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755834

registered interest
date	04/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicine: Education
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 support the development and growth of smaller and non-London medical schools.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	7288
answer	answer is ministerial correction date of answer 12/09/2017 answer text <p>The Government has announced a historic expansion of medical school places in England, with an increase of 1,500 medical school places in England. The first 500 places have already been allocated and will be available to students in September 2018.</p><p> </p><p>The Government response to the recent consultation was published on 9 August 2017, confirming that 1,000 additional medical school places would be available to medical schools in England via a competitive bidding process to be managed jointly by the Higher Education Funding Council for England (HEFCE) and Health Education England (HEE).</p><p> </p><p>It also set out the priority areas bidding criteria would need to focus that include aligning the expansion to local National Health Service workforce need with an emphasis on priority geographical areas, including rural and coastal areas.</p><p> </p><p>HEFCE and HEE are currently finalising the design of the bidding process and will publish details in the autumn.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 6980 6981 7224 7567 7816 question first answered 12/09/2017 09:18:09 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

747780

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Expenditure
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 the capped expenditure process on patient care.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	900197
answer	answer is ministerial correction date of answer 04/07/2017 answer text <p>Providers have managed to reduce the deficit from £2.4 billion (in 2015-16) to £791 million this year.</p><p> </p><p>This success isn’t universal. Some areas consistently exceed budgets, requiring increased savings by others.</p><p> </p><p>14 areas have joined a ‘Capped Expenditure Process’ with commissioners and providers working together to achieve budgets assured by their Boards. Their proposals involve patients and staff; placing patient safety and constitutional rights at the heart of decision making.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 04/07/2017 16:32:35 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

720511

registered interest
date	13/04/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment was made prior to the implementation of the junior doctors' contract in 2016 of the additional financial and administrative cost associated with (a) pay protection, (b) additional hours payments, (c) guardian fines, (d) guardian of safe working hours role and (e) exception reporting management.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70932
answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>The contract will be recurrently cost-neutral with the exception of additional employer pension contributions arising from the increase in basic pay that was agreed with the British Medical Association as a condition for them entering negotiations in 2013 and was honoured by the Government. This is expected to rise to around £25 million per annum recurrently at the end of transition (circa 0.6% of total contract value).</p><p> </p><p>In addition, there are limited non-recurrent costs of pay protection during transition. Upfront assessments of these costs are uncertain.</p><p> </p><p>Additional hours payments and any fines reflect additional work carried out and are therefore outside the cost neutral funding envelope and will depend on how trusts manage juniors locally. Exception reporting is managed through rota management software. The role of the Guardian of safe working typically takes up a portion of the time of one consultant in each trust. This is seen as an investment in improving safe working for trainees.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:14:36 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

720512

registered interest
date	13/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the forthcoming Green Paper on adult social care funding will look at the needs of everyone who receives adult social care.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70933
answer	answer is ministerial correction date of answer 24/04/2017 answer text <p>Following the announcement of the General Election on 8 June, decisions on the future reform and funding of adult social care will be taken by the new Government.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 70934 70935 question first answered 24/04/2017 15:56:09 answering member 4080 label Biography information for David Mowat
tabling member	4073 label Biography information for Dr Sarah Wollaston

720513

registered interest
date	13/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
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 needs of working-age users of disabled social care ahead of the publication of the forthcoming Green Paper on adult social care funding.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70934
answer	answer is ministerial correction date of answer 24/04/2017 answer text <p>Following the announcement of the General Election on 8 June, decisions on the future reform and funding of adult social care will be taken by the new Government.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 70933 70935 question first answered 24/04/2017 15:56:09 answering member 4080 label Biography information for David Mowat
tabling member	4073 label Biography information for Dr Sarah Wollaston

720514

registered interest
date	13/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what consultation he has undertaken with organisations operating in the care sector ahead of the publication of the forthcoming Green Paper on adult social care funding.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70935
answer	answer is ministerial correction date of answer 24/04/2017 answer text <p>Following the announcement of the General Election on 8 June, decisions on the future reform and funding of adult social care will be taken by the new Government.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 70933 70934 question first answered 24/04/2017 15:56:09 answering member 4080 label Biography information for David Mowat
tabling member	4073 label Biography information for Dr Sarah Wollaston

720516

registered interest
date	13/04/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment was undertaken before the implementation of the new contract of the work-life balance of junior doctors.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70906
answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>An extensive programme of work is being undertaken, developed with the full involvement of the British Medical Association, to address junior doctors’ non-contractual concerns, particularly through Health Education England’s Working Group on improving junior doctors’ working lives:</p><p> </p><p>- reviewing rotations so that junior doctors do not have to change placements more than is necessary and can establish a relationship with a single organisation;</p><p>- ensuring that junior doctors beginning rotations know their schedule a month earlier than at present;</p><p>- allowing couples to apply to train in the same area;</p><p>- offering training placements close to their home for those with caring responsibilities;</p><p>- introducing a new catch up programme for doctors who take maternity leave or take time off for caring responsibilities;</p><p>- identifying and removing barriers to flexible (part-time) working; and</p><p>- reviewing how to make appraisal for junior doctors simpler and less stressful.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:12:10 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

720527

registered interest
date	13/04/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish (a) the metrics by which the success of the 2016 junior doctors' contract will be measured in the 2018 review and (b) which stakeholders will be consulted in that review.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70907
answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>The intention of the Government is that the review will be undertaken by NHS Employers with the British Medical Association and that metrics and any wider consultation will be agreed then between the parties.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:16:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

720530

registered interest
date	13/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Working Hours
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 effect on the health service of the reduced capacity of junior doctors to undertake additional shifts or internal locums with their own organisations prior to the implementation of the junior doctors' contract in 2016.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	70808
answer	answer is ministerial correction date of answer 25/04/2017 answer text <p>The new Junior Doctor’s contract retains the same maximum requirement for working hours of an average of 48 hours a week or 56 if the doctor chooses to opt out of the working time regulations. The contract also includes a fidelity clause so that trainees wishing to work extra shifts offer them to the National Health Service first.</p><p> </p><p>Further, the General Medical Council has recognised that some trainees that do not work full time may have the capacity to undertake additional shifts and have given their support for those working less than full time to do so. Previous advice was that Less Than Full Time trainees should not undertake additional shifts.</p><p>The previous contract allowed patterns of working that junior doctors' representatives told us were unsafe. The new contract is much safer and includes new, stronger limits on working hours and patterns. These include:</p><p>- the maximum number of hours worked in a week reduced from 91 to 72;</p><p>- the maximum number of consecutive nights reduced from seven to four; and</p><p>- the maximum number of consecutive long days reduced from seven to five.</p><p> </p><p>The new contract puts patients first by requiring that these rules apply also to any additional shifts a trainee might choose to work, ensuring junior doctors are not required to work when tired and that their overall working hours, whether they work for their own or another employer remains within safe limits. These are overseen by a Guardian of Safe Working Hours in every trust. Doctors can therefore offer additional hours to the same overall limits as before but must work them within the new safe limits.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 25/04/2017 14:48:49 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

712975

registered interest
date	21/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Reorganisation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which sustainability and transformation plans contain no mechanism for engaging schools and colleges as active stakeholders.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	68688
answer	answer is ministerial correction date of answer 27/03/2017 answer text <p>This information is not held centrally. Local areas are responsible for engaging with the staff, patients and the public, as well as organisations which may include schools and colleges, to further develop their plans.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 27/03/2017 14:49:56 answering member 4080 label Biography information for David Mowat
tabling member	4073 label Biography information for Dr Sarah Wollaston