Tag: Justin Madders

The below Parliamentary question was asked by Justin Madders on 2015-12-03.

To ask the Secretary of State for Health, whether hospitals will incur financial penalties if they breach performance standards as a result of the suspended industrial action on 1 December 2015.

Ben Gummer

In the normal course of events, a hospital which misses a key national standard (such as the 18-week referral to treatment waiting time standard or the six-week diagnostic wait standard) will incur a mandatory financial sanction applied by its commissioners, as set out in the NHS Standard Contract.

However, the Contract also includes a ‘Force Majeure’ clause (General Condition 28) which would, in principle, apply to planned industrial action. Under this clause, a provider is able to claim relief from its liabilities under the Contract, to the extent that an event outside of its reasonable control has directly caused it to fail to meet its contractual obligations.

Therefore, if a hospital were to breach an operational standard for the month, but could demonstrate to the commissioner that:

* this was solely and directly due to the action it had reasonably taken in anticipation of the industrial action proceeding; and

* it had done everything reasonable to mitigate the impact of its actions on achievement of the standard in that month

then the commissioner could set aside the sanction for that month.

If the breach of the standard was only partly due to the impact of the planned industrial action, only the relevant proportion of the sanction would be set aside.

The below Parliamentary question was asked by Justin Madders on 2016-01-25.

To ask the Secretary of State for Health, pursuant to the Answer of 26 October 2015 to Question 12819, what progress he has made on introducing independent medical examiners to the death certification process.

Ben Gummer

We remain committed to the principle of medical examiners and will be setting out further information in due course.

The below Parliamentary question was asked by Justin Madders on 2016-02-01.

To ask the Secretary of State for Health, how many cases of sepsis there were in each region of England in each of the last five years.

Ben Gummer

Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for patients in each government office region of residence in England, in each year from 2010-11 to 2014-15 are provided below.

These figures relate only to hospital admissions and do not include those patients who were diagnosed in a primary care setting, or those who attended hospital as an Outpatient.

This is not a count of patients as the same patient may have had more than one episode of care within the same year.

Count of FDEs¹ with a primary or secondary diagnosis² of sepsis³ for patients in each government office region of residence for 2010-11 to 2014-15^4. Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector

Government office region	2010-11	2011-12	2012-13	2013-14	2014-15
North East	4,798	5,074	5,655	6,275	7,388
North West	13,258	13,109	14,708	17,221	20,922
Yorkshire and The Humber	9,182	9,189	10,146	11,338	12,857
East Midlands	7,316	8,115	9,831	10,863	12,998
West Midlands	7,772	7,915	10,518	12,297	13,812
East of England	10,380	10,432	11,647	13,108	16,029
London	14,894	15,223	15,580	17,860	19,723
South East	13,945	15,344	16,604	19,239	21,378
South West	8,013	8,292	9,805	10,967	12,722
England – Not Otherwise Specified	48	83	75	84	102
Unknown/Non-England	2,275	8,239	9,716	3,570	3,841
Total	91,881	101,015	114,285	122,822	141,772

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

The increasing incidence of sepsis is likely to be due to people living longer and more medical and surgical interventions being performed. People with series co-morbidities are more likely to survive their illness, and for a longer period of time than in previous decades, which leads to much of the hospital-acquired sepsis that now occurs.

Notes:

¹Finished Discharge Episode (FDE) – A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.

²Number of episodes in which the patient had a primary or secondary diagnosis – The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.

³ICD-10 codes for Sepsis – A02.1 Salmonella sepsis, A20.7 Septicaemic plague, A21.7 Generalized tularaemia, A22.7 Anthrax sepsis, A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis, A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn
The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together:
A39.1 Waterhouse-Friderichsen syndrome; E35.1 Disorders of adrenal glands in diseases classified elsewhere

⁴Assessing 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, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1st April 2012 and 31st March 2013.

The below Parliamentary question was asked by Justin Madders on 2016-02-24.

To ask the Secretary of State for Health, what assessment he has made of the (a) scale of the difficulty experienced by trusts in recruiting to consultant posts and (b) effect of that difficulty on numbers of occupied consultant posts in cellular pathology.

Ben Gummer

Individual healthcare providers are responsible for ensuring that they have the right level of staffing to provide high quality care to their patients.

