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683390

registered interest
date	02/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether it is his Department's policy that the mandation of health visiting services will continue after March 2017.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	62939
answer	answer is ministerial correction date of answer 09/02/2017 answer text <p>The Government is committed to achieving good health outcomes for children and young people. Local authorities are responsible for commissioning appropriate public health services for 0-5 year olds in their areas, including health visiting.</p><p> </p><p>Provision by local authorities of five universal health visitor reviews for children aged 0-5 was required by Regulations which came into force on 1 October 2015. The Department commissioned Public Health England (PHE) to undertake a review of the Regulations at 12 months.</p><p> </p><p>PHE has completed the review of the mandating of universal health visiting services. The review was informed by looking at existing national and local statistics on health visiting service delivery and health and wellbeing outcomes for young children. In addition, feedback from a number of different stakeholder perspectives, including health visitors, was sought.</p><p> </p><p>PHE’s report is informing next steps decisions about the service and the Department expects to announce these shortly and to publish the report.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 62941 question first answered 09/02/2017 13:26:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4510 label Biography information for Helen Hayes

683392

registered interest
date	02/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish Public Health England's review of the mandated health visiting service.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	62941
answer	answer is ministerial correction date of answer 09/02/2017 answer text <p>The Government is committed to achieving good health outcomes for children and young people. Local authorities are responsible for commissioning appropriate public health services for 0-5 year olds in their areas, including health visiting.</p><p> </p><p>Provision by local authorities of five universal health visitor reviews for children aged 0-5 was required by Regulations which came into force on 1 October 2015. The Department commissioned Public Health England (PHE) to undertake a review of the Regulations at 12 months.</p><p> </p><p>PHE has completed the review of the mandating of universal health visiting services. The review was informed by looking at existing national and local statistics on health visiting service delivery and health and wellbeing outcomes for young children. In addition, feedback from a number of different stakeholder perspectives, including health visitors, was sought.</p><p> </p><p>PHE’s report is informing next steps decisions about the service and the Department expects to announce these shortly and to publish the report.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 62939 question first answered 09/02/2017 13:26:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4510 label Biography information for Helen Hayes

622617

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors commissioned by local authorities since October 2015 are employed in non-NHS organisations.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	50710
answer	answer is ministerial correction date of answer 01/11/2016 answer text <p>The Health Visitor Minimum Data set collection, that was established in 2012 to collect statistics on the number of health visitors employed by National Health Service provider organisations as well as those employed by local authorities, or other care providers was approved for the duration of the national programme only and ceased at the end of September 2015.</p><p> </p><p>The vast majority of health visitors are employed in NHS organisations. Health visitors are also employed by other providers including independent sector and local authority in house provision. From statistics published by NHS Digital, as at 30 September 2015, the number of full-time equivalent (FTE) health visitors directly employed in NHS organisations was 10,236 and the number of health visitors (FTE) employed by local authorities and/or other care providers was 518.</p><p> </p><p>In September 2015, NHS Digital began to collect and publish data on staff, including health visitors, in some independent sector healthcare organisations in England. This collection does not represent the entire workforce employed across the whole of the independent sector, nor does this data only show staff providing NHS commissioned services.</p><p> </p><p>The latest available data, published in September 2016, showed, as at 31 March 2016 that there were 924 FTE health visitors in those independent sector organisations which provided data.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 50711 question first answered 01/11/2016 13:52:14 answering member 1542 label Biography information for Philip Dunne
tabling member	4523 label Biography information for Catherine West

622618

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many full-time equivalent health visitors were in post in September 2015 prior to transfer of commissioning to local authorities.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	50711
answer	answer is ministerial correction date of answer 01/11/2016 answer text <p>The Health Visitor Minimum Data set collection, that was established in 2012 to collect statistics on the number of health visitors employed by National Health Service provider organisations as well as those employed by local authorities, or other care providers was approved for the duration of the national programme only and ceased at the end of September 2015.</p><p> </p><p>The vast majority of health visitors are employed in NHS organisations. Health visitors are also employed by other providers including independent sector and local authority in house provision. From statistics published by NHS Digital, as at 30 September 2015, the number of full-time equivalent (FTE) health visitors directly employed in NHS organisations was 10,236 and the number of health visitors (FTE) employed by local authorities and/or other care providers was 518.</p><p> </p><p>In September 2015, NHS Digital began to collect and publish data on staff, including health visitors, in some independent sector healthcare organisations in England. This collection does not represent the entire workforce employed across the whole of the independent sector, nor does this data only show staff providing NHS commissioned services.</p><p> </p><p>The latest available data, published in September 2016, showed, as at 31 March 2016 that there were 924 FTE health visitors in those independent sector organisations which provided data.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 50710 question first answered 01/11/2016 13:52:14 answering member 1542 label Biography information for Philip Dunne
tabling member	4523 label Biography information for Catherine West

605938

registered interest
date	19/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many full-time equivalent health visitors were employed in each of the last six years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	49402
answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The following table shows the number of full-time equivalent health visitors employed in National Health Service trusts and clinical commissioning groups in England in each of the last six years. Data for July 2016 will be published by NHS Digital on 25 October 2016.</p><p> </p><p>As at 30 June each year full-time equivalent</p><table><tbody><tr><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td></tr><tr><td><p>7,643</p></td><td><p>7,393</p></td><td><p>8,084</p></td><td><p>8,887</p></td><td><p>10,042</p></td><td><p>9,491</p></td></tr></tbody></table><p>Source: NHS Digital NHS Hospital and Community Health Service monthly workforce statistics</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/10/2016 12:54:05 answering member 1542 label Biography information for Philip Dunne
tabling member	114 label Biography information for Tim Loughton

595763

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors were employed in each of the last three years.
tabling member constituency	Southport
tabling member printed	John Pugh
uin	46922
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>The following table shows the number of full time equivalent health visitors employed in National Health Service trusts and clinical commissioning groups in England in each of the last three years.</p><p>Full time equivalent figures are used as this is the most accurate measure of service capacity.</p><table><tbody><tr><td><p>30 June 2014</p></td><td><p>30 June 2015</p></td><td><p>30 June 2016</p></td></tr><tr><td><p>8,887</p></td><td><p>10,042</p></td><td><p>9,491</p></td></tr></tbody></table><p><em>Source</em>: NHS Digital NHS Hospital and Community Health Service monthly workforce statistics</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 10:17:36 answering member 1542 label Biography information for Philip Dunne
tabling member	1454 label Biography information for John Pugh

582031

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors were employed in (a) Liverpool and (b) England in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	46005
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>NHS Digital provides information on the number of nursing, midwifery and health visiting staff employed in the National Health Service in England.</p><p>The following table shows the number of full time equivalent health visitors directly employed in NHS organisations in Liverpool and England between May 2010 and May 2016.</p><p>The table does not include data for health visitors employed by organisations such as local authorities that do not use the Electronic Staff Record but do provide NHS-funded services.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 15/09/2016 14:29:48 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ46005 health visitors table.xlsx title PQ46005 health visitors table
tabling member	4036 label Biography information for Luciana Berger

578698

registered interest
date	08/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to conduct a review to assess the public health effect of the reduction in the number of health visitor posts in England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	45665
answer	answer is ministerial correction date of answer 13/09/2016 answer text <p>Public Health England monitors a range of outcomes for child health. This includes information provided by local authorities for health visiting services high impact actions. The Early Years High Impact Areas were developed to support the transition of commissioning to local authorities and to help inform decisions around the commissioning of the health visiting service and integrated children’s early years services. The High Impact Areas focus on key areas where health visitors have a significant impact on health and wellbeing and improving outcomes for children, families and communities.</p><p> </p><p>The six High Impact Areas are:</p><p>1. Transition to parenthood and the early weeks</p><p>2. Maternal mental health</p><p>3. Breast feeding</p><p>4. Healthy weight including physical activity</p><p>5. Managing minor illness and reducing accidents</p><p>6. Health and wellbeing at two years</p><p> </p><p>The majority of the related indicators are stable or improving.</p><p> </p><p>The indicators collected by local authorities to make up the Early Years Profile are based on the High Impact Areas. The latest indicator data for England is available to view here:</p><p><a href="http://atlas.chimat.org.uk/IAS/dataviews/report/fullpage?viewId=433&amp;reportId=482&amp;geoId=17&amp;geoReportId=4494&amp;select=EN" target="_blank">http://atlas.chimat.org.uk/IAS/dataviews/report/fullpage?viewId=433&amp;reportId=482&amp;geoId=17&amp;geoReportId=4494&amp;select=EN</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/09/2016 16:10:02 answering member 1542 label Biography information for Philip Dunne
tabling member	4036 label Biography information for Luciana Berger

577530

registered interest
date	07/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
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 effect of changes in the availability of health visiting services on patients receiving those services; and if he will make a statement.
tabling member constituency	Hackney North and Stoke Newington
tabling member printed	Ms Diane Abbott
uin	45506
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Government is committed to achieving good health outcomes for children and young people. Local authorities are responsible for commissioning appropriate services for 0-5 year olds in their areas, including health visiting. Public Health England monitors a range of outcomes for child health. This includes information provided by local authorities for health visiting services high impact actions such as reducing smoking in pregnancy and managing a healthy weight in 4-5 year olds. The majority of these show steady state of improvement[1].</p><p> </p><p>The Health Visitor Programme, which concluded in 2015, introduced a new service model for the profession to help develop improved access, user experience and outcomes, as well as reducing health inequalities. The Health Visitor programme also saw the workforce increase considerably enabling more families to be reached. Professional groups indicate the service model has provided increased awareness of the service by users and a better structured delivery.</p><p> </p><p><strong> </strong></p><p>[1] Chimat Early Years Profiles</p><p><a href="http://atlas.chimat.org.uk/IAS/dataviews/report/fullpage?viewId=433&amp;reportId=482&amp;geoId=17&amp;geoReportId=4494&amp;select=EN" target="_blank">http://atlas.chimat.org.uk/IAS/dataviews/report/fullpage?viewId=433&amp;reportId=482&amp;geoId=17&amp;geoReportId=4494&amp;select=EN</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 16/09/2016 12:00:20 answering member 1542 label Biography information for Philip Dunne
tabling member	172 label Biography information for Ms Diane Abbott

516224

registered interest
date	27/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department issues on the (a) role of health visitors operating in designated children's centres and (b) ratio of health visitors to children under five years old.
tabling member constituency	Birmingham, Yardley
tabling member printed	Jess Phillips
uin	35883
answer	answer is ministerial correction date of answer 09/05/2016 answer text <p>Local authorities and commissioners of local health services have statutory duties to consider providing services through children’s centres. The ‘Sure Start children’s centres statutory guidance’*, provides guidance on what local authorities and commissioners of local health services should do when fulfilling their statutory responsibilities and includes guidance on the role of health visitors. In particular it states that, “Local authorities should consider how they can use their network of children’s centres to greatest effect through links with other services, including: through links to midwifery, general practitioners and, health visitors. As a minimum, it is expected that every children’s centre should have access to a named health visitor….” Neither the Department for Education nor the Department of Health has issued guidance relating to the ratio of health visitors to children under five years old.</p><p> </p><p> </p><p>* published by Department for Education, April 2013:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sure-start-childrens-centres" target="_blank">https://www.gov.uk/government/publications/sure-start-childrens-centres</a></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/05/2016 14:07:59 answering member 3918 label Biography information for Jane Ellison
tabling member	4370 label Biography information for Jess Phillips