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1138122

	registered interest
	date	10/07/2019
	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 recent estimate he has made of staffing levels in the NHS.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	275807
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The National Health Service employs record numbers of dedicated NHS staff that work tirelessly to make sure patients get excellent, safe care. There are over 51,900 more professionally qualified clinical staff, over 16,500 more doctors and almost 10,500 more nurses, midwives and health visitors working in NHS trusts and clinical commissioning groups than in 2010.</p><p>The interim NHS People Plan, published on 3 June 2019, puts staff at the heart of NHS policy and delivery and sets out how we will secure a capable and motivated multidisciplinary healthcare workforce, of a sufficient size, to meet population health needs.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/07/2019 15:52:12 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1137627

	registered interest
	date	08/07/2019
	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	Physician Associates: Regulation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress has been made on plans to introduce legislative proposals on the statutory regulation for physician associates.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	274548
	answer	answer is ministerial correction date of answer 11/07/2019 answer text <p>On 7 February 2019 the Government published its response to the consultation on the Regulation of Medical Associate Professions in the United Kingdom, confirming the decision to introducing statutory regulation for physician associates and anaesthesia associates (formerly known as physicians’ assistants (anaesthesia)).</p><p>Officials have been working with the devolved administrations to establish which regulatory body should regulate these roles as the regulation of new professions is devolved to Scotland and is a transferred matter in respect of Northern Ireland. We expect to announce the decision shortly.</p><p>Once the regulator has been announced, the Government will work with relevant stakeholders to develop the required legislation. Bringing non-regulated healthcare professions into statutory regulation is typically done using Section 60 of the Health Act 1999 and is subject to Parliamentary time.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 274549 question first answered 11/07/2019 11:21:29 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4249 label Biography information for Anne Marie Morris

1137629

	registered interest
	date	08/07/2019
	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	Physician Associates: Regulation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans to announce a decision on whether the (a) General Medical Council or (b) Health and Care Professions Council will be responsible for the regulation of Physician Associates.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	274549
	answer	answer is ministerial correction date of answer 11/07/2019 answer text <p>On 7 February 2019 the Government published its response to the consultation on the Regulation of Medical Associate Professions in the United Kingdom, confirming the decision to introducing statutory regulation for physician associates and anaesthesia associates (formerly known as physicians’ assistants (anaesthesia)).</p><p>Officials have been working with the devolved administrations to establish which regulatory body should regulate these roles as the regulation of new professions is devolved to Scotland and is a transferred matter in respect of Northern Ireland. We expect to announce the decision shortly.</p><p>Once the regulator has been announced, the Government will work with relevant stakeholders to develop the required legislation. Bringing non-regulated healthcare professions into statutory regulation is typically done using Section 60 of the Health Act 1999 and is subject to Parliamentary time.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 274548 question first answered 11/07/2019 11:21:30 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4249 label Biography information for Anne Marie Morris

1137640

	registered interest
	date	08/07/2019
	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 estimate he has made of the proportion of staff in an NHS pension scheme that have received their pension statement on time in each of the last two years.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	274621
	answer	answer is ministerial correction date of answer 11/07/2019 answer text <p>In accordance with the Public Service Pension Act 2013, the NHS Business Services Authority must provide an Annual Benefit Statement (ABS) within five months of the end of a Scheme year. An ABS the build-up of a member’s scheme benefits to the end of the last scheme year, any dependent/survivor benefits and any monies to be deducted from benefits.</p><p>In order to distribute an ABS on time, the NHS Business Services Authority relies on receiving accurate and timely information from employers.</p><p>For the scheme year 2016/17, 2,200,875 statements were made available to members. For scheme year 2017/18, 2,275,125 statements were made available to members. Statements are made available to all active and deferred members. Information is not available regarding the proportion that were made available within five months of the end of each scheme year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/07/2019 11:31:26 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4657 label Biography information for Anneliese Dodds

1137641

	registered interest
	date	08/07/2019
	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 representations his Department has made to Capita on the provision of pension statements to staff in NHS pension schemes in the last 12 months.
	tabling member constituency	Oxford East
	tabling member printed	Anneliese Dodds
	uin	274622
	answer	answer is ministerial correction date of answer 11/07/2019 answer text <p>The Department has made no representations to Capita regarding their administration of general practitioner (GP) pensions in the NHS Pension Scheme. The responsibility for managing the administration of GP pensions is held by NHS England, who have a contract with Capita to provide this service.</p><p>NHS England is aware that improvements are needed to Capita’s administration of GP pensions, and is committed to ensuring these are delivered. A full review of processes is currently being undertaken, where NHS England is working with the NHS Business Services Authority, Primary Care Support England and stakeholder groups such as the British Medical Association to improve processes across specific areas.</p><p>Action plans and revised processes have been developed following this review, and communications have been send to GPs, clinical commissioning groups and GP practice management to ensure that new processes are followed to improve the member experience and reduce inefficiency.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 11/07/2019 11:26:34 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4657 label Biography information for Anneliese Dodds

1136900

	registered interest
	date	04/07/2019
	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 Services: Accountability
	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 referrals have been received by his Department under sub-section 244 of the National Health Service Act 2006 since the implementation of the Health and Social Care Act 2012 by (a) local authority and (b) clinical commissioning group where such a request has been passed to the Independent Reconfiguration Panel; and what the outcome was of any decision.
	tabling member constituency	Stoke-on-Trent Central
	tabling member printed	Gareth Snell
	uin	273476
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>Since the commencement of the Health and Social Care Act in 2012, the Department has received 23 referrals from local authorities and none from clinical commissioning groups (CCGs). CCGs are the bodies that propose service change and do not have the power to refer such changes to the Secretary of State.</p><p>Findings and final advice on each of the 23 cases are set out in detail on the Independent Reconfiguration Panel’s website.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:55:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4595 label Biography information for Gareth Snell

1136937

	registered interest
	date	04/07/2019
	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	Alcoholic Drinks: Misuse
	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 adequacy of training for NHS staff on diagnosing and treating alcohol abuse.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	273324
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>United Kingdom medical schools determine the content of their own curricula. The delivery of these undergraduate curricula have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained. The standards require the curriculum to be formed in a way that allows all medical students to meet the GMC’s ‘Outcomes for Graduates’ by the time they complete their medical degree, which describe knowledge, skills and behaviour they have to show as newly registered doctors.</p><p>The GMC’s ‘Outcomes for Graduates’ state that doctors must be able to recognise and identify factors that suggest patient vulnerability and take action in response. In particular, they must be able to recognise where addiction (including to alcohol) is contributing to ill health and take action by seeking advice from colleagues and making appropriate referrals. Furthermore, the GMC’s Generic Professional Capabilities Framework states that doctors in training must be able to do the same and act on this information.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:59:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1136959

	registered interest
	date	04/07/2019
	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, how many people are employed on a full-time equivalent basis in the (a) cancer, (b) cardiovascular disease, (c) stroke care, (d) diabetes, (e) respiratory disease, (f) adult mental health services and (g) alzheimer’s and dementia care teams.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	273373
	answer	answer is ministerial correction date of answer 12/07/2019 answer text <p>NHS Digital publishes hospital and community health services workforce statistics for NHS trusts and clinical commissioning groups in England. However, the information held by NHS Digital does not capture sufficient level of detail to identify those working in specific care teams.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/07/2019 10:13:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3957 label Biography information for Martin Vickers

