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598098

registered interest
date	10/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the average number of hip and knee replacement operations per one million population performed weekly (1) by the NHS, and (2) privately, during each quarter since October 2015 in the English regions of (a) London, (b) the South, (c) the Midlands and East, and (d) the North.
tabling member printed	Lord Maginnis of Drumglass
uin	HL2127
answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The information requested is in the table attached.</p><p> </p><p>The data is activity in National Health Service Hospitals in England and NHS funded activity in the independent sector. Information on privately funded activity in the independent sector is not available.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:34:02 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL2127 FORMATTED TABLE.pdf title HL2127 TABLE
tabling member	648 label Biography information for Lord Maginnis of Drumglass

598113

registered interest
date	10/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to prevent the late cancellation of operations.
tabling member printed	Lord Taylor of Warwick
uin	HL2142
answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The commitment that ‘all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice’ is included as a pledge in the Handbook to the NHS Constitution. A copy is attached.</p><p> </p><p>Every quarter, NHS England publishes the number of operations cancelled at the ‘last minute’ for non-clinical reasons. A last minute cancellation is defined as ‘when a patient’s operation is cancelled by the hospital on or after the day of admission (including the day of surgery) for non-clinical reasons’. The financial sanction for not meeting the pledge in 2016-17 is non-payment of costs associated with cancellation and non-payment or reimbursement (as applicable) of the re-scheduled episode of care.</p><p> </p><p>Every month, NHS England also publishes data on urgent operations that are cancelled by the trust for non-medical reasons, including those cancelled for a second or subsequent time. This includes all urgent operations cancelled, not just those cancelled at the last minute. Although there is no pledge for cancelled urgent operations, NHS England has set a National Quality Requirement that no urgent operation should be cancelled for a second time, and the NHS Standard Contract provides for a financial sanction of £5,000 per incidence.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:11:56 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name NHS_Constitution_Handbook_v2.pdf title Handbook to NHS Constitution
tabling member	1796 label Biography information for Lord Taylor of Warwick

576850

registered interest
date	06/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential benefits of mobile surgical health theatres; and whether such centres are included in the Sustainability and Transformation Plans.
tabling member constituency	St Albans
tabling member printed	Mrs Anne Main
uin	45270
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>Under the Directed Enhanced Services directions to NHS England, there is a Minor Surgery Scheme, the underlying purpose of which is to ensure that a wide range of minor surgical procedures are made available as part of the primary medical services provided throughout England. Minor surgery is also one of the additional services which are set out in the General Medical Services Contract Regulations. It is for local areas to decide whether they include the development of these centres in their Sustainability and Transformation Plan.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 14:41:24 answering member 4080 label Biography information for David Mowat
tabling member	1568 label Biography information for Mrs Anne Main

420886

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the reasons for the variation in elective surgery rates among the most affluent and least affluent areas of England recorded in the recent survey by the Health Service Journal.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2572
answer	answer is ministerial correction date of answer 26/10/2015 answer text <p>NHS England has advised it is aware of the findings of the survey.</p><br /><p>The NHS Atlas of Variation in Healthcare, published in September 2015 by Public Health England, NHS England and NHS Right Care, aims to identify unwarranted variation, and the causes of variation, in the provision of health services. Linked to this, the NHS Right Care programme will advise local health systems on variation in elective surgery intervention rates and support them to look at reasons for this and identify any changes needed.</p><br /><p>The NHS Atlas of Variation in Healthcare is too large to attach to this reply, but can be found online at the following:</p><br /><p><a href="http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf" target="_blank">http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf</a></p><p><strong></strong></p><p><strong></strong></p> answering member printed Lord Prior of Brampton question first answered 26/10/2015 17:50:16 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

391462

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	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what analysis his Department and NHS England have carried out to determine what standard of high-risk general surgery a site should be providing in order to be an appropriate site for carrying out (a) complex cardiac surgery and (b) other tertiary services.
tabling member constituency	Altrincham and Sale West
tabling member printed	Mr Graham Brady
uin	7987
answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>The standards a site should be providing in order to be an appropriate site for carrying out complex cardiac surgery and other tertiary services are already set out by the professional bodies (Royal College of Surgeons, Society of Cardiothoracic Surgeons of Great Britain and Ireland) and NHS England Specialised Services service specifications.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/09/2015 15:41:56 answering member 3988 label Biography information for Ben Gummer
tabling member	435 label Biography information for Sir Graham Brady

350109

registered interest
date	11/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the number of cancelled operations in the National Health Service in the final quarter of 2013–14 was the highest ever recorded.
tabling member printed	Lord Hunt of Kings Heath
uin	HL423
answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 19/06/2015 10:58:30 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

350110

registered interest
date	11/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they are taking to reduce the number of cancelled operations in the National Health Service.
tabling member printed	Lord Hunt of Kings Heath
uin	HL424
answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL425 question first answered 19/06/2015 12:27:02 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

350111

registered interest
date	11/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why there has been an increase in the number of cancelled operations in the National Health Service since 2009–10.
tabling member printed	Lord Hunt of Kings Heath
uin	HL425
answer	answer is ministerial correction date of answer 19/06/2015 answer text <p>NHS England collects the number of operations cancelled at the ‘last minute’ for non-clinical reasons on a quarterly basis.</p><p> </p><p> </p><p> </p><p>The number of cancelled elective operations in the final quarter of 2013-14 was not the highest ever recorded. The highest number of cancelled elective operations was recorded in quarter 4 2000-01.</p><p> </p><p> </p><p> </p><p>Cancelled elective operations as a percentage of elective admissions are stable. In both 2009-10 and 2013-14 cancelled elective operations represented 0.9% of elective admissions, despite a 546,000 increase in the number of elective admissions in this period.</p><p> </p><p> </p><p> </p><p>The National Health Service should do everything it can to reduce cancellations and keep them to an absolute minimum. Where this is unavoidable, patients should receive treatment as soon as possible. This is reinforced by a pledge in the NHS Constitution for all patients who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the patient’s treatment to be funded at the time and hospital of the patient’s choice.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL424 question first answered 19/06/2015 12:27:02 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

228173

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average cost to the NHS was of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in England in 2014.
tabling member constituency	Leigh
tabling member printed	Andy Burnham
uin	228279
answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>The information is shown in the following table and is from reference costs, which are the average unit cost to National Health Service trusts and foundation trusts of providing defined services in a given financial year. Reference costs for acute care are collected by healthcare resource group (HRG), 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><p> </p><p> </p><p> </p><p>Estimated average unit cost to NHS providers in 2013-14</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Average unit cost per one finished consultant episode</p></td></tr><tr><td><p>Hip replacement</p></td><td><p>£6,803</p></td></tr><tr><td><p>Knee replacement</p></td><td><p>£6,059</p></td></tr><tr><td><p>Cataract operation</p></td><td><p>£878</p></td></tr><tr><td><p>Hernia operation</p></td><td><p>£2,010</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Reference costs, Department of Health</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. Includes the average unit costs for the following HRGs, weighted for the activity reported for each HRG:</p><p> </p><p>HA12, Major Hip Procedures for Trauma</p><p> </p><p>HB12, Major Hip Procedures for Non-Trauma</p><p> </p><p>HA21, Major Knee Procedures for Trauma</p><p> </p><p>HB21, Major Knee Procedures for Non-Trauma</p><p> </p><p>BZ01, Enhanced Cataract Surgery</p><p> </p><p>BZ02, Phacoemulsification Cataract Extraction and Lens Implant</p><p> </p><p>BZ03, Non-Phacoemulsification Cataract Surgery</p><p> </p><p>FZ17, Abdominal Hernia Procedures</p><p> </p><p>FZ18, Inguinal, Umbilical or Femoral Hernia Procedures</p><p> </p><p>2. The majority of procedures in HA12, HB12, HA21 and HB21 are for total replacements of hip or knee joints but may include other hip or knee procedures.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/03/2015 17:47:11 answering member 3918 label Biography information for Jane Ellison
tabling member	1427 label Biography information for Andy Burnham

166009

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have had to have implants replaced within five years in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	215887
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>Information relating to the number of implants which have been replaced within five years is not available.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 02/12/2014 14:47:53 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon