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971605

registered interest
date	11/09/2018
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	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made preparations for reduced staff levels in the NHS in the event that the UK leaves the EU with no deal.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	173583
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>We do not want or expect a no deal scenario. As a result of the significant progress made in negotiations, we remain confident we will agree a mutually advantageous deal with the European Union. We are not, however, complacent, and have plans in place in the event the United Kingdom leaves the EU with no deal. Our overall programme of work is comprehensive, thorough and continuously updated.</p><p> </p><p>We have been clear from the beginning of this process that we want EU nationals currently working in the National Health Service to stay after we leave the EU and we are working to safeguard their future, regardless of the outcome of the negotiations.</p><p> </p><p>The Department continues to monitor and analyse overall staffing levels across the NHS and, and we are working across Government to ensure there will continue to be sufficient staff to deliver the high quality services on which patients rely following the UK’s exit from the EU</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 09/10/2018 10:42:52 answering member 4095 label Biography information for Steve Barclay
tabling member	4363 label Biography information for Kate Hollern

971606

registered interest
date	11/09/2018
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	NHS: Telephone Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps to minimise the use of automated telephone messages by (a) the NHS and (b) general practices.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	173562
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Many National Health Service organisations, including general practices, use automated telephone messages as a way of reminding patients about their upcoming appointments. This can provide improved access to care for patients in a way that makes best use of clinicians’ time while avoiding missed appointments and their associated costs. We would expect NHS organisations to respond to feedback to ensure they use automated messages as effectively as possible and if patients wish to opt out of such reminders, they may contact their local NHS provider to request this.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/09/2018 11:22:07 answering member 4095 label Biography information for Steve Barclay
tabling member	3973 label Biography information for Grahame Morris

971607

registered interest
date	11/09/2018
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	Medicine: Education
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 the NHS spends on (a) supporting and (b) promoting careers in medicine to young people from deprived communities.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	173563
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>Health Education England operates a widening participation programme which aims to develop a healthcare workforce that can relate to and be representative of the communities it serves. The programme includes specific activity conducted through the Sutton Trust’s Pathways to Medicine Programme, that relates to widening access to medical careers for under-represented groups and people of disadvantage.</p><p> </p><p>As part of this, Health Education England has established a five-year partnership with the Sutton Trust, backed by investment of over £210,000 over the five years, to work with two universities, in supporting around 300 individuals from under-represented groups and disadvantaged backgrounds to enter medical training. There around 550 participants who have gone through or are going through the programme.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 09/10/2018 11:06:50 answering member 4095 label Biography information for Steve Barclay
tabling member	3973 label Biography information for Grahame Morris

971620

registered interest
date	11/09/2018
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	Hospitals: Fire Prevention
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to bring forward legislative proposals to tackle the fire risk to (a) vulnerable adults and (b) young children in hospitals.
tabling member constituency	Lincoln
tabling member printed	Karen Lee
uin	173591
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Guidance on fire safety, including patients with specific dependencies such as vulnerable adults and young children, is provided to National Health Service organisations in the Health Technical Memorandum 05 publications, generally referred to as Firecode. All Firecode guidance will be reviewed in the light of the recommendations of the Grenfell Inquiry.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/09/2018 13:28:46 answering member 4095 label Biography information for Steve Barclay
tabling member	4664 label Biography information for Karen Lee

971639

registered interest
date	11/09/2018
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	Allergies: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timeframe is to resolve the national shortage of EpiPen 0.3mg Auto-Injectors.
tabling member constituency	East Dunbartonshire
tabling member printed	Jo Swinson
uin	173542
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>Departmental officials are in regular contact with Mylan, the United Kingdom licensed supplier of Epipens, as there have been ongoing supply issues affecting this product. Supplies are currently available of the 0.3mg, although limited, and are being closely managed to ensure that pharmacies can obtain stock to fulfil prescription for patients. Mylan anticipates that supplies will stabilize in the fourth quarter of 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 17:02:17 answering member 4067 label Biography information for Steve Brine
tabling member	1513 label Biography information for Jo Swinson

971649

registered interest
date	11/09/2018
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 Services: Public Lavatories
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has been made in increasing (a) the number of and (b) access to Changing Places toilets in hospitals and other health settings.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	173573
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>We recognise that the number of Changing Places toilets in hospitals and healthcare settings is limited at present. Several actions are underway to improve provision and access to these facilities on the National Health Service estate.</p><p> </p><p>Access to Changing Places has been included as an indicator in the Learning Disability Improvement Standards, published in June 2018 by NHS Improvement, which will be used to measure how well trusts support people with a learning disability.</p><p> </p><p>The Department of Health and Social Care is working with the Ministry of Housing, Communities and Local Government in reviewing the Approved Document Part M guidance in relation to Building Regulations, which considers accessibility with a view to increasing provision of Changing Places.</p><p> </p><p>The Department is considering what other actions may be taken to improve provision and availability of Changing Places toilets across the NHS estate.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/09/2018 13:01:26 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

971667

registered interest
date	11/09/2018
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	General Practitioners: Data Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will clarify whether (a) pursuant to the Answer of 6 September 2018 to Question 168973, GP practices will not be allowed to charge third parties for subject access to patient medical records or (b) pursuant to the Answer of 12 July 2018 to Question 162134, the right of access under GDPR confers more personal information than is needed or is justified for insurance underwriting. Accordingly, insurance companies should instead use the established mechanism of the Access to Medical Reports Act 1988 (AMRA) to obtain summary medical reports from general practitioners (GPs).
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	173507
answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>According to the General Data Protection Regulation (GDPR), general practitioners (GPs) cannot charge patients or third parties for subject access to patient medical records, except where the request is manifestly unfounded or excessive and where the third party is an insurance company. Where the access request is deemed manifestly unfounded or excessive, the GP can either refuse the request or charge an appropriate administration charge for the work involved. Also, where the third party is an insurance company, the Access to Medical Reports Act (AMRA) 1988 would apply. The AMRA allows the GP to charge a reasonable fee to cover the cost of copying the report.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:56:41 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

971669

registered interest
date	11/09/2018
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	Hospitals: Vacancies
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 NHS hospitals operate at a staff vacancy rate of 11 per cent or higher in (a) Harlow, (b) Essex, (c) East of England and (d) England.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	173567
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The information is not held in the format requested.</p><p> </p><p>Since April 2017, NHS Improvement collects vacancy rates of medical staff from individual National Health Service providers and publishes them as part of its ‘Quarterly performance of the NHS provider sector’ report. This data goes to trust level, but not specifically to hospital level.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/09/2018 13:34:32 answering member 4095 label Biography information for Steve Barclay
tabling member	3985 label Biography information for Robert Halfon

971686

registered interest
date	11/09/2018
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	Hearing Aids
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 people have been supplied with NHS-funded hearing aids in each clinical commissioning group area in each of the last five years for which figures are available.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	173501
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The information requested on the number of people supplied with National Health Services-funded hearing aids is not collated centrally.</p><p><strong> </strong></p><p>The requested information for spend on audiology services by each clinical commissioning group (CCG) is not collected centrally.</p><p> </p><p>Data on national spend is not available in the format requested. Such information as is available is shown in the following table.</p><p> </p><p>Total spend on audiology services in £ million</p><table><tbody><tr><td><p> </p></td><td><p>2012-13</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></tr><tr><td><p>Admitted Patient Care</p></td><td><p>25.8</p></td><td><p>124.5</p></td><td><p>161.8</p></td><td><p>163.5</p></td><td><p>152.5</p></td></tr><tr><td><p>Outpatient Attendances</p></td><td><p>21.2</p></td><td><p>30.8</p></td><td><p>24.2</p></td><td><p>32.0</p></td><td><p>36.5</p></td></tr><tr><td><p>Community Health Services</p></td><td><p>208.5</p></td><td><p>172.9</p></td><td><p>193.5</p></td><td><p>201.0</p></td><td><p>196.2</p></td></tr><tr><td><p>Total</p></td><td><p>255.5</p></td><td><p>328.2</p></td><td><p>379.5</p></td><td><p>396.5</p></td><td><p>385.2</p></td></tr></tbody></table><p>Source: <a href="https://improvement.nhs.uk/resources/reference-costs/" target="_blank">https://improvement.nhs.uk/resources/reference-costs/</a></p><p> </p><p>The information requested on projected spend on audiology services is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning audiology services. The Commissioning Services for People with Hearing Loss framework will help CCGs to deliver on their responsibility to commission high quality, responsive hearing services by establishing what good commissioning looks like.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 173502 173503 question first answered 17/09/2018 13:24:55 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	197 label Biography information for Jim Fitzpatrick

971687

registered interest
date	11/09/2018
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	Audiology
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 was spent on audiology services (a) nationally and (b) by each clinical commissioning group in each of the last five years for which figures are available.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	173502
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The information requested on the number of people supplied with National Health Services-funded hearing aids is not collated centrally.</p><p><strong> </strong></p><p>The requested information for spend on audiology services by each clinical commissioning group (CCG) is not collected centrally.</p><p> </p><p>Data on national spend is not available in the format requested. Such information as is available is shown in the following table.</p><p> </p><p>Total spend on audiology services in £ million</p><table><tbody><tr><td><p> </p></td><td><p>2012-13</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></tr><tr><td><p>Admitted Patient Care</p></td><td><p>25.8</p></td><td><p>124.5</p></td><td><p>161.8</p></td><td><p>163.5</p></td><td><p>152.5</p></td></tr><tr><td><p>Outpatient Attendances</p></td><td><p>21.2</p></td><td><p>30.8</p></td><td><p>24.2</p></td><td><p>32.0</p></td><td><p>36.5</p></td></tr><tr><td><p>Community Health Services</p></td><td><p>208.5</p></td><td><p>172.9</p></td><td><p>193.5</p></td><td><p>201.0</p></td><td><p>196.2</p></td></tr><tr><td><p>Total</p></td><td><p>255.5</p></td><td><p>328.2</p></td><td><p>379.5</p></td><td><p>396.5</p></td><td><p>385.2</p></td></tr></tbody></table><p>Source: <a href="https://improvement.nhs.uk/resources/reference-costs/" target="_blank">https://improvement.nhs.uk/resources/reference-costs/</a></p><p> </p><p>The information requested on projected spend on audiology services is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning audiology services. The Commissioning Services for People with Hearing Loss framework will help CCGs to deliver on their responsibility to commission high quality, responsive hearing services by establishing what good commissioning looks like.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 173501 173503 question first answered 17/09/2018 13:24:55 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	197 label Biography information for Jim Fitzpatrick