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1138690

	registered interest
	date	12/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Vacancies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of NHS hospitals have had vacancies for medical staff unfilled for more than (a) one, (b) two, (c) three and (d) four years.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	276555
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>NHS Improvement does not hold data for the length of time vacancies have been unfilled for, nor does it hold vacancy data for individual hospitals.</p><p>NHS Improvement collects vacancy data for three staff groups; doctors, nurses and ‘other staff’. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.</p><p>NHS Digital published the latest NHS Improvement vacancy data which can be found in the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics</a></p><p>Vacancies are filled by a combination of bank (82,900) and agency staff (28,900). There are more temporary staff than vacancies because bank and agency staff are also used to provide cover for short and long-term sickness absence, and maternity and paternity leave.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:37:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4378 label Biography information for Colleen Fletcher

1139237

	registered interest
	date	16/07/2019
	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: Apprentices
	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 apprenticeship starts in England were funded by the NHS in (a) 2017-18 and (b) 2018-19 at each apprenticeship level.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	277722
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Department does not centrally collect the information requested.</p><p>Public sector organisations in scope to meet the public sector apprentice target provide data annually to the Department for Education on numbers of apprentice starts. Data provided by the Department for Education show the National Health Service organisations in scope had 13,800 apprentice starts in 2017/18.</p><p>Published statistics which cover public sector apprenticeships in England in the first year of the target, 1 April 2017 to 31 March 2018 are available at the following link:</p><p><a href="https://www.gov.uk/government/statistics/public-sector-apprenticeships-in-england-2017-to-2018" target="_blank">https://www.gov.uk/government/statistics/public-sector-apprenticeships-in-england-2017-to-2018</a></p><p>Data is not available on 2018/19 starts until later this year.</p><p>Any NHS organisations not in scope for the apprenticeship target will not be included in the return, though they may have apprentices training within their organisation.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:36:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4125 label Biography information for Catherine McKinnell

1140947

	registered interest
	date	22/07/2019
	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: Vacancies
	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 unfilled NHS nursing posts there were in (a) London and (b) England in each of the last five years.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	280143
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>NHS Improvement collects vacancy data for three staff groups; doctors, nurses and ‘other staff’. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.</p><p>NHS Digital published the latest NHS Improvement vacancy data which can be found in the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics</a></p><p>The latest statistics show that as of March 2019, there are over 39,500 nursing and midwifery vacancies in England. In London, there are over 9,300 nursing and midwifery vacancies. The majority of these are filled by bank and agency staff.</p><p>NHS Improvement and NHS Employers have been working in partnership to deliver a national programme of action to support National Health Service trusts to improve retention of the nursing and clinical workforce. This provides targeted support to trusts on key issues affecting retention, such as flexible working, supporting new starters and older workers, and development and career planning.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:46:37 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1198 label Biography information for Sir David Evennett

1140402

	registered interest
	date	18/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Department of Health and Social Care: Brexit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated for contingency plans in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Cardiff Central
	tabling member printed	Jo Stevens
	uin	279081
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Autumn Budget 2018 confirmed an additional £500 million of cross-Government funding for 2019/20, meaning the Government will have invested over £4 billion in preparing for European Union exit since 2016. The Department has been allocated £50 million, as set out in the Chief Secretary’s Written Ministerial Statement <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-12-18/HCWS1205/" target="_blank">HCWS1205</a>, laid before Parliament on 18 December 2018.</p><p>The Department is keeping the resources required to support preparations under constant review and together with the additional funding provided by HM Treasury, the Department may also prioritise funding from existing settlements to support necessary EU Exit preparations.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:38:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4425 label Biography information for Jo Stevens

1140540

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups: North East
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential effect on public engagement in the NHS of the proposed merger of five clinical commissioning groups in the North East.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279425
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The clinical commissioning groups (CCGs) are currently looking at different options as to how they can work together in the future to consolidate their current collaborative working arrangements. The emerging preferred option from the public, member, staff, partner and stakeholder engagement so far, is a single CCG in Durham, which would be co-terminus with the local authority and a single CCG in the Tees Valley (covering the Tees Combined Authority area) with a shared management arrangement.</p><p>The CCGs in Durham have been working together for some time with joint appointments since 2014 and ‘in-common’ meetings since May 2017. NHS Durham Dales, Easington and Sedgefield CCG and NHS North Durham CCG also have a shared lay member for patient and public participation.</p><p>Should the CCGs decide to progress the merger application at the end of August, a Communication and Engagement Strategy, which is currently in development, will be submitted with the application.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:28:03 answering member 1585 label Biography information for Stephen Hammond previous answer version 131081 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1139367

	registered interest
	date	16/07/2019
	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	Ophthalmic Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 April 2019 to Questions 242132 and 242133 on Ophthalmic Services, what assessment he has made of the merits of having a tariff for combined trabecular bypass and cataract procedure that does not cover the cost of a combined procedure; and if his Department will publish the reference cost for the 2017-2019 national tariff for BZ91.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277723
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>In the development of each national tariff, NHS England and NHS Improvement undertakes an overall assessment of the impact of proposals. While this provides an overall assessment of impact, detailed feedback on proposed prices for individual HRGs (units of healthcare) is sought from clinical Expert Working Groups (EWGs). This is to ensure that the published tariff supports clinical practice.</p><p>For the 2017/19 tariff (set for two years), the prices for BZ91 were increased following EWG feedback. However, for the 2019/20 tariff the EWG advised that increasing the prices was no longer appropriate. The EWG felt that there had been a significant change in clinical practice since the 2017/19 prices were set, with a shift to performing minimally invasive glaucoma surgery (MIGS), which are significantly cheaper, rather than open/tube glaucoma procedures. Based on diagnosis and procedure codes entered into patient records, MIGS activity is assigned to the HRG BZ91. However, the current codes do not allow differentiation between MIGS and non-MIGS activity. This means that BZ91 covers procedures of different levels of resource use.</p><p>Reference costs are collected and published annually and the latest published data is for the financial year 2017-18. The reference cost data and links to previous years data can be found at the following link:</p><p><a href="https://improvement.nhs.uk/resources/reference-costs/#rc1718" target="_blank">https://improvement.nhs.uk/resources/reference-costs/#rc1718</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:34:53 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1141095

	registered interest
	date	22/07/2019
	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	Society of Homeopaths
	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 patients of the accreditation of the Society of Homeopathy by the Professional Standards Authority.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	280213
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department has made no assessment of the effect on patients of the accreditation of the Society of Homeopathy by the Professional Standards Authority (PSA).</p><p>The PSA sets standards for organisations holding voluntary registers for health and social care occupations and accredits those registers that meet them. The PSA’s list of accredited registers can be used by employers and members of the public to choose a practitioner to meet their needs and be assured they are safe and competent to practise.</p><p>The PSA is clear that accreditation is not an endorsement of a particular treatment or therapy or its efficacy but ensures that practitioners are part of a body that works to good practice and is committed to protecting the public.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:24:37 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1506 label Biography information for Andrew Gwynne

1140542

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups
	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 merits of the change from primary care trusts to clinical commissioning groups for the NHS.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279427
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>On 1 April 2013, clinical commissioning groups (CCGs) replaced primary care trusts (PCTs) as the primary commissioner of National Health Service services in England.</p><p>Unlike PCTs, CCGs are clinically led, and so are better able to use clinical expertise to assess and prioritise those treatments that provide the safest and most effective outcomes for their population. The evidence suggests that general practitioner-led CCGs have allowed the redesign of patient pathways and local services based on clinical evidence, and a more effective dialogue and partnership with other parts of the health system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:26:05 answering member 1585 label Biography information for Stephen Hammond previous answer version 131080 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1139240

	registered interest
	date	16/07/2019
	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	Construction and Furniture: Health Hazards
	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 health benefits of adding an assessment of fire toxicity to fire safety tests for upholstered products and construction materials.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	277634
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Department has made no specific assessment of the potential health benefits of adding an assessment of fire toxicity to fire safety tests for upholstered products and construction materials.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:45:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1139238

	registered interest
	date	16/07/2019
	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	Queen Elizabeth Hospital Birmingham
	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 waiting time targets achieved by Queen Elizabeth Hospital Birmingham in each of the last five years.
	tabling member constituency	Birmingham, Edgbaston
	tabling member printed	Preet Kaur Gill
	uin	277806
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>This information is not available in the format requested.</p><p>NHS England publishes monthly operational performance data for each waiting time standard online. The following link includes all of the performance data for the University Hospitals Birmingham NHS Foundation Trust over the last five years:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:39:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4603 label Biography information for Preet Kaur Gill