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808744

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their response to the conclusion of the joint Royal College of General Practitioner’s and Medical Schools Council report, Destination GP, that additional funding for GP student placements is required to encourage more medical students to become GPs.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4268
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4269 HL4270 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

808745

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of levels of funding for GP student placements.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4269
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4268 HL4270 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

808746

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to increase levels of funding for GP student placements.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4270
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4268 HL4269 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

801227

registered interest
date	05/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Subsidiary Companies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of NHS Foundation Trusts selling off, in whole or in part, to the private sector, wholly owned subsidiaries providing services directly to those Trusts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3884
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>No such assessment has been made and no such sales have been brought to the attention of the Department. National Health Service organisations have a duty to operate efficiently and economically and are responsible for putting in place the most effective structures they need to deliver services to their patients within available resources.</p> answering member printed Lord O'Shaughnessy question first answered 18/12/2017 16:25:20 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

800438

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pensions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their estimate of the number of former staff of NHS Trusts and Foundation Trusts who moved to employment with a wholly owned subsidiary of those Trusts who have opted to come out of the NHS Pension Scheme in return for higher wages.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3825
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Any compulsorily transferred staff would have their pay, terms and conditions protected under Transfer of Undertakings Protection of Employment legislation and have continued access to the NHS Pension Scheme under the Government’s New Fair Deal guidance.</p> answering member printed Lord O'Shaughnessy question first answered 18/12/2017 16:21:02 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

800439

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pensions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what independent advice was made available to staff of NHS Trusts and Foundation Trusts who, in moving to employment by a wholly owned subsidiary of that Trust, opted to come out of the NHS Pension Scheme.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3826
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Making available independent advice would be a matter for their employer to consider.</p><p> </p><p>Any staff considering changes to their pay and pensions arrangements should be encouraged by their employer to take independent advice from an approved provider. The NHS Business Services Authority which administers the NHS Pension Scheme provides a range of information about the NHS Pension Scheme which could be used to help inform any independent advice.</p> answering member printed Lord O'Shaughnessy question first answered 18/12/2017 16:22:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

800440

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pensions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS employees in England were paying into the NHS Pension Scheme in each year since 2010.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3827
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>A table showing the number of National Health Service employees in England and Wales paying into the NHS Pension Scheme in each year since 2010 is attached due to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 18/12/2017 16:59:51 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL3827 table formatted.docx title HL3827 NHS Pension Scheme table
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

800441

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pensions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS employees in England there were who did not pay into the NHS Pension Scheme in each year since 2010.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3828
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The following table provides an estimate of the number, and percentage, of National Health Service staff in England on the Electronic Staff Record (ESR) who did not pay into the NHS Pension Scheme as at April of each year since 2010.</p><table><tbody><tr><td><p>Year</p></td><td><p>Scheme non-members</p><p>estimated from</p><p>ESR data <sup>1,2,3,5</sup></p></td><td><p>Estimated scheme non-members in NHS trusts and</p><p>clinical commissioning</p><p>groups (CCGs) <sup>4,5</sup></p><p> </p></td></tr><tr><td><p>2010</p></td><td><p>14%</p></td><td><p>169,000</p></td></tr><tr><td><p>2011</p></td><td><p>15%</p></td><td><p>171,000</p></td></tr><tr><td><p>2012</p></td><td><p>15%</p></td><td><p>167,000</p></td></tr><tr><td><p>2013</p></td><td><p>15%</p></td><td><p>165,000</p></td></tr><tr><td><p>2014</p></td><td><p>11%</p></td><td><p>123,000</p></td></tr><tr><td><p>2015</p></td><td><p>11%</p></td><td><p>128,000</p></td></tr><tr><td><p>2016</p></td><td><p>11%</p></td><td><p>130,000</p></td></tr><tr><td><p>2017</p></td><td><p>11%</p></td><td><p>128,000</p></td></tr></tbody></table><p>Notes:</p><p><sup>1</sup>The percentage of scheme non-members is based on staff identified on the ESR Data Warehouse with no employers’ pension contribution made on their behalf in the March of each year.</p><p><sup>2</sup>Percentages do not cover general practices and other organisations that are excluded from or choose not to use ESR for payroll functions.</p><p><sup>3</sup>The ESR Data Warehouse is a monthly snapshot of the local ESR payroll systems. The ESR Data Warehouse is unvalidated.</p><p><sup>4</sup>The number of scheme non-members is estimated by multiplying NHS Digital’s published headcount of staff in NHS trusts and CCGs at 31 March each year by the percentage of scheme non-members estimated from ESR data.</p><p><sup>5</sup>It should be noted that it is not appropriate to conflate these estimates with NHS Pension Scheme membership counts derived from NHS Business Services Authority (NHSBSA) data. The NHSBSA collates active membership data on all NHS pension scheme members across primary care in England and Wales. The ESR Data Warehouse is a monthly snap shot of the live ESR system. This is the HR and payroll system that covers all NHS employees other than those working in general practice, Moorfields Eye Hospital NHS Foundation Trust and Chesterfield Royal Hospital NHS Foundation Trust, and organisations to which functions have been transferred, such as local authorities. Figures are for England only.</p><p> </p><p> </p> answering member printed Lord O'Shaughnessy question first answered 14/12/2017 12:25:35 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

800442

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pensions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what advice they give to staff of the NHS on the merits of the NHS Superannuation Scheme.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3829
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The Department, NHS Business Services Authority (NHSBSA) which administers the NHS Pension Scheme (NHSPS) on behalf of the Secretary of State and National Health Service employers are not authorised to provide advice to staff on the merits of the NHS Superannuation Scheme. However, the NHSBSA provides comprehensive online only information to members, potential members, and employers about the NHSPS covering the following:</p><p> </p><p>- Joining the Scheme;</p><p>- Membership of the NHS Pension Scheme;</p><p>- Cost of being in the Scheme;</p><p>- Transferring into the Scheme;</p><p>- Increasing your pension;</p><p>- Getting an estimate of your pension;</p><p>- Family and your pension;</p><p>- Applying for your pension;</p><p>- Leaving or taking a break from the Scheme;</p><p>- Divorce or dissolution of a civil partnership and your pension;</p><p>- Annual Allowance;</p><p>- Lifetime Allowance; and</p><p>- Information for Practitioner, locum and non-general practitioner members.</p><p>In addition, the NHSBSA provides scheme members with an annual total reward statement, which outlines their pension savings to date.</p><p> </p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 14/12/2017 14:39:04 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

795216

registered interest
date	27/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Resolution
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the performance of the NHS Litigation Authority.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3618
answer	answer is ministerial correction date of answer 11/12/2017 answer text <p>The NHS Litigation Authority, known as NHS Resolution from 1 April 2017, is accountable to the Department and its performance is subject to regular review through the Department’s sponsorship arrangements. The Department’s assessment is that NHS Resolution is a well-run and efficient organisation and that it has had some success, within the current legal framework, in containing the cost of National Health Service litigation, a view that was supported by the National Audit Office (NAO), in its report <em>Managing the costs of clinical negligence in trusts</em> published in September 2017. A copy of the report is attached.</p><p> </p><p>NHS Resolution has a responsibility to settle justified claims fairly and promptly, and defend unjustified claims to secure NHS resources. Each case must be considered on its own merits and it is important that a proper investigation is undertaken. NHS Resolution aims to get to the right answer as quickly as possible in every case and to help resolve claims sooner, and without the need for court proceedings, NHS Resolution launched a new mediation service in December 2016. The NAO report on clinical negligence costs concluded that it is difficult to benchmark an optimal time for resolution and the Department is satisfied, that overall, NHS Resolution strikes the right balance in settling claims in a timely manner.</p><p> </p><p>In recognition that the organisation’s effectiveness in reducing NHS litigation costs could be improved by expanding its remit and giving it a greater role in promoting learning from harmful incidents, the Secretary of State announced earlier this year that the NHS Litigation Authority would be known as NHS Resolution from 1 April 2017 with a new five year strategy <em>Delivering fair resolution and learning from harm: Our strategy to 2022</em> which gives it an enhanced focus on mediation, learning and prevention, as well as litigation. A copy of the five year strategy is attached.</p><p>NHS Resolution already works with NHS organisations, with the use of the claims scorecards, to help them understand their claims data to better assess where local interventions would have the greatest impact in reducing high volume or high costs claims. It also shares learning and best practice across the NHS through the development of guidance including cases studies derived from analysis of the national database of claims, thematic guidance and national events. Through its new strategy, it will deliver increased insight into what drives the costs of harm and work in partnership with others to develop interventions that improve safety and save money for the NHS, as demonstrated by its report <em>Five years of cerebral palsy claims: A thematic review of NHS Resolution data</em> published in September. A copy of the report has been placed in the Library due to the size of the document.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Managing-the-costs-of-clinical-negligence-in-trusts.pdf title Managing the costs of clinical negligence 2 file name NHS-Resolution-Our-strategy-to-2022-1.pdf title Delivering fair resolution question first answered 11/12/2017 14:01:50 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath