Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many medical negligence court cases were settled by the NHS in each year between 2007 and 2017; and what was the total cost of those cases.
Answered by Lord O'Shaughnessy
NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.
NHS Resolution has provided the following information.
A table showing the number of clinical claims closed or settled as a Periodical Payment Order between 2007/08 and 2016/17 which have gone to trial as at 28 February 2018, is attached due to the size of the data.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many missed appointments at hospital out-patient services there were in each year between 2007 and 2017; and what is their estimate of the total cost of missed appointments at hospital out-patient services in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
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. Information surrounding the cost of missed appointments at hospital out-patient services is not collected centrally.
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.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many missed appointments at general practice surgeries there were in each year between 2007 and 2017; and what is their estimate of the total cost of missed appointments at general practice surgeries in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
The data is not currently held in the format requested.
NHS Digital and NHS England are currently undergoing a review process on appointments data, which would include information around missed appointments at general practice surgeries. This review will not cover information on costs of missed appointments at general practice surgeries.
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 were employed by the NHS in each year between 2007 and 2017; and what was the total number of (1) out-patients, and (2) inpatients, treated by those nurses in each of those years.
Answered by Lord O'Shaughnessy
NHS Digital provides workforce statistics and the following tables show the number of Hospital and Community Health Services (HCHS) full time equivalent (FTE) doctors and qualified nurses and health visitors as at 30 September for each specified year.
National Health Service HCHS doctors in England, as at 30 September in each year, 2007 to 2017 FTE
Year | HCHS Doctors (FTE) |
September 2007 | 87,533 |
September 2008 | 91,586 |
September 2009 | 95,410 |
September 2010 | 97,130 |
September 2011 | 98,389 |
September 2012 | 99,529 |
September 2013 | 101,137 |
September 2014 | 103,330 |
September 2015 | 104,498 |
September 2016 | 106,131 |
September 2017 | 109,002 |
Source: NHS Digital NHS monthly workforce statistics
NHS HCHS: Qualified nurses and health visitors in NHS trusts and clinical commissioning groups (CCGs) in England as at 30 September of each year, 2007 to 2017, FTE
Year | Qualified nurses and health visitors (FTE) |
September 2007 | 275,211 |
September 2008 | 281,021 |
September 2009 | 278,470 |
September 2010 | 279,883 |
September 2011 | 277,047 |
September 2012 | 271,407 |
September 2013 | 274,627 |
September 2014 | 278,981 |
September 2015 | 281,474 |
September 2016 | 284,288 |
September 2017 | 283,853 |
Source: NHS Digital monthly workforce statistics
Due to the change in methodology figures for 2007 and 2008 are not directly comparable to figures from September 2009 onwards. Figures for 2007 and 2008 also include support organisations and central bodies.
The figures provided are for permanent staff employed in the NHS trusts and CCGs in England.
It is not possible to determine if treatment was provided by a doctor or a nurse as the information is not collected in the format requested.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many hospital doctors were employed by the NHS in each year between 2007 and 2017; and what was the total number of (1) out-patients, and (2) inpatients, treated by those doctors in each of those years.
Answered by Lord O'Shaughnessy
NHS Digital provides workforce statistics and the following tables show the number of Hospital and Community Health Services (HCHS) full time equivalent (FTE) doctors and qualified nurses and health visitors as at 30 September for each specified year.
National Health Service HCHS doctors in England, as at 30 September in each year, 2007 to 2017 FTE
Year | HCHS Doctors (FTE) |
September 2007 | 87,533 |
September 2008 | 91,586 |
September 2009 | 95,410 |
September 2010 | 97,130 |
September 2011 | 98,389 |
September 2012 | 99,529 |
September 2013 | 101,137 |
September 2014 | 103,330 |
September 2015 | 104,498 |
September 2016 | 106,131 |
September 2017 | 109,002 |
Source: NHS Digital NHS monthly workforce statistics
NHS HCHS: Qualified nurses and health visitors in NHS trusts and clinical commissioning groups (CCGs) in England as at 30 September of each year, 2007 to 2017, FTE
Year | Qualified nurses and health visitors (FTE) |
September 2007 | 275,211 |
September 2008 | 281,021 |
September 2009 | 278,470 |
September 2010 | 279,883 |
September 2011 | 277,047 |
September 2012 | 271,407 |
September 2013 | 274,627 |
September 2014 | 278,981 |
September 2015 | 281,474 |
September 2016 | 284,288 |
September 2017 | 283,853 |
Source: NHS Digital monthly workforce statistics
Due to the change in methodology figures for 2007 and 2008 are not directly comparable to figures from September 2009 onwards. Figures for 2007 and 2008 also include support organisations and central bodies.
The figures provided are for permanent staff employed in the NHS trusts and CCGs in England.
It is not possible to determine if treatment was provided by a doctor or a nurse as the information is not collected in the format requested.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what was the total number of (1) out-patients, and (2) inpatients, treated in NHS hospitals in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
Information for total outpatient appointments, first outpatient appointments, first attended outpatient appointments and finished admission episodes (FAEs)1 for the years 2006-07 to 2016-17 is shown in the following table.
Year | Total outpatient appointments | First outpatient appointments | First attended outpatient appointments | Finished admission episodes |
2006-07 | 63,217,226 | 17,790,379 | 15,347,684 | 12,976,273 |
2007-08 | 66,649,484 | 19,300,484 | 16,535,501 | 13,479,828 |
2008-09 | 74,853,493 | 21,994,595 | 18,734,892 | 14,152,692 |
2009-10 | 84,198,458 | 25,049,605 | 20,851,604 | 14,537,712 |
2010-11 | 87,998,505 | 25,932,268 | 21,325,385 | 14,890,844 |
2011-12 | 90,956,844 | 26,683,114 | 21,846,959 | 15,019,396 |
2012-13 | 94,091,748 | 27,729,205 | 22,710,773 | 15,145,633 |
2013-14 | 101,844,824 | 30,113,072 | 24,504,853 | 15,462,057 |
2014-15 | 107,188,423 | 31,973,097 | 25,910,185 | 15,892,457 |
2015-16 | 113,298,661 | 33,749,549 | 27,251,226 | 16,251,841 |
2016-17 | 118,578,912 | 36,335,356 | 29,141,537 | 16,546,667 |
|
Source: Hospital Episode Statistics, NHS Digital
Notes:
1A FAE is the first period of inpatient 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 inpatients, as a person may have more than one admission within the period.
This is a count of hospital appointments and FAEs, not individual patients, as the same person may have attended a National Health Service hospital on more than one occasion.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many (1) non-medical staff, and (2) managerial staff, were employed by the NHS in each year between 2007 and 2017.
Answered by Lord O'Shaughnessy
NHS Digital publishes workforce statistics and the following table shows the number of full time equivalent (FTE) non-medical staff and managerial staff employed in the National Health Service trusts and clinical commissioning groups (CCGs) in England between September 2007 and September 2017.
NHS Hospital and Community Health Services (HCHS): Non-medical staff and managerial staff in NHS trusts and CCGs in England as at 30 September of each specified year
Year | All non-medical staff (FTE) | of which: managerial staff (FTE) |
2017 | 943,961 | 31,955 |
2016 | 930,923 | 30,592 |
2015 | 909,720 | 29,549 |
2014 | 891,028 | 27,845 |
2013 | 872,125 | 26,515 |
2012 | 876,347 | 31,143 |
2011 | 895,077 | 32,335 |
2010 | 915,087 | 35,219 |
2009 | 906,888 | 37,579 |
2008 | 901,955 | 37,937 |
2007 | 870,267 | 34,955 |
Source: NHS Digital monthly workforce statistics
Notes:
Non-medical staff includes all hospital and community health services staff in trusts and CCGs, both clinically qualified and support staff, within the broad areas of ambulance staff; administrative and estates staff; healthcare assistants and support staff; nurses, health visitors and midwives; scientific, therapeutic and technical staff (including allied health professionals) and healthcare scientific staff.
Managerial staff include senior managers and managers.
Due to the change in methodology figures for 2007 and 2008 are not directly comparable to figures from September 2009 onwards. Figures for 2007 and 2008 also include support organisations and central bodies.
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 treated by NHS Accident and Emergency departments were under the influence of drugs or alcohol in each year from 2007 to 2017; and what is their estimate of the gross cost of such treatments in each of those years.
Answered by Lord O'Shaughnessy
The data requested is not held centrally.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, in each year between 2007 and 2017, (1) how many patients were treated by the NHS who were not ordinarily resident in the UK, (2) what was the gross cost to the NHS of treating such patients, and (3) how much money was recovered from such patients.
Answered by Lord O'Shaughnessy
The Department does not collect data from National Health Service trusts and NHS foundation trusts on patients who are treated by the NHS who are not ordinarily resident in the United Kingdom.
However, between 2012/13 and 2016/17, NHS cost recovery income identified for chargeable overseas visitors and migrants has more than quadrupled from £89 million to £352 million. All income recovered is directed straight back to the NHS frontline.
Asked by: Lord Dobbs (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the process to recover money owed to the NHS from those patients who are treated by the NHS but who are not ordinarily resident in the UK and do not qualify for free healthcare at the point of use.
Answered by Lord O'Shaughnessy
Under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended, providers of NHS funded secondary care are required to make and recover charges from patients who are not ordinarily resident in the United Kingdom where no category of exemption applies within these Regulations. Since October 2017 providers are required to recover this charge in advance of providing non-urgent treatment.
The Department has issued guidance to providers of NHS funded secondary care called Guidance on implementing the overseas visitors charging regulations which sets out the rules and best practice processes to follow to recover money owed by overseas visitors. This includes considering the use of debt collection methods and forwarding on to the Home Office, following strict data protection protocols, the non-medical details of those with outstanding debts who are subject to immigration control, so that the Home Office can consider refusing a new visa or extension to stay in the UK whilst the debt remains unpaid. A copy of the guidance is attached.