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61923

registered interest
date	16/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Domestic Accidents
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their estimate of the proportion of accident and emergency attendances caused by accidents in the home.
tabling member printed	Lord Hunt of Kings Heath
uin	HL341
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>This information is not available centrally.</p> answering member printed Earl Howe question first answered 19/06/2014 11:44:47 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

61559

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what the ambulance service 999 response rates have been over the past two years.
tabling member printed	Lord Hunt of Kings Heath
uin	HL328
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>The following table shows performance against the response time standards for all ambulance trusts in England in the last two financial years.</p><p> </p><p>Table: Monthly performance of ambulance trusts in England for category A calls, 2012-13 and 2013-14</p><table><tbody><tr><td><p>Year</p></td><td><p>Month</p></td><td><p>Of all Category A calls, proportion responded to within 8 minutes</p></td><td><p>Of all Red 1 calls, proportion responded to within 8 minutes</p></td><td><p>Of all Red 2 calls, proportion responded to within 8 minutes</p></td><td><p>Of all Category A calls resulting in an ambulance arriving, proportion within 19 minutes</p></td></tr><tr><td><p>2012-13</p></td><td><p>April</p></td><td><p>76.2%</p></td><td><p>-</p></td><td><p>-</p></td><td><p>96.7%</p></td></tr><tr><td><p>2012-13</p></td><td><p>May</p></td><td><p>74.8%</p></td><td><p>-</p></td><td><p>-</p></td><td><p>96.3%</p></td></tr><tr><td><p>2012-13</p></td><td><p>June</p></td><td><p>-</p></td><td><p>75.6%</p></td><td><p>77.5%</p></td><td><p>96.6%</p></td></tr><tr><td><p>2012-13</p></td><td><p>July</p></td><td><p>-</p></td><td><p>75.3%</p></td><td><p>77.4%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2012-13</p></td><td><p>August</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>78.1%</p></td><td><p>96.5%</p></td></tr><tr><td><p>2012-13</p></td><td><p>September</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>75.9%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2012-13</p></td><td><p>October</p></td><td><p>-</p></td><td><p>74.9%</p></td><td><p>76.5%</p></td><td><p>96.2%</p></td></tr><tr><td><p>2012-13</p></td><td><p>November</p></td><td><p>-</p></td><td><p>73.2%</p></td><td><p>76.0%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2012-13</p></td><td><p>December</p></td><td><p>-</p></td><td><p>70.4%</p></td><td><p>70.8%</p></td><td><p>94.6%</p></td></tr><tr><td><p>2012-13</p></td><td><p>January</p></td><td><p>-</p></td><td><p>73.5%</p></td><td><p>75.8%</p></td><td><p>95.8%</p></td></tr><tr><td><p>2012-13</p></td><td><p>February</p></td><td><p>-</p></td><td><p>74.1%</p></td><td><p>75.3%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2012-13</p></td><td><p>March</p></td><td><p>-</p></td><td><p>73.4%</p></td><td><p>73.8%</p></td><td><p>95.4%</p></td></tr><tr><td><p>2012-13</p></td><td><p>Full year</p></td><td><p>75.5%</p></td><td><p>74.0%</p></td><td><p>75.6%</p></td><td><p>96.0%</p></td></tr><tr><td><p>2013-14</p></td><td><p>April</p></td><td><p>-</p></td><td><p>75.4%</p></td><td><p>76.0%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>May</p></td><td><p>-</p></td><td><p>77.9%</p></td><td><p>77.8%</p></td><td><p>96.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>June</p></td><td><p>-</p></td><td><p>77.4%</p></td><td><p>77.1%</p></td><td><p>96.7%</p></td></tr><tr><td><p>2013-14</p></td><td><p>July</p></td><td><p>-</p></td><td><p>75.5%</p></td><td><p>74.0%</p></td><td><p>95.8%</p></td></tr><tr><td><p>2013-14</p></td><td><p>August</p></td><td><p>-</p></td><td><p>77.0%</p></td><td><p>75.3%</p></td><td><p>96.2%</p></td></tr><tr><td><p>2013-14</p></td><td><p>September</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>73.8%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>October</p></td><td><p>-</p></td><td><p>74.6%</p></td><td><p>73.6%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2013-14</p></td><td><p>November</p></td><td><p>-</p></td><td><p>74.1%</p></td><td><p>73.0%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>December</p></td><td><p>-</p></td><td><p>72.8%</p></td><td><p>71.7%</p></td><td><p>95.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>January</p></td><td><p>-</p></td><td><p>76.4%</p></td><td><p>76.3%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>February</p></td><td><p>-</p></td><td><p>75.2%</p></td><td><p>74.0%</p></td><td><p>96.0%</p></td></tr><tr><td><p>2013-14</p></td><td><p>March</p></td><td><p>-</p></td><td><p>76.2%</p></td><td><p>74.7%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2013-14</p></td><td><p>Full year</p></td><td><p>-</p></td><td><p>75.6%</p></td><td><p>74.8%</p></td><td><p>96.1%</p></td></tr></tbody></table><p><em> </em></p><p><em>Source: NHS England, ambulance quality indicators</em></p><p><em>Notes:</em></p><p><em>1. </em><em>Ambulance service response times were split in June 2012 in to the most time critical (Red 1) and serious but less time critical (Red 2). </em></p><p><em>2. </em><em>Category A Red 1 calls are the most time critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe conditions.</em></p><p><em>3. </em><em>Category Red 2 calls are serious but less immediately time critical and cover conditions such as stroke and fits, and a new clock start will allow call handlers to get more information about patients.</em></p><p><em>4. </em><em>Category A19 is the total number of Category A calls (Red 1 and Red 2) which resulted in a fully equipped ambulance vehicle (car or ambulance) able to transport the patient in a clinically safe manner arriving at the scene within 19 minutes of the request being made.</em></p><p> </p><p>The Government is aware of the increasing demand on urgent and emergency care services. The Urgent and Emergency Care Review is currently considering whole system change to the delivery of urgent and emergency care, including new models of delivery of care for ambulance services. The first phase of the review was published last November, and we expect NHS England to be publishing further reports later this year.</p> answering member printed Earl Howe grouped question UIN HL329 question first answered 19/06/2014 11:32:32 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

61560

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the reason for, and what action they are taking to address, the deterioration in ambulance 999 response rates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL329
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>The following table shows performance against the response time standards for all ambulance trusts in England in the last two financial years.</p><p> </p><p>Table: Monthly performance of ambulance trusts in England for category A calls, 2012-13 and 2013-14</p><table><tbody><tr><td><p>Year</p></td><td><p>Month</p></td><td><p>Of all Category A calls, proportion responded to within 8 minutes</p></td><td><p>Of all Red 1 calls, proportion responded to within 8 minutes</p></td><td><p>Of all Red 2 calls, proportion responded to within 8 minutes</p></td><td><p>Of all Category A calls resulting in an ambulance arriving, proportion within 19 minutes</p></td></tr><tr><td><p>2012-13</p></td><td><p>April</p></td><td><p>76.2%</p></td><td><p>-</p></td><td><p>-</p></td><td><p>96.7%</p></td></tr><tr><td><p>2012-13</p></td><td><p>May</p></td><td><p>74.8%</p></td><td><p>-</p></td><td><p>-</p></td><td><p>96.3%</p></td></tr><tr><td><p>2012-13</p></td><td><p>June</p></td><td><p>-</p></td><td><p>75.6%</p></td><td><p>77.5%</p></td><td><p>96.6%</p></td></tr><tr><td><p>2012-13</p></td><td><p>July</p></td><td><p>-</p></td><td><p>75.3%</p></td><td><p>77.4%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2012-13</p></td><td><p>August</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>78.1%</p></td><td><p>96.5%</p></td></tr><tr><td><p>2012-13</p></td><td><p>September</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>75.9%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2012-13</p></td><td><p>October</p></td><td><p>-</p></td><td><p>74.9%</p></td><td><p>76.5%</p></td><td><p>96.2%</p></td></tr><tr><td><p>2012-13</p></td><td><p>November</p></td><td><p>-</p></td><td><p>73.2%</p></td><td><p>76.0%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2012-13</p></td><td><p>December</p></td><td><p>-</p></td><td><p>70.4%</p></td><td><p>70.8%</p></td><td><p>94.6%</p></td></tr><tr><td><p>2012-13</p></td><td><p>January</p></td><td><p>-</p></td><td><p>73.5%</p></td><td><p>75.8%</p></td><td><p>95.8%</p></td></tr><tr><td><p>2012-13</p></td><td><p>February</p></td><td><p>-</p></td><td><p>74.1%</p></td><td><p>75.3%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2012-13</p></td><td><p>March</p></td><td><p>-</p></td><td><p>73.4%</p></td><td><p>73.8%</p></td><td><p>95.4%</p></td></tr><tr><td><p>2012-13</p></td><td><p>Full year</p></td><td><p>75.5%</p></td><td><p>74.0%</p></td><td><p>75.6%</p></td><td><p>96.0%</p></td></tr><tr><td><p>2013-14</p></td><td><p>April</p></td><td><p>-</p></td><td><p>75.4%</p></td><td><p>76.0%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>May</p></td><td><p>-</p></td><td><p>77.9%</p></td><td><p>77.8%</p></td><td><p>96.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>June</p></td><td><p>-</p></td><td><p>77.4%</p></td><td><p>77.1%</p></td><td><p>96.7%</p></td></tr><tr><td><p>2013-14</p></td><td><p>July</p></td><td><p>-</p></td><td><p>75.5%</p></td><td><p>74.0%</p></td><td><p>95.8%</p></td></tr><tr><td><p>2013-14</p></td><td><p>August</p></td><td><p>-</p></td><td><p>77.0%</p></td><td><p>75.3%</p></td><td><p>96.2%</p></td></tr><tr><td><p>2013-14</p></td><td><p>September</p></td><td><p>-</p></td><td><p>75.1%</p></td><td><p>73.8%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>October</p></td><td><p>-</p></td><td><p>74.6%</p></td><td><p>73.6%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2013-14</p></td><td><p>November</p></td><td><p>-</p></td><td><p>74.1%</p></td><td><p>73.0%</p></td><td><p>95.9%</p></td></tr><tr><td><p>2013-14</p></td><td><p>December</p></td><td><p>-</p></td><td><p>72.8%</p></td><td><p>71.7%</p></td><td><p>95.