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1136633

registered interest
date	03/07/2019
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: Staff
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 made of the effect of the UK leaving the EU without a deal on his Department’s ability to bring forward and implement the NHS Workforce Plan.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	272719
answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The NHS interim People Plan was published on 3 June 2019, it puts staff at the heart of National Health Service policy and delivery and sets out a shared vision and the actions the NHS will take now and over the long term to meet the challenges of supply, reform, culture and leadership. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>This is a priority which the Government is committed to delivering regardless of the manner in which we exit the European Union.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:37:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1136232

registered interest
date	02/07/2019
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	Department of Health and Social Care: Brexit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what preparations his Department is making for the UK leaving the EU without an agreement; and how much funding has been allocated to those preparations.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	272107
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>As a responsible Government, we continue preparations to minimise any disruption in a ‘no deal’ scenario. We are putting in place a range of mitigations, these include:</p><p>- leading a procurement exercise to secure an ‘express freight service’, with the aim to secure transport of small medical supply consignment into the United Kingdom within the 24 hours if the UK leaves the European Union without a deal;</p><p>- changing or clarifying regulatory requirements so that companies can continue to sell their products in the UK if we have ‘no deal’;</p><p>- working with industry to improve trader readiness in preparation for the new customs procedures that will come into force on day one if we leave the EU without a deal; and</p><p>- advising travellers to ensure they have comprehensive travel insurance.</p><p>HM Treasury has allocated over £4.2 billion of additional funding to departments and devolved administrations for EU exit preparations so far. This breaks down as £412 million over the spending review period for the Department for Exiting the European Union, Department for International Trade and the Foreign and Commonwealth Office (Autumn Statement 2016); £286 million of additional funding for 2017/18 (a full breakdown of which can be found in Supplementary Estimates 2017/18); over £1.5 billion for 2018/19 (Supplementary Estimates 2018/19); and over £2 billion for 2019/20 (Main Estimates 2019/20).</p><p>This funding is to cover all exit scenarios and is in addition to departmental efforts to reprioritise from business as usual toward preparations for the UK’s departure from the EU. Work on ‘no deal’ exit preparations cannot be readily separated from other EU exit work, given the significant overlap in plans in many cases.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/07/2019 16:41:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135522

registered interest
date	28/06/2019
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	Medical Treatments Abroad: British Nationals Abroad
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 UK citizens residing in the EU receive free healthcare under the S1 scheme.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270693
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As at 26 June 2019, there were 151,529 United Kingdom-insured people residing in a European Union country, excluding Ireland, who had an active registered entitlement under the S1 scheme and are eligible for UK-funded healthcare. As S1 certificates are not issued for Ireland, the exact number of people receiving UK-funded healthcare within the EU is not held by the Government or its arm’s length bodies.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:30:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135524

registered interest
date	28/06/2019
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	Medical Treatments Abroad: British Nationals Abroad
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 UK citizens visiting Spain and Portugal will have to take to prove that they are entitled to healthcare under the bilateral agreements on healthcare rights for UK citizens in the event that the UK leaves the EU without an agreement.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270695
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The Government of Spain has offered to continue to maintain the existing arrangements for reciprocal healthcare in the event that the United Kingdom leaves the European Union without a deal. This includes access to treatment that becomes necessary during the course of a visit to Spain.</p><p><br> This means that in Spain, UK-issued European Health Insurance Cards (EHICs) or the equivalent would continue to be accepted as proof of UK cover in a ‘no deal’ scenario. The UK EHIC or its equivalent would need to be presented with a valid passport. It is important to note that UK EHICs will be accepted in Spain for 21 months after EU exit.</p><p><br> The Government of Portugal’s ‘no deal’ unilateral offer is only extended to UK nationals. This means that other nationals, including EU citizens, resident in the UK who presently enjoy UK EHIC cover would be fully charged for accessing public healthcare when they visit Portugal. Only UK passports, and not UK EHICs, would be accepted as providing proof of UK cover. The unilateral offer covers the period from exit day until 31 December 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:31:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1134110

