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1109401

registered interest
date	03/04/2019
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: Pastoral Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether confidential pastoral services are provided for NHS staff.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240490
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The Department does not collect data on whether National Health Service organisations, who are responsible for helping their staff maintain and improve their physical and mental health and wellbeing, provide confidential pastoral care. Some trusts may offer local chaplaincy and/or counselling services to their staff.</p><p> </p><p>We are supporting the NHS in making decisions on the type of services they offer their staff including confidential pastoral care through the NHS staff health and wellbeing framework and NHS Improvement’s health and wellbeing collaborative. Both incorporate the mental health standards in ‘Thriving at Work – a review of mental health and employers’ commissioned by the Government.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 14:02:17 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109402

registered interest
date	03/04/2019
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: Sexual Harassment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to prevent sexual harassment and misconduct within the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240491
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>National Health Service organisations are responsible for dealing with sexual harassment and misconduct.</p><p> </p><p>In relation to harassment by members of the public or patients, NHS organisations work with their staff, their security teams, their accredited security management advisors, the Police and Crown Prosecution Service to ensure appropriate action is taken to prevent sexual harassment and misconduct in the first place and robust sanctions are taken against perpetrators.</p><p> </p><p>In relation to employees, each NHS trust has appropriate local Dignity at Work and Disciplinary policies in place to respond to issues relating to misconduct, including any type of alleged harassment. These policies are developed in partnership with staff side and reflect Advisory Conciliation and Arbitration Service guidance on best practice. All trusts have a duty to protect staff from harassment and are advised to ensure they adhere to the Equalities Act in regard to protected characteristics, and training in equality and diversity and the application of associated policies is mandatory in the NHS.</p><p> </p><p>Staff concerned would be dealt with via appropriate trust policies dealing with conduct and would be referred to professional regulatory bodies. Health care professionals are required to register with the relevant professional regulator and to meet standards for registration, and where these standards are not met the regulators can take action.</p><p> </p><p>The NHS nationally is providing support through our programmes to tackle bullying, harassment, violence and abuse.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 13:58:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109405

registered interest
date	03/04/2019
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: Equal Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to address the gender pay gap in the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240492
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The gender pay gap in the health and social care sector, according to the Office of National Statistics, Annual Survey of Hours and Earning is 17.3%. Although this figure has reduced from the previous year, it is still a concern, particularly given that this sector employs a much higher proportion of women than men.</p><p> </p><p>The findings of the Gender Pay Gap in Medicine Review will have implications not only for medicine but across the wider National Health Service workforce and will closely examine the issues that make progression in medicine problematic for women. Possible interventions have already been identified that can help reduce the gender pay gap in medicine and the wider NHS including more transparency in pay, promotion and reward.</p><p> </p><p>The Government Equalities Office have published evidence based guidance on practical actions employers can take to close the gap, alongside help to diagnose their gaps and develop an action plan. The Department is working with the Government Equalities Office, NHS employers and arm’s length bodies to ensure the good practice is disseminated across the NHS. We expect all NHS employers to have a clear action plan to address their gender pay gap.</p><p> </p><p>Developments in improving the work life balance in the NHS will also contribute to a reduction in the gender pay gap in the NHS. The extension of shared parental leave to new doctors and dentists in training from 1 April is an important step towards our health service being a more flexible and responsive employer, giving greater choice of how their employees juggle the demands of work and family.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 14:01:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109073

registered interest
date	02/04/2019
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	Hyperkalaemia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the prevalence of hyperkalaemia for patients with chronic kidney disease.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239857
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Hyperkalaemia usually occurs in patients with renal impairment which can be acute or chronic. In patients with chronic kidney disease (CKD), several factors increase susceptibility to hyperkalaemia including a high dietary potassium intake relative to residual renal function. When patients with CKD have other risk factors, for example treatment with drugs that interfere with the renin-angiotensin-aldosterone system, the risk of hyperkalaemia is further increased. Clinical presentation of hyperkalaemia is highly variable with some patients presenting with an acute illness whilst others may be asymptomatic.</p><p> </p><p>Although not completely preventable, the risk of developing hyperkalaemia can be reduced. Clinical practice guidelines treatment of acute hyperkalaemia in adults, a collaboration between the Renal Association and Resuscitation Council UK that is endorsed by a range of organisations, including the College of Emergency Medicine and the Faculty of Intensive Care medicine, sets out evidence-based guidance on the management of the condition. It was developed to improve the treatment of acute hyperkalaemia and to reduce the risk of complications associated with hyperkalaemia and its treatment. The main measures in primary prevention in patients with CKD are regular blood monitoring, careful drug prescribing and dietary advice. Patient information and education may reduce the risk of inadvertent hyperkalaemia. The guidance can be found at the following link:</p><p> </p><p><a href="https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf" target="_blank">https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf</a></p><p> </p><p>Information regarding the annual cost to the National Health Service of treating hyperkalaemia in Coventry South and England is not available. This answer covers England only. Funding of such services in the other United Kingdom nations is a matter for the respective devolved administrations.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239865 question first answered 08/04/2019 15:20:04 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1109076

registered interest
date	02/04/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what recent assessment his Department has made of trends in the levels of pay since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239859
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The level of pay has continually increased since 2010, with average weekly earnings increasing by 20% over this period. Regular wages are currently growing at their fastest pace in over a decade and have outstripped inflation for 11 consecutive months. We’ve just seen another above inflation increase in the National Living Wage, to £8.21, meaning a full-time worker on the NLW will be earning £690 more over the coming year.</p> answering member constituency Salisbury answering member printed John Glen question first answered 08/04/2019 14:33:01 answering member 4051 label Biography information for John Glen
tabling member	308 label Biography information for Mr Jim Cunningham

1109260

registered interest
date	02/04/2019
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	Hyperkalaemia
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 estimate he has made of the annual cost to the NHS of treating hyperkalaemia in (a) Coventry South constituency and (b) the UK.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239865
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Hyperkalaemia usually occurs in patients with renal impairment which can be acute or chronic. In patients with chronic kidney disease (CKD), several factors increase susceptibility to hyperkalaemia including a high dietary potassium intake relative to residual renal function. When patients with CKD have other risk factors, for example treatment with drugs that interfere with the renin-angiotensin-aldosterone system, the risk of hyperkalaemia is further increased. Clinical presentation of hyperkalaemia is highly variable with some patients presenting with an acute illness whilst others may be asymptomatic.</p><p> </p><p>Although not completely preventable, the risk of developing hyperkalaemia can be reduced. Clinical practice guidelines treatment of acute hyperkalaemia in adults, a collaboration between the Renal Association and Resuscitation Council UK that is endorsed by a range of organisations, including the College of Emergency Medicine and the Faculty of Intensive Care medicine, sets out evidence-based guidance on the management of the condition. It was developed to improve the treatment of acute hyperkalaemia and to reduce the risk of complications associated with hyperkalaemia and its treatment. The main measures in primary prevention in patients with CKD are regular blood monitoring, careful drug prescribing and dietary advice. Patient information and education may reduce the risk of inadvertent hyperkalaemia. The guidance can be found at the following link:</p><p> </p><p><a href="https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf" target="_blank">https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf</a></p><p> </p><p>Information regarding the annual cost to the National Health Service of treating hyperkalaemia in Coventry South and England is not available. This answer covers England only. Funding of such services in the other United Kingdom nations is a matter for the respective devolved administrations.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239857 question first answered 08/04/2019 15:20:04 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1108806

registered interest
date	01/04/2019
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Pupil Exclusions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what steps his department is taking to discourage schools from excluding primary-aged pupils.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239182
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>Good discipline in schools is essential to ensure that all pupils can benefit from the opportunities provided by education. Schools can only exclude a pupil for a disciplinary reason, and all decisions to exclude a pupil must be lawful, reasonable and fair. The Government supports head teachers in using exclusion as a sanction, where it is warranted.</p><p> </p><p>Statutory guidance issued to schools is clear that they should consider underlying causes of poor behaviour before issuing an exclusion as a last resort.</p><p> </p><p>In March 2018, the Government launched an externally-led review of exclusions practice, led by Edward Timpson CBE. The review is exploring how head teachers use exclusion, and why pupils with particular characteristics are more likely to be excluded from school. It is also considering the differences in exclusion rates across primary and secondary schools in England. The review and the Government response will be published shortly.</p> answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb question first answered 04/04/2019 15:11:49 answering member 111 label Biography information for Nick Gibb
tabling member	308 label Biography information for Mr Jim Cunningham

1078514

registered interest
date	27/03/2019
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Traffic Officers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what estimate his Department has made of the total number of traffic officers in (a) Coventry, (b) the West Midlands and (c) the UK in each year since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	226523
answer	answer is ministerial correction date of answer 04/03/2019 answer text <p>The Home Office collects and publishes data annually on the primary function of police officers, broken down by Police Force Area, as part of the ‘Police workforce, England and Wales’ statistical bulletins, which can be accessed here:</p><p><a href="https://www.gov.uk/government/collections/police-workforce-england-and-wales ." target="_blank">https://www.gov.uk/government/collections/police-workforce-england-and-wales .</a></p><p>These data include officers whose primary function is “Road Policing”, and officers with multiple responsibilities are recorded under their primary function.</p><p>Data are collected from forces in England and Wales, and at Police Force Area level only, therefore information on the number of traffic officers in Coventry is not available, neither is the number of traffic officers for the UK.</p> answering member constituency Ruislip, Northwood and Pinner answering member printed Mr Nick Hurd question first answered 04/03/2019 17:03:07 answering member 1561 label Biography information for Mr Nick Hurd
tabling member	308 label Biography information for Mr Jim Cunningham

1105549

registered interest
date	27/03/2019
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	Post-traumatic Stress Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help prevent the misdiagnosis of sexual abuse survivors with complex post-traumatic stress disorder.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	237592
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>NHS England’s Strategic Direction for Sexual Assault and Abuse Services sets out a clear ambition and a programme of work to improve awareness and training across the workforce, so that victims and survivors will be better able to access specialised services, safeguarding will be enhanced, the quality of care received improved and ultimately patient experience and outcomes heightened.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 01/04/2019 15:43:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1105555

registered interest
date	27/03/2019
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	Junior Doctors: Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to offer junior doctors mental health support and pastoral care.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	237593
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Department is helping National Health Service trusts in their responsibility for offering junior doctors mental health support and pastoral care through the NHS staff health and wellbeing framework and NHS Improvement’s NHS staff health and wellbeing collaborative. Both incorporate the mental health standards in ‘Thriving at Work – a review of mental health and employers’ produced by Mind.</p><p> </p><p>The Workforce Implementation Plan, announced in the NHS Long Term Plan, is prioritising recommendations from Health Education England’s ‘NHS Staff and Learners Mental Wellbeing Commission’ report which should give junior doctors access to board level Well Being Guardians, personal wellbeing supervisors and ‘safe spaces’ for reflection, learning and breaks complementing work with the Care Quality Commission and NHS Improvement to ensure junior doctors have high quality supportive supervision and are not asked to work excessive hours. Doctors in training now report any pressure to work excessive hours to the Guardian of Safe Working.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:27:33 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham