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1136900

registered interest
date	04/07/2019
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: Accountability
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 referrals have been received by his Department under sub-section 244 of the National Health Service Act 2006 since the implementation of the Health and Social Care Act 2012 by (a) local authority and (b) clinical commissioning group where such a request has been passed to the Independent Reconfiguration Panel; and what the outcome was of any decision.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	273476
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>Since the commencement of the Health and Social Care Act in 2012, the Department has received 23 referrals from local authorities and none from clinical commissioning groups (CCGs). CCGs are the bodies that propose service change and do not have the power to refer such changes to the Secretary of State.</p><p>Findings and final advice on each of the 23 cases are set out in detail on the Independent Reconfiguration Panel’s website.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:55:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4595 label Biography information for Gareth Snell

1136937

registered interest
date	04/07/2019
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	Alcoholic Drinks: Misuse
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 assessment he has made of the adequacy of training for NHS staff on diagnosing and treating alcohol abuse.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	273324
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>United Kingdom medical schools determine the content of their own curricula. The delivery of these undergraduate curricula have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained. The standards require the curriculum to be formed in a way that allows all medical students to meet the GMC’s ‘Outcomes for Graduates’ by the time they complete their medical degree, which describe knowledge, skills and behaviour they have to show as newly registered doctors.</p><p>The GMC’s ‘Outcomes for Graduates’ state that doctors must be able to recognise and identify factors that suggest patient vulnerability and take action in response. In particular, they must be able to recognise where addiction (including to alcohol) is contributing to ill health and take action by seeking advice from colleagues and making appropriate referrals. Furthermore, the GMC’s Generic Professional Capabilities Framework states that doctors in training must be able to do the same and act on this information.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:59:07 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1136633

registered interest
date	03/07/2019
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 assessment his Department has made of the effect of the UK leaving the EU without a deal on his Department’s ability to bring forward and implement the NHS Workforce Plan.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	272719
answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The NHS interim People Plan was published on 3 June 2019, it puts staff at the heart of National Health Service policy and delivery and sets out a shared vision and the actions the NHS will take now and over the long term to meet the challenges of supply, reform, culture and leadership. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>This is a priority which the Government is committed to delivering regardless of the manner in which we exit the European Union.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:37:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1136208

registered interest
date	02/07/2019
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	Pharmacy: 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 recent discussions he has had with the Secretary of State for the Home Department on the exclusion of pharmacists from the shortage occupation list and the effect of that exclusion on the community pharmacy sector.
tabling member constituency	St Austell and Newquay
tabling member printed	Steve Double
uin	272177
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Home Secretary on a range of subjects including immigration policy and its impact on the health and social care sectors.</p><p>The Government is committed to ensuring that the National Health Service has the right number of pharmacists and other healthcare professionals that it needs.</p><p> </p><p>Latest NHS Digital data shows there are 4,300 more pharmacists in March 2019 than there were in March 2010.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/07/2019 11:02:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	4452 label Biography information for Steve Double

1136232

registered interest
date	02/07/2019
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, what preparations his Department is making for the UK leaving the EU without an agreement; and how much funding has been allocated to those preparations.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	272107
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>As a responsible Government, we continue preparations to minimise any disruption in a ‘no deal’ scenario. We are putting in place a range of mitigations, these include:</p><p>- leading a procurement exercise to secure an ‘express freight service’, with the aim to secure transport of small medical supply consignment into the United Kingdom within the 24 hours if the UK leaves the European Union without a deal;</p><p>- changing or clarifying regulatory requirements so that companies can continue to sell their products in the UK if we have ‘no deal’;</p><p>- working with industry to improve trader readiness in preparation for the new customs procedures that will come into force on day one if we leave the EU without a deal; and</p><p>- advising travellers to ensure they have comprehensive travel insurance.</p><p>HM Treasury has allocated over £4.2 billion of additional funding to departments and devolved administrations for EU exit preparations so far. This breaks down as £412 million over the spending review period for the Department for Exiting the European Union, Department for International Trade and the Foreign and Commonwealth Office (Autumn Statement 2016); £286 million of additional funding for 2017/18 (a full breakdown of which can be found in Supplementary Estimates 2017/18); over £1.5 billion for 2018/19 (Supplementary Estimates 2018/19); and over £2 billion for 2019/20 (Main Estimates 2019/20).</p><p>This funding is to cover all exit scenarios and is in addition to departmental efforts to reprioritise from business as usual toward preparations for the UK’s departure from the EU. Work on ‘no deal’ exit preparations cannot be readily separated from other EU exit work, given the significant overlap in plans in many cases.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/07/2019 16:41:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1136293

