Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many incidents of accident and emergency departments diverting admissions to other hospitals there were in (a) Barnsley East constituency, (b) Barnsley, (c) South Yorkshire and (d) Yorkshire and the Humber in each year since 2010.
Answered by Jane Ellison
The number of occasions when there was an agreed temporary divert of patients from hospitals in Barnsley, South Yorkshire and Yorkshire and the Humber to other accident and emergency departments is available from NHS England’s winter daily situation reports, which are collected from acute trusts each weekday during winter only. Published figures can be found using the following link.
https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many NHS patients were admitted to mental health beds in (a) Barnsley, (b) South Yorkshire and (c) Yorkshire and the Humber in each year since 2010; and how many such patients in each location were diverted to other hospitals for admission over the same period.
Answered by Alistair Burt
The data requested is not all centrally available. Such data as is available is shown in the table below.
Number of people using National Health Service funded adult secondary mental health and learning disability services spending time in hospital during the year, by selected mental health providers 2010/11 - 2014/15.
2010/11 | 2011/12 | 2012/13 | 2013/14 | 2014/15 | |
Admitted | Admitted | Admitted | Admitted | Admitted | |
South Yorkshire: | 4,091 | 4,835 | 4,936 | 4,490 | 4,430 |
NHS providers | |||||
Rotherham Doncaster and South Humber NHS Foundation Trust | 1,389 | 1,395 | 1,508 | 1,405 | 1,315 |
South West Yorkshire Partnership NHS Foundation Trust | 1,882 | 2,409 | 2,410 | 2,190 | 2,230 |
Sheffield Health and Social Care NHS Foundation Trust | 820 | 1,031 | 1,018 | 895 | 885 |
Yorkshire and Humber | 7,533 | 8,373 | 8,849 | 8,460 | 8,405 |
NHS providers | |||||
Leeds and York Partnership NHS Foundation Trust | 1,493 | 1,584 | 2,009 | 2,050 | 2,040 |
Humber NHS Foundation Trust | 813 | 853 | 811 | 880 | 915 |
Rotherham Doncaster and South Humber NHS Foundation Trust | 1,389 | 1,395 | 1,508 | 1,405 | 1,315 |
South West Yorkshire Partnership NHS Foundation Trust | 1,882 | 2,409 | 2,410 | 2,190 | 2,230 |
Bradford District Care NHS Foundation Trust | 1,136 | 1,101 | 1,093 | 1,040 | 1,020 |
Sheffield Health and Social Care NHS Foundation Trust | 820 | 1,031 | 1,018 | 895 | 885 |
Source: Health and Social Care Information Centre Mental Health Minimum Dataset (MHMDS/MHLDDS) 2010/11 - 2014/15
Notes: | |
Where a person was in contact with more than one provider during the year, they are counted at their highest level of care in each provider. Care spells with an admission are prioritised over those care spells without an admission. | |
The 'Admitted' category identifies people that spent time in hospital in the year. They may also have used community mental health services. Learning Disabilities services were added to the dataset in 2015. Data between versions may not be directly compatible. | |
Note that provider level figures for 2013/14 and 2014/15 have been rounded to control the risk of disclosing an individual's identity. This is in line with the suppression rules in place at the time of publication. | |
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what guidance his Department issues on ensuring the continual provision of GP services in the event of a lease-holding GP practice withdrawing its services; and what the minimum specifications are for the interim provision of GP services in a case where a lease-holding GP practice withdraws its services.
Answered by Alistair Burt
NHS England is responsible for ensuring that all patients have access to primary medical services. Where a practice closes, patients may be assigned to another practice or may register with a practice of their choosing.
Patients will be entitled to receive, as a minimum, essential services as set out in general practitioner contract regulations which includes any referral needed. If a practice does not provide enhanced or additional services, NHS England is responsible for ensuring patients have access to those services.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many GP appointments took place (a) in working hours, (b) during the evening and (c) at weekends in (i) Barnsley, (ii) South Yorkshire and (iii) England in each of the last five years.
Answered by Alistair Burt
Data about the number of general practitioner (GP) appointments that have taken place is not held centrally.
The Government is committed to improving access to GP and primary care services. We have invested £175 million in the Prime Minister’s GP Access Fund (including £25 million sourced from the £1 billion Infrastructure Fund), to test improved and innovative access to GP services. This includes longer opening hours – such as evening and weekend hours – but also different ways of accessing services, for example telephone and Skype consultations. Across two waves of the Fund, 57 schemes will be set up covering over 2,500 practices. There are two wave two GP Access Fund schemes currently being mobilised in South Yorkshire, in Barnsley and Sheffield.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many sick days were taken by NHS (a) nurses, (b) midwives, (c) doctors and (d) ambulance staff in each of the last 12 months.
Answered by Dan Poulter
The number of sick days taken by NHS nurses, midwives, doctors and ambulance staff in each of the last 12 months for which data is available, is set out in the tables below.
| Qualified nursing and health visiting staff | Qualified Midwives | ||||
| Full Time Equivalent (FTE) Days Available | FTE Days Sick | Absence Rate | FTE Days Available | FTE Days Sick | Absence Rate |
November 2013 | 8,682,115 | 401,372 | 4.6% | 652,946 | 29,740 | 4.6% |
December 2013 | 8,989,853 | 437,005 | 4.9% | 676,191 | 33,810 | 5.0% |
January 2014 | 8,985,841 | 438,655 | 4.9% | 675,487 | 34,436 | 5.1% |
February 2014 | 8,144,538 | 379,562 | 4.7% | 609,741 | 29,420 | 4.8% |
March 2014 | 9,043,453 | 397,662 | 4.4% | 674,823 | 30,122 | 4.5% |
April 2014 | 8,722,491 | 379,368 | 4.3% | 652,169 | 29,117 | 4.5% |
May 2014 | 9,025,905 | 381,537 | 4.2% | 675,363 | 30,013 | 4.4% |
June 2014 | 8,725,128 | 374,928 | 4.3% | 653,689 | 29,004 | 4.4% |
July 2014 | 8,993,871 | 395,926 | 4.4% | 673,369 | 30,809 | 4.6% |
August 2014 | 8,963,577 | 391,667 | 4.4% | 672,360 | 29,854 | 4.4% |
September 2014 | 8,608,232 | 392,508 | 4.6% | 640,752 | 30,247 | 4.7% |
October 2014 | 9,061,051 | 434,049 | 4.8% | 675,857 | 34,141 | 5.1% |
Hospital and Community Health Services Doctors (HCHS) | Qualified ambulance staff | Support to ambulance staff | ||||||
FTE Days Available | FTE Days Sick | Absence Rate | FTE Days Available | FTE Days Sick | Absence Rate | FTE Days Available | FTE Days Sick | Absence Rate |
3,125,774 | 39,269 | 1.3% | 538,524 | 30,038 | 5.6% | 209,625 | 12,614 | 6.0% |
3,228,339 | 40,695 | 1.3% | 556,161 | 37,664 | 6.8% | 218,637 | 14,800 | 6.8% |
3,223,634 | 42,673 | 1.3% | 555,012 | 38,980 | 7.0% | 226,899 | 15,311 | 6.7% |
2,907,821 | 38,528 | 1.3% | 501,115 | 34,667 | 6.9% | 206,107 | 13,847 | 6.7% |
3,220,233 | 40,197 | 1.2% | 553,149 | 36,481 | 6.6% | 228,666 | 14,760 | 6.5% |
3,060,076 | 35,926 | 1.2% | 532,764 | 35,197 | 6.6% | 221,708 | 13,970 | 6.3% |
3,170,484 | 37,722 | 1.2% | 550,018 | 36,625 | 6.7% | 228,952 | 13,490 | 5.9% |
3,062,997 | 36,799 | 1.2% | 530,113 | 34,441 | 6.5% | 222,978 | 12,908 | 5.8% |
3,157,602 | 39,123 | 1.2% | 546,505 | 34,976 | 6.4% | 231,461 | 14,619 | 6.3% |
3,215,362 | 32,563 | 1.0% | 546,409 | 36,331 | 6.6% | 232,643 | 14,204 | 6.1% |
3,103,249 | 34,316 | 1.1% | 529,348 | 34,585 | 6.5% | 228,321 | 13,896 | 6.1% |
3,255,724 | 39,023 | 1.2% | 550,668 | 37,513 | 6.8% | 239,270 | 14,462 | 6.0% |
|
Notes:
1. While lower sickness absence figures, in general, indicate lower levels of sickness absence it should be noted that lower figures can also indicate under reporting of sickness absence.
2. Data presented is Full Time Equivalent Days Lost to Sickness Absence including non-working days.
3. Hospital and Community Health Services Doctors includes locums
Data Quality:
The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality where changes impact on figures already published. This is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the relationship between the allocation of funding for children's heart disease services and (a) current and (b) forecast patient numbers.
Answered by Dan Poulter
Funding for activity for congenital heart disease is based on tariff prices as is common with many other specialised services. Monitor is responsible under the Health and Social Care Act 2012 for tariff. NHS England has advised that a small amount of the funding is negotiated locally.
NHS England is currently reviewing congenital heart services for adults and children including forecasting activity levels at a national level and is producing a regional analysis.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what (a) measures and (b) guidelines NHS England has in place to ensure quality care for children with autism in the hospital system; and when those measures and guidelines were last updated.
Answered by Norman Lamb
The Care Quality Commission’s inspection of hospitals will include assessment of whether or not children’s needs are being assessed and care and treatment delivered in line with legislation, standards and evidence-based guidance. The inspection framework for National Health Service acute hospitals for services for children and young people was last updated in October 2014. Hospital trusts are able to measure effectiveness through, for example, the Friends and Family test, the NHS National Children's Inpatient and Day Case Survey and other means of engaging with children and their families.
The guidance which the NHS should follow in ensuring the quality of care provided for children with autism in hospital is issued by the National Institute for Health and Care Excellence, chiefly the quality standard [QS51] on Autism, published in January 2014 and guidelines, autism: the management and support of children and young people on the autism spectrum (August 2013), which is available at https://www.nice.org.uk/guidance/cg170
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the cost to his Department has been of implementing the Friends and Family Test.
Answered by George Freeman
The introduction of the Friends and Family Test (FFT) was announced in May 2012. Implementation began in April 2013 and is due to be completed by end March 2015. NHS England is responsible for implementing the FFT.
NHS service providers are responsible for funding their own implementation of the FFT as a requirement of their National Health Service contract. Information about these costs is not available centrally. NHS England has a national programme that co-ordinates implementation of the FFT. During 2013/14 and, to date, during 2014/15 the programme has spent £5,499,915. This includes work directly with NHS service providers to support and advise on implementation.
The FFT has a number of strengths against which costs need to be considered.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people in (a) Barnsley East constituency, (b) South Yorkshire and (c) the UK have received an influenza vaccination in each of the last four years.
Answered by Jane Ellison
For Barnsley East, in 2013-14, information is available by Clinical Commissioning Group (CCG) for Barnsley. For 2010-11 to 2012-13, information is available for Barnsley Primary Care Trust (PCT).
The total number of general practitioner (GP) registered persons in Barnsley PCT and clinical CCG reported to have received influenza vaccine over the past four years is as follows:
- 2010-11 Barnsley PCT – 44,962 people vaccinated;
- 2011-12 Barnsley PCT – 46,460 people vaccinated;
- 2012-13 Barnsley PCT – 48,382 people vaccinated; and
- 2013-14 Barnsley CCG – 50,804 people vaccinated.
For South Yorkshire, in 2013-14, information is available by for South Yorkshire and Bassetlaw Area Team (AT). For 2010-11 to 2012-13, information is available for Yorkshire and Humber Strategic Health Authority (SHA).
The total number of GP registered persons in Yorkshire and Humber SHA/Yorkshire and Bassetlow AT reported to have received influenza vaccine over the past four years as follows:
- 2010-11 Yorkshire and Humber SHA – 931,104 people vaccinated;
- 2011-12 Yorkshire and Humber SHA – 982,802 people vaccinated;
- 2012-13 Yorkshire and Humber SHA – 1,014,958 people vaccinated; and
- 2013-14 South Yorkshire and Bassetlaw Area Team – 305,887 people vaccinated.
Public Health England collects information on number vaccinated for England, not the United Kingdom.
The total number of GP registered persons in England reported to have received influenza vaccine over the past four years is as follows:
- 2010-11 England 9,049,021 vaccinated;
- 2011-12 England 9,677,663 vaccinated;
- 2012-13 England 9,951,942 vaccinated; and
- 2013-14 England 10,769,801 vaccinated.
Asked by: Michael Dugher (Labour - Barnsley East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the average waiting times were for (a) heart and (b) cancer operations in (i) Barnsley East constituency, (ii) Barnsley local authority area, (iii) South Yorkshire and (iv) England.
Answered by Jane Ellison
The information requested is shown in the following table. These data are from hospital episode statistics and measure the time waiting between decision to admit and admission to hospital. They are not the same as referral to treatment waiting times, which measure waiting times from referral to the start of consultant-led treatment by 18 treatment functions (subdivisions of consultant main specialties), but which do not include condition specific information.
Average time waited in 2012-13 for finished admission episodes with (a) a main operative procedure, heart and (b) a primary diagnosis of cancer
| Main operative procedure, heart | Primary diagnosis of cancer, with subsequent procedure | ||
| Mean (days) | Median (days) | Mean (days) | Median (days) |
Barnsley East constituency | 52.9 | 44 | 24.3 | 16 |
Barnsley Local Authority | 54.0 | 42 | 24.1 | 16 |
South Yorkshire and Bassetlaw Area Team | 59.9 | 42 | 25.8 | 17 |
England | 50.2 | 37 | 30.2 | 19 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
Notes:
1. Activity in English NHS hospitals and English NHS commissioned activity in the independent sector.
2. Time waited (days) is the time waited for all patients between decision to admit and admission to hospital.
3. Time waited (days) statistics from Hospital Episode Statistics (HES) are not the same as published Referral to Treatment (RTT) time waited statistics. HES provides counts and time waited for all patients between decision to admit and admission to hospital within a given period. Published RTT waiting statistics measure the time waited between referral and start of treatment.
4. A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.
5. The main procedure is the first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (eg time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.
6. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital. In this case the main procedure codes used were K01 - K78, Heart
7. The following ICD-10 codes were used: C00 - C97, Cancer
8. Parliamentary constituency of residence, local authority of residence and area team of residence, are the geographical areas containing the patient’s normal home address. They do not necessarily reflect where the patient was treated as they may have travelled to another parliamentary constituency for treatment.
9. The total number of eligible admissions from which the mean and median time waited are derived includes waiting list and booked admissions, but not planned admissions. A waiting list admission is one in which a patient has been admitted electively into hospital from a waiting list, having been given no date of admission at the time a decision to admit was made. Booked admissions are those in which the patient was admitted electively having been given a date at the time it was decided to admit. Planned admissions are excluded as they are usually part of a planned sequence of clinical care determined mainly on clinical criteria, which, for example, could require a series of events, perhaps taking place every three months, six months or annually. It is the case that some providers do not supply the data required to calculate a time waited on eligible episodes.