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1695709

	registered interest
	date	13/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Acute Beds: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	18493
	answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18494 18495 18496 18497 question first answered 19/03/2024 17:15:13 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1695710

	registered interest
	date	13/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Acute Beds: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in each acute trust within the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	18494
	answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18493 18495 18496 18497 question first answered 19/03/2024 17:15:14 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1695711

	registered interest
	date	13/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospital Beds: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is for an adult intensive care unit hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	18495
	answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18493 18494 18496 18497 question first answered 19/03/2024 17:15:14 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1695712

	registered interest
	date	13/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospital Beds: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is per adult elderly care hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	18496
	answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18493 18494 18495 18497 question first answered 19/03/2024 17:15:14 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1695713

	registered interest
	date	13/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Accident and Emergency Departments: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average (a) daily cost per adult held in the emergency department and (b) length of stay was in that department in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	18497
	answer	answer is ministerial correction date of answer 19/03/2024 answer text <p>The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p><p>The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider</a></p><p>The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 18493 18494 18495 18496 question first answered 19/03/2024 17:15:13 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1644596

	registered interest
	date	14/06/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Out-patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the target in NHS England's publication entitled Implementing patient initiated follow-up: Guidance for local health and care systems, published on 17 May 2022, that outpatient follow ups should be reduced by a minimum of 25 per cent against 2019-20 activity levels by March 2023, what steps he is taking to ensure that an adequate level of care is provided to (a) patients with chronic illnesses and (b) other patients who receive reduced levels of outpatient follow ups.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	189604
	answer	answer is ministerial correction date of answer 20/06/2023 answer text <p>The decision to follow-up with a patient will always be driven by clinical need and appropriateness. NHS England has produced guidance to support systems and providers to take a risk-based approach to reducing follow-ups, including the Clinically-led Specialty Outpatient Guidance, published in April 2023, which provides practical, condition-specific advice for services to focus on which are safe and clinically appropriate for specialities with the highest number of long waits.</p><p>NHS England’s guidance for Patient initiated follow-up (PIFU) is clear that people with long term conditions who are placed on a PIFU should still have a periodic review in line with clinical guidance for the specialty.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 20/06/2023 12:01:37 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1644664

	registered interest
	date	14/06/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospices: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the settlement decision of NHS Lancashire and South Cumbria Integrated Care Board not to grant additional funding to hospices on (a) patient care and (b) the financial sustainability of those hospices.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	189634
	answer	answer is ministerial correction date of answer 23/06/2023 answer text <p>No assessment has been made. The Government and NHS England recognises the importance of palliative and end of life care for patients and those important to them. Palliative and end of life care, including hospice care, is commissioned locally by integrated care boards (ICBs) in response to the needs of their local population. Any assessment would therefore be made at a local level.</p><p>With increasing costs and pressures and operational planning requirements from NHS England to reduce overspends, Lancashire and South Cumbria ICB has had to prioritise and focus funding on maintaining core services in the National Health Service.</p><p>As part of this review of spending, a decision has been made to not financially uplift the funding to voluntary sector contracts in Lancashire and South Cumbria, and this includes hospices. The ICB has not cut its funding to the hospices and recognises the essential work they do to support local communities. However, the ICB has not at this stage in the year been able to allocate any inflationary uplift to the contracts.</p><p>Discussions are ongoing and there are plans for the ICB to meet with the Lancashire and South Cumbria hospice leaders to discuss further.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 189563 question first answered 23/06/2023 12:43:29 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1628435

	registered interest
	date	17/05/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Neurology: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that people affected by neurological conditions have access to appropriate (a) treatment and (b) support.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	185609
	answer	answer is ministerial correction date of answer 22/05/2023 answer text <p>As set out in the NHS England Roadmap for integrating specialised services within integrated care systems, integrated care boards (ICBs) have, from April 2023, delegated responsibility for the commissioning of specialised neurosciences services. Integrating the commissioning of neurosciences services with ICBs will allow local systems to simplify and strengthen care pathways with other services through effective local partnerships, ensuring continuity for patients and improved health outcomes.</p><p>NHS England has also established the Neuroscience Transformation Programme, a multi-year, clinically-led programme aimed at improving specialised adult neuroscience services in England and developing a new model of integrated care for neurology services.</p><p>To support systems to understand the priorities in neurology care and improve service quality, NHS England has developed the RightCare Progressive Neurological Conditions Toolkit. The Toolkit supports improvements to pathways for progressive neurological patients, ensuring that commissioners focus on quicker and more accurate diagnoses and increasing the availability of neurorehabilitation, reablement, and psychosocial support.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 22/05/2023 16:48:04 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1624329

	registered interest
	date	27/04/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Musculoskeletal Disorders: Community Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much and what proportion of his Department's budget is spent on community musculoskeletal services.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	183117
	answer	answer is ministerial correction date of answer 03/05/2023 answer text <p>This information is not available in in the format requested.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 03/05/2023 10:00:03 answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith

1602422

	registered interest
	date	08/03/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Brian House Children's Hospice: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the adequacy of the level of Government support for Brian House Children's Hospice.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	161325
	answer	answer is ministerial correction date of answer 14/03/2023 answer text <p>No specific assessment has been made.</p><p>Integrated care boards are required to commission the appropriate palliative and end of life care services considered necessary to meet the reasonable needs of their local populations.</p><p>Additionally, NHS England is investing £25 million in the financial year 2023/2024 to provide care close to home for seriously ill children, as and when they need it. Additionally, £7 million in match funding is being made available to commissioners for local children’s palliative and end of life care services for the financial year 2023/2024.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 14/03/2023 11:53:20 answering member 4527 label Biography information for Helen Whately previous answer version 61546 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
	tabling member	4436 label Biography information for Cat Smith