Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the Government’s policy is for NHS England receiving patients from Wales for healthcare.
Answered by Caroline Dinenage
Detailed arrangements for delivering healthcare between the National Health Service in England and the NHS in Wales across the England-Wales border are set out in the new ‘Statement of Values and Principles’ which can be found at the following link:
https://www.england.nhs.uk/ourwork/part-rel/x-border-health/
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what representations he has received on the decision of Liverpool Royal Hospital to reduce treatment for patients located in Wales for urinary tract care; and what steps the Government has taken to mitigate the effect of that decision on patients' health.
Answered by Caroline Dinenage
Liverpool University Hospital Trust contacted Betsi Cadwaladr University Health Board in March 2019 to outline its position regarding urology services for residents of North Wales. This position was twofold:
The Trust and the Health Board agreed that new referrals of bladder cancer patients for radical cystectomy would cease from 5 April 2019. This was due to reduced specialist surgical cover following a 12 month period of maternity leave from June 2019. Despite rigorous attempts, the Trust had been unable to provide short term cover in this area of national staff shortage. Whilst the Trust committed to treating all patients referred prior to 5 April, the acceptance of new referrals ended after this date. It was therefore considered that the best course of action for patients was for the Health Board to make alternative arrangements for new referrals.
The Trust informed the health board that it would be enacting Trust policy ensuring that specialist urological cancer surgery was prioritised for patients within its immediate locality.
The attached table contains the number of patients that have been treated from English and Welsh postcode at Liverpool Royal Hospital for urinary tract care in each of the last five years.
The Urinary Tract Outpatient number of patients will give the overall number of patients from Wales receiving treatment or review.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many patients from (a) English and (b) Welsh postcode areas have been treated at Liverpool Royal Hospital for urinary tract care in each of the last five years.
Answered by Caroline Dinenage
Liverpool University Hospital Trust contacted Betsi Cadwaladr University Health Board in March 2019 to outline its position regarding urology services for residents of North Wales. This position was twofold:
The Trust and the Health Board agreed that new referrals of bladder cancer patients for radical cystectomy would cease from 5 April 2019. This was due to reduced specialist surgical cover following a 12 month period of maternity leave from June 2019. Despite rigorous attempts, the Trust had been unable to provide short term cover in this area of national staff shortage. Whilst the Trust committed to treating all patients referred prior to 5 April, the acceptance of new referrals ended after this date. It was therefore considered that the best course of action for patients was for the Health Board to make alternative arrangements for new referrals.
The Trust informed the health board that it would be enacting Trust policy ensuring that specialist urological cancer surgery was prioritised for patients within its immediate locality.
The attached table contains the number of patients that have been treated from English and Welsh postcode at Liverpool Royal Hospital for urinary tract care in each of the last five years.
The Urinary Tract Outpatient number of patients will give the overall number of patients from Wales receiving treatment or review.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment his Department has made of the effectiveness of Project NEPTUNE in prisons.
Answered by Jackie Doyle-Price
No such assessment has been made.
NHS England is currently revising the National Substance Misuse Specification which will be published in December 2017. The Project NEPTUNE clinical guidance will be referenced within the specification.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many prisoners have been identified as suffering a drug-induced psychosis in prison in each year since 2010.
Answered by Jackie Doyle-Price
The information requested is not collected centrally.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many emergency callouts for prisoners suffering the effects of drug usage there have been (a) in each prison and (b) broken down by primary healthcare provider in each year since 2010.
Answered by Jackie Doyle-Price
The information requested is not collected centrally.
In February 2013, the National Offender Management Service (NOMS) (now HM Prison and Probation Service) issued guidance to prisons and immigration removal centres operated by NOMS concerning emergency ambulance call-outs. This guidance, Prison Service Instruction (PSI) 03/2013 Medical Emergency Response Codes outlines the medical symptoms in a prisoner, but not behaviours such as drug misuse, for which a prison must always call out an emergency ambulance. This PSI is mandatory in all prisons in England.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, on how many occasions emergency services have attended prisoners affected by illegal drug use by (a) prison and (b) primary healthcare provider in each year since 2010.
Answered by Jackie Doyle-Price
The information requested is not collected centrally.
In February 2013, the National Offender Management Service (NOMS) (now HM Prison and Probation Service) issued guidance to prisons and immigration removal centres operated by NOMS concerning emergency ambulance call-outs. This guidance, Prison Service Instruction (PSI) 03/2013 Medical Emergency Response Codes outlines the medical symptoms in a prisoner, but not behaviours such as drug misuse, for which a prison must always call out an emergency ambulance. This PSI is mandatory in all prisons in England.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many prisons use the National Early Warning Score to respond to symptoms of new psychoactive substances.
Answered by Jackie Doyle-Price
Information is not collected centrally on how many prisons use the National Early Warning Score to respond to symptoms of new psychoactive substances.
The Government has not made an assessment of the effectiveness of the use of the National Early Warning Score in prisons in Liverpool.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the effectiveness of use of the National Early Warning Score in prisons in Liverpool.
Answered by Jackie Doyle-Price
Information is not collected centrally on how many prisons use the National Early Warning Score to respond to symptoms of new psychoactive substances.
The Government has not made an assessment of the effectiveness of the use of the National Early Warning Score in prisons in Liverpool.
Asked by: David Hanson (Labour - Delyn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much has been spent by his Department on drug rehabilitation for (a) men and (b) women in prisons in (i) England and (ii) Wales in each year since 2010.
Answered by Jackie Doyle-Price
The information requested on what drug rehabilitation programmes are operated, the budget, number of prisoners using them and the location of the prison is either not collected centrally or not available in the format requested.
NHS England estimates that it spends approximately 20% of all prison healthcare spending on substance misuse services. In the financial year 2016/17, NHS England allocated approximately £405 million for all health expenditure in the adult prison estate. Comparable data is not available prior to 2013/14 when NHS England became operational.