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432805

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of how long it would take on average for a nurse to pay off a student loan.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	18020
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>No estimate has been made as this will vary between individuals and is dependent upon a number of factors. Currently student loans are paid back over a maximum 30 year period and repayment is contingent on earnings. Graduates do not begin to pay back their loans until the April after they graduate, and then only 9% of their earnings over £21,000 per year.</p><br /><p>If their income drops below £21,000 for any reason (part-time working, career break) their repayments cease.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:19:34 answering member 3988 label Biography information for Ben Gummer
tabling member	4077 label Biography information for Emma Reynolds

432806

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of student nurses had already studied for a degree before training as a nurse in each of the last five years; and what estimate he has made of the number of new student nurses who have studied for a degree likely to start training as a nurse in each of the next five years.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	18019
answer	answer is ministerial correction date of answer 01/12/2015 answer text <br /><p>The information about the proportion of student nurses that had already studied for a degree before training as a nurse is not collected by the Department. Statistical information can be obtained from the Higher Education Statistics Agency.</p><br /><p /> <br /> <p>The Government does not have estimates of the number of student nurses who have studied for a degree and likely to start training. However we intend to make an exemption so that student nurses midwives and allied health professionals who already have a degree can access loans.</p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:17:01 answering member 3988 label Biography information for Ben Gummer
tabling member	4077 label Biography information for Emma Reynolds

432807

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate the Government has made of the number of training places for nurses required by the NHS in each of the next five years.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	18021
answer	answer is ministerial correction date of answer 01/12/2015 answer text <br /><p>Health Education England (HEE) was established and has been mandated by the Government to provide national leadership on education, training and workforce development in the National Health Service. As one of the arm’s length bodies to help improve the quality of care delivered to patients, it ensures that the future workforce is available in the right numbers with the right skills, values and competencies to meet patient needs today and tomorrow.</p><br /><p>HEE operate an annual comprehensive planning process to ensure their investments meet the future needs of the population. This process determines the education commissioning volumes for the following financial year and are published in the Workforce Plan for England.</p><br /><p>The current workforce plan for England for 2015-16 published in December 2014 can be found at the following link:</p><br /><p><a href="http://hee.nhs.uk/work-programmes/workforce-planning/" target="_blank">http://hee.nhs.uk/work-programmes/workforce-planning/</a></p><br /><p>HEE will publish its next annual National Workforce Plan for England by the end of December 2015.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:18:24 answering member 3988 label Biography information for Ben Gummer
tabling member	4077 label Biography information for Emma Reynolds

432808

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the Government has made of the potential effect on student numbers of abolishing grants and maintenance allowances and introducing student loans and tuition fees for nurses' training places; and what assessment the Government has made of the effect on students from poorer backgrounds of abolishing grants and maintenance allowances and introducing student loans and tuition fees for such training places.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	18022
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The Government assessment undertaken to date is that nursing is consistently one of the most popular courses on the University Central Administration Service (fifth), with 57,000 applicants for around 20,000 nursing places in 2014. Midwifery and Allied Health Professional courses receive higher than average applications as well.</p><br /><p>A maximum £9,000 tuition fee for other subjects at higher education institutions was introduced in 2012. Between 2012 and 2014 the number of English domiciled applicants to enter full-time undergraduate courses in the United Kingdom increased by 7.5% (from 454,000 in 2012 to 487,870 in 2014). Figures for 2015 cycle will be released in mid-December and early indicators suggest that there will be further increase in 2015.</p><br /><p>Students from the most disadvantaged areas in England were 72% more likely to apply to higher education in 2015 than 2006.</p><br /> <br /><p><strong></strong></p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:20:46 answering member 3988 label Biography information for Ben Gummer
tabling member	4077 label Biography information for Emma Reynolds

