The below Parliamentary question was asked by Baroness Redfern on 2016-09-15.
To ask Her Majesty’s Government whether they have plans to revise the boundaries of Clinical Commissioning Groups in the light of regional devolution deals.
Baroness Chisholm of Owlpen
NHS England has no plans to revise the boundaries of clinical commissioning groups in light of regional devolution deals.
The below Parliamentary question was asked by Baroness Redfern on 2015-11-30.
To ask Her Majesty’s Government how many engineering and manufacturing apprenticeships were created in the last Parliament (1) nationally, and (2) in North Lincolnshire, and how many they are intending to create during this Parliament.
Baroness Neville-Rolfe
There have been 324,800 apprenticeship starts in the manufacturing technologies sector subject area nationally in the last parliament (May 2010 to April 2015).
In North Lincolnshire Local Authority there have been 1,500 apprenticeship starts in the manufacturing technologies sector subject area in the last parliament (May 2010 to April 2015).
We are committed to reaching 3 million apprenticeship starts in England by 2020.
The locations and sectors where apprenticeships are available are determined by employers choosing to offer apprenticeships and recruit apprentices. We have therefore set no specific regional targets.
The below Parliamentary question was asked by Baroness Redfern on 2016-09-15.
To ask Her Majesty’s Government which five clinical procedures have the highest average waiting time in England.
Baroness Chisholm of Owlpen
Patients have a legal right, set out in the NHS Constitution, to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. The NHS Constitution for England is attached, as is the Handbook to the Constitution, which provides a further level of detail regarding the rights and pledges. Performance is measured against an operational standard that 92% of patients who have not yet started treatment should have been waiting less than 18 weeks from referral at the end of each month. These referral to treatment waiting times are collected for 18 treatment functions (e.g. trauma and orthopaedics), but not for individual conditions or procedures. They are different from the data derived from hospital episode statistics, which show only the waiting time from decision to admit to admission, and not the waiting time from referral to start of treatment.
Table: The five treatment functions that had the highest average waiting time from referral to treatment in July 2016, in England
|
Treatment Function |
Average (median) waiting time (in weeks) |
|
Neurosurgery |
8.4 |
|
Oral Surgery |
7.3 |
|
Neurology |
7.0 |
|
Trauma and Orthopaedics |
7.0 |
|
Cardiothoracic Surgery |
7.0 |
Source: Consultant-led referral to treatment waiting times, NHS England
The below Parliamentary question was asked by Baroness Redfern on 2015-12-16.
To ask Her Majesty’s Government what steps are being taken to increase the number of Wellbeing Hubs nationally to help individuals with complex care requirements to access support locally for their individual requirements.
Lord Prior of Brampton
Where commissioned, wellbeing hubs can provide a range services including lifestyle advice, information about self-management courses and help to access local support, including social care. It is for the local National Health Service to decide whether to commission wellbeing hubs and which services should be offered in order to best meet the needs of local populations.
The below Parliamentary question was asked by Baroness Redfern on 2016-09-15.
To ask Her Majesty’s Government how many cancer referrals in England were not made within the two week waiting time target for each of the last three years.
Baroness Chisholm of Owlpen
The Handbook to the NHS Constitution, which is attached, sets out the right for patients to be seen by a cancer specialist within a maximum of two weeks from general practitioner (GP) referral for urgent referrals where cancer is suspected. The operational standard is that 93% of patients should wait less than two weeks from GP urgent referral to first consultant appointment. This standard has been met in each of the last three years.
The information for how many patients waited more than two weeks from GP urgent referral to first consultant appointment is shown in the table below.
Table: Two week wait from GP urgent referral to first consultant appointment, in England, 2013/14 to 2015/16
|
Year |
Number of patients that waited less than two weeks to be seen |
Number of patients that waited more than two weeks to be seen |
Total number of patients referred |
Performance against the standard |
|
2013/14 |
1,297,849 |
63,496 |
1,361,345 |
95.3% |
|
2014/15 |
1,459,084 |
90,610 |
1,549,694 |
94.2% |
|
2015/16 |
1,624,981 |
101,140 |
1,726,121 |
94.1% |
Source: Cancer waiting times quarterly time series, NHS England
The below Parliamentary question was asked by Baroness Redfern on 2015-12-16.
To ask Her Majesty’s Government what assistance is being offered to social work teams to equip them with the necessary resources to provide high quality and affordable residential care both (1) nationally, and (2) in North Lincolnshire.
Lord Prior of Brampton
The Government is committed to improving the quality of adult social care and has taken a number of steps to improve it in all localities.
The Department is working with its delivery partner Skills for Care to improve training and development for the workforce. In April 2015, we introduced a Certificate of Fundamental Care, now known as the Care Certificate. This will help ensure that care workers can deliver a consistently high quality standard of care.
