Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the average cost per day per adult of providing social care in England.
Answered by Baroness Chisholm of Owlpen
This information is not held centrally.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the average cost per day of preventable emergency admissions to hospitals in England for adults with pre-existing health conditions.
Answered by Baroness Chisholm of Owlpen
The information requested is not centrally collected.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what proportion of emergency admissions to hospitals in England are for pre-existing conditions that could have been treated by a primary, community, or social care unit.
Answered by Baroness Chisholm of Owlpen
The information requested is not centrally collected.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what strategic oversight is provided to acute hospital trusts in determining the location of specialties in hospitals within that trust.
Answered by Lord Prior of Brampton
NHS England has advised that it does not collect data on the average time taken in England for the ambulance service to take a patient from their home to an accident and emergency department.
The Government is clear the reconfiguration of front line health services is a matter for the local NHS. Services should be tailored to meet the needs of the local population, and proposals for substantial service change must meet the four tests of reconfiguration which are: (i) support from GP commissioners; (ii) strengthened public and patient engagement; (iii) clarity on the clinical evidence base and (iv) support for patient choice.
Locally driven elements of reconfiguration mean delivery will largely be managed by NHS England, who will work closely with commissioners, the Trust Development Authority and Monitor, and only approve the progression of proposals to consultation that have local support. We are aware that NHS England, in their guidance ‘Planning and delivering service changes for patients’, emphasise that NHS service change planners include an analysis of distance and travel times, the impact of these on transport users, as well as the ambulance service. A copy of this guidance is attached.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what assessment they have made of how the reorganisation of accident and emergency departments in England has affected the time taken for a patient with a serious emergency to be taken from their home to the nearest fully-equipped accident and emergency unit.
Answered by Lord Prior of Brampton
NHS England has advised that it does not collect data on the average time taken in England for the ambulance service to take a patient from their home to an accident and emergency department.
The Government is clear the reconfiguration of front line health services is a matter for the local NHS. Services should be tailored to meet the needs of the local population, and proposals for substantial service change must meet the four tests of reconfiguration which are: (i) support from GP commissioners; (ii) strengthened public and patient engagement; (iii) clarity on the clinical evidence base and (iv) support for patient choice.
Locally driven elements of reconfiguration mean delivery will largely be managed by NHS England, who will work closely with commissioners, the Trust Development Authority and Monitor, and only approve the progression of proposals to consultation that have local support. We are aware that NHS England, in their guidance ‘Planning and delivering service changes for patients’, emphasise that NHS service change planners include an analysis of distance and travel times, the impact of these on transport users, as well as the ambulance service. A copy of this guidance is attached.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what is the average time taken in England for the ambulance service to take a patient from their home to the nearest fully-equipped accident and emergency department.
Answered by Lord Prior of Brampton
NHS England has advised that it does not collect data on the average time taken in England for the ambulance service to take a patient from their home to an accident and emergency department.
The Government is clear the reconfiguration of front line health services is a matter for the local NHS. Services should be tailored to meet the needs of the local population, and proposals for substantial service change must meet the four tests of reconfiguration which are: (i) support from GP commissioners; (ii) strengthened public and patient engagement; (iii) clarity on the clinical evidence base and (iv) support for patient choice.
Locally driven elements of reconfiguration mean delivery will largely be managed by NHS England, who will work closely with commissioners, the Trust Development Authority and Monitor, and only approve the progression of proposals to consultation that have local support. We are aware that NHS England, in their guidance ‘Planning and delivering service changes for patients’, emphasise that NHS service change planners include an analysis of distance and travel times, the impact of these on transport users, as well as the ambulance service. A copy of this guidance is attached.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government whether there is an expectation that an area with a population of over 400,000 should be served by a fully-equipped accident and emergency service.
Answered by Lord Prior of Brampton
The detailed configuration of services is a matter for local commissioners.
Asked by: Baroness Pinnock (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what assessment they have made of whether the necessity to ensure that private finance initiative hospitals retain maximum use is distorting the siting of full accident and emergency and consultant-led maternity units.
Answered by Lord Prior of Brampton
Decisions on reconfiguration are for local commissioners based on identification of local need. NHS England published Planning, assuring and delivering service change for patients on 29 October 2015, a copy of which is attached, providing refreshed guidance for those considering, and involved in, service reconfiguration.
The guidance makes clear that any proposal for service reconfiguration must satisfy the Government’s four tests for change:
(i) strong public and patient engagement;
(ii) consistency with current and prospective need for patient choice;
(iii) a clear clinical evidence base; and
(iv) support for proposals from clinical commissioners.
The guidance includes that commissioners should build proposals by identifying the range of service change options that could improve outcomes within available resources; and that proposals should be clear about the impact of the proposed changes on outcomes for patients.