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>January</p></td><td><p>-</p></td><td><p>76.4%</p></td><td><p>76.3%</p></td><td><p>96.4%</p></td></tr><tr><td><p>2013-14</p></td><td><p>February</p></td><td><p>-</p></td><td><p>75.2%</p></td><td><p>74.0%</p></td><td><p>96.0%</p></td></tr><tr><td><p>2013-14</p></td><td><p>March</p></td><td><p>-</p></td><td><p>76.2%</p></td><td><p>74.7%</p></td><td><p>96.1%</p></td></tr><tr><td><p>2013-14</p></td><td><p>Full year</p></td><td><p>-</p></td><td><p>75.6%</p></td><td><p>74.8%</p></td><td><p>96.1%</p></td></tr></tbody></table><p><em> </em></p><p><em>Source: NHS England, ambulance quality indicators</em></p><p><em>Notes:</em></p><p><em>1. </em><em>Ambulance service response times were split in June 2012 in to the most time critical (Red 1) and serious but less time critical (Red 2). </em></p><p><em>2. </em><em>Category A Red 1 calls are the most time critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe conditions.</em></p><p><em>3. </em><em>Category Red 2 calls are serious but less immediately time critical and cover conditions such as stroke and fits, and a new clock start will allow call handlers to get more information about patients.</em></p><p><em>4. </em><em>Category A19 is the total number of Category A calls (Red 1 and Red 2) which resulted in a fully equipped ambulance vehicle (car or ambulance) able to transport the patient in a clinically safe manner arriving at the scene within 19 minutes of the request being made.</em></p><p> </p><p>The Government is aware of the increasing demand on urgent and emergency care services. The Urgent and Emergency Care Review is currently considering whole system change to the delivery of urgent and emergency care, including new models of delivery of care for ambulance services. The first phase of the review was published last November, and we expect NHS England to be publishing further reports later this year.</p> answering member printed Earl Howe grouped question UIN HL328 question first answered 19/06/2014 11:32:32 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

60545

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Centres: Worcester
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they are taking any action to prevent the closure of the Worcester Walk-In Health Centre; and if so, what.
tabling member printed	Lord Hunt of Kings Heath
uin	HL134
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>The reconfiguration of local health services is a matter for the National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p>We are aware that the local consultation on the <em>Worcestershire Urgent Care Strategy</em> closed on 9 April 2014. The clinical commissioning groups in Worcestershire are now considering the responses. No decisions have yet been made.</p> answering member printed Earl Howe grouped question UIN HL135 HL136 question first answered 18/06/2014 11:58:25 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

