Tag: Lord Hunt of Kings Heath

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-09-17.

To ask Her Majesty’s Government what estimate they have made of the most recent annual figure for the turnover of chief executives of National Health Service organisations.

Lord Prior of Brampton

This information is not held centrally.

However, leadership experience and stability are an important factor in running successful National Health Service organisations. This is precisely why one of the new functions of NHS Improvement, working with other organisations such as Health Education England, will be to create and support the new generation of NHS leaders.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-09-17.

To ask Her Majesty’s Government what is the average length of tenure of chief executives in the National Health Service.

Lord Prior of Brampton

This information is not collected or held centrally.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-01-14.

To ask Her Majesty’s Government what plans they have to ensure that the National Health Service is able to meet any increased need for podiatry services, in the light of the numbers of elderly people and the incidence of diabetes.

Earl Howe

Foot care services are commissioned locally by clinical commissioning groups (CCGs), working with local partners and are based on the need of the local population, resources available and evidence based practice. These commissioning decisions are informed by the Joint Strategic Needs Assessment and the local Health and Wellbeing Strategy.

Within NHS England, the National Clinical Director for Rehabilitation and Recovery in the Community and the Chief Allied Health Professions Officer are leading work to improve adult rehabilitation services including collection and dissemination of best practice.

Footcare services for older people, published by the Department in 2009, highlighted five potential models of safe and effective foot care service provision. This includes working in partnership across the health and social care spectrum and may involve training others e.g. within nursing homes or home care agencies to carry out simple foot care. Other models help empower patients to self-care where it is possible and safe to do so.

National Institute for Health and Care Excellence Clinical Guidelines 119 (on inpatient management of diabetic foot problems) and 10 (on Type 2 diabetes foot problems) offer guidance on best practice for foot care management in diabetes. These guidelines are being updated as one document – Diabetic Foot Problems, which is currently out to consultation.

It is not possible to distinguish in Hospital Episode Statistics between “major” and “minor” amputations.

The Health and Social Care Information Centre has calculated the England average rate of amputation per 100,000 population and highlighted the CCGs of residence having rates more than 33% higher than the national average. There are 25 such CCGs which are identified in the attached table. This is not a count of people as the same person may have had more than one episode of care within the same time period.

We do not have information on a comparison of rates of amputation with other European Union member states.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-09-17.

To ask Her Majesty’s Government how many National Health Service organisations currently have vacancies for chief executive posts.

Lord Prior of Brampton

This information is not held centrally by the Department.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-01-14.

To ask Her Majesty’s Government in how many Clinical Commissioning Groups are (1) major, and (2) minor, amputation rates more than 33 per cent above the national average.

Earl Howe

Foot care services are commissioned locally by clinical commissioning groups (CCGs), working with local partners and are based on the need of the local population, resources available and evidence based practice. These commissioning decisions are informed by the Joint Strategic Needs Assessment and the local Health and Wellbeing Strategy.

Within NHS England, the National Clinical Director for Rehabilitation and Recovery in the Community and the Chief Allied Health Professions Officer are leading work to improve adult rehabilitation services including collection and dissemination of best practice.

Footcare services for older people, published by the Department in 2009, highlighted five potential models of safe and effective foot care service provision. This includes working in partnership across the health and social care spectrum and may involve training others e.g. within nursing homes or home care agencies to carry out simple foot care. Other models help empower patients to self-care where it is possible and safe to do so.

National Institute for Health and Care Excellence Clinical Guidelines 119 (on inpatient management of diabetic foot problems) and 10 (on Type 2 diabetes foot problems) offer guidance on best practice for foot care management in diabetes. These guidelines are being updated as one document – Diabetic Foot Problems, which is currently out to consultation.

It is not possible to distinguish in Hospital Episode Statistics between “major” and “minor” amputations.

The Health and Social Care Information Centre has calculated the England average rate of amputation per 100,000 population and highlighted the CCGs of residence having rates more than 33% higher than the national average. There are 25 such CCGs which are identified in the attached table. This is not a count of people as the same person may have had more than one episode of care within the same time period.

We do not have information on a comparison of rates of amputation with other European Union member states.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-09-17.

