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794218

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of why midwives are leaving the profession; and whether (1) salary levels, and (2) the culture of the NHS, are relevant factors.
tabling member printed	Lord Mawson
uin	HL3536
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3534 HL3535 HL3537 question first answered 07/12/2017 16:18:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794219

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what has been the cost to the NHS over the last five years of midwives leaving the profession; and what is their estimate of such future costs.
tabling member printed	Lord Mawson
uin	HL3537
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3534 HL3535 HL3536 question first answered 07/12/2017 16:18:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794234

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of geographical differences in access to dental services across England; and whether differential rates of access account for differences in dental health.
tabling member printed	Baroness Redfern
uin	HL3552
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>National surveys of child and adult oral health identify a number of contributing factors to account for differences in oral health including deprivation, geography, ethnicity and social class.</p><p> </p><p>NHS England has a legal duty to commission primary care dental services to meet local needs and to work with local partners to address oral health needs identified in local health needs assessments. NHS England also undertake regular surveys of patient access to National Health Service dentistry, the latest was published in July 2017 and the results from the survey responses are presented at national (England), regional and Area Team level. A copy of <em>Summary of the Dental Results from the GP Patient Survey – January to March 2017</em> is attached.</p><p> </p><p>Access to primary care dental services continues to increase nationally. 22.2 million adults were seen by a dentist in the 24 month period ending 30 June 2017 and 6.8 million children were seen by a dentist in the 12 month period ending 30 June 2017, but we know NHS England has further to go in ensuring access needs are met in all areas.</p><p> </p><p>The NHS England Starting Well programme will also operate in 13 high needs areas to reach out to children most at risk of dental decay who are not currently under the care of a dentist.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 30/11/2017 18:01:32 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name GP-Patient-Survey-Dental-Results-Summary.pdf title GP Patient Survey results
tabling member	4551 label Biography information for Baroness Redfern

794235

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Cybersecurity
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what advice, if any, they have provided to NHS Trusts regarding the need to upgrade software and improve cyber-security.
tabling member printed	Baroness Redfern
uin	HL3553
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>The Department published <em>Your Data: Better Security, Better Choice, Better Care </em>in July 2017 in which the Government accepted the 10 Data Security Standards recommended by the National Data Guardian, Dame Fiona Caldicott. The document sets out the steps National Health Service trusts are expected to take to improve their cyber security resilience. Data Security Standard 8 specifically states that no unsupported operating systems, software or internet browsers are used within the IT estate.</p><p> </p><p>NHS Digital published in May 2017 <em>Unsupported Platforms – Good Practice Guide </em>giving trusts technical guidance on how to upgrade software and improve cyber security.</p><p> </p><p>In October 2017, the Department followed up by publishing the <em>2017/18 Data Security and Protection Requirements</em>. This document sets out the steps all health and care organisations will be expected to take in 2017/18 to demonstrate that they are implementing the 10 Data Security Standards, prior to a new assurance framework coming into place from April 2018.</p><p> </p><p>In 2015, NHS Digital established CareCERT to provide national cyber support to health and care organisations. This support includes cyber alerts with advice on software updates, direct support when cyber incidents occur, and also on-site support to assess local vulnerabilities to improve local resilience and mitigate the impact of future cyber incidents.</p><p> </p><p>The above mentioned reports are attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Managing_the_Risk_of_Unsupported_Platforms_-_Good_Practice_Guide_230517.pdf title Managing the Risk of Unsupported Platforms 2 file name 2017-18 Data Security and Protection Requirements.pdf title 2017-18 Data Security and Protection Requirements 3 file name Your Data Better Security Better Choice Better Care Government Response.pdf title Your Data Better Security Better Choice question first answered 01/12/2017 11:45:38 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4551 label Biography information for Baroness Redfern

794236

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Health: Disadvantaged
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have any plans to introduce new initiatives to improve dental health in areas of deprivation.
tabling member printed	Baroness Redfern
uin	HL3554
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>Local authorities (LAs) are responsible for assessing the oral health needs of their local population, developing oral health strategies and commissioning oral health improvement programmes. Public Health England (PHE) helps to support LAs in these roles both nationally and locally with ongoing initiatives to improve dental health, particularly in areas of deprivation.</p><p> </p><p>PHE has established a Children’s Oral Health Improvement Programme Board with a substantial programme of work with organisational partners.</p><p> </p><p>NHS England has recently launched the Starting Well programme, which will work in 13 areas in England with the worst oral health to reach out to families with children under five who are most at risk of dental disease, who may not currently be visiting a dentist. Dental practices are currently in the process of applying to join the programme.</p> answering member printed Lord O'Shaughnessy question first answered 30/11/2017 17:43:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4551 label Biography information for Baroness Redfern

794249

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery: Health Services
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 adequacy of the availability comprehensive perioperative care pathways for NHS patients.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	115222
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>Well-organised peri-operative care pathways improve patient outcomes and increase the efficiency of NHS services. All trusts that provide surgical care automatically provide a peri-operative care pathway.</p><p> </p><p>The Royal College of Anaesthetists and the Royal College of Surgeons have supported the introduction of Enhanced Recovery to improve peri-operative care and this is being actively promoted through RightCare guidance to commissioners and through the Getting It Right First Time Programme for hospitals. This applies to all trusts in England who provide peri-operative care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 01/12/2017 12:34:02 answering member 1542 label Biography information for Philip Dunne
tabling member	4412 label Biography information for Dr Lisa Cameron

794250

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting times are for Improving Access to Psychological Therapies services for patients (a) over 65 and (b) over 75 years of age, in each year since 2011.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	115223
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>The information requested is shown in the table below:</p><p> </p><p>Mean waiting times<sup>1,2 </sup>(in days) to enter treatment of Improving Access to Psychological Therapy referrals who finished a course of treatment<sup>3</sup> in 2014/15 and 2015/16 at England level and split by age group.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>Referrals for those aged 65 to 74</p></td><td><p>32.3</p></td><td><p>27.3</p></td></tr><tr><td><p>Referrals for those aged over 75</p></td><td><p>30.5</p></td><td><p>26.2</p></td></tr></tbody></table><p><br>Notes:</p><p><sup>1</sup>Waiting time to enter treatment is calculated as the number of days between the referral received date and the first attended treatment appointment. Referral received date and the first treatment appointment dates do not necessarily occur in the year.</p><p> </p><p><sup>2</sup>The waiting times here are based on the current methodology, used in the 2014-15 and 2015-16 annual publications, which calculates waiting times based on the number of referrals finishing a course of treatment in the year. Previous years' annual data are based on an earlier methodology that is not comparable with the data included here.</p><p> </p><p><sup>3</sup>In order to finish a course of treatment, a referral must have ended in the year with at least two treatment appointments having been attended in the course of the referral.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/11/2017 15:41:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4412 label Biography information for Dr Lisa Cameron

794251

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much was spent by each NHS trust on specified services for older patient's mental health.
tabling member constituency	East Kilbride, Strathaven and Lesmahagow
tabling member printed	Dr Lisa Cameron
uin	115224
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>The information requested is not collected.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/11/2017 17:42:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4412 label Biography information for Dr Lisa Cameron

794255

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health pursuant to the Answer of 20 October 2017 to Question 7355, what discussions have taken place between the UK and the EU on the continuation of the EHIC system or its replacement with an equivalent system.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	115228
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>The United Kingdom Government appreciates the importance of retaining existing reciprocal healthcare arrangements with the European Union. During the September round of UK-EU negotiations, the UK made clear that it wishes to continue with reciprocal healthcare with the EU after the UK’s Exit. This includes healthcare rights for pensioners, the European Health Insurance Card and planned treatment.</p><p> </p><p>During negotiations with the EU on the Withdrawal Agreement, the UK has therefore been seeking to protect the healthcare arrangements currently set out in EU Regulations 883/2004 and 987/2009.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 115229 question first answered 01/12/2017 12:41:58 answering member 1542 label Biography information for Philip Dunne
tabling member	151 label Biography information for Tom Brake

794256

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to Answer of 8 September to Question 7355, on healthcare: reciprocal arrangements, if he will preserve the S1 and S2 healthcare funding routes and the system provided under the Patients’ Rights Directive for EEA member states after the UK leaves the EU.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	115229
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>The United Kingdom Government appreciates the importance of retaining existing reciprocal healthcare arrangements with the European Union. During the September round of UK-EU negotiations, the UK made clear that it wishes to continue with reciprocal healthcare with the EU after the UK’s Exit. This includes healthcare rights for pensioners, the European Health Insurance Card and planned treatment.</p><p> </p><p>During negotiations with the EU on the Withdrawal Agreement, the UK has therefore been seeking to protect the healthcare arrangements currently set out in EU Regulations 883/2004 and 987/2009.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 115228 question first answered 01/12/2017 12:41:58 answering member 1542 label Biography information for Philip Dunne
tabling member	151 label Biography information for Tom Brake