Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make it his policy to mandate that obesity and weight management training is included in the curriculum for the education of every healthcare professional.
Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs
We want all health care professionals to feel confident utilising their skills and everyday opportunities to talk about weight and provide advice to support healthier weight. In Chapter 2 of the Childhood Obesity Plan, we outlined our commitment to provide health and care professionals with the latest training and tools to better support children, young people and families to reduce obesity.
It is the responsibility of Higher Education Institutes to set the curricula for the pre-registration training of healthcare professionals to standards set by the individual regulators of each profession.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many inguinal hernia repair procedures have been undertaken in each NHS trust in each of the last five years.
Answered by Jackie Doyle-Price
The information is shown in the attached table.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether increasing the number of BAME (a) blood, (b) stem cell and (c) organ donations to the NHS would result in savings to the public purse; and if he will make a statement.
Answered by Jackie Doyle-Price
The Department has not assessed the cost effectiveness of increasing the number of donations from black, Asian and minority ethnic people of blood, stem cells and organs.
Information on the potential savings of reducing the number of people on dialysis is not available in the format requested.
An impact assessment prepared to support the consultation on proposed changes to consent for organ and tissue donation, which ran between December 2017 and March 2018, includes cost and benefit analysis information in respect of all organs, including kidney transplants. The impact assessment was limited to the cost/benefit analysis of changes to consent arrangements in England, and is available at the following link:
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential savings accrued to the public purse of reducing the number of people on dialysis by providing kidney transplants to those patients at the soonest available opportunity.
Answered by Jackie Doyle-Price
The Department has not assessed the cost effectiveness of increasing the number of donations from black, Asian and minority ethnic people of blood, stem cells and organs.
Information on the potential savings of reducing the number of people on dialysis is not available in the format requested.
An impact assessment prepared to support the consultation on proposed changes to consent for organ and tissue donation, which ran between December 2017 and March 2018, includes cost and benefit analysis information in respect of all organs, including kidney transplants. The impact assessment was limited to the cost/benefit analysis of changes to consent arrangements in England, and is available at the following link:
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average yearly cost per patient is of dialysis treatment and management.
Answered by Steve Brine
This data is not available in the format requested. The following table shows the total activity, total cost and national average unit cost for all types of renal dialysis.
The activity count for renal dialysis is the number of sessions, not the number of patients. All data shown is for financial year 2016-17, the most recent year for which reference costs have been collected. National Health Service references costs data can be found at the following link:
https://improvement.nhs.uk/resources/reference-costs/
Activity | National Average Cost for 2016/17 | Total Cost |
4,240,850 | £133.88 | £567,754,893 |
The individual Healthcare Resource Groups (HRGs) which make up these data can be found in the following table.
2016-17 HRGs for renal dialysis
HRG | HRG Description |
LD01A | Hospital Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 19 years and over |
LD01B | Hospital Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 18 years and under |
LD02A | Hospital Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 19 years and over |
LD02B | Hospital Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 18 years and under |
LD03A | Hospital Haemodialysis or Filtration, with Access via Haemodialysis Catheter, with Blood-Borne Virus, 19 years and over |
LD03B | Hospital Haemodialysis or Filtration, with Access via Haemodialysis Catheter, with Blood-Borne Virus, 18 years and under |
LD04A | Hospital Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-Borne Virus, 19 years and over |
LD04B | Hospital Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-Borne Virus, 18 years and under |
LD05A | Satellite Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 19 years and over |
LD05B | Satellite Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 18 years and under |
LD06A | Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 19 years and over |
LD06B | Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 18 years and under |
LD07A | Satellite Haemodialysis or Filtration, with Access via Haemodialysis Catheter, with Blood-Borne Virus, 19 years and over |
LD08A | Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-Borne Virus, 19 years and over |
LD08B | Satellite Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, with Blood-Borne Virus, 18 years and under |
LD09A | Home Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 19 years and over |
LD09B | Home Haemodialysis or Filtration, with Access via Haemodialysis Catheter, 18 years and under |
LD10A | Home Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 19 years and over |
LD10B | Home Haemodialysis or Filtration, with Access via Arteriovenous Fistula or Graft, 18 years and under |
LD11A | Continuous Ambulatory Peritoneal Dialysis, 19 years and over |
LD11B | Continuous Ambulatory Peritoneal Dialysis, 18 years and under |
LD12A | Automated Peritoneal Dialysis, 19 years and over |
LD12B | Automated Peritoneal Dialysis, 18 years and under |
LD13A | Assisted Automated Peritoneal Dialysis, 19 years and over |
LD13B | Assisted Automated Peritoneal Dialysis, 18 years and under |
LE01A | Haemodialysis for Acute Kidney Injury, 19 years and over |
LE01B | Haemodialysis for Acute Kidney Injury, 18 years and under |
LE02A | Peritoneal Dialysis for Acute Kidney Injury, 19 years and over |
LE02B | Peritoneal Dialysis for Acute Kidney Injury, 18 years and under |
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average cost to the NHS is of providing a kidney transplant.
Answered by Jackie Doyle-Price
NHS Improvement publishes reference cost data relating to kidney transplants, which can be found at the following link:
https://improvement.nhs.uk/resources/reference-costs/
Reference costs are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year. The information relating to kidney transplants is collected in two ways, the actual transplant episodes and the preparatory and follow-up screening and examinations in the case of live donor transplants. Reference costs for 2016-17 are given in the following tables.
Reference costs for kidney transplant episodes 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Kidney Transplant, 19 years and over, from Cadaver Non-Heart-Beating Donor | 645 | £12,167 | £7,847,829 |
Kidney Transplant, 18 years and under, from Cadaver Non-Heart-Beating Donor | 11 | £5,780 | £63,576 |
Kidney Transplant, 19 years and over, from Cadaver Heart-Beating Donor | 1,171 | £12,888 | £15,092,002 |
Kidney Transplant, 18 years and under, from Cadaver Heart-Beating Donor | 40 | £15,157 | £606,268 |
Kidney Transplant, 19 years and over, from Live Donor | 708 | £13,854 | £9,808,873 |
Kidney Transplant, 18 years and under, from Live Donor | 60 | £15,149 | £908,964 |
| 2,635 | £13,028 | £34,327,513 |
Source: NHS Improvement
Notes:
Reference cost data for pre and post-transplant episodes for activities associated with kidney transplants 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Live Kidney Donor Screening | 1,083 | £215 | £232,565 |
Kidney Pre-Transplantation Workup of Live Donor | 2,422 | £270 | £654,200 |
Kidney Pre-Transplantation Workup of Recipient, 19 years and over | 9,150 | £271 | £2,483,885 |
Kidney Pre-Transplantation Workup of Recipient, 18 years and under | 27 | £991 | £26,750 |
Examination for Post-Transplantation of Kidney of Recipient, 19 years and over | 75,261 | £239 | £18,010,518 |
Examination for Post-Transplantation of Kidney of Recipient, 18 years and under | 396 | £250 | £99,024 |
Examination for Post-Transplantation of Kidney of Live Donor | 2,809 | £173 | £487,293 |
| 91,148 | £241 | £21,994,236 |
Source: NHS Improvement
Notes:
There are additional costs associated with a kidney transplant for immunosuppressant therapy, at an average cost of £6,000 per patient per year, and ongoing outpatient follow up but this information will depend on the individual patient and is not collected centrally.
Information on hospital bed days used by patients waiting for organ or stem cell transplants is not centrally collected.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many hospital bed days were used by patients waiting for (a) organ and (b) stem cell transplants in each of the last three years.
Answered by Jackie Doyle-Price
NHS Improvement publishes reference cost data relating to kidney transplants, which can be found at the following link:
https://improvement.nhs.uk/resources/reference-costs/
Reference costs are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year. The information relating to kidney transplants is collected in two ways, the actual transplant episodes and the preparatory and follow-up screening and examinations in the case of live donor transplants. Reference costs for 2016-17 are given in the following tables.
Reference costs for kidney transplant episodes 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Kidney Transplant, 19 years and over, from Cadaver Non-Heart-Beating Donor | 645 | £12,167 | £7,847,829 |
Kidney Transplant, 18 years and under, from Cadaver Non-Heart-Beating Donor | 11 | £5,780 | £63,576 |
Kidney Transplant, 19 years and over, from Cadaver Heart-Beating Donor | 1,171 | £12,888 | £15,092,002 |
Kidney Transplant, 18 years and under, from Cadaver Heart-Beating Donor | 40 | £15,157 | £606,268 |
Kidney Transplant, 19 years and over, from Live Donor | 708 | £13,854 | £9,808,873 |
Kidney Transplant, 18 years and under, from Live Donor | 60 | £15,149 | £908,964 |
| 2,635 | £13,028 | £34,327,513 |
Source: NHS Improvement
Notes:
Reference cost data for pre and post-transplant episodes for activities associated with kidney transplants 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Live Kidney Donor Screening | 1,083 | £215 | £232,565 |
Kidney Pre-Transplantation Workup of Live Donor | 2,422 | £270 | £654,200 |
Kidney Pre-Transplantation Workup of Recipient, 19 years and over | 9,150 | £271 | £2,483,885 |
Kidney Pre-Transplantation Workup of Recipient, 18 years and under | 27 | £991 | £26,750 |
Examination for Post-Transplantation of Kidney of Recipient, 19 years and over | 75,261 | £239 | £18,010,518 |
Examination for Post-Transplantation of Kidney of Recipient, 18 years and under | 396 | £250 | £99,024 |
Examination for Post-Transplantation of Kidney of Live Donor | 2,809 | £173 | £487,293 |
| 91,148 | £241 | £21,994,236 |
Source: NHS Improvement
Notes:
There are additional costs associated with a kidney transplant for immunosuppressant therapy, at an average cost of £6,000 per patient per year, and ongoing outpatient follow up but this information will depend on the individual patient and is not collected centrally.
