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822819

registered interest
date	15/01/2018
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: Stress
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 reduce workload-related strain on doctors in hospitals.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	122502
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>It is in the first instance for employers to ensure that the workloads and working patterns of all staff are appropriate.</p><p> </p><p>The Department is supporting the National Health Service in reducing workload related strain on all staff including doctors in hospitals through its mandate with NHS England which has a “Commissioning for Quality and Innovation” (CQUIN) incentive programme<sup>1</sup> to improve staff health and wellbeing, and publishes the annual NHS Staff Survey.</p><p> </p><p>NHS England’s CQUIN programme should encourage trusts to, where appropriate, introduce new services for employees to give them the support they need including quicker access to mental health and musculoskeletal services.</p><p> </p><p>The NHS Staff Survey<sup>2</sup> asks staff a range of questions about their health and wellbeing which helps trusts benchmark against their peers to help inform local improvement plans.</p><p> </p><p>The Department also commissions NHS Employers<sup>3</sup>, who are working with NHS England, NHS Improvement and Public Health England to help the Service tackle the causes of workload related strain including reducing the likelihood and impact of resultant illnesses through advice, guidance and good practice as well as tools and resources for trusts to use.</p><p> </p><p>National terms and conditions for hospital doctors include provisions on managing work: through job plans for consultants, associate specialists and specialty doctors; and work schedules for doctors and dentists in training. There are limits on working hours in legislation; there are stronger contractual limits in the 2016 contract for doctors and dentists in training and all trusts were required to review and, where needed, redesign rotas to ensure compliance with those limits. There are strong safeguards in place for doctors and dentists in training through a system of exception reporting, with oversight by Guardians of Safe Working Hours and Directors of Medical Education reporting to trust boards. Trusts must provide annual reports on rota gaps, and plans for addressing them, to external bodies including regulatory bodies.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup><a href="https://www.england.nhs.uk/publication/nhs-staff-health-wellbeing-commissioning-for-quality-and-innovation-cquin-2017-19-indicator-1-implementation-support/" target="_blank">https://www.england.nhs.uk/publication/nhs-staff-health-wellbeing-commissioning-for-quality-and-innovation-cquin-2017-19-indicator-1-implementation-support/</a></p><p> </p><p><sup>2</sup><a href="http://www.nhsstaffsurveys.com/Page/1006/Latest-Results/2016-Results/" target="_blank">http://www.nhsstaffsurveys.com/Page/1006/Latest-Results/2016-Results/</a></p><p> </p><p><sup>3</sup><a href="http://www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing" target="_blank">http://www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 17:18:32 answering member 4095 label Biography information for Steve Barclay
tabling member	4131 label Biography information for Jim Shannon

822846

registered interest
date	15/01/2018
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: Industrial Disputes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much was spent from the public purse on legal fees in connection with the junior doctors strike in 2016.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	122529
answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>The Department spent £4,587.48 on legal fees in connection with the junior doctors’ strike in 2016. Information on how much was spent by other National Health Service bodies and organisations on legal fees in connection with the junior doctors’ strike in 2016 is not held by the Department.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 18/01/2018 16:48:10 answering member 4095 label Biography information for Steve Barclay
tabling member	4385 label Biography information for Dr Philippa Whitford

822859

registered interest
date	15/01/2018
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: Parking
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 hospital trusts in England have considered installing a pay on exit or similar scheme since the publication of his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015; and how many hospital trusts (a) are planning to install such a scheme in 2018 and (b) have decided against installing such a scheme.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122542
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122543 122544 122545 122546 question first answered 23/01/2018 14:45:09 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822860

registered interest
date	15/01/2018
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: Parking
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 his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015, how many NHS trusts, NHS hospitals or establishments providing NHS healthcare in England have imposed a requirement for parking contractors to be members of a parking trade association, such as the British Parking Association and the Independent Parking Committee, since the initial publication of that guidance on 23 August 2014.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122543
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122542 122544 122545 122546 question first answered 23/01/2018 14:45:09 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822861

registered interest
date	15/01/2018
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: Parking
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 his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015, how many NHS hospitals in England prioritise parking for staff whose daily duties require them to travel by car.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122544
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122542 122543 122545 122546 question first answered 23/01/2018 14:45:09 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822862

registered interest
date	15/01/2018
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: Parking
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 his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015, how many NHS hospitals in England provide internal travel arrangements between hospital sites for staff who routinely travel between hospital sites.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122545
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122542 122543 122544 122546 question first answered 23/01/2018 14:45:09 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822863

registered interest
date	15/01/2018
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: Parking
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 his Department's guidance on NHS patient, visitor and staff car parking principles, last updated on 29 October 2015, how many hospital trusts in England have installed a pay on exit or similar scheme since the initial publication of that guidance on 23 August 2014.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	122546
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>This data is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for their own policy on internal travel arrangements and car parking, taking into account operational circumstances and community interests.</p><p> </p><p>The NHS patient, visitor and staff car parking principles (first published in August 2014 and then updated in October 2015), set out a nationally consistent approach to determining car parking policies, making clear the rules which NHS trusts should follow when making decisions about car parking. However, the provision of parking spaces for patients, staff, contractors, and other visitors to the site and the level of any charges that are made to use them are matters for individual NHS trusts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 122542 122543 122544 122545 question first answered 23/01/2018 14:45:10 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

822888

registered interest
date	15/01/2018
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: Weather
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 avoid a repetition of this year’s winter crisis in the NHS.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	122571
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>Rigorous planning takes place each year to ensure the National Health Service is resilient in the face of the challenges winter brings. This year planning began earlier than ever before to ensure robust plans were in place. This planning was supported by an extra £337 million, on top of the previously announced £100 million for accident and emergency departments and an additional £1 billion of funding to be spent on meeting adult social care needs, supporting the social care market and reducing pressure on the NHS this year.</p><p> </p><p>A revised escalation framework encompassing all levels of the system – local, regional and national – has also been put in place to ensure a greater standardisation of response to winter pressures. This is overseen by the newly formed National Emergency Pressures Panel.</p><p> </p><p>We are not, however, complacent and we will continue to focus our efforts on delivering world class health care even in the most challenging of situations.</p><p> </p><p>Influenza vaccination will continue to be offered to everyone over the age of 65 years, those who are at particular risk to flu, pregnant women and healthcare workers, at the earliest opportunity. In addition, in 2018/19 all children between 2-9 years of age are being offered the nasal spray vaccine to help protect them and their families against influenza.</p><p> </p><p>As in previous years, NHS England and NHS Improvement will undertake a full review of this winter and identify any learning that the NHS can take forward into planning for future winters.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 14:38:19 answering member 4095 label Biography information for Steve Barclay
tabling member	4653 label Biography information for Stephen Morgan

822889

registered interest
date	15/01/2018
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	Accident and Emergency Departments
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 patients at accident and emergency departments do not spend an extended period of time waiting in ambulances before they are seen.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	122572
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>NHS Improvement and NHS England are taking a joint approach to reduce patient handover delays, including:</p><p> </p><p>- improved monitoring and daily review of ambulance handover delays by national and regional winter operations teams;</p><p>- targeted assistance to hospital trusts to improve handover performance; and</p><p>- the issuing of revised, detailed hospital handover guidelines, focussing responsibility on the wider system to address handover delays, including clear escalation procedures.</p><p> </p><p>Work is also underway to improve patient flows within the hospital, alongside improving discharge arrangements.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 15:00:23 answering member 4095 label Biography information for Steve Barclay
tabling member	4653 label Biography information for Stephen Morgan

822890

registered interest
date	15/01/2018
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: 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, what steps his Department are taking to replace the services of overseas qualified doctors that (a) are planning to leave and (b) may leave in the next five years.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	122573
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Government hugely values the contribution of overseas doctors working in the National Health Service.</p><p> </p><p>As of September 2017 there are 3,276 more staff from non-United Kingdom European Union countries working in the NHS than in June 2016.</p><p> </p><p>The Government is committed to ensuring that the NHS is able to meet demand well into the 21st century, and this is why from September 2018, the Government will fund up to 1,500 additional medical training places in England each year. This is in addition to the 6,000 medical school places currently available in England.</p><p> </p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 17:20:33 answering member 4095 label Biography information for Steve Barclay
tabling member	4653 label Biography information for Stephen Morgan