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1604014

registered interest
date	14/03/2023
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 10 March 2023 on Question 158778, for what reason the service specification for the school aged flu immunisation programme is not published; and if he will consider the potential merits of publishing this information.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	165198
answer	answer is ministerial correction date of answer 21/03/2023 answer text <p>The School Aged Immunisation Service (SAIS) specification covers all school age immunisations, including flu. It is a template for NHS England regional commissioners to commission SAIS providers that evolves in line with latest policy advice, for example, the addition of flu cohorts. Contracts are held between NHS England regions and SAIS providers and are varied to best meet local need. It is on these grounds NHS England does not publish the specification. This is in contrast to the general practitioner and community pharmacy flu service specifications, which are published as they are part of a national contract. However, each year the annual flu letter is published by the UK Health Security Agency and outlines which groups are eligible for a free vaccine as part of the National Health Service programme, including children.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 21/03/2023 15:21:23 answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1601371

registered interest
date	06/03/2023
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	Influenza: Vaccination
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 paper by the Joint Committee on Vaccinations and Immunisation, entitled Advice on influenza vaccines for 2023-24, published on 30 November 2022, whether it is his policy to take steps in line with the advice of the Joint Committee that flu vaccinations for secondary school children should be routine.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	158776
answer	answer is ministerial correction date of answer 13/03/2023 answer text <p>The Joint Committee on Vaccination and Immunisation published advice on 30 November 2022 regarding the 2023/24 seasonal flu vaccination programme. The Government is considering this advice and details about which cohorts will be offered a free seasonal flu vaccine in England in 2023/24, and which vaccines they will be offered, will be set out in due course.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/03/2023 10:33:16 answering member 4492 label Biography information for Maria Caulfield previous answer version 61025 answering member constituency Lewes answering member printed Maria Caulfield answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1601372

registered interest
date	06/03/2023
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the impact on (a) uptake of vaccinations among eligible cohorts and (b) number of childhood influenza cases over the 2021-22 flu season in the context of the vaccine delivery completion deadline for the Childhood Influenza Vaccination Programme for 2021-22 moving from 15 December 2021 to the end of January 2022.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	158777
answer	answer is ministerial correction date of answer 09/03/2023 answer text <p>Overall low levels of influenza activity were seen in 2021 to 2022, with late season activity peaking in week 12 and week 14 of 2022, weeks beginning 20 March and 3 April, when hospital and critical care admissions peaked but at lower levels than seen in previous seasons. The UK Health Security Agency (UKHSA) weekly surveillance reports is available at the following link:</p><p>www.gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports-2021-to-2022-season</p><p>The UKHSA monthly influenza vaccine uptake data shows that the majority of children were vaccinated by end of December 2021 available at the following link:</p><p>www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-children-of-school-age-monthly-data-2021-to-2022</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 09/03/2023 12:42:10 answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1601374

registered interest
date	06/03/2023
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether NHS England plans to publish the service specification for childhood influenza vaccination as part of School Aged Immunisation Service activity for 2023-24.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	158778
answer	answer is ministerial correction date of answer 10/03/2023 answer text <p>Ahead of each flu season NHS England confirms the requirements for the seasonal flu programme with all relevant contracted providers. The service specification for the school aged flu immunisation programme is not published in the public domain.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 10/03/2023 10:40:58 answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1601379

registered interest
date	06/03/2023
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 3 March 2023 to Question 151418 on Influenza: Vaccination, for what reason the disclosure of the quantity of flu vaccinations is considered commercially sensitive.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	158779
answer	answer is ministerial correction date of answer 09/03/2023 answer text <p>The volume of flu vaccines procured by UK Health Security Agency test is commercially sensitive as it could potentially be used to determine the cost per unit of vaccines. The release of this information would therefore be detrimental in future negotiations with individual suppliers.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 09/03/2023 12:57:35 answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1581878

registered interest
date	30/01/2023
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	Ambulance Services: Motor Vehicles
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 help ensure that new ambulances are manufactured in the UK.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	135134
answer	answer is ministerial correction date of answer 02/02/2023 answer text <p>No such steps are being taken by the Department. The procurement of ambulances is an operational matter for the National Health Service.</p> answering member constituency Colchester answering member printed Will Quince question first answered 02/02/2023 15:21:20 answering member 4423 label Biography information for Will Quince
tabling member	318 label Biography information for John Spellar

1566381

registered interest
date	12/01/2023
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	Medicine: Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 January 2023 to Question 117444 on Medicine: Education, for what reason his Department does not monitor the number of medical students currently training in the UK.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	122036
answer	answer is ministerial correction date of answer 18/01/2023 answer text <p>The Department monitors a number of points across the medical training pipeline for England. This includes, the numbers of applicants, acceptances and entrants. The Department also monitors those entering foundation training in the National Health Service following completion of medical degrees through statistics drawn from the Electronic Staff Record and published by NHS Digital.</p><p>However, there is not a single indicator that shows how many medical students are studying in the United Kingdom across all years and all medical schools at a given point in time. To obtain such information it would require each medical school across England, Scotland, Wales and Northern Ireland to take on a significant and more detailed reporting burden. Scotland, Wales and Northern Ireland have their own arrangements for managing their education and training pipelines.</p><p>However, the following table shows medical courses applicants, acceptances in England and entrants in the UK from 2011 to 2022.</p><table><tbody><tr><td><p>Academic year</p></td><td><p>Unique applicants to undergraduate medical courses in England</p></td><td><p>Acceptances to undergraduate medical courses in England</p></td><td><p>Entrants to undergraduate medical courses in the United Kingdom</p></td></tr><tr><td><p>2011</p></td><td><p>21,825</p></td><td><p>6,090</p></td><td><p>N/A</p></td></tr><tr><td><p>2012</p></td><td><p>21,060</p></td><td><p>6,225</p></td><td><p>7,810</p></td></tr><tr><td><p>2013</p></td><td><p>21,430</p></td><td><p>5,915</p></td><td><p>7,560</p></td></tr><tr><td><p>2014</p></td><td><p>21,965</p></td><td><p>6,085</p></td><td><p>7,640</p></td></tr><tr><td><p>2015</p></td><td><p>19,820</p></td><td><p>6,095</p></td><td><p>7,515</p></td></tr><tr><td><p>2016</p></td><td><p>19,545</p></td><td><p>6,185</p></td><td><p>7,560</p></td></tr><tr><td><p>2017</p></td><td><p>18,520</p></td><td><p>6,175</p></td><td><p>7,765</p></td></tr><tr><td><p>2018</p></td><td><p>19,870</p></td><td><p>6,720</p></td><td><p>8,615</p></td></tr><tr><td><p>2019</p></td><td><p>21,585</p></td><td><p>7,660</p></td><td><p>9,450</p></td></tr><tr><td><p>2020</p></td><td><p>22,665</p></td><td><p>8,385</p></td><td><p>10,460</p></td></tr><tr><td><p>2021</p></td><td><p>27,460</p></td><td><p>8,610</p></td><td><p>10,540</p></td></tr><tr><td><p>2022</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>10,655</p></td></tr></tbody></table><p> </p><p>Source:</p><p>University and Colleges Admissions Service (UCAS) end of cycle 2021 and Office for Students Medical Dental Students Survey (2012-2022), Office for Students</p><p> </p><p>Note:</p><ol><li>The Office for Students (OfS), who report to Parliament through the Department of Education, publishes the number of entrants to undergraduate medical courses for the UK on an annual basis.</li><li>2022 entrants are based on initial figures and are likely to change.</li></ol> answering member constituency Colchester answering member printed Will Quince question first answered 18/01/2023 16:35:12 answering member 4423 label Biography information for Will Quince
tabling member	318 label Biography information for John Spellar

1564761

registered interest
date	09/01/2023
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: Agency Workers
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 make an assessment of the potential impact of firms providing agency labour to the NHS on (a) the amount of profit generated by those agencies, (b) trends in the level of health staff leaving NHS employment and joining those agencies and (c) dependence of the NHS on agency labour.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	118812
answer	answer is ministerial correction date of answer 16/01/2023 answer text <p>The Department does not collect data on the amount of profit generated by agencies supplying staff to the National Health Service nor the number of health staff leaving NHS employment to work for agencies. Data on agency staff is held by the employing agency and is not shared with NHS England. NHS England holds data for agency shifts in the NHS, including hours worked and cost.</p><p>The deployment of a temporary workforce is an important element of efficiently running the NHS, allowing the NHS to meet demand fluctuations without the need to increase capacity above that which would be required on a sustained basis. Staff can be drawn from internal staff banks or external agencies.</p><p>Our policy is to reduce the use of agency staff and to prioritise the use of in-house staff banks over agency use.  The introduction of the Agency Rules in 2016 helped to reduce agency spend by around £1.2 billion, from a peak of £3.6 billion in 2015/16 to £2.4 billion at the end of 2020/21. Total agency spend as a percentage of total wage bill decreased from 7.9% in 2015/16 to 3.7% in 2020/21. Reducing the use of agency staff must be balanced with providing safe care to patients. Trusts are able to use temporary staffing to respond to situations where they do not have sufficient staff numbers. NHS England has re-established measures in September 2022 to control agency expenditure, including a system agency expenditure limit.</p> answering member constituency Colchester answering member printed Will Quince question first answered 16/01/2023 16:42:13 answering member 4423 label Biography information for Will Quince
tabling member	318 label Biography information for John Spellar

1564325

registered interest
date	06/01/2023
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, where flu vaccines in use by the NHS during winter 2022-23 were manufactured.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	117442
answer	answer is ministerial correction date of answer 13/01/2023 answer text <p>The information requested is not collected centrally. Adult flu vaccines are purchased locally by individual general practitioner practices and community pharmacies.</p><p>Children’s flu vaccines are manufactured by AstraZeneca. The manufacture of the AstraZeneca UK Ltd Live Attenuated Influenza Vaccine (LAIV) Fluenz Tetra, takes place across the United Kingdom and the United States of America.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/01/2023 09:51:03 answering member 4492 label Biography information for Maria Caulfield
tabling member	318 label Biography information for John Spellar

1564327

registered interest
date	06/01/2023
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	Medicine: Education
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 medical students are studying in the UK.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	117444
answer	answer is ministerial correction date of answer 12/01/2023 answer text <p>The information requested is not held centrally.</p> answering member constituency Colchester answering member printed Will Quince question first answered 12/01/2023 11:12:26 answering member 4423 label Biography information for Will Quince
tabling member	318 label Biography information for John Spellar