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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

1136937

	registered interest
	date	04/07/2019
	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	Alcoholic Drinks: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of training for NHS staff on diagnosing and treating alcohol abuse.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	273324
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>United Kingdom medical schools determine the content of their own curricula. The delivery of these undergraduate curricula have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained. The standards require the curriculum to be formed in a way that allows all medical students to meet the GMC’s ‘Outcomes for Graduates’ by the time they complete their medical degree, which describe knowledge, skills and behaviour they have to show as newly registered doctors.</p><p>The GMC’s ‘Outcomes for Graduates’ state that doctors must be able to recognise and identify factors that suggest patient vulnerability and take action in response. In particular, they must be able to recognise where addiction (including to alcohol) is contributing to ill health and take action by seeking advice from colleagues and making appropriate referrals. Furthermore, the GMC’s Generic Professional Capabilities Framework states that doctors in training must be able to do the same and act on this information.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:59:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1135474

	registered interest
	date	28/06/2019
	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	Junior Doctors: Working Hours
	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 potential benefit to the welfare of doctors of limiting the number of night shifts a junior doctor can work in a month.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	270697
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The junior doctors’ contract introduced in 2016 included measures aimed at improving the wellbeing of the junior doctor workforce including new, stronger limits on working hours and patterns. These included reducing the maximum number of consecutive nights shifts to four (down from seven) and ensuring at least 46 hours rest at the end of a run of three or four consecutive nights.</p><p>A joint review of the effectiveness of the contract has now been concluded by the British Medical Association (BMA) and NHS Employers which has resulted in even more robust safety and rest limits; for example, a rest period of 46 hours will be applied following any number of rostered night shifts. The BMA and NHS Employers have also agreed good rostering guidance that emphasises the need to have a balanced rota cycle with different types of shifts, including night shifts, evenly distributed to manage fatigue.</p><p>A junior doctors’ work schedule is designed to meet their training needs and this also, in practice, limits the number of night shifts they are expected to complete (as training usually takes place during the day time).</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:24:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1134879

	registered interest
	date	26/06/2019
	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 Services: Undocumented Migrants
	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 he has made of the number of undocumented immigrants who have died after they were denied care because they were unable to pay the costs upfront.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	269628
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Department does not hold this information.</p><p>National guidance is clear that immediately necessary or urgent care should never be withheld or delayed for reasons to do with eligibility or payment. Whether care is urgent is a decision only a clinician can make and on a case-by-case basis, informed by national guidance.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:42:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1133657

	registered interest
	date	20/06/2019
	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	NHS: Sexual Offences
	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 complaints of sexual (a) harassment and (b) abuse made by NHS staff against (i) patients and (ii) NHS staff.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	267167
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Department is committed to supporting trusts in their responsibility for tackling all forms of harassment and abuse including sexual via the Social Partnership Forum’s ‘Creating positive workplace cultures and tackling bullying in the NHS - a collective call to action’, the Alliance of Healthcare Organisations committed to civility and respect throughout the National Health Service and the new offer for staff being developed as part of the People Plan.</p><p>Statutory guidance will be issued later this year to clarify for employers what reasonable steps they should be taking, as required under the Equality Act 2010, to protect staff as well as the consultation on potential new legislation aimed at further deterring sexual harassment.</p><p>The Department does not collect data on the number of complaints of sexual harassment and abuse against patients or NHS staff, as many are dealt with locally in line with the NHS Complaints procedure. Further information is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/the-nhs-constitution-for-england/how-do-i-give-feedback-or-make-a-complaint-about-an-nhs-service" target="_blank">https://www.gov.uk/government/publications/the-nhs-constitution-for-england/how-do-i-give-feedback-or-make-a-complaint-about-an-nhs-service</a></p><p>The NHS Staff Survey records staff reporting whether they have been bullied, abused or physically assaulted but these figures are not broken down to separately identify sexual harassment or abuse.</p><p>NHS Digital publishes reasons for leaving data as part of the Hospital and Community Health Services workforce statistics for England. This can be found at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/december-2018" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/december-2018</a></p><p>However, the data does not go into the level of granularity of staff leaving as a result of sexual harassment or abuse at work.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267168 question first answered 25/06/2019 14:47:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1133658

	registered interest
	date	20/06/2019
	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	NHS: Sexual Offences
	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 NHS staff members that have left the NHS as a result of an incident of sexual harassment or abuse at work.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	267168
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Department is committed to supporting trusts in their responsibility for tackling all forms of harassment and abuse including sexual via the Social Partnership Forum’s ‘Creating positive workplace cultures and tackling bullying in the NHS - a collective call to action’, the Alliance of Healthcare Organisations committed to civility and respect throughout the National Health Service and the new offer for staff being developed as part of the People Plan.</p><p>Statutory guidance will be issued later this year to clarify for employers what reasonable steps they should be taking, as required under the Equality Act 2010, to protect staff as well as the consultation on potential new legislation aimed at further deterring sexual harassment.</p><p>The Department does not collect data on the number of complaints of sexual harassment and abuse against patients or NHS staff, as many are dealt with locally in line with the NHS Complaints procedure. Further information is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/the-nhs-constitution-for-england/how-do-i-give-feedback-or-make-a-complaint-about-an-nhs-service" target="_blank">https://www.gov.uk/government/publications/the-nhs-constitution-for-england/how-do-i-give-feedback-or-make-a-complaint-about-an-nhs-service</a></p><p>The NHS Staff Survey records staff reporting whether they have been bullied, abused or physically assaulted but these figures are not broken down to separately identify sexual harassment or abuse.</p><p>NHS Digital publishes reasons for leaving data as part of the Hospital and Community Health Services workforce statistics for England. This can be found at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/december-2018" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/december-2018</a></p><p>However, the data does not go into the level of granularity of staff leaving as a result of sexual harassment or abuse at work.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267167 question first answered 25/06/2019 14:47:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1133664

	registered interest
	date	20/06/2019
	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	Hospital Beds
	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 he is taking to increase the number of hospital beds in the NHS.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	267169
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Bed availability and occupancy is managed at a local level. Hospitals have a responsibility in ensuring that they are operating with the necessary beds available to support effective patient flow and safety.</p><p>The NHS Long Term Plan states:</p><p>“We have also been realistic about inevitable continuing demand growth from our growing and aging population, increasing concern about areas of longstanding unmet need, and the expanding frontiers of medical science and innovation. In the modelling underpinning this Long Term Plan we have therefore not locked-in an assumption that its increased investment in community and primary care will necessarily reduce the need for hospital beds”.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/06/2019 16:06:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1130694

	registered interest
	date	07/06/2019
	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: Flexible Working
	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 help promote flexible working for (a) doctors and (b) nurses in the NHS.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	261468
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>The Department is helping to promote flexible working for doctors and nurses through the interim NHS People Plan which outlines the new offer for staff and sets out what support will be offered to National Health Service staff including flexible working. The interim NHS People Plan will be developed over the summer with publication of the final version expected after the spending review later this year.</p><p>The Government also made a manifesto commitment to “…strengthen the entitlement for NHS employees to flexible working to help those with caring responsibilities for young children or older relatives.” This includes the improvement in the use of technology to help trusts with e-rostering and e-job planning to optimise the use of their permanent and temporary workforces.</p><p>The Junior Doctor’s contract agreement provides for £1,000 less than full time trainee allowance to recognise additional costs such trainees face.</p><p>NHS Improvement continues to promote flexible working for staff including doctors and nurses through its NHS Staff Retention Collaborative. This initiative initially focussed on nurses and clinicians working in mental health but has now been extended to all staff groups<sup>1</sup>.</p><p>Flexible working for all staff including doctors and nurses is promoted through the NHS Constitution which states that staff have the right “to fair treatment regarding leave, rights and flexible working” and also states that “employers…must consider flexible working requests by employees with at least 26 weeks continuous service”.<sup>2</sup></p><p>The Department is currently working closely with NHS Improvement to roll out smarter staff banks. As well as reducing reliance on expensive recruitment agencies, staff banks provide a further opportunity for flexible working in the NHS. Effective staff banks can give staff the freedom to manage their own time, using simple, user-friendly technologies to pick up shifts when they want them, get paid quickly, and have control over their pension contributions. Furthermore, where several banks are joined together into collaborative banks, trusts can dramatically increase the size of the flexible workforce they can reach and increase the opportunities for those working flexibly to choose the shifts that fit in with their lives.</p><p>Notes:</p><p><sup>1</sup> <a href="https://improvement.nhs.uk/resources/improving-staff-retention/" target="_blank">https://improvement.nhs.uk/resources/improving-staff-retention/</a></p><p><sup>2 </sup><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/770675/The_Handbook_to_the_NHS_Constitution_-_2019.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/770675/The_Handbook_to_the_NHS_Constitution_-_2019.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 16:12:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1130695

	registered interest
	date	07/06/2019
	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	Doctors: Mental Health Services
	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 improve mental health support for NHS doctors.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	261469
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Improving the mental health of our National Health Service staff including doctors is a top priority. Last year, NHS England announced the expansion of the Practitioner Health Programme, a free and confidential NHS service to treat doctors’ mental health or addiction problems, in particular where these might affect their work.</p><p>The Department also continues to discuss doctors’ contractual terms and conditions of service with the British Medical Association and employers to ensure they are up to date, fit for purpose helping protect their mental health and wellbeing through negotiated improvements.</p><p>As set out in the interim NHS People Plan, like all NHS staff, doctors should benefit from NHS work over the summer to “develop a new offer with staff setting out explicitly the support they can expect from the NHS as a modern employer” including ensuring everyone feels they have voice, control and influence, which covers staff mental health and wellbeing. This will be published after the Spending Review and could include implementation of recommendations from Health Education England’s NHS Staff and Learner Mental Wellbeing Programme report such as introducing Well Being Guardians in NHS trusts, personal wellbeing supervisors for learners including doctors in training, NHS organisations independently examining the death by suicide of any member of NHS staff or learner working in the NHS and “safe spaces” accessible to all for reflection, learning and breaks.</p><p>The new offer will build on the progress being made in implementing the NHS staff health and wellbeing framework which provides organisations with diagnostic and intervention options to help them provide the mental health services their staff need such as counselling and talking therapies. The Framework and NHS Improvement’s s staff health and wellbeing collaborative of 73 trusts embed the mental health standards set out in ‘Thriving at Work – a review of mental health and employers’ commissioned by the Government. Implementing ‘Thriving at Work’ is a requirement under the NHS Standard contract.</p><p>NHS England’s 2017/19 Commissioning for Quality and Innovation (CQUIN) Incentive scheme has been encouraging trusts to improve the services they provide to help staff mental health with payments for improvement in the percentage of staff answering “no” to the NHS Staff Survey question “During the last 12 months have you felt unwell as a result of work related stress?”</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 16:15:59 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

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