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797436

registered interest
date	29/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of the funding allocated to the NHS has been spent on agency staff in each of the last 7 years.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	116399
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>Total figures for agency expenditure are available for National Health Service secondary care in England for each year from 2013-14 to 2016-17 but not before. We do not hold figures for agency expenditure in primary care.</p><p> </p><p>The following table shows NHS secondary care agency expenditure figures:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England mandate (£ billion)</p></td><td><p>Total NHS secondary care expenditure on agency staff in England (£ billion)</p></td><td><p>Agency spend as % of mandate</p></td></tr><tr><td><p>2013-14</p></td><td><p>94.731</p></td><td><p>2.589</p></td><td><p>2.73</p></td></tr><tr><td><p>2014-15</p></td><td><p>97.342</p></td><td><p>3.189</p></td><td><p>3.28</p></td></tr><tr><td><p>2015-16</p></td><td><p>100.500</p></td><td><p>3.632</p></td><td><p>3.61</p></td></tr><tr><td><p>2016-17</p></td><td><p>105.962</p></td><td><p>2.935</p></td><td><p>2.77</p></td></tr></tbody></table><p> </p><p>A number of measures have been introduced by the Secretary of State to bring secondary care agency spending under control including price caps, procurement frameworks and expenditure ceilings. These have contributed to the NHS spending around £700 million less on agency in 2016/17 than in the previous financial year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 07/12/2017 14:35:50 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

767563

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, (a) how many doctors who began work with the NHS in each of the last seven years and (b) what proportion of all NHS doctors are from other EU member states.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	106752
answer	answer is ministerial correction date of answer 17/10/2017 answer text <p>The below table shows details of doctor and nurse joiners to the National Health Service trusts and clinical commissioning groups (CCGs) in England taken from the NHS Digital Hospital and Community Health Services (HCHS) workforce statistics.</p><p> </p><p>NHS HCHS: HCHS doctor and nurse joiners to NHS trusts and CCGs in England, between June in each specified year, 2010 to 2017, headcount</p><table><tbody><tr><td><p> </p></td><td><p>Nurses</p></td><td><p>Doctors</p></td></tr><tr><td><p>June 2010 to June 2011</p></td><td><p>25,713</p></td><td><p>15,877</p></td></tr><tr><td><p>June 2011 to June 2012</p></td><td><p>24,965</p></td><td><p>16,133</p></td></tr><tr><td><p>June 2012 to June 2013</p></td><td><p>29,846</p></td><td><p>16,581</p></td></tr><tr><td><p>June 2013 to June 2014</p></td><td><p>33,473</p></td><td><p>17,748</p></td></tr><tr><td><p>June 2014 to June 2015</p></td><td><p>32,693</p></td><td><p>18,024</p></td></tr><tr><td><p>June 2015 to June 2016</p></td><td><p>34,733</p></td><td><p>17,995</p></td></tr><tr><td><p>June 2016 to June 2017</p></td><td><p>32,375</p></td><td><p>19,252</p></td></tr></tbody></table><p><br>Source: NHS Digital, NHS HCHS workforce statistics.</p><p>NHS Digital publishes workforce statistics and the latest data at 30 June 2017 shows that 9.3% of doctors report their nationality as non-United Kingdom, European Union and 6.8% of nurses report their nationality as non-UK, EU.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 106753 question first answered 17/10/2017 15:52:57 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

767564

registered interest
date	09/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, (a) how many nurses who began work with the NHS in each of the last seven years and (b) what proportion of all NHS nurses are from other other EU member states.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	106753
answer	answer is ministerial correction date of answer 17/10/2017 answer text <p>The below table shows details of doctor and nurse joiners to the National Health Service trusts and clinical commissioning groups (CCGs) in England taken from the NHS Digital Hospital and Community Health Services (HCHS) workforce statistics.</p><p> </p><p>NHS HCHS: HCHS doctor and nurse joiners to NHS trusts and CCGs in England, between June in each specified year, 2010 to 2017, headcount</p><table><tbody><tr><td><p> </p></td><td><p>Nurses</p></td><td><p>Doctors</p></td></tr><tr><td><p>June 2010 to June 2011</p></td><td><p>25,713</p></td><td><p>15,877</p></td></tr><tr><td><p>June 2011 to June 2012</p></td><td><p>24,965</p></td><td><p>16,133</p></td></tr><tr><td><p>June 2012 to June 2013</p></td><td><p>29,846</p></td><td><p>16,581</p></td></tr><tr><td><p>June 2013 to June 2014</p></td><td><p>33,473</p></td><td><p>17,748</p></td></tr><tr><td><p>June 2014 to June 2015</p></td><td><p>32,693</p></td><td><p>18,024</p></td></tr><tr><td><p>June 2015 to June 2016</p></td><td><p>34,733</p></td><td><p>17,995</p></td></tr><tr><td><p>June 2016 to June 2017</p></td><td><p>32,375</p></td><td><p>19,252</p></td></tr></tbody></table><p><br>Source: NHS Digital, NHS HCHS workforce statistics.</p><p>NHS Digital publishes workforce statistics and the latest data at 30 June 2017 shows that 9.3% of doctors report their nationality as non-United Kingdom, European Union and 6.8% of nurses report their nationality as non-UK, EU.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 106752 question first answered 17/10/2017 15:52:57 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

757454

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Huddersfield Royal Infirmary: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients were admitted to the Huddersfield Royal Infirmary Accident and Emergency Department in each of the last seven years.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	8656
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>The information is not available in the format requested. NHS England publishes trust-level data on the number of attendances at accident and emergency (A&amp;E) departments, but data on attendances at individual hospital sites are not available. The table below provides the number of A&amp;E attendances at Calderdale and Huddersfield NHS Foundation Trust for the full years 2010-11 to 2016-17 and the year to date position in 2017-18.</p><table><tbody><tr><td rowspan="2"><p>Attendances at A&amp;E</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18 Year to Date*</p></td></tr><tr><td><p>134,528</p></td><td><p>137,821</p></td><td><p>140,825</p></td><td><p>138,799</p></td><td><p>142,038</p></td><td><p>148,355</p></td><td><p>151,354</p></td><td><p>51,194</p></td></tr></tbody></table><p>*Activity from April to July 2017 inclusive</p><p>Sources: NHS England:</p><p>2010 data is from the Quarterly Monitoring of Accident and Emergency (QMAE) collection. The number of emergency admissions not via A&amp;E were not collected on the QMAE return.</p><p>2011-12 to June 2015 data is from the A&amp;E Attendance and Emergency Admissions Weekly Sitrep collection.</p><p>From July 2015 data comes from the A&amp;E Attendance and Emergency Admissions Monthly Sitrep collection.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/09/2017 10:37:13 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

757455

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on the use of private financial investment companies to fund the building of new hospitals.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	8657
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>It is for individual National Health Service trusts and foundation trusts to make decisions in consultation with local stakeholders (e.g. clinical commissioning groups) about their facilities and accordingly they are responsible for developing their own business cases for major new investment projects. They are required to do so with regard to value for money and affordability of the different options. The Department and NHS Improvement works closely with trusts going through this process. HM Treasury are responsible for the policy on the use of Private Finance 2 (PF2), the successor to the Private Finance Initiative, introduced under the Coalition Government in 2012. This introduced changes to the previous model.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/09/2017 10:10:44 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker

757704

registered interest
date	05/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what research his Department has conducted into the maximum time a patient should travel by road ambulance to the nearest hospital in an emergency.
tabling member constituency	Colne Valley
tabling member printed	Thelma Walker
uin	8663
answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>NHS England does not offer guidance on maximum travel time by road ambulance to the nearest hospital.</p><p>NHS England is working hard with its partners to help develop ambulance services that act as mobile assessment and treatment services and to deliver a networked approach to urgent and emergency care services that ensures patients are treated in the facility best equipped to provide whatever care is needed. For some patients requiring specialist care, this may be in a hospital that is further away.</p><p> </p><p>For patients who have suffered severe injuries in an accident, paramedics use triage tools at the scene to determine the likely injuries and best hospital for treatment. If the patient requires treatment in a Major Trauma Centre, the ambulance (or helicopter) can travel up to one hour, bypassing other hospitals en route, to take them directly to a Major Trauma Centre, each of which has a 24/7 trauma team immediately available.</p><p> </p><p>A small number of patients are too sick to travel this long. These patients are transported to the nearest hospital that has facility to provide immediate life-saving interventions and, once stabilised, they have a second transfer to the Major Trauma Centre to receive definitive care. The major trauma system in England has been carefully and independently monitored since its national introduction in 2012 and has significantly increased the probability of survival for patients with severe injury.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/09/2017 10:41:00 answering member 1542 label Biography information for Philip Dunne
tabling member	4649 label Biography information for Thelma Walker