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To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of complaints and accountability processes for NHS patients referred to private healthcare providers.
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of complaints and accountability processes for NHS patients referred to private healthcare providers.
The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out in law the minimum standards National Health Service organisations, and independent providers of NHS-funded care, must adhere to in respect of their complaint handling arrangements. Under the regulations, patients who have received NHS-funded care and wish to make a complaint can do so to either the provider or the commissioner that paid for the service.
In our 10-Year Health Plan for England, we acknowledged that the NHS complaints procedure is far from where it needs to be. Through Change NHS, the biggest ever conversation on the future of the NHS, we heard from patients and carers about their struggle to get responses to their concerns. As committed to in the 10-Year Health Plan, we intend to improve the complaints process across all NHS commissioners and providers, setting clear standards for both the timeliness and the quality of responses to complaints.
To ask the Secretary of State for Health and Social Care, what data his Department holds on the (a) prevalence and (b) use of private ultrasound clinics.
To ask the Secretary of State for Health and Social Care, what data his Department holds on the (a) prevalence and (b) use of private ultrasound clinics.
The Department does not hold data on the prevalence and use of private ultrasound clinics. No recent discussions have taken place with regulatory bodies on the standards required of individuals providing ultrasound scans in non-National Health Service settings.
While there are no legal requirements for those carrying out ultrasound in the Untied Kingdom to hold specific professional qualifications or registration, all providers in England who provide ultrasound scans must be registered with the Care Quality Commission and meet certain legal duties, which includes ensuring that anyone carrying out such activity has the appropriate skills, knowledge, and experience.
To ask His Majesty's Government what assessment they have made of the risk presented by unregulated private pregnancy scans; what actions they plan to take on the issue; and what other consideration they have given to strengthening consumer and health protections on private medical testing, particularly the use of tests not used by the NHS.
To ask His Majesty's Government what assessment they have made of the risk presented by unregulated private pregnancy scans; what actions they plan to take on the issue; and what other consideration they have given to strengthening consumer and health protections on private medical testing, particularly the use of tests not used by the NHS.
The Government has not conducted a formal assessment of the risk presented by private pregnancy scans.
Sonography, the use of diagnostic and screening procedures that use ultrasound to examine the body, is a regulated activity in England under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This means that any organisation providing pregnancy scans in England, including those carried out in the private sector, must register their services with the Care Quality Commission (CQC) and meet certain legal obligations.
A list of registered providers is available on the CQC website.
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of private healthcare providers using NHS hospital facilities on NHS waiting lists.
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of private healthcare providers using NHS hospital facilities on NHS waiting lists.
No specific assessment has been made as these decisions are taken locally. National Health Service trusts can utilise ‘insourcers’, private healthcare providers who operate using NHS facilities, but services must be arranged in a manner which offers value for money compared to the other options available.
NHS England published updated guidance on the use of insourcing in July 2024 to support NHS trusts in achieving value for money. This guidance is available at the following link:
https://www.england.nhs.uk/long-read/guidance-for-trusts-on-the-use-of-insourcing/#
In this guidance, NHS England clearly prohibits the use of insourcing solutions where rates are not in line with, or are below, the prices in the NHS Payment Scheme, and where compliant approved frameworks are not used.
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to help prevent international dentists entering the UK on NHS-sponsored Health and Care Visas leaving the NHS for private practice.
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to help prevent international dentists entering the UK on NHS-sponsored Health and Care Visas leaving the NHS for private practice.
The immigration system will allow those who meet the visa requirements, such as having a job offer from an approved sponsor and being paid the appropriate salary, to come to the United Kingdom to be dentists. It does not differentiate between those who wish to provide National Health Service dentistry from those who may wish to work in private practice.
That this House notes that the Health and Social Care Act 2012 in effect allows NHS Foundation Trusts to earn 49 per cent of their income from treating private patients; acknowledges that, before it was amended during its passage through Parliament, it set no limit on private income, demonstrating that the Conservative and Liberal Democrat coalition Government had initially planned to enable NHS Foundation Trusts to earn as much of their income as they wanted from treating private patients; further notes that in 2011 the majority of NHS Foundation Trusts had private income caps of between 0.1 per cent and 2 per cent; is concerned by recent reports that NHS Trusts are promoting expensive private healthcare at their hospitals, offering patients the chance to jump NHS waiting lists; is further concerned that this will increase waiting times for NHS patients; believes that this is leading to a two-tier health system where people who have the means to pay can get treated more quickly, while NHS patients face longer waits, often in pain and discomfort; notes that this is not in the spirit in which the NHS was created; further notes that with waiting lists of over 7 million, there is no excess capacity in the NHS; recognises that the NHS is publicly owned and publicly funded and should remain a comprehensive and universal service, free at the point of use; and calls on the Government to put an end to NHS facilities being used to provide services to private patients.
That this House notes that the Health and Social Care Act 2012 in effect allows NHS Foundation Trusts to earn 49 per cent of their income from treating private patients; acknowledges that, before it was amended during its passage through Parliament, it set no limit on private income, demonstrating that...
To ask the Secretary of State for Health and Social Care, if her Department will make an assessment on the potential impact on patient health and wellbeing of people who have had to use private healthcare due to (a) waiting times for NHS treatment and (b) the treatment needed being...
To ask the Secretary of State for Health and Social Care, if her Department will make an assessment on the potential impact on patient health and wellbeing of people who have had to use private healthcare due to (a) waiting times for NHS treatment and (b) the treatment needed being...
We have no plans to make a specific assessment.
NHS England and integrated care boards are responsible for commissioning healthcare services to meet the needs of the population, taking account of healthcare priorities and available evidence, informed by guidance from the National Institute for Health and Care Excellence.
To ask the Secretary of State for Health and Social Care, if he will enable people to access covid-19 vaccinations outside the NHS, such as by those who use private health service providers.
To ask the Secretary of State for Health and Social Care, if he will enable people to access covid-19 vaccinations outside the NHS, such as by those who use private health service providers.
Private sales of any COVID-19 vaccine are a decision for vaccine manufacturers. There are sufficient stocks of COVID-19 vaccines in the United Kingdom to allow all those eligible to be vaccinated through the National Health Service free of charge. As of 14 April 2022, over 141.5 million doses have been administered via the NHS.
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 9 February 2022 to Question 118533, and with reference to the Answer of 6 February 2014 to Question 186278, if he will publish the count of finished admission episodes for NHS providers where the...
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 9 February 2022 to Question 118533, and with reference to the Answer of 6 February 2014 to Question 186278, if he will publish the count of finished admission episodes for NHS providers where the...
The following table shows a count of finished admission episodes (FAEs) to National Health Service hospitals, where the source of admission was from a non-NHS hospital provider, in each month between April 2016 to March 2021, the last month for which finalised data is available.
Year | Month | FAEs |
2016 | April | 629 |
2016 | May | 592 |
2016 | June | 579 |
2016 | July | 648 |
2016 | August | 657 |
2016 | September | 738 |
2016 | October | 775 |
2016 | November | 581 |
2016 | December | 544 |
2017 | January | 494 |
2017 | February | 497 |
2017 | March | 613 |
2017 | April | 454 |
2017 | May | 579 |
2017 | June | 643 |
2017 | July | 668 |
2017 | August | 657 |
2017 | September | 714 |
2017 | October | 721 |
2017 | November | 755 |
2017 | December | 643 |
2018 | January | 840 |
2018 | February | 609 |
2018 | March | 669 |
2018 | April | 732 |
2018 | May | 781 |
2018 | June | 813 |
2018 | July | 971 |
2018 | August | 792 |
2018 | September | 1004 |
2018 | October | 1009 |
2018 | November | 854 |
2018 | December | 726 |
2019 | January | 699 |
2019 | February | 525 |
2019 | March | 507 |
2019 | April | 389 |
2019 | May | 408 |
2019 | June | 388 |
2019 | July | 416 |
2019 | August | 437 |
2019 | September | 494 |
2019 | October | 664 |
2019 | November | 566 |
2019 | December | 411 |
2020 | January | 412 |
2020 | February | 431 |
2020 | March | 353 |
2020 | April | 377 |
2020 | May | 371 |
2020 | June | 448 |
2020 | July | 674 |
2020 | August | 760 |
2020 | September | 668 |
2020 | October | 602 |
2020 | November | 570 |
2020 | December | 482 |
2021 | January | 321 |
2021 | February | 429 |
2021 | March | 582 |
Source: Hospital Episode Statistics (HES), NHS Digital
Notes:
- A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are usually counted against the year or month in which the admission episode finishes. However, for the purposes of this analysis, we have recorded episodes by the month and year in which the admission started. This may lead to a shortfall in the most recent provisional months, as some patients admitted in these months, may still be in hospital at the time the data was collected and therefore not be included in the final figures. Admissions do not represent the number of patients, as a person may have more than one admission within the period.
- 'NHS hospitals' was defined by 'Care trust', 'NHS foundation trust' and 'NHS trust'.
- A code which identifies where the patient was immediately prior to admission. Most patients are admitted from home, but there are some significant exceptions. In particular, this field differentiates between patients admitted from home and patients transferred from another hospital provider or institution. For the purposes of this tabulation, records have been limited to those with an ADMISORC (Admission Source) of 87 - Non-NHS run hospital.
- HES figures are available from 1989-90 onwards. Changes to the figures over time should be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. It should be noted that HES include activity ending in the year in question and run from April to March, for example, 2012-13 includes activity ending between 1 April 2012 and 31 March 2013
On 4th February 2020, the Independent Inquiry into the issues raised by the disgraced surgeon Ian Paterson published its report, which was welcomed by the government. On 28th April 2020, we reluctantly announced a delay in the government response due to the unprecedented pressures of the COVID-19 pandemic. On 23rd...
On 4th February 2020, the Independent Inquiry into the issues raised by the disgraced surgeon Ian Paterson published its report, which was welcomed by the government. On 28th April 2020, we reluctantly announced a delay in the government response due to the unprecedented pressures of the COVID-19 pandemic. On 23rd...
My Hon Friend the Parliamentary Under Secretary of State (Minister for Patient Safety and Primary Care) (Maria Caulfield) has made the following statement:
On 4th February 2020, the Independent Inquiry into the issues raised by the disgraced surgeon Ian Paterson published its report, which was welcomed by the government. On 28th...
My Hon Friend the Parliamentary Under Secretary of State (Minister for Patient Safety and Primary Care) (Maria Caulfield) has made the following statement:
On 4th February 2020, the Independent Inquiry into the issues raised by the disgraced surgeon Ian Paterson published its report, which was welcomed by the government. On 28th...
New clause 7 debated and withdrawn. New clause 8 debated and withdrawn. New clause 9 debated and withdrawn. New clause 11 debated and withdrawn. New clause 12 negatived on division (6 to 9). New clause 14 debated and withdrawn. New clause 16 debated and withdrawn. New clause 17 debated and withdrawn. New clause 18 debated and withdrawn. New clause 19 debated and withdrawn. New clause 23 debated and withdrawn. New clause 24 debated and withdrawn. New clause 25 debated and negatived on division (6 to 8). New clause 27 debated and withdrawn. Committee adjourned.
New clause 7 debated and withdrawn. New clause 8 debated and withdrawn. New clause 9 debated and withdrawn. New clause 11 debated and withdrawn. New clause 12 negatived on division (6 to 9). New clause 14 debated and withdrawn. New clause 16 debated and withdrawn. New clause 17 debated and...
To ask the Secretary of State for Health and Social Care, when routine services and treatments will recommence in private hospitals.
To ask the Secretary of State for Health and Social Care, when routine services and treatments will recommence in private hospitals.
National Health Service patients are benefitting from an unprecedented partnership with private hospitals in the United Kingdom as we battle the COVID-19 outbreak. Throughout this period, independent providers have continued to provide urgent operations for private pay or insured patients as well as NHS patients.
From the middle of May 2020, independent providers have been able to provide more routine elective work to private pay or insured patients and where this has been agreed locally with the NHS.
To ask the Secretary of State for Health and Social Care, what estimate he has made of income from private patients at each NHS Trust for each of the last ten years for which records are available.
To ask the Secretary of State for Health and Social Care, what estimate he has made of income from private patients at each NHS Trust for each of the last ten years for which records are available.
The question is interpreted as requesting detail regarding the level of income generated from the treatment of private patients by each National Health Service trust. This is presented in the attached tables for the financial years 2010-11 to 2017-18.
Prior to 2010-11 the Department’s Annual Report and Accounts did not report ‘income from private patients’ as a specific line item and thus comparable information for prior years is unable to be provided.
To ask Her Majesty’s Government what assessment they have made of the effect of NHS Foundation Trusts offering private healthcare services on waiting times for NHS patients.
To ask Her Majesty’s Government what assessment they have made of the effect of NHS Foundation Trusts offering private healthcare services on waiting times for NHS patients.
My Lords, since the founding of the NHS in 1948, NHS hospitals have been able to generate small amounts of additional income by treating both international
and British private patients. Since 2010, this has remained well below 1% of hospitals’ total income. Any surplus created is used to improve the services that NHS patients receive.
My Lords, since the founding of the NHS in 1948, NHS hospitals have been able to generate small amounts of additional income by treating both international
and British private patients. Since 2010, this has remained well below 1% of hospitals’ total income. Any surplus created is used to improve the services that NHS patients receive.
My Lords, since the founding of the NHS in 1948, NHS hospitals have been able to generate small amounts of additional income by treating both international
and British private patients. Since 2010, this has remained well below 1% of hospitals’ total income. Any surplus created is used to improve the services that NHS patients receive.
To ask Her Majesty’s Government what assessment they have made of the effect of NHS Foundation Trusts offering private healthcare services on waiting times for NHS patients.
I am grateful to the noble Lord for his Answer. I declare an interest: I am an ordinary user of the NHS. I do not have any private medical care, nor do I make any private payments. Is it not true that there are now over 4 million people on queues waiting for treatment in the NHS? Did he see the article in the Times last Thursday headed “Patients pay £1bn to jump NHS queues”? Chelsea and Westminster Hospital recently offered me insurance, terming it the best of both worlds. How many trusts offer opportunities for people to go private, and what is the effect on ordinary users of the NHS? Surely with the shortage of resources, it can mean only that they will wait longer than at present.
I am grateful to the noble Lord for his Answer. I declare an interest: I am an ordinary user of the NHS. I do not have any private medical care, nor do I make any private payments. Is it not true that there are now over 4 million people on queues waiting for treatment in the NHS? Did he see the article in the Times last Thursday headed “Patients pay £1bn to jump NHS queues”? Chelsea and Westminster Hospital recently offered me insurance, terming it the best of both worlds. How many trusts offer opportunities for people to go private, and what is the effect on ordinary users of the NHS? Surely with the shortage of resources, it can mean only that they will wait longer than at present.
I am not familiar with the type of insurance the noble Lord is talking about, but would be delighted to see what he has been offered. The 2012 Act obliges income from non-NHS activities to be tied to a foundation trust’s principal purpose, which is,
“the provision of goods and services for the purposes of the health service of England”,
and that is the standard by which it should be held. He is right that waiting lists have been growing. The NHS is doing more than ever—2 million more operations in 2017-18 than in 2010—but we realise that we need to do more, which is why the Prime Minister made the historic commitment to increase funding in the NHS by £20 billion in real terms in five years’ time.
I am not familiar with the type of insurance the noble Lord is talking about, but would be delighted to see what he has been offered. The 2012 Act obliges income from non-NHS activities to be tied to a foundation trust’s principal purpose, which is,
“the provision of goods and services for the purposes of the health service of England”,
and that is the standard by which it should be held. He is right that waiting lists have been growing. The NHS is doing more than ever—2 million more operations in 2017-18 than in 2010—but we realise that we need to do more, which is why the Prime Minister made the historic commitment to increase funding in the NHS by £20 billion in real terms in five years’ time.
I am not familiar with the type of insurance the noble Lord is talking about, but would be delighted to see what he has been offered. The 2012 Act obliges income from non-NHS activities to be tied to a foundation trust’s principal purpose, which is,
“the provision of goods and services for the purposes of the health service of England”,
and that is the standard by which it should be held. He is right that waiting lists have been growing. The NHS is doing more than ever—2 million more operations in 2017-18 than in 2010—but we realise that we need to do more, which is why the Prime Minister made the historic commitment to increase funding in the NHS by £20 billion in real terms in five years’ time.
I am grateful to the noble Lord for his Answer. I declare an interest: I am an ordinary user of the NHS. I do not have any private medical care, nor do I make any private payments. Is it not true that there are now over 4 million people on queues waiting for treatment in the NHS? Did he see the article in the Times last Thursday headed “Patients pay £1bn to jump NHS queues”? Chelsea and Westminster Hospital recently offered me insurance, terming it the best of both worlds. How many trusts offer opportunities for people to go private, and what is the effect on ordinary users of the NHS? Surely with the shortage of resources, it can mean only that they will wait longer than at present.