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1105061

registered interest
date	26/03/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	What recent assessment he has made of the effect on the NHS of the UK leaving the EU; and if he will make a statement.
tabling member constituency	Kensington
tabling member printed	Emma Dent Coad
uin	910046
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>As a responsible Government, we are continuing to prepare for all eventualities. We have put detailed ‘no deal’ contingency plans in place for the continuity of supply of medicines and medical products, continuity of reciprocal healthcare arrangements, and the health and social care workforce.</p><p>We recognise that a ‘no deal’ exit would affect a wide range of areas across the health and care system, and the Department is working hard to mitigate these risks.</p><p>We are asking the National Health Service, and everyone in the health and social care system, to continue their planning. We are confident that if everyone does what they need to do, the potential risks of leaving without a deal can be mitigated successfully.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/03/2019 14:07:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4683 label Biography information for Emma Dent Coad

1104695

registered interest
date	25/03/2019
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: Cost Effectiveness
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 estimated cost of inefficiency in the NHS has been in each year since 2010.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	236368
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Neither the Department nor the National Health Service calculate a single estimate of inefficiency in the National Health Service. However, significant work in recent years has gone into calculating unwarranted variation in the NHS.</p><p> </p><p>The Lord Carter reviews into unwarranted variation, published in 2016-18, identified £5.8 billion of recurrent savings. These reports identified variation in service delivery, to quantify potential savings, noting that some variation is warranted and desirable, when different circumstances require it.</p><p> </p><p>In 2017/18, the NHS made £1.45 billion of efficiency savings, by enacting the recommendations of the Carter report and reducing unwarranted variation. Central support was delivered to trusts across a range of programmes, including the clinical workforce, diagnostics, pharmacy, back-office services, estates and procurement. Trusts have identified further opportunities beyond this, at a local level, and have been supported by the Department and NHS Improvement to deliver these additional savings.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:20:47 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1104735

registered interest
date	25/03/2019
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	General Practitioners: Blackpool
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 number of people attending (a) A&E facilities at the Blackpool Acute Hospitals Trust and (b) Walk-in facilities in Blackpool between June 2018 and January 2019 who could have been seen as a non-emergency appointment.
tabling member constituency	Blackpool South
tabling member printed	Gordon Marsden
uin	236308
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The information is not available in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 12:10:22 answering member 1585 label Biography information for Stephen Hammond
tabling member	465 label Biography information for Gordon Marsden

1104736

registered interest
date	25/03/2019
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	Nurses: Training
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 effect has been on levels of nurse recruitment of the removal of the nursing bursary.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	236245
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The following table shows the number of nurses and midwives recruited since September 2016 - the year before the removal of the National Health Service bursary.</p><table><tbody><tr><td><p> </p></td><td><p>September 2016</p></td><td><p>September 2017</p></td><td><p>September 2018</p></td><td><p>December 2018</p></td></tr><tr><td><p>Nurses</p></td><td><p>274,767</p></td><td><p>275,356</p></td><td><p>277,790</p></td><td><p>280,412</p></td></tr></tbody></table><p>Source: NHS Digital Published Hospital and Community Health Services workforce statistics</p><p> </p><p>The education funding reforms unlocked the cap which constrained the number of pre-registration nursing, midwifery and allied health profession training places allowing more students to gain access to nurse degree training courses.</p><p> </p><p>On 7 February, the University and College Admissions Service published full-time undergraduate nursing and midwifery applications made by the 15 January deadline. This data showed a 4.5% increase in applicants to undergraduate nursing and midwifery courses at English providers. We are working with Health Education England and the university sector to ensure students continue to apply for these courses this year and in future years.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 12:12:37 answering member 1585 label Biography information for Stephen Hammond
tabling member	116 label Biography information for Lord Soames of Fletching

1104821

registered interest
date	25/03/2019
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: Yorkshire and the Humber
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to reduce waiting times (a) for NHS operations and (b) between admission and treatment at A&E in Yorkshire and the Humber.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	236528
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Positive work has been delivered within Leeds Teaching Hospitals NHS Trust as well as the wider Leeds health and social care economy. Through this, significant improvements have been seen over the past 12 months, including over the winter period. Over winter, these improvements have included:</p><p>- A significant reduction in the the number of patients waiting longer than 52 weeks for operations;</p><p>- A 10% increase in the number of patients seen within four hours in emergency departments in February, compared to previous year; and</p><p>- Zero 12-hour breaches within emergency departments.</p><p> </p><p>In addition to this, further service improvements made across hospitals in the area over the last 12 months have included modelling to predict surges in demand, extra consultant presence in the emergency department and work to discharge patients earlier in the day.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:25:53 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1104833

