></td><td><p>7,275</p></td></tr></tbody></table><p> </p><p>Figures provided do not represent the number of different patients as a person may have more than one episode of care.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 15/07/2020 16:48:20 answering member 4362 label Biography information for Edward Argar
tabling member	4792 label Biography information for Paul Bristow

1180003

registered interest
date	24/02/2020
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to ensure joint replacement surgery takes place within 18 weeks of a referral.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	19987
answer	answer is ministerial correction date of answer 27/02/2020 answer text <p>A maximum waiting time of 18 weeks from referral to elective treatment, including for joint replacement surgery, is the existing National Health Service access standard.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 27/02/2020 13:48:19 answering member 4362 label Biography information for Edward Argar
tabling member	4523 label Biography information for Catherine West

1109268

registered interest
date	02/04/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people that have had a (a) hip, (b) knee and (c) shoulder replacement had to have a second replacement within 10 to 20 years in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	239988
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The information requested is not centrally collected.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:25:15 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1049993

registered interest
date	28/01/2019
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
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 he is taking to reduce NHS waiting times for (a) hip and (b) knee operations.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	213359
answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>Clinical commissioning groups are putting in place a number of initiatives to better manage the increasing demand for elective services, including those related to hips and knees. The NHS Long Term Plan sets out a number of other ways in which the National Health Service will look to reduce avoidable demand and improve waiting times for all elective care services. This includes a commitment that any patient who has been waiting for more than six months will be reviewed and given the option of faster treatment at an alternative provider.</p><p> </p><p>In addition, NHS England’s ‘Operational and Planning Guidance for 2019/20’ sets out deliverables against key performance areas, including referral-to-treatment, and the Government expects the NHS to deliver these actions set – in full – as key steps towards fully recovering performance against core access standards.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/02/2019 16:10:08 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

969317

registered interest
date	06/09/2018
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
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS-funded hip and knee operations have been undertaken by independent providers in each of the last five years; and what percentage of overall NHS hip and knee operations they represent.
tabling member printed	Lord Hunt of Kings Heath
uin	HL10147
answer	answer is ministerial correction date of answer 19/09/2018 answer text <p>A table showing a count of finished consultant episodes with a main or secondary procedure of knee replacement and hip replacement where treatment was carried out by the independent sector, and the proportion these represent of all National Health Service knee and hip replacements from 2012-13 to 2016-17, is attached due to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 19/09/2018 15:03:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL10147 Table formatted.docx title Knee and hip replacements by provider
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

923993

registered interest
date	14/06/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many joint replacements have taken place in each of the last five years.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	153895
answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>Information on how many joint replacements have taken place in each of the last five years is shown in the table below and provides a breakdown of individual episodes of care by procedure, including hip and knee replacements. The following table is a count of finished consultant episodes (FCE) for main or secondary procedures and interventions for joint replacements for financial years 2012/13 – 2016/17.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FCEs for joint replacements</p></td></tr><tr><td><p>2016/17</p></td><td><p>225,916</p></td></tr><tr><td><p>2015/16</p></td><td><p>217,333</p></td></tr><tr><td><p>2014/15</p></td><td><p>217,348</p></td></tr><tr><td><p>2013/14</p></td><td><p>210,915</p></td></tr><tr><td><p>2012/13</p></td><td><p>202,172</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics, NHS Digital</p><p> </p><p>Note:</p><p>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. 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.</p><p> </p><p>Data for the estimated average unit cost to National Health Service providers for a knee, hip and shoulder replacement in 2016/17 is shown in the following table. The data is sourced from reference costs, which are the average unit cost to the NHS of providing defined services to NHS patients in England in a given financial year.</p><p> </p><table><tbody><tr><td colspan="2"><p>Estimated average unit cost per one finished consultant episode (£ thousands) 2016-17</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£7.0</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£6.2</p></td></tr><tr><td><p>Shoulder replacement</p></td><td><p>£4.8</p></td></tr></tbody></table><p>Source: NHS Improvement Reference Costs</p><p> </p><p>The table uses the average reference costs for acute care and are collected by healthcare resource group, which are standard groupings of clinically similar treatments that consume similar levels of healthcare resource. The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 153896 question first answered 20/06/2018 11:25:05 answering member 4095 label Biography information for Steve Barclay
tabling member	4478 label Biography information for Royston Smith

923994

registered interest
date	14/06/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost to the public purse is for a (a) knee, (b) hip and (c) shoulder replacement.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	153896
answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>Information on how many joint replacements have taken place in each of the last five years is shown in the table below and provides a breakdown of individual episodes of care by procedure, including hip and knee replacements. The following table is a count of finished consultant episodes (FCE) for main or secondary procedures and interventions for joint replacements for financial years 2012/13 – 2016/17.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FCEs for joint replacements</p></td></tr><tr><td><p>2016/17</p></td><td><p>225,916</p></td></tr><tr><td><p>2015/16</p></td><td><p>217,333</p></td></tr><tr><td><p>2014/15</p></td><td><p>217,348</p></td></tr><tr><td><p>2013/14</p></td><td><p>210,915</p></td></tr><tr><td><p>2012/13</p></td><td><p>202,172</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics, NHS Digital</p><p> </p><p>Note:</p><p>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. 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.</p><p> </p><p>Data for the estimated average unit cost to National Health Service providers for a knee, hip and shoulder replacement in 2016/17 is shown in the following table. The data is sourced from reference costs, which are the average unit cost to the NHS of providing defined services to NHS patients in England in a given financial year.</p><p> </p><table><tbody><tr><td colspan="2"><p>Estimated average unit cost per one finished consultant episode (£ thousands) 2016-17</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£7.0</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£6.2</p></td></tr><tr><td><p>Shoulder replacement</p></td><td><p>£4.8</p></td></tr></tbody></table><p>Source: NHS Improvement Reference Costs</p><p> </p><p>The table uses the average reference costs for acute care and are collected by healthcare resource group, which are standard groupings of clinically similar treatments that consume similar levels of healthcare resource. The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 153895 question first answered 20/06/2018 11:25:05 answering member 4095 label Biography information for Steve Barclay
tabling member	4478 label Biography information for Royston Smith