Tag: Baroness Hodgson of Abinger

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2016-04-25.

To ask Her Majesty’s Government what plans they have to ensure that thrombectomy is delivered to all eligible stroke patients in accordance with new NICE guidelines.

Lord Prior of Brampton

No formal assessment has been made of the effectiveness of the National Stroke Strategy or of whether it has achieved its aims. However, we know that good progress has been made on stroke in recent years, with mortality rates decreasing.

Part of this progress is undoubtedly due to improvements in the treatment of stroke, where we have made great strides in several areas. The most recent data from the Sentinel Stroke National Audit Project shows that:

– Over 48% of patients receive brain scanning within one hour of hospital arrival and over 90% within 12 hours;

– 84% of stroke patients spend more than 90% of their time in hospital on a stroke unit;

– Clot busting drugs give a certain cohort of stroke patients a better chance of regaining their independence. 11% of stroke patients admitted to hospital receive these drugs; and

– Over 78% of patients are assessed by a specialist stroke physician within 24 hours of admission, showing that stroke services have made good progress in delivering 7 day specialist medical services.

However we know there is more to do and increases in levels of obesity and an ageing population lead to new pressures.

That is why a Cardiovascular (CVD) Disease Outcomes Strategy was published in 2013. It sets out key actions for commissioners and providers to help further improve outcomes in Coronary Heart Disease, stroke and other cardiovascular diseases.

NHS England hosts a CVD outcomes collaborative which brings together the relevant National Clinical Directors, the main relevant national charities, the National CVD Intelligence Network, Public Health England and the Department of Health. This collaborative continues to coordinate delivery of the work which was initiated in the CVD Outcomes Strategy.

In February this year, the National Institute for Health and Care Excellence published interventional procedure guidance on mechanical clot retrieval (thrombectomy) for treating acute ischaemic stroke. The guidance sets out that current evidence on the safety and efficacy of this procedure is adequate to support its use, provided that standard arrangements are in place for clinical governance, consent and audit. This guidance does not oblige commissioners to commission thrombectomy nor hospitals to provide it.

NHS England is now undertaking work to inform a decision on whether this is a procedure that should be made more widely available.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-12-21.

To ask Her Majesty’s Government whether any of those staff at the Department for International Development involved in small business grant funding have hands-on experience of business development.

Baroness Verma

DFID employs cadres of sector-specific technical experts in a range of disciplines in order to provide intellectual and professional rigour to underpin our poverty reduction work. DFID has a cadre of over 80 private sector development advisers who lead our work to support private sector growth, including small business grant funding. Over 80% of private sector development advisers have worked in the private sector, bringing to DFID a first-hand understanding of business development.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2016-05-23.

To ask Her Majesty’s Government what support they are providing to aid agencies working in Yemen.

Baroness Verma

The UK is the 4th largest donor to the crisis in Yemen and has more than doubled its support over the last year to £85 million for 2015/16 in response to the humanitarian crisis. UK aid is focused on the most urgent life-saving needs, and has so far helped more than 1.3 million Yemenis who have been affected by the conflict with food assistance, medical supplies, water, and emergency shelter.

We work with partners such as UN agencies and NGOs who have good access and a strong track record of delivering and monitoring assistance in difficult and dangerous places. The security situation in Yemen is, however, impacting the ability of humanitarian organisations to access populations to deliver assistance, and to make assessments of their needs. The UK continues to urge all parties to the conflict to take all reasonable steps to facilitate rapid and safe access for humanitarian agencies to all people in need in Yemen.

UK aid is also supporting the UN to co-ordinate the international humanitarian response and to facilitate the delivery of aid in Yemen including; the UN Office for the Coordination of Humanitarian Affairs, UN Humanitarian Air Service and the UN Verification and Inspection Mechanism to improve supply of essential goods into Yemen.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-12-21.

To ask Her Majesty’s Government what assessment they have made of the percentage of the funds pledged by all nations through the 2013 Somali Compact that has been spent.

Baroness Anelay of St Johns

Somalia’s Aid Coordination Unit (ACU), supported by the World Bank and UN Development Programme, has reported that donors are meeting and sometimes exceeding their pledges. The 2013 pledge to implement the New Deal was 2.4 billion US dollars. ACU estimate that donors spent 3.2 billion US dollars across 2014 and 2015, exceeding the pledge by 33 per cent. According to ACU, donors have consistently delivered 1 billion US dollars annually in Overseas Development Assistance, accompanied by significant resources for peacekeeping and military aid.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2016-05-23.

To ask Her Majesty’s Government what steps they are taking to ensure that aid and humanitarian help is able to gain access to Sa’ada and Hajjah.

Baroness Verma

The UK is the 4^th largest donor to the crisis in Yemen and has more than doubled its support over the last year to £85 million for 2015/16 to respond to the humanitarian crisis. UK aid is focused on the most urgent life-saving needs, and has so far helped more than 1.3 million Yemenis who have been affected by the conflict with food assistance, medical supplies, water, and emergency shelter. Through our support to UN agencies and NGOs working in Sa’ada and Hajjah, people in need in these Governates are being provided with water, sanitation and hygiene support, health and nutrition assistance, shelter kits and cash to help address emergency food needs.

We work with partners such as UN agencies and NGOs who have good access and a strong track record of delivering and monitoring assistance in difficult and dangerous places. The security situation across Yemen is, however, impacting the ability of humanitarian organisations to access populations to deliver assistance, and to make assessments of their needs. The UK continues to urge all parties to the conflict to take all reasonable steps to facilitate rapid and safe access for humanitarian agencies to all people in need in Yemen.

UK aid is also supporting the UN to co-ordinate the international humanitarian response and to facilitate the delivery of aid across Yemen according to where needs are greatest including to the UN Office for the Coordination of Humanitarian Affairs, UN Humanitarian Air Service and the Verification and Inspection Mechanism.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-09-17.

To ask Her Majesty’s Government whether the National Health Service Litigation Authority’s Sign Up to Safety maternity-related projects include measures to improve the care of multiple pregnancies; and if so, when they expect to report the findings on those projects.

Lord Prior of Brampton

Under the Sign up to Safety Scheme £8 Million has been awarded to 25 maternity units who submitted a successful bid to the National Health Service Litigation Authority incentivisation scheme. Most of the successful bids related to improvements in foetal monitoring (equipment and training) supervision, human factors and team working or a combination of these themes.

All 51 bids (successful and unsuccessful) had to demonstrate a link to their claims. As such none of the bids made a specific reference to multiple births, the focus was on the causes within maternity that resulted in a particular injury outcome, for example resulting in brain damage

A full evaluation of the impact of this scheme will be available next year.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-09-17.

To ask Her Majesty’s Government whether NHS England’s Maternity Safety Thermometer will be updated to include a function to allow units to compare their data by (1) singleton, and (2) multiple, pregnancies; and if so, how they plan to use this information to drive improvements in care.

Lord Prior of Brampton

The Maternity Safety Thermometer includes a function to allow staff to record whether the pregnancy in question was a singleton or multiple pregnancy. National Health Service providers who use the Maternity Safety Thermometer are therefore able to collect and use this information to drive improvements in care.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-09-17.

To ask Her Majesty’s Government whether the Care Quality Commission’s final report outlining the findings of their national maternity survey will include a specific summary setting out the experience of multiple birth mothers.

Lord Prior of Brampton

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has advised that the responses to the national survey of National Health Service maternity services are currently being collated and analysed. Until all of this data has been analysed it is not possible for the CQC to comment on what will be included in the final report.

The below Parliamentary question was asked by Baroness Hodgson of Abinger on 2015-09-17.

To ask Her Majesty’s Government what proportion of multiple pregnancies result in one or more babies with (1) Attention Deficit Hyperactivity Disorder, (2) Attention Deficit Disorder, (3) cerebral palsy, and (4) speech and language delays; and what estimate they have made of the additional costs to families and public services in addressing each of those needs.

Lord Prior of Brampton

This information is not collected centrally.

The majority of the conditions such as Attention Deficit Hyperactivity Disorder, Attention Deficit Disorder, cerebral palsy and speech and language delays identified in the question would only become apparent later in life. The Hospital Episode Statistics, which are collected by Health and Social Care Information Centre does not hold this data.

There has been no assessment made of the cost to families or public services of the implications of these conditions in multiple pregnancies.