registered interest
date	25/03/2019
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 and Social Services: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the implications for his policies on staffing of the March 2019 King's Fund report entitled Closing the gap: Key areas of action for the health and care workforce; and whether he is taking urgent steps to ensure an adequate level of staffing for the delivery of high-quality health and social care over the next 10 years.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	236311
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>We welcome the King’s Fund’s recent report, ‘Closing the gap: Key areas for action for the health and care workforce’, and agree that it is essential to ensure the health and care sector has the right number of people, with the right skills and values to provide high quality services.</p><p> </p><p>That is why the recently published Long Term Plan for the National Health Service committed funding for 20,000 more staff working in general practitioner practices and the Government has made funding available to increase university training places for nurses by 25%. Baroness Dido Harding is chairing a rapid programme of work, which will engage with staff, employers, professional organisations, trade unions and think tanks to build a shared vision and a plan of action that puts NHS people at the heart of NHS policy and delivery.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 16:19:46 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1104849

registered interest
date	25/03/2019
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: Business Interests
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 cost to the public purse has been of requiring medical professionals to disclose payments and gifts from medical and other suppliers; and what benefits have been derived from the implementing that requirement.
tabling member constituency	Stirling
tabling member printed	Stephen Kerr
uin	236538
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>There has been no measurement of the cost to the public purse of requiring medical professionals to disclose payments and gifts from medical and other suppliers.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:23:07 answering member 1585 label Biography information for Stephen Hammond
tabling member	4604 label Biography information for Stephen Kerr

1104860

registered interest
date	25/03/2019
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	Radioisotopes
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 effect of leaving the EU without an agreement on the UK’s ability to access (a) radioactive isotopes to diagnose and treat breast cancer and (b) other such medical materials.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	236430
answer	answer is ministerial correction date of answer 28/03/2019 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 medical radioisotopes to diagnose and treat breast cancer, can continue uninterrupted in the event of a ‘no deal’ EU exit.</p><p> </p><p>For any products that require air freight, such as medical radioisotopes, we are continuing to work with all suppliers to ensure this occurs. The Department can confirm that companies supplying the vast majority of medical radioisotopes medicines by volume have air freight routes that are currently operational.</p><p> </p><p>The Department wrote to all suppliers of medicines to the United Kingdom on 26 March to advise them of the changes to EU exit dates, and ask them to continue with preparations to protect patients in all possible outcomes.</p><p> </p><p>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 28/03/2019 16:27:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	4046 label Biography information for Bridget Phillipson

1104881

registered interest
date	25/03/2019
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 and Care Workers: 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 he is taking to ensure effective recruitment from EU and non-EU countries to meet demand for (a) NHS and (b) care workers after the UK leaves the EU.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	236440
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The Government recognises the need to be able to recruit effectively from abroad and the Immigration White Paper ‘The UK’s future skills-based immigration system’, published in December 2018, sets out the foundation for a single immigration system, where it is workers’ skills that matter, not where they come from.</p><p>This system will streamline the high-skilled visa route, by removing the Resident Labour Market Test and the Tier 2 Visa Cap. It will also include a new temporary immigration route for workers of all skill levels which will allow our social care sector to recruit care workers from abroad as we transition into the new system. The Home Office is undertaking a programme of engagement to discuss the proposed measures with colleagues across government and industry, to develop a future immigration system that works for the whole of the United Kingdom.</p><p>We also recognise the need to boost our domestic workforce as well. The NHS Long Term Plan sets out a vital strategic framework to ensure that, over the next ten years, the National Health Service will have the staff it needs so that nurses and doctors are working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p><p>Alongside this, the upcoming Social Care Green Paper will set out the Department’s proposals for reform of the sector to put it on a more sustainable future footing. This will include a vision for its workforce and proposals to boost recruitment and retention in the longer term.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 16:25:27 answering member 1585 label Biography information for Stephen Hammond
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1104896

registered interest
date	25/03/2019
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 steps he is taking to ensure that the NHS is adequately staffed after the UK leaves the EU.
tabling member constituency	Haltemprice and Howden
tabling member printed	Mr David Davis
uin	236294
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The NHS Long Term Plan sets out a vital strategic framework to ensure that over the next 10 years the National Health Service will have the staff it needs so that nurses and doctors have the time they need to care, working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 11:49:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	373 label Biography information for Sir David Davis