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421245

registered interest
date	14/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the average wage for a nurse in the NHS after working for (1) one, (2) five, and (3) 10 years.
tabling member printed	Lord Roberts of Llandudno
uin	HL2616
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>This information is not held centrally.</p> answering member printed Lord Prior of Brampton question first answered 21/10/2015 11:02:08 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3691 label Biography information for Lord Roberts of Llandudno

420887

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Conditions of Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they set aside the agreement in principle with the British Medical Association on junior doctor working and instead acted to impose a new contract, and if so, why.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2573
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>No agreement ever existed - in principle or otherwise – beyond the Heads of Terms that were the basis for negotiations. No agreement has been set aside by the Government or the Department.</p><br /><p>NHS Employers and the British Medical Association (BMA) agreed Heads of Terms for negotiations in July 2013 and commenced negotiations in October 2013, the intention being to conclude negotiations by the end of October 2014. The BMA walked away from those negotiations on 16 October 2014.</p><br /><p>As part of negotiations, proposals for a new contract had been made by the management side (employers from each of the four United Kingdom countries). The BMA said it could not agree to these. The Government therefore asked the independent Review Body on Doctors’ and Dentists’ Remuneration (DDRB) to make recommendations.</p><br /><p>The DDRB took evidence from the BMA, NHS Employers, the Department of Health and other parties. NHS Employers’ evidence, on behalf of the four UK countries, set out the proposals made by employers in negotiations, illustrating how these related to the jointly agreed Heads of Terms. The BMA’s evidence set out alternative proposals, which had not been made during negotiations.</p><br /><p>The DDRB’s report broadly endorsed the proposals made by NHS Employers and made recommendations, identifying some areas where further discussion was needed. The Government invited both parties to return to the table with the DDRB recommendations forming the basis for further negotiations.</p><br /><p>The Government, in England, has made clear its desire for the BMA to be involved in work to introduce a new contract. The Government has asked NHS Employers to work on the detailed design of a new contract for introduction in August 2016 and has continued to encourage the BMA to return to negotiations and take part in that work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2574 question first answered 21/10/2015 11:43:55 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420888

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Conditions of Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government on what basis officials in the Department of Health have said that the claims made by Dr Dan Poulter, formerly the minister in charge of negotiations, that they had set aside an agreement in principle with the British Medical Association on junior doctor working and instead acted to impose a new contract, were incorrect.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2574
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>No agreement ever existed - in principle or otherwise – beyond the Heads of Terms that were the basis for negotiations. No agreement has been set aside by the Government or the Department.</p><br /><p>NHS Employers and the British Medical Association (BMA) agreed Heads of Terms for negotiations in July 2013 and commenced negotiations in October 2013, the intention being to conclude negotiations by the end of October 2014. The BMA walked away from those negotiations on 16 October 2014.</p><br /><p>As part of negotiations, proposals for a new contract had been made by the management side (employers from each of the four United Kingdom countries). The BMA said it could not agree to these. The Government therefore asked the independent Review Body on Doctors’ and Dentists’ Remuneration (DDRB) to make recommendations.</p><br /><p>The DDRB took evidence from the BMA, NHS Employers, the Department of Health and other parties. NHS Employers’ evidence, on behalf of the four UK countries, set out the proposals made by employers in negotiations, illustrating how these related to the jointly agreed Heads of Terms. The BMA’s evidence set out alternative proposals, which had not been made during negotiations.</p><br /><p>The DDRB’s report broadly endorsed the proposals made by NHS Employers and made recommendations, identifying some areas where further discussion was needed. The Government invited both parties to return to the table with the DDRB recommendations forming the basis for further negotiations.</p><br /><p>The Government, in England, has made clear its desire for the BMA to be involved in work to introduce a new contract. The Government has asked NHS Employers to work on the detailed design of a new contract for introduction in August 2016 and has continued to encourage the BMA to return to negotiations and take part in that work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2573 question first answered 21/10/2015 11:43:55 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420895

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Migrant Workers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the Migration Advisory Committee's recommendation that nurses should not be added to the shortage occupation list, what they expect will be the impact of changes to the immigration rules on the running of hospitals, care homes, and care in the community.
tabling member printed	Baroness Masham of Ilton
uin	HL2581
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>On 15 October 2015, the Home Secretary announced that the Tier 2 restrictions will be temporarily changed for nurses so that they can be recruited from outside the European Economic Area (EEA).</p><p><strong></strong></p><p>Nurses will be added to the Government’s Shortage Occupation List (SoL) on an interim basis. The temporary rule change, which will apply to applications considered from December, will mean that nurses from outside the EEA who apply to work in the United Kingdom will have their applications for nursing posts prioritised.</p><p><strong></strong></p><p>The change is designed to ease pressure on health and care services ahead of the busy winter period and at a time when the Government is introducing tough new controls on agency spending. It will help improve continuity of care for patients and maintain safe staffing levels.</p><br /><p>The Home Secretary has also asked the Migration Advisory Committee to carry out a review of the evidence about whether nurses should remain on the SoL and to report back to the Home Office by 15 February 2016.</p> answering member printed Lord Prior of Brampton question first answered 21/10/2015 11:46:08 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

420898

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Beds
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what they estimate is the cost to the NHS of bed-blocking by patients who have received all their medical treatment; and what steps they are taking to reduce this.
tabling member printed	Lord Smith of Leigh
uin	HL2584
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>The Department has made no formal estimate of the costs of delayed discharge to the National Health Service. It is recognised that such delayed discharges do use resource which could be deployed elsewhere, and all parts of the NHS and those with responsibility outside it, are continually looking for ways in which to reduce the number of delays.</p> answering member printed Lord Prior of Brampton question first answered 21/10/2015 11:02:43 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2509 label Biography information for Lord Smith of Leigh

421105

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has for future levels of provision of NHS-funded hospice care.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	11516
answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p>Levels of provision of NHS funded hospice care are determined locally by clinical commissioning groups (CCGs). CCGs are responsible for ensuring that the services they commission meet the needs of their local population.</p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 21/10/2015 13:58:23 answering member 3988 label Biography information for Ben Gummer
tabling member	3958 label Biography information for Fiona Bruce

421107

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the level of unmet demand for palliative care beds for patients in the last six months of their lives.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	11518
answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p>The Department has not undertaken an assessment of unmet demand for palliative care beds for patients in the last six months of their lives.</p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 21/10/2015 13:54:58 answering member 3988 label Biography information for Ben Gummer
tabling member	3958 label Biography information for Fiona Bruce

421110

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Labour Turnover
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to improve staff retention in NHS England.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	11636
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>NHS England ran a restructuring programme in 2014/15. Since then, the organisation turnover rate has declined and for the last three months has been on average 3.75%.</p><br /><p>Retention issues tend to arise in particular roles or professions, for example finance, or in specific locations. NHS England has mechanisms to address the specific issues. Furthermore, NHS England conducts exit interviews with staff who leave to help understand issues which affect retention and ensure they can be addressed.</p><br /><p>In order to ensure NHS England can attract and retain high quality staff, and plan and manage natural succession, it has introduced a formal talent management process to ensure that line managers are discussing current performance, future potential, personal development plans and career aspirations with staff. This process has covered over 1,000 staff in senior and business critical roles. The organisation and senior leadership now have a much better understanding of people’s aspirations, development needs and career intentions.</p><br /><p>The organisation has also introduced a staff recognition scheme, and other programmes of work to improve health and well-being, capability development, staff engagement and diversity with the aim of making NHS England an employer of choice for talented people.</p><br /> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2015 13:22:04 answering member 4020 label Biography information for George Freeman
tabling member	1540 label Biography information for Greg Mulholland

421114

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Job Satisfaction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of staff morale in NHS England.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	11635
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>NHS England has regularly surveyed staff opinion and experience since it was established in 2013. The most recent staff survey was conducted in July 2015 and was open to all employees of the organisation. 66% of all employees responded to the survey and the overall morale and engagement score was 63% positive.</p><br /><p>Informed by feedback from the staff surveys, NHS England launched a programme of work to enhance staff engagement and diversity, build skills and capabilities and improve business processes, as the survey identified these as issues that impact upon staff morale and satisfaction levels.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2015 13:49:11 answering member 4020 label Biography information for George Freeman
tabling member	1540 label Biography information for Greg Mulholland

421115

registered interest
date	13/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Action on Smoking and Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what arrangements his Department has to ensure that financial grants made by his Department to Action on Smoking and Health are not used to fund activities intended to influence (a) Parliament, Government or political parties, (b) the awarding or renewal of Government contracts and grants and (c) legislative or regulatory action.
tabling member constituency	Shipley
tabling member printed	Philip Davies
uin	11587
answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>The conditions applicable to grants awarded to Action on Smoking and Health (ASH) are set out in the grant award letters.</p><br /><p>ASH’s compliance with the conditions of the grant is assessed at the grant monitoring meetings held between the Deputy Director of tobacco control and representatives from ASH as well as in the final full year grant monitoring and governance reports.</p><br /><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2015 13:52:37 answering member 3918 label Biography information for Jane Ellison
tabling member	1565 label Biography information for Sir Philip Davies