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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

1135522

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	Medical Treatments Abroad: British Nationals Abroad
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 UK citizens residing in the EU receive free healthcare under the S1 scheme.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270693
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As at 26 June 2019, there were 151,529 United Kingdom-insured people residing in a European Union country, excluding Ireland, who had an active registered entitlement under the S1 scheme and are eligible for UK-funded healthcare. As S1 certificates are not issued for Ireland, the exact number of people receiving UK-funded healthcare within the EU is not held by the Government or its arm’s length bodies.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:30:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135524

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	Medical Treatments Abroad: British Nationals Abroad
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 UK citizens visiting Spain and Portugal will have to take to prove that they are entitled to healthcare under the bilateral agreements on healthcare rights for UK citizens in the event that the UK leaves the EU without an agreement.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270695
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The Government of Spain has offered to continue to maintain the existing arrangements for reciprocal healthcare in the event that the United Kingdom leaves the European Union without a deal. This includes access to treatment that becomes necessary during the course of a visit to Spain.</p><p><br> This means that in Spain, UK-issued European Health Insurance Cards (EHICs) or the equivalent would continue to be accepted as proof of UK cover in a ‘no deal’ scenario. The UK EHIC or its equivalent would need to be presented with a valid passport. It is important to note that UK EHICs will be accepted in Spain for 21 months after EU exit.</p><p><br> The Government of Portugal’s ‘no deal’ unilateral offer is only extended to UK nationals. This means that other nationals, including EU citizens, resident in the UK who presently enjoy UK EHIC cover would be fully charged for accessing public healthcare when they visit Portugal. Only UK passports, and not UK EHICs, would be accepted as providing proof of UK cover. The unilateral offer covers the period from exit day until 31 December 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:31:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135583

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	Hospitals: Cleaning Services and Food
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 conduct a review of hospital (a) food and (b) cleaning contracts to assess the potential merits of bringing those services in-house to improve (i) food standards and (ii) infection control in NHS England hospitals.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	270795
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>National Health Service trusts make decisions locally on how the services needed to run their hospitals are delivered. This will be based on their service needs and their local environment, including taking into account the locations, types and economics of how these services can be procured and run. All organisations regardless of whether they are outsourced, or in-house teams are required to follow the same National Cleaning Standards and the five Core Standards for Hospital Food.</p><p>A review of NHS food was announced on 17 June 2019, and this will include how bringing the provision of food services in-house could improve quality and value for money.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 13:26:10 answering member 1585 label Biography information for Stephen Hammond
tabling member	3973 label Biography information for Grahame Morris

1135600

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	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, pursuant to his Answer of 26 June 2019 to Question 266189 NHS: Debts and with reference to NHS Improvement’s Quarterly performance of the NHS provider sector: quarter 2 2018/19, what assessment his Department has made of the validity of NHS Improvement’s statement that the Provider Sustainability Fund is non-recurrent funding; and what estimate he has made of the level of growth in the Provider Sustainability Fund in each of the next five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	270806
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Funding that is made available through the Provider Sustainability Fund is a recurrent part of the NHS Long Term Plan funding settlement.</p><p> </p><p>The way in which the funding is being deployed is however changing and this means it is non-recurrent at the level of individual providers. For example, there has been a £1.2 billion reduction in the Fund in 2019-20, but this remains available to the National Health Service and has been transferred to urgent and emergency care tariff prices and the Financial Recovery Fund.</p><p> </p><p>NHS England and NHS Improvement have set out in this year’s NHS Operational Planning and Contracting Guidance that their ambition is that this will be the last year of Provider Sustainability Funding.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 13:27:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1134491

registered interest
date	25/06/2019
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: British Nationals Abroad
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 effect on the provision of healthcare for UK citizens in the EU of the UK leaving the EU without a deal.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	269017
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Under current European Union-based entitlements, the United Kingdom pays for the healthcare costs of 180,000 UK nationals, mostly pensioners, in health systems across the EU. There are around 50 million UK tourist visits to the EU annually; the European Healthcare Insurance Card (EHIC) is used in around 0.5% of these visits. Moreover, approximately 50,000 posted workers are protected through the current arrangements.</p><p>The UK Government has proposed to EU Member States that, in a no-deal scenario, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to UK nationals’ and EU citizens’ healthcare provision. The UK Government is working to put in place bilateral agreements with Member States to protect existing healthcare arrangements for UK nationals beyond exit day. For UK nationals that live in EU Member States, the UK cannot unilaterally guarantee the continuation of current arrangements, as this depends on decisions by Member States.</p><p>EU Member States such as Spain have made public commitments that they will enable resident UK nationals and visitors to access healthcare in the same way they do now, and we hope to reach such agreements with all Member States.</p><p>Although we are hopeful that we can agree reciprocal healthcare arrangements, as a responsible Government we have developed a multi-layered approach to minimise disruption to healthcare provision to UK nationals currently in or travelling to the EU Member States.</p><p>The UK Government has committed to fund healthcare for UK nationals (and others for whom the UK is responsible) who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p>Individuals are always responsible for ensuring they have sufficient healthcare insurance. Anyone who is living, working or studying in EU Member States should check the country specific guidance on GOV.UK and NHS.UK for updates.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:33:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	1597 label Biography information for David Simpson

1134627

registered interest
date	25/06/2019
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	Out-patients: Attendance
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 appointments have been missed in each of the last five years.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	269057
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Data for missed outpatient appointments in the years 2013-14 to 2017-18 is provided in the following table. This is a count of appointments, not people, as the same person may have had more than one appointment within the same time period:</p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of appointments</p></td><td><p>Did not attends (DNAs)</p></td><td><p>DNA’s as a % of total appointments</p></td></tr><tr><td><p>2013-14</p></td><td><p>101,844,824</p></td><td><p>7,095,839</p></td><td><p>7.0%</p></td></tr><tr><td><p>2014-15</p></td><td><p>107,188,423</p></td><td><p>7,442,949</p></td><td><p>6.9%</p></td></tr><tr><td><p>2015-16</p></td><td><p>113,298,661</p></td><td><p>7,519,829</p></td><td><p>6.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>118,578,912</p></td><td><p>7,938,009</p></td><td><p>6.7%</p></td></tr><tr><td><p>2017-18</p></td><td><p>119,378,895</p></td><td><p>7,984,183</p></td><td><p>6.7%</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics – NHS Digital</p><p>Information surrounding the cost of missed hospital appointments is not collected or held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269058 question first answered 03/07/2019 15:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4093 label Biography information for Stephen McPartland

1134628

registered interest
date	25/06/2019
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	Out-patients: Attendance
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 annual cost to the public purse was of missed NHS appointments in each of the last five years.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	269058
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Data for missed outpatient appointments in the years 2013-14 to 2017-18 is provided in the following table. This is a count of appointments, not people, as the same person may have had more than one appointment within the same time period:</p><table><tbody><tr><td><p>Year</p></td><td><p>Total number of appointments</p></td><td><p>Did not attends (DNAs)</p></td><td><p>DNA’s as a % of total appointments</p></td></tr><tr><td><p>2013-14</p></td><td><p>101,844,824</p></td><td><p>7,095,839</p></td><td><p>7.0%</p></td></tr><tr><td><p>2014-15</p></td><td><p>107,188,423</p></td><td><p>7,442,949</p></td><td><p>6.9%</p></td></tr><tr><td><p>2015-16</p></td><td><p>113,298,661</p></td><td><p>7,519,829</p></td><td><p>6.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>118,578,912</p></td><td><p>7,938,009</p></td><td><p>6.7%</p></td></tr><tr><td><p>2017-18</p></td><td><p>119,378,895</p></td><td><p>7,984,183</p></td><td><p>6.7%</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics – NHS Digital</p><p>Information surrounding the cost of missed hospital appointments is not collected or held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269057 question first answered 03/07/2019 15:31:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4093 label Biography information for Stephen McPartland