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1170133

registered interest
date	13/01/2020
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	NHS: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much the NHS has paid out, in total, for clinical negligence claims in each of the last ten years for which figures are available; what were the five main reasons for such claims; and what strategy the NHS has for reducing the number of such claims.
tabling member printed	Lord Alton of Liverpool
uin	HL280
answer	answer is ministerial correction date of answer 27/01/2020 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>The amount the NHS has paid out, in total, for clinical negligence claims in each of the last 10 financial years for which figures are available is shown in the following table.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Total Paid £’000</p></td></tr><tr><td><p>2009/10</p></td><td><p>786,991</p></td></tr><tr><td><p>2010/11</p></td><td><p>863,398</p></td></tr><tr><td><p>2011/12</p></td><td><p>1,277,372</p></td></tr><tr><td><p>2012/13</p></td><td><p>1,258,881</p></td></tr><tr><td><p>2013/14</p></td><td><p>1,192,540</p></td></tr><tr><td><p>2014/15</p></td><td><p>1,169,587</p></td></tr><tr><td><p>2015/16</p></td><td><p>1,488,455</p></td></tr><tr><td><p>2016/17</p></td><td><p>1,707,167</p></td></tr><tr><td><p>2017/18</p></td><td><p>2,227,542</p></td></tr><tr><td><p>2018/19</p></td><td><p>2,359,866</p></td></tr></tbody></table><p> </p><p>The five main reasons for the above claims by frequency are:</p><p>- Failed / Delay to Treatment;</p><p>- Failed / Delay to Diagnosis;</p><p>- Intra-Operative Problems;</p><p>- Inappropriate Treatment; and</p><p>- Inadequate Nursing Care.</p><p> </p><p>Our ambition is for the NHS to be the safest healthcare system in the world. We have thoroughly overhauled the infrastructure underpinning healthcare quality and safety in the last decade to minimise harm. <em>The NHS Patient Safety Strategy: Safer culture, safer systems, safer patients</em>, published in July 2019, and <em>Safer Maternity Care: The NHS Maternity Safety Strategy – Progress and Next Steps</em>, published in November 2017, set out the comprehensive approach to continuously improve safety. Copies of the strategies are attached.</p><p>The NHS Resolution five-year strategy <em>Delivering fair resolution and learning from harm</em>, published in 2017, describes how the organisation is contributing to improved safety and tackling clinical negligence costs. NHS Resolution is committed to learning from claims and is working directly with trusts to share learning and best practice across the NHS to drive safety improvement. This will help to minimise the potential of clinical errors that could lead to harm and possible future claims. A copy of the strategy is attached.</p><p>The Department is also working intensively with the Ministry of Justice, other Government Departments and NHS Resolution to tackle the continued year-on-year-rises in clinical negligence costs which are eating progressively into resources available for front-line care. While there are no simple solutions and the work is still ongoing, good progress has been made in developing our understanding of all the drivers of cost and exploring ways forward.</p> answering member printed Lord Bethell attachment 1 file name 190708_Patient_Safety_Strategy_.pdf title NHS Patient Safety Strategy 2 file name Safer_maternity_care_-_progress_and_next_steps.pdf title Safer Maternity Care 3 file name NHS-Resolution-Our-strategy-to-2022-1.pdf title NHS Resolution Strategy question first answered 27/01/2020 12:15:56 answering member 4708 label Biography information for Lord Bethell
tabling member	738 label Biography information for Lord Alton of Liverpool

1169964

registered interest
date	10/01/2020
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	Bereavement Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has plans to (a) reduce the stigma associated with bereavement and (b) encourage the discussion of grief; and if he will make a statement.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	1923
answer	answer is ministerial correction date of answer 15/01/2020 answer text <p>We are working with the National Health Service to improve the quality and provision of bereavement counselling available across the country and reduce variation.</p><p> </p><p>In 2017 the National Bereavement Alliance in partnership with Ambitions Partnership produced ‘A Guide to Commissioning Bereavement Services in England’ to highlight the importance of practical and emotional support and to support commissioners in the provision of effective practical and emotional bereavement support.</p><p> </p><p>In 2018, ‘<a href="https://www.england.nhs.uk/ourwork/part-rel/nqb/national-guidance-for-nhs-trusts-engaging-with-bereaved-families/" target="_blank">Learning from deaths: Guidance for NHS trusts on working with bereaved families and carers</a>’, was published, providing advice to service providers regarding expected practice on how to engage, and work effectively with the bereaved following a death.</p><p> </p><p>A children and young people’s palliative and end of life care service specification was developed in 2018 by NHS England and NHS Improvement in collaboration with a range of stakeholders, to support improvements to services, care and experience. Work is underway to develop a national service specification for all aspects of end of life care covering community, hospital, hospice and tertiary care and which highlights the need for good bereavement and pre-bereavement care, including for children and young people.</p><p> </p><p><a href="http://endoflifecareambitions.org.uk/wp-content/uploads/2015/09/Ambitions-for-Palliative-and-End-of-Life-Care.pdf" target="_blank">Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020</a>, published by the National Palliative and End of Life Care Partnership, presents a framework for local action based on collective experience and analysis of the many reviews and reports in this area. The framework looks at how variation in palliative and end of life care can be tackled and makes clear that good end of life care encompasses support to help bereaved people manage the impact of a loved one’s death, including their loss and grief.</p><p> </p><p>Advice to people on coping with bereavement, grief and loss recommends that people should not think they are alone and try talking about their feelings to a friend, family member, health professional or counsellor. This is available on the NHS website at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/stress-anxiety-depression/coping-with-bereavement/" target="_blank">https://www.nhs.uk/conditions/stress-anxiety-depression/coping-with-bereavement/</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 1791 1792 question first answered 15/01/2020 16:24:52 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4658 label Biography information for Alex Sobel

1169972

registered interest
date	10/01/2020
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	Aviation: Exhaust Emissions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the effect of ultra fine particles from aircraft on the health of the population of (a) London and (b) the Home Counties.
tabling member constituency	Brentford and Isleworth
tabling member printed	Ruth Cadbury
uin	1905
answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>Public Health England has made no assessment of the effect of ultrafine particles (UFP) from aircraft on the health of the population of London and the Home Counties.</p><p> </p><p>The Department for Environment, Food and Rural Affairs’ Air Quality Expert Group published a report in 2018, which included a brief overview of the health concerns related to ambient UFP, but not specifically deriving from aircraft. The overview, which draws upon evidence reviewed by the World Health Organization and the Health Effects Institute concluded that there is currently limited evidence on the effects on health of UFP. The report can be viewed at the following link:</p><p><a href="https://uk-air.defra.gov.uk/assets/documents/reports/cat09/1807261113_180703_UFP_Report_FINAL_for_publication.pdf" target="_blank">https://uk-air.defra.gov.uk/assets/documents/reports/cat09/1807261113_180703_UFP_Report_FINAL_for_publication.pdf</a></p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 20/01/2020 15:38:15 answering member 4380 label Biography information for Jo Churchill
tabling member	4389 label Biography information for Ruth Cadbury

1169974

registered interest
date	10/01/2020
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	Mental Health Services: St Helens North
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 he is taking as part of the NHS Long Term Plan to improve children’s mental health services in St Helens North constituency; and if he will make a statement.
tabling member constituency	St Helens North
tabling member printed	Conor McGinn
uin	1907
answer	answer is ministerial correction date of answer 15/01/2020 answer text <p>The NHS Long Term Plan commits to at least an additional 345,000 children and young people aged 0-25 being able to access support via National Health Service-funded mental health services and school or college-based mental health support teams by 2023/24.</p><p> </p><p>St Helens Clinical Commissioning Group (CCG) has advised that it is taking a borough-wide approach for children and young people’s mental health. As part of this, the CCG will fund a number of projects including:</p><p> </p><p>- commissioning Kooth - an online provider that supplies advice, guidance, general support and online counselling for children and young people aged 11-25 years. This will go live in March 2020;</p><p>- extending the Promoting Alternative Thinking Strategies programme into additional schools in the borough; and</p><p>- a one-year pilot to enhance the crisis response service provision for children and young people with autism and/or learning disabilities.</p><p><strong> </strong></p><p>In addition, the CCG has agreed to take part in the national Link programme, which brings together professionals from education and health in workshops to create closer working to help address the mental health needs of children and young people in the borough.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 15/01/2020 16:47:18 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4458 label Biography information for Conor McGinn

