Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were admitted to hospital due to a respiratory condition in each age group in (a) Greater Manchester and (b) England in each year since 2009-10.
Answered by David Mowat
A count of finished admission episodes with a primary diagnosis of 'respiratory diseases' in Greater Manchester hospitals and for England, by age, from 2010-11 to 2015-16 is attached. Data before 2010-11 was not collected in the current format so cannot be directly compared.
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate he has made of the mortality rate in (a) England and (b) Greater Manchester caused by long-term exposure to particulate air pollution arising from human activities.
Answered by David Mowat
The fraction of annual all-cause adult mortality attributable to anthropogenic (human-made) particulate air pollution (measured as fine particulate matter, PM2.5*) is provided by the Public Health Outcomes Framework (PHOF) indicator 3.01.
This calculates the mortality burden associated with long-term exposure to anthropogenic particulate air pollution at current levels, expressed as the percentage of annual deaths from all causes in those aged 30+.
In formation on presents the fraction of mortality attributable to particulate air pollution extracted from the PHOF 3.01 indicator, for the period 2010-14, for England, North West and Areas within the Greater Manchester Area (as GMA is not an Administrative Area) is available at:
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many student nurses in (a) Greater Manchester and (b) England received NHS bursaries in each of the last five years.
Answered by Philip Dunne
The following table shows the total number of student nurses in receipt of a National Health Service bursary in Greater Manchester and in England from 2012 to 2015.
| Academic Year | |||
2012 | 2013 | 2014 | 2015 | |
Number of student nurses in Greater Manchester | 3,343 | 2,975 | 3,284 | 3,577 |
Number of student nurses in England | 40,951 | 38,490 | 40,961 | 43,470 |
Source: NHS Business Services Authority
The NHS bursary application window for the 2016 academic year is still open and therefore figures are not yet available.
The figures are based on the postcode of the student at the time of their application. These also include students who are in receipt of a monthly bursary and those who receive tuition fees only and no annual payment for day to day living costs (either because they have chosen not to declare income or because of income assessment).
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, when his Department plans to publish its annual accounts for 2014-15.
Answered by Jane Ellison
The Department’s Annual Report and Accounts for 2014-15 is expected to be laid by HM Treasury shortly.
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the causes of increases in the number of hospital admissions of older people for cold-related illnesses since 2012.
Answered by Norman Lamb
A greater number of people die, or are admitted to hospital, during the winter than any other time of year. There are, on average, around 25,000 excess winter deaths each year in England; for every one excess winter death it has been estimated that there are approximately eight extra hospital admissions.
The causes of excess winter death and illness are complex and interlinked, and include circulating diseases such as influenza, cold temperatures and wider determinants of health, such as poor housing. It is difficult to precisely attribute the relative impacts of each on overall levels of death and illness and there is a degree of variation year on year.
Cold weather directly increases the risk of heart attacks, strokes, lung disease, flu, falls and injuries and hypothermia. Indirect effects of cold include mental health illnesses such as depression, risk of carbon monoxide poisoning if appliances are poorly maintained or poorly ventilated, and disruption to service provision. Some groups, such as older people, very young children, and people with serious medical conditions are particularly vulnerable to the effects of cold weather.
Public Health England publishes the Cold Weather Plan for England to avoid preventable illness and deaths in winter by setting out a series of actions for organisations, communities and individuals, to take throughout the year.
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients spent 12 hours from the decision to admit to admission in A&E in (a) 2013, (b) 2014 and (c) 2015.
Answered by Jane Ellison
This data is published by NHS England on a weekly basis and is available at the following website:
http://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the average cost to the NHS was of a (a) hip replacement, (b) knee replacement, (c) cataract operation and (d) hernia operation in England in 2014.
Answered by Jane Ellison
The information is shown in the following table and is from reference costs, which are the average unit cost to National Health Service trusts and foundation trusts of providing defined services in a given financial year. Reference costs for acute care are collected by healthcare resource group (HRG), which are standard groupings of clinically similar treatments that consume similar levels of healthcare resource. The costs cover one episode of care under one consultant and do not include other elements of the patient pathway such as outpatient appointments.
Estimated average unit cost to NHS providers in 2013-14
| Average unit cost per one finished consultant episode |
Hip replacement | £6,803 |
Knee replacement | £6,059 |
Cataract operation | £878 |
Hernia operation | £2,010 |
Source: Reference costs, Department of Health
Notes:
1. Includes the average unit costs for the following HRGs, weighted for the activity reported for each HRG:
HA12, Major Hip Procedures for Trauma
HB12, Major Hip Procedures for Non-Trauma
HA21, Major Knee Procedures for Trauma
HB21, Major Knee Procedures for Non-Trauma
BZ01, Enhanced Cataract Surgery
BZ02, Phacoemulsification Cataract Extraction and Lens Implant
BZ03, Non-Phacoemulsification Cataract Surgery
FZ17, Abdominal Hernia Procedures
FZ18, Inguinal, Umbilical or Femoral Hernia Procedures
2. The majority of procedures in HA12, HB12, HA21 and HB21 are for total replacements of hip or knee joints but may include other hip or knee procedures.
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will make an assessment of the effect of recent social care budget changes on people with dementia.
Answered by Norman Lamb
Expenditure on adult social care and the future demand for services will be reviewed as part of the Spending Review.
However, over the current spending review period the Department allocated additional funding to local authorities, including a transfer from the National Health Service worth £1.1 billion a year in 2014/15, to be spent on social care with a health benefit.
Spending on social care is ultimately a local decision made by individual councils.
Moreover, from April 2015, councils and the NHS will pool £5.3 billion of their local budgets to form the Better Care Fund. This will require local authorities and the NHS to work together, and engage local partners, including voluntary sector organisations. Local areas will be expected to use some of this to improve care for people with dementia.
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much NHS trusts have spent on agency and contract staff in (a) each year since 2009-10 and (b) 2014-15 to date; and how much NHS trusts plans to so spend in 2015-16.
Answered by Dan Poulter
National Health Service spend on agency and contract staff is recorded in the table below:
£ Billion Expenditure | ||||
2009-10 | 2010-11 | 2011-12 | 2012-13 | 2-13-14 |
2.23 | 2.08 | 1.84 | 2.33 | 2.58 |
As at 31 December 2014, the NHS had spent £1.3 billion at NHS foundation trusts (FTs) and £1.1 billion at NHS trusts on agency and contract staff.
In 2015-16, the NHS plans to spend £568.2 million at NHS FTs.
The planned spend for NHS trusts is not currently available.
Following the Francis report many trusts increased their spend on temporary staffing to meet safe staffing levels. The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.
To support the NHS to reduce agency spend, we are working to improve the deployment of the existing employed nursing workforce, for example, through spreading good practice in use of electronic rostering; improve workforce planning and supply to ensure we achieve safe staffing levels through better recruitment and retention including, for example, supporting nurses who want to “Return to Practice”. In addition , we are working to reduce the cost of agency staff by, where it is possible and appropriate, requiring the NHS to use existing frameworks (e.g. trusts receiving financial help under the Health and Social Care Act 2012) so they can secure agency staff at market rates.
Notes:
The figures reported by FTs were different in definition from those collected from other organisations before 2012-13, and were different in status. FTs published figures for “Agency/contract” expenditure in their annual audited accounts. Other organisations did not provide this level of detail in their audited accounts, but reported expenditure on “Non-NHS Staff” in annual Financial Returns. These returns followed on after the accounts and were reconciled to them, but were not part of the audited accounts.
Financial Returns were discontinued in 2013 to reduce the burden on the NHS. At the same time, the definition was aligned with FTs as “Agency/contract”. Excluded from the “Agency/Contract” category are costs of staff recharged by another organisation where no element of overhead is included i.e. where the staff costs are shared between the NHS trust and other bodies; staff on secondment or on loan from other organisations; amounts payable to contractors in respect of the provision of services (for example, cleaning or security).
The figure for 2009-10 includes primary care trusts (PCTs). PCTs provided significant amounts of patient services (in 2010, 19% of NHS nurses were employed by PCTs), and most of these services have transferred into trusts. It is not possible to separate out PCT expenditure between provider and commissioner costs.
For the first time, the Department collected unaudited financial data from NHS trusts for 2013/14 on Contract and Agency staffing costs and income to give a net expenditure figure. The data was collected on the NHS Summarisation Schedules that form the basis of the Department’s Annual Report and Accounts
Asked by: Andy Burnham (Labour - Leigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many NHS and foundation trusts expect to be in deficit at the end of the 2014-15 financial year; and whether he expects the NHS trust sector as a whole to be in deficit at the end of that year.
Answered by Dan Poulter
The latest position on NHS provider deficits can be found in the related Quarter Three performance reports, published on the websites of the NHS Trust Development Authority and Monitor. These can be found –
NHS trusts:
Foundation trusts: