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1130473

registered interest
date	06/06/2019
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	Wigs: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will introduce minimum standards for wigs required by people.
tabling member constituency	Shipley
tabling member printed	Philip Davies
uin	261173
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Wig suppliers under contract to the National Health Service through the NHS Supply Chain framework must be a member of the Hairdressing and Beauty Suppliers Association (HBSA) and subscribe to the HBSA Wigs Suppliers Code of Practice 2018 which covers the expected quality and standards of service.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 13:16:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	1565 label Biography information for Sir Philip Davies

1130525

registered interest
date	06/06/2019
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	Doctors: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has conducted of the effect of the tapered annual pension tax allowance on the retention of doctors in the NHS.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	261238
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The 2015 NHS Pension Scheme is a generous and valuable part of staff reward packages and remains one of the best schemes available. Its introduction ensures that National Health Service staff receive financial security in retirement, and that the scheme is affordable to the taxpayer.</p><p>The Government recognises that NHS doctors have raised concerns about pension tax charges being a factor in their decisions to retire early or limit their NHS commitments.</p><p>We are listening to concerns raised that the tapered annual allowance is affecting the retention of doctors in the NHS. The Government is prepared to take action and will bring forward a public consultation on targeted proposals to make NHS pensions more flexible for senior clinicians by allowing them a 50% reduction in pension contributions for half the pension accrual.</p><p>The British Medical Association’s view this proposal as a step in the right direction. The Department will listen carefully during consultation to reach a final proposition that works for both staff and taxpayers. The consultation gives an opportunity for groups and individuals to put forward their views.</p><p>Additionally, the scope of the voluntary ‘Scheme Pays’ facility, implemented by the NHS Pension Scheme to allow scheme members to pay annual allowance charges from the value of their pension benefits rather than upfront, has been extended to cover the payment of tax charges from breaches of the tapered annual allowance. The Government keeps the impact of public sector pay and pensions policies under constant review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/06/2019 15:46:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4385 label Biography information for Dr Philippa Whitford

1130000

registered interest
date	05/06/2019
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	Health Professions: Recruitment
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 his Department is taking to make the NHS an attractive place to work for doctors and nurses.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	260550
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers.</p><p>The following table shows the number of nurses and health visitors who have joined and left National Health Service employment, as at September for each of the years specified and at December, the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>26,125</p></td><td><p>25,940</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>23,444</p></td><td><p>27,462</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>24,394</p></td><td><p>32,816</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>29,447</p></td><td><p>28,547</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>31,703</p></td><td><p>30,551</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>33,099</p></td><td><p>33,800</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>32,762</p></td><td><p>32,926</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>30,424</p></td><td><p>33,530</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>31,580</p></td><td><p>32,155</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>35,369</p></td><td><p>33,698</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>The latest data shows that more nurses and health visitors joined employment in the NHS than left.</p><p>The following table shows the number of doctors who have joined and left NHS employment, as at September for each of the years specified and at December,the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>16,814</p></td><td><p>15,038</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>16,630</p></td><td><p>15,529</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>16,772</p></td><td><p>15,916</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>18,013</p></td><td><p>16,574</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>19,699</p></td><td><p>17,338</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>19,787</p></td><td><p>18,688</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>18,322</p></td><td><p>16,608</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>19,482</p></td><td><p>16,380</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>20,806</p></td><td><p>18,414</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>20,961</p></td><td><p>18,070</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>Over the past 10 years, data consistently shows that more doctors joined employment in the NHS than left. NHS Improvement and NHS Employers are working in partnership to support trusts to improve retention of the nursing workforce. They offer targeted support to trusts to collaborate on key issues affecting retention such as flexible working, supporting new starters and older workers, and development and career planning.</p><p>Alongside these retention programmes, the NHS published its interim People Plan on 3 June. It sets out a plan of action to meet the health requirements of the population outlined in the NHS Long Term Plan. The Interim People plan puts NHS people at the heart of NHS policy and a key programme is to make the NHS the best place to work. It was developed by engaging widely with staff, patients, employers, professional organisations, regulatory bodies, voluntary sector, academia and other experts. A new offer for all NHS staff will be developed, which will be published in the final People Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260551 question first answered 10/06/2019 16:24:22 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1130001

registered interest
date	05/06/2019
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	Health Professions: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the level of (a) doctor and (b) nurse retention in the NHS over the last decade.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	260551
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers.</p><p>The following table shows the number of nurses and health visitors who have joined and left National Health Service employment, as at September for each of the years specified and at December, the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>26,125</p></td><td><p>25,940</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>23,444</p></td><td><p>27,462</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>24,394</p></td><td><p>32,816</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>29,447</p></td><td><p>28,547</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>31,703</p></td><td><p>30,551</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>33,099</p></td><td><p>33,800</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>32,762</p></td><td><p>32,926</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>30,424</p></td><td><p>33,530</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>31,580</p></td><td><p>32,155</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>35,369</p></td><td><p>33,698</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>The latest data shows that more nurses and health visitors joined employment in the NHS than left.</p><p>The following table shows the number of doctors who have joined and left NHS employment, as at September for each of the years specified and at December,the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>16,814</p></td><td><p>15,038</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>16,630</p></td><td><p>15,529</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>16,772</p></td><td><p>15,916</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>18,013</p></td><td><p>16,574</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>19,699</p></td><td><p>17,338</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>19,787</p></td><td><p>18,688</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>18,322</p></td><td><p>16,608</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>19,482</p></td><td><p>16,380</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>20,806</p></td><td><p>18,414</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>20,961</p></td><td><p>18,070</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>Over the past 10 years, data consistently shows that more doctors joined employment in the NHS than left. NHS Improvement and NHS Employers are working in partnership to support trusts to improve retention of the nursing workforce. They offer targeted support to trusts to collaborate on key issues affecting retention such as flexible working, supporting new starters and older workers, and development and career planning.</p><p>Alongside these retention programmes, the NHS published its interim People Plan on 3 June. It sets out a plan of action to meet the health requirements of the population outlined in the NHS Long Term Plan. The Interim People plan puts NHS people at the heart of NHS policy and a key programme is to make the NHS the best place to work. It was developed by engaging widely with staff, patients, employers, professional organisations, regulatory bodies, voluntary sector, academia and other experts. A new offer for all NHS staff will be developed, which will be published in the final People Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260550 question first answered 10/06/2019 16:24:22 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1130029

registered interest
date	05/06/2019
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: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on ensuring that the next version of hospital food standards is published in 2019, strengthening those requirements and pushing further in securing healthy food for staff and patients; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260634
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>The NHS Food Standards are currently being review and updated to specifically look at improving the food provided in healthcare settings for patient, visitors and staff.</p><p> </p><p>This work is being led by the Food Standards and Strategy Group which includes representation from organisations with an interest in this area, including National Health Service trusts, NHS England and NHS Improvement, the Hospital Caterers Association, the Department for Environment, Food and Rural Affairs, Public Health England and commercial food suppliers. The groups work is divided into workstreams as follows:</p><p> </p><p>- Patient experience;</p><p>- Patient hydration, nutrition and safety;</p><p>- Procurement, sustainability and food waste;</p><p>- Visitor, staff and retail; and</p><p>- Communications.</p><p> </p><p>The Standards will be published later this year.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 13:04:13 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130082

registered interest
date	05/06/2019
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	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to roll-out new Rapid Diagnostic Centres; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260651
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>NHS England has made Service Development Funding available to every Cancer Alliance across the country to support the roll out from this year, starting with one Rapid Diagnostic Centre in each cancer alliance region in 2019/20.</p><p>NHS England has announced funding of £70 million over four years to fund lung health checks in 10 areas of the country with some of the highest death rates from lung cancer. The roll out has the potential to reach around 600,000 people over four years, detecting approximately 3,400 cancers and saving hundreds of lives across the country. Work has started now in the 10 areas to plan the delivery of projects.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260652 question first answered 10/06/2019 15:11:21 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130083

registered interest
date	05/06/2019
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	Lung Cancer: Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to deploy more mobile lung CT scanners starting in parts of the country with the lowest lung cancer survival rates; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260652
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>NHS England has made Service Development Funding available to every Cancer Alliance across the country to support the roll out from this year, starting with one Rapid Diagnostic Centre in each cancer alliance region in 2019/20.</p><p>NHS England has announced funding of £70 million over four years to fund lung health checks in 10 areas of the country with some of the highest death rates from lung cancer. The roll out has the potential to reach around 600,000 people over four years, detecting approximately 3,400 cancers and saving hundreds of lives across the country. Work has started now in the 10 areas to plan the delivery of projects.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260651 question first answered 10/06/2019 15:11:21 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130084

registered interest
date	05/06/2019
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	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to start data collection for all patients for the new faster diagnosis standard and to start ramping up performance as additional diagnostic capacity comes online; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260653
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>We will begin introducing a new faster diagnosis standard from 2020 to ensure most patients receive a definitive diagnosis or ruling out of cancer within 28 days of referral from a general practitioner or from screening.</p><p>As set out in the NHS Operational Planning and Contracting Guidance 2019/20, all providers must start collecting mandatory data items for the 28-day faster diagnosis standard cohorts this year and, working through their Cancer Alliance, use the data to improve time to diagnosis, in particular for lung, prostate and colorectal cancers, before the standard is introduced in 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/06/2019 15:17:40 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130104

registered interest
date	05/06/2019
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 Trusts: Capital Investment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether an assessment has been made of the effect on NHS trusts of their limitations on capital spending compared with the different limitations on NHS foundation trusts.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260673
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>National Health Service provider organisations invest in excess of £3 billion of capital annually and are responsible for keeping their estate and infrastructure safe, by prioritising their available capital and revenue budgets accordingly. The Department is working with NHS England and NHS Improvement so that Trusts have the ability to spend to keep their estate safe.</p><p>Data from the annual Estates Return Information Collection (ERIC) suggests level of backlog in the NHS estate has increased across recent years. To support providers maintain existing estates and invest in new facilities, the Government announced £3.9 billion of additional capital funding in the 2017 Spring and Autumn Budgets, and the Government has been clear that it will consider proposals from the NHS to support transformation of the estate as part of the forthcoming Spending Review.</p><p>Both NHS trusts and foundation trusts receive income on the same basis, and where additional capital investment funding is provided centrally there are no differences between access to, or assessment processes, for NHS trusts and NHS foundation trusts. Although NHS trusts are subject to some additional layers of governance in respect of capital investment when compared to NHS foundation trusts, these are not intended to impose limitations on their capital spending, rather to provide the balance between trusts’ freedom to manage their own capital investments with an assurance process for the approval of capital investment plans in the context of the wider financial sustainability of the bodies.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260674 question first answered 12/06/2019 13:09:27 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130110

registered interest
date	05/06/2019
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: Repairs and Maintenance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of continuing controls on capital spending by his Department on maintenance in hospitals.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260674
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>National Health Service provider organisations invest in excess of £3 billion of capital annually and are responsible for keeping their estate and infrastructure safe, by prioritising their available capital and revenue budgets accordingly. The Department is working with NHS England and NHS Improvement so that Trusts have the ability to spend to keep their estate safe.</p><p>Data from the annual Estates Return Information Collection (ERIC) suggests level of backlog in the NHS estate has increased across recent years. To support providers maintain existing estates and invest in new facilities, the Government announced £3.9 billion of additional capital funding in the 2017 Spring and Autumn Budgets, and the Government has been clear that it will consider proposals from the NHS to support transformation of the estate as part of the forthcoming Spending Review.</p><p>Both NHS trusts and foundation trusts receive income on the same basis, and where additional capital investment funding is provided centrally there are no differences between access to, or assessment processes, for NHS trusts and NHS foundation trusts. Although NHS trusts are subject to some additional layers of governance in respect of capital investment when compared to NHS foundation trusts, these are not intended to impose limitations on their capital spending, rather to provide the balance between trusts’ freedom to manage their own capital investments with an assurance process for the approval of capital investment plans in the context of the wider financial sustainability of the bodies.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260673 question first answered 12/06/2019 13:09:27 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth