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1134823

registered interest
date	26/06/2019
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: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the final NHS people plan will be published.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269718
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The interim People Plan was published on 3 June 2019. It sets out the actions the National Health Service will take now and over the long term to meet the challenges of supply, reform, culture and leadership.</p><p>A final People Plan will be published soon after the conclusion of the 2019 as intended Spending Review.</p><p>This final Plan will then be kept under regular review and updated on an annual basis, as part of the NHS taking a more open and collaborative approach to people issues.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:32:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin

1134879

registered interest
date	26/06/2019
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	Health Services: Undocumented 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 estimate he has made of the number of undocumented immigrants who have died after they were denied care because they were unable to pay the costs upfront.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	269628
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Department does not hold this information.</p><p>National guidance is clear that immediately necessary or urgent care should never be withheld or delayed for reasons to do with eligibility or payment. Whether care is urgent is a decision only a clinician can make and on a case-by-case basis, informed by national guidance.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:42:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1134881

registered interest
date	26/06/2019
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	Doctors: 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 increase the recruitment of doctors from overseas through the Medical Training Initiative.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	269778
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Medical Training Initiative enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country. The Government keeps the number of doctors able to participate in this scheme under regular review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 14:16:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	4598 label Biography information for Mohammad Yasin

1134882

registered interest
date	26/06/2019
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: 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 assessment he has made of the adequacy of the speciality staff workforce in the NHS (a) throughout the UK and (b) in regions with high vacancy rates.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	269779
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Government has already committed to funding for universities to offer an extra 1,500 undergraduate medical school places for domestic students. The first 630 places were taken up in September 2018 and the remaining additional places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups. For doctors, it also focussed on reducing geographical and specialty imbalances. Subsequently, the interim NHS People Plan set out the action we will take now and over the long term to meet the challenges of supply, reform, culture and leadership, and changes in demand for health care. Actions include reviewing what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems; and the establishment of a national programme board to address geographic and specialty shortages in doctors.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269780 question first answered 04/07/2019 14:08:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	4598 label Biography information for Mohammad Yasin

1134883

registered interest
date	26/06/2019
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	Medicine: Education
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 increase the number of medical school places to help create a sustainable workforce.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	269780
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Government has already committed to funding for universities to offer an extra 1,500 undergraduate medical school places for domestic students. The first 630 places were taken up in September 2018 and the remaining additional places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups. For doctors, it also focussed on reducing geographical and specialty imbalances. Subsequently, the interim NHS People Plan set out the action we will take now and over the long term to meet the challenges of supply, reform, culture and leadership, and changes in demand for health care. Actions include reviewing what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems; and the establishment of a national programme board to address geographic and specialty shortages in doctors.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269779 question first answered 04/07/2019 14:08:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	4598 label Biography information for Mohammad Yasin

1134884

registered interest
date	26/06/2019
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 England: Publications
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to NHS England Private Board meeting papers, whether it remains NHS England’s policy to publish the agenda and papers from NHS England Private Board meetings one year after the meeting; and for what reasons NHS England have not published any Private Board papers since March 2015.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	269740
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The board of NHS England conducts as much of its business as possible in a session that members of the public are welcome to attend and observe. It remains NHS England’s policy to publish private board meeting papers and papers up until May 2018 are now available on the NHS England website at the following link:</p><p><a href="https://www.england.nhs.uk/about/board/meetings/previous/private-papers/" target="_blank">https://www.england.nhs.uk/about/board/meetings/previous/private-papers/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 16:11:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1134888

registered interest
date	26/06/2019
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	Autism and Learning Disability: Newcastle-under-Lyme
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 that constituents with learning disabilities or autism, in Newcastle-under-Lyme, are able to access inpatient facilities close to home.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	269659
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>Adult non-secure inpatient services for people with learning disabilities and/or autism in Newcastle-Under-Lyme are commissioned by the Newcastle-Under-Lyme Clinical Commissioning Group (CCG). Local CCGs should ensure that patients with a learning disability and/or autism have access to an inpatient bed when they need it.</p><p>Adult secure inpatient services and Child and Adolescent Mental Health Services (CAMHS) Tier 4 inpatient beds for children and young people with learning disabilities and/or autism in Newcastle-Under-Lyme are commissioned by the NHS England Specialised Commissioning Team in the West Midlands, which will always look at prioritising meeting clinical needs as locally as possible.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:12:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1134899

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS long-term plan, what assessment he has made of the potential effect on healthcare delivery of reducing the number of clinical commissioning groups to match the number of sustainability and transformation partnerships.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269781
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269782 269783 269784 269785 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134440

registered interest
date	25/06/2019
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	Cataracts: Surgery
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 to the NHS is of carrying out a cataract operation.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	268959
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>Latest published data – for 2017-18 – shows that the average unit cost to the National Health Service of carrying out a cataract operation is £803.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:37:02 answering member 1585 label Biography information for Stephen Hammond
tabling member	253 label Biography information for Mr Laurence Robertson

1134491

registered interest
date	25/06/2019
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	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 potential effect on the provision of healthcare for UK citizens in the EU of the UK leaving the EU without a deal.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	269017
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Under current European Union-based entitlements, the United Kingdom pays for the healthcare costs of 180,000 UK nationals, mostly pensioners, in health systems across the EU. There are around 50 million UK tourist visits to the EU annually; the European Healthcare Insurance Card (EHIC) is used in around 0.5% of these visits. Moreover, approximately 50,000 posted workers are protected through the current arrangements.</p><p>The UK Government has proposed to EU Member States that, in a no-deal scenario, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to UK nationals’ and EU citizens’ healthcare provision. The UK Government is working to put in place bilateral agreements with Member States to protect existing healthcare arrangements for UK nationals beyond exit day. For UK nationals that live in EU Member States, the UK cannot unilaterally guarantee the continuation of current arrangements, as this depends on decisions by Member States.</p><p>EU Member States such as Spain have made public commitments that they will enable resident UK nationals and visitors to access healthcare in the same way they do now, and we hope to reach such agreements with all Member States.</p><p>Although we are hopeful that we can agree reciprocal healthcare arrangements, as a responsible Government we have developed a multi-layered approach to minimise disruption to healthcare provision to UK nationals currently in or travelling to the EU Member States.</p><p>The UK Government has committed to fund healthcare for UK nationals (and others for whom the UK is responsible) who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p>Individuals are always responsible for ensuring they have sufficient healthcare insurance. Anyone who is living, working or studying in EU Member States should check the country specific guidance on GOV.UK and NHS.UK for updates.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:33:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	1597 label Biography information for David Simpson