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  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, how many finished consultant episodes there were at York Teaching Hospital NHS Foundation Trust in each year since 2008-09 and in each year since.

    Jane Ellison

    The information requested is shown in the following table:

    Count of Finished Consultant Episodes1 where the provider was York Teaching Hospitals NHS Foundation Trust, for the years 2008-09 to 2012-132

    Year

    FCEs

    2008-09

    87,023

    2009-10

    91,528

    2010-11

    97,719

    2011-12

    103,847

    2012-13

    164,691

    Notes:

    1Finished Consultant Episode (FCE)

    A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.

    2Assessing growth through time (Admitted patient care)

    Hospital Episode Statistics 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) and changes in National Health Service practice. For example, changes in activity may be due to changes in the provision of care.

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

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, how many admissions there were for alcohol-related illnesses in (a) York, (b) North Yorkshire and York Primary Care Trust area and (c) England in 2008-09 and in each year since.

    Jane Ellison

    The following tables contain the sum of the estimated alcohol attributable fractions (AAFs) for admissions for patients in (a) York (b) North Yorkshire and York primary care trust (PCT) area and (c) England over for the years 2008-09 to 2012-13.

    It should be noted that these figures are not a count of people and represent an estimated number of admissions that were attributable to alcohol.

    AAFs are based on the proportion of a given diagnosis or injury that is estimated to be attributed to alcohol. Some diagnoses or injuries will, by definition, be wholly attributable to alcohol and have an AAF of one, others will only be partly attributable to alcohol and have an AAF greater than zero, but less than one. Diagnoses or injuries that are not attributable at all to alcohol will have an AAF of zero.

    These figures are derived by summing all AAFs for the relevant admissions and should therefore only be interpreted as an estimate of the number of admissions that can be attributed to alcohol.

    In addition, partially AAFs are not applicable to children aged under 16 years, therefore figures for this age group relate only to wholly – attributable admissions.

    The NHS Information Centre for Health and Social Care – Statistics on Alcohol: England, 2014 report manually implemented new methodology against the 2012-13 data in their report. However, no change to the underlying Hospital Episode Statistics (HES) data has been currently made.

    Sum of partially and wholly alcohol attributable fractions1 for finished admission episodes (FAEs)2 for patients for York Teaching Hospital NHS Trust, North Yorkshire and York PCT of treatment and England for 2008-09 to 2012-133

    York Teaching Hospital NHS Trust

    Sum of wholly alcohol Attributable fractions (FAEs)1

    Sum of partially alcohol Attributable fractions (FAEs)1

    Total

    2008-09

    1,185

    3,775.21

    4,960.21

    2009-10

    1,259

    3,673.31

    4,932.31

    2010-11

    1,268

    4,065.70

    5,333.70

    2011-12

    1,225

    3,952.58

    5,177.58

    2012-13

    2,217

    7,936.95

    10,153.95

    North Yorkshire and York PCT

    Sum of wholly alcohol Attributable fractions (FAEs)1

    Sum of partially alcohol Attributable fractions (FAEs)1

    Total

    2008-09

    2,669

    7,480.90

    10,149.90

    2009-10

    3,029

    9,246.72

    12,275.72

    2010-11

    3,124

    10,340.52

    13,464.52

    2011-12

    3,097

    10,846.87

    13,943.87

    2012-13

    2,930

    11,465.32

    14,395.32

    England

    Sum of wholly alcohol Attributable fractions (FAEs)1

    Sum of partially alcohol Attributable fractions (FAEs)1

    Total

    2008-09

    237,820

    707,649.50

    945,469.50

    2009-10

    265,246

    791,716.34

    1,056,962.34

    2010-11

    287,198

    881,067.56

    1,168,265.56

    2011-12

    304,206

    916,087.40

    1,220,293.40

    2012-13

    294,786

    937,677.63

    1,232,463.63

    Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.

    Notes:

    1Alcohol –related admissions

    The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO), which uses 48 indicators for alcohol-related illnesses, determining the proportion of a wide range of diseases and injuries that can be partly attributed to alcohol as well as those that are, by definition, wholly attributable to alcohol. Further information on these proportions can be found at:

    www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf

    The AAF is set to 1 (100%) where the admission is considered to be entirely due to alcohol, e.g. in the case of alcoholic liver disease – these records are described as wholly alcohol attributable. The AAF is set to a value greater than 0 but less than 1 according to the NWPHO definition, e.g. the alcohol fraction of an admission with a primary diagnosis of C00 – malignant neoplasm of lip, where the patient is male and between 65 and 74 is 0.44 – these records are described as partly alcohol attributable.

    These wholly and partly AAFs can be aggregated to supply an estimate of activity which can be considered wholly or partly attributable to alcohol.

    Partly AAFs are not applicable to children under 16. Therefore figures for this age group relate only to wholly-attributable admissions, where the attributable fraction is one.

    2Finished admissions episodes

    A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.

    3Assessing 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, changes in activity may be due to changes in the provision of care.

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

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, what the average gross earnings of a full-time equivalent NHS nurse were in (a) cash and (b) real terms in (i) England and (ii) York in 1996-97 and in each year since.

    Dr Daniel Poulter

    The primary source of National Health Service earnings data is published by the Health and Social Care Information Centre. Data on average basic pay per full-time equivalent is taken from this publication. This is based on Electronic Staff Record data which is only available from 2008-09 onwards so the data series cannot be extended into early years. Data relating to York relates to the former North Yorkshire and York Primary Care Trust and York Teaching Hospitals Foundation Trust. For reference a comparison of basic pay per headcount, which has not specifically been requested, is provided.

    England

    Year

    Average Total Earnings

    Cash

    £
    (Headcount)
    (England Average)

    Average Total Earnings

    Real Terms

    £
    (Headcount)
    (England Average)

    2008-09

    28,384

    31,784

    2009-10

    29,412

    32,056

    2010-11

    30,174

    32,050

    2011-12

    30,439

    31,596

    2012-13

    30,657

    31,270

    2013-14

    30,917

    30,917

    York

    Year

    Average Total Earnings

    Cash

    £
    (Headcount)
    (York Average)

    Average Total Earnings

    Real Terms

    £
    (Headcount)
    (York Average)

    2008-09

    27,988

    31,341

    2009-10

    29,000

    31,607

    2010-11

    30,194

    32,071

    2011-12

    30,743

    31,912

    2012-13

    31,787

    32,423

    2013-14

    30,123

    30,123
  • John Glen – 2014 Parliamentary Question to the Department of Health

    John Glen – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by John Glen on 2014-06-27.

    To ask the Secretary of State for Health, what the purpose is of NHS England’s review of specialised services commissioning; on what date the decision to commission the review was taken; when he expects the review to conclude; whether he intends to consult on the outcome of the review; and if he will make a statement.

    Jane Ellison

    Since April 2013, NHS England has been responsible for the commissioning of services that have been identified as specialised. NHS England’s role is to ensure that the National Health Service delivers better outcomes for patients requiring these specialised services in a consistent manner across the country.

    NHS England is committed to commissioning and planning a healthcare system that seeks to reduce health inequalities. In line with the UK Strategy for Rare Diseases, NHS England promotes equity of access to allow everyone with a rare disease to follow a clear, well defined care pathway, in order to achieve high quality services for every individual through integrated personal care plans. The aim is to ensure no one gets left behind just because they have a rare disease.

    NHS England has advised that the review of specialised services commissioning was initiated at the start of May and will run for an initial period of three months. Dr Paul Watson, Regional Director for the Midlands and East Region, is leading the specialised commissioning taskforce. National discussions took place at the end of April and the taskforce was established in April 2014 in order to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. This taskforce comprises of seven distinct work streams, which will focus on financial control in 2014-15, and planning for the 2015-16 commissioning round. The seven work streams each have a distinct portfolio of work, some of which is short-term, and some of which includes looking to the future and the development of a sustainable and effective model of specialised commissioning.

    Around 50 additional individuals, from different disciplines, have been drawn from across NHS England, coming together to support intensive, focussed attention in a number of these work streams.

    There are aspects of the work which will require engagement with clinical commissioning groups (CCGs). In consultation with the Commissioning Assembly, a specific working group has been established to enable the joint discussions with CCGs to take place. The first meeting of this group was on 4 July.

    NHS England advise that there are currently no plans to consult on the outcome of the work of the taskforce.

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, what the mean and median waiting time was for treatment at accident and emergency in York Teaching Hospital NHS Foundation Trust in 2007-08 and in each year since.

    Jane Ellison

    The attached table shows the mean and median waiting times for assessment, treatment, and departure at accident and emergency departments at York Teaching Hospital NHS Foundation Trust.

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, how many patients had been waiting for (a) over six months and (b) three months for in-patient admission at York Teaching Hospitals NHS Foundation Trust in March 1997 and in each year since.

    Jane Ellison

    Information is not available in the format requested. Information on the number of patients waiting over six months and three months for in-patient admission at what is now York Teaching Hospital NHS Foundation Trust from March 1997 to March 2010 is shown in the attached table.

    Since 2007, waiting times on a referral to treatment (RTT) basis have been published. Information on the number of patients who waited over six months and over three months on an admitted RTT pathway at York Teaching Hospital NHS FT between March 2008 and March 2012 is shown in the attached table.

  • Anas Sarwar – 2014 Parliamentary Question to the Department of Health

    Anas Sarwar – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Anas Sarwar on 2014-06-27.

    To ask the Secretary of State for Health, what steps the Government is taking to reduce the number of avoidable deaths from breast cancer.

    Jane Ellison

    The Cancer Outcomes Strategy set out our ambition to save an additional 5,000 lives per year by 2014-15 and is backed with more than £750 million, including more than £450 million to achieve early diagnosis by improving public awareness of the symptoms of cancer and improving access to key diagnostic tests.

    Public Health England, working with the Department and NHS England, ran a national Be Clear on Cancer campaign on breast cancer in women over 70. The campaign aimed to improve awareness of the signs and symptoms of breast cancer and urge people with relevant signs and symptoms to visit their general practitioner promptly.

