Tag: Baroness Walmsley

The below Parliamentary question was asked by Baroness Walmsley on 2016-03-01.

To ask Her Majesty’s Government whether they have assessed the amount of infection brought into hospitals by staff uniforms worn outside.

Lord Prior of Brampton

The Department first published Uniforms and Work wear: An evidence base for developing local policy in 2007, with an update to this guidance published in March 2010. A copy of this document is attached.

The guidance was informed by two extensive literature reviews conducted by Thames Valley University and by practical research on washing uniform fabrics carried out at University College Hospital. Whilst there is a theoretical risk, this work‎ supported the conclusion that there was no evidence that uniforms and workwear played a direct role in spreading infection.

Nonetheless, the clothes that staff wear should facilitate good practice and minimise any risk to patients. Public attitudes and perceptions indicate that it is good practice for staff either to change at work or to cover their uniforms as they travel to and from work. Changing into and out of uniforms at work is included as a good practice example in the guidance.

The below Parliamentary question was asked by Baroness Walmsley on 2016-05-18.

To ask Her Majesty’s Government whether total Accident and Emergency (A&E) waiting times are calculated, for the purposes of reporting, from the time the ambulance arrives at A&E or from the time the patient enters the A&E Department.

Lord Prior of Brampton

Accident and emergency (A&E) waiting times for patients who arrive by ambulance start either when the ambulance crew hand over the patient to the A&E department, or 15 minutes after the ambulance registers its arrival at A&E, whichever is earlier.

The below Parliamentary question was asked by Baroness Walmsley on 2016-06-29.

To ask Her Majesty’s Government whether x-ray equipment bought for a hospital trust by local fundraising efforts belongs to that trust or to NHS Property Services.

Lord Prior of Brampton

On the abolition of primary care trusts in April 2013, former primary care trust land, buildings and related contracts transferred either to NHS Property Services or to National Health Service trusts, depending on the details of the individual transfer schemes. Clinical equipment was not generally transferred to NHS Property Services.

Equipment donated after April 2013 directly to individual NHS hospital trusts and x-ray equipment bought for a trust by local fundraising efforts would belong to the NHS trust unless it has been specifically transferred to NHS Property Services under the terms of a particular transfer scheme.

The below Parliamentary question was asked by Baroness Walmsley on 2016-07-12.

To ask Her Majesty’s Government what assessment they have made of the advice by Professors Stanley, Lawler, Graham, and others, to extend HPV vaccinations to boys to curb the spread of throat and other cancers.

Lord Prior of Brampton

The Joint Committee on Vaccination and Immunisation, the expert committee that advises Ministers on immunisation related issues, is currently in the process of considering the impact and cost-effectiveness of extending the human papilloma virus (HPV) vaccination to adolescent boys. This includes assessing all the necessary evidence and information on the potential impact of a boys vaccination programme on non-cervical cancers caused by HPV.

The below Parliamentary question was asked by Baroness Walmsley on 2016-10-20.

To ask Her Majesty’s Government what action is being taken to increase diagnosis of patients with atrial fibrillation.

Lord Prior of Brampton

NHS England’s Sustainable Improvement Team is taking action to promote the use of GRASP-AF (Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation) within general practitioner (GP) practices in England. GRASP-AF is an audit tool developed by and trialled in the National Health Service which greatly simplifies the process of identifying patients with Atrial Fibrillation (AF) who are not receiving the right management to help reduce their risk of stroke.

The Sustainable Improvement Team is also working with NHS RightCare, a programme committed to improving people’s health and outcomes, to help promote the use of GRASP-AF in the programme’s 65 first wave clinical commissioning groups (CCGs). NHS RightCare’s ‘Commissioning for Value’ packs help CCGs identify priority areas such as AF, and the GRASP AF tool provides a practical method of addressing any inequalities. NHS England’s intention is that the work with NHS RightCare will increase the number of CCGs using GRASP-AF in a systematic way.

Anonymised data from GRASP-AF can be uploaded to CHART Online, a secure web enabled tool that helps practices improve performance through comparative data analysis. This allows practices and CCGs to benchmark their management of AF with other practices across England and so help identify and reduce any variation in practice.

The use of GRASP-AF is voluntary and its use therefore varies across CCGs. Currently 2,248 GP practices have uploaded data from GRASP-AF to CHART online across 151 out of the 209 CCGs. Of these, 19 CCGs have all GP practices in their area uploading data.

In addition to the NHS action outlined above, all local authorities in England are required to offer the NHS Health Check programme, with the large majority commissioning general practice to provide them on their behalf. More than 15 million people aged 40-74 are, have been or will be eligible for an NHS Health Check between 2014 and 2018. The programme’s best practice guidance recommends that a pulse check is carried out as part of the process of taking a blood pressure reading and those individuals who are found to have an irregular pulse rhythm should be referred for further investigation.

The below Parliamentary question was asked by Baroness Walmsley on 2016-10-20.

To ask Her Majesty’s Government what proportion of clinical commissioning groups have undertaken a systematic audit across GP practices to identify people with (1) possible undiagnosed atrial fibrillation, and (2) atrial fibrillation at high risk of stroke who are not anticoagulated or maintained in therapeutic range.

Lord Prior of Brampton

NHS England’s Sustainable Improvement Team is taking action to promote the use of GRASP-AF (Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation) within general practitioner (GP) practices in England. GRASP-AF is an audit tool developed by and trialled in the National Health Service which greatly simplifies the process of identifying patients with Atrial Fibrillation (AF) who are not receiving the right management to help reduce their risk of stroke.

The Sustainable Improvement Team is also working with NHS RightCare, a programme committed to improving people’s health and outcomes, to help promote the use of GRASP-AF in the programme’s 65 first wave clinical commissioning groups (CCGs). NHS RightCare’s ‘Commissioning for Value’ packs help CCGs identify priority areas such as AF, and the GRASP AF tool provides a practical method of addressing any inequalities. NHS England’s intention is that the work with NHS RightCare will increase the number of CCGs using GRASP-AF in a systematic way.

Anonymised data from GRASP-AF can be uploaded to CHART Online, a secure web enabled tool that helps practices improve performance through comparative data analysis. This allows practices and CCGs to benchmark their management of AF with other practices across England and so help identify and reduce any variation in practice.

The use of GRASP-AF is voluntary and its use therefore varies across CCGs. Currently 2,248 GP practices have uploaded data from GRASP-AF to CHART online across 151 out of the 209 CCGs. Of these, 19 CCGs have all GP practices in their area uploading data.

In addition to the NHS action outlined above, all local authorities in England are required to offer the NHS Health Check programme, with the large majority commissioning general practice to provide them on their behalf. More than 15 million people aged 40-74 are, have been or will be eligible for an NHS Health Check between 2014 and 2018. The programme’s best practice guidance recommends that a pulse check is carried out as part of the process of taking a blood pressure reading and those individuals who are found to have an irregular pulse rhythm should be referred for further investigation.

The below Parliamentary question was asked by Baroness Walmsley on 2016-10-20.

To ask Her Majesty’s Government what action is being taken to build local primary care leadership to challenge variation, and drive quality improvement, in the detection and management of atrial fibrillation.

Lord Prior of Brampton

NHS England’s Sustainable Improvement Team is taking action to promote the use of GRASP-AF (Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation) within general practitioner (GP) practices in England. GRASP-AF is an audit tool developed by and trialled in the National Health Service which greatly simplifies the process of identifying patients with Atrial Fibrillation (AF) who are not receiving the right management to help reduce their risk of stroke.

The Sustainable Improvement Team is also working with NHS RightCare, a programme committed to improving people’s health and outcomes, to help promote the use of GRASP-AF in the programme’s 65 first wave clinical commissioning groups (CCGs). NHS RightCare’s ‘Commissioning for Value’ packs help CCGs identify priority areas such as AF, and the GRASP AF tool provides a practical method of addressing any inequalities. NHS England’s intention is that the work with NHS RightCare will increase the number of CCGs using GRASP-AF in a systematic way.

Anonymised data from GRASP-AF can be uploaded to CHART Online, a secure web enabled tool that helps practices improve performance through comparative data analysis. This allows practices and CCGs to benchmark their management of AF with other practices across England and so help identify and reduce any variation in practice.

The use of GRASP-AF is voluntary and its use therefore varies across CCGs. Currently 2,248 GP practices have uploaded data from GRASP-AF to CHART online across 151 out of the 209 CCGs. Of these, 19 CCGs have all GP practices in their area uploading data.

In addition to the NHS action outlined above, all local authorities in England are required to offer the NHS Health Check programme, with the large majority commissioning general practice to provide them on their behalf. More than 15 million people aged 40-74 are, have been or will be eligible for an NHS Health Check between 2014 and 2018. The programme’s best practice guidance recommends that a pulse check is carried out as part of the process of taking a blood pressure reading and those individuals who are found to have an irregular pulse rhythm should be referred for further investigation.

The below Parliamentary question was asked by Baroness Walmsley on 2016-10-20.

To ask Her Majesty’s Government what proportion of clinical commissioning groups have added pulse checks to existing GP and pharmacy enhanced services for people over 65.

Lord Prior of Brampton

This information is not held by the Department or NHS England, as general practitioner (GP) and pharmacy contracts do not mandate pulse checks as part of the existing GP and pharmacy enhanced services for people over 65.

However, in England all local authorities are required to offer the NHS Health Check programme, with the large majority commissioning general practice to provide them on their behalf. Between 2014 and 2018 more than 15 million people aged 40-74 will be eligible for an NHS Health Check. The programme’s best practice guidance recommends that a pulse check is carried out as part of the process of taking a blood pressure reading, and those individuals who are found to have an irregular pulse rhythm should be referred for further investigation.

The below Parliamentary question was asked by Baroness Walmsley on 2015-11-05.

To ask Her Majesty’s Government what calculation they have made of how much (1) UK tax has been paid by PFI investors on profits and equity gains, and (2) corporation tax has been collected from PFI companies, in each tax year since the inception of PFI contracts for health service projects.

Lord O’Neill of Gatley

HM Treasury does not collect or publish taxation information for any Private Finance company including those within the health sector.

The below Parliamentary question was asked by Baroness Walmsley on 2015-11-05.

To ask Her Majesty’s Government whether in assessing the benefits of PFI against conventional procurement they take account of the amount of UK tax paid by PFI investors, as recommended by the Public Accounts Committee in its report of 2011 Lessons from PFI and other projects.

Lord O’Neill of Gatley

In its response to the Public Accounts Committee report, the Government made clear that it did not agree with the Committee’s conclusion and recommendation.

As set out in the response, HM Treasury stated that the initial appraisal of a project takes into account the additional tax receipts that arise from the use of a privately funded project, compared to a publicly funded project.

Managing Public Money directs procuring authorities to ensure that procurement decisions do not rely on any tax advantage that a particular bid may enjoy because of the tax status of the proposed contactor. Any privately financed option will only be pursued if it is better value for money than the publicly funded alternative.

The Treasury’s full response can be found on the gov.uk website.