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1024696

	registered interest
	date	13/12/2018
	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	North Staffordshire Combined Healthcare NHS Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	o ask the Secretary of State for Health and Social Care, what correspondence he has received from (a) local authorities in Staffordshire and (b) the Midlands Partnership Foundation Trust on the future of the North Staffordshire Combined Healthcare Trust; and if he will place a copy of such correspondence in the Library.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	202089
	answer	answer is ministerial correction date of answer 18/12/2018 answer text <p>The Department has received one item of relevant correspondence from a local authority in Staffordshire, which is attached. There has been no correspondence from the Midlands Partnership Foundation Trust on the future of the North Staffordshire Combined Healthcare Trust.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/12/2018 17:00:30 answering member 1585 label Biography information for Stephen Hammond attachment 1 file name Staffs County Council.pdf title Letter Staffs County Council
	tabling member	4595 label Biography information for Gareth Snell

918380

	registered interest
	date	06/06/2018
	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	Health Services
	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 Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013, what discussions he has had with the Independent Reconfiguration Panel on improving the referral system from local authority health scrutiny committees.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	150778
	answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>The Department remains committed to ensuring the highest standards of public involvement in, and local democratic oversight of, the development of NHS services. We therefore maintain a regular dialogue with the Independent Reconfiguration Panel (IRP), and other bodies to ensure that our systems and processes support effective scrutiny. The IRP publishes advice and guidance to support local decision making and scrutiny, as well as providing advice to interested parties. Further information can be found on the IRP website.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 14/06/2018 11:23:18 answering member 4095 label Biography information for Steve Barclay
	tabling member	4595 label Biography information for Gareth Snell

1088528

	registered interest
	date	13/03/2019
	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: Electricity Generation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether a central register of back-up generators at NHS hospitals is maintained by his Department.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	232079
	answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>A central register of back-up generators at National Health Service hospitals is not maintained centrally.</p><p> </p><p>NHS trusts are responsible for ensuring their estate and services are resilient against emergencies, hazards and threats and their impacts and consequences.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/03/2019 16:29:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4595 label Biography information for Gareth Snell

929346

	registered interest
	date	22/06/2018
	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	Sustainability and Transformation Partnerships: Staffordshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he last met the Chair of the Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership; and when he is next scheduled to meet that chair.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	156644
	answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care last met with the Chair of Staffordshire and Stoke-on-Trent, Sir Neil McKay, on 18 December 2017.</p><p> </p><p>The Secretary of State was due to meet Sir Neil McKay on Tuesday 26 June, but this has had to be rescheduled due to diary pressures. However, the Secretary of State will meet Sir Neil McKay on 27 June alongside the Rt. hon. member for Basingstoke (Maria Miller). This is a follow-up roundtable meeting from one held on 7 March (which Sir Neil McKay also attended).</p><p> </p><p>I will be meeting with the Sustainability and Transformation Partnership (STP) Chair, Sir Neil McKay, and local system partners to discuss the STP on Thursday 28 June 2018.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 27/06/2018 14:59:00 answering member 4095 label Biography information for Steve Barclay
	tabling member	4595 label Biography information for Gareth Snell

917319

	registered interest
	date	05/06/2018
	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 Trusts: Fines
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the total value of all fines levied by clinical commissioning groups (CCGs) against NHS trusts was for the financial year 2017-18; and what guidance his Department provides to (a) NHS England and (b) each CCG on how revenue raised through such fines should be used.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	150202
	answer	answer is ministerial correction date of answer 11/06/2018 answer text <p>Information is not held centrally on the level of fines levied by clinical commissioning groups against National Health Service trusts during 2017/18.</p><p> </p><p>In terms of the use by commissioners of revenue withheld from providers through financial sanctions, guidance on this is set out in NHS England’s Contract Technical Guidance, at section 40.5 onwards. This guidance sets out how commissioners may use funding they retain as a result of the application of contractual sanctions, recommending that the commissioner considers whether it is possible to invest the withheld funding in a way that will help to rectify the performance problem.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/06/2018 15:04:06 answering member 4067 label Biography information for Steve Brine
	tabling member	4595 label Biography information for Gareth Snell

894834

	registered interest
	date	30/04/2018
	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: Waiting Lists
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the estimated he has made of the value (a) in total and (b) by clinical commissioning group of all cancelled operations during last winter.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	139574
	answer	answer is ministerial correction date of answer 08/05/2018 answer text <p>No estimate surrounding the value of cancelled operations during last winter has been made.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 08/05/2018 10:35:07 answering member 4095 label Biography information for Steve Barclay
	tabling member	4595 label Biography information for Gareth Snell

1039047

	registered interest
	date	10/01/2019
	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	Midwives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average cost to the NHS has been of employing a midwife on a full-time basis in each of the last five years.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	207303
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department’s estimates of the average cost to the National Health Service employing one midwife at a full-time equivalent (FTE) are set out in the following table in each of the last five years. These costs include total earnings, national insurance and pension contributions.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Estimated Average Pay bill per FTE (Midwife)</p></td></tr><tr><td><p>2013-14</p></td><td><p>£46,053</p></td></tr><tr><td><p>2014-15</p></td><td><p>£45,955</p></td></tr><tr><td><p>2015-16</p></td><td><p>£46,096</p></td></tr><tr><td><p>2016-17</p></td><td><p>£47,224</p></td></tr><tr><td><p>2017-18</p></td><td><p>£47,381</p></td></tr></tbody></table><p>Source: The Department’s Headline HCHS pay bill metrics, which are based primarily on earnings statistics published by NHS Digital, supplemented by employer pension and national insurance contributions estimates informed by unpublished and unvalidated data from the Electronic Staff Record Data Warehouse.</p><p><em> </em></p><p>Pay bill per FTE levels do not depend solely on pay policy and pay awards. They also reflect patterns in those leaving and joining the workforce and the impact this has on average experience and pay levels, and they reflect patterns in non-basic earnings such as overtime which can fluctuate.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:25:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4595 label Biography information for Gareth Snell

917548

	registered interest
	date	05/06/2018
	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 Trusts: Private Finance Initiative
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the Chancellor of the Exchequer on the refinancing of PFI contracts for NHS Trusts.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	150212
	answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The debt incurred to finance Private Finance Initiative (PFI) projects is incurred predominantly by the PFI companies themselves. Officials at the Department discuss refinancing opportunities with the PFI companies as and when the relevant circumstances arise, although opportunities for re-financing PFI schemes are now comparatively limited given the nature of the financial instruments used by the PFI companies at the time.</p><p> </p><p>More generally the Department has helped and advised local trust contract managers where requested in relation to PFI contractual issues and also to support trusts in making operational savings in their PFI schemes.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/06/2018 11:28:59 answering member 4095 label Biography information for Steve Barclay
	tabling member	4595 label Biography information for Gareth Snell

1039032

	registered interest
	date	10/01/2019
	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	Midwives: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of the cost of training a student midwife is paid by (a) the student, (b) his Department and (c) other sources.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	207300
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In England, the initial cost of training a midwife is paid by the Government. Part of this is in the form of student loan outlay, which the student accesses for tuition fees and maintenance loans from the Student Loans Company.</p><p> </p><p>The following table shows indicative Government costs for each year of training a midwife who lives outside of London and away from home. It shows the maximum possible amount of each payment type available. Midwifery courses typically last three years.</p><p> </p><p>Additional funding to students may also be available through the Student Loans Company and the Learning Support Fund. This is available to those with adult and child dependants, and for those in exceptional hardship. They may also be eligible for reimbursement of additional travel costs to attend clinical placements.</p><p> </p><p>The amount shown in the table is paid by the Department directly to hospital trusts for a student’s clinical placement.</p><p> </p><p>The amount paid back by the student depends on how much they earn during their career. If the loan is not fully repaid after 30 years it is written off. For example, once a student enters the workforce they pay their loans back at a rate of 9% of their earnings over the repayment threshold of £25,000. This equates to £15 a month for a student earning £27,000 a year.</p><p> </p><p>Systems in Scotland, Wales and Northern Ireland are the responsibilities of the devolved administrations in each of those countries.</p><p> </p><p>2018/19 Indicative cost to the Government of training a midwife for each year of their training</p><p> </p><table><tbody><tr><td><p>Payment type</p></td><td><p>Cost</p></td><td><p>Paid by</p></td></tr><tr><td colspan="3"><p>Costs of training</p></td></tr><tr><td><p>Tuition fee loan to the university</p></td><td><p>£9,250</p></td><td><p>Initially by Student Loans Company. Paid back by the student over time depending on earnings.</p></td></tr><tr><td><p>Clinical placement funding to the placement provider</p></td><td><p>£1,383 + Market Forces Factor</p></td><td><p>Department of Health and Social Care</p></td></tr><tr><td colspan="3"><p>Additional costs for living support</p></td></tr><tr><td><p>Maintenance loan to the student</p></td><td><p>£8,700</p></td><td rowspan="2"><p>Initially by Student Loans Company. Paid back by the student over time depending on earnings.</p></td></tr><tr><td><p>Long courses loan to the student</p></td><td><p>£1,116</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>- Based on a student who lives away from their parents.</p><p>- Based on a student who lives outside of London and is eligible for the maximum amount of maintenance allowance available.</p><p>- Based on a student on a 42-week course, of which 20 weeks are on clinical placement.</p><p>- Placement funding includes Market Forces Factor (MFF). The MFF compensates for difference in the cost of providing training in different parts of the country.</p><p>Sources:</p><p>Tuition fee loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-tuition-fee-loan/whats-available/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-tuition-fee-loan/whats-available/</a></p><p>Maintenance loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/whats-available/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/whats-available/</a></p><p>Long courses loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/long-courses/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/long-courses/</a></p><p>Clinical placement funding:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/629492/2017-18_ET_tariff_guidance_FINAL_July_v2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/629492/2017-18_ET_tariff_guidance_FINAL_July_v2.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:23:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4595 label Biography information for Gareth Snell

917549

	registered interest
	date	05/06/2018
	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	General Practitioners: Stoke on Trent
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to increase the number of GPs in Stoke-on-Trent.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	150213
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>Stoke-on-Trent and North Staffordshire Clinical Commissioning Groups (CCGs) have developed a workforce strategy and plan for the area. This focuses on increasing the numbers of general practitioners (GPs), and also in diversifying the skill mix within general practice, to include clinical pharmacists, advanced nurse practitioners, nurses, physician associates, urgent care practitioners, mental health therapists and physiotherapists, to provide high quality care for patients through alternative health professionals.</p><p> </p><p>Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership successfully bid to be an early wave site for GP international recruitment, which is to commence in July 2018.</p><p> </p><p>A number of newly-qualified GPs have also been recruited to the area through a GP Fellowship scheme, which enables GPs to develop areas of specialist clinical interest. In 2018 there are also up to 18 £20,000 salary supplements available to GP trainees who commit to working for their three year speciality training in Stafford and Staffordshire as part of the Targeted Enhanced Recruitment Scheme.</p><p> </p><p>The CCGs are also working with the BMJ to develop a marketing campaign to raise the profile of Staffordshire as a place to work and increase the recruitment rate for General Practice. The campaign will be for 12 months and is planned to start by early July 2018.</p><p> </p><p>Schemes to improve GP retention are also currently being scoped in preparation to submit a bid for NHS England funding by the end of June 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 13:59:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4595 label Biography information for Gareth Snell