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693772

registered interest
date	23/02/2017
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, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65368
answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.</p><p> </p><p>Information on CCGs’ commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs’ commissioning intentions are available from individual CCGs.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:15:59 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

684051

registered interest
date	03/02/2017
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, whether clinical commissioning group restrictions on access to joint surgery for obese patients and smokers are compatible with NICE guidance on osteoarthritis: care and management, that patient-specific factors, including age, sex, smoking, obesity and co-morbidities, should not be barriers to referral for joint surgery.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	63000
answer	answer is ministerial correction date of answer 09/02/2017 answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning services to meet the requirements of their population, including the obese and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and take into account national guidelines.</p><p> </p><p>The evidence suggests that major surgery poses higher risks for severely overweight patients who smoke. CCGs are therefore right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but also saves money for the National Health Service and taxpayers.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients such as smokers or overweight people getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 09/02/2017 11:01:26 answering member 4080 label Biography information for David Mowat
tabling member	4418 label Biography information for Justin Madders

671791

registered interest
date	11/01/2017
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 surgical procedures were cancelled in each NHS acute hospital trust in December 2016.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	59598
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>NHS England publishes data on the number of cancelled elective operations each quarter. Quarter 3, which includes December 2016, will be published on 10 February 2017.</p><p> </p><p>The data will be available via this link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/01/2017 14:21:41 answering member 1542 label Biography information for Philip Dunne
tabling member	429 label Biography information for Derek Twigg

660151

registered interest
date	16/12/2016
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 guidance NICE has issued on whether it is clinically appropriate to delay surgery for (a) obese patients for 12 months and (b) smokers for 6 months.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	58010
answer	answer is ministerial correction date of answer 23/12/2016 answer text <p>The National Institute for Health and Care Excellence has advised that it has not made any specific recommendations on delaying surgery for obese patients or patients who smoke, and that its guidelines tend to focus on the diagnosis, care and management of health conditions, rather than protocols for the delivery of services.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 23/12/2016 10:20:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4471 label Biography information for Rachael Maskell

658724

registered interest
date	14/12/2016
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 how many NHS hospital operations have been cancelled since August 2016 because of a shortage of (1) beds, or (2) staff.
tabling member printed	The Marquess of Lothian
uin	HL4142
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The information is not available in the format requested.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 17:09:06 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	259 label Biography information for The Marquess of Lothian

649497

registered interest
date	01/12/2016
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 steps his Department and NHS England plan to take to prevent clinical commissioning groups from rationing treatments by restricting routine surgery for patients who smoke or are clinically obese.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	55790
answer	answer is ministerial correction date of answer 06/12/2016 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning services to meet the requirements of their population, including obese patients and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence and take into account national guidelines.</p><p> </p><p>Major surgery poses much higher risks for severely overweight patients and those who smoke. So local general practitioner-led CCGs are entirely right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but saves the National Health Service and taxpayers millions of pounds.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients, such as smokers, getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 06/12/2016 14:23:43 answering member 4080 label Biography information for David Mowat
tabling member	1439 label Biography information for Norman Lamb

637276

registered interest
date	15/11/2016
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 how many centres carry out complex thoracic surgery in NHS England; what is their annual procedure volume; and when they will publish risk normalised outcome data for those centres.
tabling member printed	Lord Freyberg
uin	HL3201
answer	answer is ministerial correction date of answer 24/11/2016 answer text <p>There are 28 centres undertaking complex thoracic procedures.</p><p> </p><p>Complex thoracic surgery involves a range of procedures, and therefore there is no overarching outcomes data set, only procedure-specific data.</p><p> </p><p>The predominant procedure is lung resection. The latest outcomes data for this is available in the <em>National Lung Cancer Audit annual report 2015 (for the audit period 2014)</em>, which is attached.</p> answering member printed Lord Prior of Brampton question first answered 24/11/2016 14:32:50 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 2015-12-02 National Lung Cancer Report.pdf title National Lung Cancer Report
tabling member	2593 label Biography information for Lord Freyberg

634128

registered interest
date	11/11/2016
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, how many elective operations were cancelled in each of the last five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	52570
answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>The number of cancelled operations remains low in the context of the millions of operations performed in the National Health Service each year. Cancelled elective operations in Quarter 1 2016/17 as a percentage of elective admissions were 0.9%. However, hospitals should continue to do everything they can to keep last minute cancellations of operations to an absolute minimum.</p><p> </p><p>NHS England publishes information each quarter on the number of last minute elective operations cancelled for non-clinical reasons. The following table shows this information for the last five years plus the first two quarters of 2016/17. 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.</p><p> </p><p>Number of elective operations cancelled for non-clinical reasons in each of the last five years, 2011/12 to 2015/16 and Quarters 1 and 2 2016/17</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Quarter</p></td><td><p>Number of cancelled elective operations</p></td></tr><tr><td><p>2011/12</p></td><td><p>1</p></td><td><p>12,780</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>12,892</p></td></tr><tr><td><p> </p></td><td><p>3</p></td><td><p>14,696</p></td></tr><tr><td><p> </p></td><td><p>4</p></td><td><p>16,719</p></td></tr><tr><td><p>2012/13</p></td><td><p>1</p></td><td><p>14,113</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>13,155</p></td></tr><tr><td><p> </p></td><td><p>3</p></td><td><p>16,281</p></td></tr><tr><td><p> </p></td><td><p>4</p></td><td><p>19,968</p></td></tr><tr><td><p>2013/14</p></td><td><p>1</p></td><td><p>15,443</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>15,032</p></td></tr><tr><td><p> </p></td><td><p>3</p></td><td><p>15,852</p></td></tr><tr><td><p> </p></td><td><p>4</p></td><td><p>17,868</p></td></tr><tr><td><p>2014/15</p></td><td><p>1</p></td><td><p>15,650</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>15,898</p></td></tr><tr><td><p> </p></td><td><p>3</p></td><td><p>19,470</p></td></tr><tr><td><p> </p></td><td><p>4</p></td><td><p>20,464</p></td></tr><tr><td><p>2015/16</p></td><td><p>1</p></td><td><p>16,099</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>16,414</p></td></tr><tr><td><p> </p></td><td><p>3</p></td><td><p>18,393</p></td></tr><tr><td><p> </p></td><td><p>4</p></td><td><p>23,352</p></td></tr><tr><td><p>2016/17</p></td><td><p>1</p></td><td><p>18,730</p></td></tr><tr><td><p> </p></td><td><p>2</p></td><td><p>19,399</p></td></tr></tbody></table><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/11/2016 17:35:12 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

619970

registered interest
date	24/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many operations in (a) St Helens North constituency, (b) Merseyside and (c) the UK had to be cancelled due to a lack of hospital beds available in each year since 2010.
tabling member constituency	St Helens North
tabling member printed	Conor McGinn
uin	49942
answer	answer is ministerial correction date of answer 27/10/2016 answer text <p>The information requested is not collected centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 27/10/2016 14:13:52 answering member 1542 label Biography information for Philip Dunne
tabling member	4458 label Biography information for Conor McGinn

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