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890101

	registered interest
	date	23/04/2018
	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	Accident and Emergency Departments: Closures
	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 A&E units closed in each constituency in each year between 2010 and 2016.
	tabling member constituency	Normanton, Pontefract and Castleford
	tabling member printed	Yvette Cooper
	uin	137151
	answer	answer is ministerial correction date of answer 26/04/2018 answer text <p>Changes to the local NHS services are a matter for the local National Health Service, and form part of the commissioning process. This includes working with local people and with clinicians to ensure that changes are in the best interests of patients. Records of this activity are not held centrally.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 137152 question first answered 26/04/2018 16:39:29 answering member 4095 label Biography information for Steve Barclay
	tabling member	420 label Biography information for Yvette Cooper

861056

	registered interest
	date	13/03/2018
	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	Barts Health NHS Trust: Vacancies
	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 vacancies there were for (a) nurses, (b) junior doctors, (c) doctors, and (d) consultants, at Barts Health NHS Trust, in each year since 2010.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	132205
	answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>The data is not available in the format requested.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 21/03/2018 12:00:21 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

861057

	registered interest
	date	13/03/2018
	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	King George Hospital: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether it remains his Department's policy to close King George Hospital Accident and Emergency Department.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	132206
	answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>Decisions about local services are made by local commissioners, not by the Department. Any changes to services should be locally led by clinicians and patients.</p><p> </p><p>In November 2017, the East London Health and Care Partnership (ELHCP) announced that it would be exploring further options for how urgent and emergency care services are delivered locally and in particular across both King George and Queen’s hospitals. The ELHCP will work with clinicians, patients, partners and stakeholders to develop options.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 16/03/2018 11:46:04 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

862040

	registered interest
	date	14/03/2018
	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	Barking, Havering and Redbridge University Hospitals NHS Trust: Vacancies
	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 vacancies were there for (a) nurses, (b) junior doctors, (c) doctors and (d) consultants, in the Barking, Havering and Redbridge University Hospitals NHS Trust, in each year since 2010.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	132459
	answer	answer is ministerial correction date of answer 19/03/2018 answer text <p>The data is not available in the format requested.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 19/03/2018 17:32:55 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

862041

	registered interest
	date	14/03/2018
	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	Barking, Havering and Redbridge University Hospitals NHS Trust: 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, if he will publish the PFI payments made by Barking, Havering and Redbridge University Hospitals NHS Trust relating to (a) capital costs and (b) service payments for each year since 2015.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	132460
	answer	answer is ministerial correction date of answer 19/03/2018 answer text <p>The capital cost and Unitary Charge payments for the new Queen’s Hospital (formerly Oldchurch hospital in Romford), for each year since financial year since 2015/16, are provided in the table below. The data is from the 2016 Private Finance Initiative (PFI) data summary sheet on the HM Treasury’s website. The Unitary Charge revenue payment figures include not just the financing costs (debt repayment and interest) for initial construction but also the costs of all the other services such as building maintenance and support services (cleaning, catering, portering etc) provided over the lifetime of the contract. The payments are subject to meeting agreed performance and quality standards and include an annual uprate assumption for inflation.</p><p><strong> </strong></p><table><tbody><tr><td><p>Capital Value (£ m)</p></td><td><p>Unitary Charge Payment 2015-16 (£ m)</p></td><td><p>Estimated Unitary Charge Payment 2016-17 (£ m)</p></td><td><p>Estimated Unitary Charge Payment 2017-18 (£ m)</p></td></tr><tr><td><p>266.0</p></td><td><p>57.2</p></td><td><p>58.5</p></td><td><p>59.6</p></td></tr></tbody></table><p> </p><p>Further information relating to all PFI projects in the National Health Service and social care in England, including that for the new Queen’s Hospital, is available on the HM Treasury’s website, via:</p><p><a href="https://www.gov.uk/government/publications/private-finance-initiative-and-private-finance-2-projects-2016-summary-data" target="_blank">https://www.gov.uk/government/publications/private-finance-initiative-and-private-finance-2-projects-2016-summary-data</a></p><p>The health sector schemes are marked “Department of Health” and then “DH-Acute (i.e. Hospitals)”. The new Oldchurch Hospital has ID number 284.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 19/03/2018 17:33:21 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

