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1041643

registered interest
date	15/01/2019
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	Hospices: 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 assessment he has made of the effect on hospice finances of the decision to raise NHS employer contributions to its pension scheme from April 2019; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Gareth Thomas
uin	208747
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>In addition to the long-term funding settlement for the National Health Service, HM Treasury committed to providing extra funding to meet the costs to the NHS arising from the ongoing actuarial valuation of the NHS Pension Scheme. Work is ongoing to ensure the additional cost to participating employers is appropriately funded. Discussions are underway with NHS England and NHS Improvement to determine the optimum method for distributing this funding to NHS commissioners and service providers. Arrangements will be confirmed in due course.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 14:58:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	177 label Biography information for Gareth Thomas

1041682

registered interest
date	15/01/2019
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, with reference to Clinical Commissioning Group place based allocations 2019/20 – 2023/24, what the real-term percentage increase in allocation from the 2018-19 adjusted baseline allocation to the 2023-24 final allocation for (a) England (b) each region of England is; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	208904
answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>NHS England sets clinical commissioning group (CCG) allocations. The real-term percentage increase in CCG place based allocations from the 2018/19 adjusted baseline allocation to the 2023/24 final allocation for England and each National Health Service commissioning region of England is shown in the following table. To ensure comparability of real terms growth rates between regions with differing levels of population growth the increase is shown on a per registered head basis:</p><table><tbody><tr><td rowspan="2"><p>NHS Commissioning Region</p></td><td><p>2018-19 adjusted baseline</p></td><td><p>2023-24 final allocation (2018/19 prices)</p></td><td><p>2018-19 allocation per registered head</p></td><td><p>2023-24 allocation per registered head (2018/19 prices)</p></td><td><p>% change 2018-19 to 2023-24</p></td></tr><tr><td><p>£000</p></td><td><p>£000</p></td><td><p>£</p></td><td><p>£</p></td><td><p>%</p></td></tr><tr><td><p>North East and Yorkshire</p></td><td><p>15,620,061</p></td><td><p>17,699,422</p></td><td><p>1,748</p></td><td><p>1,954</p></td><td><p>11.8%</p></td></tr><tr><td><p>North West</p></td><td><p>13,565,139</p></td><td><p>15,473,589</p></td><td><p>1,825</p></td><td><p>2,044</p></td><td><p>12.0%</p></td></tr><tr><td><p>Midlands</p></td><td><p>17,976,071</p></td><td><p>20,854,515</p></td><td><p>1,631</p></td><td><p>1,840</p></td><td><p>12.8%</p></td></tr><tr><td><p>East of England</p></td><td><p>10,805,122</p></td><td><p>12,554,710</p></td><td><p>1,585</p></td><td><p>1,778</p></td><td><p>12.2%</p></td></tr><tr><td><p>London</p></td><td><p>16,125,151</p></td><td><p>18,708,455</p></td><td><p>1,635</p></td><td><p>1,822</p></td><td><p>11.4%</p></td></tr><tr><td><p>South East</p></td><td><p>14,713,843</p></td><td><p>16,971,234</p></td><td><p>1,592</p></td><td><p>1,783</p></td><td><p>12.0%</p></td></tr><tr><td><p>South West</p></td><td><p>9,444,423</p></td><td><p>10,963,251</p></td><td><p>1,637</p></td><td><p>1,841</p></td><td><p>12.4%</p></td></tr><tr><td><p>England</p></td><td><p>98,249,809</p></td><td><p>113,225,176</p></td><td><p>1,663</p></td><td><p>1,863</p></td><td><p>12.0%</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p>All figures reflect total ‘place-based’ CCG allocations, and include other funding outside of pace of change.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/01/2019 13:53:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1041690

registered interest
date	15/01/2019
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: Waiting Lists
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 NHS Long-Term Plan, whether it remains his policy to meet the 92 per cent referral to treatment waiting time target in 2019-20.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	208907
answer	answer is ministerial correction date of answer 23/01/2019 answer text <p>Under the Long Term Plan, the local National Health Service is being allocated sufficient funds over the next five years to grow the amount of planned surgery year on year, to cut long waits, and reduce waiting lists.</p><p> </p><p>In parallel, NHS England are carrying out a clinical review of standards, which is due to report in the spring. This review will help to ensure that the NHS is focused on the right targets - for both physical and mental health - which incentivise the best care and outcomes for patients, and have the broad support of our health professionals.</p><p> </p><p>In the shorter term, NHS England’s ‘Operational and Planning Guidance for 2019/20’ sets out deliverables against key performance areas, including referral-to-treatment, and the Government expects the NHS to deliver these actions set – in full – as key steps towards fully recovering performance against core access standards.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/01/2019 13:47:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1041691

registered interest
date	15/01/2019
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, with reference to the NHS Long Term Plan how many (a) nurses and (b) doctors the NHS in England plan to recruit in each year up to 2022-24.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	208908
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>It is the responsibility of National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p><p> </p><p>The NHS Long Term Plan, published 7 January 2019, sets out a vital strategic framework to ensure that over the next 10 years the NHS will have the staff it needs so that nurses and doctors have the time they need to care, working in a supportive culture that allows them to provide the expert compassionate care they are committed providing.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>We are already increasing nurse training places by 25% - that is 5,000 additional nurse training places available every year from September 2018. In 2018 up to 5,000 Nursing Associates commenced training through the apprentice route and the Department has a commitment to train up to a further 7,500 in 2019.</p><p> </p><p>We have also made a commitment to have 5,000 additional doctors in general practice and we have started to roll out an extra 1,500 medical school places for domestic students, with the first 630 places taken up in September. By 2020, five new medical schools will have opened to help deliver the expansion.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 15:01:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1041692

registered interest
date	15/01/2019
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, with reference to the commitment in the NHS Long Term Plan to reduce administrative costs by £700 million across commissioners and providers, what assessment he has made of trends in the level of jobs as a result of that reduction.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	208909
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>The NHS Long Term Plan is a 10-year strategy for our National Health Service. It sets out how the NHS will spend the £20.5 billion a year real terms annual increase going into the NHS budget by 2023/24.</p><p> </p><p>It is important that every additional penny of funding is being well spent. Through year-on-year improvements in efficiency and productivity, the NHS will continue to cut waste from the system. This includes delivering savings of over £700 million by 2023/24 across providers and commissioner administrative costs to ensure that an increasing share of the NHS budget is invested in frontline services including additional frontline workforce.</p><p> </p><p>Local health systems will be expected to engage with their local communities and delivery partners in developing local plans in 2019, setting out proposals for how they will deliver the outcomes in the Long Term Plan. These will be brought together in a detailed national implementation programme by the autumn.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 17:26:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1041248

registered interest
date	14/01/2019
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: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department's plans to ensure the supply of medicines in the event of the UK leaving the EU without a deal (a) have been or (b) will be subjected to an independent evaluation.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	208297
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department’s plans to ensure the supply of medicines in the event of the United Kingdom leaving the European Union without a deal have been subject to scrutiny by a number of Parliamentary Committees, including the Public Accounts Committee, the Health and Social Care Committee, the EU Exit Committee and the House of Lords EU Home Affairs Sub-Committee. The Department is also working closely with suppliers, their supply chains, health services and devolved administrations to maintain the continuity of medicines supply in a ‘no deal’ EU exit scenario.</p><p> </p><p>We are unable to publish the list of medicines requested. To reassure participating companies, we have committed to treating all information received confidentially, securely and to using it only for the purposes of the Department’s contingency programme. That means not introducing information about a specific company, medicine or supply route into the public domain.</p><p> </p><p>On 23 August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines to the UK that come from, or via, the EU or European Economic Area (EEA), asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019. We recognise, however, that certain medicines with short shelf lives, including medical radioisotopes, cannot be reasonably stockpiled. Where these medicines are imported from the EU or EEA, we have asked that suppliers ensure in advance plans to air freight these medicines from the EU in the event of a ‘no deal’ exit.</p><p> </p><p>Additionally, on 7 December 2018, the Department wrote to pharmaceutical companies that supply licensed medicines to the UK from or via the EU/EEA and/or manufacture medicines in the UK, informing them of the updated reasonable worst-case scenario border disruption planning assumptions and asking them about their current transportation routes and their ability to re-route their supply chains if they currently rely on Dover and/or Folkestone.</p><p> </p><p>We have received very good engagement from industry who share our aims of ensuring continuity of medicines supply for patients is maintained and that suppliers are able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 208298 question first answered 17/01/2019 16:27:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	4504 label Biography information for Wes Streeting

1041249

registered interest
date	14/01/2019
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: Drugs
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 publish (a) a list of medicines for which there is a supply risk in the event of the UK leaving the EU without a deal and (b) a plan to mitigate those supply risks.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	208298
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department’s plans to ensure the supply of medicines in the event of the United Kingdom leaving the European Union without a deal have been subject to scrutiny by a number of Parliamentary Committees, including the Public Accounts Committee, the Health and Social Care Committee, the EU Exit Committee and the House of Lords EU Home Affairs Sub-Committee. The Department is also working closely with suppliers, their supply chains, health services and devolved administrations to maintain the continuity of medicines supply in a ‘no deal’ EU exit scenario.</p><p> </p><p>We are unable to publish the list of medicines requested. To reassure participating companies, we have committed to treating all information received confidentially, securely and to using it only for the purposes of the Department’s contingency programme. That means not introducing information about a specific company, medicine or supply route into the public domain.</p><p> </p><p>On 23 August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines to the UK that come from, or via, the EU or European Economic Area (EEA), asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019. We recognise, however, that certain medicines with short shelf lives, including medical radioisotopes, cannot be reasonably stockpiled. Where these medicines are imported from the EU or EEA, we have asked that suppliers ensure in advance plans to air freight these medicines from the EU in the event of a ‘no deal’ exit.</p><p> </p><p>Additionally, on 7 December 2018, the Department wrote to pharmaceutical companies that supply licensed medicines to the UK from or via the EU/EEA and/or manufacture medicines in the UK, informing them of the updated reasonable worst-case scenario border disruption planning assumptions and asking them about their current transportation routes and their ability to re-route their supply chains if they currently rely on Dover and/or Folkestone.</p><p> </p><p>We have received very good engagement from industry who share our aims of ensuring continuity of medicines supply for patients is maintained and that suppliers are able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 208297 question first answered 17/01/2019 16:27:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	4504 label Biography information for Wes Streeting

