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1132107

	registered interest
	date	13/06/2019
	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	Hospices: Children
	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 number of children's hospices in England; and what assessment he has made of the adequacy of support for hospices provided by his Department.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264389
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Information on the number of hospices which have closed in England since 2010 is not held.</p><p>There are currently around 223 registered independent hospices, and a very small number of public hospices run internally by National Health Service trusts. Around a quarter of these are children’s hospices. The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services.</p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCG in children’s palliative and end of life care services. This will enable match funding payments to be made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264390 question first answered 18/06/2019 14:49:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4077 label Biography information for Emma Reynolds

1132108

	registered interest
	date	13/06/2019
	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	Hospices: Children
	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 children's hospices have closed in England in each year since 2010; and in which regions of England were those hospices located.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264390
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Information on the number of hospices which have closed in England since 2010 is not held.</p><p>There are currently around 223 registered independent hospices, and a very small number of public hospices run internally by National Health Service trusts. Around a quarter of these are children’s hospices. The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services.</p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCG in children’s palliative and end of life care services. This will enable match funding payments to be made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264389 question first answered 18/06/2019 14:49:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4077 label Biography information for Emma Reynolds

1130455

	registered interest
	date	06/06/2019
	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	Diabetes: Mental Health Services
	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 ensure each hospital diabetes team includes a mental health professional.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	261213
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>It is for individual clinical commissioning groups to commission treatment and services for people with diabetes and they are best placed to identify what is needed in their local areas.</p><p>On 21 March 2018 NHS England and NHS Improvement along with the National Collaborating Centre for Mental Health published ‘The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms’ which is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/03/improving-access-to-psychological-therapies-long-term-conditions-pathway.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/03/improving-access-to-psychological-therapies-long-term-conditions-pathway.pdf</a></p><p>IAPT services provide evidence based treatments for people with anxiety and depression and the services are co-located in existing primary and secondary care physical health pathways. IAPT services will target the needs of people with depression and anxiety disorders who also have long term conditions such as diabetes.</p><p>In addition, a project working group has been established involving NHS England, Diabetes UK and other stakeholders which aims to develop a care pathway which, when adopted locally, would help improve access to emotional and psychological support for people with diabetes.</p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:47:42 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4077 label Biography information for Emma Reynolds

1047111

	registered interest
	date	23/01/2019
	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: 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, how many EEA nationals from countries other than the UK were employed in the NHS in each year since 2015.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	211719
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care, local authorities or other providers.</p><p> </p><p>The following table shows the headcount figures for all HCHS staff in England who have specified an European Economic Area (EEA) nationality as at 30 September for each of the years specified.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>HCHS staff who have specified an EEA nationality</p></td><td><p>371</p></td><td><p>401</p></td><td><p>432</p></td><td><p>467</p></td></tr><tr><td><p>HCHS staff who have specified an EU27 nationality</p></td><td><p>52,808</p></td><td><p>59,796</p></td><td><p>61,974</p></td><td><p>63,484</p></td></tr></tbody></table><p><br>Source: National Health Service HCHS quarterly workforce statistics, NHS Digital</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/01/2019 17:32:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4077 label Biography information for Emma Reynolds

1010732

	registered interest
	date	20/11/2018
	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	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, what assessment he has made of the effect of the abolition of student bursaries on the number of people applying to become nursing students.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	193453
	answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The latest Universities and Colleges Admissions Service (UCAS) data from October 2018 shows that demand for nursing courses remains strong, with applications exceeding available places in 2018. The number of acceptances to nursing and midwifery courses in 2018 is consistent with earlier years, at approximately 22,000.</p><p> </p><p>Final UCAS data will be published in December 2018.</p><p> </p><p>The Department is working with relevant bodies across health and education to monitor the effects of the healthcare funding reforms.</p><p> </p><p>We have been working with Health Education England and the university sector to ensure students continued to apply for courses this year. In September 2018 Health Education England launched a campaign to improve the perception of nursing to encourage applications to relevant undergraduate courses for UCAS applications in 2019.</p><p> </p><p>The Department has also put in place significant interventions to boost the supply of nurses, ranging from training more nurses, offering new routes into the profession, enhancing reward packages to make nursing more attractive and improve retention, and encouraging those that have left to return to nursing.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/11/2018 14:19:08 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4077 label Biography information for Emma Reynolds

1010733

	registered interest
	date	20/11/2018
	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 Professions: Vacancies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what statistics his Department holds of the number of vacancies for (a) nursing staff and (b) doctors in the NHS in England.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	193454
	answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>Since April 2017, NHS Improvement has collected vacancy rates of medical and nursing staff from individual National Health Service providers and publish them as part of their Quarterly performance of the NHS provider sector report.</p><p> </p><p>The latest NHS Improvement estimate is that in England, there are 41,722 whole time equivalent nursing vacancies, of which approximately 80% are being filled by a combination of bank and agency staff, as at 30 June 2018.</p><p> </p><p>NHS Improvement also estimated that in England there are 11,576 whole time equivalent doctor vacancies, of which approximately 85% are being filled by a combination of bank and agency staff, as at 30 June 2018.</p><p> </p><p>However, the bank and agency staff are not purely covering the vacancy gap. The temporary staff will also be used to backfill for sickness, maternity and secondments. We are committed to ensuring nursing remains an attractive career so the NHS builds on the record number of nurses currently on wards.</p><p> </p><p>We have put in place several actions to increase nursing workforce supply, covering improving staff retention, return to practice, overseas recruitment, expanding nursing associates, improving sickness absence and review of language controls.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/11/2018 15:28:44 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4077 label Biography information for Emma Reynolds

992808

	registered interest
	date	22/10/2018
	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	Mental Health Services: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much money the NHS has spent on mental health services in the West Midlands in each year since 2010.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	182169
	answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>The following tables show expenditure on mental health, including learning disabilities. NHS England does not hold information on mental health spend prior to 2013/14.</p><p> </p><p>West Midlands specialised commissioning hub expenditure on mental health services (includes learning disabilities)</p><p> </p><table><tbody><tr><td><p>Year</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>Expenditure £ million</p></td><td><p>156.8</p></td><td><p>162.6</p></td><td><p>161.4</p></td><td><p>156.7</p></td><td><p>155.3</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><ol><li>The specialised commissioning spend is contracted expenditure for the West Midlands specialised commissioning hub and as such will include expenditure for some service users who reside outside of the West Midlands. The figures also include learning disability spend.</li></ol><p> </p><ol start="2"><li>The figures for West Midlands Clinical Commissioning Group (CCG) Mental Health spend will relate to West Midlands residents/patients and include spend on learning disabilities and dementia.</li></ol><p> </p><p>West Midlands CCG expenditure on mental health services for West Midlands residents and patients including spend on learning disabilities and dementia</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Total mental health spend</p></td></tr><tr><td><p>Organisation</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>NHS Wolverhampton CCG</p></td><td><p>35.3</p></td><td><p>32.9</p></td><td><p>41.6</p></td><td><p>46.6</p></td><td><p>46.5</p></td></tr><tr><td><p>NHS Dudley CCG</p></td><td><p>38.8</p></td><td><p>48.6</p></td><td><p>45.9</p></td><td><p>48.3</p></td><td><p>50.9</p></td></tr><tr><td><p>NHS Walsall CCG</p></td><td><p>54.5</p></td><td><p>44.3</p></td><td><p>64.3</p></td><td><p>62.1</p></td><td><p>61.0</p></td></tr><tr><td><p>NHS Sandwell and West Birmingham CCG</p></td><td><p>71.7</p></td><td><p>83.5</p></td><td><p>95.6</p></td><td><p>102.6</p></td><td><p>96.5</p></td></tr><tr><td><p>NHS Solihull CCG</p></td><td><p>28.61</p></td><td><p>46.0</p></td><td><p>50.6</p></td><td><p>43.1</p></td><td><p>44.0</p></td></tr><tr><td><p>NHS Birmingham and CrossCity CCG</p></td><td><p>105.8</p></td><td><p>124.9</p></td><td><p>134.8</p></td><td><p>141.5</p></td><td><p>149.0</p></td></tr><tr><td><p>NHS Birmingham South and Central CCG</p></td><td><p>39.7</p></td><td><p>50.0</p></td><td><p>64.2</p></td><td><p>68.0</p></td><td><p>65.9</p></td></tr><tr><td><p>NHS Warwickshire North CCG</p></td><td><p>23.5</p></td><td><p>23.1</p></td><td><p>34.9</p></td><td><p>36.4</p></td><td><p>34.8</p></td></tr><tr><td><p>NHS Coventry and Rugby CCG</p></td><td><p>83.2</p></td><td><p>83.0</p></td><td><p>92.7</p></td><td><p>99.0</p></td><td><p>101.3</p></td></tr><tr><td><p>NHS South Warwickshire CCG</p></td><td><p>35.6</p></td><td><p>43.6</p></td><td><p>49.4</p></td><td><p>51.0</p></td><td><p>49.9</p></td></tr><tr><td><p>NHS Herefordshire CCG</p></td><td><p>33.7</p></td><td><p>36.9</p></td><td><p>36.8</p></td><td><p>38.0</p></td><td><p>39.1</p></td></tr><tr><td><p>NHS South Worcestershire CCG</p></td><td><p>40.5</p></td><td><p>41.4</p></td><td><p>44.0</p></td><td><p>46.2</p></td><td><p>39.7</p></td></tr><tr><td><p>NHS Wyre Forest CCG</p></td><td><p>19.5</p></td><td><p>15.8</p></td><td><p>18.2</p></td><td><p>19.3</p></td><td><p>17.0</p></td></tr><tr><td><p>NHS Redditch and Bromsgrove CCG</p></td><td><p>27.0</p></td><td><p>22.3</p></td><td><p>25.4</p></td><td><p>26.7</p></td><td><p>23.5</p></td></tr><tr><td><p>Total</p></td><td><p>637.3</p></td><td><p>696.2</p></td><td><p>798.4</p></td><td><p>828.9</p></td><td><p>819.1</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p>Figures for CCG expenditure for 2015/16 and 2016/17 are slightly higher than those published in the online dashboard as they are outturn expenditure, whereas the online dashboard excludes non-recurrent spending in order to help make the figures more comparable over time. The financial values have been consolidated through the use of National Programme of Care (NPoC) codes and are taken from NHS England’s annual CCG expenditure exercise. This exercise uses Provider Aggregate Contract Monitoring (ACM) as the basis for the data; where this data is incomplete hubs will apportion / estimate any missing values.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 25/10/2018 15:27:16 answering member 4070 label Biography information for Matt Hancock
	tabling member	4077 label Biography information for Emma Reynolds