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439404

	registered interest
	date	17/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will ensure that records of the training history of the nurses convicted at Nursing and Midwifery Council hearings are kept on the same basis as such data in such cases by the General Medical Council.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	20584
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom. The NMC is responsible for delivery of its statutory functions including maintaining a register of all nurses and midwives eligible to work in the UK and for pursuing fitness to practise investigations against its registrants in the interests of public protection.</p><p> </p><p>On each of the NMC and General Medical Council (GMC) websites there is a facility to search the professional registers and to check the registration status of a registrant. <del class="ministerial">Where an NMC registrant has been struck-off the register, their record is removed from the register and they would not be found on a register search. However, the NMC does publish information about fitness to practise (FtP) allegations, hearings, outcomes and sanctions elsewhere on its website in accordance with its FtP publication and disclosure policy. Where a GMC registrant is erased from the medical register, their record remains and could be found in a register search with details of the FtP sanction. </del><ins class="ministerial">Both of these regulators maintain public records about individuals who have been struck off or erased from their professional registers and these records are available through their respective websites.</ins></p><p>It is a matter for the regulators themselves to determine how they manage their publication and disclosure policy in relation to fitness to practice, within the legislative frameworks in which they operate.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/01/2016 17:09:48 question first ministerially corrected 02/02/2016 11:46:58 answering member 3988 label Biography information for Ben Gummer previous answer version 38218 answering member constituency Ipswich answering member printed Ben Gummer answering member 3988 label Biography information for Ben Gummer
	tabling member	1506 label Biography information for Andrew Gwynne

452030

	registered interest
	date	10/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many nurses were brought before a fitness to practise panel for lack of competence, communication issues between 2013 and 2015; and how many such nurses (a) were and (b) were not suspended.
	tabling member constituency	Bristol North West
	tabling member printed	Charlotte Leslie
	uin	26746
	answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The information requested is not held by the Department. As an independent body the Nursing and Midwifery Council is responsible for operational matters concerning the discharge of its statutory duties including fitness-to-practise investigations in respect of its registrants.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 22/02/2016 16:53:44 answering member 3988 label Biography information for Ben Gummer
	tabling member	3933 label Biography information for Charlotte Leslie

443007

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS nurses were employed in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2005.
	tabling member constituency	Jarrow
	tabling member printed	Mr Stephen Hepburn
	uin	21418
	answer	answer is ministerial correction date of answer 15/01/2016 answer text <p>The number of hospital and community health services nurses employed in the National Health Service for South Tyneside and the North East region in each year since 2005 is in the attached table. The figures are taken from the NHS annual workforce statistics published by the Health and Social Care Information Centre.</p><br /><p>Figures are only available for recognised NHS geography and therefore no information has been provided for Jarrow constituency.</p><br /><p>The provision of health services in the United Kingdom is a devolved matter so total figures are for England only.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 15/01/2016 13:41:51 answering member 3988 label Biography information for Ben Gummer attachment 1 file name PQ21418 table.xlsx title Nurses employed in NHS for South Tyneside and NE
	tabling member	520 label Biography information for Mr Stephen Hepburn

445811

	registered interest
	date	19/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government  what are the criteria for safe staffing levels for qualified nurses in (1) EU countries, (2) the US, and (3) Australia, and what discussions UK officials have had about comparing patient outcomes in those countries with those in England.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL5221
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5220 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

445812

	registered interest
	date	19/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what research has been commissioned or published showing the correlation between nursing numbers and (1) patient outcomes, and (2) patient mortality, in England.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL5222
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5220 HL5221 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

445809

	registered interest
	date	19/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is their policy on safe staffing levels for qualified nurses in the NHS and other health and care establishments subject to Care Quality Commission or Monitor inspections.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL5219
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5220 HL5221 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

445810

	registered interest
	date	19/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the evidential base to support their current policy on safe staffing levels for qualified nurses, and whether they will place a copy of that evidence in the Library of the House.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL5220
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>The Government is committed to supporting National Health Service trusts to put in place sustained safe staffing by using their resources as effectively as possible for patients.</p><p>Hospitals should be able to demonstrate that they are able to ensure safe, quality care for patients and that they are making the best use of resources. This should take account of patient acuity and dependency, time of day and local factors. It is therefore important for providers to take a rounded view, looking at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff.</p><p> </p><p>The responsibility for both safe staffing and efficiency rests, as it has always done, with provider Boards.</p><p> </p><p>Comprehensive lists of research commissioned and published, of criteria in all European Union countries, Australia and the United States, each of which have a variety of systems in operation, and of discussions held by United Kingdom officials to compare patient outcomes in those countries with outcomes in England, could only be obtained at disproportionate cost.</p><p> </p><p>However, the 2013 National Quality Board (NQB) guidance on safe staffing issued in 2013 <em>How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability, </em>referred to a number of sources of evidence on this issue. The National Institute of Health and Care Excellence (NICE) safe staffing guideline <em>Safe staffing for nursing in adult inpatient wards in acute hospitals, July 2014</em> set out the evidence and expert papers, including international evidence, that was considered in preparing the guideline. A copy of the NQB guidance and the NICE guideline are attached.</p><p> </p><p>In addition, The Department’s National Institute for Health Research (NIHR) commissions research evidence to improve the quality, accessibility and organisation of health services through the NIHR Health Services and Delivery Research programme. Current research of particular relevance to the relationship between nurse staffing levels and patient outcomes and mortality includes:</p><p> </p><p>- a study on nurse staffing levels, missed vital signs observations and mortality in hospital wards; and</p><p> </p><p>- a study on the future of 24/7 care: investigating the links between staffing levels, patient access and inequalities in health outcomes. <br></p><p>As announced by the Secretary of State on 16 July 2015, Dr Mike Durkin, National Director for Patient Safety, is working with the Chief Nursing Officer to complete the work started by NICE on safe staffing levels. Their work will draw on evidence and expert advice from England and internationally, and will be reviewed independently by NICE, the Chief Inspector of hospitals, and Sir Robert Francis to ensure it meets the high standards of care the NHS aspires to.</p><p>The programme includes revision of the NQB 2013 guidance to take account of further developments in the evidence base, the need to look beyond acute settings, new models of care leading from the Five Year Forward View and the need for providers to secure both safe staffing and greater efficiency.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name NQB guidance on safe staffing.pdf title National Quality Board safe staffing guidance 2 file name NICE safe staffing Guidance.pdf title NICE safe staffing guidance grouped question UIN HL5219 HL5221 HL5222 question first answered 01/02/2016 15:01:42 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4151 label Biography information for Lord Willis of Knaresborough