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967470

	registered interest
	date	04/09/2018
	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 Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what training health visitors receive to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9964
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9965 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967472

	registered interest
	date	04/09/2018
	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 Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what continuous professional development health visitors are required to undertake to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9965
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9964 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

823676

	registered interest
	date	16/01/2018
	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 Visitors
	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 increase the number of health visitors.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	123130
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123131 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	116 label Biography information for Lord Soames of Fletching

823677

	registered interest
	date	16/01/2018
	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 Visitors
	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 health visitor positions there are in England; and how many of those positions are vacant.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	123131
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123130 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	116 label Biography information for Lord Soames of Fletching

1028521

	registered interest
	date	19/12/2018
	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 Visitors
	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 his Department holds on the number of health visitors (a) in England, (b) regionally and (c) in each local authority area in each year since September 2009.
	tabling member constituency	Manchester Central
	tabling member printed	Lucy Powell
	uin	203898
	answer	answer is ministerial correction date of answer 10/01/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include only staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers. Some other organisations also provide health visiting services, so the data held by the Department only reflects part of the picture on overall health visitor numbers.</p><p> </p><p>The following table shows the full time equivalent (FTE) figures for health visitors for England and for each Health Education England region as at 30 September in the specified years:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>England</p></td><td><p>8,100</p></td><td><p>7,849</p></td><td><p>7,802</p></td><td><p>7,687</p></td><td><p>8,304</p></td><td><p>9,162</p></td><td><p>10,236</p></td><td><p>9,521</p></td><td><p>8,497</p></td><td><p>7,884</p></td></tr><tr><td><p>Of which</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>East Midlands</p></td><td><p>619</p></td><td><p>615</p></td><td><p>631</p></td><td><p>630</p></td><td><p>685</p></td><td><p>741</p></td><td><p>826</p></td><td><p>791</p></td><td><p>742</p></td><td><p>619</p></td></tr><tr><td><p>East of England</p></td><td><p>784</p></td><td><p>778</p></td><td><p>698</p></td><td><p>522</p></td><td><p>594</p></td><td><p>668</p></td><td><p>777</p></td><td><p>744</p></td><td><p>663</p></td><td><p>628</p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p>553</p></td><td><p>518</p></td><td><p>507</p></td><td><p>420</p></td><td><p>469</p></td><td><p>550</p></td><td><p>671</p></td><td><p>635</p></td><td><p>562</p></td><td><p>519</p></td></tr><tr><td><p>North Central and East London</p></td><td><p>384</p></td><td><p>403</p></td><td><p>389</p></td><td><p>406</p></td><td><p>433</p></td><td><p>553</p></td><td><p>670</p></td><td><p>630</p></td><td><p>443</p></td><td><p>427</p></td></tr><tr><td><p>North East</p></td><td><p>488</p></td><td><p>501</p></td><td><p>571</p></td><td><p>596</p></td><td><p>659</p></td><td><p>673</p></td><td><p>672</p></td><td><p>422</p></td><td><p>346</p></td><td><p>166</p></td></tr><tr><td><p>North West</p></td><td><p>1,386</p></td><td><p>1,329</p></td><td><p>1,317</p></td><td><p>1,414</p></td><td><p>1,463</p></td><td><p>1,602</p></td><td><p>1,793</p></td><td><p>1,733</p></td><td><p>1,674</p></td><td><p>1,586</p></td></tr><tr><td><p>North West London</p></td><td><p>298</p></td><td><p>237</p></td><td><p>237</p></td><td><p>351</p></td><td><p>425</p></td><td><p>470</p></td><td><p>511</p></td><td><p>506</p></td><td><p>498</p></td><td><p>510</p></td></tr><tr><td><p>South London</p></td><td><p>444</p></td><td><p>434</p></td><td><p>430</p></td><td><p>361</p></td><td><p>334</p></td><td><p>388</p></td><td><p>458</p></td><td><p>420</p></td><td><p>366</p></td><td><p>328</p></td></tr><tr><td><p>South West</p></td><td><p>663</p></td><td><p>663</p></td><td><p>599</p></td><td><p>452</p></td><td><p>599</p></td><td><p>565</p></td><td><p>619</p></td><td><p>412</p></td><td><p>370</p></td><td><p>312</p></td></tr><tr><td><p>Thames Valley</p></td><td><p>337</p></td><td><p>324</p></td><td><p>307</p></td><td><p>348</p></td><td><p>336</p></td><td><p>347</p></td><td><p>389</p></td><td><p>364</p></td><td><p>324</p></td><td><p>275</p></td></tr><tr><td><p>Wessex</p></td><td><p>326</p></td><td><p>308</p></td><td><p>323</p></td><td><p>360</p></td><td><p>394</p></td><td><p>457</p></td><td><p>554</p></td><td><p>514</p></td><td><p>489</p></td><td><p>446</p></td></tr><tr><td><p>West Midlands</p></td><td><p>889</p></td><td><p>872</p></td><td><p>895</p></td><td><p>918</p></td><td><p>1,039</p></td><td><p>1,197</p></td><td><p>1,287</p></td><td><p>1,237</p></td><td><p>1,091</p></td><td><p>1,027</p></td></tr><tr><td><p>Yorkshire and the Humber</p></td><td><p>929</p></td><td><p>867</p></td><td><p>898</p></td><td><p>908</p></td><td><p>875</p></td><td><p>953</p></td><td><p>1,009</p></td><td><p>1,113</p></td><td><p>929</p></td><td><p>1,041</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital</p><p> </p><p>NHS Digital began to collect and publish data on staff, including health visitors, in some English independent sector healthcare organisations, from September 2015. These statistics are collected biannually and published as experimental statistics. The following table shows the FTE figures of health visitors employed by Independent Healthcare Providers in England who provide valid data, as at 30 September each year since 2015 and the latest data available:</p><p /><table><tbody><tr><td><p> </p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>31 March 2018</p></td></tr><tr><td><p>England</p></td><td><p>957</p></td><td><p>1,132</p></td><td><p>1,240</p></td><td><p>1,187</p></td></tr></tbody></table><p>Source: Independent Healthcare Provider Workforce Statistics, England, March 2018, NHS Digital</p><p> </p><p>Information is not held centrally on number of health visitors in each local authority area.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/01/2019 14:03:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4263 label Biography information for Lucy Powell

861161

	registered interest
	date	13/03/2018
	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 Visitors
	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 (a) actual and (b) full time equivalent health visitors who have been employed in each of the last seven years.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	132310
	answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>NHS Digital publishes information on workforce statistics and the following table shows the full time equivalent (FTE) and headcount (HC) figures for health visitors working in National Health Service trusts and clinical commissioning groups (CCGs) in each of the last seven years.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Health visitors in NHS trusts and CCGs in England as at 30 November each specified year (FTE and HC).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Health visitors (FTE)</p></td><td><p>Health visitors (HC)</p></td></tr><tr><td><p>November 2010</p></td><td><p>7,961</p></td><td><p>9,884</p></td></tr><tr><td><p>November 2011</p></td><td><p>7,812</p></td><td><p>9,626</p></td></tr><tr><td><p>November 2012</p></td><td><p>7,963</p></td><td><p>9,647</p></td></tr><tr><td><p>November 2013</p></td><td><p>8,526</p></td><td><p>10,213</p></td></tr><tr><td><p>November 2014</p></td><td><p>9,629</p></td><td><p>11,407</p></td></tr><tr><td><p>November 2015</p></td><td><p>10,279</p></td><td><p>12,173</p></td></tr><tr><td><p>November 2016</p></td><td><p>9,376</p></td><td><p>11,142</p></td></tr><tr><td><p>November 2017</p></td><td><p>8,317</p></td><td><p>9,995</p></td></tr></tbody></table><p><br>Source: Provisional NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/03/2018 11:59:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

967469

	registered interest
	date	04/09/2018
	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 Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many visits from a health visitor a new mother in England should receive in the three months after giving birth; what is the length of each visit; and how these visits are monitored.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9963
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors undertake five mandated visits between the ages of zero to five. Three of these mandated visits occur during the first three months after birth which are the antenatal health visit, new baby review and six to eight-week assessment. The length of each visit will be entirely dependent on the individual needs of the mother and baby. Some families will require additional visits and support, the health visitor will use their professional judgement and public health expertise to determine need and support. Local authorities are responsible for commissioning health visiting services, local monitoring of service delivery and commissioning compliance should be undertaken locally as part of contract management.</p> answering member printed Lord O'Shaughnessy question first answered 17/09/2018 13:56:16 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

999297

	registered interest
	date	31/10/2018
	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 Visitors
	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 his Department holds on the number of health visitors in (a) England, (b) London and (c) the London Borough of Lewisham in each of the last 10 years.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	186402
	answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the full time equivalent (FTE) figures of health visitors in England, London and the London Borough of Lewisham as at 30 September in the specified years and the latest available data.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>England</p></td><td><p>Of which: London</p></td><td><p>Of which: London Borough of Lewisham</p></td></tr><tr><td><p>2007</p></td><td><p>8,959</p></td><td><p>1,308</p></td><td><p>68</p></td></tr><tr><td><p>2008</p></td><td><p>8,644</p></td><td><p>1,276</p></td><td><p>66</p></td></tr><tr><td><p>2009</p></td><td><p>8,100</p></td><td><p>1,125</p></td><td><p>45</p></td></tr><tr><td><p>2010</p></td><td><p>7,849</p></td><td><p>1,074</p></td><td><p>39</p></td></tr><tr><td><p>2011</p></td><td><p>7,802</p></td><td><p>1,056</p></td><td><p>43</p></td></tr><tr><td><p>2012</p></td><td><p>7,687</p></td><td><p>1,118</p></td><td><p>34</p></td></tr><tr><td><p>2013</p></td><td><p>8,304</p></td><td><p>1,193</p></td><td><p>37</p></td></tr><tr><td><p>2014</p></td><td><p>9,162</p></td><td><p>1,411</p></td><td><p>58</p></td></tr><tr><td><p>2015</p></td><td><p>10,236</p></td><td><p>1,639</p></td><td><p>62</p></td></tr><tr><td><p>2016</p></td><td><p>9,521</p></td><td><p>1,556</p></td><td><p>67</p></td></tr><tr><td><p>2017</p></td><td><p>8,497</p></td><td><p>1,307</p></td><td><p>66</p></td></tr><tr><td><p>31 July 2018</p></td><td><p>7,852</p></td><td><p>1,259</p></td><td><p>58</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital</p><p> </p><p>Due to changes in the data collection and processing methodology, figures for 2007 and 2008 are not directly comparable to figures from September 2009 onwards.</p><p> </p><p>Since September 2015 NHS Digital has been collecting Independent Healthcare Provider Workforce statistics. These statistics are collected biannually and published as experimental statistics. The following table shows the FTE figures of health visitors employed by Independent Healthcare Providers in England, as at 30 September each year since 2015 and the latest data available:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>31 March 2018</p></td></tr><tr><td><p>England</p></td><td><p>957</p></td><td><p>1,132</p></td><td><p>1,240</p></td><td><p>1,187</p></td></tr></tbody></table><p>Source: Independent Healthcare Provider Workforce Statistics, England, March 2018, NHS Digital</p><p> </p><p>Information is not held centrally on the number of health visitors in London and the London Borough of Lewisham from independent healthcare providers.</p><p> </p><p>As health visitors are employed by a range of organisations, including National Health Service trusts, CCGs, local authorities and private providers, current data collections do not cover the complete range of these organisations. Consequently, it is not possible to provide accurate data on the total size of the health visitor workforce.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2018 12:39:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4491 label Biography information for Vicky Foxcroft