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1104881

	registered interest
	date	25/03/2019
	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	NHS and Social Services: Migrant Workers
	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 effective recruitment from EU and non-EU countries to meet demand for (a) NHS and (b) care workers after the UK leaves the EU.
	tabling member constituency	Richmond Park
	tabling member printed	Zac Goldsmith
	uin	236440
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The Government recognises the need to be able to recruit effectively from abroad and the Immigration White Paper ‘The UK’s future skills-based immigration system’, published in December 2018, sets out the foundation for a single immigration system, where it is workers’ skills that matter, not where they come from.</p><p>This system will streamline the high-skilled visa route, by removing the Resident Labour Market Test and the Tier 2 Visa Cap. It will also include a new temporary immigration route for workers of all skill levels which will allow our social care sector to recruit care workers from abroad as we transition into the new system. The Home Office is undertaking a programme of engagement to discuss the proposed measures with colleagues across government and industry, to develop a future immigration system that works for the whole of the United Kingdom.</p><p>We also recognise the need to boost our domestic workforce as well. The NHS Long Term Plan sets out a vital strategic framework to ensure that, over the next ten years, the National Health Service will have the staff it needs so that nurses and doctors are working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p><p>Alongside this, the upcoming Social Care Green Paper will set out the Department’s proposals for reform of the sector to put it on a more sustainable future footing. This will include a vision for its workforce and proposals to boost recruitment and retention in the longer term.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 16:25:27 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1105008

	registered interest
	date	25/03/2019
	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	Neurofibromatosis
	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 his Department has to improve the diagnosis and treatment of neurofibromatosis.
	tabling member constituency	Caerphilly
	tabling member printed	Wayne David
	uin	236342
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>NHS England has commissioned a national specialised service to address the healthcare needs of neurofibromatosis type 1 (NF1) patients with rare complications that cause major health problems (called complex-NF1). There are two centres responsible for the diagnosis and long-term care of complex NF1 which are based at Guy’s and St Thomas’ NHS Foundation Trust and Central Manchester University Hospitals NHS Foundation Trust. These centres also provide education with the National Health Service to raise and maintain awareness of NF1 and are expected to form a relationship with local health and social care providers to help optimise any care for complex NF1 patients provided locally.</p><p> </p><p>In 2010, a nationally funded service was established for patients in England with a diagnosis of neurofibromatosis type 2 (NF2). The purpose of this service is to ensure patients are managed consistently by experienced doctors within a multi-disciplinary setting and that they receive the highest standard of care. The service for NF2 is co-ordinated from four major clinic centres: Manchester, Cambridge, Oxford and London. Each centre has a clearly defined geographical area of responsibility and runs peripheral clinics within that area, contributing their expertise to ensure the same standard of service and care is maintained.</p><p> </p><p>Over the last few years, there has been an increase in the awareness of NF through more training of doctors and nurses, particularly through community paediatricians, development of guidelines with nurses, and links with genetic and neurology clinics. Links between expert centres have developed and improved the transfer of patients whose condition is complex to the centres. Professionals at the expert centres including consultants and specialist nurses also undertake the usual range of activities to raise awareness of the condition by giving lectures and presentations, attending conferences and publishing papers in medical journals.</p><p> </p><p>In April 2018, the former Parliamentary Under Secretary of State for Public Health and Primary Care (Steve Brine MP) met the Childhood Tumour Trust to discuss, amongst other things, raising awareness of NF.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 236343 question first answered 28/03/2019 15:15:57 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1398 label Biography information for Wayne David

1105015

	registered interest
	date	25/03/2019
	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	Neurofibromatosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has had with neurofibromatosis charities to help raise awareness of the condition.
	tabling member constituency	Caerphilly
	tabling member printed	Wayne David
	uin	236343
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>NHS England has commissioned a national specialised service to address the healthcare needs of neurofibromatosis type 1 (NF1) patients with rare complications that cause major health problems (called complex-NF1). There are two centres responsible for the diagnosis and long-term care of complex NF1 which are based at Guy’s and St Thomas’ NHS Foundation Trust and Central Manchester University Hospitals NHS Foundation Trust. These centres also provide education with the National Health Service to raise and maintain awareness of NF1 and are expected to form a relationship with local health and social care providers to help optimise any care for complex NF1 patients provided locally.</p><p> </p><p>In 2010, a nationally funded service was established for patients in England with a diagnosis of neurofibromatosis type 2 (NF2). The purpose of this service is to ensure patients are managed consistently by experienced doctors within a multi-disciplinary setting and that they receive the highest standard of care. The service for NF2 is co-ordinated from four major clinic centres: Manchester, Cambridge, Oxford and London. Each centre has a clearly defined geographical area of responsibility and runs peripheral clinics within that area, contributing their expertise to ensure the same standard of service and care is maintained.</p><p> </p><p>Over the last few years, there has been an increase in the awareness of NF through more training of doctors and nurses, particularly through community paediatricians, development of guidelines with nurses, and links with genetic and neurology clinics. Links between expert centres have developed and improved the transfer of patients whose condition is complex to the centres. Professionals at the expert centres including consultants and specialist nurses also undertake the usual range of activities to raise awareness of the condition by giving lectures and presentations, attending conferences and publishing papers in medical journals.</p><p> </p><p>In April 2018, the former Parliamentary Under Secretary of State for Public Health and Primary Care (Steve Brine MP) met the Childhood Tumour Trust to discuss, amongst other things, raising awareness of NF.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 236342 question first answered 28/03/2019 15:15:57 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1398 label Biography information for Wayne David

1104985

	registered interest
	date	25/03/2019
	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	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 assessment he has made of the potential merits of adding asthma to the list of medical exemptions for prescription charges.
	tabling member constituency	Chesterfield
	tabling member printed	Toby Perkins
	uin	236484
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The Department has made no such an assessment.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/03/2019 16:14:56 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3952 label Biography information for Mr Toby Perkins

1093490

	registered interest
	date	22/03/2019
	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	Health Professions: Recruitment
	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 effective recruitment from (a) EU and (b) non-EU countries to meet the demand for NHS and care, workers, after the UK leaves the EU.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	235781
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The Government recognises the need to be able to recruit effectively from abroad and the Immigration White Paper ‘The UK’s future skills-based immigration system’, published in December 2018, sets out the foundation for a single immigration system, where it is workers’ skills that matter, not where they come from.</p><p>This system will streamline the high-skilled visa route, by removing the Resident Labour Market Test and the Tier 2 Visa Cap. It will also include a new temporary immigration route for workers of all skill levels which will allow our Social Care sector to recruit care workers from abroad as we transition into the new system. The Home Office is undertaking a programme of engagement to discuss the proposed measures with colleagues across government and industry, to develop a future immigration system that works for the whole of the United Kingdom.</p><p>But we also recognise the need to boost our domestic workforce as well. The NHS Long Term Plan sets out a vital strategic framework to ensure that, over the next 10 years, the National Health Service will have the staff it needs so that nurses and doctors are working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p><p>Alongside this, the upcoming Social Care Green Paper will set out the Department’s proposals for reform of the sector to put it on a more sustainable future footing. This will include a vision for its workforce and proposals to boost recruitment and retention in the longer term.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 16:23:08 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4653 label Biography information for Stephen Morgan

1093491

	registered interest
	date	22/03/2019
	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	Visas: Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department plans that the salary exemption for nurses under Tier 2 visas announced on 7 March 2019 will (a) be maintained after the UK leaves the EU and (b) extended to EEA citizens.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	235782
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The Immigration White Paper ‘The UK’s future skills-based immigration system’, published in December 2018, where it is workers’ skills that matter, not where they come from. Following the publication of the White Paper the Home Office is now engaging with businesses and other employers to discuss the measures proposed, including at what level any minimum salary threshold should be set.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 16:24:18 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4653 label Biography information for Stephen Morgan

1104736

	registered interest
	date	25/03/2019
	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	Nurses: 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 the effect has been on levels of nurse recruitment of the removal of the nursing bursary.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	236245
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The following table shows the number of nurses and midwives recruited since September 2016 - the year before the removal of the National Health Service bursary.</p><table><tbody><tr><td><p> </p></td><td><p>September 2016</p></td><td><p>September 2017</p></td><td><p>September 2018</p></td><td><p>December 2018</p></td></tr><tr><td><p>Nurses</p></td><td><p>274,767</p></td><td><p>275,356</p></td><td><p>277,790</p></td><td><p>280,412</p></td></tr></tbody></table><p>Source: NHS Digital Published Hospital and Community Health Services workforce statistics</p><p> </p><p>The education funding reforms unlocked the cap which constrained the number of pre-registration nursing, midwifery and allied health profession training places allowing more students to gain access to nurse degree training courses.</p><p> </p><p>On 7 February, the University and College Admissions Service published full-time undergraduate nursing and midwifery applications made by the 15 January deadline. This data showed a 4.5% increase in applicants to undergraduate nursing and midwifery courses at English providers. We are working with Health Education England and the university sector to ensure students continue to apply for these courses this year and in future years.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 12:12:37 answering member 1585 label Biography information for Stephen Hammond
	tabling member	116 label Biography information for Lord Soames of Fletching

1092134

	registered interest
	date	20/03/2019
	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	Pupils: Contraceptives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance he has issued to schools on the potential adverse effects of emergency contraception being provided to girls under the age of 16 (a) by school staff and (b) on school premises.
	tabling member constituency	Southend West
	tabling member printed	Sir David Amess
	uin	234643
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>Advice to healthcare professionals, local commissioners and providers of healthcare on the provision of emergency contraception to girls under the age of 16 is contained in recommendation 5 of the National Institute for Health and Care Excellence (NICE) public health guideline on sexually transmitted infections and under-18 conceptions prevention and recommendation 9 of the NICE public health guideline on contraceptive services for under 25s. The guidelines can be viewed on the NICE website at the following links:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ph3/chapter/1-Recommendations" target="_blank">https://www.nice.org.uk/guidance/ph3/chapter/1-Recommendations</a></p><p> </p><p><a href="https://www.nice.org.uk/guidance/ph51/chapter/1-Recommendations" target="_blank">https://www.nice.org.uk/guidance/ph51/chapter/1-Recommendations</a></p><p> </p><p>In addition, the Faculty of Sexual and Reproductive Healthcare (FSRH) has published clinical guidance for health professional on the use of emergency contraception. This guideline covers potential adverse side effects and is available on the FSRH website at the following link:</p><p> </p><p><a href="https://www.fsrh.org/documents/ceu-clinical-guidance-emergency-contraception-march-2017" target="_blank">https://www.fsrh.org/documents/ceu-clinical-guidance-emergency-contraception-march-2017</a></p><p> </p><p>The Department has not issued separate guidance to schools on this issue.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/03/2019 17:15:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	44 label Biography information for Sir David Amess

1092610

	registered interest
	date	21/03/2019
	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	Speech and Language Therapy: 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 discussions his Department has had with the Royal College of Speech and Language Therapists on the training of approved mental capacity professionals; and what plans he has for further such discussions.
	tabling member constituency	Taunton Deane
	tabling member printed	Rebecca Pow
	uin	235354
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>We are discussing with the Royal College of Speech and Language Therapists ahead of implementation to establish the detail of the role they will play in the new system and the suitability of speech and language therapists becoming approved mental capacity professionals (AMCPs). We will continue to engage with the College regarding the AMCP role as well as on the statutory Code of Practice.</p><p> </p><p>Subject to further consultation and development of the Code of Practice the government envisages that the professionals which could take on the role of AMCPs would include social workers, learning disability nurses, occupational therapists, psychologists and other suitable health and social care professionals as appropriate.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 235355 question first answered 28/03/2019 16:17:04 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4522 label Biography information for Rebecca Pow

1092611

	registered interest
	date	21/03/2019
	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	Mental Capacity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to consult on which groups of professionals are able to train to be approved mental capacity professionals.
	tabling member constituency	Taunton Deane
	tabling member printed	Rebecca Pow
	uin	235355
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>We are discussing with the Royal College of Speech and Language Therapists ahead of implementation to establish the detail of the role they will play in the new system and the suitability of speech and language therapists becoming approved mental capacity professionals (AMCPs). We will continue to engage with the College regarding the AMCP role as well as on the statutory Code of Practice.</p><p> </p><p>Subject to further consultation and development of the Code of Practice the government envisages that the professionals which could take on the role of AMCPs would include social workers, learning disability nurses, occupational therapists, psychologists and other suitable health and social care professionals as appropriate.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 235354 question first answered 28/03/2019 16:17:04 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4522 label Biography information for Rebecca Pow