registered interest
date	02/07/2019
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	Royal Liverpool University Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information he holds on the reasons why demolitions have recently been carried out at the new Royal Liverpool University Hospital; and if he will make a statement.
tabling member constituency	Liverpool, Riverside
tabling member printed	Dame Louise Ellman
uin	272122
answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The Royal Liverpool and Broadgreen University Hospitals NHS Trust is working closely with Laing O’Rourke and external advisers in undertaking a fully-costed assessment of all the works needed to complete the new Royal Liverpool Hospital. This includes significant works required to fix the structural issues and defective works that have been identified following the termination of the private finance initiative contract in 2018. This assessment will be set out in a business case, which the Trust intends to submit to NHS Improvement and the Department for approval soon. In the meantime, preparation work is already underway by Laing O’Rourke.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:29:52 answering member 1585 label Biography information for Stephen Hammond
tabling member	484 label Biography information for Dame Louise Ellman

1135774

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 is he taking to improve retention of NHS staff.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271455
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS Improvement and NHS Employers have been leading programmes of support with trusts, working to improve the retention of the nursing workforce. A universal offer of support has been provided to all trusts, and NHS Improvement continues to provide a direct programme of support to trusts with the highest attrition rates in order to support improvements in retention.</p><p>Strategies include targeted support on areas such as flexible working, supporting new starters and older workers, and development and career planning. NHS Improvement and NHS Employers are releasing resources and case studies to disseminate best practice models.</p><p>The new contract for junior doctors (2016) enshrines safe working, high quality training and ensures fair pay for work done.</p><p>We are also committed to offering improved working lives, flexible training options, and rewarding careers and conditions. On 24 June, Health Education England published ‘Enhancing Junior Doctors’ Working Lives – annual progress report 2019’ and the work it has undertaken in this area. The programme includes a range of initiatives to help to retain doctors in the National Health Service, ensuring that the junior doctors who work so hard throughout their training feel supported at work. The report is available at the following link:</p><p><a href="https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training" target="_blank">https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training</a></p><p>NHS England and Health Education England are working together with the medical profession to increase the general practitioner (GP) workforce and support GPs to remain in the NHS. Actions include a GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time for Care Programme.</p><p>Action to improve NHS staff retention in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:54:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1135775

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	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, if he will reinstate the student nurse bursary.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271456
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government has no plans to reinstate the bursaries for nursing degrees in England. The tuition fee model means universities can offer more training places removing the cap that was in place under the previous centrally funded system. Eligible pre-registration nursing and midwifery students can now receive more funding than under the National Health Service bursary system through tuition fee loans and living cost support from the Student Loans Company.</p><p>The interim People Plan published on 3 June 2019 sets out some of the steps needed to ensure the NHS have the staff they need to deliver high quality care, including growing our nursing workforce by 40,000 in the next five years.</p><p>Nurse education, training and funding in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:58:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1135824

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: 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 recent assessment he has made of the level of availability of (a) places on UK Foundation Programme F1 and F2 courses and (b) work within the NHS for course graduates.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	271363
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The UK Foundation Programme can be under- or over-subscribed as it is subject to variation for a number of reasons. In 2018 there was a fill rate of 98.6%<sup>1</sup>, however in 2019 there were initially more eligible applicants than available places. Additional places have now been provided, meaning all eligible graduates have been allocated a Foundation Programme post to start from August 2019.</p><p>For specialty training programmes, the current overall fill rate is slightly higher than in 2018, with 83.8% of training posts currently accepted for programmes beginning in 2019, compared to 81.9% at the same stage last year<sup>2</sup>. Some specialties will continue to recruit through further rounds, and therefore the number of trainees is likely to rise.</p><p> </p><p>Notes:</p><p><sup>1</sup>http://www.foundationprogramme.nhs.uk/sites/default/files/2018-09/2018%20Recruitment%20Summary%20Report.pdf</p><p><sup>2</sup>https://www.hee.nhs.uk/our-work/medical-recruitment/specialty-recruitment-round-1-acceptance-fill-rate</p><p><strong> </strong></p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:04:12 answering member 1585 label Biography information for Stephen Hammond
tabling member	478 label Biography information for Lord Field of Birkenhead

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