1169975

registered interest
date	10/01/2020
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	Mental Health Services: Children
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 funding has been allocated from the public purse to children’s mental health services in (a) St Helens and (b) nationally in each of the last 10 years.
tabling member constituency	St Helens North
tabling member printed	Conor McGinn
uin	1908
answer	answer is ministerial correction date of answer 15/01/2020 answer text <p>This information is not held centrally.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 15/01/2020 16:43:19 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4458 label Biography information for Conor McGinn

1169721

registered interest
date	09/01/2020
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	Continuing Care
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 it his policy to ensure that a rapidly deteriorating condition that may be entering a terminal phase under paragraph 16 of the Fast Track Pathway Tool for NHS Continuing Healthcare is interpreted to exclude all patients other than those confined to bed and within a few days of death; and if he will make a statement.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	1673
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The National Framework for NHS Continuing Healthcare and National Health Service-funded Nursing Care sets out the policy for the use of the Fast Track Pathway Tool.</p><p> </p><p>The Fast Track Pathway Tool must only be used when the individual has a rapidly deteriorating condition and may be entering a terminal phase.</p><p> </p><p>The completed Fast Track Pathway Tool should be supported by a prognosis, where available. However, strict time limits that base eligibility on a specified expected length of life remaining should not be imposed:</p><p> </p><p>- ‘rapidly deteriorating' should not be interpreted narrowly as only meaning an anticipated specific or short time frame of life remaining; and</p><p>- ‘may be entering a terminal phase’ is not intended to be restrictive to only those situations where death is imminent.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	242 label Biography information for Sir Christopher Chope

1169725

registered interest
date	09/01/2020
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	HIV Infection: Drugs
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 he is taking to ensure that gay and bisexual men in York Central constituency have access to places on the PrEP Impact Trial.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	1768
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The Department has not had discussions with Monkgate Health Centre on participation in the pre-exposure prophylasis (PrEP) Impact Trial.</p><p>Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide the number of allocated places they can accept. The PrEP Impact Trial website includes a map showing the distribution of the 154 clinics level 3 Sexual Health Services participating in the trial at the following link:</p><p><a href="http://www.prepimpacttrial.org.uk" target="_blank">www.prepimpacttrial.org.uk</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 1769 question first answered 14/01/2020 17:16:25 answering member 4380 label Biography information for Jo Churchill
tabling member	4471 label Biography information for Rachael Maskell

1169726

registered interest
date	09/01/2020
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	Learning Disabilities Mortality Review Programme
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 the Government is taking to reduce the backlog of unreviewed cases in the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1707
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1708 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169727

registered interest
date	09/01/2020
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	Learning Disabilities Mortality Review Programme
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 increasing backlog of LeDer cases to be reviewed, what assessment the Government has made of the effectiveness of the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1708
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1707 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169728

registered interest
date	09/01/2020
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	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with YorSexualHealth, Monkgate Health Centre that is not currently recruiting gay and bisexual men on the PrEP impact trial.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	1769
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The Department has not had discussions with Monkgate Health Centre on participation in the pre-exposure prophylasis (PrEP) Impact Trial.</p><p>Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide the number of allocated places they can accept. The PrEP Impact Trial website includes a map showing the distribution of the 154 clinics level 3 Sexual Health Services participating in the trial at the following link:</p><p><a href="http://www.prepimpacttrial.org.uk" target="_blank">www.prepimpacttrial.org.uk</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 1768 question first answered 14/01/2020 17:16:25 answering member 4380 label Biography information for Jo Churchill
tabling member	4471 label Biography information for Rachael Maskell