    Screening is an important way to detect cancer early and the National Health Service Breast Screening Programme (BSP) invites women aged 50 to 70 every three years. We want to expand the NHS BSP so that more women can make the important choice to take part, so the programme is currently being extended to women aged 47-49 and 71-73 as part of a major research trial. Results on the impact of the extension on breast cancer mortality will be known in the early 2020s.

  • Anas Sarwar – 2014 Parliamentary Question to the Department for Business, Innovation and Skills

    Anas Sarwar – 2014 Parliamentary Question to the Department for Business, Innovation and Skills

    The below Parliamentary question was asked by Anas Sarwar on 2014-06-27.

    To ask the Secretary of State for Business, Innovation and Skills, what assessment he has made of the potential effect on funding for medical research of Scottish independence.

    Mr David Willetts

    My Rt Hon Friend the Secretary of State for Business, Innovation and Skills has made no assessment of the effect of funding for medical research in a separate Scotland.

    The Scotland Analysis: Science and Research report published in November 2013 examined the current UK framework for funding, infrastructure, coordination and collaboration. It demonstrated that Scottish research has thrived within this system – for example regularly receiving a higher percentage of Research Council funding when compared to UK population share.

    The same holds true for research charities. In 2011 Scotland received 13% of all investment made by members of the Association of Medical Research Charities.

    The evidence shows that being part of the UK complements and strengthens Scotland’s world-class research base.

    The UK Government’s position is clear: if Scotland left the UK, the current framework for research could not continue. The best way for research to continue to flourish in Scotland is together as part of the UK.

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, what the starting salary of a full-time equivalent NHS nurse in York was in (a) cash and (b) real terms in 1996-97 and in each year since.

    Dr Daniel Poulter

    Since the introduction of Agenda for Change in October 2004, nurses who are newly qualified start at Agenda for Change Band 5. Prior to Agenda for Change they started at Whitley Grade D. National salary scales apply for NHS nurses in York. The starting salary for a full-time equivalent NHS nurse in cash and real terms is shown in the following table.

    Year

    Cash Terms Starting Salary (£)

    (Full Time)

    (National Scale)

    Real Terms Starting Salary (£)

    (Full Time)

    (National Scale)

    1996-97

    11,895

    17,254

    1997-98

    12,385

    17,646

    1998-99

    12,855

    17,972

    1999-00

    14,400

    19,744

    2000-01

    14,890

    20,271

    2001-02

    15,445

    20,470

    2002-03

    16,005

    20,730

    2003-04

    16,525

    20,997

    2004-05

    18,114

    22,397

    2005-06

    18,698

    22,705

    2006-07

    19,166

    22,623

    2007-08

    19,683

    22,663

    2008-09

    20,225

    22,648

    2009-10

    20,710

    22,572

    2010-11

    21,176

    22,492

    2011-12

    21,176

    21,981

    2012-13

    21,176

    21,600

    2013-14

    21,388

    21,388

    2014-15

    21,478

    Notes:

    1. Starting pay for a newly qualified nurse is normally the minimum of the scale applicable to basic grade qualified nurses as follows:

    1996-97 to 2003-04: Whitley D Grade

    2004-05 o 2013-14: Agenda for Change Band 5

    2. Starting pay is taken from national pay scales.

    3. Figures given include any staged increases in the year in question.

    4. The starting pay given for 2004-05 is the minimum of the Agenda for Change Band 5 scale at the effective date of implementation of Agenda for Change on 1 October 2004.

    5. The 2014-15 starting salary change is due to an adjustment to ensure all staff on Spine Point 15 eligible for incremental progression received at least 1% when progressing to Spine Point 16, which is also the current starting Spine Point for a newly qualified nurse.

    6. The cash terms data has been converted into real terms using the latest official Gross Domestic Product (GDP) deflator series taken from the HM Treasury website on 30 June 2014 and last updated on 20 December 2013.

    7. It is not possible to convert the 2014-15 cash starting salary to real terms because of the way the GDP deflator series operates.

    8. To be as up to date as possible, the real terms data is presented in 2013-14 prices. This involves using the HM Treasury forecast GDP deflator value for 2013-14.

  • Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    Hugh Bayley – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Hugh Bayley on 2014-06-27.

    To ask the Secretary of State for Health, how many organ donations have been received in Yorkshire and the Humber in 2008-09 and in each year since.

    Jane Ellison

    The information requested is in the following tables:

    Deceased organ donors at hospitals in Yorkshire and the Humber – by financial year as at 30 June 2014

    Year

    Number

    2008-09

    57

    2009-10

    81

    2010-11

    79

    2011-12

    74

    2012-13

    86

    2013-14

    87

    2014-15 (to date)

    19

    Total

    483

    Source: NHS Blood and Transplant

    Total organ transplants for Yorkshire and the Humber residents1 – by financial year as at 30 June 2014

    Total

    2008-09

    2009-10

    2010-11

    2011-12

    2012-13

    2013-14

    2014-15

    (to date)

    Organs

    305

    266

    300

    321

    320

    381

    94

    1Transplant counts are based on recipient residence postcode rather than transplant unit

    Source: NHS Blood and Transplant