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1130124

	registered interest
	date	05/06/2019
	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	County Hospital Louth
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the provision of accident and emergency care in Northern Lincolnshire and Goole NHS Foundation Trust hospitals of the reduction in services at Louth hospital.
	tabling member constituency	Great Grimsby
	tabling member printed	Melanie Onn
	uin	260681
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The provision of accident and emergency care in Northern Lincolnshire and Goole NHS Foundation Trust is a matter for local determination. The Trust is also experiencing increases generally due to an upward trend in both accident and emergency (A&amp;E) attendances and admissions from the East Lincolnshire Clinical Commissioning Group area.</p><p>The Trust has planned for more growth in attendances and admissions in 2019/20 and is working with partners across Lincolnshire to manage increases in attendances/admissions by:<br></p><p>- Developing an Urgent Treatment Centre at the Diana Princess of Wales Hospital to handle non-emergency cases;</p><p>- Increasing the hours worked by consultants at the A&amp;E at the Diana Princess of Wales Hospital;</p><p>- Working with East Midlands Ambulance Service to make sure they take patients to the most appropriate hospital within their region;</p><p>- Continuing to work closely to ensure the timely discharge of patients by having social services staff from local councils, including Lincolnshire County Council, working at the Diana Princess of Wales Hospital to facilitate this; and</p><p>- Working with clinical commissioning groups and other partners on activities to reduce attendances through better access to general practitioners and improve out of hospital provision.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260682 question first answered 10/06/2019 15:29:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4464 label Biography information for Melanie Onn

1130128

	registered interest
	date	05/06/2019
	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	Northern Lincolnshire and Goole NHS Foundation Trust: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has made to tackle the projected 7 per cent increase in A&E admissions in 2019-20 at Northern Lincolnshire and Goole Trust hospitals.
	tabling member constituency	Great Grimsby
	tabling member printed	Melanie Onn
	uin	260682
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The provision of accident and emergency care in Northern Lincolnshire and Goole NHS Foundation Trust is a matter for local determination. The Trust is also experiencing increases generally due to an upward trend in both accident and emergency (A&amp;E) attendances and admissions from the East Lincolnshire Clinical Commissioning Group area.</p><p>The Trust has planned for more growth in attendances and admissions in 2019/20 and is working with partners across Lincolnshire to manage increases in attendances/admissions by:<br></p><p>- Developing an Urgent Treatment Centre at the Diana Princess of Wales Hospital to handle non-emergency cases;</p><p>- Increasing the hours worked by consultants at the A&amp;E at the Diana Princess of Wales Hospital;</p><p>- Working with East Midlands Ambulance Service to make sure they take patients to the most appropriate hospital within their region;</p><p>- Continuing to work closely to ensure the timely discharge of patients by having social services staff from local councils, including Lincolnshire County Council, working at the Diana Princess of Wales Hospital to facilitate this; and</p><p>- Working with clinical commissioning groups and other partners on activities to reduce attendances through better access to general practitioners and improve out of hospital provision.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260681 question first answered 10/06/2019 15:29:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4464 label Biography information for Melanie Onn

1130082

	registered interest
	date	05/06/2019
	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	Cancer: Diagnosis
	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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to roll-out new Rapid Diagnostic Centres; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260651
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>NHS England has made Service Development Funding available to every Cancer Alliance across the country to support the roll out from this year, starting with one Rapid Diagnostic Centre in each cancer alliance region in 2019/20.</p><p>NHS England has announced funding of £70 million over four years to fund lung health checks in 10 areas of the country with some of the highest death rates from lung cancer. The roll out has the potential to reach around 600,000 people over four years, detecting approximately 3,400 cancers and saving hundreds of lives across the country. Work has started now in the 10 areas to plan the delivery of projects.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260652 question first answered 10/06/2019 15:11:21 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1130083

	registered interest
	date	05/06/2019
	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	Lung Cancer: Tomography
	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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to deploy more mobile lung CT scanners starting in parts of the country with the lowest lung cancer survival rates; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260652
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>NHS England has made Service Development Funding available to every Cancer Alliance across the country to support the roll out from this year, starting with one Rapid Diagnostic Centre in each cancer alliance region in 2019/20.</p><p>NHS England has announced funding of £70 million over four years to fund lung health checks in 10 areas of the country with some of the highest death rates from lung cancer. The roll out has the potential to reach around 600,000 people over four years, detecting approximately 3,400 cancers and saving hundreds of lives across the country. Work has started now in the 10 areas to plan the delivery of projects.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260651 question first answered 10/06/2019 15:11:21 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1130000

	registered interest
	date	05/06/2019
	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 Professions: 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 make the NHS an attractive place to work for doctors and nurses.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	260550
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers.</p><p>The following table shows the number of nurses and health visitors who have joined and left National Health Service employment, as at September for each of the years specified and at December, the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>26,125</p></td><td><p>25,940</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>23,444</p></td><td><p>27,462</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>24,394</p></td><td><p>32,816</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>29,447</p></td><td><p>28,547</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>31,703</p></td><td><p>30,551</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>33,099</p></td><td><p>33,800</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>32,762</p></td><td><p>32,926</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>30,424</p></td><td><p>33,530</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>31,580</p></td><td><p>32,155</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>35,369</p></td><td><p>33,698</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>The latest data shows that more nurses and health visitors joined employment in the NHS than left.</p><p>The following table shows the number of doctors who have joined and left NHS employment, as at September for each of the years specified and at December,the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>16,814</p></td><td><p>15,038</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>16,630</p></td><td><p>15,529</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>16,772</p></td><td><p>15,916</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>18,013</p></td><td><p>16,574</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>19,699</p></td><td><p>17,338</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>19,787</p></td><td><p>18,688</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>18,322</p></td><td><p>16,608</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>19,482</p></td><td><p>16,380</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>20,806</p></td><td><p>18,414</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>20,961</p></td><td><p>18,070</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>Over the past 10 years, data consistently shows that more doctors joined employment in the NHS than left. NHS Improvement and NHS Employers are working in partnership to support trusts to improve retention of the nursing workforce. They offer targeted support to trusts to collaborate on key issues affecting retention such as flexible working, supporting new starters and older workers, and development and career planning.</p><p>Alongside these retention programmes, the NHS published its interim People Plan on 3 June. It sets out a plan of action to meet the health requirements of the population outlined in the NHS Long Term Plan. The Interim People plan puts NHS people at the heart of NHS policy and a key programme is to make the NHS the best place to work. It was developed by engaging widely with staff, patients, employers, professional organisations, regulatory bodies, voluntary sector, academia and other experts. A new offer for all NHS staff will be developed, which will be published in the final People Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260551 question first answered 10/06/2019 16:24:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1130001

	registered interest
	date	05/06/2019
	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 Professions: 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 assessment he has made of trends in the level of (a) doctor and (b) nurse retention in the NHS over the last decade.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	260551
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers.</p><p>The following table shows the number of nurses and health visitors who have joined and left National Health Service employment, as at September for each of the years specified and at December, the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>26,125</p></td><td><p>25,940</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>23,444</p></td><td><p>27,462</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>24,394</p></td><td><p>32,816</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>29,447</p></td><td><p>28,547</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>31,703</p></td><td><p>30,551</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>33,099</p></td><td><p>33,800</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>32,762</p></td><td><p>32,926</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>30,424</p></td><td><p>33,530</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>31,580</p></td><td><p>32,155</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>35,369</p></td><td><p>33,698</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>The latest data shows that more nurses and health visitors joined employment in the NHS than left.</p><p>The following table shows the number of doctors who have joined and left NHS employment, as at September for each of the years specified and at December,the latest data, in the last year, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td></tr><tr><td><p>September 2009 to September 2010</p></td><td><p>16,814</p></td><td><p>15,038</p></td></tr><tr><td><p>September 2010 to September 2011</p></td><td><p>16,630</p></td><td><p>15,529</p></td></tr><tr><td><p>September 2011 to September 2012</p></td><td><p>16,772</p></td><td><p>15,916</p></td></tr><tr><td><p>September 2012 to September 2013</p></td><td><p>18,013</p></td><td><p>16,574</p></td></tr><tr><td><p>September 2013 to September 2014</p></td><td><p>19,699</p></td><td><p>17,338</p></td></tr><tr><td><p>September 2014 to September 2015</p></td><td><p>19,787</p></td><td><p>18,688</p></td></tr><tr><td><p>September 2015 to September 2016</p></td><td><p>18,322</p></td><td><p>16,608</p></td></tr><tr><td><p>September 2016 to September 2017</p></td><td><p>19,482</p></td><td><p>16,380</p></td></tr><tr><td><p>September 2017 to September 2018</p></td><td><p>20,806</p></td><td><p>18,414</p></td></tr><tr><td><p>December 2017 to December 2018</p></td><td><p>20,961</p></td><td><p>18,070</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital Workforce Statistics</p><p>Over the past 10 years, data consistently shows that more doctors joined employment in the NHS than left. NHS Improvement and NHS Employers are working in partnership to support trusts to improve retention of the nursing workforce. They offer targeted support to trusts to collaborate on key issues affecting retention such as flexible working, supporting new starters and older workers, and development and career planning.</p><p>Alongside these retention programmes, the NHS published its interim People Plan on 3 June. It sets out a plan of action to meet the health requirements of the population outlined in the NHS Long Term Plan. The Interim People plan puts NHS people at the heart of NHS policy and a key programme is to make the NHS the best place to work. It was developed by engaging widely with staff, patients, employers, professional organisations, regulatory bodies, voluntary sector, academia and other experts. A new offer for all NHS staff will be developed, which will be published in the final People Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260550 question first answered 10/06/2019 16:24:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1128300

