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1015359

registered interest
date	27/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much additional funding announced in Budget 2018 has been allocated to the prevention of Type 2 diabetes.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	196310
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The 2018 Budget re-confirms the Prime Minister’s announcement in June this year to work with the National Health Service to develop a 10-year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by £20.5 billion a year in real terms by 2023-24. We expect the plan to be published later this year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 16:28:57 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

1014363

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Air Ambulance Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that air ambulance trusts are adequately resourced.
tabling member constituency	West Aberdeenshire and Kincardine
tabling member printed	Andrew Bowie
uin	907857
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>We recognise the vital role air ambulances play in getting those with life-threatening injuries and illnesses to the expert hospital care they need.</p><p> </p><p>The Autumn Budget announced £10 million of capital funding support to air ambulance charities, helping to maintain these critical services for patients in need.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/11/2018 16:00:15 answering member 1585 label Biography information for Stephen Hammond
tabling member	4601 label Biography information for Andrew Bowie

1014648

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to use community pharmacies as the first port of call for patients with minor ailments.
tabling member printed	Baroness Jolly
uin	HL11785
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>National Health Service leaders, clinicians and experts are working to develop the NHS long-term plan to ensure that the NHS, including community pharmacy, can cope with the serious demand and cost pressures it faces in the future. The Government has been clear that prevention of ill-health is one of the six principles it expects to underpin the long-term plan.</p><p>Community pharmacies have an important contribution to make in preventing ill health and supporting self-care. The Government is already encouraging local pharmacies to play a more significant role in helping people stay well in the community and in keeping pressure off general practitioners and secondary care. We want to encourage people to use pharmacies more and think ‘pharmacy first’, as advocated by our Help Us Help You campaign. Part of this involves an important shift in emphasis towards dispensing health and wellbeing advice, not just prescriptions.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11786 HL11787 question first answered 06/12/2018 15:04:42 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4203 label Biography information for Baroness Jolly

1014649

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to using community pharmacies as part of a national self-care strategy.
tabling member printed	Baroness Jolly
uin	HL11786
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>National Health Service leaders, clinicians and experts are working to develop the NHS long-term plan to ensure that the NHS, including community pharmacy, can cope with the serious demand and cost pressures it faces in the future. The Government has been clear that prevention of ill-health is one of the six principles it expects to underpin the long-term plan.</p><p>Community pharmacies have an important contribution to make in preventing ill health and supporting self-care. The Government is already encouraging local pharmacies to play a more significant role in helping people stay well in the community and in keeping pressure off general practitioners and secondary care. We want to encourage people to use pharmacies more and think ‘pharmacy first’, as advocated by our Help Us Help You campaign. Part of this involves an important shift in emphasis towards dispensing health and wellbeing advice, not just prescriptions.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11785 HL11787 question first answered 06/12/2018 15:04:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4203 label Biography information for Baroness Jolly

1014650

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to the role that community pharmacies could play in supporting the delivery of the NHS Long Term Plan.
tabling member printed	Baroness Jolly
uin	HL11787
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>National Health Service leaders, clinicians and experts are working to develop the NHS long-term plan to ensure that the NHS, including community pharmacy, can cope with the serious demand and cost pressures it faces in the future. The Government has been clear that prevention of ill-health is one of the six principles it expects to underpin the long-term plan.</p><p>Community pharmacies have an important contribution to make in preventing ill health and supporting self-care. The Government is already encouraging local pharmacies to play a more significant role in helping people stay well in the community and in keeping pressure off general practitioners and secondary care. We want to encourage people to use pharmacies more and think ‘pharmacy first’, as advocated by our Help Us Help You campaign. Part of this involves an important shift in emphasis towards dispensing health and wellbeing advice, not just prescriptions.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11785 HL11786 question first answered 06/12/2018 15:04:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4203 label Biography information for Baroness Jolly

1014666

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Anaesthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of findings from the Royal College of Anaesthetists that one in ten anaesthetists are being charged to use rest facilities in hospitals.
tabling member printed	Baroness Masham of Ilton
uin	HL11800
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>Employers are responsible for ensuring they only charge anaesthetists and other doctors for using rest facilities in hospitals in accordance with relevant terms and conditions of service.</p><p>The doctors in training contract states: “Where a doctor is rostered to work on a non-resident on-call working pattern and the doctor elects voluntarily, subject to the availability of accommodation, to be resident during the on-call duty period, a charge for any such accommodation shall be made and, provided that prior consent has been given, deducted from the doctor’s salary. Where a doctor is required to work overnight on a resident on-call working pattern, the doctor shall be provided with overnight accommodation for the resident on-call duty period without charge”.</p><p>The consultant contract requires agreement with their employer on those occasions when they would be resident for night duties so they should not be charged where such agreement has been reached. Generally, employers do not require doctors to be resident on call, as all time resident on call is classified as working hours following the Jaeger judgement. It is a matter for employers to consider what rest facilities they wish to provide when a doctor has been called into the hospital and wishes to rest before going home.</p><p>Employers are also responsible for the morale and wellbeing of their staff so it is vital they deliver on their responsibility for the provision of dedicated rest areas and either hot food and/or facilities for preparing hot food for staff rostered to work night shifts as enshrined in staff terms and conditions of service and the NHS Constitution.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11801 question first answered 06/12/2018 15:09:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1850 label Biography information for Baroness Masham of Ilton

1014667

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Hospitals: Facilities
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the impact of a lack of facilities, such as dedicated rest areas and canteens serving hot food, on the morale and wellbeing of NHS staff regularly working evening or overnight shifts.
tabling member printed	Baroness Masham of Ilton
uin	HL11801
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>Employers are responsible for ensuring they only charge anaesthetists and other doctors for using rest facilities in hospitals in accordance with relevant terms and conditions of service.</p><p>The doctors in training contract states: “Where a doctor is rostered to work on a non-resident on-call working pattern and the doctor elects voluntarily, subject to the availability of accommodation, to be resident during the on-call duty period, a charge for any such accommodation shall be made and, provided that prior consent has been given, deducted from the doctor’s salary. Where a doctor is required to work overnight on a resident on-call working pattern, the doctor shall be provided with overnight accommodation for the resident on-call duty period without charge”.</p><p>The consultant contract requires agreement with their employer on those occasions when they would be resident for night duties so they should not be charged where such agreement has been reached. Generally, employers do not require doctors to be resident on call, as all time resident on call is classified as working hours following the Jaeger judgement. It is a matter for employers to consider what rest facilities they wish to provide when a doctor has been called into the hospital and wishes to rest before going home.</p><p>Employers are also responsible for the morale and wellbeing of their staff so it is vital they deliver on their responsibility for the provision of dedicated rest areas and either hot food and/or facilities for preparing hot food for staff rostered to work night shifts as enshrined in staff terms and conditions of service and the NHS Constitution.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11800 question first answered 06/12/2018 15:09:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1850 label Biography information for Baroness Masham of Ilton

1014669

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether a long-term strategy to improve the welfare, wellbeing and morale of NHS staff is currently in development.
tabling member printed	Baroness Masham of Ilton
uin	HL11802
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>The hard work and dedication of National Health Service staff is appreciated, and ensuring their welfare, wellbeing and morale are at high levels is essential. While employers across the NHS are responsible for their staff welfare, wellbeing and morale, the Government supports employers to do this by funding high quality development and training for all leaders, with a view to driving positive, open and supportive organisational cultures. Staff morale will be measured in the NHS Staff Survey from 2018 for the first time.</p><p>It is anticipated that issues of staff welfare, wellbeing and morale will be reflected in the long term plan the NHS is currently developing.</p><p>We have introduced a new contract for NHS staff on Agenda for Change pay, terms and conditions which will provide a pay increase of at least 6.5% over the next three years, continue to support the NHS in implementing the 2016 contract for doctors in training and are working with the British Medical Association to ensure other medical contracts are fit for purpose and affordable.</p><p>We are also tackling bullying and harassment through the Ministerially chaired national Social Partnership Forum’s ‘Collective Call to Action’ and working with the royal colleges and health unions to reflect kindness and respect in recruitment and subsequent staff training and development; tackling violence against and abuse of NHS staff via the NHS Violence Reduction Strategy which has been drawn up by NHS Improvement and NHS England and announced by Secretary of State on 31 October.</p><p>We are improving staff opportunities for flexible working through better use of technology such as apps, e-rostering and e-job planning which will help trusts make best use of their permanent and temporary staff resources so they can do more to support staff who ask for flexible working.</p><p>We are improving staff physical and mental health and wellbeing through NHS Improvement’s collaborative of 73 trusts which is developing 10 high impact actions to spread across the NHS including quicker access to accredited occupational health services. NHS England’s NHS staff health and wellbeing framework offers trusts diagnostic and intervention options to help them provide services staff need locally and their 2017/19 Commissioning for Quality and Innovation incentive programme encourages trusts to provide services to improve staff health and wellbeing. Health Education England’s commission on the mental wellbeing of NHS staff and learners announced in their draft Health and Care Workforce Strategy for England to 2027, <em>Facing the Facts, Shaping the Future</em>, is due to publish its final report next month. This will make recommendations for change and highlight good practice that could be adopted more widely.</p> answering member printed Lord O'Shaughnessy question first answered 06/12/2018 15:08:21 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1850 label Biography information for Baroness Masham of Ilton

1014998

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Surgery: Robotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what safeguards are in place to ensure that robotic surgery for operations is adequately monitored.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195585
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Safeguards apply to all forms of surgery: it is the responsibility of the professionals involved to ensure that they operate to the right level of competence and of the organisations they work for to ensure that they have in place effective forms of supervision, learning and support.</p><p> </p><p>All robotic surgical systems are classed as medical devices and fall under the regulation of the Medical Device Directive.</p><p> </p><p>In addition, although the Care Quality Commission does not ordinarily enquire about different types of surgical technique during its inspections, it does look at arrangements, systems and processes and governance that a provider has in place to ensure care and treatment is safe, effective, responsive, caring and well-led.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/12/2018 17:34:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1014999

registered interest
date	26/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Bladder Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people have had bladder cancer in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195586
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The following table outlines the number of new diagnoses of bladder cancer in each of the last five years for which data are available.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Males</p></td><td><p>Females</p></td><td><p>Total</p></td></tr><tr><td><p>2012</p></td><td><p>6,554</p></td><td><p>2,491</p></td><td><p>9,045</p></td></tr><tr><td><p>2013</p></td><td><p>6,473</p></td><td><p>2,457</p></td><td><p>8,930</p></td></tr><tr><td><p>2014</p></td><td><p>6,346</p></td><td><p>2,302</p></td><td><p>8,648</p></td></tr><tr><td><p>2015</p></td><td><p>6,231</p></td><td><p>2,361</p></td><td><p>8,592</p></td></tr><tr><td><p>2016</p></td><td><p>6,111</p></td><td><p>2,326</p></td><td><p>8,437</p></td></tr></tbody></table><p>Source: Cancer registration statistics, England; 2016: Final</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/datasets/cancerregistrationstatisticscancerregistrationstatisticsengland" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/datasets/cancerregistrationstatisticscancerregistrationstatisticsengland</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/12/2018 11:23:24 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon