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100020

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress has been made on improving access to GPs.
	tabling member constituency	Weaver Vale
	tabling member printed	Graham Evans
	uin	905556
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Prime Minister’s £50 million Challenge Fund is currently improving general practitioner access for over two million patients across England. This includes offering evening and weekend appointments, as well as better use of technology, such as telehealth, to look after patients. By January, 7.5 million patients will be covered.</p><p> </p><p> </p><p> </p><p>And, we have recently announced another £100 million of funding for next year to improve access for even more patients.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:48:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4081 label Biography information for Lord Evans of Rainow

92844

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average pay for a GP working in the NHS was in each of the last 10 years.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	210053
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The requested information is contained in the attached tables. When interpreting the figures, it is important to note that the nature of general practitioner (GP) contracts and their work has changed over time. Since the start of the new General Medical Services (GMS) contract in 2004-05, there have been some major changes to income, work streams and investment in general practice which is not directly comparable to previous years. The time series tables are presented in cash terms for contractor and salaried GPs under a GMS or Personal Medical Service (PMS) contract. The data covers earnings, expenses and income from both National Health Service and private sources where a GP has at least some NHS earnings.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 17:27:51 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Average pay for a GP working in NHS.docx title Average Pay for GPs
	tabling member	534 label Biography information for Chris Ruane

93237

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that those patients referred by a GP to a hospital for treatment who are not eligible for free secondary care are identified and appropriately charged.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210343
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department is working to develop and implement a comprehensive package of measures to support the National Health Service to correctly identify patients who should be charged for their healthcare.</p><p> </p><p> </p><p> </p><p>We have worked to encourage better communication between secondary care providers and general practitioners (GPs) once a chargeable patient has been identified. A toolbox for NHS Overseas Visitor Managers was published online in September 2014 that provided support materials on charging. This also includes template letters to enable providers to notify GPs if one of their patients is deemed chargeable.</p><p> </p><p> </p><p> </p><p>The NHS cost recovery programme is also focusing on engagement with GPs and primary care providers to help them understand the charging rules. We will also encourage better dialogue between primary and secondary care providers to ensure a process of early identification and appropriate charging.</p><p> </p><p> </p><p> </p><p>The Cost Recovery Team’s Implementation Plan (published July 2014) identified several strategies for cost recovery from European Economic Area (EEA) member states and non-EEA chargeable patients, which include:</p><p> </p><p>- The EEA incentive – launched on 1 October 2014</p><p> </p><p>- The non-EEA incentive and sanction – expected to go live in April 2015</p><p> </p><p>- The non-EEA health surcharge - expected to go live in April 2015.</p><p> </p><p> </p><p> </p><p>As outlined in the Government’s response to the public consultation (published December 2013), in the interest of public health, the Department has no intention of making GP and nurse consultations in primary care chargeable for patients who would not otherwise be eligible for free NHS treatment. This includes people who are illegally here in the United Kingdom or on temporary visitor visas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 210344 210345 question first answered 21/10/2014 16:20:09 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	116 label Biography information for Lord Soames of Fletching

93238

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that patients who should be charged for care are correctly identified.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210344
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department is working to develop and implement a comprehensive package of measures to support the National Health Service to correctly identify patients who should be charged for their healthcare.</p><p> </p><p> </p><p> </p><p>We have worked to encourage better communication between secondary care providers and general practitioners (GPs) once a chargeable patient has been identified. A toolbox for NHS Overseas Visitor Managers was published online in September 2014 that provided support materials on charging. This also includes template letters to enable providers to notify GPs if one of their patients is deemed chargeable.</p><p> </p><p> </p><p> </p><p>The NHS cost recovery programme is also focusing on engagement with GPs and primary care providers to help them understand the charging rules. We will also encourage better dialogue between primary and secondary care providers to ensure a process of early identification and appropriate charging.</p><p> </p><p> </p><p> </p><p>The Cost Recovery Team’s Implementation Plan (published July 2014) identified several strategies for cost recovery from European Economic Area (EEA) member states and non-EEA chargeable patients, which include:</p><p> </p><p>- The EEA incentive – launched on 1 October 2014</p><p> </p><p>- The non-EEA incentive and sanction – expected to go live in April 2015</p><p> </p><p>- The non-EEA health surcharge - expected to go live in April 2015.</p><p> </p><p> </p><p> </p><p>As outlined in the Government’s response to the public consultation (published December 2013), in the interest of public health, the Department has no intention of making GP and nurse consultations in primary care chargeable for patients who would not otherwise be eligible for free NHS treatment. This includes people who are illegally here in the United Kingdom or on temporary visitor visas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 210343 210345 question first answered 21/10/2014 16:20:09 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	116 label Biography information for Lord Soames of Fletching

93239

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS has spent on agency (a) nurses, (b) midwives and (c) physiotherapists in 2014 to date.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210351
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department does not collect information on how much the National Health Service has spent on specific staff groups such as agency nurses, midwives and physiotherapists. In the Department of Health Annual Report and Accounts, we publish, for the financial year, how much each type of NHS organisation has spent on temporary and agency staff.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:06:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1447 label Biography information for Andrew Rosindell

93241

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make it his policy to prevent free access to GP services for people in the UK (a) illegally and (b) temporarily on visitor visas.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210345
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department is working to develop and implement a comprehensive package of measures to support the National Health Service to correctly identify patients who should be charged for their healthcare.</p><p> </p><p> </p><p> </p><p>We have worked to encourage better communication between secondary care providers and general practitioners (GPs) once a chargeable patient has been identified. A toolbox for NHS Overseas Visitor Managers was published online in September 2014 that provided support materials on charging. This also includes template letters to enable providers to notify GPs if one of their patients is deemed chargeable.</p><p> </p><p> </p><p> </p><p>The NHS cost recovery programme is also focusing on engagement with GPs and primary care providers to help them understand the charging rules. We will also encourage better dialogue between primary and secondary care providers to ensure a process of early identification and appropriate charging.</p><p> </p><p> </p><p> </p><p>The Cost Recovery Team’s Implementation Plan (published July 2014) identified several strategies for cost recovery from European Economic Area (EEA) member states and non-EEA chargeable patients, which include:</p><p> </p><p>- The EEA incentive – launched on 1 October 2014</p><p> </p><p>- The non-EEA incentive and sanction – expected to go live in April 2015</p><p> </p><p>- The non-EEA health surcharge - expected to go live in April 2015.</p><p> </p><p> </p><p> </p><p>As outlined in the Government’s response to the public consultation (published December 2013), in the interest of public health, the Department has no intention of making GP and nurse consultations in primary care chargeable for patients who would not otherwise be eligible for free NHS treatment. This includes people who are illegally here in the United Kingdom or on temporary visitor visas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 210343 210344 question first answered 21/10/2014 16:20:09 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	116 label Biography information for Lord Soames of Fletching

93250

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Food
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department takes to monitor the quality of food supplied at hospitals.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210354
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Hospitals have a responsibility to provide high quality food and drink that meets each patient’s needs. The Department introduced Patient-Led Assessments of the Care Environment (PLACE) in April 2013 to assess the quality of the patient environment, including hospital food. PLACE is a voluntary process which takes place annually, and applies to hospitals, hospices and day treatment centres providing National Health Service funded care. PLACE is now the responsibility of NHS England.</p><p> </p><p> </p><p> </p><p>The results of the 2014 PLACE were published on the Health and Social Care Information Centre’s website on 27 August 2014. This data is available at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://hefs.hscic.gov.uk/PLACE.asp" target="_blank">http://hefs.hscic.gov.uk/PLACE.asp</a></p><p> </p><p> </p><p> </p><p>Selected hospital food data from the latest PLACE results has also been published on the NHS Choices website. Patients are able to see how hospital food is rated for quality and choice at their local hospital. This data is available at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/hospital-food-standards.aspx" target="_blank">http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/hospital-food-standards.aspx</a></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:04:07 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1447 label Biography information for Andrew Rosindell

93255

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Congenital Abnormalities: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many women (a) accepted or (b) refused foetal anomaly screening in each of the last five years for which records are available.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	210442
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The NHS Fetal Anomaly Screening Programme offers screening to all pregnant women in England to assess the risk of the baby being born with Down’s syndrome or a number of fetal anomalies (structural abnormalities with how the fetus has developed).</p><p> </p><p>There is no current systematic collation of data at a national level of the uptake of screening for either Down’s syndrome or the 18<sup>+0</sup>-20<sup>+6</sup> week (18-21 week) fetal anomaly scan.</p><p> </p><p>The Down’s syndrome screening quality support service (DQASS) can provide data on the number of completed screening test that were undertaken for Down’s syndrome in the last five years and these are presented in the following table.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>First trimester tests</p></td><td><p>Second trimester tests</p></td><td><p>Integrated</p><p>tests</p></td><td><p>Total</p></td></tr><tr><td><p>2008</p></td><td><p>120,122</p></td><td><p>185,606</p></td><td><p>7,049</p></td><td><p>312,777</p></td></tr><tr><td><p>2009</p></td><td><p>212,331</p></td><td><p>219,917</p></td><td><p>8,550</p></td><td><p>440,798</p></td></tr><tr><td><p>2010</p></td><td><p>271,977</p></td><td><p>191,516</p></td><td><p>3,616</p></td><td><p>467,109</p></td></tr><tr><td><p>2011</p></td><td><p>441,355</p></td><td><p>120,094</p></td><td><p>3,996</p></td><td><p>565,445</p></td></tr><tr><td><p>2012</p></td><td><p>455,995</p></td><td><p>100,371</p></td><td><p>3,796</p></td><td><p>560,162</p></td></tr><tr><td><p>2013</p></td><td><p>468,172</p></td><td><p>89,959</p></td><td><p>2,892</p></td><td><p>561,023</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:02:10 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3958 label Biography information for Fiona Bruce

93263

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Midwives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many registered midwives were employed per 1,000 births in (a) 1980, (b) 1990, (c) 2000, (d) 2010 and (e) the latest year for which figures are available.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	210408
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>There are now 1,158 additional whole time equivalent registered midwives compared to 2010. The following table shows the number of registered midwives per 1,000 births for each of the years requested.</p><p> </p><p> </p><p> </p><p>Number of registered midwives per 1,000 births in England as at 30 September for each specified year</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td> </td><td><p>1980<sup><sup>[1]</sup></sup></p></td><td><p>1990</p></td><td><p>2000<sup>2</sup></p></td><td><p>2010<sup>2</sup></p></td><td><p>2013<sup>2</sup></p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>Registered midwives per 1,000 births</p></td><td><p>21.0</p></td><td><p>29.7</p></td><td><p>30.7</p></td><td><p>29.1</p></td><td><p>31.9</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><em>Source: </em>Health and Social Care Information Centre</p><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p>1 Prior to 1982, midwife data is taken from the Health and Personal Social Services Statistics for England (HPSSS). Data from HPSSS contains hospital-based staff only and is therefore not comparable with later years.</p><p> </p><p> </p><p> </p><p>2 A new system of occupation coding for NHS non-medical staff was introduced in 1995. The new codes classified staff according to what they do rather than the terms and conditions under which they are employed. Figures based on new occupation codes are not directly comparable with those based on the old payscale classification, therefore figures since 1995 are not directly comparable with earlier years.</p><p> </p><p> </p><p> </p><p>3 Figures are calculated on the numbers of all still and live births in England for each specified year.</p><p> </p><p> </p><p> </p><p>4 Figures are calculated on the full time equivalent number of registered midwives. Midwife data is as at 30 September each year.</p><p> </p><p> </p><p> </p><p>5 Figures are rounded to one decimal place.</p><p> </p><p> </p><p> </p><p>6 These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 14:48:58 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3994 label Biography information for Andrew Bingham

93277

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Torbay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many visits were made by Ministers of his Department to Torbay constituency in the 12 months to 14 October 2014; whom the invitation for each such visit was issued by; and what the cost to the public purse was of each such visit.
	tabling member constituency	Torbay
	tabling member printed	Mr Adrian Sanders
	uin	210480
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The following visits were made to the Torbay Borough Constituency in the year since 14 October 2013 alongside the direct cost of the minister’s attendance at the visit:</p><p> </p><p> </p><p> </p><p>Date Minister Visit Location Cost</p><p> </p><p><strong> </strong></p><p> </p><p>14 November 2013 Earl Howe Watcombe Children's Centre* -</p><p> </p><p> </p><p> </p><p>15 November 2013 Earl Howe Torbay and Paignton Hospitals, £201.14</p><p> </p><p>Torbay*</p><p> </p><p> </p><p> </p><p>* These were a series of visits which were organised to coincide with the minister attending a meeting in the South-West region; therefore we have provided an overall cost of the three visits.</p><p> </p><p> </p><p> </p><p>Invitations to undertake visits can come from a multiple range of sources and organisations or can be organised proactively as a result of Ministers being made aware of best practice and wanting to familiarise him/herself with it in more detail.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:31:40 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	237 label Biography information for Mr Adrian Sanders