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100036

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local 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> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

60568

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	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their estimate of the availability of beds for accident and emergency patients.
tabling member printed	Lord Taylor of Warwick
uin	HL157
answer	answer is ministerial correction date of answer 19/06/2014 answer text Not all patients who attend accident and emergency departments are admitted into hospital and require a bed. In 2013-14, 24% of 21.8 million accident and emergency attendances resulted in an emergency admission. Information is collected every quarter on bed availability and occupancy, including general and acute beds. In 2013-14 there were, on average, 135,964 general and acute beds open overnight, of which 88.0% were occupied. Information is collected every month on critical care bed availability and occupancy. In 2013-14 there were, on average, 4,274 adult and paediatric critical care beds, of which 82.9% were occupied. This information does not separately identify bed availability or occupancy for patients admitted via accident and emergency or any other admission method. answering member printed Earl Howe question first answered 19/06/2014 11:55:36 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

60866

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	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 recent estimate he has made of the number of patients visiting A&E departments after having been unable to make an appointment with their GP.
tabling member constituency	Wythenshawe and Sale East
tabling member printed	Mike Kane
uin	904119
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>There are over 300 million consultations in general practice each year. The latest general practitioner (GP) patient survey results show that less than 2% of patients attended a walk-in centre or accident and emergency department because they were unable to get a convenient appointment with their GP at their practice.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/06/2014 15:25:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4316 label Biography information for Mike Kane

62072

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	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 estimate his Department has made of the average travelling distance to a 24-hour accident and emergency department for people in (a) Bury St Edmunds constituency, (b) Suffolk and (c) England and Wales.
tabling member constituency	Bury St Edmunds
tabling member printed	Mr David Ruffley
uin	200878
answer	answer is ministerial correction date of answer 23/06/2014 answer text <p>No estimate has been made by the Department. NHS England has, however, published best practice guidance ‘Planning and delivering service changes for patients'. In the guidance, commissioners are reminded that where any changes are proposed to urgent and emergency care services they need to provide analysis of travelling times and distances, identifying the impact on pedestrians and public and private transport users, as well as the ambulance service where relevant.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/06/2014 15:18:26 answering member 3918 label Biography information for Jane Ellison
tabling member	133 label Biography information for Mr David Ruffley

63912

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	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 duration to assessment, duration to treatment and duration to departure was in (i) type 1 and (ii) all accident and emergency departments in each month in each of the last five years.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	202302
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The information has been placed in the Library.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 16:06:48 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202302 - Lib Doc - Table.xlsx title Library Document
tabling member	4122 label Biography information for Alex Cunningham

78956

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they intend to take action to improve accident and emergency unit waiting times, in the light of reported missed targets over the last year.
tabling member printed	Lord Taylor of Warwick
uin	HL1273
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>National Health Service accident and emergency (A&amp;E) departments are measured against a standard that at least 95% of patients should be admitted, transferred or discharged within four hours of arrival. The standard applies to all types of (A&amp;E) departments, including major (A&amp;E) departments, minor injury units, and walk-in centres.</p><p> </p><p>This standard was met in all four quarters and for the whole of 2013-14, with performance at 95.7% for the year. It has been met for the first quarter (April to June) of 2014-15, with performance at 95.1%.</p><p> </p><p>There were 21.8 million attendances at (A&amp;E) departments in 2013-14 compared to 20.5 million in 2009-10, and in the face of rising demand not all patients are receiving care within the standard. NHS England, the NHS Trust Development Authority and Monitor are working with the most challenged providers and commissioners. £400 million has been made available this year to ensure local urgent and emergency care services are sustainable and prepared for winter.</p><p> </p> answering member printed Earl Howe question first answered 22/07/2014 16:29:07 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

93275

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	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 recent steps he has taken to reduce hospital accident and emergency waiting times.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	210522
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Accident and emergency departments are measured against a standard that at least 95% of patients should be admitted, transferred or discharged within four hours of arrival.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In the face of rising demand, this standard was met in the first quarter (April to June) of 2014-15, with performance at 95.1%, but narrowly missed in the second quarter (July to September) with performance at 94.98%</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>An additional £400 million funding has been made available to ensure local urgent and emergency care services are sustainable and ready for the pressures of winter. A range of other steps will relieve demand on accident and emergency departments by improving access to services outside of hospitals and improving the flow of patients through and out of hospitals. These include extending opening hours for general practice, a £3.8 billion Better Care fund for the National Health Service and local authorities to invest in joined up health and social services from April 2015, the NHS 111 service signposting people to primary and community settings where appropriate, the ambulance service resolving more calls without taking people to accident and emergency departments, and increasing accident and emergency workforce capacity. In the longer term, a review of urgent and emergency care services is looking at the way the NHS responds to and receives emergency patients to hospital, to ensure a sustainable system for the future.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:13:14 answering member 3918 label Biography information for Jane Ellison
tabling member	1447 label Biography information for Andrew Rosindell