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1135827

registered interest
date	01/07/2019
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 England: Private Sector
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 total payments made by NHS England to private providers in each of the last five years.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	271400
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Total spending by NHS Commissioners on private health providers in each of the last five years for which figures are available is shown in the following table.</p><table><tbody><tr><td><p>NHS Commissioners' spend on non National Health Service bodies by organisation type</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</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td></tr><tr><td><p>Independent sector providers</p></td><td><p>6,467</p></td><td><p>8,067</p></td><td><p>8,818</p></td><td><p>9,007</p></td><td><p>8,765</p></td></tr></tbody></table><p><br> Note: 1. The numbers above have been collected separately from audited accounts data and may include estimates.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 11:03:36 answering member 1585 label Biography information for Stephen Hammond
tabling member	1439 label Biography information for Norman Lamb

1135913

registered interest
date	01/07/2019
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	Doctors: Private Sector
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 (a) identify and (b) mitigate against any conflict of interest by NHS consultants referring patients to private hospitals in which those consultants have an interest.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	271509
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>NHS England guidance makes clear that all National Health Service staff, including consultants should declare all private practice on appointment, and/or any new private practice when it arises. Where clinical private practice gives rise to a conflict of interest then the general management actions outlined in guidance should be considered and applied to mitigate risks</p><p><br> In addition, the General Medical Council is the independent regulator of doctors in the United Kingdom and sets the professional standards that all doctors must follow to practice in the UK. Doctors planning to refer a patient to an organisation in which they have a financial or commercial interest must tell the patient about that interest and make a note of this in the patient’s medical record. Doctors must be prepared to explain and justify their decisions and actions. Serious or persistent failure to follow this guidance will put their registration at risk</p><p><br> <br> <br> <br></p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 11:25:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4253 label Biography information for Seema Malhotra

1135987

registered interest
date	01/07/2019
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 steps he is taking to ensure (b) specialist roles and (b) Parkinson’s nurses are included in the NHS workforce plan.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	271535
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The National Health Service interim People Plan was published on 3 June 2019, it puts staff at the heart of NHS policy and delivery and recognises the current shortage of nurses as the most urgent challenge facing the health system.</p><p> </p><p>It calls for action to be taken now to make the NHS the best place to work, by reforming the culture and leadership and ensuring all staff (including nurses) feel supported and valued, in an effort to increase workforce recruitment and retention.</p><p> </p><p>The interim Plan proposes to increase the number of newly qualified NHS nurses, support and retain existing nurses, provide nurses with every opportunity to return to work, and bring in nurses from abroad. It commits to delivering 5,000 additional placements for nursing students, 7,500 further Nursing Associates, increasing undergraduate supply and broadening routes into nursing.</p><p> </p><p>There are no post-registration requirements for a Registered Nurse to become a Parkinson’s nurse. Therefore, local integrated care systems will be responsible for ensuring they have the necessary numbers of Parkinson’s (and other specialist) nurses to meet the needs of their local population.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 271536 question first answered 04/07/2019 11:27:08 answering member 1585 label Biography information for Stephen Hammond
tabling member	4126 label Biography information for Mary Glindon

1135988

registered interest
date	01/07/2019
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 succession planning arrangements the NHS is making to minimise the vacancy rates for (a) Parkinson’s nurses and (b) other specialist roles.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	271536
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The National Health Service interim People Plan was published on 3 June 2019, it puts staff at the heart of NHS policy and delivery and recognises the current shortage of nurses as the most urgent challenge facing the health system.</p><p> </p><p>It calls for action to be taken now to make the NHS the best place to work, by reforming the culture and leadership and ensuring all staff (including nurses) feel supported and valued, in an effort to increase workforce recruitment and retention.</p><p> </p><p>The interim Plan proposes to increase the number of newly qualified NHS nurses, support and retain existing nurses, provide nurses with every opportunity to return to work, and bring in nurses from abroad. It commits to delivering 5,000 additional placements for nursing students, 7,500 further Nursing Associates, increasing undergraduate supply and broadening routes into nursing.</p><p> </p><p>There are no post-registration requirements for a Registered Nurse to become a Parkinson’s nurse. Therefore, local integrated care systems will be responsible for ensuring they have the necessary numbers of Parkinson’s (and other specialist) nurses to meet the needs of their local population.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 271535 question first answered 04/07/2019 11:27:08 answering member 1585 label Biography information for Stephen Hammond
tabling member	4126 label Biography information for Mary Glindon

1135474

registered interest
date	28/06/2019
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	Junior Doctors: Working Hours
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 his Department has made of the potential benefit to the welfare of doctors of limiting the number of night shifts a junior doctor can work in a month.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	270697
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The junior doctors’ contract introduced in 2016 included measures aimed at improving the wellbeing of the junior doctor workforce including new, stronger limits on working hours and patterns. These included reducing the maximum number of consecutive nights shifts to four (down from seven) and ensuring at least 46 hours rest at the end of a run of three or four consecutive nights.</p><p>A joint review of the effectiveness of the contract has now been concluded by the British Medical Association (BMA) and NHS Employers which has resulted in even more robust safety and rest limits; for example, a rest period of 46 hours will be applied following any number of rostered night shifts. The BMA and NHS Employers have also agreed good rostering guidance that emphasises the need to have a balanced rota cycle with different types of shifts, including night shifts, evenly distributed to manage fatigue.</p><p>A junior doctors’ work schedule is designed to meet their training needs and this also, in practice, limits the number of night shifts they are expected to complete (as training usually takes place during the day time).</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:24:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1135522

registered interest
date	28/06/2019
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	Medical Treatments Abroad: 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, how many UK citizens residing in the EU receive free healthcare under the S1 scheme.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270693
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As at 26 June 2019, there were 151,529 United Kingdom-insured people residing in a European Union country, excluding Ireland, who had an active registered entitlement under the S1 scheme and are eligible for UK-funded healthcare. As S1 certificates are not issued for Ireland, the exact number of people receiving UK-funded healthcare within the EU is not held by the Government or its arm’s length bodies.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:30:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135524

registered interest
date	28/06/2019
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	Medical Treatments Abroad: 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 steps UK citizens visiting Spain and Portugal will have to take to prove that they are entitled to healthcare under the bilateral agreements on healthcare rights for UK citizens in the event that the UK leaves the EU without an agreement.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	270695
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The Government of Spain has offered to continue to maintain the existing arrangements for reciprocal healthcare in the event that the United Kingdom leaves the European Union without a deal. This includes access to treatment that becomes necessary during the course of a visit to Spain.</p><p><br> This means that in Spain, UK-issued European Health Insurance Cards (EHICs) or the equivalent would continue to be accepted as proof of UK cover in a ‘no deal’ scenario. The UK EHIC or its equivalent would need to be presented with a valid passport. It is important to note that UK EHICs will be accepted in Spain for 21 months after EU exit.</p><p><br> The Government of Portugal’s ‘no deal’ unilateral offer is only extended to UK nationals. This means that other nationals, including EU citizens, resident in the UK who presently enjoy UK EHIC cover would be fully charged for accessing public healthcare when they visit Portugal. Only UK passports, and not UK EHICs, would be accepted as providing proof of UK cover. The unilateral offer covers the period from exit day until 31 December 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:31:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1135583

registered interest
date	28/06/2019
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: Cleaning Services and Food
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 conduct a review of hospital (a) food and (b) cleaning contracts to assess the potential merits of bringing those services in-house to improve (i) food standards and (ii) infection control in NHS England hospitals.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	270795
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>National Health Service trusts make decisions locally on how the services needed to run their hospitals are delivered. This will be based on their service needs and their local environment, including taking into account the locations, types and economics of how these services can be procured and run. All organisations regardless of whether they are outsourced, or in-house teams are required to follow the same National Cleaning Standards and the five Core Standards for Hospital Food.</p><p>A review of NHS food was announced on 17 June 2019, and this will include how bringing the provision of food services in-house could improve quality and value for money.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 13:26:10 answering member 1585 label Biography information for Stephen Hammond
tabling member	3973 label Biography information for Grahame Morris

1135600

registered interest
date	28/06/2019
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, pursuant to his Answer of 26 June 2019 to Question 266189 NHS: Debts and with reference to NHS Improvement’s Quarterly performance of the NHS provider sector: quarter 2 2018/19, what assessment his Department has made of the validity of NHS Improvement’s statement that the Provider Sustainability Fund is non-recurrent funding; and what estimate he has made of the level of growth in the Provider Sustainability Fund in each of the next five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	270806
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Funding that is made available through the Provider Sustainability Fund is a recurrent part of the NHS Long Term Plan funding settlement.</p><p> </p><p>The way in which the funding is being deployed is however changing and this means it is non-recurrent at the level of individual providers. For example, there has been a £1.2 billion reduction in the Fund in 2019-20, but this remains available to the National Health Service and has been transferred to urgent and emergency care tariff prices and the Financial Recovery Fund.</p><p> </p><p>NHS England and NHS Improvement have set out in this year’s NHS Operational Planning and Contracting Guidance that their ambition is that this will be the last year of Provider Sustainability Funding.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 13:27:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1135217

registered interest
date	27/06/2019
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	Department of Health and Social Care: Iron and Steel
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 sign his Department up to the UK Steel charter.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	270357
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The Department supports the Charter where this is relevant to our commercial activities and only where consistent with the relevant procurement regulations that require fair and open competition.</p><p>The Parliamentary Undersecretary of State at the Department for Business, Energy and Industrial Strategy (Andrew Stephenson MP), wrote to the Secretary of State for Health and Social Care on 29 May to ask the Department to sign the Steel Charter. We are not aware of any further formal discussions on the topic. On matters relating to procurement policy, Departmental officials continue to work with officials in the Domestic Policy Team at Cabinet Office.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 270361 question first answered 05/07/2019 09:02:31 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin