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Thank you, Madam Deputy Speaker. I wish to echo that very point. Some of the best debates that we have in this House, and certainly some of the best Back-Bench Business debates, are ones in which people bring their own personal experience and their own stories. My hon. Friend the...
Thank you, Madam Deputy Speaker. I wish to echo that very point. Some of the best debates that we have in this House, and certainly some of the best Back-Bench Business debates, are ones in which people bring their own personal experience and their own stories. My hon. Friend the...
Personally, I think that at some point there must be a legal challenge as to whether that places ageist assumptions at the heart of the NHS. The fastest
growing part of our population are the over-85s. How on earth can it be that we do not have statistics that allow...
Personally, I think that at some point there must be a legal challenge as to whether that places ageist assumptions at the heart of the NHS. The fastest
growing part of our population are the over-85s. How on earth can it be that we do not have statistics that allow...
The hon. Gentleman is making the important point that we must debate the resourcing of the national health service. I made the point that removing inexplicable and unfair variation in access to early treatment for cancer will not cost more, but will save money.
The hon. Gentleman is making the important point that we must debate the resourcing of the national health service. I made the point that removing inexplicable and unfair variation in access to early treatment for cancer will not cost more, but will save money.
To ask the Secretary of State for Health, how many discharge episodes with an (a) primary and (b) secondary diagnosis of high cholesterol as recorded by the Hospital Episodes Statistics database there have been in (i) England and (ii) each local commissioning organisation area in each of the last 10...
To ask the Secretary of State for Health, how many discharge episodes with an (a) primary and (b) secondary diagnosis of high cholesterol as recorded by the Hospital Episodes Statistics database there have been in (i) England and (ii) each local commissioning organisation area in each of the last 10...
The information requested is set out in the attached tables.
To ask the Secretary of State for Health, what the rate of discharge episodes with an (a) primary and (b) secondary diagnosis of high cholestoral as recorded by the Hospital Episodes Statistics database was in (i) England and (ii) each local commissioning organisation area in each of the last 10...
To ask the Secretary of State for Health, what the rate of discharge episodes with an (a) primary and (b) secondary diagnosis of high cholestoral as recorded by the Hospital Episodes Statistics database was in (i) England and (ii) each local commissioning organisation area in each of the last 10...
The information requested is set out in the attached tables.
I beg to move, That the clause be read a Second time.
I beg to move, That the clause be read a Second time.
To ask the Secretary of State for Health what steps he is taking to ensure people diagnosed with prostate cancer and living in isolated areas are supported to travel to a centre participating in a prostate cancer clinical trial.
To ask the Secretary of State for Health what steps he is taking to ensure people diagnosed with prostate cancer and living in isolated areas are supported to travel to a centre participating in a prostate cancer clinical trial.
The Healthcare Travel Costs Scheme covers journeys, to receive services under the National Health Service Act 2006 for which the patient has been referred by a doctor or a dentist. The patient must also be in receipt of a qualifying benefit or allowance or be named on an NHS Low Income Scheme certificate. In clinical trials, including prostate cancer trials, funds may be made available to incentivise patients to participate and these could be used to cover travel costs. The availability of these funds and their intended use are at the discretion of the research funder.
I very much welcome the introduction of a statutory duty of candour, something the Minister of State, my hon. Friend the Member for North Norfolk (Norman Lamb), wrote into our 2010 manifesto. May I ask the Secretary of State about his plans to prosecute if the fundamental standards are breached,...
I very much welcome the introduction of a statutory duty of candour, something the Minister of State, my hon. Friend the Member for North Norfolk (Norman Lamb), wrote into our 2010 manifesto. May I ask the Secretary of State about his plans to prosecute if the fundamental standards are breached,...
Can the Secretary of State confirm that it is his intention that the statutory duty of candour—and the introduction of a ratings system—will apply to home care and care homes, not just NHS providers?
Can the Secretary of State confirm that it is his intention that the statutory duty of candour—and the introduction of a ratings system—will apply to home care and care homes, not just NHS providers?
The Minister is absolutely right that transparency is essential, but there is also a recognition—I think—that that is not sufficient; accountability is essential as well. In this case, the company, Castlebeck, has hidden in the shadows and left everyone else to take the blame. I welcome what he has said...
The Minister is absolutely right that transparency is essential, but there is also a recognition—I think—that that is not sufficient; accountability is essential as well. In this case, the company, Castlebeck, has hidden in the shadows and left everyone else to take the blame. I welcome what he has said...
As we learnt from Winterbourne View, the absence of safeguarding alerts is not necessarily a sign that everything is okay. Winterbourne View was receiving £3,500 a week for some of its residents, yet it was delivering very poor care and allowing its staff to abuse. In future, can we ensure...
As we learnt from Winterbourne View, the absence of safeguarding alerts is not necessarily a sign that everything is okay. Winterbourne View was receiving £3,500 a week for some of its residents, yet it was delivering very poor care and allowing its staff to abuse. In future, can we ensure...
To ask the Secretary of State for Health what assessment his Department has made of the recent findings on patient experience from the National Cancer Intelligence Network data collection project on recurrent and metastatic breast cancer.
[118227]
To ask the Secretary of State for Health what assessment his Department has made of the recent findings on patient experience from the National Cancer Intelligence Network data collection project on recurrent and metastatic breast cancer.
[118227]
During 2011-12, we piloted the collection of metastatic and recurrent breast cancer data to identify what information could be collated from routine national health service data and cancer registries. In March 2012, the report ‘Recurrent and Metastatic Breast Cancer Data Collection Project Pilot’ was published. This set out the lessons learned and recommendations for routine collection of data, which is currently under way.
The pilot also collected data about access to supportive care from a clinical nurse specialist (CNS), palliative care professional or other key worker. A little over a half of patients in the pilot were recorded as being offered such support. We know that this is much lower than the proportion of breast cancer patients who generally report having a CNS. As set out in the National Institute for Health and Clinical Excellence (NICE) Breast Cancer Quality Standard, published in January 2012, women with breast cancer
should be offered supportive care. NICE is developing Quality Standards for a number of cancers, which will act as markers of high quality, cost-effective patient care in NHS.
(4) whether data on patients with (a) secondary breast cancer and (b) recurrence of breast cancer will be separately identifiable as part of the 2011-12 National Cancer Patient Experience survey.
[118457]
Mrs Glindon:
(4) whether data on patients with (a) secondary breast cancer and (b) recurrence of breast cancer will be separately identifiable as part of the 2011-12 National Cancer Patient Experience survey.
[118457]
Mrs Glindon:
Information concerning the number of women with secondary breast cancer who are given access to a clinical nurse specialist (CNS) and the number and proportion of breast cancer patients who are offered a written follow-up care plan, a named individual to contact and other personalised information and support is not collected.
However, ‘The National Report of the 2010 Cancer Patient Experience Survey’, published in December 2010, included a series of questions about CNSs, written information and provision of support. The views of over 67,000 cancer patients were included in the survey results, of which 14,264 had breast cancer. Patients with secondary breast cancer are included in this figure, but are not identified.
Set out in the following table are the responses of patients with breast cancer to questions concerning CNSs, written information and support, presented alongside the results for all cancers.
| Questions | Breast
cancer
(%) | All
cancer
(%) |
| Given
the name of a
CNS | 93 | 84 |
| Given
clear written information given about what to do or not do after
leaving hospital (in-patient
care) | 89 | 82 |
| Given
the right amount of information about condition and
treatment | 89 | 88 |
| Hospital
staff provided information about support and self-help
groups | 86 | 79 |
| Definitely
given enough emotional support while being treated as an
out-patient | 69 | 71 |
Datasets for the 2010 National Cancer Patient Experience Survey and the forthcoming 2010-11 survey are based on International Classification of Diseases, 10th Revision (ICD-10) codes. C50 covers all malignant neoplasms of the breast, so patients with secondary or recurrent breast cancer cannot be identified separately.
The National Cancer Survivorship Initiative pilot Patient Reported Outcomes Measures survey of cancer survivors in 2011 asked breast cancer patients how' their cancer responded to treatment. One of the possible responses to this question was ‘My breast cancer has come back after it was originally treated’, so these women will be separately identifiable. Results of the pilot are expected to be published in the autumn.
We know that cancer patients greatly value the care and support of CNSs. To support the national health service to develop the CNS work force, ‘Improving Outcomes: A Strategy for Cancer’ sets out our
intention to build the evidence base for the benefits and costs savings that CNSs can offer. This follows an independent report we published in December 2010 that showed that, in many scenarios, the costs of additional support roles are likely to be outweighed by the savings that can be achieved.
(2) what steps his Department is taking to encourage multidisciplinary teams to undertake patient-level equity audits; and if he will make a statement.
[117860]
Annette Brooke:
(2) what steps his Department is taking to encourage multidisciplinary teams to undertake patient-level equity audits; and if he will make a statement.
[117860]
Annette Brooke:
We are working with Macmillan Cancer Support and Age UK on a £1 million programme to improve cancer care for older people. The programme will help us to deliver improved outcomes by ensuring that older people’s needs are properly assessed and met.
The programme consists of 14 pilot sites across the country to improve intervention rates for people over 70 with cancer. The pilots are introducing new ways of assessing an older person for cancer treatment, offering short-term practical support for older people undergoing cancer treatment and addressing any age discrimination in cancer services by identifying and meeting the training needs of all professionals working with older people.
To date, over 500 people have received assessment as part of the project. The effectiveness and feasibility of this intervention is currently being evaluated. The pilots will report back in September 2012 and the final report and recommendations will be published in December 2012.
“Improving Outcomes: A Strategy for Cancer”, published on 12 January 2011, said that multidisciplinary teams (MDTs) are being encouraged to embed equalities into clinical practice. The National Cancer Action Team (NCAT) and the National Cancer Intelligence Network have been developing patient characteristics profiles for breast and bowel cancer MDTs, and NCAT will be working with cancer networks to develop MDT equity audits. We are aware of good progress being made by Lancashire and South Cumbria Cancer Network, who will be working closely with local clinicians to refine their patient characteristics profiles. Good practice will be shared through other cancer networks and the National Cancer Equality Initiative.
As part of their National Cancer Peer Review Programme self-assessment, under the key theme of structure and function of the service, MDTs are requested to comment how many patients by equality characteristic (race, age and gender) they diagnosed/treated in the previous year.
To ask the Secretary of State for Health what assessment his Department has made of the role of homecare in improving patient compliance and adherence to NHS-funded treatment.
[115312]
To ask the Secretary of State for Health what assessment his Department has made of the role of homecare in improving patient compliance and adherence to NHS-funded treatment.
[115312]
The Department has made no such assessment.
Homecare has two main meanings.
It can mean a social care service, which covers, the provision of personal care—assistance with tasks such as bathing, dressing and the preparation and eating of meals—to people in their own homes. It is not a medical or health service. Carers may help service users to take prescribed medication, in accordance with prescribers’ instructions. However, they cannot require service users to comply, with or adhere to treatment regimes.
It can also mean a medicine homecare delivery service, which delivers ongoing medicine supplies and, where necessary, associated care, initiated by a hospital prescribes direct to a patient's home with their consent. The
purpose of the service, is to improve patient care and choice for clinical treatments. Typically, patients who receive this type of homecare are those with chronic conditions and stable treatment regimens that do not require acute care input.
I promised to update the House about ongoing activity in relation to Winterbourne View private hospital.
I am today publishing an interim report of the review which I set up to establish the facts and bring forward actions to improve care and outcomes of people with learning disability or autism and...
I promised to update the House about ongoing activity in relation to Winterbourne View private hospital.
