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164363

registered interest
date	24/11/2014
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, how many contracts of what value were signed by NHS commissioners with non-NHS providers in 2009-10.
tabling member constituency	Meon Valley
tabling member printed	George Hollingbery
uin	215711
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Department does not collect information on which providers have been awarded contracts at local level.</p><p> </p><p> </p><p> </p><p>It is for local commissioners to decide how best to secure local services and take a decision on which are the most capable providers to deliver those services in the best interests of their patients. There is no requirement for commissioners to put all services out to competitive tender.</p><p> </p><p> </p><p> </p><p>Whether NHS services are provided by the public, voluntary or private sector, they remain publicly funded and free at the point of delivery with access based on clinical need.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/11/2014 17:29:33 answering member 3918 label Biography information for Jane Ellison
tabling member	4016 label Biography information for Sir George Hollingbery

164365

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of NHS staff are eligible for incremental pay awards; and how many of those will receive at least (a) one per cent and (b) three per cent pay increases this year.
tabling member constituency	Mid Worcestershire
tabling member printed	Sir Peter Luff
uin	215716
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Government is committed to reforming progression pay in the National Health Service to ensure that the system is fair, consistent and sustainable.</p><p> </p><p> </p><p> </p><p>Over 50% (around 620,000 headcount) of hospital and community health services staff are eligible for incremental pay increases; subject to meeting local performance standards.</p><p> </p><p> </p><p> </p><p>All of these eligible staff will receive at least a 1% increase.</p><p> </p><p> </p><p> </p><p>Two thirds of those staff are eligible for at least 3%, which is the average incremental increase. This is around 410,000 staff (headcount).</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 16:42:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	268 label Biography information for Sir Peter Luff

164366

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress he has made on implementing the recommendations of the Berwick report into Improving the Safety of Patients in England, published in August 2013.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	215725
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>The Government has put in place a number of measures to support National Health Service orgnisations to respond positively to the Berwick Report ‘<em>Improving the Safety of Patients in England</em>’’ including greater transparency, openness and candour; ensuring safe staffing levels; creating a culture of learning and development with the establishment of 15 Patient Safety Collaboratives; and making patient safety a primary goal with a new ambition to halve avoidable harm and save 6,000 lives over the next three years, underpinned by the Sign up to Safety campaign.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:23:17 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4078 label Biography information for Paul Uppal

164367

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Driving: Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with the Driver and Vehicle Licensing Agency about the prescription of oral medications for type 2 diabetes that carry an increased risk of hypoglycaemia.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	215647
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Oral medications are widely used to control high blood glucose levels in patients with type 2 diabetes, leading to reductions in long-term complications of diabetes such as heart and kidney disease. The risk of hypoglycaemia associated with these drugs is well-known and is evaluated in detail both at the time of marketing authorisation approval and in the post-marketing period.</p><p> </p><p> </p><p> </p><p>The Patient Information Leaflet provided with all oral diabetes treatments contains advice on the risk of hypoglycaemia while driving. Patients are instructed to take appropriate precautions or to avoid driving completely if affected by hypoglycaemia.</p><p> </p><p> </p><p> </p><p>In addition, the Driver and Vehicle Licensing Agency’s ‘At a glance guide to the current medical standards of fitness to drive’ (May 2014) provides detailed advice to healthcare professionals on the management of patients receiving oral diabetes therapies who wish to drive.</p><p> </p><p> </p><p> </p><p>The Medicines and Healthcare products Regulatory Agency keeps the safety of medicines under continual review and is in regular discussion on relevant issues with the DVLA and the Department for Transport, most recently regarding the development of public communications for the new offence of driving with certain drugs taken above specified limits, which is due to come into force in March 2015. The new offence mainly involves illegal drugs and those with sedative effects and does not include treatments for diabetes.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 16:53:36 answering member 4020 label Biography information for George Freeman
tabling member	1538 label Biography information for Rosie Cooper

164497

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Stem Cells
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what proportion of the mitochondrial diseases listed in Annex D of the Mitochondrial Donation consultation document, February 2014, include degenerative neurological conditions; whether the Human Fertilisation and Embryology Authority (HFEA) has received any suggestions from either research licence holders or nominal licensees that stem cells derived by somatic cell nuclear transfer "are likely to carry very low levels of mtDNA mutation and are therefore likely to be suitable for therapeutic use" to "treat degenerative disease caused by mtDNA mutations" as described in Scientific Reports (DOI: 10.1038/srep03844); and what assessment they have made of the feasibility of treating neurological conditions associated with mitochondrial disease in this way in light of findings recently reported in the journal Cell Stem Cell (DOI: 10.1016/j.stem.2014.11.003) and the Proceedings of the National Academy of Sciences of the United States of America (Volume 111, no. 26, pages 9633–38).
tabling member printed	Lord Alton of Liverpool
uin	HL3090
answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>We are advised that all conditions listed in Annex D of the mitochondrial donation consultation document ultimately lead to progressive degenerative neurological conditions.</p><p> </p><p> </p><p> </p><p>The Human Fertilisation and Embryology Authority (HFEA) has advised that one of the research projects it licenses is investigating the use of embryonic stem cells “to improve the outcome of infertility treatments, and to make progress towards the wider application of IVF-based techniques to help prevent and treat degenerative disease”. The latest interim inspection report relating to this project can be found on the HFEA’s website at:</p><p> </p><p> </p><p> </p><p><a href="http://guide.hfea.gov.uk/guide/InspectionReport.aspx?code=17&amp;s=l&amp;&amp;nav=3" target="_blank">http://guide.hfea.gov.uk/guide/InspectionReport.aspx?code=17&amp;s=l&amp;&amp;nav=3</a></p><p> </p><p> </p><p> </p><p>The HFEA has also advised that it has not made the assessment stated by the noble Lord in respect of the two journal articles.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 15:58:39 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

164499

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government by how much the provision for clinical negligence claims against the National Health Service has grown in the last year; why it has grown; and what strategy is in place for reducing that amount.
tabling member printed	Lord Sharkey
uin	HL3092
answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>As at 31 March 2014, the National Health Service Litigation Authority (NHS LA) estimates that it has potential liabilities of £26.1 billion, of which £25.7 billion relates to clinical negligence. This is an increase of £3.1 billion from 31 March 201<del class="ministerial">4<ins class="ministerial">3</ins></del>, which can mainly be attributed to a continual rise in clinical negligence claims over recent years. There are a number of factors driving this increase, including the rise in the number of patients cared for and in the complexity of their care; and the general rise in litigation across a number of sectors including the NHS, driven in part by ‘no win, no fee’ agreements. It is anticipated that the effect of the latter is likely to diminish as a result of the Government’s Legal Aid Sentencing and Punishment of Offenders Act of 2012.</p><p> </p><p>The Department believes the best way to reduce negligence claims is to improve patient care and safety. In March 2014, the Secretary of State for Health issued a call to action to make the NHS the safest healthcare system in the world and achieve a three-year goal to halve avoidable harm and save 6,000 lives. The Sign up to Safety campaign embodies the ambition of the NHS to build a culture of safety, bringing together individuals and organisations with a contribution to make towards the patient safety goal. Elements of this campaign will focus on a reduction in avoidable harm that can lead to compensation claims. Organisations that sign up are setting out what they will do to strengthen patient safety, including a safety improvement plan which shows how their organisation intends to save lives and reduce harm for patients over the next three years. The NHS Litigation Authority, which already provides a “safety and learning service” to trusts<strong>,</strong> will support those organisations which have patient safety improvement plans that show a likely reduction in their higher volume, higher value claims.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 16:04:05 question first ministerially corrected 13/01/2015 14:37:59 answering member 2000 label Biography information for Earl Howe previous answer version 31769 answering member printed Earl Howe answering member 2000 label Biography information for Earl Howe
tabling member	4196 label Biography information for Lord Sharkey

164501

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have any plans to increase the extent of community healthcare coverage to conditions, such as frontotemporal dementia, which to date they have considered highly socially complex, rather than medically complex, and not deemed a primary health care need.
tabling member printed	Baroness Greengross
uin	HL3094
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>Health and Wellbeing Boards in each upper-tier Local Authority are responsible for the development of Joint Strategic Needs Assessments to identify the current and future health and wellbeing needs of the local population and a Joint Health and Wellbeing Strategy that sets the strategic direction for local commissioning decisions. This may include assessment of the prevalence and impact of dementia, and appropriate actions for prevention, diagnosis and care.</p><p> </p><p> </p><p> </p><p>The healthcare provided is inclusive of all types of dementia including frontotemporal dementia.</p><p> </p> answering member printed Earl Howe question first answered 03/12/2014 15:39:33 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

164502

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	James Paget University Hospitals NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many nurses the James Paget University Hospitals NHS Foundation Trust has employed in each of the last five years.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3095
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The information requested is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>National Health Service Hospital and Community Health Services: qualified nursing, midwifery and health visiting staff in James Paget University Hospitals NHS Foundation Trust as at 30 September for each specified year (full-time equivalent)</p></td></tr><tr><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td></tr><tr><td><p>734</p></td><td><p>741</p></td><td><p>742</p></td><td><p>741</p></td><td><p>756</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Health and Social Care Information Centre (HSCIC) Non-Medical Workforce Census.</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. Full time equivalent figures are rounded to the nearest whole number.</p><p> </p><p>2. These statistics relate to contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.</p><p> </p><p>3. From 2011 the bank staff return was suspended (and formally ceased in 2013). All data (for all years) in this table exclude bank staff.</p><p> </p><p>4. Data Quality: HSCIC seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality where changes impact on figures already published. This is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses.</p><p> </p> answering member printed Earl Howe question first answered 02/12/2014 12:31:35 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

