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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

155693

registered interest
date	17/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many patients have undergone orthognathic treatment in each region of England in each of the last five years.
tabling member printed	Lord Colwyn
uin	HL2877
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Due to a lack of specific procedural codes, it is not possible to identify the number of patients who have undergone orthognathic treatment or the cost of this treatment from the data held by the Health and Social Care information Centre or the Department.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2879 question first answered 26/11/2014 12:51:01 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

155695

registered interest
date	17/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, for each region of England in each of the last five years, what has been the cost to the National Health Service of orthognathic treatment.
tabling member printed	Lord Colwyn
uin	HL2879
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Due to a lack of specific procedural codes, it is not possible to identify the number of patients who have undergone orthognathic treatment or the cost of this treatment from the data held by the Health and Social Care information Centre or the Department.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2877 question first answered 26/11/2014 12:51:03 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

92945

registered interest
date	13/10/2014
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, what recent steps he has taken to ensure that surgeons do not work excessive hours.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	210250
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>It is the responsibility of National Health Service trusts to ensure that service rotas are designed and staffed appropriately, and are in accordance with the Working Time Regulations.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The Department commissioned the Royal College of Surgeons to review the impact of the Working Time Directive on the health sector. A taskforce, chaired by Professor Norman Williams and comprising of representatives from across the medical profession, met on six occasions from October 2013 to February 2014 and a report was produced.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In relation to doctors working excessive hours, the report made recommendations that NHS trusts should review best practice in the design of working rotas and that the lack of flexibility be addressed whilst recognising doctors must not suffer undue fatigue.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The recommendations of the report have been accepted and the relevant organisations are taking them forward.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 20/10/2014 16:31:56 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4131 label Biography information for Jim Shannon

92959

registered interest
date	13/10/2014
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, what guidance his Department issues on measures to prevent patients regaining consciousness during surgical operations.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	210266
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>The Department does not publish clinical guidance on measures to prevent patients regaining consciousness during surgical operations. It is the role of the Royal College of Anaesthetists to provide guidance on training and standards of clinical care in anaesthesia.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/10/2014 16:47:30 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon