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1134202

	registered interest
	date	24/06/2019
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Infrastructure
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Chancellor of the Exchequer, whether the Government plans to publish its Infrastructure Strategy alongside the Spending Review.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	268586
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The government welcomed the publication of the National Infrastructure Commission’s National Infrastructure Assessment (NIA) last year.</p><p> </p><p>As announced at Budget 2018 the Government will respond in full to the NIA through a National Infrastructure Strategy. At Spring Statement, the Chancellor confirmed his intention to publish the Strategy later this year, alongside the Spending Review.</p> answering member constituency Newark answering member printed Robert Jenrick question first answered 02/07/2019 13:20:34 answering member 4320 label Biography information for Robert Jenrick
	tabling member	4523 label Biography information for Catherine West

1133993

	registered interest
	date	24/06/2019
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Teachers: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Education, if he will make an assessment of the potential merits of a salary sacrifice car scheme for teachers in state schools.
	tabling member constituency	Crewe and Nantwich
	tabling member printed	Laura Smith
	uin	268486
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>There is a statutory process for revising the pay and conditions of teachers and any change must first be referred by my right hon. Friend, the Secretary of State, to the independent School Teachers’ Review Body (STRB). The demands on the STRB’s time and resources mean that the Government has to make hard decisions on prioritising the issues it refers. The Government is committed to making the teaching profession an attractive and competitive career but is not currently considering proposing an extension to the current salary sacrifice schemes for teachers to cover cars.</p> answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb question first answered 02/07/2019 11:35:27 answering member 111 label Biography information for Nick Gibb
	tabling member	4648 label Biography information for Laura Smith

1134122

	registered interest
	date	24/06/2019
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Young People: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Education, what steps he is taking to support (a) schools and (b) local authorities in providing additional services to help young people with early signs of mental ill health.
	tabling member constituency	South Cambridgeshire
	tabling member printed	Heidi Allen
	uin	268557
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>​The Department is working with NHS England and Department of Health and Social Care to help schools and colleges provide support for children and young people with emerging mental health issues and secure specialist treatment where it is needed.</p><p> </p><p>The NHS Long Term Plan set out that by 2023/24 an extra 345,000 children and young people in England aged up to 25 will receive mental health support via NHS-funded mental health services including new Mental Health Support Teams linked to groups of schools and colleges. The teams will work with groups of schools and colleges to provide swift access to support for children and young people, especially those with emerging, mild and moderate needs. Teams will also support referrals to more specialist treatment. Roll-out is starting with a trailblazer programme to test how teams can be effectively delivered, including how they can work effectively with local authority services to provide coordinated support for children and young people. Staff for the new teams are currently be being trained and the first 59 teams will be fully operational in 25 areas of the country by the end of the year.</p><p> </p><p>Directors of Children’s Services and Directors of Public Health in Local Authorities will play an important role in supporting local implementation of the new teams. The Department for Education is working with Public Health England to ensure that local authorities are kept informed and are invited to contribute to local plans for implementation.</p> answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb question first answered 02/07/2019 11:39:51 answering member 111 label Biography information for Nick Gibb
	tabling member	4516 label Biography information for Heidi Allen

1134271

	registered interest
	date	24/06/2019
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Schools: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Education, with reference to the Transforming Children Green Paper, what his strategy is for ensuring a joined-up approach between school mental health leads and other appropriate agencies to improve the mental health of young people.
	tabling member constituency	Burnley
	tabling member printed	Julie Cooper
	uin	268626
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department has a joint programme of work with the Department of Health and Social Care, NHS England and Health Education England to deliver the proposals set out in the green paper ‘Transforming Children and Young People’s Mental Health Provision’.</p><p> </p><p>New Mental Health Support Teams are being introduced jointly by the Department and NHS England and will be available to 20-25% of England by 2023. These teams will work with schools and colleges and other professionals such as educational psychologists, school nurses, counsellors and social workers to supplement existing support.</p><p> </p><p>The Department is also incentivising schools and colleges to identify and train a senior mental health lead, who will be responsible for overseeing the delivery of a whole school or college approach to promoting better mental health and wellbeing.</p><p> </p><p>In addition, the Department is providing training through the Link programme to schools and colleges in England over four years from autumn 2019. The Link programme is designed to develop effective partnership working between schools and colleges and NHS specialist mental health services for children and young people.</p> answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb question first answered 02/07/2019 11:22:06 answering member 111 label Biography information for Nick Gibb previous answer version 125813 answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb answering member 111 label Biography information for Nick Gibb
	tabling member	4405 label Biography information for Julie Cooper

1134198

	registered interest
	date	24/06/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Climate Change
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what plans he has to pursue and implement nature-based solutions domestically to (a) mitigate and (b) adapt to climate change and (c) protect and restore nature; and if he will make a statement.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	268450
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Nature-based solutions are key to tackling and strengthening resilience to climate change impacts. Our wetlands, forests and grasslands capture carbon – and provide other environmental benefits, such as flood management, pollination, and biodiversity. The Government is deploying such solutions to improve our natural environment and our Government’s 25 Year Environment Plan sets out key policies on how improving nature can help tackle climate change.</p><p> </p><p>Tree planting is one of the main contributors to nature-based carbon sequestration. Our manifesto committed to planting 11 million trees by 2022, and a further 1 million trees in our towns and cities. We also have a long term aspiration to increase woodland cover in England from 10% to 12% by 2060. To achieve these goals, in the Autumn Budget the Chancellor announced £10m for an Urban Trees Challenge Fund – which is now open for applications - and £50m to help plant new woodlands through the Woodland Carbon Guarantee.</p><p> </p><p>Peatlands are our largest terrestrial carbon store. Organic or peat soils make up 11% of England’s total land area, over 70% of which are drained or in poor condition. We have committed to publishing an England Peatland Strategy. The strategy sets out our vision to reverse decline in peatlands and restore them. Work is underway on four large-scale peatland restoration projects across England, to which we have allocated £10m, and will restore 5,851 ha of degraded peatlands. We are also improving saltmarshes.</p><p> </p><p>Natural England has an ongoing uplands programme with landowners and we will also be setting up a Lowland Agricultural Peatland Taskforce to help sustainably manage and restore peatland habitats. Once restored, our healthy functioning peatlands will provide a range of public benefits in addition to carbon storage, including flood mitigation and biodiversity rich habitats.</p><p> </p><p>Under the new Environmental Land Management Scheme we will pay public money for the provision of environmental public goods. These public goods will include the mitigation of and adaption to climate change.</p><p> </p><p>We also support nature-based solutions through our international aid programmes on forestry and mangroves/blue forests.</p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 02/07/2019 10:47:30 answering member 4098 label Biography information for Dr Thérèse Coffey
	tabling member	3930 label Biography information for Caroline Lucas

1134269

	registered interest
	date	24/06/2019
	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: Consultants
	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 medical consultants were employed by the NHS in each financial year since 2015; and what the ratio was of people becoming consultants compared to the number vacating that position in each of those financial years.
	tabling member constituency	Ealing Central and Acton
	tabling member printed	Dr Rupa Huq
	uin	268625
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p> </p><p> </p><p>The following table shows the number of medical consultants who work in National Health Service trusts and CCGs in England as at March each year, full time equivalent.</p><table><tbody><tr><td><p> </p></td><td><p>Number of Medical Consultants</p></td></tr><tr><td><p>March 2015</p></td><td><p>42,100</p></td></tr><tr><td><p>March 2016</p></td><td><p>43,600</p></td></tr><tr><td><p>March 2017</p></td><td><p>45,100</p></td></tr><tr><td><p>March 2018</p></td><td><p>46,600</p></td></tr><tr><td><p>March 2019</p></td><td><p>48,000</p></td></tr></tbody></table><p>Source: NHS Digital workforce statistics</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The following table shows the number of joiners to and leavers from the consultant staff group and the ratio of joiners to leavers, in NHS trusts and CCGs in England, between 31 March 2015 to 31 March 2019, headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Joiners</p></td><td><p>Leavers</p></td><td><p>Ratio of Joiners to Leavers</p></td></tr><tr><td><p>March 2015 - March 2016</p></td><td><p>4,360</p></td><td><p>2,734</p></td><td><p>1.59</p></td></tr><tr><td><p>March 2016 - March 2017</p></td><td><p>4,469</p></td><td><p>2,822</p></td><td><p>1.58</p></td></tr><tr><td><p>March 2017 - March 2018</p></td><td><p>4,678</p></td><td><p>3,014</p></td><td><p>1.55</p></td></tr><tr><td><p>March 2018 - March 2019</p></td><td><p>4,537</p></td><td><p>2,990</p></td><td><p>1.52</p></td></tr></tbody></table><p>Source: NHS Digital workforce statistics</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/07/2019 11:17:06 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4511 label Biography information for Dr Rupa Huq

1134017

	registered interest
	date	24/06/2019
	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	Dental Services and Plastic Surgery: Medical Treatments Abroad
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what advice is available to people travelling overseas for dental or cosmetic surgery.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	268505
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>All cosmetic procedures have risks and can impact upon physical and emotional health. Holiday packages that include cosmetic procedures can trivialise what should be a major decision.</p><p>The Government urges anyone considering a cosmetic or dental procedure abroad to do their research into the standards and qualifications that apply in the country they are travelling to. They should ensure that adequate insurance arrangements are in place and that they have access to appropriate aftercare back in the United Kingdom in the event of any complications.</p><p>NHS.UK publishes guidance for people thinking about travelling abroad for cosmetic surgery, as well as general safety advice and information about individual procedures. The Royal College of Surgeons and the British Association of Plastic and Reconstructive Surgeons also provide information online and the General Dental Council has published a guide for patients considering travelling abroad for dental treatment.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/07/2019 11:37:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4131 label Biography information for Jim Shannon

1133998

	registered interest
	date	24/06/2019
	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	Body Modification: Regulation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of legislation regulating body modification following the prosecution of Brendan McCarthy.
	tabling member constituency	Crewe and Nantwich
	tabling member printed	Laura Smith
	uin	268491
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Government is committed to supporting people to make informed and safe choices about any body modification procedure they are considering and to make sure that the person they choose is appropriately qualified, registered and insured. The Government is currently exploring options to further support this commitment.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/07/2019 11:37:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4648 label Biography information for Laura Smith

1134036

	registered interest
	date	24/06/2019
	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: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the availablity of (a) critical and (b) short shelf-life medicines in the event of the UK leaving the EU without a deal.
	tabling member constituency	Coatbridge, Chryston and Bellshill
	tabling member printed	Hugh Gaffney
	uin	268516
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Government fully understands that maintaining access to all medicines and medical products, including critical medicines and short shelf-life products, is vitally important to millions of people in this country. Ensuring unhindered supply of these products remains the Government’s top priority.</p><p> </p><p>As in preparation for 29 March and 12 April, our ‘no deal’ EU Exit contingency plans for 31 October will cover the NHS, social care and the independent sector and covers all medicines, medical devices and clinical consumables, supplies for clinical trials, vaccines and countermeasures, and organs and tissues for transplants.</p><p>The Department has continued to work closely with the Devolved Administrations, industry trade bodies and suppliers, the NHS and other key stakeholders. Prior to 29 March, the Department analysed the supply chains of 12,300 medicines, close to half a million product lines of medical devices and clinical consumables, vaccines used in national and local programmes, and essential non-clinical goods on which the health and care system relies. These analyses and assessments have been updated where necessary and will continue to be refined while a ‘no deal’ EU Exit remains a possibility. This work has informed our plans.</p><p>We are asking suppliers to analyse their supply chains and to make alternative plans if they anticipate disruption, including rerouting to alternative ports or using airfreight where necessary. Our contingency measures aim to support industry-led measures and, where required, act as a ‘last resort’ to be used only when a supplier’s alternative arrangements encounter difficulties, to ensure uninterrupted supply.</p><p>In the case of medicines that cannot be stockpiled because, for example, they have short shelf-lives, such as medical radioisotopes, we are working closely with suppliers to make alternative arrangements using airfreight.</p><p>Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p><p>While we never give guarantees, we are confident that, if everyone – including suppliers, freight companies, international partners and the health and care system – does what they need to do, the supply of medicines and medical products should be uninterrupted in the event of a no-deal EU Exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/07/2019 11:33:39 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4614 label Biography information for Hugh Gaffney

1134075

	registered interest
	date	24/06/2019
	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: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what role has recently been played by Deloitte, and at what cost, in the development by NHS Improvement of proposals to introduce a centralised NHS procurement system for products and services; and what steps are being taken to ensure that the introduction of such a system does not lead to a restriction on the freedom of medical practitioners to prescribe any continence product on the Medicines Tariff that they consider to be the most appropriate product for the individual patient.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	268444
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS Improvement, through an open and competitive procurement process, awarded Deloitte a contract to support NHS Improvement to develop a new NHS Procurement Target Operating Model. The contract for phase 1 of this work, which ended on 31 May 2019, cost £400,000.</p><p>The new Procurement Target Operating Model will consider the processes, data, and skills and capabilities to deliver a more efficient procurement service. The remit of the Procurement Target Operating Model programme does not cover clinical products and therefore were not considered as part of this review. NHS Improvement has collaborated with National Health Service providers’ chief executives, finance and procurement leads to develop the NHS’s procurement target operating model. Members of the Healthcare Supply Association have also been engaged with as part of the target operating model’s development.</p><p>Clinical products, including continence products, which are procured by the NHS are the remit of Supply Chain Coordination Limited who work with NHS providers’ procurement teams across England. Clinical product suppliers have not been engaged with on the new procurement target operating model as they are outside the its remit.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 268445 question first answered 02/07/2019 11:24:10 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1538 label Biography information for Rosie Cooper