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1038952

registered interest
date	10/01/2019
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: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will publish correspondence with (a) NHS England and (b) NHS Improvement on any (i) assessment and (b) analysis that indicates a funding shortfall of more than £1 billion in 2019-20.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	207213
answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>We have had no correspondence with NHS England or NHS Improvement regarding the Nuffield Trust’s analysis, dated 26 October 2018. We do not agree there is a shortfall in 2019-20, and the aforementioned analysis concludes that once recurrent efficiencies are factored in, there is financial headroom within the National Health Service long term settlement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/01/2019 12:30:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1038961

registered interest
date	10/01/2019
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 111
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 calls to 111 were abandoned in each month in 2018.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207217
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The volume of NHS 111 calls which were abandoned after at least 30 seconds connection time to the NHS 111 service from January to December 2018 is shown in the following table.</p><p> </p><table><tbody><tr><td><p>Month</p></td><td><p>Volume of calls abandoned after at least 30 seconds</p></td></tr><tr><td><p>January 2018</p></td><td><p>75,488</p></td></tr><tr><td><p>February 2018</p></td><td><p>88,544</p></td></tr><tr><td><p>March 2018</p></td><td><p>113,244</p></td></tr><tr><td><p>April 2018</p></td><td><p>45,718</p></td></tr><tr><td><p>May 2018</p></td><td><p>43,485</p></td></tr><tr><td><p>June 2018</p></td><td><p>46,702</p></td></tr><tr><td><p>July 2018</p></td><td><p>62,784</p></td></tr><tr><td><p>August 2018</p></td><td><p>41,646</p></td></tr><tr><td><p>September 2018</p></td><td><p>37,697</p></td></tr><tr><td><p>October 2018</p></td><td><p>44,697</p></td></tr><tr><td><p>November 2018</p></td><td><p>50,703</p></td></tr><tr><td><p>December 2018</p></td><td><p>57,375</p></td></tr></tbody></table><p>Source: NHS England, NHS 111 minimum data set</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> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:30:24 answering member 1585 label Biography information for Stephen Hammond
tabling member	4418 label Biography information for Justin Madders

1038962

registered interest
date	10/01/2019
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: Private Patients
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 income from private patients at each NHS Trust for each of the last ten years for which records are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207218
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The question is interpreted as requesting detail regarding the level of income generated from the treatment of private patients by each National Health Service trust. This is presented in the attached tables for the financial years 2010-11 to 2017-18.</p><p> </p><p>Prior to 2010-11 the Department’s Annual Report and Accounts did not report ‘income from private patients’ as a specific line item and thus comparable information for prior years is unable to be provided.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 11:58:47 answering member 1585 label Biography information for Stephen Hammond attachment 1 file name PQ207218 - Data tables.docx title PQ207218 attached document
tabling member	4418 label Biography information for Justin Madders

1038963

registered interest
date	10/01/2019
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	Nurses
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 nurses employed in the NHS per head of population for each of the last ten years for which records are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207219
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department does not hold the information in the format requested.</p><p> </p><p>However, the following table shows the number of nurses and health visitors in National Health Service trusts and clinical commissioning groups in England in the last 10 years as at September each year, full time equivalent:</p><p> </p><table><tbody><tr><td><p>September-2008</p></td><td><p>281,021</p></td></tr><tr><td><p>September-2009</p></td><td><p>278,470</p></td></tr><tr><td><p>September-2010</p></td><td><p>279,883</p></td></tr><tr><td><p>September-2011</p></td><td><p>277,047</p></td></tr><tr><td><p>September-2012</p></td><td><p>271,407</p></td></tr><tr><td><p>September-2013</p></td><td><p>274,627</p></td></tr><tr><td><p>September-2014</p></td><td><p>278,981</p></td></tr><tr><td><p>September-2015</p></td><td><p>281,474</p></td></tr><tr><td><p>September-2016</p></td><td><p>284,288</p></td></tr><tr><td><p>September-2017</p></td><td><p>283,853</p></td></tr><tr><td><p>September-2018</p></td><td><p>285,674</p></td></tr></tbody></table><p>Source: NHS Hospital and Community Health Service workforce statistics, NHS Digital</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:12:05 answering member 1585 label Biography information for Stephen Hammond
tabling member	4418 label Biography information for Justin Madders

1038964

registered interest
date	10/01/2019
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: Vacancies
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 vacancies in the NHS by 2030 based upon workforce assumptions in the NHS Long Term Plan.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207220
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Department does not hold the data requested.</p><p> </p><p>The Government will support the National Health Service to ensure that the right staff, with the right skills and experience, are available to deliver the high-quality care the public expects. This includes building on the work already underway to recruit, train and retain more staff to address shortages. This will involve more training places with increased flexibility, including for those high priority areas such as mental health and primary care, as well as new or expanded roles with greater opportunities for career progression for existing staff.</p><p> </p><p>To ensure a detailed plan that everyone in the NHS can get behind, the Secretary of State has commissioned Baroness Harding to lead a rapid and inclusive programme of work to set out a detailed workforce implementation plan to be published in the spring.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:10:46 answering member 1585 label Biography information for Stephen Hammond
tabling member	4418 label Biography information for Justin Madders

1038979

registered interest
date	10/01/2019
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: 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 steps he is taking to reduce waiting times for (a) NHS treatment in A&E, (b) routine operations, and (c) cancer care.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	207285
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Long Term Plan, launched by the National Health Service on 7 January 2018, will transform patient care and make sure every penny of taxpayers’ money is spent wisely. This is supported by the Government’s investment of £20.5 billion a year in real terms by 2023/24. The additional funding will allow the NHS to get back on the path to delivering core performance standards. More than that, it will also drive the reforms that deliver a better and more sustainable NHS with improved care for patients.</p><p> </p><p>In addition, NHS England’s ‘Operational and Planning Guidance for 2019/20’ sets out deliverables against key performance areas and the Government has charged the NHS to deliver these actions set– in full – as key steps towards fully recovering performance against core access standards.</p><p> </p><p>The Government has also supported the NHS with an additional £1.6 billion for 2018/19 to improve emergency and elective performance. In addition, more than £420 million has been provided specifically for this winter.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 12:10:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4603 label Biography information for Preet Kaur Gill

1038991

registered interest
date	10/01/2019
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: Procurement
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 paragraph 1 of page 114 of the NHS Long-Term Plan, when he plans to (a) revoke the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013 and (b) exclude the NHS from the Public Contract Regulations.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	207225
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The National Health Service has been subject to its current public procurement rules since the EU Directive came into force in 2004. We will work with the NHS develop an approach to procurement that reflects the ambitions set out in the NHS Long Term Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 12:07:24 answering member 1585 label Biography information for Stephen Hammond
tabling member	3930 label Biography information for Caroline Lucas

1039001

registered interest
date	10/01/2019
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	Epilepsy: Drugs
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 adequacy of the availability of essential epilepsy medicines imported from the EU in the event that the UK leaves the EU without a deal; and if he will make a statement.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	207180
answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>We understand that epilepsy medicines are vitally important to many people in this country. Our contingency plans aim to ensure that the supply of epilepsy medicines and other essential medicines to patients is not disrupted in all European Union exit scenarios, including a ‘no deal’ exit.</p><p> </p><p>That is why on 23 August 2018, the Department wrote to all pharmaceutical companies that supply prescription only medicines and pharmacy medicines to the United Kingdom 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.</p><p> </p><p>We followed that up on 7 December 2018 when 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 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>In response to those communications we have received very good engagement from industry, including companies supplying epilepsy medicines to the UK, who share our aims of ensuring continuity of medicines supply for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/01/2019 15:53:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	1439 label Biography information for Norman Lamb

1039012

registered interest
date	10/01/2019
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 Trusts: Crowdfunding
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of NHS Trusts with crowdfunding pages; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	207231
answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>This information is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/01/2019 15:53:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1039032

registered interest
date	10/01/2019
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: Training
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 the cost of training a student midwife is paid by (a) the student, (b) his Department and (c) other sources.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	207300
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In England, the initial cost of training a midwife is paid by the Government. Part of this is in the form of student loan outlay, which the student accesses for tuition fees and maintenance loans from the Student Loans Company.</p><p> </p><p>The following table shows indicative Government costs for each year of training a midwife who lives outside of London and away from home. It shows the maximum possible amount of each payment type available. Midwifery courses typically last three years.</p><p> </p><p>Additional funding to students may also be available through the Student Loans Company and the Learning Support Fund. This is available to those with adult and child dependants, and for those in exceptional hardship. They may also be eligible for reimbursement of additional travel costs to attend clinical placements.</p><p> </p><p>The amount shown in the table is paid by the Department directly to hospital trusts for a student’s clinical placement.</p><p> </p><p>The amount paid back by the student depends on how much they earn during their career. If the loan is not fully repaid after 30 years it is written off. For example, once a student enters the workforce they pay their loans back at a rate of 9% of their earnings over the repayment threshold of £25,000. This equates to £15 a month for a student earning £27,000 a year.</p><p> </p><p>Systems in Scotland, Wales and Northern Ireland are the responsibilities of the devolved administrations in each of those countries.</p><p> </p><p>2018/19 Indicative cost to the Government of training a midwife for each year of their training</p><p> </p><table><tbody><tr><td><p>Payment type</p></td><td><p>Cost</p></td><td><p>Paid by</p></td></tr><tr><td colspan="3"><p>Costs of training</p></td></tr><tr><td><p>Tuition fee loan to the university</p></td><td><p>£9,250</p></td><td><p>Initially by Student Loans Company. Paid back by the student over time depending on earnings.</p></td></tr><tr><td><p>Clinical placement funding to the placement provider</p></td><td><p>£1,383 + Market Forces Factor</p></td><td><p>Department of Health and Social Care</p></td></tr><tr><td colspan="3"><p>Additional costs for living support</p></td></tr><tr><td><p>Maintenance loan to the student</p></td><td><p>£8,700</p></td><td rowspan="2"><p>Initially by Student Loans Company. Paid back by the student over time depending on earnings.</p></td></tr><tr><td><p>Long courses loan to the student</p></td><td><p>£1,116</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>- Based on a student who lives away from their parents.</p><p>- Based on a student who lives outside of London and is eligible for the maximum amount of maintenance allowance available.</p><p>- Based on a student on a 42-week course, of which 20 weeks are on clinical placement.</p><p>- Placement funding includes Market Forces Factor (MFF). The MFF compensates for difference in the cost of providing training in different parts of the country.</p><p>Sources:</p><p>Tuition fee loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-tuition-fee-loan/whats-available/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-tuition-fee-loan/whats-available/</a></p><p>Maintenance loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/whats-available/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/whats-available/</a></p><p>Long courses loan:</p><p><a href="https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/long-courses/" target="_blank">https://www.practitioners.slc.co.uk/products/full-time-undergraduate-education/full-time-maintenance-loan/long-courses/</a></p><p>Clinical placement funding:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/629492/2017-18_ET_tariff_guidance_FINAL_July_v2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/629492/2017-18_ET_tariff_guidance_FINAL_July_v2.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:23:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4595 label Biography information for Gareth Snell