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  • Yasmin Qureshi – 2014 Parliamentary Question to the Department of Health

    Yasmin Qureshi – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Yasmin Qureshi on 2014-04-10.

    To ask the Secretary of State for Health, what methods of data collection his Department uses to measure the performance of services against each of the 13 statements in the National Institute for Health and Care Excellence Breast cancer quality standard.

    Jane Ellison

    The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.

    Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.

    At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.

  • Yasmin Qureshi – 2014 Parliamentary Question to the Department of Health

    Yasmin Qureshi – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Yasmin Qureshi on 2014-04-10.

    To ask the Secretary of State for Health, what assessment his Department has made of the performance of cancer services against statements 11 and 12 in the National Institute for Health and Care Excellence Breast cancer quality standard.

    Jane Ellison

    The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.

    Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.

    At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, whether he is satisfied with the current levels of recruitment to midwifery; and what steps he is taking to encourage recruitment of midwives.

    Dr Daniel Poulter

    Health Education England are working with NHS England to ensure that sufficient midwives and other maternity staff are trained and available to provide every woman with personalised one-to-one care throughout pregnancy, childbirth and during the post natal period.

    Since June 2012 there are over 6,000 more midwives in training to qualify over the next three years. The latest figures show there are 21,888 qualified midwives (full time equivalent) working in the NHS in England.

    It is the responsibility of local NHS organisations to assess the health needs of their local communities and ensure they have the right staff, with the rights skills to deliver high quality and safe care.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, if he will bring forward from 42 weeks the period for inducing labour in at risk expectant mothers.

    Dr Daniel Poulter

    The induction of labour is a clinical decision for healthcare professionals. These decisions are based on the latest available evidence and take account of the risk and other clinical factors for each individual pregnancy.

    To assist healthcare professionals, the National Institute for Health and Care Excellence has published clinical guidelines on the induction of labour, which are available on the NICE website at:

    www.nice.org.uk/nicemedia/live/12012/41256/41256.pdf.

    The NICE guidelines advise that women with uncomplicated pregnancies should usually be offered induction of labour between 41+0 and 42+0 weeks.

    Women can be deemed high risk for a multitude of reasons. Each reason will carry its own set of criteria for delivery. It is not possible to say that induction for all at risk pregnancies should be brought forward as these should be reviewed according to individual needs.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, what recent assessment he has made of the sufficiency of access to information about support and services for people diagnosed with a brain tumour; and if he will make a statement.

    Jane Ellison

    NHS England has made a recent assessment of the sufficiency of access to information about support and services for people diagnosed with a brain tumour through its Peer Review Programme (PRP). This programme includes measures that require all brain and central nervous system multidisciplinary teams (MDTs) to demonstrate the availability and adequacy of patient information. The outcome of the 2013-14 assessment of compliance with these measures indicated that out of 91 MDTs and 36 treatment centres, 84% were compliant with the patient information measure at the most robust level.

    There is a programme of work aimed at improving the care and experience of people living with a diagnosis of cancer, developed in collaboration with Macmillan Cancer Support which draws from a wide range of evidence based good practice.

    The National Cancer Intelligence Network runs a brain and central nervous system- related cancers Clinical Reference Group, which works closely with a brain cancer charities. In addition to this, the PRP measures participation in drug trials and research internationally.

    The Department works closely with its cancer research funding partners through the National Cancer Research Institute (NCRI). The NCRI is a strategic partnership of 22 government, charity and industry cancer research funders, together with patients. The NCRI is a member of the International Cancer Research Partnership (ICRP), which includes cancer research funders from USA, Canada, Europe, Japan and Australia. The ICRP is a unique alliance of cancer organisations working together to enhance global collaboration and strategic coordination of research. Researchers can search the ICRP database to avoid duplication and identify collaborators in specific areas of cancer research including brain tumour research.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, what recent assessment he has made of the benefits of all expectant mothers being assigned one specific midwife for the duration of their pregnancy in ensuring (a) continued care, (b) correct information being received and (c) prevention of stillbirth.

    Dr Daniel Poulter

    The benefits of pregnant women being cared for by a named midwife are widely recognised. The latest available evidence for antenatal clinical practice was considered as part of the development of the National Institute for Health and Care Excellence’s (NICE) Quality Standard for antenatal care in 2012. Based on this evidence, NICE recommends that pregnant women are cared for by a named midwife who is responsible for providing all or most of her antenatal and postnatal care and the women’s coordinating care should they not be available.

    The Care Quality Commission’s 2013 survey of women’s experiences of maternity care found that women who saw the same midwife each time tended to report more positive experiences of antenatal and postnatal care.

    Health Education England is currently leading a project to explore the ambitions for personalised maternity care and consider different scenarios for how maternity services could be configured in the future, including the capability and capacity of the workforce.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, what steps he is taking to encourage international collaboration in research and the sharing of best practice on quality of life for patients diagnosed with brain tumours.

    Jane Ellison

    NHS England has made a recent assessment of the sufficiency of access to information about support and services for people diagnosed with a brain tumour through its Peer Review Programme (PRP). This programme includes measures that require all brain and central nervous system multidisciplinary teams (MDTs) to demonstrate the availability and adequacy of patient information. The outcome of the 2013-14 assessment of compliance with these measures indicated that out of 91 MDTs and 36 treatment centres, 84% were compliant with the patient information measure at the most robust level.

    There is a programme of work aimed at improving the care and experience of people living with a diagnosis of cancer, developed in collaboration with Macmillan Cancer Support which draws from a wide range of evidence based good practice.

    The National Cancer Intelligence Network runs a brain and central nervous system- related cancers Clinical Reference Group, which works closely with a brain cancer charities. In addition to this, the PRP measures participation in drug trials and research internationally.

    The Department works closely with its cancer research funding partners through the National Cancer Research Institute (NCRI). The NCRI is a strategic partnership of 22 government, charity and industry cancer research funders, together with patients. The NCRI is a member of the International Cancer Research Partnership (ICRP), which includes cancer research funders from USA, Canada, Europe, Japan and Australia. The ICRP is a unique alliance of cancer organisations working together to enhance global collaboration and strategic coordination of research. Researchers can search the ICRP database to avoid duplication and identify collaborators in specific areas of cancer research including brain tumour research.

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, what steps he is taking to ensure that information on bereavement support and services is made available to parents who have suffered the loss of a baby.

    Dr Daniel Poulter

    It is for the National Health Service locally to ensure appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council’s Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death.

    To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists’ Standards for Gynaecology and Standards for Maternity sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.

    Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:

    http://www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx

  • Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    Tracey Crouch – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tracey Crouch on 2014-04-10.

    To ask the Secretary of State for Health, if he will consider creating the role of bereavement midwives to work exclusively with parents who have experienced the death of their baby shortly before, during or after birth; and if he will make a statement.

    Dr Daniel Poulter

    It is for the National Health Service locally to ensure appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council’s Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death.

    To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists’ Standards for Gynaecology and Standards for Maternity sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.

    Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:

    http://www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx

  • Andrew Bingham – 2014 Parliamentary Question to the Department of Health

    Andrew Bingham – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Andrew Bingham on 2014-04-10.

    To ask the Secretary of State for Health, what criteria his Department use to define illness as mental as opposed to physical.

    Norman Lamb

    The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.

    The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.

    Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.

    It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.

    The Department has made no estimate of the cost to the economy of untreated mental illness.