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To ask the Minister for the Cabinet Office what steps he plans to take to improve digital skills within the Government.
To ask the Minister for the Cabinet Office what steps he plans to take to improve digital skills within the Government.
I refer the hon. Member to the answer I gave to her on 12 May 2014, Official Report, column 378W.
To ask the Secretary of State for Health (1) what assessment he has made of the quality of foot care provided in primary care to patients with diabetes;
To ask the Secretary of State for Health (1) what assessment he has made of the quality of foot care provided in primary care to patients with diabetes;
The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.
As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).
The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.
In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.
(2) who is responsible for auditing compliance with National Institute for Health and Care Excellence guidelines relating to the care of patients with diabetes;
Mr Hoban:
(2) who is responsible for auditing compliance with National Institute for Health and Care Excellence guidelines relating to the care of patients with diabetes;
Mr Hoban:
The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.
As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).
The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.
In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.
To ask the Secretary of State for Health what assessment he has made of the West Midlands Ambulance Service's system's indicators performance in 2012-13; and what assessment he has made of the reasons for changes in that level of performance.
To ask the Secretary of State for Health what assessment he has made of the West Midlands Ambulance Service's system's indicators performance in 2012-13; and what assessment he has made of the reasons for changes in that level of performance.
A copy of West Midlands Ambulance Service NHS Foundation Trust (FT) system indicators performance data for 2012-13 has been placed in the Library.
The Department is aware that West Midlands Ambulance Service NHS FT met all three response time targets for the full year in 2012-13; despite a challenging winter period; a 6.9% rise in emergency calls; and a delay to the launch of the 111 system by NHS Direct in the West Midlands.
To ask the Secretary of State for Justice (1) on which occasions performance points were accrued by private prisons in 2013-14; for what reason the points were accrued; and what financial penalties were attached in each case;
To ask the Secretary of State for Justice (1) on which occasions performance points were accrued by private prisons in 2013-14; for what reason the points were accrued; and what financial penalties were attached in each case;
On the question of what financial penalties have been levied against those running private prisons in each year since 2010-11, I refer the right hon. Member to the response sent to him in November 2013, under PQ 165769, which can be found on Hansard under the reference 4 December 2013, Official Report, column 705W.
The data presented is based on total number of performance points accrued for the relevant periods. This does not take into account credit points awarded to Contractors and offset against total performance points for the period. Financial remedies are only applicable when performance point baseline targets are exceeded for the period.
Please note, data relating to the fourth quarter of 2013-14 is pending approval and not available for release at this time. Data for the following prisons are also not available and awaiting verification and validation by the parties:
HMP Birmingham
HMP Doncaster
HMP Dovegate
HMP Forest Bank
HMP Oakwood
HMP Thameside
This information will be available later in the year.
It is important to note that performance points presented in table 1, which will be placed in the Library, are essentially about operational efficiency, and at no point has public safety been at risk. There are no significant historical trends in the figures and it is fair to say that privately managed prisons achieve the majority of their contractual targets with proportionately low levels of performance points and financial remedies applied as a result. The data for each contract is closely monitored by MOJ staff and any emerging or sustained performance failures are discussed in detail with the relevant contractor in order to rectify performance shortfalls as quickly as possible.
(2) what financial penalties have been levied against those running private prisons in each year since 2010-11.
Sadiq Khan:
(2) what financial penalties have been levied against those running private prisons in each year since 2010-11.
Sadiq Khan:
On the question of what financial penalties have been levied against those running private prisons in each year since 2010-11, I refer the right hon. Member to the response sent to him in November 2013, under PQ 165769, which can be found on Hansard under the reference 4 December 2013, Official Report, column 705W.
The data presented is based on total number of performance points accrued for the relevant periods. This does not take into account credit points awarded to Contractors and offset against total performance points for the period. Financial remedies are only applicable when performance point baseline targets are exceeded for the period.
Please note, data relating to the fourth quarter of 2013-14 is pending approval and not available for release at this time. Data for the following prisons are also not available and awaiting verification and validation by the parties:
HMP Birmingham
HMP Doncaster
HMP Dovegate
HMP Forest Bank
HMP Oakwood
HMP Thameside
This information will be available later in the year.
It is important to note that performance points presented in table 1, which will be placed in the Library, are essentially about operational efficiency, and at no point has public safety been at risk. There are no significant historical trends in the figures and it is fair to say that privately managed prisons achieve the majority of their contractual targets with proportionately low levels of performance points and financial remedies applied as a result. The data for each contract is closely monitored by MOJ staff and any emerging or sustained performance failures are discussed in detail with the relevant contractor in order to rectify performance shortfalls as quickly as possible.
May I begin by saying what a pleasure it is to serve again under your chairmanship, Mr Crausby? I hope that you will pass on my most grateful thanks to Mr Speaker for assisting me in securing this important debate so quickly after I made my request to him.
I also...
May I begin by saying what a pleasure it is to serve again under your chairmanship, Mr Crausby? I hope that you will pass on my most grateful thanks to Mr Speaker for assisting me in securing this important debate so quickly after I made my request to him.
I also...
Will my hon. Friend give way?
Will my hon. Friend give way?
I will certainly give way to my parliamentary neighbour.
I will certainly give way to my parliamentary neighbour.
I am grateful to my hon. Friend for giving way and I congratulate him on securing this important and timely debate. There are serious concerns about the performance of the ambulance service in the
north-east region. What is his opinion of the assessment by its chief executive, Simon Featherstone, that...
I am grateful to my hon. Friend for giving way and I congratulate him on securing this important and timely debate. There are serious concerns about the performance of the ambulance service in the
north-east region. What is his opinion of the assessment by its chief executive, Simon Featherstone, that...
I must praise my hon. Friend, because he does fantastic work on health issues through his passionate commitment to the NHS and in his work on the Select Committee on Health. He is absolutely right, and I will come on to the finances and resources for ambulance services in a...
I must praise my hon. Friend, because he does fantastic work on health issues through his passionate commitment to the NHS and in his work on the Select Committee on Health. He is absolutely right, and I will come on to the finances and resources for ambulance services in a...
I commend my hon. Friend for securing this debate so quickly. I have raised the issue of the NEAS a number of times. I have met the Minister about it; I even recognise some of the civil servants who are here today, having met them before. However, I was talking...
I commend my hon. Friend for securing this debate so quickly. I have raised the issue of the NEAS a number of times. I have met the Minister about it; I even recognise some of the civil servants who are here today, having met them before. However, I was talking...
My hon. Friend is absolutely right that the situation is spiralling out of control. The case that she has just told the House about is simply unacceptable and downright distressing, but it is not unique.
My hon. Friend is absolutely right that the situation is spiralling out of control. The case that she has just told the House about is simply unacceptable and downright distressing, but it is not unique.
My hon. Friend is being very generous in giving way, and I congratulate him on securing this debate. I concur, of course, with what he has said in praise of front-line ambulance staff, and I also express my condolences to the family of his constituent.
The South Central Ambulance Service, which...
My hon. Friend is being very generous in giving way, and I congratulate him on securing this debate. I concur, of course, with what he has said in praise of front-line ambulance staff, and I also express my condolences to the family of his constituent.
The South Central Ambulance Service, which...
It could have been a factor in Mr Gouldburn’s case, because originally his family contacted the ambulance service via 999 but subsequently they went to 111. I do not think that there is sufficient join-up between the ambulance services and the contact centres about what is appropriate to 999 and...
It could have been a factor in Mr Gouldburn’s case, because originally his family contacted the ambulance service via 999 but subsequently they went to 111. I do not think that there is sufficient join-up between the ambulance services and the contact centres about what is appropriate to 999 and...
The hon. Gentleman is being very kind and gracious in giving way, although I had asked his permission to intervene beforehand.
Obviously I do not represent the immediate area covered by the ambulance service that the hon. Gentleman is referring to. In Northern Ireland, however, we have a system whereby the...
The hon. Gentleman is being very kind and gracious in giving way, although I had asked his permission to intervene beforehand.
Obviously I do not represent the immediate area covered by the ambulance service that the hon. Gentleman is referring to. In Northern Ireland, however, we have a system whereby the...
We should have that system already, but it is simply not working in the north-east and in other parts.
Let me cite another case. A constituent of mine from the Headland part of Hartlepool, which is an urban area, contacted me to say:
“My dad has kidney failure and has only 12%...
We should have that system already, but it is simply not working in the north-east and in other parts.
Let me cite another case. A constituent of mine from the Headland part of Hartlepool, which is an urban area, contacted me to say:
“My dad has kidney failure and has only 12%...
My hon. Friend has secured an excellent debate. We know from the NEAS itself that it had an expectation of 415,000 call-outs in the financial year 2012-13, yet it was funded for only 376,000 calls. Also, the use of private ambulances has gone up ninefold, with an initial cost of...
My hon. Friend has secured an excellent debate. We know from the NEAS itself that it had an expectation of 415,000 call-outs in the financial year 2012-13, yet it was funded for only 376,000 calls. Also, the use of private ambulances has gone up ninefold, with an initial cost of...
I know that my hon. Friend has spoken in the House about this issue before, and I praise him for that. The use of private ambulances is taking resources away from our having a sustainable public service, which all our constituents want. As a result of that, the
ambulance services...
I know that my hon. Friend has spoken in the House about this issue before, and I praise him for that. The use of private ambulances is taking resources away from our having a sustainable public service, which all our constituents want. As a result of that, the
ambulance services...