164503

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	James Paget University Hospitals NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what was the average waiting time in the accident and emergency department at James Paget University Hospitals NHS Foundation Trust was in each of the last five years.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3096
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>Weekly situation reports collected by NHS England are the official source of information about accident and emergency (A&amp;E) waiting times. These measure the number of patients admitted, transferred or discharged within four hours of arrival at an A&amp;E department, but do not provide information on average waiting times.</p><p> </p><p> </p><p> </p><p>Information is available in hospital episode statistics (HES) on average waiting times to assessment, treatment and departure in A&amp;E departments. Information for James Paget University Hospitals NHS Foundation Trust for the relevant years is shown in the following table. The duration to departure times are most closely aligned to the official information.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="7"><p>Mean and median duration (minutes) to assessment, treatment and departure in A&amp;E at James Paget University Hospitals NHS Foundation Trust from 2008-09 to 2012-13.</p></td></tr><tr><td><p>Year</p></td><td><p>Mean duration to assessment</p></td><td><p>Median duration to assessment</p></td><td><p>Mean duration to treatment</p></td><td><p>Median duration to treatment</p></td><td><p>Mean duration to departure</p></td><td><p>Median duration to departure</p></td></tr><tr><td><p>2008-09</p></td><td><p>50</p></td><td><p>36</p></td><td><p>53</p></td><td><p>39</p></td><td><p>124</p></td><td><p>112</p></td></tr><tr><td><p>2009-10</p></td><td><p>50</p></td><td><p>36</p></td><td><p>52</p></td><td><p>38</p></td><td><p>127</p></td><td><p>115</p></td></tr><tr><td><p>2010-11</p></td><td><p>45</p></td><td><p>30</p></td><td><p>45</p></td><td><p>31</p></td><td><p>131</p></td><td><p>114</p></td></tr><tr><td><p>2011-12</p></td><td><p>43</p></td><td><p>26</p></td><td><p>50</p></td><td><p>35</p></td><td><p>140</p></td><td><p>124</p></td></tr><tr><td><p>2012-13</p></td><td><p>41</p></td><td><p>21</p></td><td><p>56</p></td><td><p>42</p></td><td><p>142</p></td><td><p>135</p></td></tr></tbody></table><p> </p><p><em>Source</em>: HES, Health and Social Care Information Centre.</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The table shows the mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.</p><p> </p><p>2. Planned attendances are excluded.</p><p> </p><p>3. The recording of duration in HES A&amp;E is not mandatory, and this may have affected in particular the quality of recorded durations to assessment and treatment.</p><p> </p><p>4. Duration to assessment is the time in minutes between the patients’ 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.</p><p> </p><p>5. Duration to treatment is the time in minutes between the patients’ 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.</p><p> </p><p>6. Duration to departure is time spent in minutes in an 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, dying in the department, discharged with no follow up or discharged and referred to another specialist department.</p><p> </p><p>7. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in National Health Service practice.</p><p> </p> answering member printed Earl Howe question first answered 02/12/2014 12:36:55 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

164504

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	James Paget University Hospitals NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many people have been prosecuted for attacks on staff at James Paget University Hospitals NHS Foundation Trust in each of the last five years.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3097
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The information requested is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>Prosecutions following physical assaults on staff at James Paget University Hospitals NHS Foundation Trust for the last five years.</p></td></tr><tr><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>0</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p><em>Source:</em> James Paget University Hospitals NHS Foundation Trust</p><p> </p><p> </p><p> </p><p>Criminal sanctions imposed following physical assaults on National Health Service staff include cautions and conditional cautions, community rehabilitation or punishment orders, conditional discharges, fines, fixed penalty notices and imprisonment (including suspended sentences).</p><p> </p><p> </p><p> </p><p>Information on the numbers of reported physical assaults on NHS staff in England in 2013-14 and on the numbers of criminal sanctions imposed following assaults on NHS staff is in the document ‘Tables Showing the number of reported physical assaults on NHS staff in 2013-14’, which has been placed in the Library. The documents ‘Tables showing number of reported physical assaults on NHS staff in 2009-10, broken down by NHS trust/PCT’, 'Tables showing the number of reported physical assaults on NHS staff in 2010-11, broken down by NHS trust/PCT’, 'Tables showing the number of reported physical assaults on NHS staff in 2011-12, broken down by NHS trust/PCT' and 'Tables showing the number of reported physical assaults on NHS staff in 2012-13, broken down by health body' have already been placed in the Library.</p><p> </p> answering member printed Earl Howe question first answered 02/12/2014 12:30:00 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath