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390308

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the number of extra university places required to train nursing staff to meet the NICE safe staffing ratio of one nurse to eight patients.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	7518
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>Health Education England (HEE) is currently working with local organisations and key external stakeholders to develop the National Workforce Plan for England covering the period 2016-17. This will be published in December 2015. The plan takes account of what local providers require by way of future nurse staffing levels.</p><p> </p><p> </p><p> </p><p>HEE has invested £1.5 million in funding approximately 90 ‘Return to Practice’ courses that has already yielded an additional 779 trainees available for employment now, at a cost of £2,000 compared to the £51,000 it takes to train a newly qualified nurse.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 20/07/2015 16:37:14 answering member 3988 label Biography information for Ben Gummer
tabling member	4122 label Biography information for Alex Cunningham

390309

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department has made in deploying the first tranche of the £1.25 billion announced in the March 2015 Budget for children and young people's mental health services.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7520
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>£1.25 billion has been made available for children’s mental health over the course of this Parliament.</p><p> </p><p> </p><p> </p><p>We, and local areas, along with our partner organisations including the Department for Education, are building on the momentum and powerful consensus generated by <em>Future in Mind, </em>the report on the work of the Children and Young People’s Mental Health Taskforce.</p><p> </p><p> </p><p> </p><p>We are making progress and are committed to taking forward both the ambition and individual proposals, backed by the additional investment. We are developing a central programme plan with a phased approach to implementation. Action underway includes:</p><p> </p><p> </p><p> </p><p>- Work to extend and expand the Children and Young People’s Access to Psychological Therapies Programme, so that by 2018, all local services will have participated in this transformative programme and it will cover additional clinical areas;</p><p> </p><p>- The commissioning of a new prevalence survey on mental health problems in children and young people;</p><p> </p><p>- Local areas have been invited to pilot joint training between schools and children and young people’s mental health services providers, to strengthen the mental health advice and support available in educational settings;</p><p> </p><p>- Improved services for perinatal mental health and eating disorders, both of which are being addressed through work this year; and</p><p> </p><p>- Plans for legislation to prevent any child or young person being put in a police cell as a place of safety during a mental health crisis.</p><p> </p><p> </p><p> </p><p>In May 2015, NHS England wrote to all clinical commissioning groups (CCGs) asking them to work with their partners from across the NHS, public health, local authority, youth justice and education sectors to develop local Transformation Plans for children’s mental health and wellbeing to reshape the way services for children and young people with mental health needs are commissioned and delivered across all agencies over the next five years in line with proposals put forward in <em>Future in Mind</em>.</p><p> </p><p> </p><p> </p><p>NHS England will shortly be publishing guidance, developed with partners across the system, to CCGs on local Transformation Plans for children and young people’s mental health, in line with the proposal in <em>Future in Mind.</em></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7437 7438 question first answered 20/07/2015 16:43:42 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390310

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment his Department has made of the adequacy of nationwide diabetes treatment and prevention strategies; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	7515
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The NHS Five Year Forward View set out a commitment to implement a national NHS Diabetes Prevention Programme to provide lifestyle programmes to people with pre diabetes to reduce their risk of developing this condition. We are building on this programme to improve the outcomes of people with and at risk of diabetes.</p><p> </p><p> </p><p> </p><p>For those who already have diabetes, delivery of the care processes continues to be incentivised through the Quality Outcomes Framework (QOF). Individual general practitioner (GP) practices, working with their local clinical commissioning groups (CCGs), assess their own performance and take action where necessary.</p><p> </p><p> </p><p> </p><p>We have increased transparency through the creation of an online tool which highlights variation in the prevalence and treatment of diabetes, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/" target="_blank">http://healthierlives.phe.org.uk/</a></p><p> </p><p> </p><p> </p><p>In addition, the CCG outcomes indicator set provides clear, comparative information for CCGs, Health and Wellbeing Boards, local authorities, patients and the public about the quality of health services commissioned by CCGs and the associated health outcomes. Through publicly sharing this information, CCGs and GP practices can see how they compare with their peers and take action where they need to improve.</p><p> </p><p> </p><p> </p><p>The Government wants further improvements to be made in the management and care of people with diabetes. We will put forward our plans in due course.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 7293 question first answered 20/07/2015 16:42:10 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

390313

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had since 7 May 2015 with (a) Ministerial colleagues and (b) organisations outside government on implementation of the cap on care costs and the extension to means-tested support from April 2016.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7484
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>Following a consultation on draft regulations and guidance earlier this year we received a number of responses from across the care and support sector which called for a delay in the implementation of these reforms. Since the election we have continued to hear these concerns. During this time we have continued to work closely with the Local Government Association (LGA) and Association of Directors of Adult Social Care and there have been a number of discussions within Government and with other interested organisations to determine the way forward. On 1 July the LGA wrote a letter calling for a delay in implementation of these reforms.</p><p> </p><p> </p><p> </p><p>We have listened to the concerns expressed by the LGA and others and that is why we decided to delay implementation until April 2020 as announced in a written ministerial statement on 17 July, repeated today in the House of Commons <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2015-07-20/HCWS145/" target="_blank">(HCWS145).</a></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7440 question first answered 20/07/2015 16:42:34 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390317

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Skin Cancer: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for his Department's analysis of the data from the skin cancer Be Clear on Cancer pilot.
tabling member constituency	South Down
tabling member printed	Ms Margaret Ritchie
uin	7475
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>Public Health England (PHE) ran a local Be Clear on Cancer pilot campaign in Devon, Cornwall and Somerset from 16 June – 27 July 2014 to raise awareness of the signs of skin cancer. The campaign was aimed at people over the age of 50 and the key message was “A change to a mole isn’t the only sign of skin cancer. If you notice any persistent or unusual changes to your skin, tell your doctor”. The campaign included radio, press, digital and outdoor advertising.</p><p> </p><p> </p><p> </p><p>Early results from the pilot are encouraging and are currently being evaluated. PHE can confirm that there will be a full and final evaluation report published for the local skin cancer pilot campaign as soon as possible, when analysis of all metrics is complete. However, in advance of a final evaluation report, PHE aims to publish an interim report containing the public awareness and knowledge levels and the results from the analysis of cancer waiting times data during summer 2015.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/07/2015 16:51:27 answering member 3918 label Biography information for Jane Ellison
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

390318

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eating Disorders: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress he has made on developing a maximum waiting time standard for access to eating disorder services; whether he plans to introduce such a standard from April 2016; and if he will make a statement.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7465
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The additional funding of £30 million per year over the next five years beginning in 2015-16 will be used to provide:</p><p> </p><p> </p><p> </p><p>- Swifter access to evidence based community treatment;</p><p> </p><p>- A decrease in the use of inpatient eating disorder beds by at least 50%;</p><p> </p><p>- A reduction in the rate of relapse;</p><p> </p><p>- Fewer transfers to adult services – reducing by up to 70% the number of those who need to be treated as adults; and</p><p> </p><p>- Improvements in transition for young people with eating disorders when they turn 18.</p><p> </p><p> </p><p> </p><p>NHS England and the National Collaborating Centre for Mental Health will shortly publish a commissioning guide for clinical commissioning groups that will set out how to prepare for and implement the access and waiting time standard for children and young people with an eating disorder during 2015/16 and implemented from 1 April 2016.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7393 question first answered 20/07/2015 16:38:34 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390319

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Minimum Wage
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential effect of the increase in the minimum wage on social care.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7466
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The impact of the new National Living Wage on local authority finances will be considered during the Spending Review as part of an overall assessment of spending pressures on local authorities.</p><p> </p><p> </p><p> </p><p>The costs of introduction in Scotland and Wales are a matter for the devolved administrations.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7439 question first answered 20/07/2015 16:53:30 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390320

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions his Department has had with Health Education England on safe staffing levels.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	7464
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Department has not held formal discussions with Health Education England (HEE) specifically regarding safe staffing. HEE annually produces a national workforce plan for England setting out the investment it will make in undergraduate and postgraduate (including medical specialty) training in the next financial year.</p><p> </p><p> </p><p> </p><p>As part of the 2015/16 workforce plan, HEE will continue the growth in nursing numbers to meet safe staffing levels by commissioning 555 additional training posts, an increase of 4.2%. This means in the last two years adult nursing training places will have grown by 13.6%.</p><p> </p><p> </p><p> </p><p>In developing the next workforce plan for 2016/17, HEE will listen to evidence from stakeholders across the National Health Service. It is through these national and local arrangements that we will ensure that the workforce meets the needs of today’s patients whilst delivering the future workforce in a way that not only maintains safe staffing levels, but supports the service transformation necessary to improve quality of care.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 20/07/2015 16:31:51 answering member 3988 label Biography information for Ben Gummer
tabling member	4122 label Biography information for Alex Cunningham

390321

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to commission research on safe staffing levels and clinical outcomes.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	7463
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Research of particular relevance to the relationship between staffing levels and clinical outcomes includes:</p><p> </p><p> </p><p> </p><p>- a published study of the efficient use of the maternity workforce and the implications for safety and quality in maternity care:</p><p> </p><p>- <a href="http://www.journalslibrary.nihr.ac.uk/hsdr/volume-2/issue-38#abstract" target="_blank">www.journalslibrary.nihr.ac.uk/hsdr/volume-2/issue-38#abstract</a></p><p> </p><p>- a current study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes:</p><p> </p><p>- <a href="http://www.nets.nihr.ac.uk/projects/hsdr/1212848" target="_blank">www.nets.nihr.ac.uk/projects/hsdr/1212848</a></p><p> </p><p>- a current study on nurse staffing levels, missed vital signs observations and mortality in hospital wards:</p><p> </p><p>- <a href="http://www.nets.nihr.ac.uk/projects/hsdr/1311417" target="_blank">www.nets.nihr.ac.uk/projects/hsdr/1311417</a></p><p> </p><p> </p><p> </p><p>The programme is currently commissioning research on measuring nursing input, workload, activity and care. In addition to this, my Rt. hon. Friend the Secretary of State for Health announced on 16 July that NHS Improvement will have safety and quality at the heart of the organisation's remit and Dr Mike Durkin's safety function will move there. One of Dr Durkin's early priorities will be working with the Chief Nursing Officer to complete the work started by the National Institute for Health and Care Excellence (NICE) on safe staffing levels. This will be independently reviewed by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the National Health Service aspires to.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 7462 question first answered 20/07/2015 16:40:56 answering member 3988 label Biography information for Ben Gummer
tabling member	4122 label Biography information for Alex Cunningham

390322

registered interest
date	15/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what research his Department has (a) conducted and (b) commissioned on the relationship between safe staffing levels and clinical outcomes; and if he will make a statement.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	7462
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Research of particular relevance to the relationship between staffing levels and clinical outcomes includes:</p><p> </p><p> </p><p> </p><p>- a published study of the efficient use of the maternity workforce and the implications for safety and quality in maternity care:</p><p> </p><p>- <a href="http://www.journalslibrary.nihr.ac.uk/hsdr/volume-2/issue-38#abstract" target="_blank">www.journalslibrary.nihr.ac.uk/hsdr/volume-2/issue-38#abstract</a></p><p> </p><p>- a current study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes:</p><p> </p><p>- <a href="http://www.nets.nihr.ac.uk/projects/hsdr/1212848" target="_blank">www.nets.nihr.ac.uk/projects/hsdr/1212848</a></p><p> </p><p>- a current study on nurse staffing levels, missed vital signs observations and mortality in hospital wards:</p><p> </p><p>- <a href="http://www.nets.nihr.ac.uk/projects/hsdr/1311417" target="_blank">www.nets.nihr.ac.uk/projects/hsdr/1311417</a></p><p> </p><p> </p><p> </p><p>The programme is currently commissioning research on measuring nursing input, workload, activity and care. In addition to this, my Rt. hon. Friend the Secretary of State for Health announced on 16 July that NHS Improvement will have safety and quality at the heart of the organisation's remit and Dr Mike Durkin's safety function will move there. One of Dr Durkin's early priorities will be working with the Chief Nursing Officer to complete the work started by the National Institute for Health and Care Excellence (NICE) on safe staffing levels. This will be independently reviewed by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the National Health Service aspires to.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 7463 question first answered 20/07/2015 16:40:56 answering member 3988 label Biography information for Ben Gummer
tabling member	4122 label Biography information for Alex Cunningham