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1060650

	registered interest
	date	13/02/2019
	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: Greater London
	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 help achieve the 95 per cent four hour A&E waiting time target in (a) Lewisham borough and (b) London.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	220972
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS Improvement is working closely with Lewisham and Greenwich NHS Trust to achieve delivery of the 95% four hour accident and emergency (A&amp;E) standard. Several steps are in place to support the Trust, including monthly oversight meetings between NHS Improvement’s senior leadership team and the Trust’s chief executive team to review performance; provision of NHS Improvement staff for on-site support to review long-stay patients and discharge those who are medically fit to be discharged; and work with mental health providers and the London Ambulance Service to support appropriate placement of mental health patients as well as improve patient handover performance. The Trust also received £500,000 of capital to develop and open a crisis café at the University Hospital Lewisham site, to help prevent avoidable mental health attendances at A&amp;E.</p><p>There are multiple actions underway to support reductions in waiting times for patients in London Emergency Departments. The London Urgent and Emergency Care programme and the Emergency Care Intensive Support Team provide dedicated expertise and support to several trusts<ins class="ministerial"><sup>1</sup></ins>. In addition, circa £26 million of extra capital investment was allocated to trusts across London to increase beds, emergency department capacity, same day emergency care and acute mental health services ahead of winter.</p><p> </p><p><ins class="ministerial"><sup>1</sup>Lewisham and Greenwich, Kings’ College Hospital, Hillingdon, London North West, Imperial, Barking Havering and Redbridge, Barts, Whittingdon, North Middlesex and University College London Hospital.</ins></p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 15:18:21 question first ministerially corrected 21/02/2019 16:45:31 answering member 1585 label Biography information for Stephen Hammond previous answer version 103655 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	4491 label Biography information for Vicky Foxcroft

1023036

	registered interest
	date	10/12/2018
	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: South Yorkshire
	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 2018 Budget, how much of the increase in funding allocated to the NHS over the next five years will be allocated to South Yorkshire.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	200730
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>We are providing the National Health Service with additional real terms funding of £20.5 billion by 2023/24 to meet future healthcare needs. The NHS is developing the long-term plan which will set out a vision for the future of the health system and ensure every penny is well spent. Funding breakdowns to local areas are yet to be finalised, but will be published in due course. This Government is committed to providing high quality care to meet the needs of people across England, including those in South Yorkshire.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/12/2018 11:58:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4243 label Biography information for Dan Jarvis

1029358

	registered interest
	date	20/12/2018
	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: Expenditure
	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 was spent in the main categories of NHS commissioner spending as recorded centrally by NHS England for (a) acute, (b) mental Health, (c) community care, (d) continuing care and (e) primary care by clinical commissioning group in (i) 2015-16, (ii) 2016-17 and (iii) 2017-18.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	204632
	answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>The following table is a summary of the aggregated amount spent in the main categories of National Health Service commissioner spending, as recorded centrally by NHS England, for acute, mental health, community care, continuing care and primary care in 2015-16, 2016-17 and 2017-18.</p><p> </p><p>The data was provided by NHS England. NHS England do not hold clinical commissioning group (CCG) level spending data across all of these categories for all CCGs.</p><p> </p><table><tbody><tr><td><p>Type of Care</p></td><td><p>Amount Spent 2015-16</p></td><td><p>Amount Spent 2016-17</p></td><td><p>Amount Spent 2017-2018</p></td></tr><tr><td><p>Acute</p></td><td><p>£38,247 million</p></td><td><p>£40,107 million</p></td><td><p>£41,411 million</p></td></tr><tr><td><p>Mental health</p></td><td><p>£7,301 million</p></td><td><p>£7,627 million</p></td><td><p>£8,053 million</p></td></tr><tr><td><p>Community</p></td><td><p>£7,088 million</p></td><td><p>£7,115 million</p></td><td><p>£7,348 million</p></td></tr><tr><td><p>Continuing</p></td><td><p>£4,297 million</p></td><td><p>£4,582 million</p></td><td><p>£4,547 million</p></td></tr><tr><td><p>Primary</p></td><td><p>£12,124 million</p></td><td><p>£13,870 million</p></td><td><p>£16,474 million</p></td></tr></tbody></table><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/01/2019 11:21:23 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4666 label Biography information for Dr Paul Williams

