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1109221

	registered interest
	date	02/04/2019
	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: Consultants
	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 pensions annual allowance tax on the availability of NHS consultants.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	239952
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitments. We are also listening carefully to concerns raised by senior doctors and NHS employers about the impact of the tapered annual allowance.</p><p> </p><p>In listening to concerns, the Department has sought to make available to NHS Pension Scheme members all possible flexibility under Her Majesty’s Revenue and Customs legislation and the current fiscal framework for public sector pension schemes. The scope of the voluntary ‘Scheme Pays’ facility, implemented by the NHS Pension Scheme to allow scheme members to pay annual allowance charges from the value of their pension benefits rather than upfront, has been extended to cover the payment of tax charges from breaches of the tapered annual allowance.</p><p> </p><p>The Government keeps the impact of public sector pay and pensions policies under constant review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 10:36:39 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4079 label Biography information for Julian Sturdy

1109267

	registered interest
	date	02/04/2019
	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 improve efficiency in operating theatres.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239987
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>NHS Improvement has an ongoing programme to help trusts reduce their waiting times for patients by making better use of their theatre time. This has been supported by their theatre productivity report ‘Operating theatres: opportunities to reduce waiting lists’ which includes insights to support clinicians, managers and hospital leaders to further challenge themselves to improve how care is delivered and how valuable theatre resources and clinical expertise can be best used. NHS Improvement is taking steps to help trusts meet the challenges outlined in the report, including:</p><p>- Running workshops in the five English National Health Service regions so that trusts can learn from those that have made productivity and capacity gains through structured improvement work;</p><p> </p><p>- Getting It Right First Time (GIRFT) is supporting trusts to deliver quality and productivity improvements for patients in many surgical specialties; and</p><p> </p><p>- NHS Improvement’s regional teams are supporting trusts with theatre improvement work, using the insights from our analysis and drawing on expert advice from the GIRFT programme.</p><p> </p><p>‘Operating theatres: opportunities to reduce waiting lists’ is available via the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/operating-theatres-opportunities-reduce-waiting-lists/" target="_blank">https://improvement.nhs.uk/resources/operating-theatres-opportunities-reduce-waiting-lists/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:26:41 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1109268

	registered interest
	date	02/04/2019
	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	Joint Replacements
	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 that have had a (a) hip, (b) knee and (c) shoulder replacement had to have a second replacement within 10 to 20 years in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239988
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The information requested is not centrally collected.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:25:15 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1109269

	registered interest
	date	02/04/2019
	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 are being taken to help NHS staff experiencing (a) stress and (b) depression.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239989
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Supporting the mental health of National Health Service staff is the responsibility of NHS employers. NHS trusts are being supported to do this through the NHS staff health and wellbeing framework and NHS Improvement’s NHS staff health and wellbeing collaborative. Both incorporate the mental health standards in ‘Thriving at Work – a review of mental health and employers’ produced by Mind.</p><p> </p><p>Recommendations from the ‘NHS Staff and Learner Mental Wellbeing Programme’ report are being prioritised. The report contained recommendations to support improved mental wellbeing and address gaps or deficiencies in the system, including:</p><p>- the introduction of the Well Being Guardian in every NHS trust and for primary care at a local level to be determined;</p><p> </p><p>- the development of personal wellbeing supervisors for learners that are distinct from those assessing the learner and check-ins with those tutors within two weeks of placement;</p><p> </p><p>- a national NHS protocol implemented in every NHS organisation to independently examine the death by suicide of any member of NHS staff or a learner working in the NHS; and</p><p> </p><p>- the creation of/facilitating access to ‘safe spaces’ which are accessible to all to be used for reflection, learning and during breaks.</p><p> </p><p>The Workforce Implementation Plan (WIP) announced in the NHS Long Term Plan is prioritising recommendations from Health Education England’s ‘Mental Health Commission on NHS staff and learners’ which should give staff access to board level Well Being Guardians and personal wellbeing supervisors, complementing work with the Care Quality Commission and NHS Improvement to ensure staff have high quality supportive supervision and are not asked to work excessive hours. Staff now report any pressure to work excessive hours to the Guardian of Safe Working.</p><p> </p><p>The WIP is also expected to include proposals for making the NHS the best place to work with further commitments to improve staff health and wellbeing, tackling violence, abuse and bullying of staff and provide better opportunities for flexible working.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 10:35:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1110001

	registered interest
	date	05/04/2019
	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
	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 Health and Social Care Act 2012, Section 23 The NHS Commissioning Board: further provision, when he plans to publish and lay before Parliament the NHS mandate for 2019-20; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	241432
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>For 2019-20, the Government has combined the mandate to NHS England and the remit for NHS Improvement into a single Accountability Framework with both arm’s length bodies. This reflects their shared role in leading the National Health Service to take forward its Long Term Plan, with 2019-20 being a critical year as the NHS transitions into full Plan implementation. We will lay and publish the document at the earliest practical opportunity.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:27:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1109120

	registered interest
	date	02/04/2019
	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
	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 impact assessments on the UK leaving the EU that he instructed NHS trusts to carry out in October 2018.
	tabling member constituency	Edinburgh North and Leith
	tabling member printed	Deidre Brock
	uin	240030
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The self-assessment exercise referred to related only to non-clinical goods and services received by National Health Service trusts from external suppliers. The Department does not intend to publish the details of this impact assessment, as it contains supplier specific information that is considered to be commercially confidential.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 10:33:43 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4417 label Biography information for Deidre Brock

1109507

	registered interest
	date	03/04/2019
	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: Pensions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the cumulative effect on NHS (a) staff and (b) patients of the (i) reduction in annual allowance for pension growth, (ii) introduction of the tapering of the annual allowance and (iii) introduction of the 2015 NHS pension scheme.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	240516
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The Department recognises that the tapered annual allowance may contribute to decisions from National Health Service staff to retire early or limit their NHS commitments. We are listening carefully to concerns raised by senior doctors and NHS employers about the impact of the tapered annual allowance.</p><p> </p><p>In listening to concerns, the Department has sought to make available to NHS Pension Scheme members all possible flexibility under Her Majesty’s Revenue and Customs legislation and the current fiscal framework for public sector pension schemes. The scope of the voluntary ‘Scheme Pays’ facility, implemented by the NHS Pension Scheme to allow scheme members to pay annual allowance charges from the value of their pension benefits rather than upfront, has been extended to cover the payment of tax charges from breaches of the tapered annual allowance. The Government keeps the impact of public sector pay and pensions policies under constant review.</p><p> </p><p>The 2015 NHS Pension Scheme is a generous and valuable part of staff reward packages and remains one of the best schemes available. As it is a career average pension scheme it delivers a fairer pension to all members compared with the previous final salary pension scheme that favoured those higher earners with higher career pay progression. Its introduction ensures that NHS staff receive financial security in retirement, and that the scheme is affordable to the taxpayer.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:24:36 answering member 1585 label Biography information for Stephen Hammond
	tabling member	478 label Biography information for Lord Field of Birkenhead

1109186

	registered interest
	date	02/04/2019
	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: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to reduce waiting times (a) for NHS operations and (b) between admission and treatment at A&E throughout London.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	239894
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>There is significant work underway to improve waiting times both throughout London and nationally.</p><p> </p><p>Locally, at Lewisham and Greenwich NHS Trust and wider South East London Sustainability and Transformation Partnership for example, there are several plans in place to improve accident and emergency (A&amp;E) and elective care waiting times.</p><p> </p><p>In relation to A&amp;E, a new clinical facility at Queen Elizabeth Hospital has increased bed capacity by 44 beds; the SAFER and Red2Green programme is working to improve discharges processes so that more patients are not only discharged on time but are also admitted more quickly; and there has been an increase in the number of clinical staff in the Urgent Care Centre to meet the unexpected increase in number of patients from the beginning of March.</p><p> </p><p>For elective care, a theatre productivity programme is in place to increase the number of patients who undergo an operation at the Trust during 2019/20, and an outpatient transformation programme is increasing the efficiency of the outpatients’ department, reducing the waiting times for patients who require an outpatients’ appointment. For cancer, the Trust is working with the south-east London cancer network to improve cancer pathways so that waiting times are reduced. The Trust has also secured additional endoscopy capacity to ensure additional patients can undergo diagnosis tests at weekends.</p><p> </p><p>Reducing elective care waiting times continues to be a high priority for the NHS. The NHS Long Term Plan sets out the NHS priorities going forward and reiterates the focus to increase the amount of planned surgery year-on-year, to cut long waits, and reduce the size of hospital waiting lists.</p><p> </p><p>The Clinical Standards Review is all part of delivering the clear commitments set out in the NHS Long Term Plan to improve urgent and emergency care performance and reduce provider waiting lists over the next five years, as well as delivering the new ambitions set out, all within the final long-term funding settlement. The clinically-led review of standards is considering the appropriateness of operational standards for physical and mental health relating to planned, unplanned urgent or emergency care, as well as cancer.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:31:08 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1198 label Biography information for Sir David Evennett