	registered interest
	date	22/05/2019
	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	Cannabis: Medical Treatments
	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 cost-effectiveness of patients receiving an NHS prescription for wholeplant medical cannabis.
	tabling member constituency	Hemel Hempstead
	tabling member printed	Sir Mike Penning
	uin	257476
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>An initial impact assessment was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. This can be viewed at the following link:</p><p><a href="http://www.legislation.gov.uk/uksi/2018/1055/impacts" target="_blank">http://www.legislation.gov.uk/uksi/2018/1055/impacts</a></p><p>This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of cannabis-based products for medicinal use (CBPM). This framework included potential savings in treatment costs, giving the example of patients with severe epilepsy for whom medicinal use of cannabis could reduce the frequency of seizures and reduce the number of related hospital admissions. This was an initial framework for assessing this policy and as we develop our knowledge in this area, both on the costs and the potential benefits, we can revisit and refine these assessments.</p><p>In the meantime, the National Institute for Health and Care Excellence (NICE) is developing clinical guidelines on the appropriate use of CBPM based on the best available evidence, and the National Institute for Health Research is funding further clinical research on this. More information is available at the following link:</p><p><a href="https://www.nihr.ac.uk/funding-and-support/documents/themed-calls/cannabis-based%20products/cannabis-based-products-brief.pdf" target="_blank">https://www.nihr.ac.uk/funding-and-support/documents/themed-calls/cannabis-based%20products/cannabis-based-products-brief.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 257706 question first answered 10/06/2019 13:18:03 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1528 label Biography information for Sir Mike Penning

1128296

	registered interest
	date	22/05/2019
	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	Cannabis: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, which countries his Department is engaging with in order to learn from their experiences in getting patients access to medical cannabis.
	tabling member constituency	Hemel Hempstead
	tabling member printed	Sir Mike Penning
	uin	257472
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>In developing its policy on cannabis-based products for medicinal use, the Government looked at approaches taken by other countries to learn from their experience. Broadly two approaches have been taken: to regulate as a medicine (both licenced and unlicensed) as in the United Kingdom or to regulate outside of the medicinal regime as in Canada. In reviewing the available international evidence, the Chief Medical Officer for England and Chief Medical Adviser to the UK Government, looked at evidence reviews from the United States, Ireland, Australia, and the World Health Organization. Departmental officials have also reviewed information from a wide range of other countries and have spoken to the authorities and organisations in Australia, Canada, Denmark, the Netherlands, and the United States (New York).</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 257473 question first answered 10/06/2019 13:28:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1528 label Biography information for Sir Mike Penning

1128297

	registered interest
	date	22/05/2019
	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	Cannabis: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what evidence his Department has reviewed from other countries on the effectiveness of cannabis as a medicine.
	tabling member constituency	Hemel Hempstead
	tabling member printed	Sir Mike Penning
	uin	257473
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>In developing its policy on cannabis-based products for medicinal use, the Government looked at approaches taken by other countries to learn from their experience. Broadly two approaches have been taken: to regulate as a medicine (both licenced and unlicensed) as in the United Kingdom or to regulate outside of the medicinal regime as in Canada. In reviewing the available international evidence, the Chief Medical Officer for England and Chief Medical Adviser to the UK Government, looked at evidence reviews from the United States, Ireland, Australia, and the World Health Organization. Departmental officials have also reviewed information from a wide range of other countries and have spoken to the authorities and organisations in Australia, Canada, Denmark, the Netherlands, and the United States (New York).</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 257472 question first answered 10/06/2019 13:28:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1528 label Biography information for Sir Mike Penning

1128299

	registered interest
	date	22/05/2019
	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	Cannabis: Medical Treatments
	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 oral contribution of the Parliamentary Under-Secretary of State for Health and Social Care on 20 May 2019, Official Report, column, 571, what plans he has to include observational trials in building up the existing evidence-base.
	tabling member constituency	Hemel Hempstead
	tabling member printed	Sir Mike Penning
	uin	257475
	answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>In all areas of scientific research, a range of evidence builds our understanding. This includes individual cases and observational trials. It is the promise shown from these observational studies and experience, from all around the world, that provides the basis for public funding of further research into the use of cannabis based products as medicines through the National Institute for Health Research. This further clinical research will provide a greater level of understanding of cannabis-based medicines, how to use them to best effect, who may benefit and under what circumstances, how cannabis interacts with other medications and define further any contraindications. It is this level of research outcomes that will provide confidence to prescribers and the information necessary to make routine funding decisions within the National Health Service.</p><p>The existing experience, studies and research in this area will be used by the National Institute for Health and Care Excellence to develop their clinical guidelines due to be published later this year.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/06/2019 13:26:43 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1528 label Biography information for Sir Mike Penning