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Justin Madders – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Justin Madders on 2016-02-01.

To ask the Secretary of State for Health, how many cases of sepsis there were in each region of England in each of the last five years.

Ben Gummer

Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for patients in each government office region of residence in England, in each year from 2010-11 to 2014-15 are provided below.

These figures relate only to hospital admissions and do not include those patients who were diagnosed in a primary care setting, or those who attended hospital as an Outpatient.

This is not a count of patients as the same patient may have had more than one episode of care within the same year.

Count of FDEs¹ with a primary or secondary diagnosis² of sepsis³ for patients in each government office region of residence for 2010-11 to 2014-15^4.Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector

Government office region	2010-11	2011-12	2012-13	2013-14	2014-15
North East	4,798	5,074	5,655	6,275	7,388
North West	13,258	13,109	14,708	17,221	20,922
Yorkshire and The Humber	9,182	9,189	10,146	11,338	12,857
East Midlands	7,316	8,115	9,831	10,863	12,998
West Midlands	7,772	7,915	10,518	12,297	13,812
East of England	10,380	10,432	11,647	13,108	16,029
London	14,894	15,223	15,580	17,860	19,723
South East	13,945	15,344	16,604	19,239	21,378
South West	8,013	8,292	9,805	10,967	12,722
England – Not Otherwise Specified	48	83	75	84	102
Unknown/Non-England	2,275	8,239	9,716	3,570	3,841
Total	91,881	101,015	114,285	122,822	141,772

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

The increasing incidence of sepsis is likely to be due to people living longer and more medical and surgical interventions being performed. People with series co-morbidities are more likely to survive their illness, and for a longer period of time than in previous decades, which leads to much of the hospital-acquired sepsis that now occurs.

Notes:

¹Finished Discharge Episode (FDE) – A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.

²Number of episodes in which the patient had a primary or secondary diagnosis – The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.

³ICD-10 codes for Sepsis – A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn
The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together:
A39.1 Waterhouse-Friderichsen syndrome; E35.1 Disorders of adrenal glands in diseases classified elsewhere

⁴Assessing growth through time (Admitted patient care) – HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1st April 2012 and 31st March 2013.

01/01/2023

Norman Lamb – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Norman Lamb on 2016-02-01.

To ask the Secretary of State for Health, how many safeguarding incidents occurred in child and adolescent mental health services in England by provider of such services in each of the last 10 years.

Alistair Burt

While information on safeguarding incidents is not held centrally, National Health Service organisations have a duty to investigate local safeguarding issues, where appropriate in conjunction with the relevant local authority. Reports from investigations into safeguarding concerns are typically held by the relevant clinical commissioning group, and local authority where appropriate.

01/01/2023
Norman Lamb – 2016 Parliamentary Question to the Department for Education

The below Parliamentary question was asked by Norman Lamb on 2016-02-01.

To ask the Secretary of State for Education, what progress her Department has made in conducting an audit of educational provision within children and adolescent mental health service tier 4 settings.

Mr Sam Gyimah

The Department for Education has been working with the National Health Service to determine the scope and nature of the audit of educational provision within Children and Adolescent Mental Health Service (CAMHS) tier 4 settings, as a result of the Health Select Committee report on CAMHS in 2014. We will release the outcomes of this audit in due course.

01/01/2023
Victoria Borwick – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Victoria Borwick on 2016-02-01.

To ask the Secretary of State for Health, if he will discuss with the Secretary of State for Communities and Local Government steps to encourage local authorities (a) to use their powers under section 106 of the Town and Country Planning Act 1990 and (b) in other ways to allocate space for surgeries in new developments.

Alistair Burt

Departmental officials have regular contact with those at the Department for Communities and Local Government (DCLG). Discussions have included the funding of local infrastructure through the community infrastructure levy and section 106 agreements. We consider that national planning guidance published by DCLG provides local planning authorities with the required information to enable them to assess the future provision of local infrastructure which will include health and social care facilities.

The provision of national health services in England is managed by clinical commissioning groups and NHS England. In order to assess whether new surgeries or other healthcare facilities will be required as a result of new development, local planning authorities should engage with these commissioners.

They should be able to assess whether existing health services will be adversely affected by a new residential scheme and if so, what additional healthcare facilities would be required. This could include the enlargement of existing premises or lead to a requirement for new accommodation. Based on this information, the local planning authority has to make a decision on the appropriate funding arrangements for the required infrastructure resulting from a new development.

We consider the best solution in this matter is for local planning authorities to use their existing powers to consult with the commissioners rather than any intervention by the Department.

01/01/2023
Victoria Borwick – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Victoria Borwick on 2016-02-01.

To ask the Secretary of State for Health, what assessment he has made of the effect on health care provision in Central London of trends in the number of GPs retiring from single-handed practices (a) over the last five years and (b) in the next five years.

Alistair Burt

This is a matter for NHS England.

Where a single-handed general practitioner (GP) retires, it is the responsibility of NHS England to ensure the patients of that practice have continued access to National Health Service primary medical services.

When a single-handed GP retires an assessment is made on a case by case basis taking into account a range of factors including the demographic profile of patients, alternative local GP capacity and quality, and, patient and stakeholder engagement. This assessment informs the decision as to whether to procure a new service provider or to facilitate patients to register with alternative local GPs.

In terms of future planning NHS England and London Clinical Commissioning Groups are aware of the ages of GPs which may be an indication of future retirements, however, there is no set age for retirement. Capacity planning is constantly under review and considers both potential retirement as well as other factors such as population growth, premises and range of services to be provided which then informs commissioning strategy.

01/01/2023
Victoria Borwick – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Victoria Borwick on 2016-02-01.

To ask the Secretary of State for Health, what steps he is taking to help maintain access to local GPs for people in Central London.

Alistair Burt

This is a matter for NHS England.

Where a single-handed general practitioner (GP) retires, it is the responsibility of NHS England to ensure the patients of that practice have continued access to National Health Service primary medical services.

When a single-handed GP retires an assessment is made on a case by case basis taking into account a range of factors including the demographic profile of patients, alternative local GP capacity and quality, and, patient and stakeholder engagement. This assessment informs the decision as to whether to procure a new service provider or to facilitate patients to register with alternative local GPs.

In terms of future planning NHS England and London Clinical Commissioning Groups are aware of the ages of GPs which may be an indication of future retirements, however, there is no set age for retirement. Capacity planning is constantly under review and considers both potential retirement as well as other factors such as population growth, premises and range of services to be provided which then informs commissioning strategy.

01/01/2023
Sadiq Khan – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Sadiq Khan on 2016-02-01.

To ask the Secretary of State for Health, how many GP surgeries (a) closed, (b) opened and (c) merged in (i) London, (ii) each London borough and (iii) each Trust area in London in each year since 2010.

Alistair Burt

The information is not held in the format requested.

01/01/2023
Luciana Berger – 2016 Parliamentary Question to the Ministry of Justice

The below Parliamentary question was asked by Luciana Berger on 2016-02-01.

To ask the Secretary of State for Justice, pursuant to the Answer of 1 February 2016 to Question 24627, on mental health: tribunals, if he will make it his policy to record this information.

Caroline Dinenage

As noted in my response to PQ 24627, the Ministry of Justice does not hold this information and has no plans to record it.

01/01/2023
Luciana Berger – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Luciana Berger on 2016-02-01.

To ask the Secretary of State for Health, what advice his Department gives to employers on supporting employees who return to work after a period of mental illness.

Alistair Burt

The National Institute for Health and Care Excellence (NICE) has published guidance on workplace health management practices. This guidance provides evidence based recommendations on improving the health and wellbeing of employees, and can support organisations to develop effective return to work policies. The guidance is complemented by earlier guidance published by NICE on promoting mental wellbeing at work.

Additionally, guidance on the NHS Choices website provides advice for line managers on supporting employees with long-term medical conditions, including those with mental health conditions. This can be found at the following link:

http://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdf

Public Health England is working with Business in the Community on a new resource for businesses focused specifically on addressing mental health issues building on the existing best practice and considering the transferable learning between business sectors and businesses of different sizes.

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01/01/2023
Luciana Berger – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Luciana Berger on 2016-02-01.

To ask the Secretary of State for Health, what steps he is taking to raise awareness of B12 vitamin deficiency.

Jane Ellison

The Department raises awareness of B12 vitamin deficiency through the NHS Choices website. It provides a comprehensive web-based health information service and provides advice on areas such as health and diet, including a section on vitamin B12.

The National Institute for Health and Care Excellence guidance states that information about awareness, diagnosis and treatment of vitamin B12 deficiency should also be provided by public health care professionals.

01/01/2023