1041254

registered interest
date	14/01/2019
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	Midwives
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 midwife headcount in the NHS was in each of the last five years for which figures are available; and of those figures how many had (a) a recorded nationality and (b) a recorded nationality that was of an EU member state other than the UK.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	208301
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) 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> </p><p>The following table shows the midwife headcount figures for HCHS staff in England, who had recorded a nationality and of those whose nationality was of a European Union 27 member state, as at 30 September for each of the years specified:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>Midwifery headcount figures of which:</p></td><td><p>25,333</p></td><td><p>25,418</p></td><td><p>25,466</p></td><td><p>25,704</p></td><td><p>25,866</p></td></tr><tr><td><p>Recorded a nationality of which:</p></td><td><p>22,499</p></td><td><p>23,121</p></td><td><p>23,486</p></td><td><p>24,046</p></td><td><p>24,391</p></td></tr><tr><td><p>EU27</p></td><td><p>1,124</p></td><td><p>1,251</p></td><td><p>1,355</p></td><td><p>1,388</p></td><td><p>1,354</p></td></tr></tbody></table><p>Source: NHS Digital, NHS HCHS monthly workforce statistics</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 14:56:53 answering member 1585 label Biography information for Stephen Hammond
tabling member	4488 label Biography information for Martyn Day

1041255

registered interest
date	14/01/2019
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	Midwives
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 age profile is of NHS midwives identified as nationals of an EU member state other than the UK.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	208302
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), 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 of midwives by five-year age band and nationality grouping in National Health Service trusts and CCGs in England as at 30 September 2018, headcount:</p><table><tbody><tr><td><p> </p></td><td><p>All nationalities</p></td><td><p>United Kingdom</p></td><td><p>European Union 27</p></td><td><p>European Economic Area</p></td><td><p>Rest of the World</p></td><td><p>Unknown</p></td></tr><tr><td><p>All age bands</p></td><td><p>25,866</p></td><td><p>22,548</p></td><td><p>1,354</p></td><td><p>9</p></td><td><p>480</p></td><td><p>1,477</p></td></tr><tr><td><p>Under 25</p></td><td><p>1,242</p></td><td><p>1,163</p></td><td><p>38</p></td><td><p>1</p></td><td><p>4</p></td><td><p>36</p></td></tr><tr><td><p>25 to 29</p></td><td><p>3,437</p></td><td><p>2,971</p></td><td><p>356</p></td><td><p>-</p></td><td><p>15</p></td><td><p>95</p></td></tr><tr><td><p>30 to 34</p></td><td><p>3,372</p></td><td><p>2,971</p></td><td><p>277</p></td><td><p>1</p></td><td><p>21</p></td><td><p>102</p></td></tr><tr><td><p>35 to 39</p></td><td><p>3,367</p></td><td><p>2,953</p></td><td><p>182</p></td><td><p>2</p></td><td><p>44</p></td><td><p>186</p></td></tr><tr><td><p>40 to 44</p></td><td><p>2,990</p></td><td><p>2,614</p></td><td><p>146</p></td><td><p>2</p></td><td><p>84</p></td><td><p>146</p></td></tr><tr><td><p>45 to 49</p></td><td><p>3,137</p></td><td><p>2,709</p></td><td><p>107</p></td><td><p>1</p></td><td><p>102</p></td><td><p>218</p></td></tr><tr><td><p>50 to 54</p></td><td><p>4,225</p></td><td><p>3,663</p></td><td><p>90</p></td><td><p>1</p></td><td><p>93</p></td><td><p>378</p></td></tr><tr><td><p>55 to 59</p></td><td><p>2,846</p></td><td><p>2,470</p></td><td><p>84</p></td><td><p>-</p></td><td><p>56</p></td><td><p>236</p></td></tr><tr><td><p>60 to 64</p></td><td><p>1,079</p></td><td><p>892</p></td><td><p>62</p></td><td><p>1</p></td><td><p>49</p></td><td><p>75</p></td></tr><tr><td><p>65 and over</p></td><td><p>171</p></td><td><p>142</p></td><td><p>12</p></td><td><p>-</p></td><td><p>12</p></td><td><p>5</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 14:32:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4488 label Biography information for Martyn Day

1041256

registered interest
date	14/01/2019
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: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it is his policy to encourage NHS employers to reimburse the £65 application fee for staff who need to apply to the EU Settlement Scheme.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	208303
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>Following on from the Prime Minister’s announcement yesterday, as of 30 March 2019, EU nationals who apply for settled or pre-settled status under the EU Settlement Scheme will no longer have to pay to make an application.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 17:06:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4488 label Biography information for Martyn Day