Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department for Exiting the European Union :
To ask Her Majesty's Government what is their definition of a hard border between Northern Ireland and the Republic of Ireland; and whether this definition includes physical infrastructure on the border itself.
Answered by Lord Callanan
The Government will stand by its commitment in the Joint Report that there will be no hard border, this includes any physical infrastructure. This will allow people on either side of that border to be able to live their lives as they do now.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 19 March (HL6008), why the information surrounding the cost of missed appointments at hospital out-patient services is not collected centrally.
Answered by Lord O'Shaughnessy
There is no national performance standard for missed appointments and, as stated in my answer of 19 March, the information is not collected centrally. However, this is an issue which the Minister of State for Health (Stephen Barclay) has asked Departmental officials to consider.
Costs associated with hospital appointments are determined by a range of locally determined factors including appointment duration, the workforce requirement and the clinical complexity of each appointment. This ensures out-patient services meet the needs of patients and these will differ across the country.
National Health Service staff are able to use time resulting from missed appointments productively, however. This may include undertaking a variety of additional tasks including support to other patients, or spending time on personal development and training.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many patients were treated by doctors in general practice in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
The number of patients treated by doctors in general practice is not collected or held centrally. The number of general practitioner (GP) appointments is not collected or held centrally. NHS Digital and NHS England are currently undergoing a review process on these appointments data. When this is published it will not include retrospective appointment data.
The number of registered patients at GP practices in England has been collected since April 2013 and is presented in the following table.
Date | Number of patients registered at a GP practice |
2013 | 56,043,609 |
2014 | 56,442,722 |
2015 | 57,011,772 |
2016 | 57,631,776 |
2017 | 58,328,549 |
Notes:
The data does not go back further than April 2013.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what estimate they have made of the number of (1) doctors, and (2) nurses who have been dismissed for misconduct at work.
Answered by Lord O'Shaughnessy
NHS Digital publishes data on dismissals under reasons for leaving. The reasons include capability, conduct, statutory and “for some other substantial reason”. The following table shows National Health Service Hospital and Community Health Services (HCHS) doctors and nurses and health visitors dismissed for ‘conduct’ over the last five years, headcount.
|
| Doctors | Nurses and health visitors |
2011-12 | Q1 | 9 | 83 |
| Q2 | 13 | 108 |
| Q3 | 11 | 95 |
| Q4 | 12 | 99 |
|
|
| |
2012-13 | Q1 | 5 | 71 |
| Q2 | 4 | 105 |
| Q3 | 5 | 86 |
| Q4 | 10 | 102 |
|
|
| |
2013-14 | Q1 | 10 | 90 |
| Q2 | 8 | 98 |
| Q3 | 4 | 109 |
| Q4 | 12 | 92 |
|
|
| |
2014-15 | Q1 | 11 | 92 |
| Q2 | 9 | 100 |
| Q3 | 16 | 81 |
| Q4 | 9 | 77 |
|
|
| |
2015-16 | Q1 | 9 | 91 |
| Q2 | 4 | 88 |
| Q3 | 2 | 88 |
| Q4 | 11 | 80 |
|
|
| |
2016-17 | Q1 | 9 | 70 |
| Q2 | 10 | 83 |
| Q3 | 5 | 63 |
| Q4 | 6 | 79 |
|
|
| |
2017-18 | Q1 | 7 | 90 |
| Q2 | 7 | 67 |
| Q3 | 9 | 62 |
| Q4 | Data not released yet | Data not released yet |
Source: NHS HCHS monthly workforce statistics, NHS Digital
Notes:
- Quarter 1: 1 April - 30 June
- Quarter 2: 1 July - 30 September
- Quarter 3: 1 October - 31 December
- Quarter 4: 1 January - 31 March
- These figures are based upon information recorded in Electronic Staff Record (ESR) by organisations as part of locally managed staff leaving processes. The accuracy and quality of this data is reliant on local organisations updating each person’s records appropriately when a staff member moves or leaves.
- These figures represent NHS staff who are employed and directly paid by NHS organisations in England using ESR. Two foundation trusts do not use ESR, and these are Moorfields Eye Hospital NHS Foundation Trust and Chesterfield Royal Hospital NHS Foundation Trust.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask Her Majesty's Government what estimate they have made of the total number of deaths as a result of the civil war in Syria since 2011.
Answered by Lord Ahmad of Wimbledon
The United Nations have estimated that over 400,000 people have been killed as a result of the civil war in Syria since the start of the conflict in 2011: we have not made our own estimate.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 19 March (HL6008), why the information surrounding the number of missed appointments at hospital out-patient services is not collected centrally.
Answered by Lord O'Shaughnessy
As stated in my answer of 19 March 2018, data for missed outpatient appointments is routinely collected and published.
Data for missed outpatient appointments in the years 2006-07 to 2016-17 is provided in the following table. This includes consultant and non-consultant-led appointments.
Year | Total outpatient appointments | Did not attend (DNA) appointments | DNA appointments as % of total appointments |
2006-07 | 63,217,226 | 5,311,966 | 8.4% |
2007-08 | 66,649,484 | 5,553,244 | 8.3% |
2008-09 | 74,853,493 | 5,993,680 | 8.0% |
2009-10 | 84,198,458 | 6,690,258 | 7.9% |
2010-11 | 87,998,505 | 6,883,886 | 7.8% |
2011-12 | 90,956,844 | 6,785,034 | 7.5% |
2012-13 | 94,091,748 | 6,860,222 | 7.3% |
2013-14 | 101,844,824 | 7,095,839 | 7.0% |
2014-15 | 107,188,423 | 7,442,949 | 6.9% |
2015-16 | 113,298,661 | 7,519,829 | 6.6% |
2016-17 | 118,578,912 | 7,938,009 | 6.7% |
Source: Hospital Episode Statistics, NHS Digital
This is a count of hospital appointments, not individual patients, as the same person may have been booked into a National Health Service hospital on more than one occasion.
Information surrounding the cost of missed appointments at hospital out-patient services is not collected centrally.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many doctors there were in general practice in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
The information requested for 2010-17 is shown in the following table. Due to changes in the methodology, comparable data is not available prior to 2010. Headcount general practitioners (GP) numbers (excluding locums) are provided as they are comparable 2010-17.
| All practitioners (excluding locums) headcount |
2010 | 39,409 |
2011 | 40,008 |
2012 | 40,463 |
2013 | 40,236 |
2014 | 41,105 |
2015 | 40,648 |
2016 | 40,490 |
2017 | 39,843 |
Source: NHS Digital
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many avoidable deaths occurred in NHS hospitals in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
This information is not collected centrally. However, in 2017-18, the National Health Service became the first healthcare system to publish estimates by individual trusts of how many of their patients may have died because of problems in their care. Trusts have begun to publish their estimates on a quarterly basis and must include evidence of learning and improvements made to prevent such deaths in their Quality Accounts from June 2018. This new level of transparency is fundamentally about generating learning to ensure the safety of NHS services.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many nurses employed by the NHS were (1) suspended for, and (2) convicted of, malpractice, in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
The information is not available in the format requested. NHS Digital publishes data on dismissals under reasons for leaving. These include capability, conduct, statutory and for some other substantial reason. However, NHS Digital does not specifically record data on convictions or suspensions as a result of malpractice.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many doctors employed by the NHS were (1) suspended for, and (2) convicted of, malpractice, in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
The information is not available in the format requested. NHS Digital publishes data on dismissals under reasons for leaving. These include capability, conduct, statutory and for some other substantial reason. However, NHS Digital does not specifically record data on convictions or suspensions as a result of malpractice.