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1140808

registered interest
date	22/07/2019
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	Public Health: Expenditure
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 percentage change has been in the (a) NHS budget and (b) local authority public health grant in each year from 2013-14 to 2019-20.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	280248
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2013:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England funding increase %</p></td><td><p>Public Health Grant increase %</p></td></tr><tr><td><p>2013/14</p></td><td><p>First year of NHS England</p></td><td><p>5.5%</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.6%</p></td><td><p>5%</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.3%</p></td><td><p>24%<sup>1,2</sup></p></td></tr><tr><td><p>2016/17</p></td><td><p>5.5%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017/18</p></td><td><p>3.6%</p></td><td><p>-2.5%<sup>3</sup></p></td></tr><tr><td><p>2018/19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr><tr><td><p>2019/20</p></td><td><p>7.8%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1 </sup>2015-16 includes a £200 million in-year cut implemented in advance of Spending Review 2015.</p><p><sup>2 </sup>Spending Review 2015 baseline, includes the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 – 5 in October 2015.</p><p><sup>3 </sup>From 2017/18, includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:34:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1140925

registered interest
date	22/07/2019
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	Integrated Care Systems and Sustainability and Transformation Partnerships
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether integrated (a) care systems and (b) sustainability and transformation partnership will be required to publish local long-term plans in the Autumn.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	280114
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The NHS Long Term Plan Implementation Framework asked both integrated care systems and sustainability and transformation partnerships to undertake strategic system planning.</p><p>System plans for delivery through to 2023/24 are being developed, with an initial submission in September 2019 and a final submission to follow by mid-November 2019. Plans should fully align across the organisations within each system so that they can subsequently be translated into organisational plans for 2020/21, which will be required in early 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:38:29 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1140947

registered interest
date	22/07/2019
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	Nurses: Vacancies
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 unfilled NHS nursing posts there were in (a) London and (b) England in each of the last five years.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	280143
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>NHS Improvement collects vacancy data for three staff groups; doctors, nurses and ‘other staff’. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.</p><p>NHS Digital published the latest NHS Improvement vacancy data which can be found in the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics</a></p><p>The latest statistics show that as of March 2019, there are over 39,500 nursing and midwifery vacancies in England. In London, there are over 9,300 nursing and midwifery vacancies. The majority of these are filled by bank and agency staff.</p><p>NHS Improvement and NHS Employers have been working in partnership to deliver a national programme of action to support National Health Service trusts to improve retention of the nursing and clinical workforce. This provides targeted support to trusts on key issues affecting retention, such as flexible working, supporting new starters and older workers, and development and career planning.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:46:37 answering member 1585 label Biography information for Stephen Hammond
tabling member	1198 label Biography information for Sir David Evennett

1140948

registered interest
date	22/07/2019
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	Nurses: Recruitment
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 support the recruitment and retention of nurses in (a) London and (b) England.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	280144
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Capital Nurse is a National Health Service programme with over 90 projects working to support recruitment and retention of nurses in London<em>. </em>The Capital Nurse vision and objective is to ‘get nursing right for London’, so that London has the right number of nurses, with the right skills in the right place, working to deliver excellent nursing wherever it is needed. The programme is jointly sponsored by Health Education England, NHS England and NHS Improvement.</p><p>NHS Improvement and NHS Employers have been working in partnership to deliver a national programme of action to support NHS trusts to improve retention of the nursing and clinical workforce. This provides targeted support to trusts on key issues affecting retention, such as flexible working, supporting new starters and older workers, and development and career planning. Trusts’ commitment has enabled a national improvement in nursing turnover rates from 12.5% to 11.9% since the beginning of the programme (June 2017).</p><p>Around 1 million NHS workers are already benefiting from the Agenda for Change (3 year) pay and contract reform deal agreed last year. The deal includes important changes to pay and non-pay benefits to help support recruitment and retention of all staff, including nurses, and boost productivity in return for additional pay investment.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:31:17 answering member 1585 label Biography information for Stephen Hammond
tabling member	1198 label Biography information for Sir David Evennett

1141022

registered interest
date	22/07/2019
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	Brain: Injuries
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 his Department has made of the number of people treated for a head injury by age-group for each of the last 25 years.
tabling member constituency	Berwick-upon-Tweed
tabling member printed	Anne-Marie Trevelyan
uin	280449
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Data is not available in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:36:03 answering member 1585 label Biography information for Stephen Hammond
tabling member	4531 label Biography information for Anne-Marie Trevelyan

1140593

registered interest
date	19/07/2019
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	Health Services: Migrants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what criteria his Department uses to estimate the average cost per year in England on treating non-EEA surcharge payers.
tabling member constituency	Vauxhall
tabling member printed	Kate Hoey
uin	279372
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The estimate of the average cost per year in England of treating non-European Economic Area surcharge payers is based on the actual costs of treating surcharge payers in secondary care, and estimates for other National Health Service services based on age, gender and other demographics relative to the general population in England.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:40:39 answering member 1585 label Biography information for Stephen Hammond
tabling member	210 label Biography information for Baroness Hoey

1140189

registered interest
date	18/07/2019
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: Finance
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 he has to allocate additional funding to the NHS in increase spending on (a) infrastructure, (b) the NHS workforce and (c) public health.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	278967
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The NHS Long Term Plan was launched in January 2019 by the National Health Service, and thanks to the Government’s investment of £33.9 billion in cash terms by 2023-24, will transform patient care and make sure every penny of taxpayers’ money is spent wisely.</p><p>The future of budgets outside of the NHS England resource settlement will be confirmed later this year at the Spending Review.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:35:47 answering member 1585 label Biography information for Stephen Hammond
tabling member	4006 label Biography information for Dr Matthew Offord

1140402

registered interest
date	18/07/2019
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	Department of Health and Social Care: Brexit
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 funding his Department has allocated for contingency plans in the event that the UK leaves the EU without an agreement.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	279081
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Autumn Budget 2018 confirmed an additional £500 million of cross-Government funding for 2019/20, meaning the Government will have invested over £4 billion in preparing for European Union exit since 2016. The Department has been allocated £50 million, as set out in the Chief Secretary’s Written Ministerial Statement <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-12-18/HCWS1205/" target="_blank">HCWS1205</a>, laid before Parliament on 18 December 2018.</p><p>The Department is keeping the resources required to support preparations under constant review and together with the additional funding provided by HM Treasury, the Department may also prioritise funding from existing settlements to support necessary EU Exit preparations.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:38:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4425 label Biography information for Jo Stevens

1139705

registered interest
date	17/07/2019
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: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the British Medical Association and other representative bodies on proposals to mitigate the effect of pension taxation on the NHS.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	278568
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government is listening to concerns raised by doctors that pension tax charges are driving decisions to retire early or limit their National Health Service commitments, and has incorporated the views of the British Medical Association (BMA) and other key stakeholders into the consultation ‘NHS Pension Scheme: proposed flexibility’.</p><p>The consultation sets out a potential 50:50 option, offering 50% pension accrual and halved contributions. As part of the five-year general practitioner contract announced earlier this year, the BMA and NHS England asked the Government to consider introducing a 50:50 option as an appropriate flexibility, and the BMA have welcomed this as a step in the right direction.</p><p>The consultation period is an opportunity to listen to a range of views before reaching a final position that works for both staff and taxpayers. The Department encourages NHS staff and employers to contribute their views.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:43:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4523 label Biography information for Catherine West

1139217

registered interest
date	16/07/2019
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	Clinical Commissioning Groups: Finance
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 funding for Clinical Commissioning Groups is equitable and protects patient outcomes.
tabling member constituency	Peterborough
tabling member printed	Ms Lisa Forbes
uin	277858
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The allocation of funding to clinical commissioning groups (CCGs) to support them in commissioning services for their local population is one of the key duties of NHS England. The approach NHS England must take in setting allocations is outlined in the mandate from the Department which says:</p><p><em> </em></p><p>“The Government expects the principle of ensuring equal access for equal need to be at the heart of NHS England’s approach to allocating budgets.”</p><p> </p><p>The approach is also informed by NHS England’s duty to reduce inequalities to accessing services and the outcomes of care.</p><p> </p><p>These two aims are reflected in the target formula, which produces a target allocation or ‘fair share’ for each area, based on a complex assessment of factors such as demography, morbidity, deprivation, and the unavoidable cost of providing services in different areas. The NHS England Board has agreed a pace of change policy that seeks to bring all CCGs to target funding over time.</p><p> </p><p>The formula is based on independent academic research and is overseen by an independent external group, the Advisory Committee on Resource Allocation, which provides advice to the Secretary of State for Health and Social Care and the Chief Executive of NHS England.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:41:44 answering member 1585 label Biography information for Stephen Hammond
tabling member	4717 label Biography information for Ms Lisa Forbes