1035347

	registered interest
	date	04/01/2019
	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: 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 estimate he has made of the additional staff required by his Department in the event that the UK leaves the EU (a) with and (b) without a deal.
	tabling member constituency	Glasgow South West
	tabling member printed	Chris Stephens
	uin	205315
	answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>Delivering the deal negotiated with the European Union remains the Government’s top priority. This has not changed. However, the Government must prepare for every eventuality.</p><p> </p><p>Given the interactions between EU exit work and the Department’s other priorities, it is not possible to provide an accurate break-down of the additional staff required in the event of deal and no-deal exit scenarios specifically.</p><p> </p><p>The resources available are under constant review and the Department is equipping itself with the resources it needs to deliver a smooth and orderly exit from the EU.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/01/2019 16:01:49 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4463 label Biography information for Chris Stephens

1038465

	registered interest
	date	09/01/2019
	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: Vacancies
	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 tackle staff shortages as part of the NHS Long-Term Plan.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	206726
	answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The National Health Service employs more staff now than at any other time in its 70-year history, with significant growth in newly qualified staff over the period from 2010.</p><p> </p><p>The NHS Long Term Plan published on 7 January 2019 sets out a vital strategic framework to ensure that over the next 10 years the NHS will have the staff it needs so that nurses and doctors have the time they need to care, working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding working closely with Sir David Behan to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/01/2019 12:32:01 answering member 1585 label Biography information for Stephen Hammond
	tabling member	338 label Biography information for Keith Vaz

1039033

	registered interest
	date	10/01/2019
	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	Maternity Services: Foreign Nationals
	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 Ministerial Statement of 12 December 2018 on NHS Overseas Charging Regulations Review 2017, HCWS1174, what assessment was made of the needs of (a) pregnant women and (b) new mothers in that review.
	tabling member constituency	Stretford and Urmston
	tabling member printed	Kate Green
	uin	207239
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department engaged with 79 organisations as part of the process of reviewing the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 and received 57 formal responses. The Department met with and received responses from a number of organisations with expertise in maternity care, including a royal college, maternity staff groups and maternity stakeholder groups. A number of other organisations and individuals who contributed to the review also commented on the impact of the amendment regulations on maternity service users.</p><p> </p><p>Although maternity treatment must always be regarded as immediately necessary, and therefore not subject to the upfront charging requirement, some evidence suggested that overseas visitors may not always be aware of this. The Department has therefore committed to develop user-friendly, culturally-appropriate guidance, that will clarify that maternity treatment is never subject to the upfront charging requirement and ensure this reaches those who may be impacted. The Department has also updated national guidance (published 24 December 2018) to make clear that termination of pregnancy services are to be regarded as urgent, and therefore not subject to the upfront charging requirement, where the overseas visitor cannot reasonably be expected to leave the UK before the date which an abortion may no longer be a viable option.</p><p> </p><p>As a result of the 2017 amendment regulations some secondary care services, including community midwifery services, have become chargeable. However, these services were already chargeable if delivered by hospital employed or directed staff and the removal of the exemption was important in ensuring that charging rules apply in a fair and consistent manner, regardless of where a service is provided. The exemption from the charging regulations for conditions caused by sexual violence remains in place to protect this vulnerable group.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 207240 question first answered 17/01/2019 12:00:46 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4120 label Biography information for Kate Green

1039034

	registered interest
	date	10/01/2019
	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	Maternity Services: Foreign Nationals
	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 Written Statement of 12 December 2018 on NHS Overseas Charging Regulations Review 2017, HCWS1174, what discussions he held with (a) healthcare professionals, (b) non-governmental organisations and (c) others with an expertise in maternity care as part of that review.
	tabling member constituency	Stretford and Urmston
	tabling member printed	Kate Green
	uin	207240
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department engaged with 79 organisations as part of the process of reviewing the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 and received 57 formal responses. The Department met with and received responses from a number of organisations with expertise in maternity care, including a royal college, maternity staff groups and maternity stakeholder groups. A number of other organisations and individuals who contributed to the review also commented on the impact of the amendment regulations on maternity service users.</p><p> </p><p>Although maternity treatment must always be regarded as immediately necessary, and therefore not subject to the upfront charging requirement, some evidence suggested that overseas visitors may not always be aware of this. The Department has therefore committed to develop user-friendly, culturally-appropriate guidance, that will clarify that maternity treatment is never subject to the upfront charging requirement and ensure this reaches those who may be impacted. The Department has also updated national guidance (published 24 December 2018) to make clear that termination of pregnancy services are to be regarded as urgent, and therefore not subject to the upfront charging requirement, where the overseas visitor cannot reasonably be expected to leave the UK before the date which an abortion may no longer be a viable option.</p><p> </p><p>As a result of the 2017 amendment regulations some secondary care services, including community midwifery services, have become chargeable. However, these services were already chargeable if delivered by hospital employed or directed staff and the removal of the exemption was important in ensuring that charging rules apply in a fair and consistent manner, regardless of where a service is provided. The exemption from the charging regulations for conditions caused by sexual violence remains in place to protect this vulnerable group.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 207239 question first answered 17/01/2019 12:00:46 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4120 label Biography information for Kate Green

1043148

	registered interest
	date	17/01/2019
	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: Older People
	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 as part of the NHS Long Term Plan to ensure that there is an adequate number of staff to provide treatment for elderly people.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	209752
	answer	answer is ministerial correction date of answer 24/01/2019 answer text <p>The NHS Long Term Plan, published 7 January 2019, sets out a vital strategic framework to ensure that over the next 10 years the National Health Service will have the staff it needs so that nurses and doctors have the time they need to care for all patients, including elderly people.</p><p> </p><p>Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff. This will include work to ensure doctors are trained with the generalist skills needed to meet the needs of an ageing population, alongside the development of specialist knowledge and skills and expanding multi-professional credentialing to enable clinicians to develop new capabilities in issues such as an ageing population.</p><p> </p><p>The workforce required to provide treatment for elderly people comprises a range of healthcare professionals, including doctors and nurses.</p><p> </p><p>We are already increasing nurse training places by 25% - that is 5,000 additional nurse training places available every year from September 2018. In 2018 up to 5,000 Nursing Associates commenced training through the apprentice route and the Department has a commitment to train up to a further 7,500 in 2019.</p><p> </p><p>We have also made a commitment to have 5,000 additional doctors in general practice and we have started to roll out an extra 1,500 medical school places for domestic students, with the first 630 places taken up in September 2018.</p><p> </p><p>Furthermore, the NHS has seen the emergence and increased use of new professional roles within multi-disciplinary teams, such as physician associates (PAs), as part of a continuing drive to provide safe, accessible and high-quality care for patients. There will be 1,000 more PAs available in primary care by 2020 as part of a wider commitment to make available 10,000 health care professionals in primary care within this timeframe.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 24/01/2019 11:30:53 answering member 1585 label Biography information for Stephen Hammond
	tabling member	338 label Biography information for Keith Vaz

1043695

	registered interest
	date	18/01/2019
	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: 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 estimate he has made of the number of nurses and non-clinical staff paid under £30,000 per annum who will be able to continue to work in the UK after the UK leaves the EU.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	210018
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>The United Kingdom’s future immigration system is set out in the Government’s Immigration White Paper, which was published on 19 December 2018. At the time of publication, my Rt. Hon. Friend the Secretary of State for the Home Department announced that the salary threshold would be the subject of further engagement. The Government is continuing to work with employers, representative bodies and charities in the health and social care sector to help contribute to the discussion on an appropriate threshold.</p><p> </p><p>European Union nationals currently working in the health and social care sectors can apply to the EU Settlement Scheme to secure their long-term status in the UK. The scheme is now open and, further to the Prime Minister’s announcement on 21 January 2019, from 30 March 2019 onwards, EU nationals will not have to pay for their application. Any application made before that date, including those that have already been made, will be reimbursed.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/01/2019 17:23:49 answering member 1585 label Biography information for Stephen Hammond
	tabling member	338 label Biography information for Keith Vaz

1056784

	registered interest
	date	07/02/2019
	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 steps his Department is taking to reduce waiting times for children who have suffered brain injuries.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	218315
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>There is variation nationally in the length of time some children and young people wait for paediatric neurorehabilitation services and further data is required to fully understand and address this. NHS England’s Women and Children’s Programme of Care Board and the Paediatric Neuroscience Clinical Reference Group are leading on work to gather the data and will report back to the Women and Children’s Programme of Care Board in spring 2019.</p><p> </p><p>The NHS Long Term Plan identified children and young people’s (CYP) services as a priority and commits to a reduction in serious brain injury of 50% by 2025. We know that early intervention for CYP with a brain injury leads to improved outcomes, with United Kingdom paediatric neurorehabilitation networks and teams playing an important role.</p><p> </p><p>To ensure there is funding to support this, the Government is providing an extra £20.5 billion a year to the National Health Service by 2023/24, £33.9 billion in cash terms, – supporting commitments in the Long Term Plan to reduce long waits for life-changing treatment. The additional funding will drive the reforms that deliver a better and more sustainable NHS with improved care for patients.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/02/2019 15:18:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4243 label Biography information for Dan Jarvis