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1029607
registered interest false more like this
date less than 2018-12-20more like thismore than 2018-12-20
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Offences against Children: Rotherham more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government whether they have reserved mental health funding specifically for survivors of sexual exploitation in Rotherham and their families; and if so, how much. more like this
tabling member printed
Baroness Cox more like this
uin HL12493 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2019-01-07more like thismore than 2019-01-07
answer text <p>NHS England is providing NHS Rotherham Clinical Commissioning Group (CCG) with £250,000 in 2018/19 and 2019/20, which is being invested in setting up and running a trauma and resilience service, specifically for survivors and victims identified by Operation Stovewood, an investigation by the National Crime Agency into non-familial child sexual exploitation and abuse in Rotherham between 1997 and 2013. A major element of this work is developing a mental health trauma pathway for victims and survivors of child sexual exploitation (CSE). This service also supports other agencies and frontline staff where survivors do not want a new worker involved in their care.</p><p> </p><p>A further £100,000 has been provided by NHS England to NHS Rotherham CCG in extending the trauma and resilience service to support counselling and provide additional training for frontline workers, predominantly in voluntary and community sector.</p><p> </p><p>NHS Rotherham CCG has invested significantly in the local child and adolescent mental health service and has spent over £50,000 on CSE training and awareness for frontline health and care staff.</p><p> </p><p>In Rotherham, the local authority contributes funding for Swinton Lock Activity Centre. NHS Rotherham CCG focuses investment on health services for survivors and victims of CSE and their families.</p><p><strong> </strong></p>
answering member printed Baroness Manzoor more like this
grouped question UIN HL12494 more like this
question first answered
less than 2019-01-07T17:00:48.77Zmore like thismore than 2019-01-07T17:00:48.77Z
answering member
4289
label Biography information for Baroness Manzoor more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
1029608
registered interest false more like this
date less than 2018-12-20more like thismore than 2018-12-20
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Offences against Children: Rotherham more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government whether they have provided support to Swinton Lock Activity Centre in Rotherham for the provision of counselling and other services for victims and survivors of sexual exploitation. more like this
tabling member printed
Baroness Cox more like this
uin HL12494 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2019-01-07more like thismore than 2019-01-07
answer text <p>NHS England is providing NHS Rotherham Clinical Commissioning Group (CCG) with £250,000 in 2018/19 and 2019/20, which is being invested in setting up and running a trauma and resilience service, specifically for survivors and victims identified by Operation Stovewood, an investigation by the National Crime Agency into non-familial child sexual exploitation and abuse in Rotherham between 1997 and 2013. A major element of this work is developing a mental health trauma pathway for victims and survivors of child sexual exploitation (CSE). This service also supports other agencies and frontline staff where survivors do not want a new worker involved in their care.</p><p> </p><p>A further £100,000 has been provided by NHS England to NHS Rotherham CCG in extending the trauma and resilience service to support counselling and provide additional training for frontline workers, predominantly in voluntary and community sector.</p><p> </p><p>NHS Rotherham CCG has invested significantly in the local child and adolescent mental health service and has spent over £50,000 on CSE training and awareness for frontline health and care staff.</p><p> </p><p>In Rotherham, the local authority contributes funding for Swinton Lock Activity Centre. NHS Rotherham CCG focuses investment on health services for survivors and victims of CSE and their families.</p><p><strong> </strong></p>
answering member printed Baroness Manzoor more like this
grouped question UIN HL12493 more like this
question first answered
less than 2019-01-07T17:00:48.82Zmore like thismore than 2019-01-07T17:00:48.82Z
answering member
4289
label Biography information for Baroness Manzoor more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
967440
registered interest false more like this
date less than 2018-09-04more like thismore than 2018-09-04
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government whether the number of district nurses in England in community service organisations, such as NHS Community Healthcare Trusts, has reduced since 2010; and, if so, what measures they are taking to address any problems caused by such a reduction. more like this
tabling member printed
Baroness Cox more like this
uin HL9937 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-18more like thismore than 2018-09-18
answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9938 more like this
question first answered
less than 2018-09-18T11:36:58.973Zmore like thismore than 2018-09-18T11:36:58.973Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
967441
registered interest false more like this
date less than 2018-09-04more like thismore than 2018-09-04
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what measures they are taking to ensure patient safety and wellbeing in the light of the expected reduction in funding for district nurse training in England from September 2019. more like this
tabling member printed
Baroness Cox more like this
uin HL9938 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-18more like thismore than 2018-09-18
answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9937 more like this
question first answered
less than 2018-09-18T11:36:58.927Zmore like thismore than 2018-09-18T11:36:58.927Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
947547
registered interest false more like this
date less than 2018-07-24more like thismore than 2018-07-24
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what measures they are taking to address the impact of the reduction in the number of district nurses in England from 7,700 in 2010 to 4,400 in 2018, as reported by NHS Digital. more like this
tabling member printed
Baroness Cox more like this
uin HL9837 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-07-26more like thismore than 2018-07-26
answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p> </p><p>NHS Digital’s data, which is drawn from the Electronic Staff Record, shows a drop in the number of full-time equivalent district nurses across the National Health Service. However, because of changes, made in 2009, to the way that community health services are commissioned – i.e. to a range of different types of provider – this does not represent the full picture and there will be many district nurses providing NHS funded services in organisations that do not provide a return to the Electronic Staff Record.</p><p> </p><p>However, we are not complacent, which is why we are increasing the supply of registered nurses to meet the growth in demand and have announced additional clinical placement funding that will enable around 5,000 more nursing students to enter training each year from September 2018. This is a historic increase.</p><p> </p><p>We are committed to developing and supporting the wellbeing of the whole community workforce to deliver safe, quality patient-centred care. Health Education England is currently considering how to further support the community nursing workforce.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9838 more like this
question first answered
less than 2018-07-26T12:52:37.047Zmore like thismore than 2018-07-26T12:52:37.047Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
947551
registered interest false more like this
date less than 2018-07-24more like thismore than 2018-07-24
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what assessment they have made of the impact on patient safety and wellbeing of the falling numbers of district nurses in England reported by NHS Digital. more like this
tabling member printed
Baroness Cox more like this
uin HL9838 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-07-26more like thismore than 2018-07-26
answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p> </p><p>NHS Digital’s data, which is drawn from the Electronic Staff Record, shows a drop in the number of full-time equivalent district nurses across the National Health Service. However, because of changes, made in 2009, to the way that community health services are commissioned – i.e. to a range of different types of provider – this does not represent the full picture and there will be many district nurses providing NHS funded services in organisations that do not provide a return to the Electronic Staff Record.</p><p> </p><p>However, we are not complacent, which is why we are increasing the supply of registered nurses to meet the growth in demand and have announced additional clinical placement funding that will enable around 5,000 more nursing students to enter training each year from September 2018. This is a historic increase.</p><p> </p><p>We are committed to developing and supporting the wellbeing of the whole community workforce to deliver safe, quality patient-centred care. Health Education England is currently considering how to further support the community nursing workforce.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9837 more like this
question first answered
less than 2018-07-26T12:52:36.983Zmore like thismore than 2018-07-26T12:52:36.983Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
947553
registered interest false more like this
date less than 2018-07-24more like thismore than 2018-07-24
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what assessment they have made of the financial challenges faced by nurses in England where they take a reduction in salary for the duration of the one-year education programme to qualify as a district nurse. more like this
tabling member printed
Baroness Cox more like this
uin HL9839 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-07-26more like thismore than 2018-07-26
answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9840 more like this
HL9841 more like this
question first answered
less than 2018-07-26T12:43:40.79Zmore like thismore than 2018-07-26T12:43:40.79Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
947554
registered interest false more like this
date less than 2018-07-24more like thismore than 2018-07-24
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what measures they are taking to reduce any impact on patient care resulting from the absence of funding to backfill a post when a registered nurse in the district nursing team undertakes a year-long programme of education in order to qualify as a district nurse. more like this
tabling member printed
Baroness Cox more like this
uin HL9840 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-07-26more like thismore than 2018-07-26
answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9839 more like this
HL9841 more like this
question first answered
less than 2018-07-26T12:43:40.837Zmore like thismore than 2018-07-26T12:43:40.837Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter
947555
registered interest false more like this
date less than 2018-07-24more like thismore than 2018-07-24
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what is their response to the letter sent on 22 June by Dr Bob Brown, Trustee of the Queen’s Nursing Institute and chair the Community Nurse Executive Network, to Health Education England, which highlighted the lack of funding from Health Education England to support district nurse education after September. more like this
tabling member printed
Baroness Cox more like this
uin HL9841 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-07-26more like thismore than 2018-07-26
answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9839 more like this
HL9840 more like this
question first answered
less than 2018-07-26T12:43:40.713Zmore like thismore than 2018-07-26T12:43:40.713Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox remove filter