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To ask the Secretary of State for Health and Social Care, if the Government will introduce a statutory duty in England to calculate and take reasonable steps to maintain safe nurse staffing on adult acute wards, with ward-level public reporting and mandatory escalation when recognised staffing risk indicators are breached.
To ask the Secretary of State for Health and Social Care, if the Government will introduce a statutory duty in England to calculate and take reasonable steps to maintain safe nurse staffing on adult acute wards, with ward-level public reporting and mandatory escalation when recognised staffing risk indicators are breached.
It has not proved possible to respond to the hon. Member in the time available before Prorogation.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to support Royal Cornwall Hospitals NHS Trust in addressing the long waits for ambulances and emergency care at the acute hospital in Cornwall.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to support Royal Cornwall Hospitals NHS Trust in addressing the long waits for ambulances and emergency care at the acute hospital in Cornwall.
We are committed to improving urgent and emergency care and returning to the waiting time standards set out in the National Health Service constitution through actions set out in Urgent and Emergency Care Plan for 2025/26 and the Medium Term Planning Framework for 2026/27 to 2028/29.
On the 6 June 2025, we published our Urgent and Emergency Care Plan for 2025/26, backed by a total of nearly £450 million of funding. The plan focuses on improvements that will see the biggest impact on urgent and emergency care performance next winter and on making urgent and emergency care better every day, including reducing ambulance handovers to a maximum of 45 minutes and actions to support at least 78% of patients in accident and emergency being seen within four hours.
The Royal Cornwall Hospitals NHS Trust has been focusing on its ‘clinical vision of flow’, alongside whole system work which is delivering improvement in urgent and emergency care performance.
To ask the Secretary of State for Health and Social Care, how many additional inpatient beds in acute settings he has funded NHS England to commission for (a) November 2024, (b) December 2024, (c) January 2025 and (d) February 2025 above the total number available in October 2024.
To ask the Secretary of State for Health and Social Care, how many additional inpatient beds in acute settings he has funded NHS England to commission for (a) November 2024, (b) December 2024, (c) January 2025 and (d) February 2025 above the total number available in October 2024.
NHS England’s 2024/25 Priorities and Operational Planning Guidance set out that, with the additional funding in 2023/24 made recurrent in 2024/25, systems should maintain General and Acute beds at the level funded and agreed through the operating plans in 2023/24 as a minimum.
The latest published data is for October 2024, and shows that there was an average of 101,325 General and Acute beds available in England. This compares to 99,067 in October 2023.
To ask His Majesty's Government what steps they are taking to ensure there are adequate numbers of skilled professionals to meet the needs of seriously ill children and young people.
To ask His Majesty's Government what steps they are taking to ensure there are adequate numbers of skilled professionals to meet the needs of seriously ill children and young people.
Ensuring that children and young people are cared for by the right professional, when and where they need it, is crucial to improving outcomes for children. This includes making sure that there are adequate numbers of skilled professionals to meet the needs of seriously ill children and young people.
We are developing a 10-Year Health Plan to reform the National Health Service. A core part of the 10-Year Health Plan will be our workforce, and how we ensure we provide the staff, technology, and infrastructure the NHS needs to the care for all patients, including children and young people.
To ask the Secretary of State for Health and Social Care, what assessment she has made of trends in the level of asthma (a) acute admissions and (b) deaths in the last 12 months.
To ask the Secretary of State for Health and Social Care, what assessment she has made of trends in the level of asthma (a) acute admissions and (b) deaths in the last 12 months.
NHS England has advised that admissions data for asthma show that it follows the seasonal pattern seen in past years of falling, lower rates in the spring and summer months, and increasing, higher rates in the winter months. There is no published mortality data for asthma available for the past 12 months. The most recent data published by the Office for National Statistics and NHS England covers the period up to 2022.
To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in each acute trust within the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in each acute trust within the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:
The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:
The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.
To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.
The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:
The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:
The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the average occupancy rate of acute beds.
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the average occupancy rate of acute beds.
Wexham Park Hospital offers acute services in Slough and is operated by Frimley Health NHS Foundation Trust. The Department does not hold hospital site level data on bed occupancy. The latest official statistics published by NHS England for May 2023 show that the general and acute bed occupancy rate at Frimley Health NHS Foundation Trust was 97.7%.
For the same period, general and acute bed occupancy in the South East was 94.3%, while the general and acute bed occupancy rate in England was 93.0%. Health is a devolved matter, and the Department does not report bed occupancy in the devolved nations.
As set out in the delivery plan for recovering urgent and emergency care services, there will be 5,000 more staffed beds this year, alongside an extra 3,000 virtual ward beds. This is backed by £1 billion of dedicated funding.
We are also investing £1.6 billion over the next two years to reduce the numbers of beds occupied by patients ready to be discharged, and Same Day Emergency Care services will be in place across every hospital with a major emergency department, helping avoid unnecessary overnight stays.
To ask the Secretary of State for Health and Social Care, what assessment has he made of the average occupancy rate of acute beds in (a) Slough, (b) the Southeast and (c) the UK.
To ask the Secretary of State for Health and Social Care, what assessment has he made of the average occupancy rate of acute beds in (a) Slough, (b) the Southeast and (c) the UK.
Wexham Park Hospital offers acute services in Slough and is operated by Frimley Health NHS Foundation Trust. The Department does not hold hospital site level data on bed occupancy. The latest official statistics published by NHS England for May 2023 show that the general and acute bed occupancy rate at Frimley Health NHS Foundation Trust was 97.7%.
For the same period, general and acute bed occupancy in the South East was 94.3%, while the general and acute bed occupancy rate in England was 93.0%. Health is a devolved matter, and the Department does not report bed occupancy in the devolved nations.
As set out in the delivery plan for recovering urgent and emergency care services, there will be 5,000 more staffed beds this year, alongside an extra 3,000 virtual ward beds. This is backed by £1 billion of dedicated funding.
We are also investing £1.6 billion over the next two years to reduce the numbers of beds occupied by patients ready to be discharged, and Same Day Emergency Care services will be in place across every hospital with a major emergency department, helping avoid unnecessary overnight stays.
To ask the Secretary of State for Health and Social Care, what estimate he has made to the number of acute psychiatric beds in the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust.
To ask the Secretary of State for Health and Social Care, what estimate he has made to the number of acute psychiatric beds in the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust.
As of 10 July 2022, there were 223 acute psychiatric beds in the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust.
To ask the Secretary of State for Health and Social Care, what plans his department has for collecting key metrics for the delivery of acute medical care.
To ask the Secretary of State for Health and Social Care, what plans his department has for collecting key metrics for the delivery of acute medical care.
We have no plans to do so. NHS England and NHS Improvement advise that most acute hospitals in England have acute medical units. The Getting It Right First Time (GIRFT) programme is designed to improve the treatment and care of patients through an in-depth review of services, benchmarking and presenting evidence to support change. It has produced guidance on acute medical unit delivery, including on capacity, staffing and diagnostic capability. The GIRFT Acute General Medicine workstream is also developing the Summary Acute Medicine Indicator tool, highlighting areas where acute medical care can be optimised.
To ask the Secretary of State for Health and Social Care, what plans his department has to expand the use of acute medical units in the care of patients with acute medical problems.
To ask the Secretary of State for Health and Social Care, what plans his department has to expand the use of acute medical units in the care of patients with acute medical problems.
We have no plans to do so. NHS England and NHS Improvement advise that most acute hospitals in England have acute medical units. The Getting It Right First Time (GIRFT) programme is designed to improve the treatment and care of patients through an in-depth review of services, benchmarking and presenting evidence to support change. It has produced guidance on acute medical unit delivery, including on capacity, staffing and diagnostic capability. The GIRFT Acute General Medicine workstream is also developing the Summary Acute Medicine Indicator tool, highlighting areas where acute medical care can be optimised.
To ask Her Majesty's Government what steps they are taking to create rapid PCR capability in (1) emergency departments, and (2) acute healthcare settings.
To ask Her Majesty's Government what steps they are taking to create rapid PCR capability in (1) emergency departments, and (2) acute healthcare settings.
It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.
To ask the Secretary of State for Health and Social Care, if he will request an update from NHS Improvement and NHS England on the steps being taken across the health and care system to tackle ambulance handover delays at Shropshire’s acute hospitals.
To ask the Secretary of State for Health and Social Care, if he will request an update from NHS Improvement and NHS England on the steps being taken across the health and care system to tackle ambulance handover delays at Shropshire’s acute hospitals.
NHS England and NHS Improvement are providing support to 35 challenged hospital sites to improve their patient handover processes, ensuring that these happen within an agreed timeframe and allowing ambulance crews to respond to calls.
West Midlands Ambulance Service has introduced a clinical validation team responsible for triaging lower urgency cases and where appropriate diverting patients to other services, increasing the âhear and treatâ rate in Shropshire. Hospital Ambulance Liaison Officers at Shropshireâs acute hospitals are improving the flow of patients arriving at accident and emergency (A&E) departments, by cohorting ambulance patients at both sites. A single ambulance crew is responsible for three to four patients, releasing additional crews to respond to calls in the community.
A new Same Day Emergency Centre has opened at the Royal Shrewsbury Hospital, which receives ambulances directly, diverting patients from A&E as clinically appropriate and improving handover times. We have also invested £9.3 million to upgrade the emergency department, delivering additional cubicles, a new and improved majors department, a designated emergency zone for children and young people and a clinical decisions unit.
To ask the Secretary of State for Levelling Up, Housing and Communities, what recent assessment he has made of the number of acute bed spaces available for young people in crisis in Birmingham and the West Midlands.
