Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the annual cost to the public purse of people with an acquired brain injury.
Answered by Steve Brine
These data are not available in the format requested and no estimate has been made.
Reference costs are the mandatory collection of costs data from all National Health Service trusts and NHS foundation trusts. Whilst there is a very wide coverage of services delivered across the NHS collected in reference costs, the diagnosis and treatment of acquired and traumatic brain injuries are excluded.
This is as per table 39 of the national cost collection guidance which can be found at the following link:
improvement.nhs.uk/resources/approved-costing-guidance-collections/
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of people identified as having an acquired brain injury on arrival living in the secure estate in each of the last five years.
Answered by Caroline Dinenage
The information requested is not held centrally by the Department or NHS England.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average cost is to his Department of treating an acquired brain injury.
Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs
A count of finished consultant episodes (FCEs) with a primary or secondary diagnosis of traumatic brain injury is shown in the following table for the last five years in which data is currently available.
Year | Primary diagnosis | Primary or secondary diagnosis |
2012-13 | 28,733 | 35,288 |
2013-14 | 31,724 | 39,051 |
2014-15 | 35,048 | 43,440 |
2015-16 | 38,744 | 48,662 |
2016-17 | 42,224 | 53,974 |
Source: Hospital Episode Statistics, NHS Digital
FCE activity for traumatic brain injuries, by National Health Service trusts, is displayed in the attached table owing to its size, and reports on 2016-17 which is the latest available data.
An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
Information surrounding the average cost of treating an acquired brain injury is not collected centrally.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of traumatic brain injuries that have happened in each NHS trust area in the last 12 months.
Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs
A count of finished consultant episodes (FCEs) with a primary or secondary diagnosis of traumatic brain injury is shown in the following table for the last five years in which data is currently available.
Year | Primary diagnosis | Primary or secondary diagnosis |
2012-13 | 28,733 | 35,288 |
2013-14 | 31,724 | 39,051 |
2014-15 | 35,048 | 43,440 |
2015-16 | 38,744 | 48,662 |
2016-17 | 42,224 | 53,974 |
Source: Hospital Episode Statistics, NHS Digital
FCE activity for traumatic brain injuries, by National Health Service trusts, is displayed in the attached table owing to its size, and reports on 2016-17 which is the latest available data.
An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
Information surrounding the average cost of treating an acquired brain injury is not collected centrally.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of traumatic brain injuries that have happened in each year of the last five years.
Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs
A count of finished consultant episodes (FCEs) with a primary or secondary diagnosis of traumatic brain injury is shown in the following table for the last five years in which data is currently available.
Year | Primary diagnosis | Primary or secondary diagnosis |
2012-13 | 28,733 | 35,288 |
2013-14 | 31,724 | 39,051 |
2014-15 | 35,048 | 43,440 |
2015-16 | 38,744 | 48,662 |
2016-17 | 42,224 | 53,974 |
Source: Hospital Episode Statistics, NHS Digital
FCE activity for traumatic brain injuries, by National Health Service trusts, is displayed in the attached table owing to its size, and reports on 2016-17 which is the latest available data.
An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
Information surrounding the average cost of treating an acquired brain injury is not collected centrally.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many rehabilitation prescriptions have been issued by the NHS in each year of the last five years.
Answered by Caroline Dinenage
The information requested is not held centrally.
NHS England commissions specialised rehabilitation services for patients with the most complex levels of need. Teams within trauma units assess and develop a rehabilitation prescription for patients with Acquired Brain Injury and other injuries.
In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners on delivering rehabilitation care locally, and describes what good rehabilitation looks like and offers a national consensus on the services people should expect.
It includes 10 ‘principles and expectations’ that were designed by people who use rehabilitation services, carers, healthcare professionals, commissioners, strategic clinical networks and national clinical directors from NHS England.
Furthermore, in 2016, NHS England published further rehabilitation commissioning guidance covering both adults and children, setting a commissioning model, evidence base for the economic benefits of delivering high quality rehabilitation services.
Asked by: Sharon Hodgson (Labour - Washington and Sunderland West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the closure of the Community Acquired Brain Injury Service on patients in (a) Sunderland and (b) Gateshead.
Answered by Steve Brine
NHS Sunderland Clinical Commissioning Group (CCG) as lead commissioner, and Newcastle Gateshead CCG as associate to the contract, have recently conducted a full service review to identify areas for improvement and ensure sustainability for the future. The review was completed in consultation with the current provider, Northumberland, Tyne and Wear NHS Foundation Trust (NTW).
The current contract for the service is due to expire on 30 June 2018, following this the CCG expects to retain a contract with NTW from 1 July 2018 which will continue to provide services for patients with severe head injuries, the group for whom the service was originally established. Patients who have a minor or mild head injury will be treated in more suitable local community services.
Commissioners intend to review these services over the coming months, and look forward to engaging with patients and other stakeholders as part of this work.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, how many people with acquired brain injuries claim (a) high-rate and (b) low-rate Personal Independence Payments and Employment and Support Allowance.
Answered by Sarah Newton
Acquired brain injuries can commonly refer to a range of different conditions depending on the type of injury. When a claimant’s primary medical condition is recorded on our systems for Employment and Support Allowance (ESA) and Personal Independent Payments (PIP), these conditions are grouped with other central nervous system categories on the datasets available for analysis. As such it is not possible for us to isolate acquired brain injuries as a separate recorded condition.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps his Department is taking to support those diagnosed with Ataxia.
Answered by Steve Brine
Ataxia can be the result of a hereditary condition (the most common being Friedreich's ataxia), it can be acquired through brain injury or neurological disease and may also result from a condition called idiopathic late-onset cerebellar ataxia. Certain disorders can also cause ataxia in people for short periods of time.
The treatment and support patients of people living with the condition will need will depend on the type of ataxia, the severity of symptoms and level of independence and patients’ needs, which should be assessed on a case by case basis. Subject to assessment, treatment may include pharmacological treatment to reduce and manage symptoms, physiotherapy, and speech and language therapy and psychological support.
Whilst much of the treatment will be provided by local NHS commissioners, some patients may need access to specialised services, commissioned by NHS England. This may be because they have high levels of need or require a particular treatment, though in the case of ataxia telangiectasia, NHS England commissions services specifically for this condition because of its rarity and the complexity of symptoms.
Asked by: Baroness Stern (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government, in the light of the report published on 15 August by HM Chief Inspector of Prisons on the lower site at Hindley Young Offenders Institution, which found that there were insufficient services for boys with brain injuries, learning disabilities or in need of speech and language therapy, whether they have any plans to improve the health services provided to boys in the lower site at Hindley Young Offenders Institution.
Answered by Earl Howe - Deputy Leader of the House of Lords
NHS England and Young Offenders Institution (YOI) Hindley have not yet responded to the August 2014 report published by Her Majesty’s Chief Inspector of Prisons. Currently, healthcare services commissioned for the population in YOI Hindley aged under 18 years include treatment for acquired or traumatic brain injury, learning disabilities and difficulties and speech, language and communication needs. These remain an important element of the overall service, which is based on needs identified in the health and wellbeing needs assessment for YOI Hindley.