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To ask the Secretary of State for Health, what steps he is taking to decrease the number of people missing or cancelling ophthalmology appointments.
To ask the Secretary of State for Health, what steps he is taking to decrease the number of people missing or cancelling ophthalmology appointments.
Local National Health Service organisations are responsible for making their own arrangements for minimising the number of people missing or cancelling ophthalmology appointments.
The Department, in conjunction with behavioural scientists at Imperial College, conducted randomised controlled trials at Barts Hospitals NHS Trust looking at the content of the most effective text message reminder. The results were published in an online academic journal in September 20151 and summarised on the Department’s website in January 20162.
1 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137306
2 https://www.gov.uk/government/publications/reducing-missed-hospital-appointments-using-text-messages
To ask the Secretary of State for Health, how much missed or cancelled ophthalmology appointments in the Northern, Eastern and Western Devon Clinical Commissioning Group area cost the NHS in 2015-16.
To ask the Secretary of State for Health, how much missed or cancelled ophthalmology appointments in the Northern, Eastern and Western Devon Clinical Commissioning Group area cost the NHS in 2015-16.
This information is not available centrally.
To ask Her Majesty’s Government what was the percentage of patients aged 60 or over who turned up for hospital appointments for referrals made following initial sight tests, for each of the last five years for which figures are available.
To ask Her Majesty’s Government what was the percentage of patients aged 60 or over who turned up for hospital appointments for referrals made following initial sight tests, for each of the last five years for which figures are available.
The information in the following table shows waiting times for first outpatient appointments for patients aged 60 and over with a referral from an optometrist that were attended, and the number and percentage of such appointments that were not attended.
Table: first outpatient appointments1 by attendance category for patients aged 60 and over with a referral from an optometrist, 2010-11 to 2014-15 | |||||||||||||
|
| 2010-11 | 2011-12 | 2012-13 | 2013-14 | 2014-15 | |||||||
Attended | Number | 74,304 | 79,638 | 93,122 | 108,448 | 118,708 | |||||||
Percentage of total | 86.6% | 85.3% | 84.8% | 85.7% | 85.2% | ||||||||
Median time waited in days2 | 35 | 36 | 40 | 42 | 43 | ||||||||
Did not attend | Number | 3,260 | 3,537 | 4,055 | 4,341 | 4,778 | |||||||
Percentage of total | 3.8% | 3.8% | 3.7% | 3.4% | 3.4% | ||||||||
Hospital cancelled | Number | 2,368 | 3,500 | 4,234 | 4,877 | 5,452 | |||||||
Percentage of total | 2.8% | 3.7% | 3.9% | 3.9% | 3.9% | ||||||||
Patient cancelled | Number | 5,326 | 6,446 | 8,186 | 8,682 | 10,308 | |||||||
Percentage of total | 6.2% | 6.9% | 7.5% | 6.9% | 7.4% | ||||||||
Not known | Number | 494 | 221 | 176 | 148 | 156 | |||||||
Percentage of total | 0.6% | 0.2% | 0.2% | 0.1% | 0.1% | ||||||||
Total appointments |
| 85,752 | 93,342 | 109,773 | 126,496 | 139,402 | |||||||
Source: Hospital Episode Statistics (HES), NHS Digital | |||||||||||||
Notes: | |||||||||||||
1. Includes activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. | |||||||||||||
2. These data are not the same as the referral to treatment (RTT) waiting times data that monitor delivery of the NHS Constitution right to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. | |||||||||||||
RTT data do not include patient specific information. | |||||||||||||
To ask the Secretary of State for Education, whether her Department has sought legal advice on whether school attendance awards comply with section 149 of the Equality Act.
To ask the Secretary of State for Education, whether her Department has sought legal advice on whether school attendance awards comply with section 149 of the Equality Act.
The Department does not have a national policy on how schools use reward systems to incentivise better attendance, and it is for schools to decide whether they choose to use schemes such as school attendance awards. Schools have duties under the Equality Act 2010, including under section 149, to have due regard to the need to eliminate conduct that is prohibited by the Equality Act 2010, advance equality of opportunity, and foster good relations between persons who share a relevant protected characteristic and persons who do not share it. Those duties on schools apply to any schemes relating to incentivising attendance.
To ask the Leader of the House how many of the current members of the House of Lords have attended the House on an average of two days per week during full sitting weeks during the last year for which figures are available.
To ask the Leader of the House how many of the current members of the House of Lords have attended the House on an average of two days per week during full sitting weeks during the last year for which figures are available.
We do not keep figures in a way that makes it possible to compare attendance in a weekly pattern without incurring disproportionate cost. A usual sitting week is 4 days long. So a member who attends 50% of sittings would attend an average of about two days per week spread over a year. In the year ended 21 October 2016 there were 535 current members who attended more than 50% of sittings and 275 who attended 50% or fewer sittings. These percentages do not take account of members on leave of absence, suspended from participating in the House or disqualified from sitting in the House.
To ask the Secretary of State for Health, what recent steps his Department has taken to ensure patients attend (a) GP and (b) acute services appointments.
To ask the Secretary of State for Health, what recent steps his Department has taken to ensure patients attend (a) GP and (b) acute services appointments.
With regard to general practice, NHS England is promoting the use of online booking and cancellation of appointments. Evidence shows that patients are more likely to cancel an appointment which is no longer needed, if the appointment was booked online. Furthermore, some general practitioner (GP) surgeries display information about lost clinic time potentially resulting from cancelled appointments which cannot be re-filled or from patients not attending appointments without any prior notification. The Department does not collect information on the number of missed and cancelled GP appointments.
With regard to acute services, the NHS Constitution emphasises patients’ responsibilities to the National Health Service, including that they “should keep appointments, or cancel within reasonable time”. It is the responsibility of NHS organisations locally to plan for and take action to minimise the number of patients who fail to attend their appointments, for example, by reminding patients of their forthcoming appointments through the use of text message reminder systems. NHS England publishes quarterly data on hospital outpatient appointments. The proportion of hospital outpatient appointments that patients did not attend has fallen from 10.6% in 2008-09 to 8.9% in 2015-16.
To ask the Secretary of State for Health, what steps his Department is taking to (a) prevent the late cancellation of appointments with GPs and (b) reduce the cost to GPs of cancelled appointments.
To ask the Secretary of State for Health, what steps his Department is taking to (a) prevent the late cancellation of appointments with GPs and (b) reduce the cost to GPs of cancelled appointments.
NHS England is promoting the use of online booking and cancellation of appointments in general practice. Evidence shows that patients are more likely to cancel an appointment which is no longer needed if the appointment was booked online. Furthermore, some general practitioner (GP) surgeries display information about lost clinic time potentially resulting from cancelled appointments which cannot be re-filled or from patients not attending appointments without any prior notification.
NHS England is trying to reduce the cost to GPs of cancelled appointments by putting measures in place to minimise the number of cancelled and missed appointments.
To ask the Secretary of State for Health, if he will estimate the cost to the NHS of missed GP appointments in each of the last five years.
To ask the Secretary of State for Health, if he will estimate the cost to the NHS of missed GP appointments in each of the last five years.
Information on the number and cost of missed general practice appointments in England is not held centrally.
To ask the Secretary of State for Health, if he will estimate the number of missed GP and hospital appointments in (a) England and (b) each clinical commissioning group in each year since 2010.
To ask the Secretary of State for Health, if he will estimate the number of missed GP and hospital appointments in (a) England and (b) each clinical commissioning group in each year since 2010.
Information on the number and cost of missed general practice appointments in England is not held centrally.
Information on the number of first and subsequent consultant-led hospital outpatient appointments that the patient did not attend is shown in the following table for England and in the attached table for National Health Service commissioning organisations.
Table: Number of first and subsequent consultant-led hospital outpatient appointments that the patient did not attend, England, 2010-11 to 2015-16
Year | Number of did not attends (millions) |
2010-11 | 5.7 |
2011-12 | 5.5 |
2012-13 | 5.5 |
2013-14 | 5.5 |
2014-15 | 5.7 |
2015-16 | 5.8 |
Source: NHS England, quarterly activity return, published on the NHS England website at http://www.england.nhs.uk/statistics/statistical-work-areas/hospital-activity/quarterly-hospital-activity/
Information on the cost of missed hospital appointments is not collected centrally. However, the most recently published data from the Department’s annual collection of reference costs from NHS trusts and foundation trusts estimated the national average unit cost of a consultant-led outpatient attendance at £132 in 2014-15. Multiplying the number of missed appointments by this figure would give an upper estimate of their costs, because NHS organisations can and do plan for an anticipated level of missed appointments.
To ask the Secretary of State for Health, if he will estimate the cost of missed GP and hospital appointments in (a) England and (b) each clinical commissioning group in each year since 2010.
To ask the Secretary of State for Health, if he will estimate the cost of missed GP and hospital appointments in (a) England and (b) each clinical commissioning group in each year since 2010.
Information on the number and cost of missed general practice appointments in England is not held centrally.