I am today publishing an interim report of the review which I set up to establish the facts and bring forward actions to improve care and outcomes of people with learning disability or autism and...
To ask the Secretary of State for Health what steps his Department is taking to ensure standards in (a) patient education, (b) diabetes training for NHS staff and (c) provision of diabetes specialist nurses are consistently high.
[110622]
To ask the Secretary of State for Health what steps his Department is taking to ensure standards in (a) patient education, (b) diabetes training for NHS staff and (c) provision of diabetes specialist nurses are consistently high.
[110622]
Local national health service organisations are responsible for providing high quality and safe diabetes services appropriate to their local populations, including providing information and education to people with diabetes about their condition and how to manage it. The NHS Operating Framework 2011-12 specifically stated that primary care trusts should commission appropriate structured education to support all people with diabetes. The Best Practice Tariff for paediatric diabetes introduced in April 2012 includes a requirement for advice, including education, to be available to patients and their families.
“Liberating the NHS: Developing the Healthcare Workforce from Design to Delivery” states that those working in health services need to be well supported to attain the right professional and clinical skills. A copy has already been placed in the Library.
NHS employers, in consultation with patients, will have greater autonomy and accountability for planning and developing their workforce. Accountability for training is with providers supported by health care professionals who understand the local needs of their workforce, and nationally with Health Education England. It is therefore local health care organisations, with their knowledge of
the needs of their local populations, that are best placed to determine the workforce required to deliver safe patient care within their available resources.
To ask the Secretary of State for Health if he will estimate the number of cancer patients in each primary care trust area in England who have to travel for more than 45 minutes in order to access their nearest radiotherapy treatment centre.
[108227]
To ask the Secretary of State for Health if he will estimate the number of cancer patients in each primary care trust area in England who have to travel for more than 45 minutes in order to access their nearest radiotherapy treatment centre.
[108227]
We have made no estimate of the number of cancer patients in each primary care trust area in England who have to travel for more than 45 minutes in order to access their nearest radiotherapy treatment centre.
The National Radiotherapy Advisory Group (NRAG) report ‘Radiotherapy: developing a world class service for England’, published in 2007, provided clear guidance to support commissioners in the provision of radiotherapy services. The NRAG report recommended that, where possible, patients should not travel more than 45 minutes for radiotherapy treatment. A copy of this report has already been placed in the Library.
Since the publication of the NRAG report, the National Cancer Action Team has continued to provide advice to commissioners and providers to help them assess travel times for their patients and plan the location of new services.
I promised to update the House about ongoing activity in relation to Winterbourne View private hospital and other services for people with learning disabilities.
The House will wish to note that nine people employed at Winterbourne View hospital have pleaded guilty and have been referred for sentencing reports. A further two...
I promised to update the House about ongoing activity in relation to Winterbourne View private hospital and other services for people with learning disabilities.
The House will wish to note that nine people employed at Winterbourne View hospital have pleaded guilty and have been referred for sentencing reports. A further two...
(4) what steps his Department is taking to ensure that pancreatic cancer patients are (a) more involved in their care and (b) supported by clinical nurse specialists.
(4) what steps his Department is taking to ensure that pancreatic cancer patients are (a) more involved in their care and (b) supported by clinical nurse specialists.
| Percentage | ||
| Question | Upper GI | All cancers |
| Completely understood explanation of what was wrong with them | 73 | 74 |
| Given the right amount of information about condition and treatment | 87 | 88 |
| Given a choice of different cancer treatments | 84 | 83 |
| Definitely involved in decisions about choice of cancer treatment | 71 | 72 |
| Given the name of a Cancer Nurse Specialist (CNS) | 90 | 84 |
| Found it easy to contact CNS (of those given a CNS) | 75 | 75 |
| CNS definitely listened carefully | 92 | 91 |
| CNS gave understandable answers to questions all or most of the time | 87 | 91 |
| Length of time spent with CNS was about right | 95 | 95 |