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1091218

registered interest
date	19/03/2019
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	Methadone
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 the continuation of supply of methadone in the event of the UK leaving the EU without a deal.
tabling member constituency	Glasgow Central
tabling member printed	Alison Thewliss
uin	234198
answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority. However, as a responsible Government we must plan for every possible outcome including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p> </p><p>The Government has been working closely with industry to ensure the supply of medicines, including methadone, can continue uninterrupted in the event of a ‘no deal’ EU exit. Plans include building stockpiles, providing additional warehousing space and buying freight capacity on alternative ferry routes.</p><p> </p><p>The Department, together with industry and the National Health Service, has analysed the supply chains of 12,300 medicines and we are grateful for excellent engagement from all parties, which means our plans are well advanced.</p><p> </p><p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines, to the United Kingdom that come from or via, the EU/European Economic Area, 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 in the event of a ‘no deal’ EU exit.</p><p> </p><p>The Department has put in place a multi-layered approach to minimise any supply disruption. We are confident that, if everyone does what they need to do, the supply of medicines and medical products will be uninterrupted.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/03/2019 13:11:52 answering member 1585 label Biography information for Stephen Hammond
tabling member	4430 label Biography information for Alison Thewliss

1091340

registered interest
date	19/03/2019
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: Reciprocal Arrangements
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 European Health Insurance Cards in circulation have been issued to people with a registered disability.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	234114
answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>The Department does not hold the data on the number of people with a registered disability. This is not part of the eligibility criteria that is requested during the application process.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 234115 question first answered 22/03/2019 13:12:45 answering member 1585 label Biography information for Stephen Hammond
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1091353

registered interest
date	19/03/2019
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 20-day minimum threshold charge for UK citizens and British passport holders who have used the NHS but now live overseas on their (a) finances and (b) mental wellbeing.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	234258
answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>The Department is not aware of the 20-day minimum threshold charge in relation to United Kingdom citizens and British passport holders who have used the National Health Service but now live overseas and therefore has made no assessment of its impact.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 234259 question first answered 22/03/2019 13:10:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1091354

registered interest
date	19/03/2019
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 20-day minimum threshold charge for those British Citizens who live overseas and use the emergency services when in the UK on their willingness to use such services and consequent effect on their health and mental wellbeing.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	234259
answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>The Department is not aware of the 20-day minimum threshold charge in relation to United Kingdom citizens and British passport holders who have used the National Health Service but now live overseas and therefore has made no assessment of its impact.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 234258 question first answered 22/03/2019 13:10:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1090915

registered interest
date	18/03/2019
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, what proportion of NHS finance (a) workforce and (b) finance directors are female; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	233501
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>The following table shows the number and proportion of male and female staff who work in the National Health Service finance workforce and are finance directors, headcount as at November 2018. These figures include staff who work in NHS trusts, clinical commissioning groups, support organisations and central bodies in England.</p><table><tbody><tr><td><p> </p></td><td><p>Female</p></td><td><p>Male</p></td></tr><tr><td><p>NHS Finance workforce</p></td><td><p>9,702</p></td><td><p>5,800</p></td></tr><tr><td><p>Proportion of whole NHS finance workforce</p></td><td><p>62.6%</p></td><td><p>37.4%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Finance Directors</p></td><td><p>52</p></td><td><p>135</p></td></tr><tr><td><p>Proportion of all finance directors</p></td><td><p>27.8%</p></td><td><p>72.2%</p></td></tr></tbody></table><p>Source: NHS Digital</p><p> </p><p>The data is based on how NHS organisations record their staff categories.</p><p> </p><p>Staff are categorised as part of the NHS finance workforce if the work of the team they belong to is described as ‘Finance’, and as Financial Directors if they have a Job Role described as a ‘Finance Director’. Some organisations may not categorise their workforce who have these responsibilities as such because this is dependent on each organisations’ structure.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/03/2019 16:28:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1091020

registered interest
date	18/03/2019
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: Consultants
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 advertised Consultant posts are unfilled; and what assessment he has made of the reasons for those vacancies.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	233434
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>The proportion of unfilled advertised consultant posts in England is not held centrally.</p><p> </p><p>Since April 2017, NHS Improvement collect vacancy rates of medical staff from individual National Health Service providers and publish them as part of their ‘Quarterly performance of the NHS provider sector’ report found at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf" target="_blank">https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf</a></p><p> </p><p>The Department is taking steps to increase the supply of consultants in the future. By September 2020, there will be 1,500 more undergraduate medical school places every year by September 2020, 630 of which were taken up in September 2018. Five brand new medical schools will help deliver these places, alongside existing medical schools which have demonstrated a commitment to sending more trainees to rural or coastal areas and increasing the number of general practitioners and mental health specialists.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/03/2019 16:30:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	116 label Biography information for Lord Soames of Fletching

1091041

registered interest
date	18/03/2019
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: Regulation
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 timeframe is for introducing statutory regulation for medical associate professions; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	233526
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>On 7 February 2019 the Government published its response to the consultation on the Regulation of Medical Associate Professions in the United Kingdom, confirming the decision to introducing statutory regulation for physician associates and physicians’ assistants (anesthesia).</p><p> </p><p>Work is now underway to decide which healthcare regulator will take on responsibility for the regulation of these two roles. Once this has been confirmed, the Government will work with relevant stakeholders to develop the required legislation. Bringing non-regulated healthcare professions into statutory regulation is typically done using section 60 of the Health Act 1999. This process takes around 18 to 24 months to complete, subject to Parliamentary time.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/03/2019 16:26:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1091069

registered interest
date	18/03/2019
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	Terminal Illnesses: 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 plans the Government has in place to ensure that people accessing secondary health care for terminal illnesses who are (a) reliant on life-extending and (b) dependent on drugs do not have their drugs supply interrupted in the event that the UK leaves the EU (i) without an agreement and (ii) with an agreement under which the medicine supply is restricted.
tabling member constituency	Bristol North West
tabling member printed	Darren Jones
uin	233642
answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority. However, as a responsible Government we must plan for every possible outcome including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p>The Government has been working closely with industry to ensure the supply of medicines, including those which are used to treat people with terminal illnesses, can continue uninterrupted in the event of a ‘no deal’ EU exit, including building stockpiles, providing additional warehousing space and buying freight capacity on alternative ferry routes.</p><p>The Department, together with industry and the National Health Service, has analysed the supply chains of 12,300 medicines and we are grateful for excellent engagement from all parties, which means our plans are well advanced.</p><p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines, including those used to treat patients with terminal illnesses, to the United Kingdom that come from or via the EU/European Economic Area, 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 in the event of a ‘no deal’ EU exit.</p><p>The Department has put in place a multi-layered approach to minimise any supply disruption. We are confident that, if everyone does what they need to do, the supply of medicines and medical products will be uninterrupted.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/03/2019 17:41:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	4621 label Biography information for Darren Jones

1089472

registered interest
date	15/03/2019
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: Ambulance Services
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 calls to the (a) NHS 111 service and (b) NHS 111 BSL service resulted in the dispatch of an ambulance in the last year for which figures are available.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	232992
answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>NHS England publishes monthly performance data for the NHS 111 service at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/statistical-work-areas-nhs-111-minimum-data-set-nhs-111-minimum-data-set-2018-19/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/statistical-work-areas-nhs-111-minimum-data-set-nhs-111-minimum-data-set-2018-19/</a></p><p> </p><p>The following table provides data for ambulance dispositions from NHS 111, including the NHS 111 British Sign Language (BSL) service.</p><table><tbody><tr><td><p> </p></td><td><p>Total calls to NHS 111</p></td><td><p>Calls to the NHS 111 BSL Service (including in total calls)</p></td><td><p>Number of calls triaged<sup>1</sup></p></td><td><p>Ambulance dispatches<sup>2</sup></p></td><td><p>Ambulance dispatches (% of calls triaged)</p></td></tr><tr><td><p>2017-18 total</p></td><td><p>15,964,080</p></td><td><p>458</p></td><td><p>12,655,745</p></td><td><p>1,611,447</p></td><td><p>12.7%</p></td></tr><tr><td><p>2018-19 to date</p></td><td><p>15,335,633</p></td><td><p>411</p></td><td><p>11,965,173</p></td><td><p>1,587,584</p></td><td><p>13.3%</p></td></tr><tr><td><p>2018 total</p></td><td><p>16,777,850</p></td><td><p>427</p></td><td><p>13,061,937</p></td><td><p>1,705,942</p></td><td><p>13.1%</p></td></tr><tr><td><p>12 months to Feb 2019</p></td><td><p>16,899,869</p></td><td><p>454</p></td><td><p>13,143,866</p></td><td><p>1,731,701</p></td><td><p>13.2%</p></td></tr></tbody></table><p>Source: NHS England</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>A triaged call is one where the clinical assessment tool has been opened and used.</p><p><sup>2</sup>Final NHS Pathways disposition was a referral to the Ambulance Service. Further clinical assessment within the Integrated Urgent Care (NHS 111) or 999 service areas may have indicated that an ambulance response and/or conveyance was not required. The actual percentage resulting in an ambulance being dispatched may therefore be lower.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/03/2019 10:29:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	1538 label Biography information for Rosie Cooper

1089478

registered interest
date	15/03/2019
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	Tomography
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 average cost of a (a) CT scanner (b) MRI scanner and (c) LINAC scanner is, and what his Department's policy is on replacing out of date equipment.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	233005
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>The guideline average price available through the NHS Supply Chain for each of the scanners specified is outlined below:</p><p>- The average cost of a Computed Tomography (CT) Scanner is £536,000;</p><p>- The average cost of a Magnetic Resonance Imaging (MRI) Scanner is £900,000; and</p><p>- The average cost of a Linear Accelerator (LINAC) Scanner is £1,500,000.</p><p> </p><p>The Medicines and Healthcare products Regulatory Agency provides guidance for healthcare organisations on managing medical devices and sets out a systematic approach to the acquisition, deployment, maintenance, repair, replacement and disposal of medical devices. This guidance is available via the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/managing-medical-devices" target="_blank">https://www.gov.uk/government/publications/managing-medical-devices</a></p><p> </p><p>It is the responsibility of individual organisations to set up and develop systems that promote the safe and effective use of medical devices.</p><p> </p><p>The capital settlement for future years will be set in the Spending Review later this year, alongside reforms to the capital regime to ensure that the available capital budget is prioritised and allocated to maximum effect to support service transformation, productivity improvement and effective planning and control.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/03/2019 10:38:07 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth