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1010719

	registered interest
	date	20/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Off-payroll Working
	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 24 October 2018 to Question 183335, if he will make an assessment of the effect on NHS staffing levels of the IR35 tax changes.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	193450
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>As previously advised, all available evidence suggests that there has been no significant impact on the National Health Service of the IR35 changes. Recent HM Revenue and Custom research indicates that 58% of central public bodies have not had problems filling vacancies since the changes and 63% have not seen an increase in rates as a result.</p><p> </p><p>NHS Improvement has confirmed that there has been no significant impact on the NHS of these changes and as such, we have not made a formal assessment of the effect of these changes on the NHS.</p><p> </p><p>It should also be re-iterated that NHS Improvement continuously monitors the levels of staffing in NHS trusts to ensure they are able to prioritise patient care.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:46:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1012273

	registered interest
	date	22/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Finance
	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 November 2018 analysis from the Nuffield Trust on the effect on the cost of NHS services of leaving the EU without a deal, what contingency plans he has put in place to tackle the estimated £2.3 billion in additional annual costs.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	194697
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Government is committed to ensuring leaving the European Union is a success for the health and social care sector as well as the United Kingdom as a whole.</p><p> </p><p>The Department continually assesses the implications of the UK leaving the EU, to help ensure the best outcome for the health and care sectors. This includes understanding the financial implications of the UK exiting the EU for the National Health Service and wider care system, and, where appropriate, mitigation planning for any risks. The Department is working with its partners across Government, arms-length bodies and industry to ensure that all relevant parties are prepared for exiting the EU, and the Secretary of State sends regular communication to frontline NHS organisations about EU Exit preparations.</p><p> </p><p>It is in everyone’s interests to secure a good deal for both sides. We expect to secure a good deal. However, it is the duty of a responsible government to contingency-plan for all potential EU exit scenarios, and that is exactly what we are doing. Our plans are well developed and have been designed to provide the flexibility to respond to all scenarios and ensure the smoothest exit in all outcomes. The quality and safety of patient care is paramount in our negotiations and preparedness plans.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 14:01:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4518 label Biography information for Tulip Siddiq

1012301

	registered interest
	date	22/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Early Retirement and Sick Leave
	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 NHS staff (a) took early retirement and (b) were on long-term sick leave in the last three years for which figures are available; what the average length of long-term sick leave taken by NHS staff was in that period; and whether staff on long-term sick leave receive full or part pay.
	tabling member constituency	Wantage
	tabling member printed	Mr Edward Vaizey
	uin	194640
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the number people who have stated that they have taken voluntary early retirement for the last three years and latest available data for 2018/19, headcount:</p><table><tbody><tr><td><p> </p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p><sup>1</sup>2018/19</p></td></tr><tr><td><p>Voluntary early retirement</p></td><td><p>3,229</p></td><td><p>3,131</p></td><td><p>3,000</p></td><td><p>705</p></td></tr></tbody></table><p>Source: NHS Digital, National Health Service HCHS workforce statistics</p><p> </p><p>Note:</p><p><sup>1</sup>This only covers the first quarter of 2018/19 (1 April 2018 to 30 of June 2018).</p><p> </p><p>NHS Digital publishes data on the number of days lost to sickness absence. It does not publish data on number of staff on sick leave.</p><p> </p><p>NHS Digital publishes monthly data on sickness absence rates which cover sickness absence rate by region, staff group, organisation and organisation type. Information is not published on the length of sick-leave taken.</p><p> </p><p>NHS staff get up to six months full pay and then six months half pay when on sick leave subject to length of service as set out in terms and conditions of service.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 13:56:30 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1580 label Biography information for Lord Vaizey of Didcot

1012364

	registered interest
	date	22/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospitals
	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 NHS hospitals have adopted good practice to enable appropriate patient flow in (a) March 2017 and (b) October 2017.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	194734
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The data requested is not collected centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 14:02:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1013078

	registered interest
	date	23/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Property
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the sale value of NHS property has been since Sir Robert Naylor's review of NHS Property and estates; and what recent estimate he has made of the sale value of NHS property due to be sold.
	tabling member constituency	Hyndburn
	tabling member printed	Graham P Jones
	uin	195052
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The latest published data shows that National Health Service trusts, foundation trusts and the Department, including its arm’s-length bodies and wholly owned property companies, disposed of 301 surplus sites between April 2015 and March 2017, generating £439 million in receipts from unconditional sales. This data is available online, as part of Cabinet Office’s ‘Transparency Report: Government’s land and property disposals in 2015-16 and 2016-17’, published in April 2018 at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/697773/Transparency_report_Government_s_land_and_property_disposals_2015-16_and_2016-17__1_.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/697773/Transparency_report_Government_s_land_and_property_disposals_2015-16_and_2016-17__1_.pdf</a></p><p> </p><p>Similar data relating to the 2017-18 financial year will be published in due course.</p><p> </p><p>The Department annually collects data on properties owned by NHS trusts and foundation trusts which has been declared surplus and planned for future disposal. This collection does not include properties owned by the Department, its arm’s-length bodies and wholly owned property companies. Information reported directly by trusts show that as at 31 March 2018 the total declared market value of surplus and potentially surplus land was £260 million; however, many organisations were not able to provide figures due to data limitations, including commercial confidentiality. This data is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-surplus-land/2017-18-england" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-surplus-land/2017-18-england</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:48:49 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3999 label Biography information for Graham P Jones

1013143

	registered interest
	date	23/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS 111
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of NHS 111 calls received clinical assessment at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195068
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Data regarding NHS 111 calls, including the proportion of calls triaged that are transferred to a clinician, is published online by NHS England at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/</a></p><p> </p><p>The following table shows the proportion of NHS 111 calls triaged and transferred to any clinician in March and October 2018.</p><p> </p><table><tbody><tr><td><p>March</p></td><td><p>October</p></td></tr><tr><td><p>48.8%</p></td><td><p>52.5%</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:49:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1011543

	registered interest
	date	21/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Maternity Services: Fees and Charges
	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 (a) assessment of the effect on the health and wellbeing of vulnerable women and (b) equalities impact assessment of charging those women for maternity care.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	194046
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Department has recently reviewed the impact of changes introduced by the Amendment Regulations with a particular focus on the extent to which there are any unintended consequences for the most vulnerable. The outcomes of this review will be published in due course.</p><p> </p><p>The Department does not collect data on the number of women who do not access maternity care because of concerns about National Health Service charging policies.</p><p> </p><p>The national guidance is clear that NHS maternity treatment should always be considered as immediately necessary and provided to all patients regardless of whether or not they are entitled to receive it free of charge or there are doubts about whether they could pay if subsequently found to be chargeable under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>Providers of NHS care need to ensure that they take necessary and appropriate steps to recover the cost of providing treatment to those not entitled to NHS-funded care. National guidance recommends that providers of NHS care should consider employing the services of a debt recovery agency that specialises in the recovery of overseas debt except in relation to persons whom it is clear to the relevant body will be unable to pay.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194039 194047 question first answered 29/11/2018 13:59:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	304 label Biography information for Mr Roger Godsiff

1011551

	registered interest
	date	21/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Debt Collection
	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 appropriateness of NHS trusts referring to debt collection agencies requests for payment by non-UK citizens of NHS maternity and other essential health care.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	194047
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Department has recently reviewed the impact of changes introduced by the Amendment Regulations with a particular focus on the extent to which there are any unintended consequences for the most vulnerable. The outcomes of this review will be published in due course.</p><p> </p><p>The Department does not collect data on the number of women who do not access maternity care because of concerns about National Health Service charging policies.</p><p> </p><p>The national guidance is clear that NHS maternity treatment should always be considered as immediately necessary and provided to all patients regardless of whether or not they are entitled to receive it free of charge or there are doubts about whether they could pay if subsequently found to be chargeable under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>Providers of NHS care need to ensure that they take necessary and appropriate steps to recover the cost of providing treatment to those not entitled to NHS-funded care. National guidance recommends that providers of NHS care should consider employing the services of a debt recovery agency that specialises in the recovery of overseas debt except in relation to persons whom it is clear to the relevant body will be unable to pay.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194039 194046 question first answered 29/11/2018 13:59:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	304 label Biography information for Mr Roger Godsiff

1011508

	registered interest
	date	21/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Maternity Services: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of women who do not access maternity care because of concerns about NHS charging policies.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	194039
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Department has recently reviewed the impact of changes introduced by the Amendment Regulations with a particular focus on the extent to which there are any unintended consequences for the most vulnerable. The outcomes of this review will be published in due course.</p><p> </p><p>The Department does not collect data on the number of women who do not access maternity care because of concerns about National Health Service charging policies.</p><p> </p><p>The national guidance is clear that NHS maternity treatment should always be considered as immediately necessary and provided to all patients regardless of whether or not they are entitled to receive it free of charge or there are doubts about whether they could pay if subsequently found to be chargeable under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>Providers of NHS care need to ensure that they take necessary and appropriate steps to recover the cost of providing treatment to those not entitled to NHS-funded care. National guidance recommends that providers of NHS care should consider employing the services of a debt recovery agency that specialises in the recovery of overseas debt except in relation to persons whom it is clear to the relevant body will be unable to pay.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194046 194047 question first answered 29/11/2018 13:59:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	304 label Biography information for Mr Roger Godsiff