Information on hospital bed days used by patients waiting for organ or stem cell transplants is not centrally collected.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much his Department spent on public health campaigns to encourage BAME (a) blood, (b) stem cell, (c) living organ and (d) deceased organ donation in each of the last three years.
Answered by Jackie Doyle-Price
NHS Blood and Transplant (NHSBT) is responsible for the collection, manufacturing and issuing of blood products to the National Health Service in England; for organ and tissue donation in the United Kingdom; and for the British Bone Marrow Registry (BBMR), to which it recruits registered blood donors to be potential stem cell donors.
NHSBT recovers its costs for collecting, testing, processing and supplying blood through the prices that are charged to NHS hospitals in England. Funding for organ donation and retrieval is provided by way of subsidy from the Department.
NHSBT organise campaigns to encourage living organ, deceased organ and blood donation by people from a black, Asian and minority ethnic background. NHSBT campaign spend is set out in the following table.
| Living organ donation | Deceased organ donation | Blood donation |
2015/16 | £10,000 | c£140,000 | £279,000 |
2016/17 | £76,000 | c£140,000 | £295,000 |
2017/18 | £118,000 | £95,000 | £650,000 |
Source: NHS Blood and Transplant
In addition, this year there will be a new, extensive campaign focussed on increasing organ donors from black and Asian backgrounds.
NHSBT manage the NHS Cord Blood Bank and the BBMR which are part of the Anthony Nolan and NHS Stem Cell Registry.
NHSBT has not allocated a campaign spend specifically for stem cell donation in the last three years, all activity has been delivered in-house e.g. leaflets, letters. However, as individuals are approached to join the BBMR when they first donate blood, the blood campaign spend also contributes to stem cell recruitment.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many people from BAME backgrounds have died as a result of there not being a blood, organ or stem cell donor who is a match.
Answered by Jackie Doyle-Price
NHS Blood and Transplant is responsible for the collection, manufacturing and issuing of blood products to the National Health Service in England; for organ and tissue donation in the United Kingdom; and for the British Bone Marrow Registry, to which it recruits registered blood donors to be potential stem cell donors.
NHS Blood and Transplant does not collect data in the form requested. The following table shows the most recent annual data on the ethnicity of the patients who have died whilst they were on the waiting list for an organ transplant, but this does not include patients who have died after being removed from the transplant waiting list or patients who were too ill to be added to the waiting list.
| 2016/17 |
White | 423 |
Black, Asian and Minority Ethnic | 86 |
Not reported | 1 |
Total | 510 |
Source: NHS Blood and Transplant, 2018
The 2016 annual report of the independent UK haemovigilance scheme, Serious Hazards of Transfusion (SHOT), shows no report of patients not being transfused or being under-transfused as a result of there not being a blood donor who was a match.
Asked by: Eleanor Smith (Labour - Wolverhampton South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department has taken to include differing (a) faith and (b) cultural perspectives in its consultation on opt-out organ donation.
Answered by Jackie Doyle-Price
The Department took a number of steps to raise awareness of the consultation on organ and tissue donation consent amongst different communities, which received over 17,000 responses.
- The consultation was publicised across various black and Asian media platforms, through Ministerial interviews on both national and regional black, Asian and minority ethnic (BAME) radio shows and editorials in prominent BAME publications, through television networks and editorials from faith leaders in popular religious publications;
- I wrote to faith leaders directly to encourage them to promote the consultation; and
- More widely, the consultation was promoted on social media and the Department worked with a number of organ donation-related organisations to highlight the consultation via their respective platforms.
In addition, NHS Blood and Transplant commissioned Ipsos MORI to conduct 26 focus groups across England with representatives from a number of BAME groups and faith groups. More recently, on 9 May, I hosted an event with faith leaders to discuss barriers to organ donation and to explore what more can be done to engage with the different communities.