The below Parliamentary question was asked by Tessa Munt on 2014-05-07.
To ask Mr Chancellor of the Exchequer, whether his Department has undertaken any work to assess how many jobs in the UK are dependent on trade with the EU.
Nicky Morgan
HM Treasury regularly monitors economic developments in the UK and elsewhere. In doing so, it considers a wide range of publications and analyses, from many sources and covering many issues.
The below Parliamentary question was asked by Tessa Munt on 2014-06-04.
To ask the Secretary of State for Health, with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the evidence on which it based its decision not to allow patients to be treated with the gamma knife at University College Hospital London.
Jane Ellison
Section 3 of Monitor’s substantive guidance on The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013 provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.
On page 42 of the guidance, it states that "a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course."
In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.
University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.
Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.
The below Parliamentary question was asked by Tessa Munt on 2014-06-04.
To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, which primary care trusts in the south west of England commissioned treatment with the gamma knife at University College Hospital London for patients before 1 April 2013.
Jane Ellison
NHS England has advised that no primary care trusts in the south west of England commissioned gamma knife treatment for patients at University College Hospital London before 1 April 2013.
The below Parliamentary question was asked by Tessa Munt on 2014-06-04.
To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy, and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, for what reasons NHS England is not funding patients to be treated with the gamma knife at University College Hospital London.
Jane Ellison
Section 3 of Monitor’s substantive guidance on The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013 provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.
On page 42 of the guidance, it states that "a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course."
In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.
University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.
Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.
The below Parliamentary question was asked by Tessa Munt on 2014-06-13.
To ask the Secretary of State for Health, pursuant to the Answer of 9 June 2014, Official Report, column 61W, on radiotherapy, what reports he has received of the reasons NHS England has paid for gamma knife treatment at University College Hospital London for a patient referred there from Plymouth Derriford Hospital by James Palmer, NHS England’s Clinical Director of Specialised Commissioning.
Jane Ellison
For reasons of patient confidentiality, it is not possible to comment explicitly on either case referred to. However, any primary care trust authorisations made for the gamma knife prior to 1 April 2013 were honoured by NHS England and the invoice associated with the agreed work was paid. University College London Hospitals (UCLH) were required to forward any referrals made after 1 April 2013 to NHS England, along the prescribed pathway, in accordance with the contract between the two. No invoices for work carried out by Queen’s Square Radiotherapy Centre at its own risk on behalf of UCLH have been paid by NHS England for referrals after 1 April 2013.