The following table taken from the monthly workforce statistics published by the Health and Social Care Information Centre (HSCIC) shows the total consultant figures for May 2010, November 2010 and for November 2015 working in the National Health Service in England. The data for November 2015 is the latest available. The HSCIC statistics do not show cellular pathology, but data is provided for those working in the pathology group.

England full-time equivalent

	May 2010	November 2010	November 2015
All Consultants	35,174	36,010	42,423
Consultants in Pathology group	2,426	2,486	2,597

Source: Health and Social Care Information Centre NHS monthly workforce statistics

The below Parliamentary question was asked by Justin Madders on 2016-03-07.

To ask the Secretary of State for Health, what steps his Department is taking to encourage GPs to undertake out-of-hours shifts in primary care.

Alistair Burt

The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.

Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.

The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations (MDOs), also attended.

On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers. In addition they have negotiated changes to the products offered by MDOs to bring down costs of indemnity for extended access.

Discussions are ongoing between the Department and NHS England on a long-term solution.

The below Parliamentary question was asked by Justin Madders on 2016-04-13.

To ask the Secretary of State for Defence, how many non-combat deaths of service personnel have occurred (a) in total, (b) in the UK and (c) overseas in each of the last 20 years for which figures are available.

Mark Lancaster

The information requested is provided in the attached table.

The below Parliamentary question was asked by Justin Madders on 2016-04-21.

To ask the Secretary of State for Communities and Local Government, how many public consultations his Department has conducted on the subject of mayors in Cheshire and Warrington since 2010.

James Wharton

Devolution deals, including commitments for mayoral governance, are negotiated and agreed with those democratically elected to represent their area, and who are accountable to their local electorate.

This Department has not undertaken direct public consultations on this matter in Cheshire and Warrington.

The below Parliamentary question was asked by Justin Madders on 2016-05-24.

To ask the Secretary of State for Health, what estimate he has made of the proportion of GDP spent on health in 2020-21.

Alistair Burt

Spend as a percentage of Gross Domestic Product (GDP) is stated on United Kingdom public expenditure figures and is produced by HM Treasury. The Department is responsible for reporting on health spend in England and is not in a position to provide equivalent spend figures for health by the devolved administrations in future years.

The Spending Review settlement, delivered by the Chancellor on 25 November, set the Department’s overall budget for the remaining years of the parliament and the level of funding that will be available to the National Health Service. It set absolute spending totals, not spending as a percentage of GDP, providing certainty for financial planning over the period.

The below Parliamentary question was asked by Justin Madders on 2016-06-07.

To ask the Secretary of State for Health, who the senior leaders and board members are of the 44 Sustainability and Transformation Plan footprints.

George Freeman

The Sustainability and Transformation Plans (STP) leads for the footprints are as provided below. The names of other members of the footprints are held locally.

Footprint	STP footprint lead
Northumberland, Tyne and Wear	Mark Adams (Chief Officer, Newcastle Gateshead Clinical Commissioning Group (CCG))
West, North and East Cumbria	Stephen Eames (Chief Executive, North Cumbria University Hospitals NHS Trust)
Durham, Darlington and Tees, Hambleton, Richmondshire and Whitby	Alan Foster (Chief Executive, North Tees and Hartlepool NHS Foundation Trust)
Lancashire and South Cumbria	Dr Amanda Doyle OBE (Chief Clinical Officer, Blackpool CCG)
West Yorkshire	Rob Webster (Chief Executive designate, South West Yorkshire Partnership NHS Foundation Trust)
Coast, Humber and Vale	TBC
Greater Manchester	Sir Howard Bernstein (Chief Executive, Manchester City Council)
Cheshire and Merseyside	Louise Shepherd (Chief Executive, Alder Hey Children’s NHS Foundation Trust)
South Yorkshire and Bassetlaw	Sir Andrew Cash OBE (Chief Executive, Sheffield Teaching Hospitals NHS Foundation Trust)
Kent & Medway	Glenn Douglas (Chief Executive, Maidstone and Tunbridge Wells NHS Trust)
Sussex and East Surrey	Michael Wilson (Chief Executive, Surrey and Sussex Healthcare NHS Trust)
Frimley Health	Sir Andrew Morris (Chief Executive, Frimley Health NHS Foundation Trust)
Surrey Heartlands	Julia Ross (Chief Executive, North West Surrey CCG)
Cornwall and the Isles of Scilly	TBC
Devon	Angela Pedder OBE (Chief Executive, Royal Devon and Exeter NHS Foundation Trust)
Somerset	Dr Matthew Dolman (Chair, Somerset CCG)
Bristol, North Somerset, South Gloucestershire	Robert Woolley (Chief Executive, University Hospitals Bristol NHS Foundation Trust)
Bath, Swindon and Wiltshire	James Scott (Chief Executive, Royal United Hospitals Bath NHS Foundation Trust)
Dorset	Tim Goodson (Chief Officer, Dorset CCG)
Hampshire and the Isle of Wight	Richard Samuel (Chief Officer, Fareham and Gosport CCG, South Eastern Hampshire CCG)
Gloucestershire	Mary Hutton (Accountable Officer, Gloucestershire CCG)
Buckinghamshire, Oxfordshire and Berkshire West	David Smith (Chief Executive, Oxfordshire CCG)
Staffordshire	John MacDonald (Chair, University Hospitals North Midlands NHS Trust)
Shropshire and Telford and Wrekin	Simon Wright (Chief Executive, Shrewsbury and Telford Hospital NHS Trust)
Derbyshire	Gary Thompson (Chief Officer, Southern Derbyshire CCG)
Lincolnshire	Allan Kitt (Chief Officer, South West Lincolnshire CCG)
Nottinghamshire	David Pearson (Director, Adult Social Care, Nottinghamshire County Council)
Leicester, Leicestershire and Rutland	Toby Sanders (Accountable Officer, West Leicestershire CCG)
The Black Country	Andy Williams (Accountable Officer, Sandwell West Birmingham CCG)
Birmingham and Solihull	Mark Rogers (Chief Executive, Birmingham City Council)
Coventry and Warwickshire	Andy Hardy (Chief Executive, University Hospitals Coventry and Warwickshire NHS Trust)
Herefordshire and Worcestershire	Sarah Dugan (Chief Executive, Worcestershire Health and Care NHS Trust)
Northamptonshire	John Wardell (Accountable Officer, Nene CCG)
Cambridgeshire and Peterborough	Dr Neil Modha (Chief Clinical Officer, Cambridgeshire and Peterborough CCG)
Norfolk and Waveney	TBC
Suffolk and North East Essex	Nick Hulme (Chief Executive, Ipswich Hospital NHS Trust)
Milton Keynes, Bedfordshire and Luton	Pauline Philip (Chief Executive, Luton & Dunstable University Hospital NHS Foundation Trust)
Hertfordshire and West Essex	Beverley Flowers (Accountable Officer, East and North Hertfordshire CCG)
Mid and South Essex	Dr Anita Donley (Independent Chair for Mid and South Essex Success Regime from 1st April)
North West London	Dr Mohini Parmar (Chair, Ealing CCG)
North Central London	David Sloman (Chief Executive, Royal Free London NHS Foundation Trust)
North East London	Jane Milligan (Chief Officer, Tower Hamlets CCG)
South East London	Amanda Pritchard (Chief Executive, Guy’s and St Thomas’ NHS Foundation Trust)
South West London	Kathryn Magson (Chief Officer, Richmond CCG)

Note: Entries that are TBC mean that no one is as of yet confirmed in position.

The below Parliamentary question was asked by Justin Madders on 2016-06-14.

To ask the Secretary of State for Health, what the effect on the role of chief nursing officer will be of the decision to abolish the nursing, midwifery and allied health professionals policy unit.

Ben Gummer

As part of the DH 2020 plan, the Department is making significant changes to the way it works. The Department’s approach is to flexibly access professional advice from a wide range of sources, including arm’s length bodies, regulators and professional bodies, rather than from a fixed standing team of internal advisers.

These changes do not affect the role of the Chief Nursing Officer (CNO), who as CNO of the Department already advises, and will continue to advise all Ministers and the Department on the range of nursing issues.

All staff in the Department, including staff in the current nursing, midwifery and allied health professions policy unit are eligible to apply for new roles in the organisation or to apply for a voluntary early severance scheme.