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1059727

registered interest
date	12/02/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) restrictions and (b) prohibitions are in place on (i) engaging with and (ii) selling to the NHS for senior staff who leave NHS England and move to work for private companies.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	220225
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The standard contract of employment that NHS England Executive and Senior Manager staff are issued with includes the following:</p><p> </p><p>“20. Post-termination restrictions</p><p> </p><p>20.1 You agree that, following the termination of your employment for any reason you will not directly or indirectly, either alone or jointly with or on behalf of any person, firm or company and whether on your own account or as principal, shareholder, partner, employee, agent or otherwise:</p><p> </p><p>20.1.1 for a period of six months lobby the UK government in relation to any aspect of national or regional health policy with a view to promoting or advancing your own business interests or those of any third party</p><p> </p><p>20.1.2 for a period of six months solicit the employment or engagement of any person who immediately prior to termination of your employment was a senior employee in a managerial, executive or technical capacity of NHS England with whom you worked or with whom you had contact or whose work you were aware of in the 12 months prior to such termination.”</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/02/2019 12:26:36 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1059787

registered interest
date	12/02/2019
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	Nurses: Training
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 potential merits of nurse training course fees and bursaries being paid for by the NHS subject to the completion of several years of post-registration work as a nurse.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	220203
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>In August 2017 the Government changed the funding system for pre-registration undergraduate nurse training. The intention of the reforms is to boost participation and secure the future supply of home-grown nurses to the National Health Service and enable universities to create additional nursing and midwifery training places.</p><p> </p><p>On 7 February, the University and College Admissions Service (UCAS) published full-time undergraduate nursing and midwifery applications made by the 15 January deadline. This data showed a 4.5% increase in the number of applicants compared to the same point in 2018.</p><p> </p><p>Based on the data UCAS published in February, there is no intention to provide bursaries for nurse training course fees.</p><p> </p><p>On 9 May 2018 the former Secretary of State for Health (Rt. hon. Jeremy Hunt MP) announced a £10,000 package of golden hello payments for 2018/19 loan funded postgraduate nursing students that take up employment in learning disability, mental health or community service nursing roles. The full details of this incentive will be published in due course.</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 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, 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 grouped question UIN 220204 question first answered 18/02/2019 12:22:18 answering member 1585 label Biography information for Stephen Hammond
tabling member	4079 label Biography information for Julian Sturdy

1059789

registered interest
date	12/02/2019
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	Nurses: Training
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 effectiveness of the current framework and funding of nurse training in incentivising sufficient people to join the nursing profession to meet the needs of the health service.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	220204
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>In August 2017 the Government changed the funding system for pre-registration undergraduate nurse training. The intention of the reforms is to boost participation and secure the future supply of home-grown nurses to the National Health Service and enable universities to create additional nursing and midwifery training places.</p><p> </p><p>On 7 February, the University and College Admissions Service (UCAS) published full-time undergraduate nursing and midwifery applications made by the 15 January deadline. This data showed a 4.5% increase in the number of applicants compared to the same point in 2018.</p><p> </p><p>Based on the data UCAS published in February, there is no intention to provide bursaries for nurse training course fees.</p><p> </p><p>On 9 May 2018 the former Secretary of State for Health (Rt. hon. Jeremy Hunt MP) announced a £10,000 package of golden hello payments for 2018/19 loan funded postgraduate nursing students that take up employment in learning disability, mental health or community service nursing roles. The full details of this incentive will be published in due course.</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 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, 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 grouped question UIN 220203 question first answered 18/02/2019 12:22:18 answering member 1585 label Biography information for Stephen Hammond
tabling member	4079 label Biography information for Julian Sturdy

1059958

registered interest
date	12/02/2019
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
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 Huffington Post article entitled Police Driving Mental Health Patients To Hospital In 48 per cent Of All Crisis Cases, published on the 11 February 2019, what proportion of the £20.5 billion announced for the NHS in the NHS Long Term Plan will be allocated to ambulance services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	220200
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The National Implementation Framework, which is to be published in the spring, will provide further information on how the NHS Long Term Plan will be implemented. Further details, based on local health system five year plans will be brought together in a detailed national implementation plan in the autumn.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/02/2019 12:24:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger

1060008

registered interest
date	12/02/2019
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
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 nurses have left the employment of the NHS in each of the last five years.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	220276
answer	answer is ministerial correction date of answer 18/02/2019 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> </p><p>The following table shows the number of nurses and health visitors who have left National Health Service employment as at 31 October, in the last five years, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Nurses and health visitors that have left National Health Service employment</p></td></tr><tr><td><p>October 2013 – October 2014</p></td><td><p>29,723</p></td></tr><tr><td><p>October 2014 – October 2015</p></td><td><p>32,345</p></td></tr><tr><td><p>October 2015 – October 2016</p></td><td><p>33,466</p></td></tr><tr><td><p>October 2016 – October 2017</p></td><td><p>33,506</p></td></tr><tr><td><p>October 2017 – October 2018</p></td><td><p>32,362</p></td></tr></tbody></table><p>Source: NHS Digital</p><p> </p><p>Notes:</p><p>These figures include nurses moving to roles in primary care and social care.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/02/2019 12:25:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4425 label Biography information for Jo Stevens

1058750

registered interest
date	11/02/2019
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	UK Antimicrobial Resistance Diagnostics Collaborative
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) representations his Department has received on the work of the UK Antimicrobial Resistance (AMR) Diagnostics Collaborative and (b) discussions have taken place between his Department and members of that group; what the timetable is for the publication of the AMR Diagnostics Collaborative's report; and (c) if he will make a statement.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	219373
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Over the last five years, implementation of the United Kingdom antimicrobial resistance (AMR) strategy has been overseen and driven by a cross-Government High Level Steering Group, chaired by the Chief Medical Officer for England.</p><p> </p><p>Professor Dame Sue Hill, Chief Scientific Officer for NHS England, leads work to deliver the Government’s ambitions for diagnostics as part of the strategy. NHS England established the UK AMR Diagnostics Collaborative to support delivery of the United Kingdom’s diagnostics ambitions for AMR. The Collaborative has played a valuable role in developing the diagnostics elements of the new UK five-year national action plan on AMR, published in January this year.</p><p> </p><p>The Department continues to work closely with the UK AMR Diagnostics Collaborative, which currently has no plans to publish a report.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:44:29 answering member 4067 label Biography information for Steve Brine
tabling member	1604 label Biography information for Mr Virendra Sharma

1058752

registered interest
date	11/02/2019
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	Drugs: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the implications for his Department's policies of the findings of the National Aids Trust report, Drug-Related Deaths in England, published by the National Aids Trust, published on 5 February 2019; and if he will make a statement.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	219400
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>No formal assessment has been made of the National AIDS Trust report however officials will consider its findings in the development of future drugs policy. The Government is concerned by the number of drug-related deaths and is supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:45:27 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

1058753

registered interest
date	11/02/2019
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	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the proposed amendments to the Human Medicines Regulation 2012, what treatment areas will be excluded from the serious shortage protocol for reasons of patient safety; and if he will publish a list of medicines and formulations that will be excluded as a result.
tabling member constituency	Sunderland Central
tabling member printed	Julie Elliott
uin	219427
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>A Serious Shortage Protocol is an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p>As the explanatory memorandum of the amending Statutory Instrument acknowledges, protocols for therapeutic or generic equivalents will not be suitable for all medicines and patients. For example, such protocols would not be suitable for medicines that need to be prescribed by brand for clinical reasons, such as biological medicines. In these cases, patients would always be referred to the prescriber for any decision about their treatment before any therapeutic or generic alternative is supplied.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:35:25 answering member 4067 label Biography information for Steve Brine
tabling member	4127 label Biography information for Julie Elliott

1058754

registered interest
date	11/02/2019
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	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Human Medicines (Amendment) Regulation 2019, what the system will be by which clinicians will be able to indicate whether or not an alternative (a) quantity, (b) strength, and (c) pharmaceutical form of medicine can be dispensed in line with the protocol; and how this system will be applied to regular repeat prescriptions.
tabling member constituency	Sunderland Central
tabling member printed	Julie Elliott
uin	219428
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>A Serious Shortage Protocol is an additional tool to manage and mitigate medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective. It can only be issued by Ministers and would only be introduced in the case of a serious shortage, if it would help manage the supply situation and if clinicians think it is appropriate, after discussion with the manufacturer and/or marketing authorisation holder.</p><p> </p><p>Any protocol would need to set out what alternative quantity, pharmaceutical form, strength, therapeutic equivalent or generic equivalent can be supplied. Supply in accordance with a protocol can only be made if the protocol is in date when a prescription is presented for dispensing, whether that prescription is an acute or a repeat prescription. If appropriate, the protocol could stipulate that it does not apply to a certain type of prescription.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:47:44 answering member 4067 label Biography information for Steve Brine
tabling member	4127 label Biography information for Julie Elliott

1058800

registered interest
date	11/02/2019
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	Pharmacy: Public Health
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 potential merits of nationally commissioning more public health services through community pharmacy.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	219278
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Government has been clear that it wants to change the focus of the health and care system onto prevention and Ministers have also set out an ambition for local pharmacies to play a stronger role in helping people stay well in the community. The Department has committed to publishing a Green Paper on prevention that will set out how these plans will be achieved in more detail. An assessment specifically focusing on the potential merits of nationally commissioning more public health services through community pharmacy has not been undertaken.</p><p>An updated list of the 1,413 pharmacies found to be eligible for the pharmacy access scheme was published in January 2018, this is publicly available and can be found at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/670305/PhAS_List_20122017_updated.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/670305/PhAS_List_20122017_updated.pdf</a></p><p>A small proportion of the pharmacies eligible for the scheme will not receive a payment because they do not meet the payment criteria as set out in the Drug Tariff. This means their income in 2016/17 is greater than their 2015/16 income less a 1% efficiency saving, and/or their estimated income in 2017/18 and 2018/19 is greater than their 2015/16 income less a 3% efficiency saving. The number and proportion of pharmacies on the scheme in receipt of a payment, for each year that the scheme has been running, is set out in the following table.</p><table><tbody><tr><td><p> </p></td><td><p>Total number of eligible pharmacies</p></td><td><p>Total number of pharmacies receiving zero payments</p></td><td><p>Total number of pharmacies in receipt of payment</p></td></tr><tr><td><p>2016/17</p></td><td><p>1,402</p></td><td><p>47 (3%)</p></td><td><p>1,355 (97%)</p></td></tr><tr><td><p>2017/18</p></td><td><p>1,415<sup><sup>[1]</sup></sup></p></td><td><p>57 (4%)</p></td><td><p>1,358 (96%)</p></td></tr></tbody></table><p><sup><sup><br>[1]</sup></sup>Two additional pharmacies have been accepted on to the scheme since the publication of the updated list. This explains the difference in the figures of 1,413 and 1,415 for 2017/18.</p><p>The fees and allowances paid under the Community Pharmacy Contractual Framework (CPCF) for the provision of essential services, including dispensing, provided by community pharmacies each year from April 2015 to March 2018 are detailed in the following table, based on data provided by NHS England. The structure of fees and allowances does not allow payments just for dispensing to be isolated. These payments do not include the medicine margin that community pharmacies earn as part of the payment for essential services, which is paid through reimbursement within the drugs’ bill.</p><p>Enhanced services are locally commissioned. As such they are funded outside of the national CPCF and the Department does not hold the information sought.</p><table><tbody><tr><td><p>Time period</p></td><td><p>Total essential services funding<sup>2</sup> /£</p></td><td><p>Total national CPCF funding (essential and advanced services) less medicines margin/ £</p></td><td><p>Funding for essential services as a proportion of total national CPCF funding (essential and advanced services) less medicines margin/ %</p></td></tr><tr><td><p>2015/16</p></td><td><p>1,881,828,149</p></td><td><p>2,000,000,000</p></td><td><p>94</p></td></tr><tr><td><p>2016/17</p></td><td><p>1,769,216,586</p></td><td><p>1,887,000,000</p></td><td><p>94</p></td></tr><tr><td><p>2017/18</p></td><td><p>1,668,141,583</p></td><td><p>1,792,000,000</p></td><td><p>93</p></td></tr></tbody></table><p><sup><br>2</sup>This comprises the fees and allowances paid under Part IIIA: Professional Fees (Pharmacy Contractors) and Part VIA: Payment for Essential Services (Pharmacy Contractors) of the Drug Tariff, and through the Quality Payment Scheme and Pharmacy Access Scheme. This does not include medicines margin.</p><p>Within the NHS Long Term Plan, Government has committed to expanding the number of pharmacists in Primary Care Networks. These pharmacists are well placed to work alongside the wider medical team to optimise the use of medicines, promote medicines adherence and improve the clinical and cost effectiveness of prescribed medications. Identifying and supporting patients on complex polypharmacy and those with long term conditions necessitating repeat prescriptions will form an important part of their role. Alongside this, in August 2018, NHS England, announced plans for a new pilot scheme, with investment of £1 million from the Pharmacy Integration Fund to develop system leadership within pharmacy across all settings. These pharmacy leaders will set the vision to systematically tackle medicines optimisation priorities for the local population within GP Network and Integrated Care System foot prints, further supporting medicines adherence, and in turn reducing medicines wastage.</p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 219279 219280 219281 question first answered 14/02/2019 17:46:27 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron