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347052

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Working Hours
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how his Department will meet the cost of making the NHS a full seven day a week service.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	186
	answer	answer is ministerial correction date of answer 03/06/2015 answer text <p>The Department is working with NHS England to ensure that seven day services will be implemented in a way that is affordable and focussed both on improving efficiency and delivering clear benefits to patients. The costs will depend on a number of factors, which will be subject to further work as detailed implementation plans are developed. The exact health budget for future years will be determined by the Spending Review.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/06/2015 14:27:32 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

347055

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS has spent on temporary staff in each of the last three years.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	189
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>National Health Service spend on temporary staff for 2012/13, 2013/14 and 2014/15 as included within the Q4 data collection is shown below.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014/15 Q4 data collection</p><p>Unaudited (£ billion)<sup> 1</sup></p></td><td><p>2013/14 Unaudited</p><p>(£ billion)<sup> 2</sup></p></td><td><p>2012/2013</p><p>(£ billion)<sup> 3</sup></p></td></tr><tr><td><p>Total NHS Spend</p></td><td><p>3.34</p></td><td><p>2.61</p></td><td><p>2.33</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Following the Francis<sup>4</sup> report many trusts increased their spend on temporary staffing to meet safe staffing levels. The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.</p><p> </p><p><strong> </strong></p><p> </p><p>The Government is clear that the current rate of spending is unsustainable. The Secretary of State has announced a comprehensive package of measures to address the problem including:</p><p> </p><p>- setting a maximum hourly rate for doctors and nurses;</p><p> </p><p>- banning the use of agencies that are not approved;</p><p> </p><p>- putting a cap on total agency staff spending for each NHS trust in financial difficulty; and</p><p> </p><p>- requiring specific approval for any expensive consultancy contracts over £50,000.</p><p> </p><p> </p><p> </p><p><sup>1</sup> The 2014/15 figures reflect data collected from NHS trusts and foundation trusts as part of the Q4 data collection which is unpublished and unaudited. Whilst this data would not ordinarily be provided as part of a Parliamentary Question contribution, it has been included within this response as both Monitor and NHS Trust Development Authority have separately released data relating to temporary agency staff spend. It should be noted that their figures vary slightly from those included above. These figures may also be subject to revision as part of the 2014/15 final audited accounts production, and should therefore not be used once the final published Department of Health Annual Report and Accounts.</p><p> </p><p> </p><p> </p><p><sup>2</sup> For the first time, the Department collected unaudited financial data from NHS trusts for 2013/14 on Contract and Agency staffing costs and income to give a net expenditure figure. The data was collected on the NHS Summarisation Schedules that form the basis of the Department’s Annual Report and Accounts.</p><p> </p><p> </p><p> </p><p><sup>3 </sup>The 2012/13 figures included in the 2013/14 published accounts have been included in the same table; however they were compiled on a different basis to the 2013/14 figures. The figures published for 2012/13 for trusts are based on non-permanently employed staff which is defined as “others engaged on the objectives of the organisation and will include staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.” This reconciles to the figures for those organisations in note 3 (Staff Costs 2012/13), whereas the 2013/14 figures were compiled for the first time under a stricter definition of contingent labour.</p><p> </p><p> </p><p> </p><p><sup>4</sup> http://www.midstaffspublicinquiry.com/</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 14:21:32 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

347062

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on pay levels in the NHS.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	187
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>Pay levels in the National Health Service should support NHS organisations to recruit, retain and motivate the staff they need to care for patients whether in hospitals or patient’s own homes.</p><p> </p><p> </p><p> </p><p>Pay is not the only part of the NHS employment offer. NHS staff now receive Total Reward Statements which show the value of other benefits, for example, the NHS occupational pension scheme which includes Life Assurance, child care voucher schemes, health and wellbeing benefits. Supported by good staff engagement strategies it is the overall employment offer that helps the NHS to attract and keep the staff it needs.</p><p> </p><p> </p><p> </p><p>Since 2010, there are more than 9,100 additional doctors and 8,200 nurses, midwives and health visitors employed in the NHS.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 14:10:55 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

