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1700256
star this property registered interest false more like this
star this property date less than 2024-04-12more like thismore than 2024-04-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Surgery: Finance more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how much elective recovery funding each integrated care board received less penalties for missed targets (a) in absolute terms and (b) as a proportion of the elective recovery funding initially allocated to the board, in financial year 2022/23. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 21155 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-17more like thismore than 2024-04-17
star this property answer text <p>Each integrated care board (ICB) received their full elective recovery fund (ERF) allocation in 2022/23 and no penalties were applied for missing elective activity targets.</p><p>The initial ERF allocations for each ICB are available at the following link:</p><p><a href="https://www.england.nhs.uk/publication/allocation-of-resources-2022-23/" target="_blank">https://www.england.nhs.uk/publication/allocation-of-resources-2022-23/</a></p> more like this
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property question first answered
less than 2024-04-17T17:18:24.537Zmore like thismore than 2024-04-17T17:18:24.537Z
unstar this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property previous answer version
28303
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1691674
star this property registered interest false more like this
star this property date less than 2024-02-26more like thismore than 2024-02-26
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading NHS: Agency Workers more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how much NHS England spent on agency staff in each year since 2010. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 15710 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-15more like thismore than 2024-04-15
star this property answer text <p>The first full financial year for which NHS England was in existence, as the NHS Commissioning Board, was 2013/14. NHS England only holds information on agency spend in combination with other commissioning bodies, for instance integrated care boards, formerly known as clinical commissioning groups. The following table shows the total spent on agency staff in NHS England and the commissioning bodies, each year since 2013/14 to 2022/23:<br></p><table><tbody><tr><td><p>Year</p></td><td><p>Spend</p></td></tr><tr><td><p>2013/14</p></td><td><p>£240,000,000</p></td></tr><tr><td><p>2014/15</p></td><td><p>£300,000,000</p></td></tr><tr><td><p>2015/16</p></td><td><p>£310,000,000</p></td></tr><tr><td><p>2016/17</p></td><td><p>£270,000,000</p></td></tr><tr><td><p>2017/18</p></td><td><p>£190,000,000</p></td></tr><tr><td><p>2018/19</p></td><td><p>£160,000,000</p></td></tr><tr><td><p>2019/20</p></td><td><p>£130,000,000</p></td></tr><tr><td><p>2020/21</p></td><td><p>£160,000,000</p></td></tr><tr><td><p>2021/22</p></td><td><p>£160,000,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>£210,000,000</p></td></tr></tbody></table>
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property question first answered
less than 2024-04-15T15:58:15.95Zmore like thismore than 2024-04-15T15:58:15.95Z
unstar this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property previous answer version
21230
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1694508
star this property registered interest false more like this
star this property date less than 2024-03-07more like thismore than 2024-03-07
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading NHS: Databases more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many trusts have agreed to join the federated data platform as of 7 March 2024. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 17632 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-10more like thismore than 2024-04-10
star this property answer text <p>The Federated Data Platform is a vital upgrade for the National Health Service, allowing it to be much more effective in how it handles its data, to improve outcomes for patients. It will allow information about staff, waiting times, equipment and medicines to be brought together, to allow better planning of how the NHS uses its resources.</p><p> </p><p>41 trusts have agreed to join the Federated Data Platform, by means of transitioning from their participation in one of the pilot programmes. In parallel, the programme is actively engaging with 29 new trusts, regarding joining the Federated Data Platform in 2024. We are working with regions and local organisations to plan their implementation timeline.</p> more like this
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property question first answered
less than 2024-04-10T12:52:55.577Zmore like thismore than 2024-04-10T12:52:55.577Z
unstar this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property previous answer version
23782
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1697082
star this property registered interest false more like this
star this property date less than 2024-03-19more like thismore than 2024-03-19
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading NHS: Digital Technology more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what is the (a) final outturn spend for 2022-23, (b) forecast outturn for 2023-24 and (c) planned budget for 2024-25 for the NHS England Frontline Digitisation programme budget. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 19412 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-09more like thismore than 2024-04-09
star this property answer text <p>The final outturn spend for 2022/23 is £472.8 million. Outturn for 2023/24 is to be confirmed once the final accounts have been approved. Final confirmation of the budgets for 2024/25 is pending, and will be confirmed imminently.</p> more like this
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property question first answered
less than 2024-04-09T14:07:40.53Zmore like thismore than 2024-04-09T14:07:40.53Z
unstar this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property previous answer version
25895
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1697080
star this property registered interest false more like this
star this property date less than 2024-03-19more like thismore than 2024-03-19
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading General Practitioners: Labour Turnover more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what funding NHS England plans to allocate to Integrated Care Boards for local GP retention schemes for 2024-25; and through what mechanism that funding will be allocated following the closure of the General Practice Fellowship and the Supporting Mentors schemes. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 19410 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-04more like thismore than 2024-04-04
star this property answer text <p>In 2022, we saw the highest ever number of doctors accepting a place on general practice (GP) training, a record of 4,032 trainees, up from 2,671 in 2014.</p><p>From April 2024, integrated care boards (ICBs) will take on greater autonomy to make decisions that serve the best interests of local people and communities. This means that, while the General Practice Fellowship and Supporting Mentors schemes will no longer operate in their current national form, NHS England will work with ICBs to put in place support that reflects their local approaches and needs. It will be for ICBs to decide how funding operates at a local level, and the amount of funding they are able to devote to the schemes. NHS England will, however, continue to support people currently on the General Practice Fellowship throughout 2024/25, and ministers will shortly be beginning a series of roundtables with GPs on the future for GP practice, that will also consider ideas for retention and training.</p> more like this
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property question first answered
less than 2024-04-04T10:20:22.603Zmore like thismore than 2024-04-04T10:20:22.603Z
unstar this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property previous answer version
26252
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1694213
star this property registered interest false more like this
star this property date less than 2024-03-06more like thismore than 2024-03-06
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading NHS: Databases more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, whether she plans to include all patient records held by GPs in the NHS federated data platform. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 17432 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-04more like thismore than 2024-04-04
star this property answer text <p>The Federated Data Platform is a vital upgrade for the National Health Service, allowing it to be much more effective in how it handles its data. It will bring together information about staff, waiting times, equipment and medicines to improve patient outcomes.</p><p> </p><p>Based on agreements between general practices' data controllers and integrated care boards, the Federated Data Platform will have the capability to include elements of local primary care data. This would be limited to the information required to support the provision of care and would only be utilised by local organisations within the local tenants of the Federated Data Platform, and not be shared beyond a local level.</p> more like this
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property question first answered
less than 2024-04-04T09:30:19.813Zmore like thismore than 2024-04-04T09:30:19.813Z
unstar this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property previous answer version
23498
star this property answering member constituency Pendle more like this
star this property answering member printed Andrew Stephenson more like this
star this property answering member
4044
star this property label Biography information for Andrew Stephenson more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1691676
star this property registered interest false more like this
star this property date less than 2024-02-26more like thismore than 2024-02-26
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Mental Health Services: Waiting Lists more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of patients (a) waiting for mental healthcare and (b) on NHS waiting lists for physical conditions who are also waiting for mental healthcare. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 15712 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-04-02more like thismore than 2024-04-02
star this property answer text <p>There is currently no waiting times standard covering all mental health service areas. For services where a waiting times standard does exist, the latest position over the period from November 2023 to January 2024 was published by NHS England on 14 March 2024.</p><p> </p><p>Information on routine and urgent referrals to children and young people’s eating disorder services and referrals to the early Intervention in Psychosis pathway is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024</a></p><p> </p><p>Information on referrals to NHS Talking Therapies is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors/performance-january-2024" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors/performance-january-2024</a></p><p> </p><p>For referrals to adult community mental health services waiting for a second contact, referrals to children and young people’s community mental health services waiting for a first contact and Accident &amp; Emergency attendances for mental health or self-harm, information is being collected to prepare for the proposed new waiting time standards being developed as part of the Clinically-led review of National Health Service access standards but these are NOT yet associated with a target. The latest position over the period from November 2023 to January 2024 is available at the following link:</p><p> </p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024</a><p>Information on the number of patients on NHS waiting lists for physical conditions who are also waiting for mental healthcare is not held centrally.</p><p> </p><p>Through the NHS Long Term Plan, we are expanding and transforming NHS mental health care so that more people can get the support that they need more quickly. Between 2018/19 and 2023/24, the NHS forecasts that spending on mental health services has increased by £4.6 billion in cash terms, compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. All integrated boards are also on track to meet the Mental Health Investment Standard in 2023/24.</p>
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property question first answered
less than 2024-04-02T12:10:43.617Zmore like thismore than 2024-04-02T12:10:43.617Z
unstar this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property previous answer version
21231
star this property answering member constituency Lewes more like this
star this property answering member printed Maria Caulfield more like this
star this property answering member
4492
star this property label Biography information for Maria Caulfield more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1694205
star this property registered interest false more like this
star this property date less than 2024-03-06more like thismore than 2024-03-06
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Medical Records: Children more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many and what proportion of new-born children were give a digital NHS personal child health record in the last 12 months. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 17430 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-03-18more like thismore than 2024-03-18
star this property answer text <p>Every baby is allocated a National Health Service number as soon as their birth is notified by the attending midwife. This is linked to the NHS number of the birth mother. Once registered at a general practice (GP) surgery, a baby will also have a GP record. This is the first digital health record which most babies will receive, and is linked to their existing NHS number.</p><p>The aim of the Digital Personal Child Health Record programme is not to create a new, standalone record, but to use existing infrastructure to facilitate better coordination between existing records. This will support families in accessing the information they need when they need it, and for professionals to offer more informed, joined-up care.</p><p>We have improved access to relevant content and information about maternity, early years, and Start for Life, via the NHS App, and made it easier for families to register a new baby digitally at a GP practice. Over 2000 practices have already adopted the solution, which consists of an online registration service and a new paper form. GPs will be contractually required to adopt and offer both formats, from October 2024.</p><p>We have also prepared the launch of a pilot programme which will allow anyone with parental responsibility to apply digitally for access to their child’s record, for any child up to 13 years old. This has now launched in 70 GPs in England, and will make it much easier for parents to manage a child's digital health record. For example, once rolled out across England, this will enable the parent or carer to view their baby’s digital GP record, book appointments, and request prescriptions, all via the NHS App.</p>
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property grouped question UIN 17429 more like this
star this property question first answered
less than 2024-03-18T10:20:41.243Zmore like thismore than 2024-03-18T10:20:41.243Z
unstar this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property previous answer version
23502
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1694202
star this property registered interest false more like this
star this property date less than 2024-03-06more like thismore than 2024-03-06
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Medical Records: Children more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, when she expects every child to have a personal child health record. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 17429 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-03-18more like thismore than 2024-03-18
star this property answer text <p>Every baby is allocated a National Health Service number as soon as their birth is notified by the attending midwife. This is linked to the NHS number of the birth mother. Once registered at a general practice (GP) surgery, a baby will also have a GP record. This is the first digital health record which most babies will receive, and is linked to their existing NHS number.</p><p>The aim of the Digital Personal Child Health Record programme is not to create a new, standalone record, but to use existing infrastructure to facilitate better coordination between existing records. This will support families in accessing the information they need when they need it, and for professionals to offer more informed, joined-up care.</p><p>We have improved access to relevant content and information about maternity, early years, and Start for Life, via the NHS App, and made it easier for families to register a new baby digitally at a GP practice. Over 2000 practices have already adopted the solution, which consists of an online registration service and a new paper form. GPs will be contractually required to adopt and offer both formats, from October 2024.</p><p>We have also prepared the launch of a pilot programme which will allow anyone with parental responsibility to apply digitally for access to their child’s record, for any child up to 13 years old. This has now launched in 70 GPs in England, and will make it much easier for parents to manage a child's digital health record. For example, once rolled out across England, this will enable the parent or carer to view their baby’s digital GP record, book appointments, and request prescriptions, all via the NHS App.</p>
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property grouped question UIN 17430 more like this
star this property question first answered
less than 2024-03-18T10:20:41.167Zmore like thismore than 2024-03-18T10:20:41.167Z
unstar this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property previous answer version
23501
star this property answering member constituency South Northamptonshire more like this
star this property answering member printed Andrea Leadsom more like this
star this property answering member
4117
star this property label Biography information for Andrea Leadsom more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this
1685872
star this property registered interest false more like this
star this property date less than 2024-01-30more like thismore than 2024-01-30
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Integrated Care Boards more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many Integrated Care Boards delivered value-based activity of at least 104% of the 2019/20 baseline in 2022/23; and which Integrated Care Boards did not. more like this
star this property tabling member constituency Ilford North remove filter
star this property tabling member printed
Wes Streeting more like this
unstar this property uin 12092 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2024-03-15more like thismore than 2024-03-15
star this property answer text <p>Nine integrated care boards (ICBs) delivered value-weighted activity (VWA) of at least 104% of the 2019/20 baseline in 2022/23, they are:<br></p><p>- NHS Cambridgeshire and Peterborough ICB;</p><p>- NHS South East London ICB;</p><p>- NHS North East London ICB;</p><p>- NHS North Central London ICB;</p><p>- NHS North West London ICB;</p><p>- NHS Coventry and Warwickshire ICB;</p><p>- NHS North East and North Cumbria ICB;</p><p>- NHS Humber and North Yorkshire ICB; and</p><p>- NHS Kent and Medway ICB.</p><p> </p><p>The following 10 ICBs delivered VWA of at least 100% of the 2019/20 baseline in 2022/23:</p><p>- NHS Bedfordshire, Luton and Milton Keynes ICB;</p><p>- NHS South West London ICB;</p><p>- NHS Lincolnshire ICB;</p><p>- NHS Leicester, Leicestershire and Rutland ICB;</p><p>- NHS Northamptonshire ICB;</p><p>- NHS Nottingham and Nottinghamshire ICB;</p><p>- NHS West Yorkshire ICB;</p><p>- NHS Lancashire and South Cumbria ICB;</p><p>- NHS Devon ICB; and</p><p>- NHS Somerset ICB.</p><p> </p><p>The remaining 23 ICBs did not deliver a VWA over 100% of the 2019/20 baseline in 2022/23.</p><p>Lower levels of elective activity were due to ongoing COVID-19 pressures and longer lengths of stay, as well as extended industrial action which started in December 2022. Providers were therefore allowed to retain elective funding to cover these costs. The department has put in place additional measures to monitor Elective Recovery Funding and related spending.</p>
star this property answering member constituency Faversham and Mid Kent more like this
star this property answering member printed Helen Whately more like this
star this property question first answered
less than 2024-03-15T12:07:21.973Zmore like thismore than 2024-03-15T12:07:21.973Z
unstar this property answering member
4527
star this property label Biography information for Helen Whately more like this
star this property previous answer version
16006
star this property answering member constituency Faversham and Mid Kent more like this
star this property answering member printed Helen Whately more like this
star this property answering member
4527
star this property label Biography information for Helen Whately more like this
star this property tabling member
4504
star this property label Biography information for Wes Streeting more like this