To ask Her Majesty’s Government why people who have reached the age of 75 are not automatically invited for a bowel screening to identify symptoms of bowel cancer.

Lord Prior of Brampton

The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation based on the best available evidence.

Bowel cancer screening by Faecal Occult Blood testing for men and women aged 50-74 was recommended by the UK NSC in July 2003. Following this recommendation, the NHS Bowel Cancer Screening Programme in England initially invited men and women aged 60-69 years old as the programme was rolled out across the country. This has now been extended to men and women aged up to 74, as recommended in the Cancer Reform Strategy (2007). The programme offers screening up to the age of 74 based on the original English¹ and Danish² trials along with evidence published in 2010 (Cairns et al, 2010) which recommended that surveillance seizes at the age of 75.

No assessment has been made regarding automatically inviting those over 75 years for bowel screening. Men and women aged above the eligible age limit have been able to self-refer for screening every two years since the programme began, and so far over 150,000 have done so.

¹Hardcastle JD, Chamberlain JO, Robinson MH, Moss SM, Amar SS, Balfour TW, James PD, Mangham CM. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer.

Lancet. 1996:348(9040);1472-7

2 Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O. Randomised study of screening for colorectal cancer with faecal-occult-blood test.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-01-14.

To ask Her Majesty’s Government whether they will issue guidance to the National Health Service on best practice for footcare management.

Earl Howe

Foot care services are commissioned locally by clinical commissioning groups (CCGs), working with local partners and are based on the need of the local population, resources available and evidence based practice. These commissioning decisions are informed by the Joint Strategic Needs Assessment and the local Health and Wellbeing Strategy.

Within NHS England, the National Clinical Director for Rehabilitation and Recovery in the Community and the Chief Allied Health Professions Officer are leading work to improve adult rehabilitation services including collection and dissemination of best practice.

Footcare services for older people, published by the Department in 2009, highlighted five potential models of safe and effective foot care service provision. This includes working in partnership across the health and social care spectrum and may involve training others e.g. within nursing homes or home care agencies to carry out simple foot care. Other models help empower patients to self-care where it is possible and safe to do so.

National Institute for Health and Care Excellence Clinical Guidelines 119 (on inpatient management of diabetic foot problems) and 10 (on Type 2 diabetes foot problems) offer guidance on best practice for foot care management in diabetes. These guidelines are being updated as one document – Diabetic Foot Problems, which is currently out to consultation.

It is not possible to distinguish in Hospital Episode Statistics between “major” and “minor” amputations.

The Health and Social Care Information Centre has calculated the England average rate of amputation per 100,000 population and highlighted the CCGs of residence having rates more than 33% higher than the national average. There are 25 such CCGs which are identified in the attached table. This is not a count of people as the same person may have had more than one episode of care within the same time period.

We do not have information on a comparison of rates of amputation with other European Union member states.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-09-17.

To ask Her Majesty’s Government what assessment they have made of whether not automatically inviting those aged 75 or over for a bowel screening test complies with their duties under the Equalities Act 2010.

Lord Prior of Brampton

The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation based on the best available evidence.

Bowel cancer screening by Faecal Occult Blood testing for men and women aged 50-74 was recommended by the UK NSC in July 2003. Following this recommendation, the NHS Bowel Cancer Screening Programme in England initially invited men and women aged 60-69 years old as the programme was rolled out across the country. This has now been extended to men and women aged up to 74, as recommended in the Cancer Reform Strategy (2007). The programme offers screening up to the age of 74 based on the original English¹ and Danish² trials along with evidence published in 2010 (Cairns et al, 2010) which recommended that surveillance seizes at the age of 75.

No assessment has been made regarding automatically inviting those over 75 years for bowel screening. Men and women aged above the eligible age limit have been able to self-refer for screening every two years since the programme began, and so far over 150,000 have done so.

¹Hardcastle JD, Chamberlain JO, Robinson MH, Moss SM, Amar SS, Balfour TW, James PD, Mangham CM. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer.

Lancet. 1996:348(9040);1472-7

²Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O. Randomised study of screening for colorectal cancer with faecal-occult-blood test.