347053

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Redundancy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on compulsory redundancies in the NHS.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	188
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Compulsory redundancies are normally only made as a last resort by National Health Service employers. In order to make best use of public money and to retain valuable skills and knowledge within the NHS, organisations will initially consider a range of alternatives to help reduce the number of compulsory redundancies. This may include cutting vacant posts and seeking volunteers. Organisations may also run a voluntary severance scheme to free up posts into which staff who would otherwise be redundant could be re-deployed.</p><p> </p><p> </p><p> </p><p>Staff are not entitled to a redundancy payment if they unreasonably refuse either to apply for, or accept, suitable alternative employment within their own or other NHS employer; or where they obtain suitable alternative employment with the same or another NHS employer within four weeks of their termination date.</p><p> </p><p> </p><p> </p><p>New NHS redundancy terms came in to effect on 1 April 2015 and include limiting payments to a maximum of £160,000 for employees earning £80,000 or more and who have at least 24 years of service. The Government announced plans in the Queen’s speech to legislate to put an end to taxpayer funded six figure redundancy payments.</p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:30:53 answering member 3988 label Biography information for Ben Gummer
	tabling member	4473 label Biography information for Louise Haigh

178171

	registered interest
	date	05/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sleep Apnoea
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 14 January 2015 to Question 220689, when he expects NICE to have developed a quality standard on sleep-disordered breathing.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Meg Munn
	uin	223677
	answer	answer is ministerial correction date of answer 10/02/2015 answer text <p>NHS England is the lead commissioner for clinical guideline and quality standard for healthcare topics from the National Institute of Health and Care Excellence (NICE). NICE has advised that it has received a formal referral for a clinical guideline and quality standard on sleep disordered breathing from NHS England.</p><p> </p><p> </p><p> </p><p>NICE’s clinical guideline work programme is prioritised with NHS England on an annual basis. Sleep disordered breathing has not been included in the initial list of topics to start development in 2015-16 but will be included in future rounds of prioritisation. Once it has been scheduled, the guideline will then take approximately two years to develop and the development of the quality standard will follow on from this.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 10/02/2015 16:02:33 answering member 4020 label Biography information for George Freeman
	tabling member	1448 label Biography information for Meg Munn

173800

	registered interest
	date	14/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sleep Apnoea
	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 reduce waiting times for continuous positive airways pressure therapy for those diagnosed with obstructive sleep apnoea.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Meg Munn
	uin	220688
	answer	answer is ministerial correction date of answer 21/01/2015 answer text <p>Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the National Institute for Health and Care Excellence (NICE) guidelines when deciding what services should be made available.</p><p> </p><p> </p><p> </p><p>NICE has published technology appraisal guidance which recommends the use of continuous positive airway pressure as a treatment option for adults with moderate or severe symptomatic obstructive sleep apnoea/hypopnoea syndrome, where certain criteria are met.</p><p> </p><p> </p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance.</p><p> </p><p> </p><p> </p><p>There are currently no special provisions for people with sleep apnoea who drive for a living, but this will be considered as part of the guideline.</p><p> </p><p> </p><p> </p><p>Individuals diagnosed with obstructive sleep apnoea and who are waiting for continuous positive airways pressure therapy are prioritised according to clinical need.</p><p> </p><p> </p><p> </p><p>We do not collect information centrally on the time people wait between diagnosis and treatment for obstructive sleep apnoea. The Referral to Treatment operational standards state that 90% admitted and 95% of non-admitted patients should start consultant-led treatment within 18 weeks of referral. In order to sustain delivery of these standards, 92% of patients who have not yet started treatment should have been waiting no more than 18 weeks. Whilst individual National Health Service organisations are monitored on their performance in this area, obstructive sleep apnoea is not separately identified.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 220687 220689 question first answered 21/01/2015 16:04:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	1448 label Biography information for Meg Munn

173801

	registered interest
	date	14/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Driving: Sleep Apnoea
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will introduce a fast track service for continous positive airways pressure therapy for people who drive for a living.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Meg Munn
	uin	220689
	answer	answer is ministerial correction date of answer 21/01/2015 answer text <p>Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the National Institute for Health and Care Excellence (NICE) guidelines when deciding what services should be made available.</p><p> </p><p> </p><p> </p><p>NICE has published technology appraisal guidance which recommends the use of continuous positive airway pressure as a treatment option for adults with moderate or severe symptomatic obstructive sleep apnoea/hypopnoea syndrome, where certain criteria are met.</p><p> </p><p> </p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance.</p><p> </p><p> </p><p> </p><p>There are currently no special provisions for people with sleep apnoea who drive for a living, but this will be considered as part of the guideline.</p><p> </p><p> </p><p> </p><p>Individuals diagnosed with obstructive sleep apnoea and who are waiting for continuous positive airways pressure therapy are prioritised according to clinical need.</p><p> </p><p> </p><p> </p><p>We do not collect information centrally on the time people wait between diagnosis and treatment for obstructive sleep apnoea. The Referral to Treatment operational standards state that 90% admitted and 95% of non-admitted patients should start consultant-led treatment within 18 weeks of referral. In order to sustain delivery of these standards, 92% of patients who have not yet started treatment should have been waiting no more than 18 weeks. Whilst individual National Health Service organisations are monitored on their performance in this area, obstructive sleep apnoea is not separately identified.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 220687 220688 question first answered 21/01/2015 16:04:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	1448 label Biography information for Meg Munn

