Tag: Lord Hunt of Kings Heath

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2014-06-16.

To ask Her Majesty’s Government what is the detailed breakdown of the estimated £12 to £15 million total cost of the special administration process in relation to Mid Staffordshire NHS Trust.

Earl Howe

The £7,250,000 incurred by the special administration process at Mid Staffordshire NHS Trust relates to the period when the trust special administrators (TSAs) were appointed in April 2013, to the point at which the Secretary of State announced his decision to accept the TSAs’ proposals in February 2014.

We are informed by Monitor that the total figure of £7,250,000 can be broadly broken down as follows:

– Cost of the TSAs and supporting team to run the Trust – £2,000,000;

– Cost of solution development – £3,600,000; and

– Cost of stakeholder engagement and consultation – £1,650,000.

Monitor has estimated the total cost of the special administration process will be £12 to £15 million. This was first announced as part of its decision to accept the TSAs’ final proposals on 16 January 2104 and re-stated in an announcement on 13 March 2014. This includes the £7,250,000 and £250,000 expenses incurred up to the point of the Secretary of State’s decision.

The remainder of the estimated total cost consists of costs incurred in the period leading up to the dissolution of the trust. These are the cost of continuing to employ a team to run the trust, and the cost of implementing the recommendations set out in the TSAs’ Final Report.

We are also informed by Monitor that an original budget for the remaining costs was agreed at approximately £7,000,000.

That total figure of £7,000,000 can be broadly broken down as follows:

– Cost of the TSAs and supporting team to run the Trust – £1,500,000;

– Cost of delivering the transaction – £2,100,000; and

– Cost of splitting the Trust – £3,400,000.

The team running the trust will be required to remain in place up to the point at which the trust is dissolved.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2014-06-12.

To ask Her Majesty’s Government what the ambulance service 999 response rates have been over the past two years.

Earl Howe

The following table shows performance against the response time standards for all ambulance trusts in England in the last two financial years.

Table: Monthly performance of ambulance trusts in England for category A calls, 2012-13 and 2013-14

Year	Month	Of all Category A calls, proportion responded to within 8 minutes	Of all Red 1 calls, proportion responded to within 8 minutes	Of all Red 2 calls, proportion responded to within 8 minutes	Of all Category A calls resulting in an ambulance arriving, proportion within 19 minutes
2012-13	April	76.2%	–	–	96.7%
2012-13	May	74.8%	–	–	96.3%
2012-13	June	–	75.6%	77.5%	96.6%
2012-13	July	–	75.3%	77.4%	96.4%
2012-13	August	–	75.1%	78.1%	96.5%
2012-13	September	–	75.1%	75.9%	95.9%
2012-13	October	–	74.9%	76.5%	96.2%
2012-13	November	–	73.2%	76.0%	96.1%
2012-13	December	–	70.4%	70.8%	94.6%
2012-13	January	–	73.5%	75.8%	95.8%
2012-13	February	–	74.1%	75.3%	95.9%
2012-13	March	–	73.4%	73.8%	95.4%
2012-13	Full year	75.5%	74.0%	75.6%	96.0%
2013-14	April	–	75.4%	76.0%	96.4%
2013-14	May	–	77.9%	77.8%	96.9%
2013-14	June	–	77.4%	77.1%	96.7%
2013-14	July	–	75.5%	74.0%	95.8%
2013-14	August	–	77.0%	75.3%	96.2%
2013-14	September	–	75.1%	73.8%	95.9%
2013-14	October	–	74.6%	73.6%	96.1%
2013-14	November	–	74.1%	73.0%	95.9%
2013-14	December	–	72.8%	71.7%	95.4%
2013-14	January	–	76.4%	76.3%	96.4%
2013-14	February	–	75.2%	74.0%	96.0%
2013-14	March	–	76.2%	74.7%	96.1%
2013-14	Full year	–	75.6%	74.8%	96.1%

Source: NHS England, ambulance quality indicators

Notes:

1. Ambulance service response times were split in June 2012 in to the most time critical (Red 1) and serious but less time critical (Red 2).

2. Category A Red 1 calls are the most time critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe conditions.

3. Category Red 2 calls are serious but less immediately time critical and cover conditions such as stroke and fits, and a new clock start will allow call handlers to get more information about patients.

4. Category A19 is the total number of Category A calls (Red 1 and Red 2) which resulted in a fully equipped ambulance vehicle (car or ambulance) able to transport the patient in a clinically safe manner arriving at the scene within 19 minutes of the request being made.

The Government is aware of the increasing demand on urgent and emergency care services. The Urgent and Emergency Care Review is currently considering whole system change to the delivery of urgent and emergency care, including new models of delivery of care for ambulance services. The first phase of the review was published last November, and we expect NHS England to be publishing further reports later this year.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2014-06-12.

To ask Her Majesty’s Government what is the reason for, and what action they are taking to address, the deterioration in ambulance 999 response rates.

Earl Howe

The following table shows performance against the response time standards for all ambulance trusts in England in the last two financial years.

Table: Monthly performance of ambulance trusts in England for category A calls, 2012-13 and 2013-14

Year	Month	Of all Category A calls, proportion responded to within 8 minutes	Of all Red 1 calls, proportion responded to within 8 minutes	Of all Red 2 calls, proportion responded to within 8 minutes	Of all Category A calls resulting in an ambulance arriving, proportion within 19 minutes
2012-13	April	76.2%	–	–	96.7%
2012-13	May	74.8%	–	–	96.3%
2012-13	June	–	75.6%	77.5%	96.6%
2012-13	July	–	75.3%	77.4%	96.4%
2012-13	August	–	75.1%	78.1%	96.5%
2012-13	September	–	75.1%	75.9%	95.9%
2012-13	October	–	74.9%	76.5%	96.2%
2012-13	November	–	73.2%	76.0%	96.1%
2012-13	December	–	70.4%	70.8%	94.6%
2012-13	January	–	73.5%	75.8%	95.8%
2012-13	February	–	74.1%	75.3%	95.9%
2012-13	March	–	73.4%	73.8%	95.4%
2012-13	Full year	75.5%	74.0%	75.6%	96.0%
2013-14	April	–	75.4%	76.0%	96.4%
2013-14	May	–	77.9%	77.8%	96.9%
2013-14	June	–	77.4%	77.1%	96.7%
2013-14	July	–	75.5%	74.0%	95.8%
2013-14	August	–	77.0%	75.3%	96.2%
2013-14	September	–	75.1%	73.8%	95.9%
2013-14	October	–	74.6%	73.6%	96.1%
2013-14	November	–	74.1%	73.0%	95.9%
2013-14	December	–	72.8%	71.7%	95.4%
2013-14	January	–	76.4%	76.3%	96.4%
2013-14	February	–	75.2%	74.0%	96.0%
2013-14	March	–	76.2%	74.7%	96.1%
2013-14	Full year	–	75.6%	74.8%	96.1%

Source: NHS England, ambulance quality indicators

Notes:

1. Ambulance service response times were split in June 2012 in to the most time critical (Red 1) and serious but less time critical (Red 2).

2. Category A Red 1 calls are the most time critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe conditions.

3. Category Red 2 calls are serious but less immediately time critical and cover conditions such as stroke and fits, and a new clock start will allow call handlers to get more information about patients.

4. Category A19 is the total number of Category A calls (Red 1 and Red 2) which resulted in a fully equipped ambulance vehicle (car or ambulance) able to transport the patient in a clinically safe manner arriving at the scene within 19 minutes of the request being made.

The Government is aware of the increasing demand on urgent and emergency care services. The Urgent and Emergency Care Review is currently considering whole system change to the delivery of urgent and emergency care, including new models of delivery of care for ambulance services. The first phase of the review was published last November, and we expect NHS England to be publishing further reports later this year.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2014-06-12.

To ask Her Majesty’s Government what action they are taking with regard to those Clinical Commissioning Groups that have not funded Improving Access to Psychological Therapies services for deaf people.

Earl Howe

The Improving Access to Psychological Therapies programme is now the responsibility of individual clinical commissioning groups (CCGs); however over £400 million is being invested over the spending review period to make a choice of psychological therapies available for those who need them in all parts of England.

Section 20 of the Equality Act 2010 requires service providers and CCGs to make ‘reasonable adjustments’ so that disabled people are not placed at a ‘substantial disadvantage’ compared to non-disabled people, which would include in the provision of psychological therapies to deaf people.