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100181

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many meetings he has had with Simon Stevens, Chief Executive of NHS England since 1 April 2014.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	uin	211214
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>My Rt. hon. Friend, the Secretary of State, meets with Mr Stevens on a weekly basis with additional meetings arranged as and when required, which often include other members of the Ministerial team.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:31:37 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4089 label Biography information for Tessa Munt

100183

	registered interest
	date	21/10/2014
	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, how many GP practices have (a) closed and (b) opened in (i) England, (ii) Greater London and (iii) Wales in each of the last five years.
	tabling member constituency	Upper Bann
	tabling member printed	David Simpson
	uin	211216
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Figures for NHS England and the NHS London area are shown in the following table. Figures for Wales are not collected centrally.</p><p> </p><p> </p><p> </p><p>It is important to note that these figures also include practice mergers and takeovers and do not provide an accurate representation of activity or service provision. For example, the merger of three practices would show as three practices closing and one opening. In many cases, practices listed in these figures as having closed will have in fact merged, and will continue to see patients.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>NHS England</p></td><td colspan="2"><p>NHS London area</p></td></tr><tr><td><p>Year</p></td><td><p>Closed</p></td><td><p>Opened</p></td><td><p>Closed</p></td><td><p>Opened</p></td></tr><tr><td><p>2009</p></td><td><p>88</p></td><td><p>194</p></td><td><p>12</p></td><td><p>23</p></td></tr><tr><td><p>2010</p></td><td><p>79</p></td><td><p>55</p></td><td><p>12</p></td><td><p>21</p></td></tr><tr><td><p>2011</p></td><td><p>111</p></td><td><p>19</p></td><td><p>21</p></td><td><p>6</p></td></tr><tr><td><p>2012</p></td><td><p>124</p></td><td><p>14</p></td><td><p>31</p></td><td><p>4</p></td></tr><tr><td><p>2013</p></td><td><p>126</p></td><td><p>13</p></td><td><p>39</p></td><td><p>5</p></td></tr><tr><td><p>2014 (to 30 September)</p></td><td><p>92</p></td><td><p>11</p></td><td><p>18</p></td><td><p>5</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 17:47:07 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1597 label Biography information for David Simpson

100193

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medicine: Education
	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 increase the number of places for medical students to undertake training in cardiac units.
	tabling member constituency	Upper Bann
	tabling member printed	David Simpson
	uin	211221
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. It has the general function of promoting high standards of education and to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p> </p><p> </p><p>Medical schools design curricula for undergraduate medical education, which includes the type of placements students may undertake during the course. In doing so they must ensure that teaching meets the standards of the GMC in order to both gain and maintain GMC recognition of their course.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:33:50 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1597 label Biography information for David Simpson

100194

	registered interest
	date	21/10/2014
	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 the Government's benchmark waiting time is to see a General Practitioner for a routine appointment; and how that benchmark was set.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	211311
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The Government does not set a benchmark for waiting times to see a general practitioner (GP) for a routine appointment.</p><p> </p><p> </p><p> </p><p>The 48 hour waiting time target was removed because it as seen as too inflexible in meeting the needs of patients. The GP patient survey showed that the proportion of people who wanted to get an appointment within 2 days (and were able to) actually fell between 2008-09 and 2009-10 i.e. when the target was in place.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:29:44 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4025 label Biography information for Mrs Pauline Latham

100202

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Impairment: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to implement the recommendations in the report of the National Deaf Children's Society entitled Listen Up, published in October 2014.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	211344
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>I met with Jo Campion, Deputy Director for Policy and Campaigns at the National Deaf Children’s Society, today to discuss the Listen Up report and its recommendations.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 16:20:04 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1552 label Biography information for Alison Seabeck

100204

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to ensure the effectiveness of National Health Service purchasing and promote procurement on a regional or national scale.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	211312
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Individual National Health Service trusts are responsible for their own procurement activity and are supported by collaborative procurement organisations working at regional and national level.</p><p> </p><p> </p><p> </p><p>The Department launched a Procurement Efficiency Programme (<em>Better Procurement Better Value Better Care</em>) in August 2013, further details of which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-procurement-in-the-nhs" target="_blank">https://www.gov.uk/government/publications/improving-procurement-in-the-nhs</a></p><p> </p><p> </p><p> </p><p>This programme focussed on the need to improve local capability, data and leadership in the longer term and the need to drive £1.5-£2 billion of efficiency savings in the immediate term. As part of this efficiency programme the Department is working with NHS trusts and collaborative procurement organisations to determine the most effective procurement approaches going forward.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:38:12 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4025 label Biography information for Mrs Pauline Latham

100403

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Perinatal Mortality
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the NHS takes to assist mothers of stillborn children to come to terms with their grief.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	211575
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The National Health Service locally should ensure that appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council’s Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death. Health Education England has agreed to work with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.</p><p>To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists’ Standards for Gynaecology and Standards for Maternity sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.</p><p>To further assist NHS maternity services, NHS Improving Quality published ‘A review of support available for loss in early and late pregnancy’ in February 2014, which highlights areas of good practice and additional sources of support, such as the stillbirth and neonatal death charity, Sands.</p><p>Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:</p><p>www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:51:15 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4131 label Biography information for Jim Shannon

100406

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Vacancies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to ensure that as many staff vacancies in the NHS as possible are filled by citizens of the UK.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	211577
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In filling their vacancies, employers across the National Health Service in England are required to comply with employment law and ensure all applicants including citizens of, and others who demonstrate they are eligible to work in, the United Kingdom, are treated fairly and consistently.</p><p> </p><p> </p><p> </p><p>Health Education England<sup><sup>[1]</sup></sup> has been tasked with reducing the number of health roles on the Home Office Shortage Occupation List by March 2015. Where roles remain on the list an action plan should be produced to ensure that work is done to ensure that they can be removed.</p><p> </p><br /><p>[1] ”Delivering high quality effective, compassionate care: Developing the right people with the right skills and right values”- A Mandate to Health Education England: April 2014 to March 2015</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:47:06 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4131 label Biography information for Jim Shannon

100408

	registered interest
	date	22/10/2014
	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, what proportion of the staff budgets of NHS trusts and foundation trusts consisted of expenditure on contract and agency staff in each of the last five financial years.
	tabling member constituency	Birkenhead
	tabling member printed	Mr Frank Field
	uin	211594
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Following the Francis report[1] many trusts increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their contract and agency[2] staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>The proportion of National Health Service foundation trusts staff budgets that consisted of expenditure on contract and agency staff in each of the last five financial years is set out in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Proportion</p></td></tr><tr><td><p>2013-14</p></td><td><p>5.3%</p></td></tr><tr><td><p>2012-13</p></td><td><p>4.5%</p></td></tr><tr><td><p>2011-12</p></td><td><p>4.0%</p></td></tr><tr><td><p>2010-11</p></td><td><p>4.4%</p></td></tr><tr><td><p>2009-10</p></td><td><p>5.0%</p></td></tr></tbody></table><p> </p><p>The proportion of NHS trusts staff budgets that consisted of expenditure on contract and agency staff in 2013-14 is 6.3%. Previous years are not available as agency and contract staff were not identified separately from other non permanent staff[3].</p><p> </p><br /><p>[1] <a href="http://www.midstaffspublicinquiry.com/" target="_blank">http://www.midstaffspublicinquiry.com/</a></p><p> </p><p>[2]The definition of Contract / Agency staff is: “Agency” employee payments for the employment of staff where the staff remain employees of the agency and “Contract staff” where the NHS trust has control over numbers and qualifications of staff (in contrast to a service obtained under contract) .</p><p> </p><p>[3] non-permanent staff are defined as “others engaged on the objectives of the organisation including staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:40:13 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	478 label Biography information for Lord Field of Birkenhead

100409

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Offences against Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the recommendation in the World Health Organisation publication, Investing in children: the European child maltreatment prevention action plans 2015 to 2020, that a public health approach to child maltreatment should be adopted, if the Government will take steps to implement that recommendation in the UK.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	211629
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The Government welcomes the action plan including, in particular, its focus on maximising the gains from evidence-based programmes. The inter-agency statutory guidance <em>Working Together to Safeguard Children</em> places a significant emphasis on preventative, early help. That approach includes the important part played by, among others, health visitors, <strong>family nurses</strong><strong>,</strong> school nurses and the Healthy Child Programme. <strong>In this respect the Government has increased the number of health visitors by 2,206 since 2010 and the number of places on the Family Nurse Partnership programme will increase from 6,500 in 2010 to 16,000 in 2015.</strong><strong> </strong></p><p> </p><p> </p><p> </p><p>The <strong>Healthy Child</strong> Programme is the key universal service for improving the health and wellbeing of children, by bringing together the evidence-based actions of those who deliver care to babies and children. It provides health and development reviews, health promotion, parenting support, and screening and immunisation programmes.</p><p> </p><p> </p><p> </p><p><em>Note:</em></p><p> </p><p>- health visitor numbers compare May 2010 with end-July 2014</p><p> </p><p>- FNP places – original commitment was to double them, to 13,000 by 2014 (later increased to 16,000 by 2015) – which suggests a 2010 baseline (which we are unable to confirm in a hurry) of 6,500.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 17:17:34 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4036 label Biography information for Luciana Berger