Tag: Lord Bradley

The below Parliamentary question was asked by Lord Bradley on 2016-09-08.

To ask Her Majesty’s Government which (1) NHS Foundation Trusts, and (2) NHS Trusts, have an accumulated surplus of (a) up to £1 million, (b) £1–5 million, (c) £5–10 million, (d) £10–20 million, (e) £20–30 million, (f) £30–50 million, and (g) over £50 million.

Lord Prior of Brampton

‘Accumulated surplus’ has been interpreted to mean the closing balance of a trust’s retained earnings reserve at 31 March 2016. This represents the accumulated balance of annual surpluses and deficits, adjusted for any amounts offset against other reserves, such as the revaluation reserve. As this is an accumulated balance, it will differ from the annual surplus or deficit reported in the trust’s Statement of Comprehensive Income, which forms part of figures published for the provider sector by NHS Improvement.

Trusts with accumulated surpluses in the bands specified are detailed in the attached document.

All other trusts reported an accumulated deficit overall at 31 March 2016.

The below Parliamentary question was asked by Lord Bradley on 2015-11-30.

To ask Her Majesty’s Government when they will publish a National Framework for the care of (1) children, and (2) adults, who have suffered a severe brain injury and are cared for at home.

Lord Prior of Brampton

The Department has no plans to publish a specific National Framework for the care of children or adults who have suffered a severe brain injury.

However, there are National Frameworks for continuing care for children and young people (under the age of 18), and for NHS Continuing Healthcare (for individuals aged 18 or over), which support the provision of packages of care for those assessed as eligible to meet needs that have arisen as a result of a disability, accident or illness including severe brain injury. Copies are attached. The diagnosis of a particular disease or condition is not in itself a determinant of eligibility.

The below Parliamentary question was asked by Lord Bradley on 2015-10-19.

To ask Her Majesty’s Government which regulatory body is responsible for regulating the safety of e-cigarettes.

Lord Prior of Brampton

The General Product Safety Directive and associated regulations apply to electronic cigarettes (e-cigarettes), for which Trading Standards are the enforcement authority.

The Department of Health is responsible for the transposition of the revised Tobacco Products Directive (Directive 2014/40/EU), which from May 2016 will introduce additional rules on the composition, safety and presentation of e-cigarettes.

The Medicines and Healthcare products Regulatory Agency will be the designated competent authority under the Directive, which will operate a notification system for e-cigarettes and nicotine-containing refills prior to placing on the market.

The below Parliamentary question was asked by Lord Bradley on 2015-09-17.

To ask Her Majesty’s Government how many mental health treatment orders were issued by each magistrates’ court in England and Wales in each of the last five years.

Lord Faulks

Data on Mental Health Treatment Requirement Orders (MHTRs) made by each court is not held centrally.

Only national data on numbers of MHTRs issued in England and Wales as part of a community order/suspended sentence is available and can be found here:

Year	Numbers of MHTRs issued.
2015 (January to March):	202
2014	960
2013	854
2012	764
2011	878
2010	1005

The above data can be found in the Offender Management Statistics Quarterly Bulletins.

The below Parliamentary question was asked by Lord Bradley on 2014-06-11.

To ask Her Majesty’s Government what recent assessment they have made of the adequacy of National Health Service community physiotherapy services for patients who have had (1) knee, and (2) hip, replacement operations.

Earl Howe

No assessment has been made centrally of the adequacy of National Health Service community physiotherapy services for either hip or knee replacement operations.

The commissioning of community therapy services is a matter for clinical commissioning groups using the National Institute for Health and Care Excellence guidance where available.

Recently, case-mix adjusted health gain following hip and knee replacement has been added to the Clinical Commissioning Group Outcomes Tool “Commissioning for Value”. This data should facilitate conversations between commissioners and their provider trusts.

The Health & Social Care Information Centre publishes a National Joint Registry (NJR) of patient reported outcome measures (PROMs), which measures health gain in patients undergoing hip replacement, knee replacement, varicose vein and groin hernia surgery in England, based on responses to questionnaires before and after surgery.

The Best Practice Tariff for total hip and knee replacements pays for the whole episode of surgery and hospital based rehabilitation. Payment of the Best Practice Tariff for primary hip and knee replacement surgery is conditional on criteria linked to data collected through the NJR PROMs. If a provider’s NJR PROMs falls into the lowest 5% nationally in terms of outcomes the commissioner is able to remove the Best Practice Tariff funding unless a plan is made for how to improve the services.