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Written Question
Donors: Ethnic Groups
Wednesday 20th June 2018

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 targets had been set out for BAME (a) blood, (b) stem cell and (c) organ donation in each of the last five years; and to what extent each of those targets were met.

Answered by Jackie Doyle-Price

There are no targets published in relation to Black, Asian and Minority Ethnic blood, stem cell and organ donation.


Written Question
Donors: Ethnic Groups
Wednesday 20th June 2018

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 targets there are for the amount of BAME (a) blood, (b) stem cells and (c) organs donated in (a) 2017-18, (b) 2018-19 and (c) 2019-2020.

Answered by Jackie Doyle-Price

There are no targets published in relation to Black, Asian and Minority Ethnic blood, stem cell and organ donation.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 patients underwent inguinal hernia surgery in each region of England in each of the last three years.

Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs

NHS England has advised that it does not collect data on the number of patients that underwent inguinal hernia surgery in each region of England.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 has NHS undertaken in each Clinical Commissioning Group in each of the last five years.

Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs

A table containing the number of inguinal hernia repair procedures undertaken by the National Health Service in England by clinical commissioning group of treatment for the years 2012/13 to 2016/17 is attached.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 respond to the recommendations made in the Hernia Outcomes Campaign’s report, Inguinal Hernia Surgery: Improving Patient Outcomes and Reducing Variation published in November 2017, and will he make a statement.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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, in what form will patient outcomes for inguinal hernia patients be recorded as a result of the decision by NHS England to discontinue the patient reported outcome measure for that treatment.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 his Department has made of the potential merits of the recommendation made by Hernia Outcomes Campaign on the introduction of a watchful waiting policy for inguinal hernia surgery in that organisations report, Inguinal Hernia Surgery: Improving Patient Outcomes and Reducing Variation, published in November 2017.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 criteria is used by Clinical Commissioning Groups to determine commissioning policies for inguinal hernia repair.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 guidance NHS England has issued to Clinical Commissioning Groups for the development of commissioning policies for inguinal hernia repair.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.


Written Question
Hernias: Surgical Mesh Implants
Wednesday 9th May 2018

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 has his Department made of the effect of removing the Patient Reported Outcome Measure on hernia repair on the commissioning policies used by Clinical Commissioning Groups.

Answered by Steve Brine

NHS England has advised that the Patient Reported Outcome Measure (PROM) on hernia repair did not demonstrate significant improvements in quality of outcomes for many patients and was not implemented very widely.

The Hernia Outcomes Campaign team are in discussion with the Royal College of Surgeons of England, with the British Hernia Society, the Getting It Right First Time team and NHS England about potentially constructing and testing a more useful PROM for hernia outcomes.

NHS England has advised that no specific guidance is issued to clinical commissioning groups (CCGs) regarding the development of commissioning policies for inguinal hernia repair.

It is up to CCGs to decide how services are delivered at a local level and to decide the criteria that they use to determine their commissioning policies for hernia repair. In doing so, they are expected to take account of any National Institute for Health and Care Excellence Quality Standards that are relevant to this.

Individual surgeons have a responsibility for assessing the outcomes of their operations and should make this information available in summary form to prospective patients to help them make effective decisions about whether or not to choose surgical treatment.

A representative of NHS England has met with members of the Hernias Outcomes Campaign and discussed the contents of their 2017 report. NHS England concur that for patients with few symptoms an effective process of shared decision-making between patient and surgeon may well result in a choice not to opt for immediate surgery.