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1137500

	registered interest
	date	08/07/2019
	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: Staff
	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 effect of ending freedom of movement of people on the NHS workforce.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	274480
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>The Government recognises the need for the National Health Service to be able to continue to recruit effectively from abroad when freedom of movement ends. The Immigration White Paper, ‘The UK’s future skills-based immigration system’, published in December 2018, sets out the foundation for a single immigration system, where it is workers’ skills that matter, not where they come from. This system will remove the cap on skilled migrants, abolish the requirement to undertake a Resident Labour Market Test and significantly improve the timeliness of being able to apply for a visa.</p><p>Additionally, legislation introduced on the 7 March 2019 means health and care professionals with professional qualifications from European Union and Swiss institutions who are currently registered can continue to practise in the United Kingdom as they do now, guaranteeing their ability to work in the NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/07/2019 08:45:59 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1538 label Biography information for Rosie Cooper

1138922

	registered interest
	date	15/07/2019
	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	Health Services: Reciprocal Arrangements
	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 European Health Insurance Cards in circulation are issued to people under 16 years of age.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	277128
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>There are 4,644,621 valid European Health Insurance Cards (EHICs) in circulation held by people who are under 16 years of age as at 17 July 2019.</p><p><br> For the period 1 July 2018 to 30 June 2019, there were 21,204 EHIC claims and 331 Provisional Replacement Certificate claims entered on the system for people under the age of 16 at the time of the claim.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 277129 question first answered 18/07/2019 15:49:11 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1138925

	registered interest
	date	15/07/2019
	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	Health Services: Reciprocal Arrangements
	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 claims were made for people under the age of 16 through the European Health Insurance Card scheme in the most 12 months for which data is available.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	277129
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>There are 4,644,621 valid European Health Insurance Cards (EHICs) in circulation held by people who are under 16 years of age as at 17 July 2019.</p><p><br> For the period 1 July 2018 to 30 June 2019, there were 21,204 EHIC claims and 331 Provisional Replacement Certificate claims entered on the system for people under the age of 16 at the time of the claim.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 277128 question first answered 18/07/2019 15:49:11 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1137731

	registered interest
	date	09/07/2019
	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: Sign Language
	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 his Department has made of the adequacy of the procurement processes operated by NHS trusts for the purpose of hiring British Sign Language translators.
	tabling member constituency	Wansbeck
	tabling member printed	Ian Lavery
	uin	275195
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Many National Health Service trusts use framework agreements for the procurement of translation services which are put in place either by Crown Commercial Service or their local procurement hub. These central purchasing bodies undertake assessments of companies to ensure that they meet the minimum standards and are able to track performance across a number of NHS trusts.</p><p>The Department does not review NHS procurement practices on a trust by trust basis.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/07/2019 08:43:29 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4139 label Biography information for Ian Lavery

1140593

	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	Health Services: 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 criteria his Department uses to estimate the average cost per year in England on treating non-EEA surcharge payers.
	tabling member constituency	Vauxhall
	tabling member printed	Kate Hoey
	uin	279372
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The estimate of the average cost per year in England of treating non-European Economic Area surcharge payers is based on the actual costs of treating surcharge payers in secondary care, and estimates for other National Health Service services based on age, gender and other demographics relative to the general population in England.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:40:39 answering member 1585 label Biography information for Stephen Hammond
	tabling member	210 label Biography information for Baroness Hoey

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

1140808

	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	Public Health: Expenditure
	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 percentage change has been in the (a) NHS budget and (b) local authority public health grant in each year from 2013-14 to 2019-20.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	280248
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2013:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England funding increase %</p></td><td><p>Public Health Grant increase %</p></td></tr><tr><td><p>2013/14</p></td><td><p>First year of NHS England</p></td><td><p>5.5%</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.6%</p></td><td><p>5%</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.3%</p></td><td><p>24%<sup>1,2</sup></p></td></tr><tr><td><p>2016/17</p></td><td><p>5.5%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017/18</p></td><td><p>3.6%</p></td><td><p>-2.5%<sup>3</sup></p></td></tr><tr><td><p>2018/19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr><tr><td><p>2019/20</p></td><td><p>7.8%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1 </sup>2015-16 includes a £200 million in-year cut implemented in advance of Spending Review 2015.</p><p><sup>2 </sup>Spending Review 2015 baseline, includes the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 – 5 in October 2015.</p><p><sup>3 </sup>From 2017/18, includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:34:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1137882

	registered interest
	date	09/07/2019
	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	Paramedical Staff: Crimes of Violence
	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 work days lost by ambulance staff as from sick leave as a result of an assault while on duty in each of the last three years.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	275147
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>The data is not available at the level of detail requested.</p><p>NHS Digital publishes sickness absence rates, including those of ambulance staff, but that data does not include the number of work days lost or the reason for the absence.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/07/2019 08:39:20 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1447 label Biography information for Andrew Rosindell

1139217

	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	Clinical Commissioning Groups: Finance
	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 ensure funding for Clinical Commissioning Groups is equitable and protects patient outcomes.
	tabling member constituency	Peterborough
	tabling member printed	Ms Lisa Forbes
	uin	277858
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The allocation of funding to clinical commissioning groups (CCGs) to support them in commissioning services for their local population is one of the key duties of NHS England. The approach NHS England must take in setting allocations is outlined in the mandate from the Department which says:</p><p><em> </em></p><p>“The Government expects the principle of ensuring equal access for equal need to be at the heart of NHS England’s approach to allocating budgets.”</p><p> </p><p>The approach is also informed by NHS England’s duty to reduce inequalities to accessing services and the outcomes of care.</p><p> </p><p>These two aims are reflected in the target formula, which produces a target allocation or ‘fair share’ for each area, based on a complex assessment of factors such as demography, morbidity, deprivation, and the unavoidable cost of providing services in different areas. The NHS England Board has agreed a pace of change policy that seeks to bring all CCGs to target funding over time.</p><p> </p><p>The formula is based on independent academic research and is overseen by an independent external group, the Advisory Committee on Resource Allocation, which provides advice to the Secretary of State for Health and Social Care and the Chief Executive of NHS England.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:41:44 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4717 label Biography information for Ms Lisa Forbes

1140329

	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	Clinical Commissioning Groups: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the (a) CEO, (b) Accountable Officers and (c) chief nurses of the CCGs rated as inadequate in NHS England’s assessment framework on the performance of those CCGs; what measures have been agreed to help ensure improvement of the performance of those CCGs; and if he will make a statement.
	tabling member constituency	North Thanet
	tabling member printed	Sir Roger Gale
	uin	278885
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has meetings with many health leaders and other key stakeholders on a regular basis.</p><p> </p><p>All clinical commissioning groups (CCGs) rated as inadequate in the annual performance assessment of CCGs are placed in NHS England’s special measures regime. This is a non-statutory, internal support regime, tailored to the CCG’s circumstances, requiring the delivery of an action plan for improvement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/07/2019 15:27:09 answering member 1585 label Biography information for Stephen Hammond
	tabling member	87 label Biography information for Sir Roger Gale