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1141022

	registered interest
	date	22/07/2019
	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	Brain: Injuries
	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 his Department has made of the number of people treated for a head injury by age-group for each of the last 25 years.
	tabling member constituency	Berwick-upon-Tweed
	tabling member printed	Anne-Marie Trevelyan
	uin	280449
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Data is not available in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:36:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4531 label Biography information for Anne-Marie Trevelyan

1140808

	registered interest
	date	22/07/2019
	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	Public Health: Expenditure
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the percentage change has been in the (a) NHS budget and (b) local authority public health grant in each year from 2013-14 to 2019-20.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	280248
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2013:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England funding increase %</p></td><td><p>Public Health Grant increase %</p></td></tr><tr><td><p>2013/14</p></td><td><p>First year of NHS England</p></td><td><p>5.5%</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.6%</p></td><td><p>5%</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.3%</p></td><td><p>24%<sup>1,2</sup></p></td></tr><tr><td><p>2016/17</p></td><td><p>5.5%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017/18</p></td><td><p>3.6%</p></td><td><p>-2.5%<sup>3</sup></p></td></tr><tr><td><p>2018/19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr><tr><td><p>2019/20</p></td><td><p>7.8%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1 </sup>2015-16 includes a £200 million in-year cut implemented in advance of Spending Review 2015.</p><p><sup>2 </sup>Spending Review 2015 baseline, includes the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 – 5 in October 2015.</p><p><sup>3 </sup>From 2017/18, includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:34:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1140948

	registered interest
	date	22/07/2019
	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: Recruitment
	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 is taking to support the recruitment and retention of nurses in (a) London and (b) England.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	280144
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Capital Nurse is a National Health Service programme with over 90 projects working to support recruitment and retention of nurses in London<em>. </em>The Capital Nurse vision and objective is to ‘get nursing right for London’, so that London has the right number of nurses, with the right skills in the right place, working to deliver excellent nursing wherever it is needed. The programme is jointly sponsored by Health Education England, NHS England and NHS Improvement.</p><p>NHS Improvement and NHS Employers have been working in partnership to deliver a national programme of action to support NHS trusts to improve retention of the nursing and clinical workforce. This provides targeted support to trusts on key issues affecting retention, such as flexible working, supporting new starters and older workers, and development and career planning. Trusts’ commitment has enabled a national improvement in nursing turnover rates from 12.5% to 11.9% since the beginning of the programme (June 2017).</p><p>Around 1 million NHS workers are already benefiting from the Agenda for Change (3 year) pay and contract reform deal agreed last year. The deal includes important changes to pay and non-pay benefits to help support recruitment and retention of all staff, including nurses, and boost productivity in return for additional pay investment.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:31:17 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1198 label Biography information for Sir David Evennett

1140540

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups: North East
	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 an assessment of the potential effect on public engagement in the NHS of the proposed merger of five clinical commissioning groups in the North East.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279425
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The clinical commissioning groups (CCGs) are currently looking at different options as to how they can work together in the future to consolidate their current collaborative working arrangements. The emerging preferred option from the public, member, staff, partner and stakeholder engagement so far, is a single CCG in Durham, which would be co-terminus with the local authority and a single CCG in the Tees Valley (covering the Tees Combined Authority area) with a shared management arrangement.</p><p>The CCGs in Durham have been working together for some time with joint appointments since 2014 and ‘in-common’ meetings since May 2017. NHS Durham Dales, Easington and Sedgefield CCG and NHS North Durham CCG also have a shared lay member for patient and public participation.</p><p>Should the CCGs decide to progress the merger application at the end of August, a Communication and Engagement Strategy, which is currently in development, will be submitted with the application.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:28:03 answering member 1585 label Biography information for Stephen Hammond previous answer version 131081 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1140542

