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967470

registered interest
date	04/09/2018
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 Visitors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what training health visitors receive to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9964
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9965 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967472

registered interest
date	04/09/2018
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 Visitors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what continuous professional development health visitors are required to undertake to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9965
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9964 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

861161

registered interest
date	13/03/2018
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 Visitors
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 his Department has made of the number of (a) actual and (b) full time equivalent health visitors who have been employed in each of the last seven years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	132310
answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>NHS Digital publishes information on workforce statistics and the following table shows the full time equivalent (FTE) and headcount (HC) figures for health visitors working in National Health Service trusts and clinical commissioning groups (CCGs) in each of the last seven years.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Health visitors in NHS trusts and CCGs in England as at 30 November each specified year (FTE and HC).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Health visitors (FTE)</p></td><td><p>Health visitors (HC)</p></td></tr><tr><td><p>November 2010</p></td><td><p>7,961</p></td><td><p>9,884</p></td></tr><tr><td><p>November 2011</p></td><td><p>7,812</p></td><td><p>9,626</p></td></tr><tr><td><p>November 2012</p></td><td><p>7,963</p></td><td><p>9,647</p></td></tr><tr><td><p>November 2013</p></td><td><p>8,526</p></td><td><p>10,213</p></td></tr><tr><td><p>November 2014</p></td><td><p>9,629</p></td><td><p>11,407</p></td></tr><tr><td><p>November 2015</p></td><td><p>10,279</p></td><td><p>12,173</p></td></tr><tr><td><p>November 2016</p></td><td><p>9,376</p></td><td><p>11,142</p></td></tr><tr><td><p>November 2017</p></td><td><p>8,317</p></td><td><p>9,995</p></td></tr></tbody></table><p><br>Source: Provisional NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/03/2018 11:59:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

823676

registered interest
date	16/01/2018
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 Visitors
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 number of health visitors.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	123130
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123131 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	116 label Biography information for Lord Soames of Fletching

823677

registered interest
date	16/01/2018
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 Visitors
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 health visitor positions there are in England; and how many of those positions are vacant.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	123131
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Health visiting services have been developed to improve health outcomes for children and families and reduce inequalities. Since October 2015 local authorities have been responsible for the commissioning of these services for zero to five year olds and, as such, they determine the required numbers of health visitors to meet local needs.</p><p> </p><p>Over 800 new training places were made available in 2016/17 to continue to develop the health visitor workforce.</p><p> </p><p>We no longer hold data centrally on the number of health visitor posts there are in England, or the number of vacancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 123130 question first answered 24/01/2018 16:42:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	116 label Biography information for Lord Soames of Fletching

804278

registered interest
date	11/12/2017
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 he has commissioned research into potential changes in the effectiveness of health visitors and health visiting since the relocation of those services into his Department's responsibility.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	118482
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Since 1 October 2015 local authorities have had responsibility for the commissioning of public health services for children aged zero to five (including health visitor services).</p><p> </p><p>The Department commissioned Public Health England to undertake two reviews focused on the transfer of health visiting services to local authority control: a review of the mandated elements of service, and a programme benefits realisation review.</p><p> </p><p>The Review of mandated services demonstrated widespread support to continue mandating the provision of health visitor reviews to families, to ensure that all families are given support at critical times and those families needing more help are identified and early interventions put in place. The report on the review of mandation for the universal health visiting service can be viewed at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/universal-health-visiting-service-mandation-review" target="_blank">https://www.gov.uk/government/publications/universal-health-visiting-service-mandation-review</a></p><p> </p><p>The Benefits Realisation Review demonstrated statistically significant improvements in access, parent reported experience, a number of child health outcomes and a contribution to addressing inequalities. This report was sent directly to local authorities; a copy is attached.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/12/2017 17:45:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PHE Benefits Realisation Report.pdf title PHE report
tabling member	252 label Biography information for Dr David Drew

802803

registered interest
date	07/12/2017
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, how many full-time equivalent health visitors work in each local authority area, and how many such visitors there were before responsibility was transferred from the Department of Health.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	118341
answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>The data is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/12/2017 17:00:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

778165

registered interest
date	26/10/2017
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, what (a) number and (b) proportion of children in each region have received each of the health visitor checks in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109939
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England has published the percentages of children receiving health visitor checks for 2013/14 and 2014/15 data at:</p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/" target="_blank">www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/</a></p><p>No published data is held prior to April 2013.</p><p> </p><p>Public Health England (PHE) now collects the data, which is submitted by local authorities on a voluntary basis. Data for 2015/16 can be found at:</p><p><a href="http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3" target="_blank">http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3</a></p><p>And data for 2016/17 at:</p><p><a href="https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics." target="_blank">https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics.</a></p><p>A change in methodology means that the data from PHE and NHS England are not comparable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:30:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley

778166

registered interest
date	26/10/2017
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, how many health visitors there have been in each region in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109958
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS Digital publishes workforce statistics and the following table shows full time equivalent (FTE) qualified health visitors working in the National Health Service trusts and clinical commissioning groups in England from 31 July 2012 to 31 July 2017.</p><p> </p><p>Current data collections do not cover the complete range of these organisations. As a result, it is not possible to provide accurate data on the total size of the health visitor workforce.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Qualified Health Visitors working in each region as at 31 July each specified year (FTE).</p><p> </p><table><tbody><tr><td><p>Health visitors (FTE)</p></td><td><p>July 2012</p></td><td><p>July 2013</p></td><td><p>July 2014</p></td><td><p>July 2015</p></td><td><p>July 2016</p></td><td><p>July 2017</p></td></tr><tr><td><p>Health Education East Midlands</p></td><td><p>612</p></td><td><p>684</p></td><td><p>734</p></td><td><p>816</p></td><td><p>778</p></td><td><p>732</p></td></tr><tr><td><p>Health Education East of England</p></td><td><p>507</p></td><td><p>554</p></td><td><p>644</p></td><td><p>763</p></td><td><p>732</p></td><td><p>630</p></td></tr><tr><td><p>Health Education Kent, Surrey and Sussex</p></td><td><p>399</p></td><td><p>467</p></td><td><p>525</p></td><td><p>650</p></td><td><p>619</p></td><td><p>545</p></td></tr><tr><td><p>Health Education North Central and East London</p></td><td><p>396</p></td><td><p>435</p></td><td><p>540</p></td><td><p>649</p></td><td><p>634</p></td><td><p>543</p></td></tr><tr><td><p>Health Education North East</p></td><td><p>574</p></td><td><p>644</p></td><td><p>664</p></td><td><p>650</p></td><td><p>408</p></td><td><p>345</p></td></tr><tr><td><p>Health Education North West</p></td><td><p>1,355</p></td><td><p>1,431</p></td><td><p>1,560</p></td><td><p>1,701</p></td><td><p>1,736</p></td><td><p>1,632</p></td></tr><tr><td><p>Health Education North West London</p></td><td><p>342</p></td><td><p>410</p></td><td><p>451</p></td><td><p>493</p></td><td><p>488</p></td><td><p>492</p></td></tr><tr><td><p>Health Education South London</p></td><td><p>336</p></td><td><p>307</p></td><td><p>365</p></td><td><p>447</p></td><td><p>430</p></td><td><p>358</p></td></tr><tr><td><p>Health Education South West</p></td><td><p>466</p></td><td><p>557</p></td><td><p>528</p></td><td><p>624</p></td><td><p>396</p></td><td><p>372</p></td></tr><tr><td><p>Health Education Thames Valley</p></td><td><p>330</p></td><td><p>310</p></td><td><p>340</p></td><td><p>385</p></td><td><p>365</p></td><td><p>324</p></td></tr><tr><td><p>Health Education Wessex</p></td><td><p>335</p></td><td><p>377</p></td><td><p>439</p></td><td><p>519</p></td><td><p>495</p></td><td><p>481</p></td></tr><tr><td><p>Health Education West Midlands</p></td><td><p>856</p></td><td><p>947</p></td><td><p>1,129</p></td><td><p>1,265</p></td><td><p>1,198</p></td><td><p>1,067</p></td></tr><tr><td><p>Health Education Yorkshire and the Humber</p></td><td><p>879</p></td><td><p>943</p></td><td><p>909</p></td><td><p>983</p></td><td><p>1,106</p></td><td><p>927</p></td></tr></tbody></table><p>Source: NHS Digital monthly HCHS workforce statistics</p><p>Note:</p><p>Health visitors may be employed by NHS provider organisations, but may also be employed directly by local authorities, or other care providers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:35:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley

776155

registered interest
date	23/10/2017
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 he has made an assessment of the potential merits of the future role of health visiting including reference to the alleviation of poverty for the new-born population.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109200
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>No assessment has been made on this. Health visitors do provide support to families most in need through signposting them to schemes and organisations that can assist their needs, for example families on low income will be signposted towards the Healthy Start Scheme.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 11:47:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew