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1110531

	registered interest
	date	09/04/2019
	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	Operating Theatres
	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 (a) reduce delays and (b) increase efficiency in operating theatres.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	242839
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>I refer the hon. Member to the answer I gave on 10 April to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=239987" target="_blank">239987</a>.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/04/2019 14:44:20 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1110533

	registered interest
	date	09/04/2019
	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: Staff
	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 support NHS staff with (a) stress and (b) depression.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	242841
	answer	answer is ministerial correction date of answer 12/04/2019 answer text <p>I refer the hon. Member to the answer I gave on 10 April 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-04-02/239989/" target="_blank">239989</a>.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/04/2019 13:51:06 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1110546

	registered interest
	date	09/04/2019
	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	Breast Cancer: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether there are breast cancer medicines that are not expected to have a six-week supply stockpiled by 12 April 2018.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	242661
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority. However, as a responsible Government we must plan for every possible outcome including ‘no deal’.</p><p> </p><p>The Government has been working closely with industry to ensure the supply of medicines, including medical radioisotopes, can continue uninterrupted in the event of a ‘no deal’ EU exit.</p><p> </p><p>The Department is unable to discuss specific companies and medicines because, to reassure participating companies, we have committed to treating all information received confidentially, securely and to use it only for the purposes of the Department’s programme. However, we continue to work with all suppliers to ensure their plans remain on track.</p><p> </p><p>We are confident that, if everyone does what they need to do, the supply of medicines and medical products will be uninterrupted.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/04/2019 12:50:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1110607

	registered interest
	date	09/04/2019
	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	Doctors: Palestinians
	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 successful applications there have been for the Medical Training Initiative from applicants from the Occupied Palestinian Territories in each month since January 2018.
	tabling member constituency	Islington South and Finsbury
	tabling member printed	Emily Thornberry
	uin	242757
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>The Medical Training Initiative (MTI), within which the International Surgical Training Programme (ISTP) operates, enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country.</p><p> </p><p>Applicants are prioritised if they are from countries on the Department for International Development approved priority list and Lower Income and Lower Middle Income priority countries.</p><p> </p><p>The information is not held by the Department in the format requested. However, the following table shows the total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 by headcount.</p><p> </p><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 headcount</p><table><tbody><tr><td><p><em> </em></p></td><td><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI</p></td></tr><tr><td><p>April 2017 to March in 2018</p></td><td><p><em>-</em></p></td></tr><tr><td><p>April 2018 to December 2018</p></td><td><p><em>-</em></p></td></tr></tbody></table><p>Source: Academy of Medical Royal Colleges internal management information</p><p> </p><p>Notes:</p><p><em>“-“ </em>indicates a number between one and ten that has been suppressed for confidentiality reasons</p><p> </p><p>The Department has regular discussions with both the National Health Service and higher education institutions on a range of policy initiatives. The ISTP is run by the Royal College of Surgeons, and the Academy of Medical Royal Colleges has oversight in its role as the organising body behind the MTI, of which the ISTP forms part. As such, any decision allocation of places on the ISTP will necessarily be developed by the institution(s) running the programme in the first instance.</p><p> </p><p>Information on the number of people from the Occupied Palestinian Territories and Gaza that have travelled to the UK to take part in the ISTP since the start of 2018 is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242758 242759 242761 question first answered 16/04/2019 14:41:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1536 label Biography information for Emily Thornberry

1110608

	registered interest
	date	09/04/2019
	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	Doctors: Palestinians
	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 make it his policy to work with (a) the NHS and (b) universities to increase the number of places available on the International Surgical Training Programme for trauma surgeons from Gaza.
	tabling member constituency	Islington South and Finsbury
	tabling member printed	Emily Thornberry
	uin	242758
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>The Medical Training Initiative (MTI), within which the International Surgical Training Programme (ISTP) operates, enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country.</p><p> </p><p>Applicants are prioritised if they are from countries on the Department for International Development approved priority list and Lower Income and Lower Middle Income priority countries.</p><p> </p><p>The information is not held by the Department in the format requested. However, the following table shows the total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 by headcount.</p><p> </p><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 headcount</p><table><tbody><tr><td><p><em> </em></p></td><td><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI</p></td></tr><tr><td><p>April 2017 to March in 2018</p></td><td><p><em>-</em></p></td></tr><tr><td><p>April 2018 to December 2018</p></td><td><p><em>-</em></p></td></tr></tbody></table><p>Source: Academy of Medical Royal Colleges internal management information</p><p> </p><p>Notes:</p><p><em>“-“ </em>indicates a number between one and ten that has been suppressed for confidentiality reasons</p><p> </p><p>The Department has regular discussions with both the National Health Service and higher education institutions on a range of policy initiatives. The ISTP is run by the Royal College of Surgeons, and the Academy of Medical Royal Colleges has oversight in its role as the organising body behind the MTI, of which the ISTP forms part. As such, any decision allocation of places on the ISTP will necessarily be developed by the institution(s) running the programme in the first instance.</p><p> </p><p>Information on the number of people from the Occupied Palestinian Territories and Gaza that have travelled to the UK to take part in the ISTP since the start of 2018 is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242757 242759 242761 question first answered 16/04/2019 14:41:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1536 label Biography information for Emily Thornberry

1110610

	registered interest
	date	09/04/2019
	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	Doctors: Palestinians
	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 people from the Occupied Palestinian Territories have travelled to the UK to take part in the International Surgical Training Programme since the start of 2018.
	tabling member constituency	Islington South and Finsbury
	tabling member printed	Emily Thornberry
	uin	242759
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>The Medical Training Initiative (MTI), within which the International Surgical Training Programme (ISTP) operates, enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country.</p><p> </p><p>Applicants are prioritised if they are from countries on the Department for International Development approved priority list and Lower Income and Lower Middle Income priority countries.</p><p> </p><p>The information is not held by the Department in the format requested. However, the following table shows the total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 by headcount.</p><p> </p><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 headcount</p><table><tbody><tr><td><p><em> </em></p></td><td><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI</p></td></tr><tr><td><p>April 2017 to March in 2018</p></td><td><p><em>-</em></p></td></tr><tr><td><p>April 2018 to December 2018</p></td><td><p><em>-</em></p></td></tr></tbody></table><p>Source: Academy of Medical Royal Colleges internal management information</p><p> </p><p>Notes:</p><p><em>“-“ </em>indicates a number between one and ten that has been suppressed for confidentiality reasons</p><p> </p><p>The Department has regular discussions with both the National Health Service and higher education institutions on a range of policy initiatives. The ISTP is run by the Royal College of Surgeons, and the Academy of Medical Royal Colleges has oversight in its role as the organising body behind the MTI, of which the ISTP forms part. As such, any decision allocation of places on the ISTP will necessarily be developed by the institution(s) running the programme in the first instance.</p><p> </p><p>Information on the number of people from the Occupied Palestinian Territories and Gaza that have travelled to the UK to take part in the ISTP since the start of 2018 is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242757 242758 242761 question first answered 16/04/2019 14:41:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1536 label Biography information for Emily Thornberry

1110612

	registered interest
	date	09/04/2019
	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	Doctors: Palestinians
	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 people from Gaza have travelled to the UK to take part in the International Surgical Training Programme since the start of 2018.
	tabling member constituency	Islington South and Finsbury
	tabling member printed	Emily Thornberry
	uin	242761
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>The Medical Training Initiative (MTI), within which the International Surgical Training Programme (ISTP) operates, enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country.</p><p> </p><p>Applicants are prioritised if they are from countries on the Department for International Development approved priority list and Lower Income and Lower Middle Income priority countries.</p><p> </p><p>The information is not held by the Department in the format requested. However, the following table shows the total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 by headcount.</p><p> </p><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI between April 2017 and December 2018 headcount</p><table><tbody><tr><td><p><em> </em></p></td><td><p>Total number of successful applicants from the Occupied Palestinian Territories to the MTI</p></td></tr><tr><td><p>April 2017 to March in 2018</p></td><td><p><em>-</em></p></td></tr><tr><td><p>April 2018 to December 2018</p></td><td><p><em>-</em></p></td></tr></tbody></table><p>Source: Academy of Medical Royal Colleges internal management information</p><p> </p><p>Notes:</p><p><em>“-“ </em>indicates a number between one and ten that has been suppressed for confidentiality reasons</p><p> </p><p>The Department has regular discussions with both the National Health Service and higher education institutions on a range of policy initiatives. The ISTP is run by the Royal College of Surgeons, and the Academy of Medical Royal Colleges has oversight in its role as the organising body behind the MTI, of which the ISTP forms part. As such, any decision allocation of places on the ISTP will necessarily be developed by the institution(s) running the programme in the first instance.</p><p> </p><p>Information on the number of people from the Occupied Palestinian Territories and Gaza that have travelled to the UK to take part in the ISTP since the start of 2018 is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242757 242758 242759 question first answered 16/04/2019 14:41:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1536 label Biography information for Emily Thornberry

1110661

	registered interest
	date	09/04/2019
	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	Locums
	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 taking so that Locum Doctors are not being used to fill permanent posts.
	tabling member constituency	Upper Bann
	tabling member printed	David Simpson
	uin	242780
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>The Department is committed to ensuring that trusts can fill permanent medical posts in the most cost-effective way and this means training, recruiting and retaining doctors in these posts on substantive National Health Service contracts rather than relying on locums.</p><p> </p><p>We are addressing the challenge in a variety of ways.</p><p> </p><p>We are increasing the supply of doctors into the NHS. By 2020 there will be an extra 1,500 students entering medical training each year; 630 of these additional trainees took up places on medical courses in September 2018, bringing the total intake for 2018/19 to 6,701. A further 690 places are available this year (2019/20) and the remaining 180 will be available next year (2020/21).</p><p> </p><p>NHS Improvement is working in partnership with NHS Employers to improve staff retention in trusts across England. In July 2017 they launched a major programme which, through targeted support to all NHS trusts in England, aims to stabilise and then bring down leaver rates by 2020. The trust sector has also introduced a number of initiatives including promoting the benefits of NHS employment over agency work, making improvements to NHS staff banks, and increasing the flexibility of substantive contracts.</p><p> </p><p>Even with these measures, it will still be necessary to occasionally use locum doctors to fill vacancies whilst recruitment is taking place so our efforts are also focused on reducing the cost of agency staff.</p><p> </p><p>We are doing this through the use of agency expenditure ceilings, price caps on agency rates and procurement frameworks. As a result, trusts have reduced their total annual expenditure on agency staff by £1.2 billion - from £3.6 billion in 2015/16 to £2.4 billion in 2017/18. This reduction includes a £400 million fall in medical locum expenditure. To further reduce agency spending, and support flexible working, we are also working with NHS Improvement to facilitate the development of tech-enabled staff banks, covering all staff groups, in all trusts.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/04/2019 14:26:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1597 label Biography information for David Simpson

1110730

	registered interest
	date	09/04/2019
	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: Finance
	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 his Department has made of the effect of the Person Based Resource Allocation formula on reducing health inequality in (a) Cambridgeshire and (b) other high-growth areas.
	tabling member constituency	South Cambridgeshire
	tabling member printed	Heidi Allen
	uin	242907
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>NHS England is responsible for decisions on the weighted capitation formula used to allocate resources between clinical commissioning groups (CCGs). This process is independent of Government. NHS England take advice from the Advisory Committee on Resource Allocation (ACRA), a group of academics and other experts.</p><p> </p><p>ACRA has recommended a new approach to health inequalities which was reflected in the CCG allocations published on 10 January 2019.</p><p> </p><p>Population figures for all programme allocations are based on general practitioner registered list sizes, as they have been since 2013-14. Increases for future years are based on the Office for National Statistics estimates of population trends for resident populations, which is the only consistent and robust national data set available to use for this purpose.</p><p> </p><p>Full details of the CCG allocations announcements for 2019-20 to 2023-24 can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/allocations/" target="_blank">https://www.england.nhs.uk/allocations/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242908 242909 question first answered 16/04/2019 14:43:24 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4516 label Biography information for Heidi Allen

1110731

	registered interest
	date	09/04/2019
	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: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan, published in January 2019, when the Advisory Committee on Resource Allocation plans to start its review of the inequalities adjustment to the funding formulae.
	tabling member constituency	South Cambridgeshire
	tabling member printed	Heidi Allen
	uin	242908
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>NHS England is responsible for decisions on the weighted capitation formula used to allocate resources between clinical commissioning groups (CCGs). This process is independent of Government. NHS England take advice from the Advisory Committee on Resource Allocation (ACRA), a group of academics and other experts.</p><p> </p><p>ACRA has recommended a new approach to health inequalities which was reflected in the CCG allocations published on 10 January 2019.</p><p> </p><p>Population figures for all programme allocations are based on general practitioner registered list sizes, as they have been since 2013-14. Increases for future years are based on the Office for National Statistics estimates of population trends for resident populations, which is the only consistent and robust national data set available to use for this purpose.</p><p> </p><p>Full details of the CCG allocations announcements for 2019-20 to 2023-24 can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/allocations/" target="_blank">https://www.england.nhs.uk/allocations/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 242907 242909 question first answered 16/04/2019 14:43:24 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4516 label Biography information for Heidi Allen