Asked by: Mike Kane (Labour - Wythenshawe and Sale East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients were admitted via accident and emergency with a primary diagnosis of ophthalmological condition in each month of the last seven financial years.
Answered by Philip Dunne
A count of unplanned accident and emergency (A&E) attendances1 that resulted in a hospital admission2, for primary diagnosis of 'ophthalmological conditions'3, by month, 2010-11 and 2016-174 is shown in the table below.
This is a count of hospital attendances resulting in admissions, not individual patients as the same person may have been admitted into a National Health Service hospital on more than one occasion.
Month | 2010-11 | 2011-12 | 2012-13 | 2013-14 | 2014-15 | 2015-16 | 2016-17 |
April | 312 | 496 | 517 | 497 | 980 | 609 | 633 |
May | 359 | 503 | 452 | 509 | 915 | 678 | 676 |
June | 320 | 558 | 470 | 452 | 920 | 609 | 593 |
July | 313 | 545 | 436 | 418 | 910 | 591 | 590 |
August | 306 | 511 | 515 | 436 | 922 | 615 | 642 |
September | 325 | 488 | 451 | 400 | 853 | 606 | 673 |
October | 325 | 427 | 426 | 502 | 884 | 589 | 624 |
November | 292 | 429 | 469 | 451 | 921 | 571 | 614 |
December | 301 | 410 | 494 | 499 | 1,001 | 586 | 684 |
January | 311 | 436 | 489 | 468 | 940 | 662 | 730 |
February | 292 | 424 | 438 | 491 | 889 | 565 | 693 |
March | 361 | 527 | 482 | 576 | 914 | 716 | 775 |
Source: Hospital Episode Statistics (HES), NHS Digital
Notes:
The following attendance category codes identify unplanned A&E attendances:
1 = First Accident and Emergency attendance
3 = Follow-up Accident and Emergency attendance - unplanned
9 = Not known
2 - Attendance disposal 01 = Admitted to hospital bed / become a lodged patient of the same health care provider.
3 - A&E Diagnosis - Note that the recording of the diagnosis field within the A&E data set is not mandatory. It is not known to what extent changes over time are as a result of improvements in recording practice.
36 = Ophthalmological conditions
4 - HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care
Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity occurring between 1 April 2012 and 31 March 2013.
Asked by: Mike Kane (Labour - Wythenshawe and Sale East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients were admitted via accident and emergency with a primary diagnosis of contusion or abrasion in each month of the last seven financial years.
Answered by Philip Dunne
A count of unplanned accident and emergency (A&E) attendances1 that resulted in a hospital admission2, for primary diagnoses of 'contusion/abrasion'3, by month, 2010-11 and 2016-174 is provided in the table below.
This is a count of hospital attendances resulting in admissions, not individual patients as the same person may have been admitted into a National Health Service hospital on more than one occasion.
Month | 2010-11 | 2011-12 | 2012-13 | 2013-14 | 2014-15 | 2015-16 | 2016-17 |
April | 1,284 | 1,661 | 1,114 | 992 | 1,688 | 1,159 | 1,201 |
May | 1,247 | 1,609 | 1,204 | 1,074 | 1,794 | 1,180 | 1,377 |
June | 1,192 | 1,574 | 1,112 | 1,110 | 1,754 | 1,310 | 1,333 |
July | 1,190 | 1,623 | 1,189 | 1,204 | 1,867 | 1,296 | 1,395 |
August | 1,285 | 1,458 | 1,159 | 1,231 | 1,751 | 1,263 | 1,470 |
September | 1,136 | 1,383 | 1,211 | 1,124 | 1,766 | 1,286 | 1,410 |
October | 1,060 | 1,328 | 1,083 | 1,062 | 1,732 | 1,160 | 1,448 |
November | 1,024 | 1,189 | 1,042 | 1,106 | 1,730 | 1,189 | 1,292 |
December | 1,218 | 1,117 | 1,052 | 1,148 | 1,668 | 1,211 | 1,444 |
January | 1,208 | 1,006 | 926 | 1,112 | 1,542 | 1,177 | 1,343 |
February | 1,132 | 1,010 | 903 | 1,742 | 1,502 | 1,143 | 1,130 |
March | 1,356 | 1,220 | 976 | 1,904 | 1,755 | 1,145 | 1,355 |
Source: Hospital Episode Statistics (HES), NHS Digital
Notes:
1 - The following attendance category codes identify unplanned A&E attendances:
1 = First Accident and Emergency attendance
3 = Follow-up Accident and Emergency attendance - unplanned
9 = Not known
2 - Attendance disposal 01 = Admitted to hospital bed / become a lodged patient of the same health care provider.
3 - A&E Diagnosis - Note that the recording of the diagnosis field within the A&E data set is not mandatory. It is not known to what extent changes over time are as a result of improvements in recording practice.
02 = Contrusion/abrasion
4 - HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care
Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity occurring between 1 April 2012 and 31 March 2013.
Asked by: Mike Kane (Labour - Wythenshawe and Sale 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 effectiveness of the Healthier Together programme.
Answered by Philip Dunne
No assessment has been made. These are matters for the local National Health Service.
We are advised by NHS England that effectiveness of the Healthier Together programme will be continually monitored throughout the implementation phase. The aim of the programme is to improve standards and quality of care for all patients across Greater Manchester. To support this, a “Healthier Together Dashboard” has been developed and is now operational. The Dashboard allows real time tracking of compliance with the Healthier Together standards.
This began with the National Emergency Laparotomy Audit standards for emergency general surgery. These are being monitored and improved within and across sectors, to demonstrate how compliance with standards will be improved. The next stage will add National Cardiac Arrest Audit information.
Asked by: Mike Kane (Labour - Wythenshawe and Sale East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the status is of the Healthier Together programme in Greater Manchester.
Answered by Philip Dunne
These are matters for the local National Health Service.
We are advised by NHS England that the Healthier Together programme has now moved into implementation and is part of the Greater Manchester Health and Social Care Partnership. The recently appointed Chief Officer for the Partnership has assumed the role of Programme Sponsor to oversee the implementation phase.
All areas of Greater Manchester are developing detailed plans and business cases for the transfer of care for high risk elective general surgery patients to the hub sites from 1 April 2017. This is a new way of working whereby current teams from different hospitals will work under single governance and leadership to achieve the required quality and safety standards for patients.
Asked by: Mike Kane (Labour - Wythenshawe and Sale East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much his Department has spent on the Healthier Together programme in Greater Manchester since that programme was introduced.
Answered by Philip Dunne
Costs associated with the Healthier Together Programme are a matter for the local National Health Service.
Asked by: Mike Kane (Labour - Wythenshawe and Sale 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 measurable outcomes of the Healthier Together programme.
Answered by Philip Dunne
No assessment has been made. These are matters for the local National Health Service.
We are advised by NHS England that clinicians working within the programme have started to share best practice across Greater Manchester which has already improved patient outcomes.
Enhanced Recovery After Surgery (ERAS+) involves pre-operative patient assessment, using exercise testing, to assess how well a patient should cope with surgery. This is used at Central Manchester NHS Foundation Trust and has demonstrated a 50% reduction in significant post-operative respiratory complications across a group of a thousand patients. In addition, ERAS+ has led to shorter stays in hospital for patients.
Asked by: Mike Kane (Labour - Wythenshawe and Sale East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether healthcare professionals in Greater Manchester expressed support for the introduction of charging for (a) primary care and (b) emergency care in response to his Department's consultation, Making a fair contribution: consultation on the extension of charging overseas visitors and migrants using the NHS in England.
Answered by Alistair Burt
The Government is currently analysing responses to this consultation and will publish its response in due course.