862042

	registered interest
	date	14/03/2018
	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	Barking, Havering and Redbridge University Hospitals NHS Trust: 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 assessment he has made of trends in the levels of PFI payments to made by the Barking, Havering and Redbridge University Hospitals NHS Trust over the next two decades.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	132461
	answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>The Unitary Charge payments for the new Queen’s Hospital (formerly Oldchurch hospital in Romford), for each year over the next two decades and up until the final payment in financial year 2039-40, are provided in the table below.</p><p> </p><p>The data is from the 2016 Private Finance Initiative (PFI) data summary sheet on the Treasury’s website. The Unitary Charge revenue payment figures include not just the financing costs (debt repayment and interest) for initial construction but also the costs of all the other services such as building maintenance and support services (cleaning, catering, portering etc.) provided over the lifetime of the contract. The payments are subject to meeting agreed performance and quality standards and include an annual uprate assumption for inflation.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Estimated Unitary Charge Payment (£ million)</p></td></tr><tr><td><p>2017-18</p></td><td><p>59.6</p></td></tr><tr><td><p>2018-19</p></td><td><p>60.8</p></td></tr><tr><td><p>2019-20</p></td><td><p>62.0</p></td></tr><tr><td><p>2020-21</p></td><td><p>63.2</p></td></tr><tr><td><p>2021-22</p></td><td><p>64.8</p></td></tr><tr><td><p>2022-23</p></td><td><p>66.4</p></td></tr><tr><td><p>2023-24</p></td><td><p>68.1</p></td></tr><tr><td><p>2024-25</p></td><td><p>69.8</p></td></tr><tr><td><p>2025-26</p></td><td><p>71.5</p></td></tr><tr><td><p>2026-27</p></td><td><p>73.3</p></td></tr><tr><td><p>2027-28</p></td><td><p>75.1</p></td></tr><tr><td><p>2028-29</p></td><td><p>77.0</p></td></tr><tr><td><p>2029-30</p></td><td><p>78.9</p></td></tr><tr><td><p>2030-31</p></td><td><p>80.9</p></td></tr><tr><td><p>2031-32</p></td><td><p>82.9</p></td></tr><tr><td><p>2032-33</p></td><td><p>85.0</p></td></tr><tr><td><p>2033-34</p></td><td><p>87.1</p></td></tr><tr><td><p>2034-35</p></td><td><p>89.3</p></td></tr><tr><td><p>2035-36</p></td><td><p>91.5</p></td></tr><tr><td><p>2036-37</p></td><td><p>93.8</p></td></tr><tr><td><p>2037-38</p></td><td><p>96.2</p></td></tr><tr><td><p>2038-39</p></td><td><p>98.6</p></td></tr><tr><td><p>2039-40</p></td><td><p>80.0</p></td></tr></tbody></table><p> </p><p>Further information relating to all PFI projects in the National Health Service and social care in England, including that for the new Queen’s Hospital, is available on the Treasury’s website, via:</p><p> </p><p><a href="https://www.gov.uk/government/publications/private-finance-initiative-and-private-finance-2-projects-2016-summary-data" target="_blank">https://www.gov.uk/government/publications/private-finance-initiative-and-private-finance-2-projects-2016-summary-data</a></p><p> </p><p>The health sector schemes are marked “Department of Health” and then “DH-Acute (i.e. Hospitals)”. The new Queen’s Hospital has I.D number 284.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 21/03/2018 12:09:19 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

869320

	registered interest
	date	22/03/2018
	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	Clinical Commissioning Groups: Greater London
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much funding was allocated from the public purse to each clinical commissioning group area in London per head of population in each year since 2015; and if he will make a statement.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	133834
	answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>NHS England’s published per capita allocation figures for each London clinical commissioning group (CCG) in the period 2015-16 to 2017-18 are set out in the table below. It should be noted that the published figures do not include any in-year adjustments.</p><table><tbody><tr><td><p>London CCGs</p></td><td><p>Per capita allocation 2015/16 (£)</p></td><td><p>Per capita allocation 2016/17 (£)</p></td><td><p>Per capita allocation 2017/18 (£)</p></td></tr><tr><td><p>NHS Barking and Dagenham CCG</p></td><td><p>1,182</p></td><td><p>1,202</p></td><td><p>1,215</p></td></tr><tr><td><p>NHS Barnet CCG</p></td><td><p>1,072</p></td><td><p>1,123</p></td><td><p>1,135</p></td></tr><tr><td><p>NHS Bexley CCG</p></td><td><p>1,164</p></td><td><p>1,239</p></td><td><p>1,260</p></td></tr><tr><td><p>NHS Brent CCG</p></td><td><p>1,073</p></td><td><p>1,089</p></td><td><p>1,102</p></td></tr><tr><td><p>NHS Bromley CCG</p></td><td><p>1,158</p></td><td><p>1,226</p></td><td><p>1,239</p></td></tr><tr><td><p>NHS Camden CCG</p></td><td><p>1,275</p></td><td><p>1,344</p></td><td><p>1,329</p></td></tr><tr><td><p>NHS City and Hackney CCG</p></td><td><p>1,222</p></td><td><p>1,224</p></td><td><p>1,237</p></td></tr><tr><td><p>NHS Croydon CCG</p></td><td><p>1,091</p></td><td><p>1,154</p></td><td><p>1,171</p></td></tr><tr><td><p>NHS Ealing CCG</p></td><td><p>1,065</p></td><td><p>1,104</p></td><td><p>1,116</p></td></tr><tr><td><p>NHS Enfield CCG</p></td><td><p>1,110</p></td><td><p>1,173</p></td><td><p>1,189</p></td></tr><tr><td><p>NHS Hounslow CCG</p></td><td><p>1,009</p></td><td><p>1,063</p></td><td><p>1,075</p></td></tr><tr><td><p>NHS Greenwich CCG</p></td><td><p>1,208</p></td><td><p>1,243</p></td><td><p>1,257</p></td></tr><tr><td><p>NHS Hammersmith and Fulham CCG</p></td><td><p>1,236</p></td><td><p>1,231</p></td><td><p>1,235</p></td></tr><tr><td><p>NHS Haringey CCG</p></td><td><p>1,091</p></td><td><p>1,125</p></td><td><p>1,137</p></td></tr><tr><td><p>NHS Harrow CCG</p></td><td><p>999</p></td><td><p>1,070</p></td><td><p>1,088</p></td></tr><tr><td><p>NHS Havering CCG</p></td><td><p>1,198</p></td><td><p>1,269</p></td><td><p>1,293</p></td></tr><tr><td><p>NHS Hillingdon CCG</p></td><td><p>1,045</p></td><td><p>1,110</p></td><td><p>1,122</p></td></tr><tr><td><p>NHS Islington CCG</p></td><td><p>1,330</p></td><td><p>1,371</p></td><td><p>1,385</p></td></tr><tr><td><p>NHS Kingston CCG</p></td><td><p>1,007</p></td><td><p>1,055</p></td><td><p>1,067</p></td></tr><tr><td><p>NHS Lambeth CCG</p></td><td><p>1,149</p></td><td><p>1,162</p></td><td><p>1,175</p></td></tr><tr><td><p>NHS Lewisham CCG</p></td><td><p>1,239</p></td><td><p>1,277</p></td><td><p>1,291</p></td></tr><tr><td><p>NHS Newham CCG</p></td><td><p>1,080</p></td><td><p>1,108</p></td><td><p>1,120</p></td></tr><tr><td><p>NHS Redbridge CCG</p></td><td><p>1,050</p></td><td><p>1,096</p></td><td><p>1,108</p></td></tr><tr><td><p>NHS Richmond CCG</p></td><td><p>1,018</p></td><td><p>1,063</p></td><td><p>1,075</p></td></tr><tr><td><p>NHS Southwark CCG</p></td><td><p>1,191</p></td><td><p>1,243</p></td><td><p>1,257</p></td></tr><tr><td><p>NHS Merton CCG</p></td><td><p>997</p></td><td><p>1,062</p></td><td><p>1,074</p></td></tr><tr><td><p>NHS Sutton CCG</p></td><td><p>1,154</p></td><td><p>1,211</p></td><td><p>1,224</p></td></tr><tr><td><p>NHS Tower Hamlets CCG</p></td><td><p>1,148</p></td><td><p>1,172</p></td><td><p>1,185</p></td></tr><tr><td><p>NHS Waltham Forest CCG</p></td><td><p>1,062</p></td><td><p>1,123</p></td><td><p>1,136</p></td></tr><tr><td><p>NHS Wandsworth CCG</p></td><td><p>1,030</p></td><td><p>1,057</p></td><td><p>1,069</p></td></tr><tr><td><p>NHS West London (K&amp;C &amp; QPP) CCG</p></td><td><p>1,441</p></td><td><p>1,440</p></td><td><p>1,437</p></td></tr><tr><td><p>NHS Central London (Westminster) CCG</p></td><td><p>1,280</p></td><td><p>1,251</p></td><td><p>1,238</p></td></tr></tbody></table> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 27/03/2018 12:10:03 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

869321

	registered interest
	date	22/03/2018
	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	Barking, Havering and Redbridge University Hospitals NHS Trust
	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 staff working for the Barking, Havering and Redbridge NHS Trust have been (a) non-UK EU citizens and (b) citizens of countries outside the EU in each year since 2015.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	133835
	answer	answer is ministerial correction date of answer 27/03/2018 answer text <p>NHS Digital publishes workforce statistics and the following table shows the number of non-United Kingdom European Union and non EU Hospital and Community Health Service (HCHS) staff employed in Barking, Havering and Redbridge University Hospitals NHS Trust between September 2015 and December 2017.</p><p> </p><p>HCHS staff in Barking, Havering and Redbridge University Hospitals NHS Trust, as at the last day in each specified month, headcount</p><table><tbody><tr><td><p>HCHS staff in Barking, Havering and Redbridge University Hospitals NHS Trust</p></td><td><p>September <br> 2015</p></td><td><p>September <br> 2016</p></td><td><p>September <br> 2017</p></td><td><p>December <br> 2017</p></td></tr><tr><td><p>European Union excluding UK</p></td><td><p>440</p></td><td><p>547</p></td><td><p>541</p></td><td><p>533</p></td></tr><tr><td><p>European Economic Area</p></td><td><p>4</p></td><td><p>1</p></td><td><p>3</p></td><td><p>2</p></td></tr><tr><td><p>Rest of World</p></td><td><p>1,159</p></td><td><p>1,141</p></td><td><p>1,175</p></td><td><p>1,196</p></td></tr><tr><td><p>Unknown</p></td><td><p>211</p></td><td><p>193</p></td><td><p>166</p></td><td><p>163</p></td></tr></tbody></table><p>Source: NHS Digital NHS HCHS workforce statistics.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 27/03/2018 12:15:29 answering member 4095 label Biography information for Steve Barclay
	tabling member	4504 label Biography information for Wes Streeting

874803

	registered interest
	date	29/03/2018
	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	Prescriptions: Fees and Charges
	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 his Department is taking to ensure that the proposals in the consultation, Conditions for which over the counter items should not routinely be prescribed in primary care: A consultation on guidance for CCGs do not contravene the principle in the NHS constitution whereby access to NHS services is based on clinical need and not an individual’s ability to pay and NHS services are free of charge except in limited circumstances sanctioned by Parliament.
	tabling member constituency	Caerphilly
	tabling member printed	Wayne David
	uin	135104
	answer	answer is ministerial correction date of answer 16/04/2018 answer text <p>NHS England, in partnership with NHS Clinical Commissioners (the organisation that represents clinical commissioning groups (CCGs)) has recently published CCG guidance setting out recommendations on conditions for which over the counter items should not routinely be prescribed in primary care. This guidance has not introduced any charges for NHS services; it does however outline appropriate prescribing for the 35 conditions specified.</p><p> </p><p>The guidance issued is commissioning guidance for CCGs in England only, and is not a clinical guideline and as such, it does not affect a general practitioner’s (GP) ability to determine what the cause of specified symptoms are, to make a diagnosis and then to act appropriately. Furthermore, any such guidance does not preclude the ability of an individual to access their GP for whatever symptoms they are experiencing, to seek advice and appropriate treatment. In addition there are several exceptions within the guidance that outline specific scenarios (i.e. long term or complex conditions that require over the counter treatments, vulnerable patients, to treat side effects of other prescription only drugs) where prescribing should continue.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/04/2018 15:46:04 answering member 4067 label Biography information for Steve Brine
	tabling member	1398 label Biography information for Wayne David

874804

	registered interest
	date	29/03/2018
	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: Disadvantaged
	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 ensure that the implementation of guidance following the consultation, Conditions for which over the counter items should not routinely be prescribed in primary care: A consultation on guidance for CCGs achieves objective 1 of the Government’s mandate to NHS England on reducing health inequalities.
	tabling member constituency	Caerphilly
	tabling member printed	Wayne David
	uin	135105
	answer	answer is ministerial correction date of answer 16/04/2018 answer text <p>NHS England has statutory requirements to improve quality, reduce inequalities, promote patient involvement and promote more integrated services, innovation, research, and education and training. The Secretary of State sets out objectives in the mandate and holds NHS England to account for both objectives and key statutory duties through the six monthly mandate assurance report, and by publishing an annual assessment of NHS England’s performance in response to its annual report. The mandate is the primary formal accountability mechanism between the Secretary of State and NHS England.</p><p> </p><p>NHS England, in partnership with NHS Clinical Commissioners (the organisation that represents clinical commissioning groups (CCGs)) has recently published CCG guidance setting out recommendations on Conditions for which over the counter items should not routinely be prescribed in primary care. This guidance outlines appropriate prescribing for the 35 conditions specified.</p><p> </p><p>The guidance issued is commissioning guidance for CCGs in England only, and is not a clinical guideline and as such, it does not affect a general practitioner’s ability to determine what the cause of specified symptoms are, to make a diagnosis and then to act appropriately. NHS England also published a full Equality and Health Inequalities Impact Assessment with the guidance which covers groups protected by the Equality Act 2010. A copy of the document can be accessed at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/" target="_blank">https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/04/2018 15:48:09 answering member 4067 label Biography information for Steve Brine
	tabling member	1398 label Biography information for Wayne David