Information on the number of first and subsequent consultant-led hospital outpatient appointments that the patient did not attend is shown in the following table for England and in the attached table for National Health Service commissioning organisations.
Table: Number of first and subsequent consultant-led hospital outpatient appointments that the patient did not attend, England, 2010-11 to 2015-16
Year | Number of did not attends (millions) |
2010-11 | 5.7 |
2011-12 | 5.5 |
2012-13 | 5.5 |
2013-14 | 5.5 |
2014-15 | 5.7 |
2015-16 | 5.8 |
Source: NHS England, quarterly activity return, published on the NHS England website at http://www.england.nhs.uk/statistics/statistical-work-areas/hospital-activity/quarterly-hospital-activity/
Information on the cost of missed hospital appointments is not collected centrally. However, the most recently published data from the Department’s annual collection of reference costs from NHS trusts and foundation trusts estimated the national average unit cost of a consultant-led outpatient attendance at £132 in 2014-15. Multiplying the number of missed appointments by this figure would give an upper estimate of their costs, because NHS organisations can and do plan for an anticipated level of missed appointments.
To ask the Secretary of State for Health, how many prison healthcare appointments were cancelled or postponed in each prison in the last 12 months due to a lack of staff to escort prisoners.
To ask the Secretary of State for Health, how many prison healthcare appointments were cancelled or postponed in each prison in the last 12 months due to a lack of staff to escort prisoners.
The information is not held in the format requested.
To ask the Secretary of State for Health, how many external hospital appointments for prisoners were cancelled or postponed in each prison in the last 12 months due to a lack of staff to escort prisoners.
To ask the Secretary of State for Health, how many external hospital appointments for prisoners were cancelled or postponed in each prison in the last 12 months due to a lack of staff to escort prisoners.
The information is not held in the format requested.
I beg to move,
That this House has considered e-petition 129698 relating to school penalty fines and authorised absence from school.
It is a pleasure to serve under your chairmanship, Mr Hanson, and a privilege again to have the opportunity to debate this subject, which looks like it is simply not going...
I beg to move,
That this House has considered e-petition 129698 relating to school penalty fines and authorised absence from school.
It is a pleasure to serve under your chairmanship, Mr Hanson, and a privilege again to have the opportunity to debate this subject, which looks like it is simply not going...
Does my hon. Friend accept that it is the Government’s role to say that education should be compulsory from the age of five to 16?
Does my hon. Friend accept that it is the Government’s role to say that education should be compulsory from the age of five to 16?
I thank the Minister for that intervention. Of course I agree with him that we value compulsory education in this country and that it has a very important part to play. However, compulsory education does not happen only in the classroom—it does not mean that children should be stopped from...
I thank the Minister for that intervention. Of course I agree with him that we value compulsory education in this country and that it has a very important part to play. However, compulsory education does not happen only in the classroom—it does not mean that children should be stopped from...
The hon. Gentleman is doing an excellent job in leading this debate. Does he agree that the policy is far too draconian? I have two young children and the headteacher at their school is excellent and sensible, but that is not always the case. Should parents not be given more...
The hon. Gentleman is doing an excellent job in leading this debate. Does he agree that the policy is far too draconian? I have two young children and the headteacher at their school is excellent and sensible, but that is not always the case. Should parents not be given more...
I agree with the hon. Gentleman. The one-size-fits-all blanket approach is draconian, and often penalises the wrong people and leaves no grounds for the school and headteachers to decide what is best for the individual child.
Just last week I spoke to a primary school headteacher in my constituency and was...
I agree with the hon. Gentleman. The one-size-fits-all blanket approach is draconian, and often penalises the wrong people and leaves no grounds for the school and headteachers to decide what is best for the individual child.
Just last week I spoke to a primary school headteacher in my constituency and was...
I am trying to understand the hon. Gentleman’s arguments and ask for clarification. Is he suggesting that parents should have an absolute right to take their children out for up to 10 days without any reference to the advice of the headteacher, or is he saying that the headteacher or...
I am trying to understand the hon. Gentleman’s arguments and ask for clarification. Is he suggesting that parents should have an absolute right to take their children out for up to 10 days without any reference to the advice of the headteacher, or is he saying that the headteacher or...
I will come to that later, but I make the point now that, of course, we are not talking about a free-for-all where parents can just take their children out whenever they like. I am arguing that we should give the discretion back to headteachers, with a degree of flexibility,...
I will come to that later, but I make the point now that, of course, we are not talking about a free-for-all where parents can just take their children out whenever they like. I am arguing that we should give the discretion back to headteachers, with a degree of flexibility,...