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759342

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) knee, (b) hip and (c) shoulder replacements have been undertaken by the NHS in each of the last five years; and how many people aged (i) 30 to 40, (ii) 41 to 50, (iii) 51 and 60 and (iv) over 60 had such replacements.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10007
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>A count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedure<sup>2</sup> for 'joint replacement surgery'<sup>3</sup> which includes shoulder, hip and knee<sup>4</sup> in total and for selected age groups in England from 2011/12 to 2015/16<sup>5</sup> is provided in the tables below.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Knee replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>83,312</p></td><td><p>263</p></td><td><p>2,713</p></td><td><p>12,155</p></td><td><p>68,089</p></td></tr><tr><td><p>2012-13</p></td><td><p>82,976</p></td><td><p>271</p></td><td><p>2,838</p></td><td><p>12,558</p></td><td><p>67,200</p></td></tr><tr><td><p>2013-14</p></td><td><p>85,934</p></td><td><p>237</p></td><td><p>2,894</p></td><td><p>13,199</p></td><td><p>69,493</p></td></tr><tr><td><p>2014-15</p></td><td><p>91,542</p></td><td><p>228</p></td><td><p>2,964</p></td><td><p>14,076</p></td><td><p>74,148</p></td></tr><tr><td><p>2015-16</p></td><td><p>92,735</p></td><td><p>229</p></td><td><p>2,964</p></td><td><p>14,157</p></td><td><p>75,272</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Hip replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>104,434</p></td><td><p>1,126</p></td><td><p>3,895</p></td><td><p>11,245</p></td><td><p>87,683</p></td></tr><tr><td><p>2012-13</p></td><td><p>105,499</p></td><td><p>1,145</p></td><td><p>4,239</p></td><td><p>11,369</p></td><td><p>88,249</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,635</p></td><td><p>1,099</p></td><td><p>4,228</p></td><td><p>12,113</p></td><td><p>92,686</p></td></tr><tr><td><p>2014-15</p></td><td><p>113,111</p></td><td><p>1,157</p></td><td><p>4,386</p></td><td><p>12,796</p></td><td><p>94,227</p></td></tr><tr><td><p>2015-16</p></td><td><p>112,625</p></td><td><p>1,075</p></td><td><p>4,339</p></td><td><p>12,669</p></td><td><p>94,010</p></td></tr></tbody></table><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="5"><p>Shoulder replacements</p></td></tr><tr><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,852</p></td><td><p>61</p></td><td><p>222</p></td><td><p>518</p></td><td><p>5,010</p></td></tr><tr><td><p>2012-13</p></td><td><p>6,210</p></td><td><p>60</p></td><td><p>216</p></td><td><p>624</p></td><td><p>5,281</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,827</p></td><td><p>78</p></td><td><p>219</p></td><td><p>676</p></td><td><p>5,809</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,174</p></td><td><p>62</p></td><td><p>198</p></td><td><p>617</p></td><td><p>6,252</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,343</p></td><td><p>71</p></td><td><p>229</p></td><td><p>687</p></td><td><p>6,326</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p><sup>1 </sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p><sup>2 </sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p><sup>3 </sup>Included in the codes are for both partial and total joint replacements as well as conversion and revision codes. The ‘Conversion to’ codes provided in this resolution (e.g. W40.2) are assigned when the procedure has converted to the specified type of joint replacement from a different type of joint replacement. Examples could include conversion to a cemented total shoulder replacement following previous partial shoulder replacement or conversion to a total shoulder replacement following a previous uncemented shoulder replacement. This principle would apply to all ‘Conversion to’ prosthetic joint procedures provided. The ‘Conversion to’ codes could be considered ‘revisions’ in clinical terms, and you may wish to include these codes in your data search.</p><p><sup>4 </sup>A range of OPCS codes covering knee replacements, hemiarthroplasty knees, unicomparmental knee replacements, hip replacements, hemiarthroplasty hips, shoulder replacements and hemiarthroplasty shoulder have been included.</p><p><sup>5 </sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 13:01:41 answering member 1542 label Biography information for Philip Dunne
	tabling member	4131 label Biography information for Jim Shannon

759341

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Complaints
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many formal complaints (a) mental health services and (b) the NHS received in 2016-17.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	10016
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The total number of complaints in respect of National Health Service mental health services for 2016/17 is 14,106.</p><p> </p><p>The total written complaints in 2016/17 that the NHS received was 208,400.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 11:19:20 answering member 1542 label Biography information for Philip Dunne
	tabling member	4036 label Biography information for Luciana Berger

759717

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Maternity Services
	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 5 September 2017 to Question 6776, what steps his Department will take to include the recommendations of the national neonatal review due to publish its initial report in September 2017 for consultation in the Local Maternity System Plans which must be in place by October 2017; and what the timetable is for incorporating those recommendations in the period between publication of that review and the putting in place of those plans.
	tabling member constituency	Birmingham, Erdington
	tabling member printed	Jack Dromey
	uin	10021
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Neonatal Critical Care Review has this month, set out initial themes and recommendations supported by detailed data packs at Neonatal Care level and Local Maternity Systems level. The Local Maternity System Plans are being incorporated into local planning arrangements.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:53:38 answering member 1542 label Biography information for Philip Dunne
	tabling member	3913 label Biography information for Jack Dromey

759720

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Procurement
	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 13 July 2017 to Question 3138, if he will publish the constituent costs which make up the sum referred to as the forecast costs for the set-up of the new NHS Intelligent Client Coordinator body.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10085
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The constituent activities underpinning the forecast cost for the setup of the new NHS Intelligent Client Coordinator body can be categorised into Design, Build, and Support (time limited) activities. As one provider has been selected to undertake these activities through a competitive process, the associated costs are commercially sensitive and therefore cannot be publicly disclosed.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:57:50 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759727

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Finance
	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 29 June 2017 to Question 820, on NHS: finance, what recent assessment he has made of the effect of the UK leaving the EU on future funding for the NHS.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10086
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>In line with the rest of Government, the Department is analysing the impact of the United Kingdom’s withdrawal from the European Union. For the Department this includes understanding the financial implications of Brexit for the National Health Service and wider care system and, where appropriate, mitigating for any risks associated with different negotiated options.</p><p> </p><p>The Department is working to ensure the best outcome for the health and social care system. All relevant policy teams within the Department are involved with this work and are assessing the implications of the UK leaving the EU on their area. This includes working with NHS England and other arm’s length bodies.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:59:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759728

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Countess of Chester Hospital NHS Foundation Trust: Maternity Services
	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 13 July 2017 to Question 3375, on Chester Hospital: maternity services, what recent progress has been made on that investigation.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10087
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The investigation by Cheshire Constabulary into a number of baby deaths occurring between June 2015 and June 2016 in the neonatal unit of the Countess of Chester Hospital remains on-going since my previous response in July 2017. We are not able to provide any further details regarding recent progress at this time.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:45:54 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759722

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Reciprocal Arrangements
	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 12 July 2017 to Question 2509, on health services: reciprocal arrangements, if he will provide the data referred to for 2016-17.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10089
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The figures for the United Kingdom’s claims against European Economic Area (EEA) member states and Switzerland for medical costs for 2016/17 are attached.</p><p> </p><p>As stated in the response to Question 2509, under European Union Regulations, other European Economic Area (EEA) countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law. This includes UK nationals insured in another EEA country or Switzerland. In the same way, the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under EU law, irrespective of nationality.</p><p> </p><p>The European Health Insurance Card (EHIC) will cover any necessary treatment – including pre-existing medical conditions and routine maternity care - until the holder returns home.</p><p> </p><p>It is not possible to separate out claims to other EEA countries from the UK solely linked to EHIC usage. Claims by, and to, the UK for treatment relating to EHICs, are included in a larger category which also includes pre-authorised planned treatments and coverage for posted and frontier workers. It should be noted that Member States, including the UK, can submit claims up to 18 months in arrears so claims for any 12 month period do not necessarily reflect treatment provided in that period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:15:50 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ10089 attached table.xlsx title PQ10089 attached table
	tabling member	4418 label Biography information for Justin Madders

759734

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent representations he has received on IVF commissioning.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10097
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10207 10208 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759726

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to page 4 of the Royal College of Obstetricians and Gynaecologists' report, The Management of Nausea and Vomiting of Pregnancy and Hypermesis Gravidarum, published in June 2016, what steps he is taking to implement the recommendation that all therapeutic measures should have been tried before offering termination of a wanted pregnancy.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	10114
	answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>We expect clinicians to follow national guidelines and standards. The Royal College of Obstetricians and Gynaecologists clinical guideline “The Care of Women Requesting Induced Abortion” sets out that “All women requesting an abortion will require a discussion to determine the degree of certainty of their decision and their understanding of its implications as part of the process of gaining consent”. In the case of women suffering from nausea and vomiting in pregnancy and hyperemesis gravidarum clinicians will wish to consider whether all therapeutic measures have been tried, to ensure that the woman is giving fully informed consent.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 09/10/2017 14:17:08 answering member 1542 label Biography information for Philip Dunne
	tabling member	3958 label Biography information for Fiona Bruce

759721

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Parking
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much was raised by hospital parking charges in (a) Warrington, (b) the North West and (c) England in each of the last three years for which figures are available.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	10124
	answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>Data is not collected centrally on income earned from parking charges by the National Health Service.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 09/10/2017 14:35:53 answering member 1542 label Biography information for Philip Dunne
	tabling member	432 label Biography information for Helen Jones