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778112

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health: Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps are being taken to address the financial cost to society of (a) alcohol misuse, (b) obesity and (c) viral hepatitis.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Gill
uin	109878
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>The Government wants everyone to be able to make healthier choices, regardless of their circumstances, and to minimise the risk and impact of illness. A range of action is being taken to do this and in particular on the three areas identified:</p><p> </p><p>- To tackle alcohol misuse we are preventing below cost selling, tightening the rules on irresponsible promotions and introducing new powers to deal with anti-social behaviour. Local authorities are supported by Public Health England in the commissioning of high quality, evidence based treatment services for their local population’s needs.</p><p>- In addition, the United Kingdom Chief Medical Officers have produced new low risk drinking guidelines which provide the public with the latest information about the health risks of different levels and patterns of drinking. The guidelines enable people to make informed choices about their drinking.</p><p>- Tackling childhood obesity is a priority for this Government. We launched “Childhood Obesity: A Plan for Action” in August 2016. Our world-leading plan will help children and families to recognise and make healthier choices and be more active. Many of the key commitments in our plan will have an impact on tackling obesity across all age groups. These include the soft drinks industry levy and sugar reduction programme, which will reduce the amount of sugar we all consume.</p><p>- A copy of “Childhood Obesity: A Plan for Action” is available at:</p><p> </p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf</a></p><p>- The National Strategic Group on Viral Hepatitis is a Public Health England supported, cross-agency expert group on viral hepatitis with external membership from academia, NHS England, local government, clinical commissioning groups, patient representative groups and other organisations, to provide strategic direction and advice around viral hepatitis. The strategy group aims to help reduce the incidence, prevalence and consequences of infection from the viral hepatitis in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2017 16:22:02 answering member 4067 label Biography information for Steve Brine
tabling member	4603 label Biography information for Preet Kaur Gill

778165

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what (a) number and (b) proportion of children in each region have received each of the health visitor checks in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109939
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England has published the percentages of children receiving health visitor checks for 2013/14 and 2014/15 data at:</p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/" target="_blank">www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/</a></p><p>No published data is held prior to April 2013.</p><p> </p><p>Public Health England (PHE) now collects the data, which is submitted by local authorities on a voluntary basis. Data for 2015/16 can be found at:</p><p><a href="http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3" target="_blank">http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3</a></p><p>And data for 2016/17 at:</p><p><a href="https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics." target="_blank">https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics.</a></p><p>A change in methodology means that the data from PHE and NHS England are not comparable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:30:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley

778166

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors there have been in each region in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109958
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS Digital publishes workforce statistics and the following table shows full time equivalent (FTE) qualified health visitors working in the National Health Service trusts and clinical commissioning groups in England from 31 July 2012 to 31 July 2017.</p><p> </p><p>Current data collections do not cover the complete range of these organisations. As a result, it is not possible to provide accurate data on the total size of the health visitor workforce.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Qualified Health Visitors working in each region as at 31 July each specified year (FTE).</p><p> </p><table><tbody><tr><td><p>Health visitors (FTE)</p></td><td><p>July 2012</p></td><td><p>July 2013</p></td><td><p>July 2014</p></td><td><p>July 2015</p></td><td><p>July 2016</p></td><td><p>July 2017</p></td></tr><tr><td><p>Health Education East Midlands</p></td><td><p>612</p></td><td><p>684</p></td><td><p>734</p></td><td><p>816</p></td><td><p>778</p></td><td><p>732</p></td></tr><tr><td><p>Health Education East of England</p></td><td><p>507</p></td><td><p>554</p></td><td><p>644</p></td><td><p>763</p></td><td><p>732</p></td><td><p>630</p></td></tr><tr><td><p>Health Education Kent, Surrey and Sussex</p></td><td><p>399</p></td><td><p>467</p></td><td><p>525</p></td><td><p>650</p></td><td><p>619</p></td><td><p>545</p></td></tr><tr><td><p>Health Education North Central and East London</p></td><td><p>396</p></td><td><p>435</p></td><td><p>540</p></td><td><p>649</p></td><td><p>634</p></td><td><p>543</p></td></tr><tr><td><p>Health Education North East</p></td><td><p>574</p></td><td><p>644</p></td><td><p>664</p></td><td><p>650</p></td><td><p>408</p></td><td><p>345</p></td></tr><tr><td><p>Health Education North West</p></td><td><p>1,355</p></td><td><p>1,431</p></td><td><p>1,560</p></td><td><p>1,701</p></td><td><p>1,736</p></td><td><p>1,632</p></td></tr><tr><td><p>Health Education North West London</p></td><td><p>342</p></td><td><p>410</p></td><td><p>451</p></td><td><p>493</p></td><td><p>488</p></td><td><p>492</p></td></tr><tr><td><p>Health Education South London</p></td><td><p>336</p></td><td><p>307</p></td><td><p>365</p></td><td><p>447</p></td><td><p>430</p></td><td><p>358</p></td></tr><tr><td><p>Health Education South West</p></td><td><p>466</p></td><td><p>557</p></td><td><p>528</p></td><td><p>624</p></td><td><p>396</p></td><td><p>372</p></td></tr><tr><td><p>Health Education Thames Valley</p></td><td><p>330</p></td><td><p>310</p></td><td><p>340</p></td><td><p>385</p></td><td><p>365</p></td><td><p>324</p></td></tr><tr><td><p>Health Education Wessex</p></td><td><p>335</p></td><td><p>377</p></td><td><p>439</p></td><td><p>519</p></td><td><p>495</p></td><td><p>481</p></td></tr><tr><td><p>Health Education West Midlands</p></td><td><p>856</p></td><td><p>947</p></td><td><p>1,129</p></td><td><p>1,265</p></td><td><p>1,198</p></td><td><p>1,067</p></td></tr><tr><td><p>Health Education Yorkshire and the Humber</p></td><td><p>879</p></td><td><p>943</p></td><td><p>909</p></td><td><p>983</p></td><td><p>1,106</p></td><td><p>927</p></td></tr></tbody></table><p>Source: NHS Digital monthly HCHS workforce statistics</p><p>Note:</p><p>Health visitors may be employed by NHS provider organisations, but may also be employed directly by local authorities, or other care providers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:35:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley

778195

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neuromuscular Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with Sheffield Teaching Hospitals NHS Foundation Trust on its continuing to provide neuromuscular care advisor support.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Gill Furniss
uin	109848
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>The Department has not had any discussions with Sheffield Teaching Hospitals NHS Foundation Trust on this issue.</p><p> </p><p>However, NHS England has stated that there are no plans to change the provision of neuromuscular care advisor support at the Trust and Sheffield Clinical Commissioning Group has advised that they are not aware of any changes to the provision of neuromuscular care advisor support in the area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2017 16:28:12 answering member 4067 label Biography information for Steve Brine
tabling member	4571 label Biography information for Gill Furniss

778196

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: British Nationals Abroad
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the potential cost of providing (a) NHS services and (b) social care to UK pensioners who are currently resident in an EU member state and who decide to return to the UK after the UK leaves the EU.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	109849
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>During negotiations with the European Union on the Withdrawal Agreement, the United Kingdom has been seeking to protect the healthcare arrangements currently set out in EU Regulations 883/2004 and 987/2009. In the recent negotiating rounds, the UK has agreed with the EU to protect reciprocal healthcare rights for UK nationals who are resident in another member state on EU Exit Day. This includes individuals who are of UK state pension age, and those who are not yet at state pension age, once they start drawing their UK state pension. The agreement also applies to many others who have previously worked in the EU, irrespective of where they are living on EU Exit Day.</p><p> </p><p>The Department is undertaking some modelling work to assess and understand how the UK health and social care sector would be impacted by a number of returning migrants. We also engage with our Embassies in EU Member States, which provides us with useful information about the concerns of UK state pensioners and other groups as the UK prepares to leave the EU.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 31/10/2017 17:11:10 answering member 1542 label Biography information for Philip Dunne
tabling member	4385 label Biography information for Dr Philippa Whitford

778197

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	European Medicines Agency: Location
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 relocation of the European Medicines Agency on clinical trials and access to medicine in the UK.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	109850
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>As part of the European Union exit negotiations, the Government will discuss with the EU and Member States how best to continue cooperation in the field of access to medicines and clinical trials.</p><p> </p><p>The United Kingdom is committed to collaborating with the European Medicines Agency following the UK’s departure from the EU.</p><p> </p><p>While we cannot pre-judge the outcome of the negotiations, our aim is to ensure that patients in the UK and across the EU will continue to be able to access the best and most innovative medicines and be assured that their safety is protected through the strongest regulatory framework and sharing of data.</p><p> </p><p>The UK is also committed to offering a competitive service for clinical trial assessment. This covers regulatory approval from the Medicines and Healthcare products Regulatory Agency as well as services from the Health Research Authority, and related ethics service, National Institute for Health Research, and the National Health Service. The UK is working towards implementation of the new European Clinical Trials Regulation, whose application date will be set by the European Commission. The current regulatory approval legislation will stay in place until such time as any changes are needed so there will be no interruption in UK clinical trials approval.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2017 16:26:59 answering member 4067 label Biography information for Steve Brine
tabling member	4385 label Biography information for Dr Philippa Whitford

778198

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Psychiatry: Students
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to increase the number of psychiatry students.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	109843
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>On 3 October 2017, the Higher Education Funding Council for England and Health Education England (HEE) invited universities to bid for 1,000 additional medical school places available from September 2019. The published criteria against which bids will be assessed include how proposals support specialities such as psychiatry. This is part of a historic expansion announced by my Rt. hon. Friend the Secretary of State for Health in October 2016 and includes an additional 500 places allocated for September 2018 entry.</p><p> </p><p>In ‘Stepping forward to 2020/21: A mental health workforce plan for England’, HEE sets out a plan to transform the mental health workforce, including a number of key actions to increase workforce supply. Current initiatives to improve recruitment into psychiatry training posts include increasing the number of training placements in psychiatry in the Foundation Programme and supporting the Royal College of Psychiatrists on its marketing campaign ‘Choose Psychiatry’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 17:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

778199

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Foreign Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to assess the feasibility of implementing charging of overseas visitors in accident and emergency department services.
tabling member constituency	Sheffield Central
tabling member printed	Paul Blomfield
uin	109842
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>No decision has yet been made on whether to extend charging to accident and emergency (A&amp;E) services. In February 2017 the Government published its response to the consultation, Making a fair contribution, and committed to continue to consider the points raised by respondents around the feasibility of implementing charging in A&amp;E services for overseas visitors and migrants. As such, the Department is working with arm’s length bodies and other stakeholders to assess the economic benefit, public health impact and practical feasibility of introducing charging for non-eligible overseas visitors in A&amp;E departments. In addition, four National Health Service trusts have recently completed pilots to assess the feasibility of asking patients for identification in A&amp;E departments, the results of which will be available in early 2018.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 31/10/2017 17:09:31 answering member 1542 label Biography information for Philip Dunne
tabling member	4058 label Biography information for Paul Blomfield

778200

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Vacancies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many full-time equivalent registered nurse positions are vacant in the NHS in England; and what proportion that number is of all registered nurse positions.
tabling member constituency	Ashfield
tabling member printed	Gloria De Piero
uin	109887
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>The information is not available in the format requested.</p><p> </p><p>Health Education England (HEE) provides estimates of staff shortages and the plan for tackling these issues as part of their Workforce Plan for England publication. The latest figures are available at the following link:</p><p><a href="https://hee.nhs.uk/sites/default/files/documents/Workforce%20Plan%20for%20England%202016-17.pdf" target="_blank">https://hee.nhs.uk/sites/default/files/documents/Workforce%20Plan%20for%20England%202016-17.pdf</a></p><p>HEE plans to publish the Workforce Plan for England 2017/18 in due course.</p><p> </p><p>In addition, NHS Digital does publish the number of vacancies that are advertised on NHS Jobs, the dedicated online recruitment service for the National Health Service. However, as the basis of the figures is the number of vacancies advertised for the first time in each given month, it is not possible to determine from these figures the number of vacancies live at any given point in time. The figures only cover those vacancies advertised via NHS Jobs, and it is not always possible to determine how many posts are associated with any given advertisement.</p><p> </p><p>The latest figures are available at the following link:</p><p><a href="https://digital.nhs.uk/media/31747/NHS-Vacancy-Statistics-England-February-2015-March-2017-Provisional-Experimental-Statistics-Tables/default/nhs-vac-stats-feb15-mar17-eng-tables" target="_blank">https://digital.nhs.uk/media/31747/NHS-Vacancy-Statistics-England-February-2015-March-2017-Provisional-Experimental-Statistics-Tables/default/nhs-vac-stats-feb15-mar17-eng-tables</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109881 109883 question first answered 31/10/2017 15:37:10 answering member 1542 label Biography information for Philip Dunne
tabling member	3915 label Biography information for Gloria De Piero

778201

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Sclerosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of unplanned or emergency hospital admissions for multiple sclerosis patients related to issues that could have been treated without going to hospital in (a) York and (b) England in the last 12 months for which records are available.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	109833
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109834 question first answered 02/11/2017 11:20:29 answering member 1542 label Biography information for Philip Dunne
tabling member	4079 label Biography information for Julian Sturdy