173803

	registered interest
	date	14/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Driving: Sleep Apnoea
	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 waiting times between diagnosis and treatment for obstructive sleep apnoea for people who drive for a living.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Meg Munn
	uin	220687
	answer	answer is ministerial correction date of answer 21/01/2015 answer text <p>Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the National Institute for Health and Care Excellence (NICE) guidelines when deciding what services should be made available.</p><p> </p><p> </p><p> </p><p>NICE has published technology appraisal guidance which recommends the use of continuous positive airway pressure as a treatment option for adults with moderate or severe symptomatic obstructive sleep apnoea/hypopnoea syndrome, where certain criteria are met.</p><p> </p><p> </p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance.</p><p> </p><p> </p><p> </p><p>There are currently no special provisions for people with sleep apnoea who drive for a living, but this will be considered as part of the guideline.</p><p> </p><p> </p><p> </p><p>Individuals diagnosed with obstructive sleep apnoea and who are waiting for continuous positive airways pressure therapy are prioritised according to clinical need.</p><p> </p><p> </p><p> </p><p>We do not collect information centrally on the time people wait between diagnosis and treatment for obstructive sleep apnoea. The Referral to Treatment operational standards state that 90% admitted and 95% of non-admitted patients should start consultant-led treatment within 18 weeks of referral. In order to sustain delivery of these standards, 92% of patients who have not yet started treatment should have been waiting no more than 18 weeks. Whilst individual National Health Service organisations are monitored on their performance in this area, obstructive sleep apnoea is not separately identified.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 220688 220689 question first answered 21/01/2015 16:04:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	1448 label Biography information for Meg Munn

347059

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: International Tax and Investment Center
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many meetings (a) Ministers and (b) officials of his Department have had with (i) Dave Hartnett and (ii) representatives from the International Tax and Investment Centre since 2012.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	190
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Details of Health Ministers’ meetings are available to view online at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/collections/ministers-transparency-publications" target="_blank">https://www.gov.uk/government/collections/ministers-transparency-publications</a></p><p> </p><p> </p><p> </p><p>Information on any meetings with any Departmental officials since 2012 could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/06/2015 13:42:25 answering member 3918 label Biography information for Jane Ellison
	tabling member	4473 label Biography information for Louise Haigh

227117

	registered interest
	date	12/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Carers: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what advice and guidance his Department has provided to local authorities on the effect of the Care Act 2014 on young carers.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Meg Munn
	uin	227490
	answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>My Rt. hon. Friend the Secretary of State for Health has not had discussions with Minsters in the Department for Education (DfE). However, I have been fully engaged with my counterpart at DfE in relation to the provisions in the Care Act 2014 which affect young carers, and the inter-relation with the provisions of the Children and Families Act 2014.</p><p> </p><p> </p><p> </p><p>The Care Act falls within the responsibility of the Department of Health and we issued statutory guidance under the Act last October. The DfE was closely involved in the development of the guidance in relation to issues affecting young carers.</p><p> </p><p> </p><p> </p><p>The Government recognises that transition into adulthood is an important time when young people and their families are thinking about their goals and aspirations for the future and to ensure that they are not left without care and support. The Care Act, for the first time, places a legal duty on local authorities to assess the needs of young carers as they approach adulthood and that transition assessment and planning must consider how to support young carers to prepare for adulthood and how to raise and fulfil their aspirations.</p><p> </p><p> </p><p> </p><p>The Care and Support (Assessment) Regulations 2014 require local authorities when looking at the needs of an individual, to consider the impact of those needs on any young carer involved in the situation and identify whether the tasks they are performing are inappropriate.</p><p> </p><p> </p><p> </p><p>We have also published guidance for local authorities on a ‘whole family approach’ to assessments, which will identify any children who are involved in providing care. Identification of a young carer in the family should result in an offer of a needs assessment for an adult requiring care and support and where it appears that they may have a need for support.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 227489 question first answered 17/03/2015 17:23:38 answering member 1439 label Biography information for Norman Lamb
	tabling member	1448 label Biography information for Meg Munn