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups
	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 merits of the change from primary care trusts to clinical commissioning groups for the NHS.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279427
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>On 1 April 2013, clinical commissioning groups (CCGs) replaced primary care trusts (PCTs) as the primary commissioner of National Health Service services in England.</p><p>Unlike PCTs, CCGs are clinically led, and so are better able to use clinical expertise to assess and prioritise those treatments that provide the safest and most effective outcomes for their population. The evidence suggests that general practitioner-led CCGs have allowed the redesign of patient pathways and local services based on clinical evidence, and a more effective dialogue and partnership with other parts of the health system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:26:05 answering member 1585 label Biography information for Stephen Hammond previous answer version 131080 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1141095

	registered interest
	date	22/07/2019
	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	Society of Homeopaths
	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 patients of the accreditation of the Society of Homeopathy by the Professional Standards Authority.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	280213
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department has made no assessment of the effect on patients of the accreditation of the Society of Homeopathy by the Professional Standards Authority (PSA).</p><p>The PSA sets standards for organisations holding voluntary registers for health and social care occupations and accredits those registers that meet them. The PSA’s list of accredited registers can be used by employers and members of the public to choose a practitioner to meet their needs and be assured they are safe and competent to practise.</p><p>The PSA is clear that accreditation is not an endorsement of a particular treatment or therapy or its efficacy but ensures that practitioners are part of a body that works to good practice and is committed to protecting the public.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:24:37 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1506 label Biography information for Andrew Gwynne

1139444

	registered interest
	date	16/07/2019
	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, with reference to his oral evidence at the Health and Social Care Committee on 9 July 2019, if he will place in the Library his Department’s latest assessment of (a) the appropriate level of warehousing capacity required for stockpiling medicines and (b) the flow assumptions of importing medicines in the event that the UK leaves the EU without a deal.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	277759
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>To ensure sufficient space to store stockpiled medicines, we agreed contracts for additional warehouse space, including ambient, refrigerated and controlled drug storage aligned to the possible 29 March exit date. All these types of storage remain available and should be sufficient to meet the additional needs of medicines suppliers to enable them to build or rebuild their stockpiles prior to 31 October. The original procurement was carried out to give additional leeway should the level of storage required be greater than initially estimated. As part our contingency planning for a possible ‘no deal’ European Union exit on 31 October, we have re-assessed the additional warehouse capacity required to meet the six-week stockpile request made of industry and have confidence that the current capacity we have in place for 31 October will be sufficient.</p><p>The Government’s Border Delivery Group has been reviewing the readiness of border infrastructures and of traders to comply with customs and borders processes in the United Kingdom and the EU. While the predicted flow rate across the short straits has improved slightly since 29 March, significant disruption would be expected for six months following a ‘no deal’ exit, with the most severe period being the first three months.</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 23/07/2019 15:30:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4382 label Biography information for Daniel Zeichner

1140338

	registered interest
	date	18/07/2019
	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	Accident and Emergency Departments: Nottinghamshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average waiting time for patients attending the accident and emergency departments at (a) Sherwood Forest and (b) Nottingham University hospitals was in the last 12 months for which data is available.
	tabling member constituency	Ashfield
	tabling member printed	Gloria De Piero
	uin	278943
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>The information is not held in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/07/2019 15:29:27 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3915 label Biography information for Gloria De Piero

1140329

	registered interest
	date	18/07/2019
	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	Clinical Commissioning Groups: 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 discussions he has had with the (a) CEO, (b) Accountable Officers and (c) chief nurses of the CCGs rated as inadequate in NHS England’s assessment framework on the performance of those CCGs; what measures have been agreed to help ensure improvement of the performance of those CCGs; and if he will make a statement.
	tabling member constituency	North Thanet
	tabling member printed	Sir Roger Gale
	uin	278885
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has meetings with many health leaders and other key stakeholders on a regular basis.</p><p> </p><p>All clinical commissioning groups (CCGs) rated as inadequate in the annual performance assessment of CCGs are placed in NHS England’s special measures regime. This is a non-statutory, internal support regime, tailored to the CCG’s circumstances, requiring the delivery of an action plan for improvement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/07/2019 15:27:09 answering member 1585 label Biography information for Stephen Hammond
	tabling member	87 label Biography information for Sir Roger Gale

1139445

	registered interest
	date	16/07/2019
	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 his Department has made of the effect of the stockpiling of goods for sale at Christmas on warehouse capacity for medicines before the UK leaves the EU on 31 October.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	277760
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>As part our contingency planning for 31 October possible ‘no deal’ European Union exit, we have assessed the additional warehouse capacity required to meet the six-week stockpile request made of industry and have confidence that the capacity we have in place for 31 October will be sufficient.</p><p>Our assessment includes potential seasonal fluctuations in demand for medicines, and the storage is secured through to December so it will not be affected by the additional storage required for Christmas goods.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:46:49 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4382 label Biography information for Daniel Zeichner