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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

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

100419

	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, how much has been spent on agency and locum staff in the NHS (a) in total, (b) for each job type and (c) in each year since May 2010.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	211600
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Following the Francis<sup>1</sup> report many trusts were required to increase their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p><br> The Department expects trusts to have a strong grip on their finances, and manage their contract and agency<sup>2</sup> staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.</p><p> </p><p> </p><p> </p><p>The amounts spent on agency and contract staff (including locums) in the National Health Service in each year since May 2010 are as follows:</p><p> </p><p> </p><p> </p><p>NHS Foundation Trusts<sup>3</sup></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2010-11</p></td><td><p>854.7</p></td></tr><tr><td><p>2011-12</p></td><td><p>907.0</p></td></tr><tr><td><p>2012-13</p></td><td><p>1,101.0</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,396.2</p></td></tr><tr><td><p>Total</p></td><td><p>4,258.9</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>NHS Trusts</p><p> </p><p>This information is not available for NHS trusts for 2010-11 to 2012-13 as spend on agency and contract staff was not separately identified from other “non permanent NHS staff”<sup>4</sup>. The amount spent in 2013-14 on Contract and Agency staff by NHS trusts is £1,209.1m.</p><p> </p><p> </p><p> </p><p>The Department does not collect data on how much has been spent on agency and locum staff for each job type.</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p><sup><sup>1</sup></sup> http://www.midstaffspublicinquiry.com/</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><sup>2</sup>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> </p><p> </p><p><sup>3</sup> For 2009-10 – 2012-13 actual figures are based on gross staff costs as per notes in the NHS Foundation Trust consolidated accounts. The figures from the consolidated accounts may differ to the Board reports due to adjustments made on redundancy, early retirement, capitalisation of staff costs and costs of R&amp;D staff. 2013-14 figure is taken from the Department of Health Annual Report and Accounts 2013-14.</p><p> </p><p> </p><p> </p><p><sup>4</sup> The figures published for 2012-13 for NHS trusts are based on non-permanently employed staff which is defined as “others engaged on the objectives of the organisation and will include staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.”</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 17:37:53 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4244 label Biography information for Jonathan Ashworth

100722

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neurology: Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many full-time equivalent specialist nurses for a neurological condition were employed in each region of England in each of the last five years.
	tabling member constituency	Leicester West
	tabling member printed	Liz Kendall
	uin	211733
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The National Health Service annual workforce census provides information on the number of nursing, midwifery and health visiting staff employed in the NHS in England but does not separately identify specialist nurses employed in neurological conditions.</p><p> </p><p> </p><p> </p><p>It is for local NHS organisations with their knowledge of the healthcare needs of their local population to invest in training for specialist skills and to deploy specialist nurses. Specialist nurses provide invaluable support for patients and their families. They are able to provide specialist treatment and advice and act as a gateway to other members of the multidisciplinary team, which can both save the NHS money and, more importantly, improve care and outcomes for patients.</p><p> </p><p> </p><p> </p><p>Health Education England (HEE) supports employers with Continuous Personal and Professional Development. HEE's planning process has created the opportunity for employers, through their membership of local education training boards, to prioritise investment between training the future supply of healthcare professional and the development of existing staff, but it is currently for these local partnerships to identify their relative priorities for investment.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/10/2014 16:25:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4026 label Biography information for Liz Kendall

100725

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department has taken to ensure that NHS staff performing the same role in different parts of the country are placed in the same pay bands.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	211747
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The NHS Agenda for Change national pay system is supported by a nationally agreed Job Evaluation Scheme and is managed locally by National Health Service organisations. NHS Employers (the representative body for NHS employers) provide guidance to NHS organisations and undertake training delivered by experienced job evaluation experts. There is also nationally agreed guidance in the NHS Terms and Conditions Handbook with advice on job evaluation as part of workforce re-profiling.</p><p> </p><p> </p><p> </p><p>NHS organisations are responsible for ensuring that job roles meet their obligations under Equal Pay legislation which require that staff should receive equal pay for work of equal value. Any difference must be objectively justified.</p><p> </p><p> </p><p> </p><p>There may be job roles across NHS organisations with the same job title but which include different content and carry different demands. In these cases, the Job Evaluation Scheme is designed to ensure organisations deliver similar outcomes provided similar jobs are being compared. The scheme will also help organisations ensure that the pay band accurately reflect the skills and responsibilities of the job.</p><p> </p><p> </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 question first answered 30/10/2014 16:18:28 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1511 label Biography information for Lord Austin of Dudley

100736

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Negligence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the number and value was of clinical negligence payments made by the NHS as a result of negligence committed by private healthcare providers in the latest period for which figures are available.
	tabling member constituency	North Durham
	tabling member printed	Mr Kevan Jones
	uin	211786
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The number and value of clinical negligence payments made by the NHS Litigation Authority (NHS LA) as a result of negligence incurred by independent sector providers that are members of one of the NHS LA schemes, up to the 31 March 2014 is detailed in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Number of Claims with Payments</p></td><td><p>Damages</p><p>Paid</p></td><td><p>Defence Costs</p><p>Paid</p></td><td><p>Claimant Costs</p><p>Paid</p></td><td><p>Total Paid</p></td></tr><tr><td><p>Private Sector</p></td><td><p>5</p></td><td><p>0</p></td><td><p>5,045</p></td><td><p>0</p></td><td><p>5,045</p></td></tr><tr><td><p>NHS Member</p></td><td><p>526</p></td><td><p>18,545,522</p></td><td><p>2,651,908</p></td><td><p>9,573,576</p></td><td><p>30,771,005</p></td></tr><tr><td><p>Department of Health</p></td><td><p>188</p></td><td><p>10,783,424</p></td><td><p>1,073,613</p></td><td><p>3,673,581</p></td><td><p>15,530,617</p></td></tr><tr><td><p>Total</p></td><td><p>719</p></td><td><p>29,328,945</p></td><td><p>3,730,565</p></td><td><p>13,247,157</p></td><td><p>46,306,667</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p>Independent sector providers of NHS services have only been eligible to join the NHS LA’s clinical negligence scheme for trusts since April 2013. The likelihood of a claim being incurred, reported and settled in the same financial year is very low, hence the low values in the table, but private sectors members now contribute directly to the scheme for their own liabilities.</p><p> </p><p> </p><p> </p><p>In April 2013 arrangements were put in place so that sub-contractors would be covered by the NHS member of the scheme. This was to make the system less complex.</p><p> </p><p> </p><p> </p><p>Since April 2013, claims arising from the activities of independent sector providers have historically been funded by the NHS member organisations that have contracted with them.</p><p> </p><p> </p><p> </p><p>An element of these claims has been inherited and funded by the Department as a result of the abolition of primary care trusts and strategic health authorities on 1 April 2013.</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 question first answered 30/10/2014 16:33:48 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1438 label Biography information for Mr Kevan Jones

100737

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Negligence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the number and value has been of clinical negligence payments made by the NHS as a result of negligence committed by Vanguard Healthcare.
	tabling member constituency	North Durham
	tabling member printed	Mr Kevan Jones
	uin	211787
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The NHS Litigation Authority has no record of any claims payments made in connection with negligence incurred by Vanguard Healthcare, nor has it been notified by NHS members of its clinical negligence scheme for trusts of any claims where Vanguard Healthcare has been implicated.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/10/2014 16:31:19 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1438 label Biography information for Mr Kevan Jones

100738

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to revise the pay bands introduced in the NHS Agenda for Change programme.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	211746
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The Agenda for Change pay system is a national collective agreement managed in partnership between National Health Service trade unions and NHS Employers (the representative organisation for NHS employers). Any changes are currently agreed in partnership via national collective bargaining.</p><p> </p><p> </p><p> </p><p>The underlying banding structure within Agenda for Change, supported by job evaluation provides for equal pay for work of equal value and is sound.</p><p> </p><p> </p><p> </p><p>However, the Government does wish to see further changes to Agenda for Change; including structural reform so that there is a much stronger link to performance and that the highest pay within any band is received by those staff who make the greatest contribution.</p><p> </p><p> </p><p> </p><p>Agenda for Change also needs to be fairer across all pay bands, rather than currently where higher paid staff receive higher progression. We have urged NHS trade unions to work with NHS Employers on longer term reform of Agenda for Change to ensure it is fairer and financially sustainable.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/10/2014 16:28:04 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1511 label Biography information for Lord Austin of Dudley