The Department is funding and working with a number of organisations, including the National Institute for Health and Care Excellence (NICE), Skills for Care, the Social Care Institute for Excellence, the Association of Directors of Adult Social Services and the Local Government Association on a range of projects to help adult social care organisations and staff improve the quality of care. These resources include new NICE Quality Standards and Guidelines, which bring clarity to what excellence looks like in care.
Ultimately it is a local decision as to how to allocate resources for social care, as such the Department cannot comment specifically on North Lincolnshire.
The below Parliamentary question was asked by Baroness Redfern on 2016-09-15.
To ask Her Majesty’s Government what alternatives to a sugar tax they have considered to reduce levels of childhood obesity.
Baroness Chisholm of Owlpen
In developing Childhood Obesity: A Plan for Action we looked at everything that contributes to a child becoming overweight and obese. The policies in the plan focus on the ones that are likely to have the biggest impact on childhood obesity. In addition to the soft drinks industry levy, this includes the sugar reduction programme, helping all children to enjoy an hour of physical activity every day and a healthy rating scheme for primary schools.
The plan is informed by the latest research and evidence, including from the Scientific Advisory Committee on Nutrition report Carbohydrates and Health, Public Health England’s evidence package Sugar reduction: the evidence for action, other government departments, debates in this House and various reports from key stakeholders including the Health Select Committee.
We are confident that the measures we have announced will make a real difference and estimate could reduce childhood obesity rates by about a fifth (330,000) over the next ten years. Though we are clear in our goals and firm in the action we will take, the launch of this plan represents the start of a conversation, rather than the final word.
Copies of Childhood Obesity: A Plan for Action, Carbohydrates and Health and Sugar reduction: the evidence for action are attached.
The below Parliamentary question was asked by Baroness Redfern on 2015-12-16.
To ask Her Majesty’s Government what measures are being introduced to improve access to information and advice for those choosing specialist care packages to ensure that the support they receive is best suited to their individual requirements.
Lord Prior of Brampton
The Care Act 2014 places a duty on local authorities to establish and maintain information and advice services relating to care and support for all people in its area. Statutory guidance sets out the detail of what this is required to cover and the manner it in which it should be provided. This includes providing information and advice to those people who are known to the local authority and the wider population, and to those who have not presented to local authorities for assessment but are likely to be in need of care and support. Where it appears to a local authority that an adult may have needs for care and support, the authority must assess their needs. The aim of the assessment is to identify what needs the person may have and what outcomes they are looking to achieve to maintain or improve their wellbeing. The outcome of the assessment is to provide a full picture of the individual’s needs so that a local authority can provide an appropriate response at the right time to meet the level of the person’s needs. This might range from offering guidance and information to arranging for services to meet those needs.
The Department has supported local authorities to meet this duty with a range of practical and practice based guides, developed with a wide range of interests through the Think Local Act Personal partnership.
General information on care and support is provided nationally through the NHS Choices website. This includes a search facility for all registered providers of care and support that gives practical and quality information on their services. This information is available for all local authorities and other providers of care and support information to re-use through syndication.
The below Parliamentary question was asked by Baroness Redfern on 2016-09-15.
To ask Her Majesty’s Government what steps they are taking to promote the role of regional airports in stimulating the UK economy.
Lord Ahmad of Wimbledon
The government made clear in its Aviation Policy Framework, that airports across the UK make a vital contribution to the growth and recovery of regional and local economies and their role in helping to accommodate wider forecast growth in demand for aviation in the UK. The government recognises that regional air connectivity across the UK is also very important and announced in November 2015 that it will provide around £7million of start-up aid from the Regional Air Connectivity Fund over the next three financial years to support 11 new air routes from smaller airports. The Fund is also providing support to two Public Service Obligation routes from London to Dundee and Newquay. The UK government has also recently agreed in principle to support the air route between City of Derry Airport and London.
The below Parliamentary question was asked by Baroness Redfern on 2015-12-16.
To ask Her Majesty’s Government how they intend to encourage local authorities to include personal assessments as part of a broader care programme alongside other measures to help individuals to achieve greater control over the support they receive.
Lord Prior of Brampton
One of the overarching aims of the Care Act 2014 is to give people more choice and control over their care and support. Local authorities must assess any person who appears to have care and support needs. The aim of the needs assessment is to identify what needs individuals may have, what impact these needs have on their wellbeing, and what outcomes they are looking to achieve. The Act also requires that the person, their carer and anyone else they request must be involved in the assessment.
The Act clarifies that one method of carrying out an assessment is through a supported self-assessment, where the person and local authority carry out the assessment jointly. This gives the person more control over their own assessment and supports their involvement in the development of their care and support plan.
The Department published statutory guidance which provides more detail on the assessment provisions for local authorities. The Department also commissioned Skills for Care and the Social Care Institute for Care Excellence to develop materials to support local authorities with the implementation of the assessment requirements, including supported self-assessment.