432809

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many nurses' training places were available in each region in each year since 2009; how many (a) agency nurses and (b) nurses from outside the UK were used by the NHS in each year since 2009; and what the cost to the NHS was of both such categories of nurses in each of those years.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	18023
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p><strong></strong></p><br /><p>Non-medical training numbers are collected as part of the quarterly multi professional education and training budget monitoring returns that are submitted to the Department by Health Education England (HEE). Prior to the establishment of HEE in 2013/14 these were submitted to the Department by the Strategic Health Authority (SHA) as part of their quarterly Financial Information Management Systems (FIMS) monitoring returns. The table below shows the number of nurse training places available in each SHA from 2009/10 to 2012/13.</p><br /><table><tbody><tr><td><p>2009/10</p></td><td><p>2010/11</p></td><td><p>2011/12</p></td><td><p>2012/13</p></td></tr><tr><td><p>NHS North East</p></td><td><p>1,095</p></td><td><p>1,045</p></td><td><p>1,000</p></td><td><p>992</p></td></tr><tr><td><p>NHS North West</p></td><td><p>3,630</p></td><td><p>3,358</p></td><td><p>3,082</p></td><td><p>3,066</p></td></tr><tr><td><p>NHS Yorkshire and Humber</p></td><td><p>2,299</p></td><td><p>2,278</p></td><td><p>1,848</p></td><td><p>1,805</p></td></tr><tr><td><p>NHS East Midlands</p></td><td><p>1,735</p></td><td><p>1,660</p></td><td><p>1,462</p></td><td><p>1,430</p></td></tr><tr><td><p>NHS West Midlands</p></td><td><p>2,597</p></td><td><p>2,557</p></td><td><p>2,102</p></td><td><p>2,102</p></td></tr><tr><td><p>NHS East of England</p></td><td><p>1,889</p></td><td><p>1,717</p></td><td><p>1,536</p></td><td><p>1,494</p></td></tr><tr><td><p>NHS London</p></td><td><p>3,992</p></td><td><p>3,695</p></td><td><p>3,401</p></td><td><p>3,088</p></td></tr><tr><td><p>NHS South East Coast</p></td><td><p>1,335</p></td><td><p>1,281</p></td><td><p>1,169</p></td><td><p>1,123</p></td></tr><tr><td><p>NHS South Central</p></td><td><p>1,175</p></td><td><p>1,237</p></td><td><p>1,108</p></td><td><p>1,153</p></td></tr><tr><td><p>NHS South West</p></td><td><p>1,590</p></td><td><p>1499</p></td><td><p>1,361</p></td><td><p>1,293</p></td></tr><tr><td><p>Total planned</p></td><td><p>21,337</p></td><td><p>20,327</p></td><td><p>18,069</p></td><td><p>17,546</p></td></tr></tbody></table><p><em>Source: </em>SHA quarterly FIMS monitoring returns</p><p><em></em></p><p>The following table details the information collected by HEE in relation to available nurse training places from 2013/14 to 2015/16, broken down by Local Education and Training Boards (LETB).</p><br /><p>The disaggregated data for 2013/14 is not held within the format requested. The published national workforce plan for 2013/14 stated that there would be 18,009 training commissions available for nursing.</p><br /><table><tbody><tr><td><p>LETB Region</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>North East</p></td><td><p><br></p></td><td><p>1,105</p></td><td><p>1,089</p></td></tr><tr><td><p>North West</p></td><td><p><br></p></td><td><p>3,415</p></td><td><p>3,322</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p><br></p></td><td><p>2,010</p></td><td><p>2,059</p></td></tr><tr><td><p>West Midlands</p></td><td><p><br></p></td><td><p>2,157</p></td><td><p>2,192</p></td></tr><tr><td><p>East Midlands</p></td><td><p><br></p></td><td><p>1,613</p></td><td><p>1,661</p></td></tr><tr><td><p>East of England</p></td><td><p><br></p></td><td><p>1,783</p></td><td><p>2,015</p></td></tr><tr><td><p>North West London</p></td><td><p><br></p></td><td><p>820</p></td><td><p>917</p></td></tr><tr><td><p>North, Central and East London</p></td><td><p><br></p></td><td><p>1,201</p></td><td><p>1,280</p></td></tr><tr><td><p>South London</p></td><td><p><br></p></td><td><p>1,138</p></td><td><p>1,171</p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p><br></p></td><td><p>1,126</p></td><td><p>1,209</p></td></tr><tr><td><p>Thames Valley</p></td><td><p><br></p></td><td><p>768</p></td><td><p>795</p></td></tr><tr><td><p>Wessex</p></td><td><p><br></p></td><td><p>941</p></td><td><p>1,011</p></td></tr><tr><td><p>South West</p></td><td><p><br></p></td><td><p>1,368</p></td><td><p>1,432</p></td></tr><tr><td><p>Total</p></td><td><p>18,009</p></td><td><p>19,445</p></td><td><p>20,153</p></td></tr></tbody></table><br /><p><em>Source: </em>Multi-professional education and training budget monitoring returns</p><br /><p>The Department does not collect data centrally on the number of agency nurses working in the NHS. This information may be held locally at Trust level.</p><br /><p>The Department started to collect financial data from NHS trusts and foundation trusts in respect of net temporary and agency staffing costs specifically from 2013/14. Available data on spending nationally on all agency staff in England is set out in the table below. We are not able to separately identify total spending with agencies on nurses from centrally held data.</p><br /><p>Total cost to the NHS of temporary staff in 2013/14 and 2014/15</p><br /><table><tbody><tr><td><p><br></p></td><td><p>2013/14 £000s</p></td><td><p>2014/15 £000s</p></td></tr><tr><td><p>Total NHS Providers</p></td><td><p>2,605,378</p></td><td><p>3,355,723</p></td></tr></tbody></table><p><em>Source: </em>Department of Health Annual Report and Accounts 2014/15</p><br /> <br /><p>The Department does not hold information on the total cost to the NHS of nurses from outside of the United Kingdom working in the service. The information provided in the table below shows the number of declared non-British nurses working in the NHS in England dating back to 2009. Non-British nursing numbers working in the NHS in England covers hospital and community health services in the NHS but not primary care.</p><br /><table><tbody><tr><td><p><br></p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td></tr><tr><td><p>Non-British</p></td><td><p>40,034</p></td><td><p>41,642</p></td><td><p>40,911</p></td><td><p>40,030</p></td><td><p>40,330</p></td><td><p>43,258</p></td></tr><tr><td><p>Proportion of non-British nurses as % of the nursing workforce</p></td><td><p>14.4%</p></td><td><p>14.3%</p></td><td><p>13.8%</p></td><td><p>13.3%</p></td><td><p>13.0%</p></td><td><p>13.5%</p></td></tr></tbody></table><br /><p><em>Source: </em>Health and Social Care Information Centre.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:23:51 answering member 3988 label Biography information for Ben Gummer
tabling member	4077 label Biography information for Emma Reynolds

432811

registered interest
date	26/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to his Written Statement of 4 November 2015, HCWS288, whether all current junior doctors will receive an 11 per cent pay rise under the proposed new contract.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Poulter
uin	17889
answer	answer is ministerial correction date of answer 01/12/2015 answer text <br /><p>We have consistently said that average earnings will remain the same under the new contract. Basic pay would increase by an average of 11%, under our firm offer, as a result of ending banding payments and redistributing current earnings, placing more in basic pay.</p><br /><p>This is something that the British Medical Association (BMA) said they wanted and that the Review Body on Doctors’ and Dentists’ Remuneration has long recommended. All those moving fully onto the new contract would be paid on these terms.</p><br /><p>The hon. Member will note that the BMA has now returned to direct negotiations with NHS Employers, having walked away from discussions in October 2014.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:22:20 answering member 3988 label Biography information for Ben Gummer
tabling member	3932 label Biography information for Dr Dan Poulter

431707

registered interest
date	23/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Working Hours
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the (a) implications for his policies of the recent decision by the European Court of Justice on travel from home to work and (b) potential effect of that decision on the application of the Working Time Directive to care and support workers.
tabling member constituency	Wealden
tabling member printed	Nusrat Ghani
uin	17280
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The Government is carefully considering the implications of the decision by the Court of Justice of the European Union (CJEU), which was published on the 10 September 2015. The ruling passed into United Kingdom law on the date it was published.</p><br /><p>Employers are responsible for ensuring that service rotas are designed and staffed appropriately and are in accordance with the Working Time Regulations and findings made by the CJEU.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 16:26:07 answering member 3988 label Biography information for Ben Gummer
tabling member	4460 label Biography information for Ms Nusrat Ghani

431716

registered interest
date	23/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to increase the number of trained doctors; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	17236
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The annual workforce census, published by the Health and Social Care Information Centre shows that as at 30 September 2014 there were 4,662 more consultants and 2,389 more doctors in training working in the National Health Service in England than there were in September 2010.</p><br /><p>The census also shows that there were 1,219 more qualified general practitioners (GPs) working in England over the same period.</p><br /><p>The Government has maintained the number of undergraduate medical training places at a level sufficient to support continued increase in the medical workforce in England.Where there are shortages in specific specialties, the Department will work with Health Education England and NHS England to address them for example, through the ten point plan for the general practice workforce, which will boost recruitment, encourage experienced GPs to remain in the profession and support GPs to return to practice. The Government has also committed to providing an estimated 5,000 more doctors working in general practice by 2020.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:13:54 answering member 3988 label Biography information for Ben Gummer
tabling member	308 label Biography information for Mr Jim Cunningham

431725

registered interest
date	23/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Strikes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to prepare for the junior doctors' strikes due to commence on 1 December 2015; and what assessment he has made of the potential effect of such strikes on NHS services.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	17291
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>We are pleased that the British Medical Association (BMA) agreed to suspend the strike. NHS Employers agreed to the extension of the timeframe for the BMA to commence any industrial action by four weeks to 13 January 2016. NHS Employers and the Department have agreed within this timetable to temporarily suspend plans to introduce new contracts to allow negotiations to progress.</p><br /><p>We know staff right across the National Health Service worked incredibly hard to ensure that the NHS had robust contingency plans to deal with the anticipated industrial action and that patients will be disappointed if their operations or appointments had to be cancelled or delayed. Our absolute priority was to ensure that patients were not put at risk or harmed. We always wanted talks not strikes and we are committed to meaningful negotiations to agree a new national contract that is fair, safe which put patients first every day of the week.</p><p>Negotiations will be on the basis of a memorandum of understanding between the parties which acknowledges a shared responsibility for the safety of patients and junior doctors and the desire to achieve and implement without undue delay a contractual framework that provides fair reward and a safe working environment for junior doctors throughout the week.</p><br /><p>We now have the opportunity to work together to develop a new national contract that helps to meet our shared ambition to make NHS care the safest and highest quality in the world.</p><br /><p>The agreement can be found on the ACAS website at:</p><br /><p><a href="http://www.acas.org.uk/index.aspx?articleid=5557" target="_blank">http://www.acas.org.uk/index.aspx?articleid=5557</a></p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 17:15:40 answering member 3988 label Biography information for Ben Gummer
tabling member	301 label Biography information for Richard Burden

431774

registered interest
date	23/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prisoners: Alcoholism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of prisoners are identified as having an alcoholic disorder.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	17328
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>According to the most recent centrally collected data published in 2013, (the Ministry of Justice Surveying Prisoner Crime Reduction data collection of prisoners sentenced to between one month and four years in 2005 and 2006 in England and Wales), 32% of male and female prisoners who reported drinking in the four weeks before custody said they drank on a daily basis.</p><br /><p>Prisoners who consumed alcohol at any stage in the four weeks prior to custody consumed a median of 12 units, which is indicative of binge drinking, according to NHS Choices. Using this measure, 63% of prisoners who drank alcohol in the four weeks before custody would be classified as binge drinkers.</p><br /><p>The 2013 report, <em>Gender differences in substance misuse and mental health amongst prisoners Results from the Surveying Prisoner Crime Reduction (SPCR) longitudinal cohort study of prisoners, </em>is available from the following link:</p><br /><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/220060/gender-substance-misuse-mental-health-prisoners.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/220060/gender-substance-misuse-mental-health-prisoners.pdf</a></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/12/2015 16:31:29 answering member 3988 label Biography information for Ben Gummer
tabling member	3958 label Biography information for Fiona Bruce