registered interest
date	24/06/2019
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	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, what estimate he has made of the (a) number of doses of flu vaccine required in winter 2019-20 and (b) proportion of those doses which will need to be sourced from outside the UK; and what plans he has in place to ensure the adequate supply of flu vaccine in the event that the UK leaves the EU without a deal on 31 October 2019.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	268344
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Flu vaccines for people aged 18 years and older are procured directly from manufacturers and suppliers by providers, based on their local assessment of need. The procurement and distribution of flu vaccines for the children’s aspect of the national flu programme is managed by Public Health England (PHE). Doses of flu vaccine for 2019/20 is estimated using end of season for 2018/19 that are published on GOV.UK at the following links:</p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019</a></p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019</a></p><p>Seasonal flu vaccines for 2019/20 are currently being manufactured and due for delivery to the market in the autumn. Vaccine production is a complex and multi-stage process, which will involve a touch-point outside of the United Kingdom.</p><p>Officials continuously monitor the flu vaccine supply landscape to enable timely and appropriate action to be taken in the event of supply issues.</p><p>The Department, PHE and NHS England are in regular discussion with the manufacturers to ensure they have appropriate contingency plans in place to prepare for a potential ‘no deal’ scenario.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:20:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	151 label Biography information for Tom Brake

1132476

registered interest
date	17/06/2019
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 Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government will extend the commitment to reimburse EU Member States for the cost of providing healthcare to UK nationals in the event that the UK leaves the EU without a deal and until the UK has secured a reciprocal healthcare agreement with the respective member state which provides for the reimbursement of costs.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	265407
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The United Kingdom Government has proposed to European Union Member States that, in a no-deal scenario, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to UK nationals’ and EU citizens’ healthcare provision. This is subject to negotiations, which are ongoing. For UK nationals that live in EU Member States, the UK cannot unilaterally guarantee the continuation of current arrangements, as this depends on decisions by Member States.</p><p>Individuals are always responsible for ensuring they have sufficient healthcare insurance. Anyone who is living, working or studying in EU Member States should check the country specific guidance on GOV.UK and NHS.UK for updates.</p><p><br> The UK Government has committed to fund healthcare for UK nationals (and others for whom the UK is responsible) who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/06/2019 10:29:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1130460

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	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, what assessment he has made of the level of uptake of the most recent flu vaccine.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	261072
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Cumulative influenza vaccine uptake is collected and evaluated by Public Health England (PHE) nationally and locally. The 2018 to 2019 season included the extension of the childhood programme to all those aged nine rising to 10 years old as well as the phased delivery of the newly licensed adjuvanted vaccine for those aged 65 and over.</p><p>The national school-age vaccination programme achieved the highest levels of vaccine uptake since it started (60.8%, 2,461,563/4,051,698 in 2018/19, compared to 59.5% in 2017/18 1,998,538/3,360,997). Vaccine uptake for the pre-school children’s influenza vaccine programme has also increased further compared to previous seasons. The following table shows uptake figures for 2018/19 and 2017/18.</p><p>Uptake in adult target groups was similar or slightly lower compared to recent seasons and further work is needed to identify underpinning reasons so that uptake can be improved.</p><p>Comparison of flu uptake in groups vaccinated in general practice.</p><table><tbody><tr><td><p>Group</p></td><td><p>2018/19</p></td><td><p>2017/18</p></td></tr><tr><td><p>65 and over</p></td><td><p>72.0% 7,260,596/10,087,873/-</p></td><td><p>72.9% 7,309,125/10,032,613</p></td></tr><tr><td><p>At risk</p></td><td><p>48.0% 3,276,592/6,820,919</p></td><td><p>49.7% 3,353,724/6,742,316</p></td></tr><tr><td><p>Pregnant</p></td><td><p>45.2% 293,359/649,233</p></td><td><p>47.0% 318,057/676,159</p></td></tr><tr><td><p>Two and three year olds combined</p></td><td><p>44.9% 593706/1,322,663</p></td><td><p>44.0% 585791/1,330,150</p></td></tr></tbody></table><p> </p><p>Source: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf</a></p><p> </p><p>The frontline health care workers with direct patient care saw the highest uptake since the programme started in 2002/3 (70.3% in 2018/19 738488/1,051,038).</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:54:11 answering member 4455 label Biography information for Seema Kennedy
tabling member	151 label Biography information for Tom Brake