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>
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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>
Any changes must be supported by the Government\u2019s four tests for service change, namely:<\/p>
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<\/p>
<\/p>
- support from general practitioner commissioners;<\/p>
<\/p>
- clarity on the clinical evidence base;<\/p>
<\/p>
- robust patient and public engagement; and<\/p>
<\/p>
- support for patient choice.<\/p>
<\/p>
<\/p>
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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>
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<\/p>
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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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/2000", "label" : {"_value" : "Biography information for Earl Howe"} } , "answeringMemberPrinted" : {"_value" : "Earl Howe"} , "dateOfAnswer" : {"_value" : "2014-10-27", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-27T12:41:26.5594108Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Accident and Emergency Departments"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3701", "label" : {"_value" : "Biography information for Baroness McDonagh"} } , "tablingMemberPrinted" : [{"_value" : "Baroness McDonagh"} ], "uin" : "HL2242"} , {"_about" : "http://data.parliament.uk/resources/100046", "AnsweringBody" : [{"_value" : "Department for Transport"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100046/answer", "answerText" : {"_value" : "
Network Rail, which leads the industry deployment of the European Rail Traffic Management System (ERTMS), is fully engaged within European groups involved in ERTMS rollout. In particular Network Rail is looking closely at the Danish deployment, which will deliver ERTMS onto mixed traffic corridors. The assessments of Network Rail are fed into national planning activities for ERTMS implementation.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1557", "label" : {"_value" : "Biography information for Baroness Kramer"} } , "answeringMemberPrinted" : {"_value" : "Baroness Kramer"} , "dateOfAnswer" : {"_value" : "2014-10-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-28T15:26:13.7629336Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "27"} , "answeringDeptShortName" : {"_value" : "Transport"} , "answeringDeptSortName" : {"_value" : "Transport"} , "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "European Rail Traffic Management System"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government what assessment they have made as to progress in other countries of the European Union of the successful installation of the European Rail Traffic Management System on any busy mixed traffic railway.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/2483", "label" : {"_value" : "Biography information for Lord Bradshaw"} } , "tablingMemberPrinted" : [{"_value" : "Lord Bradshaw"} ], "uin" : "HL2252"} , {"_about" : "http://data.parliament.uk/resources/100007", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100007/answer", "answerText" : {"_value" : "
The Prime Minister, my right hon. Friend the Member for Witney (Mr Cameron), asked that the Egyptian government address the large number of people being held in detention during his meeting with President Al-Sisi at the UN General Assembly in New York on 23 September. John Casson, our Ambassador in Cairo, discussed the recent university protests with Ahmed el-Tayyeb, Grand Imam of Al-Azhar, on 14 October. The UK believes that freedom of expression, including the right to protest peacefully, is important in any democracy.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"} } , "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"} , "dateOfAnswer" : {"_value" : "2014-10-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-28T16:36:00.7673786Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "16"} , "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"} , "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"} , "date" : {"_value" : "2014-10-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Egypt"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government what representations they have made to the government of Egypt about recent arrests of students, and the placing of private security companies, on university campuses there.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/2018", "label" : {"_value" : "Biography information for Lord Hylton"} } , "tablingMemberPrinted" : [{"_value" : "Lord Hylton"} ], "uin" : "HL2222"} , {"_about" : "http://data.parliament.uk/resources/100008", "AnsweringBody" : [{"_value" : "Home Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100008/answer", "answerText" : {"_value" : "
The Azure card is issued to destitute failed asylum seekers who require support because they are temporarily unable to leave the United Kingdom and can be used at most of the main supermarket chains to purchase food and other essential items. The performance of the card is kept under regular review and the views of reputable partners such as the Red Cross are carefully considered but the Government is satisfied that it is an effective way of ensuring the individuals are able to meet their essential living needs and not left destitute.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1091", "label" : {"_value" : "Biography information for Lord Bates"} } , "answeringMemberPrinted" : {"_value" : "Lord Bates"} , "dateOfAnswer" : {"_value" : "2014-10-27", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-27T12:15:07.651748Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "1"} , "answeringDeptShortName" : {"_value" : "Home Office"} , "answeringDeptSortName" : {"_value" : "Home Office"} , "date" : {"_value" : "2014-10-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Asylum: Finance"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government whether they intend to review the azure payment card for asylum seekers as a result of the new report by the British Red Cross on the humanitarian cost of the card.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3691", "label" : {"_value" : "Biography information for Lord Roberts of Llandudno"} } , "tablingMemberPrinted" : [{"_value" : "Lord Roberts of Llandudno"} ], "uin" : "HL2223"} , {"_about" : "http://data.parliament.uk/resources/100009", "AnsweringBody" : [{"_value" : "Department for Work and Pensions"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100009/answer", "answerText" : {"_value" : "
All Jobcentre Plus District Managers have access to the Flexible Support Fund, that they can use to supplement mainstream services and to tailor support to the needs of individuals and the local area. A proportion of this fund will be spent by their Work Services Teams on discretionary awards to individual claimants, which could include helping with travel costs to attend job interviews.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3893", "label" : {"_value" : "Biography information for Lord Freud"} } , "answeringMemberPrinted" : {"_value" : "Lord Freud"} , "dateOfAnswer" : {"_value" : "2014-10-23", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-23T15:06:09.3638452Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "29"} , "answeringDeptShortName" : {"_value" : "Work and Pensions"} , "answeringDeptSortName" : {"_value" : "Work and Pensions"} , "date" : {"_value" : "2014-10-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Unemployed People: Travel"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government what financial assistance is given to help young people on benefits with the travel costs associated with attending job interviews.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3691", "label" : {"_value" : "Biography information for Lord Roberts of Llandudno"} } , "tablingMemberPrinted" : [{"_value" : "Lord Roberts of Llandudno"} ], "uin" : "HL2224"} , {"_about" : "http://data.parliament.uk/resources/100012", "AnsweringBody" : [{"_value" : "Home Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100012/answer", "answerText" : {"_value" : "
There is no reason why any asylum seekers should be left without support on reaching the age of 18. Unaccompanied asylum seeking children are looked after by local authorities and most will continue to be supported in this way after the age of 18 under leaving care legislation while they remain in the UK.<\/p>
<\/p>
Any asylum seeker that does not have an entitlement to leaving care support would be eligible to support from the Home Office under the provisions of section 95 of the Immigration and Asylum Act 1999 if they were destitute.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1091", "label" : {"_value" : "Biography information for Lord Bates"} } , "answeringMemberPrinted" : {"_value" : "Lord Bates"} , "dateOfAnswer" : {"_value" : "2014-10-27", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-27T12:40:35.435951Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "1"} , "answeringDeptShortName" : {"_value" : "Home Office"} , "answeringDeptSortName" : {"_value" : "Home Office"} , "date" : {"_value" : "2014-10-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Asylum: Finance"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government how many asylum claimants are left without any state support, on reaching the age of 18.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3691", "label" : {"_value" : "Biography information for Lord Roberts of Llandudno"} } , "tablingMemberPrinted" : [{"_value" : "Lord Roberts of Llandudno"} ], "uin" : "HL2227"} , {"_about" : "http://data.parliament.uk/resources/99956", "AnsweringBody" : [{"_value" : "Home Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/99956/answer", "answerText" : {"_value" : "
The Home Office does not collect figures on the number of volunteers who work alongside the police.<\/p>
<\/p>
However, the Home Office does collect and publish statistics on the number of special constables in England and Wales. Figures for the last ten years can be found in table 3 of the latest \u2018Police Workforce, England and Wales\u2019 statistical release, which can be accessed here:<\/p>