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101434

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases: Gloucestershire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to provide (a) further funding for and (b) expanded provision of paediatric cardiac surgery services in Gloucestershire; and if he will make a statement.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	212240
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>This is a matter for NHS England which is currently undertaking a review of congenital heart services for the whole pathway of care which includes paediatric cardiac surgical services, and the extent of provision of those services.</p><p> </p><p> </p><p> </p><p>NHS England will provide appropriate funding for services as they are commissioned.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:54:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	253 label Biography information for Mr Laurence Robertson

101155

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Queen Alexandra Hospital: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) mean and (b) median waiting time for treatment in Queen Alexandra Hospital's accident and emergency department was in each year from 2009-10.
	tabling member constituency	Fareham
	tabling member printed	Mr Mark Hoban
	uin	212136
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p><strong> </strong></p><p> </p><p>The information is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="4"><p>Mean and median duration (in minutes) to treatment for Portsmouth Hospitals NHS Trust accident and emergency (A&amp;E) department, 2009-10 – 2012-13.</p></td></tr><tr><td><p>Year</p></td><td><p>Number of attendances with a valid Duration to Treatment</p></td><td><p>Mean Duration to Treatment</p></td><td><p>Median Duration to Treatment</p></td></tr><tr><td><p>2009-10</p></td><td><p>102,395</p></td><td><p>83</p></td><td><p>52</p></td></tr><tr><td><p>2010-11</p></td><td><p>108,101</p></td><td><p>83</p></td><td><p>55</p></td></tr><tr><td><p>2011-12</p></td><td><p>118,719</p></td><td><p>65</p></td><td><p>49</p></td></tr><tr><td><p>2012-13</p></td><td><p>128,728</p></td><td><p>70</p></td><td><p>48</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES) Analysis Team at the Health and Social Care Information Centre.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes</em>:</p><p> </p><p> </p><p> </p><ol start="1" type="1"><li>Mean and median – The mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.</li><li>The information supplied was available by Trust rather than by individual A&amp;E Department and therefore the Department has supplied information on Portsmouth Hospitals NHS Trust as a whole rather than Queen Alexandra Hospital A&amp;E specifically.</li><li>Duration to assessment – The total amount of time in minutes between the patient's arrival and their initial assessment in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is initially assessed.</li><li>Duration to treatment – The total amount of time in minutes between the patient's arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient began treatment.</li><li>Duration to departure – the total amount of time spent in minutes in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.</li><li>Hospital provider - A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS trust or primary care trust). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures.</li><li>Assessing growth through time (A&amp;E) – HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</li><li>Data quality – The recording of duration in HES A&amp;E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.</li></ol><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:52:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	1414 label Biography information for Mr Mark Hoban

101411

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, what steps he has taken to ensure that NHS England and Monitor work together to consider whether adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller hospitals providers relative to large providers.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212369
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212365 212366 212367 212368 question first answered 03/11/2014 17:50:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

101429

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, what the process is that will ensure that the local NHS Foundation Trust is able to open GP surgeries with registered lists.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212368
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212365 212366 212367 212369 question first answered 03/11/2014 17:50:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

101430

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, if he will ensure that Hartlepool constituency is a pilot area for the introduction of Primary and Acute Care Services.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212367
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212365 212366 212368 212369 question first answered 03/11/2014 17:50:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

101432

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, if he will ensure that Hartlepool constituency is a pilot area for the pooling of health and social care budgets between the NHS and the local authority delegated to Multispecialty Community Providers.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212366
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212365 212367 212368 212369 question first answered 03/11/2014 17:50:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

101426

	registered interest
	date	28/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, if he will ensure that Hartlepool constituency is a pilot area for (a) the introduction of Multispecialty Community Providers and (b) such a provider taking over the running of the local hospital.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212365
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212366 212367 212368 212369 question first answered 03/11/2014 17:50:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

101564

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of the active time of North West Ambulance Service ambulances stationed outside South Lakeland District is spent inside that District.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	212422
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally but might be obtained from the North West Ambulance Service NHS Trust. The Government expects all ambulance trusts to provide a quality response to their populations based on the clinical needs of the patients.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212421 question first answered 03/11/2014 17:47:42 answering member 3918 label Biography information for Jane Ellison
	tabling member	1591 label Biography information for Tim Farron

101573

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ambulance Services: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of the active time of the North West Ambulance Service ambulances stationed in South Lakeland District is spent outside that district.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	212421
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally but might be obtained from the North West Ambulance Service NHS Trust. The Government expects all ambulance trusts to provide a quality response to their populations based on the clinical needs of the patients.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212422 question first answered 03/11/2014 17:47:42 answering member 3918 label Biography information for Jane Ellison
	tabling member	1591 label Biography information for Tim Farron

101576

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) process and (b) timelines followed by the NHS to determine a specialised clinical commissioning policy are; and what the roles and responsibilities are of the NHS committees involved.
	tabling member constituency	St Austell and Newquay
	tabling member printed	Stephen Gilbert
	uin	212409
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Clinical policies are developed by the appropriate service specific clinical reference group and reviewed by the Clinical Prioritisation Advisory Group (CPAG). CPAG then makes a recommendation whether to commission the service or treatment in question. CPAG recommendations are ratified by the Specialised Commissioning Oversight Group (SCOG).</p><p> </p><p> </p><p> </p><p>The length of time to produce a clinical commissioning policy is variable depending on the complexity of the subject area. The timeline is typically between 6-9 months but can be shorter.</p><p> </p><p> </p><p> </p><p>SCOG has operational oversight of specialised commissioning and has delegated authority to make decisions on the recommendations made by CPAG, which provides advice to NHS England about any decision-making that defines access to clinical services. The Directly Commissioned Services Committee, a sub-committee of the NHS England Board, oversees the delivery of directly commissioned services within the overall strategy set by NHS England. The SCOG reports to this committee.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:46:20 answering member 3918 label Biography information for Jane Ellison
	tabling member	4101 label Biography information for Stephen Gilbert