60546

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Centres: Worcester
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 impact of the closure of Worcester Walk-In Health Centre onthe emergency department at Worcestershire Royal Hospital.
tabling member printed	Lord Hunt of Kings Heath
uin	HL135
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>The reconfiguration of local health services is a matter for the National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p>We are aware that the local consultation on the <em>Worcestershire Urgent Care Strategy</em> closed on 9 April 2014. The clinical commissioning groups in Worcestershire are now considering the responses. No decisions have yet been made.</p> answering member printed Earl Howe grouped question UIN HL134 HL136 question first answered 18/06/2014 11:58:25 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

60547

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Centres: Worcester
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made as to which alternative facilities will be used by those who currently use Worcester Walk-In Health Centre if it is closed.
tabling member printed	Lord Hunt of Kings Heath
uin	HL136
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>The reconfiguration of local health services is a matter for the National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p>We are aware that the local consultation on the <em>Worcestershire Urgent Care Strategy</em> closed on 9 April 2014. The clinical commissioning groups in Worcestershire are now considering the responses. No decisions have yet been made.</p> answering member printed Earl Howe grouped question UIN HL134 HL135 question first answered 18/06/2014 11:58:24 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

60548

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Minor Injuries Units: Cannock Chase
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking in respect of the proposed reduction in service at the Cannock Chase Minor Injuries Unit.
tabling member printed	Lord Hunt of Kings Heath
uin	HL137
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The reconfiguration of local health services is a matter for the National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p>We are aware that local general practitioners in Cannock Chase Clinical Commissioning Group are currently developing proposals for the future configuration of the Cannock Chase Minor Injuries Unit. Any proposed service redesign would be subject to public consultation in due course. No decisions on the future of the unit have been made yet.</p> answering member printed Earl Howe grouped question UIN HL138 question first answered 16/06/2014 11:34:46 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

60549

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Minor Injuries Units: Cannock Chase
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 impact of the changes to service provision at the Cannock Chase Minor Injuries Unit onemergency departments in Staffordshire and Wolverhampton.
tabling member printed	Lord Hunt of Kings Heath
uin	HL138
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The reconfiguration of local health services is a matter for the National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p>We are aware that local general practitioners in Cannock Chase Clinical Commissioning Group are currently developing proposals for the future configuration of the Cannock Chase Minor Injuries Unit. Any proposed service redesign would be subject to public consultation in due course. No decisions on the future of the unit have been made yet.</p> answering member printed Earl Howe grouped question UIN HL137 question first answered 16/06/2014 11:34:45 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

57554

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mid Staffordshire NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their estimate of the cost of the special administration process in relation to Mid-Staffordshire NHS Trust.
tabling member printed	Lord Hunt of Kings Heath
uin	HL27
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>The appointment of Trust Special Administrators (TSAs) to Mid-Staffordshire NHS Foundation Trust in April 2013 was made by Monitor. The TSAs' final proposals were accepted by Monitor in January 2014, and by the Secretary of State in February 2014.</p><p> </p><p>In an announcement on 13 March 2014, Monitor stated that the costs of the process to date had been £7,250,000, with an additional £250,000 incurred by the team of administrators in expenses.</p><p><strong> </strong></p><p>Following the Secretary of State's acceptance of the proposals, the TSAs have remained in post to continue with the day to day management of the Trust and to work on implementing the proposals.</p><p><strong> </strong></p><p>In the announcement Monitor anticipated that the overall cost of the TSA contract for the lifetime of the project would be between £12 million and £15 million.</p><p><strong> </strong></p><p>Monitor's announcement can be found on its website at:</p><p> </p><p>www.gov.uk/government/news/mid-staffs-monitor-announces-next-steps</p><p> </p> answering member printed Earl Howe question first answered 10/06/2014 15:28:17 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

57555

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Leigh's Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government why funding for the selective dorsal rhizotomy procedure was withdrawn by NHS England in the case of Jake Foster who suffers from Leigh's disease.
tabling member printed	Lord Hunt of Kings Heath
uin	HL28
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised services. As a procedure, Selective dorsal rhizotomy (SDR) falls within this remit.</p><p> </p><p>SDR is not typically considered as a treatment for patients with Leigh's Disease. For this reason, NHS England has not to date considered developing or publishing a policy on the use of SDR for this condition.</p> answering member printed Earl Howe question first answered 16/06/2014 11:37:35 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath