Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 22 November 2016 to Question 53151, if the Government will ensure that the Sentinel Stroke National Audit Programme begins to collect data on patient experience and outcomes.
Answered by David Mowat
The Healthcare Quality Improvement Partnership (HQIP) commissions, develops and manages the National Clinical Audit and Patient Outcomes Programme (NCAPOP), on behalf of NHS England, Wales and other devolved administrations. The programme currently consists of over 30 national clinical audits, six clinical outcome review programmes and the National Joint Registry. The Sentinel Stroke National Audit Programme is one of the NCAPOP topics.
Patient Reported Experience Measures and Patient Reported Outcome Measures are not routinely commissioned through the NCAPOP.
The design of the clinical audit is a matter for HQIP on behalf of NHS England and the Royal College of Physicians.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 22 November 2016 to Question 53101, on strokes, what criteria NHS England uses to renew or develop condition-specific strategies.
Answered by David Mowat
The National Health Service will continue to build on the successes of the current Stroke Strategy. There has been significant, sustained improvement in the quality of stroke care over the last decade and we will continue to deliver our ambition for truly world leading care. That is why the NHS rigorously audits the quality of stroke care across the country each year. It means that we now have some of the fastest improvements in hospital recovery rates for stroke and heart attacks in Europe.
Decisions on whether the stroke strategy should be renewed are a matter for NHS England. As NHS England has moved away from disease specific strategies towards guidance that is more cross cutting, and because the stroke strategy remains valid and implementation of it continues, NHS England has no current plans to renew it.
NHS England’s approach to priority setting was set out in its Five Year Forward View, available at:
https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf
NHS England makes decisions about commissioning on advice from its Clinical Priorities Advisory Group, full details of which can be found at:
https://www.england.nhs.uk/commissioning/cpag/
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Oral Answer of 7 February 2017, Official Report, column 226, to the hon. Member for St Ives, what steps his Department is taking to produce a detailed implementation plan to improve stroke services in England.
Answered by David Mowat
The National Health Service will continue to build on the successes of the current Stroke Strategy. There has been significant, sustained improvement in the quality of stroke care over the last decade and we will continue to deliver our ambition for truly world leading care. That is why the NHS rigorously audits the quality of stroke care across the country each year. It means that we now have some of the fastest improvements in hospital recovery rates for stroke and heart attacks in Europe.
Decisions on whether the stroke strategy should be renewed are a matter for NHS England. As NHS England has moved away from disease specific strategies towards guidance that is more cross cutting, and because the stroke strategy remains valid and implementation of it continues, NHS England has no current plans to renew it.
NHS England’s approach to priority setting was set out in its Five Year Forward View, available at:
https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf
NHS England makes decisions about commissioning on advice from its Clinical Priorities Advisory Group, full details of which can be found at:
https://www.england.nhs.uk/commissioning/cpag/
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 22 November 2016 to Question 53101, what meetings took place on the National Stroke Strategy between (a) Ministers and officials of his Department, (b) Ministers of his Department and representatives of NHS England and (c) officials of his Department and representatives of NHS England in each month since October 2016.
Answered by David Mowat
Ministers and officials have met with a range of stakeholders interested in stroke and have discussed a number of topics including the National Stroke Strategy.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps are being taken to ensure physiotherapy is available to people with muscle-wasting conditions at Nottingham University Hospitals NHS Trust as a result of his Department's review of that hospital's therapy service provision.
Answered by David Mowat
The Department has made no review of therapy provision at Nottingham University Hospitals NHS Trust. That is a matter for the local National Health Service.
NHS England advises that Rushcliffe Clinical Commissioning Group (CCG), Nottingham North and East CCG, Nottingham City CCG and Nottingham West CCG this year undertook clinically-led reviews of services that fall outside the national tariff payment mechanism. The reviews were initiated because the CCGs need to ensure they are getting the best value for money when commissioning publicly funded health services.
As part of this work, the CCGs identified some services currently delivered by Nottingham University Hospitals NHS Trust that could be delivered in a community setting, closer to patients’ homes, providing better value to the local NHS and capacity within local hospitals. The CCGs are committed to continuing to provide the three neurological services provided by the Trust as a single specialty neuro-rehabilitation service provided in the community. This will be supported by the same level of clinical expertise and care as is currently provided.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what discussions Ministers and officials of his Department have had with NHS England on the expiry of the National Stroke Strategy in December 2016.
Answered by David Mowat
Decisions on whether the stroke strategy should be renewed are a matter for NHS England.
The Sentinel Stroke National Audit Programme (SSNAP) collects detailed data on the processes of care that a stroke patient receives in hospital. SSNAP covers all of the key aspects of care identified in the National Stroke Strategy. It also collects data on the care that discharged patients receive from community stroke teams (early supported discharge and community rehabilitation teams as well as bed based rehabilitation facilities) and provides the opportunity for clinicians to enter follow-up data six months after the stroke occurred. However, SSNAP does not collect data on patient experience and outcomes, areas highlighted as important in the strategy.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what meetings Ministers and officials of his Department have had on the National Stroke Strategy since October 2016.
Answered by David Mowat
Decisions on whether the stroke strategy should be renewed are a matter for NHS England.
The Sentinel Stroke National Audit Programme (SSNAP) collects detailed data on the processes of care that a stroke patient receives in hospital. SSNAP covers all of the key aspects of care identified in the National Stroke Strategy. It also collects data on the care that discharged patients receive from community stroke teams (early supported discharge and community rehabilitation teams as well as bed based rehabilitation facilities) and provides the opportunity for clinicians to enter follow-up data six months after the stroke occurred. However, SSNAP does not collect data on patient experience and outcomes, areas highlighted as important in the strategy.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, which key indicators defined as important in the National Stroke Strategy are not currently measured by the sentinel stroke national audit programme.
Answered by David Mowat
Decisions on whether the stroke strategy should be renewed are a matter for NHS England.
The Sentinel Stroke National Audit Programme (SSNAP) collects detailed data on the processes of care that a stroke patient receives in hospital. SSNAP covers all of the key aspects of care identified in the National Stroke Strategy. It also collects data on the care that discharged patients receive from community stroke teams (early supported discharge and community rehabilitation teams as well as bed based rehabilitation facilities) and provides the opportunity for clinicians to enter follow-up data six months after the stroke occurred. However, SSNAP does not collect data on patient experience and outcomes, areas highlighted as important in the strategy.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will publish his evaluation of the National Stroke Strategy for England and the Government's approach to outpatient rehabilitation services for stroke survivors.
Answered by David Mowat
There has been no formal evaluation of the National Stroke Strategy. However there is a continuous evaluation of the quality of stroke care via the Sentinel Stroke National Audit Programme (SSNAP). This measures most of the key indicators defined as important in the strategy and findings are freely available on the SSNAP website:
The Government’s approach to outpatient rehabilitation services for stroke survivors is to encourage clinical commissioning groups (CCGs) to commission evidence based care such as early supported discharge and longer term neurorehabilitation. There are some areas where these services are incomplete and NHS England is working with CCGs and the Sustainability and Transformation Plan footprints to address this.
Asked by: Chris Leslie (The Independent Group for Change - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the cost to the public purse has been of storing, maintaining and facilitating research access to the Corsellis Brain Collection in each of the last five years; and if he will make a statement.
Answered by George Freeman
The excess costs of maintaining the collection compared with the income from specimen preparation over a number of years have rendered the collection unsustainable as a research resource. West London Mental Health Trust has therefore decided - once it has responded to current requests for samples - to respectfully dispose of those tissue samples for which no scientific purpose can be envisaged. Some tissue has also been requested by the University of Hong Kong for training purposes for their neuropathology students, which the Trust is providing as a more appropriate use of such clinical material than respectful disposal. The Trust has obtained the appropriate Human Tissue Authority licenses for this work. We understand that the collection will close by the end of June 2016.
The Trust has provided figures for each of the three years to 2014/15. In each case the cost has been borne by the Trust, offset (to a relatively small extent) by fees received for tissue sample requests and - in 2014/15 - by a donation. The figures are shown in the following table.
Financial Year | Cost | Income | Donation |
2012/13 | £101,126 | Nil | Nil |
2013/14 | £84,561 | £7,016 | Nil |
2014/15 | £80,684 | £1,003 | £69,316 |
The Medical Research Council supports a range of brain tissue banks which have been set-up around specific disorders and diseases generally to collect post-mortem brain tissue from consented donors.