To ask the Secretary of State for Levelling Up, Housing and Communities, what recent assessment he has made of the number of acute bed spaces available for young people in crisis in Birmingham and the West Midlands.
As part of the Homelessness Case Level Collection data (H-CLIC), local authorities are required to collect details of the number of young people needing support to manage independently, this data is published here https://www.gov.uk/government/collections/homelessness-statistics.
This Government is committed to reducing the need for temporary accommodation by preventing homelessness before it occurs. That is why we are spending £2 billion over the next three years to tackle homelessness and rough sleeping.
The Government is committed to tackling all forms of homelessness and the Homelessness Reduction Act places duties on local housing authorities to take reasonable steps to try to prevent and relieve a person’s homelessness.
This means that many more young people who may not previously have been eligible for support, are now being helped to prevent homelessness before it even occurs.
In December 2021, we announced £316 million in funding for the Homelessness Prevention Grant in 2022/23. Local authorities can use the funding flexibly to meet their homelessness and rough sleeping strategies – for example, to offer financial support for people to find a new home, to work with landlords to prevent evictions or to provide temporary accommodation, among other preventative measures.
To ask the Secretary of State for Health and Social Care, if he will request an update from (a) NHS Improvement, (b) NHS England and (c) relevant local authorities on the work they are (i) individually and (ii) collectively undertaking to ensure the timely discharge of medically fit patients from...
To ask the Secretary of State for Health and Social Care, if he will request an update from (a) NHS Improvement, (b) NHS England and (c) relevant local authorities on the work they are (i) individually and (ii) collectively undertaking to ensure the timely discharge of medically fit patients from...
The Department is working with NHS England and NHS Improvement, local government and social care providers to monitor and address the underlying causes of delayed discharges. We continue to explore options to minimise delays to hospital discharge, including identifying capacity to accommodate people who no longer need acute hospital care while continuing to need other forms of support.
The National Health Service regional team in Shropshire, Telford, and Wrekin is increasing social work capacity in the accident and emergency department at Shropshire and Telford Hospitals NHS Trust. Additional support being developed to ensure people are referred into social prescribing as appropriate and ‘step-up’ and ‘step-down’ care provision through the Short-Term Assessment and Rehabilitation Team.
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the (a) number and (b) proportion of patients in acute hospitals in England who are medically fit for discharge; and if he will make a statement.
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the (a) number and (b) proportion of patients in acute hospitals in England who are medically fit for discharge; and if he will make a statement.
On 20 March 2022, the most recent data available, there were 12,235 patients or 14.72% remaining in hospital who were medically fit for discharge.
What recent assessment he has made of the impact of the proposed downgrade of services at St Helier hospital on the delivery of acute services at St George's hospital.
What recent assessment he has made of the impact of the proposed downgrade of services at St Helier hospital on the delivery of acute services at St George's hospital.
I am grateful to the hon. Lady. To answer the tabled question, no recent assessment has been made of the changes associated with the Epsom and St Helier reconfiguration, including proposed changes to some services outside the new Sutton site. The hon. Lady will know that these proposals have been through consultation, judicial review and the independent reconfiguration panel, which all supported the plans as being in the local population’s interest. The Secretary of State agreed with their advice.
Turning to the hon. Lady’s supplementary question, I am grateful to her and I know how strongly she feels about the issue, but I take her back to the point I have just made, which is that these proposals have all been through extensive consultation and extensive legal process and been looked at by the independent reconfiguration panel. Those processes all concluded that what is proposed is in the best health interest of the population.
I am grateful to the hon. Lady. To answer the tabled question, no recent assessment has been made of the changes associated with the Epsom and St Helier reconfiguration, including proposed changes to some services outside the new Sutton site. The hon. Lady will know that these proposals have been through consultation, judicial review and the independent reconfiguration panel, which all supported the plans as being in the local population’s interest. The Secretary of State agreed with their advice.
Turning to the hon. Lady’s supplementary question, I am grateful to her and I know how strongly she feels about the issue, but I take her back to the point I have just made, which is that these proposals have all been through extensive consultation and extensive legal process and been looked at by the independent reconfiguration panel. Those processes all concluded that what is proposed is in the best health interest of the population.
I am grateful to the hon. Lady. To answer the tabled question, no recent assessment has been made of the changes associated with the Epsom and St Helier reconfiguration, including proposed changes to some services outside the new Sutton site. The hon. Lady will know that these proposals have been through consultation, judicial review and the independent reconfiguration panel, which all supported the plans as being in the local population’s interest. The Secretary of State agreed with their advice.
Turning to the hon. Lady’s supplementary question, I am grateful to her and I know how strongly she feels about the issue, but I take her back to the point I have just made, which is that these proposals have all been through extensive consultation and extensive legal process and been looked at by the independent reconfiguration panel. Those processes all concluded that what is proposed is in the best health interest of the population.
What recent assessment he has made of the impact of the proposed downgrade of services at St Helier hospital on the delivery of acute services at St George's hospital.