Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many patients at the Great Western Hospital in Swindon died from hospital acquired pneumonia in (a) December 2024, (b) January 2025 and (c) February 2025.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
10 patients died from hospital acquired pneumonia at the Great Western Hospital in Swindon in December 2024. Figures for January 2025 and February 2025 cannot be provided until May 2025.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to his oral contribution in response to the hon. Member for Christchurch of 25 March 2025, Official Report, column 773, whether he has received an update from the Dorset Integrated Care Board about the Burton Branch Surgery application.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The NHS Dorset Integrated Care Board (ICB) has received applications to open a branch surgery in the Village of Burton, near Christchurch in Dorset. Applications are currently going through the ICB governance process, which is expected to conclude following the ICB Prevention, Equity and Outcomes Committee on 23 April.
Following a local practice closure in August 2024, the ICB is assessing capacity in the area, which remains good. Access to general practice (GP) services for local residents remains very good, with a choice of five practices in the Christchurch area that are all accepting new patients and growing their lists. The NHS Dorset ICB is engaging with local partners, other GP practices, and the Wessex Local Medical Committees to ensure views are collated while going through our governance processes.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, for what reason applicants seeking mandatory reversal of decisions made by the NHSBSA on vaccine damage claims are required as a precondition to adduce fresh evidence without which no mandatory reversal is possible; and whether there is statutory provision for such a restriction.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
If a claimant to the Vaccine Damage Payment Scheme (VDPS) wants to challenge a decision about their claim, they can ask for the decision to be reviewed. This is known as a ‘mandatory reversal’.
In accordance with the legislation which governs the VDPS, when applying for a mandatory reversal, claimants must provide an explanation of why they think that the original decision is wrong, and they may provide further evidence to support their request. They can also ask the NHS Business Services Authority, the administrators of the VDPS, to request additional medical records from healthcare providers.
However, providing further evidence to support their request for a mandatory reversal is not a legal or operational requirement. The answer given by the Department to PQ39388 incorrectly stated that claimants must provide additional evidence to their claim before a mandatory reversal is undertaken. This response has been corrected.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what was the (a) maximum and (b) minimum time between Crawford & Co completing a medical review of applications for vaccine damage payments and the applicant being informed of the decision in in the period January 2024 – December 2024.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Between January and December 2024, the maximum time between Crawford & Co completing a medical assessment of an application to the Vaccine Damage Payment Scheme and the applicant being informed by the NHS Business Services Authority of my Rt Hon. Friend, the Secretary of State for Health and Social Care’s decision as to whether they are entitled to a payment under the scheme was 518 days. The minimum time was zero days, with the claimants informed of the outcome on the same day that the medical assessment was completed.
Over the same period, the average time between Crawford & Co completing a medical assessment of an application and the applicant being informed of my Rt Hon. Friend, the Secretary of State for Health and Social Care’s decision was 14 days.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 1 April 2025 to Question 41384, what the (a) maximum and (b) minimum time was between a Vaccine Damage Payment Scheme application being made to the NHS Business Services Authority and being submitted to Crawford & Co for review.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The submission of applications to Crawford & Co is dependent on the NHS Business Services Authority (NHSBSA) receiving the relevant medical records from healthcare providers.
As of 3 April 2025, the maximum time between an application being made to the Vaccine Damage Payment Scheme and that application being submitted to Crawford & Co for review was 1,339 days. The minimum time was 14 days, and the average time was 199 days.
The NHSBSA is working with healthcare providers to speed up the rate at which these medical records are shared.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to reply to the correspondence of 5 February 2025 from the hon. Member for Christchurch relating to a constituent.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We have received the Hon. Member’s correspondence of 5 February 2025, and we will respond shortly.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 24 March 2025 to Question 39387 on Vaccine Damage Payment Scheme, if he will make an estimate of the number of assessments that have missed the 95 per cent target; how many of those have been delayed by more than (a) one, (b) six and (c) 12 months; and whether penalties have been imposed on Crawford & Company for missed deadlines.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Between January 2024 and December 2024, the percentage of medical assessment reports returned within 15 working days of receipt of a fully completed medical record was 99.8%. In the same period, 10 medical assessment reports were not returned within the 15-day timeframe. Of these, nine reports were returned within a month, with one report delayed by more than a month. No medical assessment reports were delayed either by more than six or 12 months.
The supplier has previously had service credits applied as a result of not returning medical assessment reports to the NHS Business Services Authority within 15 working days. As the supplier has achieved above 95% in relation to this target since August 2023, no service credits have been applied since 2023.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 24 March to Question 39386 on NHS Business Services Authority: Crawford & Company, how much of the budget of £38.6m is set aside for the payment of VDPS claims; and what the forecast is for the number of applications to the VDPS to be processed by Crawford & Co for 2025-26.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
For the 2025/26 financial year, the budget allocated for the Vaccine Damage Payment Scheme is £38.6 million. The forecasted amount within this budget for vaccine damage payments is approximately £9 million. The budget for the 2025/26 financial year is based on estimates that approximately 8,500 assessments, including mandatory reversals, will be carried out in 2025/26.
The budget allocated for payments has no bearing on the outcomes of individual assessments. The NHS Business Services Authority will request additional funding from the Department to process additional claims if needed, for example if the number of claims received is more than forecasted.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to his Department's contract entitled Medical Assessments: Vaccine Damage Payment Scheme, procurement reference, CF-0724900D0O000000rwimUAA, whether Crawford & Company are required to respond to Vaccine Damage Payment Scheme claims within a specified time period; and whether they receive rewards on account of the speed of assessments.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The length of time it takes to process a Vaccine Damage Payment Scheme (VDPS) claim varies from case to case. This is because medical records will often be gathered from claimants’ healthcare providers before a claim undergoes medical assessment, and receiving a claimant’s records can take time.
95% of the assessments that are shared with an independent medical assessor should be returned to the VDPS administrators, the NHS Business Service Authority, within 15 working days. Sometimes this can take longer because medical assessments are complex, and these medical assessors will review individual medical records, which can be thousands of pages.
No rewards are provided within the contract.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, for what services the NHSBSA paid Crawford & Co; and what the budget for expenditure on the services of Crawford & Co is for the Vaccine Damage Payment Scheme for 2025-26.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Crawford & Company currently provides a medical assessment service for the Vaccine Damage Payment Scheme (VDPS). The VDPS budget for 2025/26, including payments to claimants, the budget for Crawford & Company, and the budget for the operation of the scheme by the NHS Business Services Authority, is £38.6 million. Final expenditure by Crawford & Company will depend on a number of variables, including the number of claims received.