1136633

	registered interest
	date	03/07/2019
	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 assessment his Department has made of the effect of the UK leaving the EU without a deal on his Department’s ability to bring forward and implement the NHS Workforce Plan.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	272719
	answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The NHS interim People Plan was published on 3 June 2019, it puts staff at the heart of National Health Service policy and delivery and sets out a shared vision and the actions the NHS will take now and over the long term to meet the challenges of supply, reform, culture and leadership. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>This is a priority which the Government is committed to delivering regardless of the manner in which we exit the European Union.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:37:28 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1136208

	registered interest
	date	02/07/2019
	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	Pharmacy: 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 recent discussions he has had with the Secretary of State for the Home Department on the exclusion of pharmacists from the shortage occupation list and the effect of that exclusion on the community pharmacy sector.
	tabling member constituency	St Austell and Newquay
	tabling member printed	Steve Double
	uin	272177
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Home Secretary on a range of subjects including immigration policy and its impact on the health and social care sectors.</p><p>The Government is committed to ensuring that the National Health Service has the right number of pharmacists and other healthcare professionals that it needs.</p><p> </p><p>Latest NHS Digital data shows there are 4,300 more pharmacists in March 2019 than there were in March 2010.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/07/2019 11:02:26 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4452 label Biography information for Steve Double

1136232

	registered interest
	date	02/07/2019
	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	Department of Health and Social Care: Brexit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what preparations his Department is making for the UK leaving the EU without an agreement; and how much funding has been allocated to those preparations.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	272107
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>As a responsible Government, we continue preparations to minimise any disruption in a ‘no deal’ scenario. We are putting in place a range of mitigations, these include:</p><p>- leading a procurement exercise to secure an ‘express freight service’, with the aim to secure transport of small medical supply consignment into the United Kingdom within the 24 hours if the UK leaves the European Union without a deal;</p><p>- changing or clarifying regulatory requirements so that companies can continue to sell their products in the UK if we have ‘no deal’;</p><p>- working with industry to improve trader readiness in preparation for the new customs procedures that will come into force on day one if we leave the EU without a deal; and</p><p>- advising travellers to ensure they have comprehensive travel insurance.</p><p>HM Treasury has allocated over £4.2 billion of additional funding to departments and devolved administrations for EU exit preparations so far. This breaks down as £412 million over the spending review period for the Department for Exiting the European Union, Department for International Trade and the Foreign and Commonwealth Office (Autumn Statement 2016); £286 million of additional funding for 2017/18 (a full breakdown of which can be found in Supplementary Estimates 2017/18); over £1.5 billion for 2018/19 (Supplementary Estimates 2018/19); and over £2 billion for 2019/20 (Main Estimates 2019/20).</p><p>This funding is to cover all exit scenarios and is in addition to departmental efforts to reprioritise from business as usual toward preparations for the UK’s departure from the EU. Work on ‘no deal’ exit preparations cannot be readily separated from other EU exit work, given the significant overlap in plans in many cases.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/07/2019 16:41:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1136243

	registered interest
	date	02/07/2019
	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	Radioisotopes: Imports
	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 he has had with representatives of suppliers of medical radioisotopes on the feasibility of using air freight to import their products in the event that the UK leaves the EU without a deal.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272239
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p>The Department continues to work closely with the devolved administrations, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or wider European Economic Area (EEA) setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ exit scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that some medical radioisotopes have a short shelf life and cannot be stockpiled. Therefore, as part of the Department’s contingency planning ahead of a possible March/April 2019 ‘no deal’ scenario, where medical radioisotope products were imported to the UK from the EU or EEA via road haulage and roll-on, roll-off sea, road and rail routes, we asked suppliers to ensure that they had plans in place to air freight those products to avoid any border delays that may have arisen in a no-deal scenario. We worked extensively with these suppliers to ensure plans were in place and are continuing to do so, to ensure that robust contingency arrangements continue to be in place ahead of a possible ‘no deal’ EU exit on 31 October.</p><p> </p><p>The Department has not had discussions with the Civil Aviation Agency in relation to this issue as they are the Government’s expert arm’s length body for the safety, security and economic regulation of civil aviation in the UK. We are, however, working very closely with the Department for Transport.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272240 272241 question first answered 10/07/2019 16:43:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136244

	registered interest
	date	02/07/2019
	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	Radioisotopes: Imports
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what representations he has received from the suppliers of medical radioisotopes on the potential risk to the import of those instruments in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272240
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p>The Department continues to work closely with the devolved administrations, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or wider European Economic Area (EEA) setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ exit scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that some medical radioisotopes have a short shelf life and cannot be stockpiled. Therefore, as part of the Department’s contingency planning ahead of a possible March/April 2019 ‘no deal’ scenario, where medical radioisotope products were imported to the UK from the EU or EEA via road haulage and roll-on, roll-off sea, road and rail routes, we asked suppliers to ensure that they had plans in place to air freight those products to avoid any border delays that may have arisen in a no-deal scenario. We worked extensively with these suppliers to ensure plans were in place and are continuing to do so, to ensure that robust contingency arrangements continue to be in place ahead of a possible ‘no deal’ EU exit on 31 October.</p><p> </p><p>The Department has not had discussions with the Civil Aviation Agency in relation to this issue as they are the Government’s expert arm’s length body for the safety, security and economic regulation of civil aviation in the UK. We are, however, working very closely with the Department for Transport.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272239 272241 question first answered 10/07/2019 16:43:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136245

	registered interest
	date	02/07/2019
	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	Radioisotopes: Imports
	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 he has had with the Civil Aviation Authority on the potential risk to the import of medical radioisotopes in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272241
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p>The Department continues to work closely with the devolved administrations, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or wider European Economic Area (EEA) setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ exit scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that some medical radioisotopes have a short shelf life and cannot be stockpiled. Therefore, as part of the Department’s contingency planning ahead of a possible March/April 2019 ‘no deal’ scenario, where medical radioisotope products were imported to the UK from the EU or EEA via road haulage and roll-on, roll-off sea, road and rail routes, we asked suppliers to ensure that they had plans in place to air freight those products to avoid any border delays that may have arisen in a no-deal scenario. We worked extensively with these suppliers to ensure plans were in place and are continuing to do so, to ensure that robust contingency arrangements continue to be in place ahead of a possible ‘no deal’ EU exit on 31 October.</p><p> </p><p>The Department has not had discussions with the Civil Aviation Agency in relation to this issue as they are the Government’s expert arm’s length body for the safety, security and economic regulation of civil aviation in the UK. We are, however, working very closely with the Department for Transport.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272239 272240 question first answered 10/07/2019 16:43:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136246

	registered interest
	date	02/07/2019
	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: Drugs
	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 he has had with his EU counterparts on the supply of medicines from other EU member states in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272242
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that suppliers may incur additional storage costs for stockpiling medicines or switching to air freight We have been working closely with industry to minimise costs and support medicine suppliers taking part in the contingency programme.</p><p>The provision for additional warehouse space procured for a possible 29 March ‘no deal’ exit remains available for the 31 October deadline. The Department expects to spend around £11 million over the life of these contracts.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272243 272244 272245 272246 question first answered 10/07/2019 16:43:54 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136247

	registered interest
	date	02/07/2019
	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: Drugs
	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 effect on the ability of suppliers of medicines based in the EU to maintain medical supplies to the UK in the event that the UK leaves the EU.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272243
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that suppliers may incur additional storage costs for stockpiling medicines or switching to air freight We have been working closely with industry to minimise costs and support medicine suppliers taking part in the contingency programme.</p><p>The provision for additional warehouse space procured for a possible 29 March ‘no deal’ exit remains available for the 31 October deadline. The Department expects to spend around £11 million over the life of these contracts.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272242 272244 272245 272246 question first answered 10/07/2019 16:43:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136248

	registered interest
	date	02/07/2019
	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: Drugs
	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 he has had with his European Union counterparts on the maintenance of supply of medicines from the EU to the UK in the event that the UK leaves the EU without a deal.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272244
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that suppliers may incur additional storage costs for stockpiling medicines or switching to air freight We have been working closely with industry to minimise costs and support medicine suppliers taking part in the contingency programme.</p><p>The provision for additional warehouse space procured for a possible 29 March ‘no deal’ exit remains available for the 31 October deadline. The Department expects to spend around £11 million over the life of these contracts.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272242 272243 272245 272246 question first answered 10/07/2019 16:43:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136249

	registered interest
	date	02/07/2019
	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: Drugs
	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 effect on the finances of medicine suppliers in the UK of stockpiling an additional six weeks supply of medicines in the event that the UK leaves the EU without a deal.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272245
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that suppliers may incur additional storage costs for stockpiling medicines or switching to air freight We have been working closely with industry to minimise costs and support medicine suppliers taking part in the contingency programme.</p><p>The provision for additional warehouse space procured for a possible 29 March ‘no deal’ exit remains available for the 31 October deadline. The Department expects to spend around £11 million over the life of these contracts.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272242 272243 272244 272246 question first answered 10/07/2019 16:43:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136250

	registered interest
	date	02/07/2019
	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: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much his Department spent from the public purse on additional warehouse space to stockpile medicines in advance of (a) the 29 March 2019 and (b) the 31 October 2019 deadline to prepare for the UK leaving the EU without a deal.
	tabling member constituency	Ceredigion
	tabling member printed	Ben Lake
	uin	272246
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government maintains that leaving the European Union with a deal is the best exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential ‘no deal’ scenario on 31 October. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>We recognise that suppliers may incur additional storage costs for stockpiling medicines or switching to air freight We have been working closely with industry to minimise costs and support medicine suppliers taking part in the contingency programme.</p><p>The provision for additional warehouse space procured for a possible 29 March ‘no deal’ exit remains available for the 31 October deadline. The Department expects to spend around £11 million over the life of these contracts.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 272242 272243 272244 272245 question first answered 10/07/2019 16:43:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4630 label Biography information for Ben Lake

1136293

	registered interest
	date	02/07/2019
	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	Royal Liverpool University Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information he holds on the reasons why demolitions have recently been carried out at the new Royal Liverpool University Hospital; and if he will make a statement.
	tabling member constituency	Liverpool, Riverside
	tabling member printed	Dame Louise Ellman
	uin	272122
	answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The Royal Liverpool and Broadgreen University Hospitals NHS Trust is working closely with Laing O’Rourke and external advisers in undertaking a fully-costed assessment of all the works needed to complete the new Royal Liverpool Hospital. This includes significant works required to fix the structural issues and defective works that have been identified following the termination of the private finance initiative contract in 2018. This assessment will be set out in a business case, which the Trust intends to submit to NHS Improvement and the Department for approval soon. In the meantime, preparation work is already underway by Laing O’Rourke.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:29:52 answering member 1585 label Biography information for Stephen Hammond
	tabling member	484 label Biography information for Dame Louise Ellman

1135774

	registered interest
	date	01/07/2019
	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 is he taking to improve retention of NHS staff.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	271455
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS Improvement and NHS Employers have been leading programmes of support with trusts, working to improve the retention of the nursing workforce. A universal offer of support has been provided to all trusts, and NHS Improvement continues to provide a direct programme of support to trusts with the highest attrition rates in order to support improvements in retention.</p><p>Strategies include targeted support on areas such as flexible working, supporting new starters and older workers, and development and career planning. NHS Improvement and NHS Employers are releasing resources and case studies to disseminate best practice models.</p><p>The new contract for junior doctors (2016) enshrines safe working, high quality training and ensures fair pay for work done.</p><p>We are also committed to offering improved working lives, flexible training options, and rewarding careers and conditions. On 24 June, Health Education England published ‘Enhancing Junior Doctors’ Working Lives – annual progress report 2019’ and the work it has undertaken in this area. The programme includes a range of initiatives to help to retain doctors in the National Health Service, ensuring that the junior doctors who work so hard throughout their training feel supported at work. The report is available at the following link:</p><p><a href="https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training" target="_blank">https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training</a></p><p>NHS England and Health Education England are working together with the medical profession to increase the general practitioner (GP) workforce and support GPs to remain in the NHS. Actions include a GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time for Care Programme.</p><p>Action to improve NHS staff retention in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:54:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1135775

	registered interest
	date	01/07/2019
	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, if he will reinstate the student nurse bursary.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	271456
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government has no plans to reinstate the bursaries for nursing degrees in England. The tuition fee model means universities can offer more training places removing the cap that was in place under the previous centrally funded system. Eligible pre-registration nursing and midwifery students can now receive more funding than under the National Health Service bursary system through tuition fee loans and living cost support from the Student Loans Company.</p><p>The interim People Plan published on 3 June 2019 sets out some of the steps needed to ensure the NHS have the staff they need to deliver high quality care, including growing our nursing workforce by 40,000 in the next five years.</p><p>Nurse education, training and funding in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:58:19 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1135824

	registered interest
	date	01/07/2019
	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: 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 recent assessment he has made of the level of availability of (a) places on UK Foundation Programme F1 and F2 courses and (b) work within the NHS for course graduates.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	271363
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The UK Foundation Programme can be under- or over-subscribed as it is subject to variation for a number of reasons. In 2018 there was a fill rate of 98.6%<sup>1</sup>, however in 2019 there were initially more eligible applicants than available places. Additional places have now been provided, meaning all eligible graduates have been allocated a Foundation Programme post to start from August 2019.</p><p>For specialty training programmes, the current overall fill rate is slightly higher than in 2018, with 83.8% of training posts currently accepted for programmes beginning in 2019, compared to 81.9% at the same stage last year<sup>2</sup>. Some specialties will continue to recruit through further rounds, and therefore the number of trainees is likely to rise.</p><p> </p><p>Notes:</p><p><sup>1</sup>http://www.foundationprogramme.nhs.uk/sites/default/files/2018-09/2018%20Recruitment%20Summary%20Report.pdf</p><p><sup>2</sup>https://www.hee.nhs.uk/our-work/medical-recruitment/specialty-recruitment-round-1-acceptance-fill-rate</p><p><strong> </strong></p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:04:12 answering member 1585 label Biography information for Stephen Hammond
	tabling member	478 label Biography information for Lord Field of Birkenhead

1135827

	registered interest
	date	01/07/2019
	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 England: Private Sector
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the total payments made by NHS England to private providers in each of the last five years.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	271400
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Total spending by NHS Commissioners on private health providers in each of the last five years for which figures are available is shown in the following table.</p><table><tbody><tr><td><p>NHS Commissioners' spend on non National Health Service bodies by organisation type</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td></tr><tr><td><p>Independent sector providers</p></td><td><p>6,467</p></td><td><p>8,067</p></td><td><p>8,818</p></td><td><p>9,007</p></td><td><p>8,765</p></td></tr></tbody></table><p><br> Note: 1. The numbers above have been collected separately from audited accounts data and may include estimates.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 11:03:36 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1135855

	registered interest
	date	01/07/2019
	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 steps he is taking to help mitigate the effect of pension taxation on the NHS.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	271375
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>I laid provided a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-06-04/HCWS1587/" target="_blank">HCWS1587</a>) on 4 June 2019 setting out the interim People Plan for the National Health Service. As part of this, it was announced that the Department would publish a consultation exploring proposals to introduce greater pension flexibility for clinicians in the NHS Pension Scheme. Increased flexibility is designed to address disincentives that may encourage senior clinicians to limit or reduce their workloads whilst participating in the NHS Pension Scheme.</p><p>The consultation will propose a 50:50 option which is intended to provide increased flexibility to clinicians regarding the growth of their NHS Pension Scheme benefits. This option will offer a 50% pension accrual and halved contributions. It was requested by the British Medical Association earlier this year, and they have welcomed this as a step in the right direction.</p><p>Retaining and maximising the contribution of our highly-skilled clinical workforce is crucial to the delivery of the ambitions for patient care set out in the Long Term Plan for the NHS. Accordingly, the Government is prepared to provide pension flexibility that appropriately balances the benefit of new flexibilities with their affordability to the public purse.</p><p>The consultation period will be an opportunity to listen to a range of views before reaching a final proposition that works for both staff and taxpayers. The Department encourages staff and employers to engage with our consultation when it opens this month.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:05:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	478 label Biography information for Lord Field of Birkenhead