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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

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

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

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

390329

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	Psychiatry
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to review the operation of the Improving Access to Psychological Therapies service; and what target he has set for the number of people who will get access to therapy under that service by April 2016.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7433
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p><em>Achieving Better Access to Mental Health Services by 2020</em>, published in October 2014, set out the ambition that by 2020 the National Health Service would provide a comprehensive set of access and waiting time standards.</p><p> </p><p> </p><p> </p><p>This was accompanied by a £120 million investment – an investment of £40 million new money in 2014/15 to lay the groundwork for introducing the standards, and £80 million in 2015/16 that will be realised out of existing NHS England budgets. This will enable the setting of the following access and waiting time standards in mental health services:</p><p> </p><p> </p><p> </p><p>- Treatment within six weeks for 75% of people referred to the Improving Access to Psychological Therapies (IAPT) programme, with 95% of people being treated within 18 weeks;</p><p> </p><p>- Treatment within two weeks for more than 50% of people experiencing a first episode of psychosis; and</p><p> </p><p>- £30 million targeted investment will help people in crisis to access effective support in accident and emergency.</p><p> </p><p> </p><p> </p><p>Since 2008, over 3 million people have entered IAPT treatment, with over half of them having completed treatment. Over 1 million patients have reached recovery.</p><p> </p><p> </p><p> </p><p>By end March 2015, the aim is for IAPT services to be available to at least 15% of people who could benefit. Many local areas are achieving more than this. The 15% target was set in order to ensure a credible alternative to medication was available everywhere. We will know shortly if this target has been met and will then plan about how to progress.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7428 question first answered 20/07/2015 16:30:56 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390339

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: Inspections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what meetings his Department has had with the Care Quality Commission (CQC) on inspections by CQC of local authorities' commissioning of care services.
tabling member constituency	Ashton-under-Lyne
tabling member printed	Angela Rayner
uin	7300
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>While there has been some discussion between Departmental officials and the Care Quality Commission about inspection of local authorities’ commissioning, there have been no specific meetings on this topic during 2015.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 20/07/2015 11:30:38 answering member 3988 label Biography information for Ben Gummer
tabling member	4356 label Biography information for Angela Rayner

390340

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
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 on implementing the plans in Achieving Better Access to Mental Health Services by 2020, published on 8 October 2014.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	7428
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p><em>Achieving Better Access to Mental Health Services by 2020</em>, published in October 2014, set out the ambition that by 2020 the National Health Service would provide a comprehensive set of access and waiting time standards.</p><p> </p><p> </p><p> </p><p>This was accompanied by a £120 million investment – an investment of £40 million new money in 2014/15 to lay the groundwork for introducing the standards, and £80 million in 2015/16 that will be realised out of existing NHS England budgets. This will enable the setting of the following access and waiting time standards in mental health services:</p><p> </p><p> </p><p> </p><p>- Treatment within six weeks for 75% of people referred to the Improving Access to Psychological Therapies (IAPT) programme, with 95% of people being treated within 18 weeks;</p><p> </p><p>- Treatment within two weeks for more than 50% of people experiencing a first episode of psychosis; and</p><p> </p><p>- £30 million targeted investment will help people in crisis to access effective support in accident and emergency.</p><p> </p><p> </p><p> </p><p>Since 2008, over 3 million people have entered IAPT treatment, with over half of them having completed treatment. Over 1 million patients have reached recovery.</p><p> </p><p> </p><p> </p><p>By end March 2015, the aim is for IAPT services to be available to at least 15% of people who could benefit. Many local areas are achieving more than this. The 15% target was set in order to ensure a credible alternative to medication was available everywhere. We will know shortly if this target has been met and will then plan about how to progress.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7433 question first answered 20/07/2015 16:30:56 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

390342

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	Accident and Emergency Departments: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what dates his Department held discussions with NICE on the decision by that body to publish guidance on A&E staffing levels.
tabling member constituency	Ashton-under-Lyne
tabling member printed	Angela Rayner
uin	7299
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>There are regular communications between the National Institute for Health and Care Excellence (NICE) and the Department on all its programmes.</p><p> </p><p> </p><p> </p><p>NICE was asked in November 2013 to develop a number of guidelines on safe staffing including accident and emergency.</p><p> </p><p> </p><p> </p><p>On 16 July, my Rt. hon. Friend the Secretary of State for Health announced 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.</p><p> </p><p> </p><p> </p><p>One of Dr Durkin's early priorities will be working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels.</p><p> </p><p> </p><p> </p><p>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> answering member constituency Ipswich answering member printed Ben Gummer question first answered 20/07/2015 16:39:41 answering member 3988 label Biography information for Ben Gummer
tabling member	4356 label Biography information for Angela Rayner