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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.
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.
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.
To ask the Secretary of State for Business, Innovation and Skills, what discussions he has had with mobile phone operators on the effects of adverse weather on their systems; and if he will make a statement.
To ask the Secretary of State for Business, Innovation and Skills, what discussions he has had with mobile phone operators on the effects of adverse weather on their systems; and if he will make a statement.
I have had no specific discussions with mobile phone operators on the issue of adverse weather, but there is a regular dialogue on issues of concern to both industry and Government.
The Department for Business, Innovation and Skills works closely with the telecoms industry, in particular via the pan industry and government Electronic Communications â Resilience & Response Group (EC-RRG) which leads on enhancing resilience levels and the preparation and exercising of incident response.
To ask the Secretary of State for Health, what funding he has allocated to improving vaccination coverage as part of local winter pressure resilience plans developed for the 2014-15 winter period.
To ask the Secretary of State for Health, what funding he has allocated to improving vaccination coverage as part of local winter pressure resilience plans developed for the 2014-15 winter period.
A total of £700 million of operational resilience funding was made available in 2014/15 to support cross-system resilience, with £640 million made directly available to System Resilience Groups (SRGs) through clinical commissioning groups. SRGs agreed locally how this money was to be spent.
To ask the Secretary of State for Health, how many local winter pressure resilience plans developed for the 2014-15 winter period include reference to vaccinations.
To ask the Secretary of State for Health, how many local winter pressure resilience plans developed for the 2014-15 winter period include reference to vaccinations.
Operational Resilience and Capacity Planning 2014/15 published in June 2014 required System Resilience Groups (SRGs) to produce plans which demonstrated comprehensive flu planning in line with guidance published by Public Health England in 2014. SRGs needed to demonstrate flexible preparations for the unpredictability of flu, how vaccination requirements would be met, extending to voluntary and independent sector organisations where appropriate.
The plan assurance process showed all systems had addressed flu planning requirements as part of their resilience and capacity plans.
To ask the Secretary of State for Health, what guidance his Department issues to hospitals on the role of improved vaccination in reducing seasonal pressures.
To ask the Secretary of State for Health, what guidance his Department issues to hospitals on the role of improved vaccination in reducing seasonal pressures.
The Annual Flu Plan and Annual Flu letter provide guidance on the seasonal flu vaccination programme, and is sent to a range of healthcare professionals. This provides the necessary information to help local areas prepare for vaccinating eligible groups with the seasonal flu vaccine, and highlights the importance of the programme in helping to reduce pressure on the National Health Service.
When appropriate a letter from the Chief Medical Officer is sent to the NHS recommending the use of anti-viral medicines for appropriate groups.
To ask the Secretary of State for Health, how much has been spent on the NHS Choices Winter Health Advice campaign; and for what purpose that expenditure has been incurred.
To ask the Secretary of State for Health, how much has been spent on the NHS Choices Winter Health Advice campaign; and for what purpose that expenditure has been incurred.
The total budget for NHS England’s national ‘Feeling under the weather’ (NHS Choices Winter Health Advice) campaign, for financial year 2014-15, is £6 million. The budget delivered two waves of national campaign activity. The first wave ran from 27 October 2014 to 8 January 2015 and the second wave from 17 January to 1 March 2015.
The ‘Feeling under the weather’ campaign has been created to help reduce the number of elderly and frail people requiring emergency admissions through urgent and emergency care services, particularly accident and emergency departments. The campaign aims to achieve this by raising awareness about what medical help is available and should be sought, depending on the severity of the ailment.
To ask the Secretary of State for Environment, Food and Rural Affairs, if she will assess the potential merits of giving additional powers to the Environment Agency to enable it to take punitive action against landfill site operators who ignore advice not to tip during severe weather resulting in waste,...
To ask the Secretary of State for Environment, Food and Rural Affairs, if she will assess the potential merits of giving additional powers to the Environment Agency to enable it to take punitive action against landfill site operators who ignore advice not to tip during severe weather resulting in waste,...
The Environment Agency includes conditions in the environmental permits it grants to operators of landfill sites. Permit conditions can require operators to take all appropriate measures to prevent fugitive emissions of substances, which can include litter, dust and mud, or where that is not practicable to minimise such emissions. Permits can also include conditions that require the operator to clear litter or mud from affected areas outside the site as soon as practicable.
Breach of a permit is a criminal offence and may lead to prosecution. The Environment Agency also has a range of other enforcement powers, including the power to serve statutory enforcement notices, vary permit conditions and suspend or revoke an environmental permit.
Additional enforcement powers are not considered necessary to prevent landfill operators from tipping during severe weather. However, the Government is considering the merits of enhancing Environment Agency enforcement powers to tackle waste crime.
What steps have been taken to help the Princess Alexandra Hospital in Harlow deal with extra pressure over the winter.
What steps have been taken to help the Princess Alexandra Hospital in Harlow deal with extra pressure over the winter.
The West Essex system, which includes Princess Alexandra hospital, has received an additional £4 million in winter resilience funding. Of that, £842,000 has been spent on additional community beds, £211,000 on putting put GPs into A and E departments, and £205,000 on reducing delays in the discharge of medically fit patients.
What steps have been taken to support NHS hospitals in meeting increased demand in winter 2014-15.
What steps have been taken to support NHS hospitals in meeting increased demand in winter 2014-15.
The Government have prepared for this winter earlier than ever before, with a record £700 million to help the NHS through winter, including £3.6 million to help my hon. Friend’s local area.
The West Essex system, which includes Princess Alexandra hospital, has received an additional £4 million in winter resilience funding. Of that, £842,000 has been spent on additional community beds, £211,000 on putting put GPs into A and E departments, and £205,000 on reducing delays in the discharge of medically fit patients.
The West Essex system, which includes Princess Alexandra hospital, has received an additional £4 million in winter resilience funding. Of that, £842,000 has been spent on additional community beds, £211,000 on putting put GPs into A and E departments, and £205,000 on reducing delays in the discharge of medically fit patients.
What steps have been taken to help the Princess Alexandra Hospital in Harlow deal with extra pressure over the winter.
Harlow’s A and E has seen more attendances per bed than some of the biggest hospitals in the country. Although the staff at Princess Alexandra hospital are outstanding, they are still more than 40 nurses short. The chief executive says that recruitment is difficult because pay is better in the neighbouring London hospitals, although they are not far away. I welcome the 6,000 extra nurses, but will the Secretary of State consider what more can be done to help recruitment in Harlow and ease pressure on my local hospital?
Harlow’s A and E has seen more attendances per bed than some of the biggest hospitals in the country. Although the staff at Princess Alexandra hospital are outstanding, they are still more than 40 nurses short. The chief executive says that recruitment is difficult because pay is better in the neighbouring London hospitals, although they are not far away. I welcome the 6,000 extra nurses, but will the Secretary of State consider what more can be done to help recruitment in Harlow and ease pressure on my local hospital?
I expect the additional £4 million for winter resilience to be directed towards the recruitment of additional front-line staff when that is appropriate, but there is flexibility in the current “Agenda for Change” pay scales to allow for the provision of recruitment and retention premiums if there are problems with recruitment.
I expect the additional £4 million for winter resilience to be directed towards the recruitment of additional front-line staff when that is appropriate, but there is flexibility in the current “Agenda for Change” pay scales to allow for the provision of recruitment and retention premiums if there are problems with recruitment.
I expect the additional £4 million for winter resilience to be directed towards the recruitment of additional front-line staff when that is appropriate, but there is flexibility in the current “Agenda for Change” pay scales to allow for the provision of recruitment and retention premiums if there are problems with recruitment.
Harlow’s A and E has seen more attendances per bed than some of the biggest hospitals in the country. Although the staff at Princess Alexandra hospital are outstanding, they are still more than 40 nurses short. The chief executive says that recruitment is difficult because pay is better in the neighbouring London hospitals, although they are not far away. I welcome the 6,000 extra nurses, but will the Secretary of State consider what more can be done to help recruitment in Harlow and ease pressure on my local hospital?
The Government have prepared for this winter earlier than ever before, with a record £700 million to help the NHS through winter, including £3.6 million to help my hon. Friend’s local area.
The Government have prepared for this winter earlier than ever before, with a record £700 million to help the NHS through winter, including £3.6 million to help my hon. Friend’s local area.
What steps have been taken to support NHS hospitals in meeting increased demand in winter 2014-15.
The Norfolk and Norwich university hospital has declared a major incident and is also being examined by Monitor for its waiting times. Its medical director stresses that services are safe, but we all know that there is a need to ensure that people can move on from hospitals into other parts of the health care system. Can my right hon. Friend reassure me that he would expect the use of the resources he has provided to be jointly planned out with social care?
The Norfolk and Norwich university hospital has declared a major incident and is also being examined by Monitor for its waiting times. Its medical director stresses that services are safe, but we all know that there is a need to ensure that people can move on from hospitals into other parts of the health care system. Can my right hon. Friend reassure me that he would expect the use of the resources he has provided to be jointly planned out with social care?
Obviously this is very important, and that is what is happening now for the first time. We are seeing the true integration of health and social care through the better care fund and record working, and in my hon. Friend’s area, despite the pressures they have been feeling this winter, they have made some good progress. They have put an urgent care centre next to the A and E. They are seeing within four hours nearly 12,000 more people every year, and they are doing about 12,000 more operations every year as well.
Obviously this is very important, and that is what is happening now for the first time. We are seeing the true integration of health and social care through the better care fund and record working, and in my hon. Friend’s area, despite the pressures they have been feeling this winter, they have made some good progress. They have put an urgent care centre next to the A and E. They are seeing within four hours nearly 12,000 more people every year, and they are doing about 12,000 more operations every year as well.
Obviously this is very important, and that is what is happening now for the first time. We are seeing the true integration of health and social care through the better care fund and record working, and in my hon. Friend’s area, despite the pressures they have been feeling this winter, they have made some good progress. They have put an urgent care centre next to the A and E. They are seeing within four hours nearly 12,000 more people every year, and they are doing about 12,000 more operations every year as well.
The Norfolk and Norwich university hospital has declared a major incident and is also being examined by Monitor for its waiting times. Its medical director stresses that services are safe, but we all know that there is a need to ensure that people can move on from hospitals into other parts of the health care system. Can my right hon. Friend reassure me that he would expect the use of the resources he has provided to be jointly planned out with social care?
In the Chancellor’s announcement last year of extra funding for the NHS, my clinical commissioning group got a 0.24% increase, whereas Windsor, Ascot and Maidenhead got 3.7%. The Secretary of State blamed the NHS for this when he responded to my hon. Friend the Member for Middlesbrough South and East Cleveland (Tom Blenkinsop), but is it not because this Government have taken need out of the formula—a similar thing to what they have done in local government—which means the movement of money from the north to the south?
In the Chancellor’s announcement last year of extra funding for the NHS, my clinical commissioning group got a 0.24% increase, whereas Windsor, Ascot and Maidenhead got 3.7%. The Secretary of State blamed the NHS for this when he responded to my hon. Friend the Member for Middlesbrough South and East Cleveland (Tom Blenkinsop), but is it not because this Government have taken need out of the formula—a similar thing to what they have done in local government—which means the movement of money from the north to the south?
No, we have not. The NHS funds were allocated on the basis of a formula and the extra money was given to the places that were most off-target on the basis of the number of older people, the level of social deprivation and a range of other important factors. All I would say to the hon. Gentleman is that we have increased the NHS budget in real terms in his area, whereas those on his own Front Bench wanted to cut it.
No, we have not. The NHS funds were allocated on the basis of a formula and the extra money was given to the places that were most off-target on the basis of the number of older people, the level of social deprivation and a range of other important factors. All I would say to the hon. Gentleman is that we have increased the NHS budget in real terms in his area, whereas those on his own Front Bench wanted to cut it.
No, we have not. The NHS funds were allocated on the basis of a formula and the extra money was given to the places that were most off-target on the basis of the number of older people, the level of social deprivation and a range of other important factors. All I would say to the hon. Gentleman is that we have increased the NHS budget in real terms in his area, whereas those on his own Front Bench wanted to cut it.
In the Chancellor’s announcement last year of extra funding for the NHS, my clinical commissioning group got a 0.24% increase, whereas Windsor, Ascot and Maidenhead got 3.7%. The Secretary of State blamed the NHS for this when he responded to my hon. Friend the Member for Middlesbrough South and East Cleveland (Tom Blenkinsop), but is it not because this Government have taken need out of the formula—a similar thing to what they have done in local government—which means the movement of money from the north to the south?
May I take this opportunity to salute the efforts made by Frimley Park hospital, the first hospital in the land to have been awarded outstanding status by the Care Quality Commission? Is it not the case that it has responded well to the pressures and elicited praise from my constituents, which is down in large measure to the leadership of Sir Andrew Morris, who was rightly awarded a knighthood in the new year’s honours?
May I take this opportunity to salute the efforts made by Frimley Park hospital, the first hospital in the land to have been awarded outstanding status by the Care Quality Commission? Is it not the case that it has responded well to the pressures and elicited praise from my constituents, which is down in large measure to the leadership of Sir Andrew Morris, who was rightly awarded a knighthood in the new year’s honours?
I think it is, and my hon. Friend is right that it is a brilliant hospital; it serves my constituents as well. One of the things it is doing is helping to turn around Heatherwood and Wexham Park hospitals trust, which was in special measures, including its A and E department, which is doing much better. Sir Andrew Morris has been running that hospital for 26 years, and that kind of stability in leadership makes a huge difference.