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1038335

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, if he will make an estimate of the number of people that have been assessed under (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206836
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206837 206838 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038336

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, if he will make an estimate of the number of GP practices that have implemented (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206837
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206836 206838 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038338

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, what guidance his Department has provided to GP practices on implementing (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206838
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206836 206837 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038339

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
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 emergency hospital admissions relating to falls in older people there have been in the last 12 months for which figures are available.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206839
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In 2017/18, there were 302,096 emergency admissions related to falls in older people. As stated in the NHS Long Term Plan, we are committed to improving falls and fracture prevention. As well as supporting general practitioners to identify and treat those most at risk from falls, we are also providing various schemes, including exercise classes and strength and balance training, which aim to reduce hospital admissions.</p><p> </p><p>NHS England has made no formal assessment of the potential merits of using digital gait solutions.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206855 question first answered 17/01/2019 12:26:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038373

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
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 potential merits of using digital gait solutions to help prevent falls in older people.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206855
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In 2017/18, there were 302,096 emergency admissions related to falls in older people. As stated in the NHS Long Term Plan, we are committed to improving falls and fracture prevention. As well as supporting general practitioners to identify and treat those most at risk from falls, we are also providing various schemes, including exercise classes and strength and balance training, which aim to reduce hospital admissions.</p><p> </p><p>NHS England has made no formal assessment of the potential merits of using digital gait solutions.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206839 question first answered 17/01/2019 12:26:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1029363

registered interest
date	20/12/2018
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: Weather
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 adequacy of the NHS's preparations for winter.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204559
answer	answer is ministerial correction date of answer 10/01/2019 answer text <p>This Government recognises that winter, with demand placed on services with colder weather and seasonal flu, is a challenging time for the National Health Service as it is for health services around the world. Ministers meet weekly with our systems leaders in the NHS to ensure that our services are equipped for winter to support those who need them.</p><p> </p><p>This year the Government has supported the NHS with more than £420 million of winter funding. Although we are at the start of the winter period, the latest published NHS winter operational updates show that in December there have been fewer ambulance handover delays and diverts to other accident and emergency’s compared to last year. This means ambulances spend less time at hospitals and more time on the roads reaching patients.</p><p> </p><p>On 7 January 2019, I laid a written ministerial statement <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-01-07/HCWS1232/" target="_blank">HCWS1232</a> which sets out our preparations to help the NHS this winter.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/01/2019 13:41:05 answering member 1585 label Biography information for Stephen Hammond
tabling member	4471 label Biography information for Rachael Maskell

1029364

registered interest
date	20/12/2018
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: Vacancies
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 level of staff shortages across the NHS.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204560
answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>The National Health Service employs record numbers of staff, in 2018 - over 1.2 million or 1,074,209 full time equivalents. This is an increase of 63,100 since May 2010, with more staff than at any other time in its 70 year history and significant growth in newly qualified staff over the period from 2010. As at 30 September 2018, there were almost 103,000 healthcare vacancies in the NHS, which are largely filled by agency and bank staff.</p><p> </p><p>In 2018 we committed to:</p><p>- increasing NHS funding by an average of 3.4% per year, meaning that by 2023/24 the NHS will receive £20.5 billion a year more than it currently does;</p><p>- giving around one million NHS staff a well-deserved pay rise, with all staff receiving at least a 3% pay increase by the end of 2018/2019;</p><p>- increasing the number of training places for doctors, nurses and midwives, with more general practitioners than ever starting training in the NHS this year; and</p><p>- we are delivering an additional 1,500 undergraduate medical places, including an additional 90 places at Hull York Medical School and as part of the expansion opening five new medical schools across England.</p><p> </p><p>The NHS Long Term Plan, published on 7 January 2019, sets out a vital strategic framework to ensure that over the next 10 years the NHS will have the staff it needs so that nurses and doctors have the time they need to care, working in a supportive culture that allows them to provide the expert compassionate care they are committed providing.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 204569 question first answered 14/01/2019 11:18:24 answering member 1585 label Biography information for Stephen Hammond
tabling member	4471 label Biography information for Rachael Maskell

1029365

registered interest
date	20/12/2018
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: Waiting Lists
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 trends in the level of referral to treatment waiting times.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204561
answer	answer is ministerial correction date of answer 10/01/2019 answer text <p>The NHS Constitution clearly describes the right of patients to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions.</p><p> </p><p>This year, the Government recognises that the standard of ensuring at least 92% of patients start consultant-led treatment within a maximum of 18 weeks is not being met. However, at present, over one million National Health Service patients start planned treatment with a consultant each month and the majority are seen and treated within a maximum of 18 weeks. Furthermore, we have reduced the number of people waiting the longest (over 52 weeks) to start treatment from almost 18,500 in 2010 to just under 3,000 in October 2018.</p><p> </p><p>For 2018/19, the Government has provided the NHS with an additional £1.6 billion to support and improve accident and emergency and elective care performance. Furthermore, the NHS Long Term Plan will set out how the NHS will develop over the coming years. This will be supported by an extra £20.5 billion a year in real terms by 2023/24.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 204567 question first answered 10/01/2019 14:24:47 answering member 1585 label Biography information for Stephen Hammond
tabling member	4471 label Biography information for Rachael Maskell

1029366

registered interest
date	20/12/2018
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	Department of Health and Social Care: Brexit
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 his Department has made on contingency planning for the UK leaving the EU without a deal.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204562
answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>This Government has been clear that we do not want or expect a ‘no deal’ scenario. However, it is the duty of a responsible Government to continue to prepare for a range of potential outcomes, including the event of ‘no deal’. The Department has undertaken extensive work to prepare for a ‘no deal’ scenario, including contingency planning, and we continue to take the necessary steps to ensure the country continues to operate smoothly from the day we leave.</p><p> </p><p>The Department is working with its partners across Government, arm’s length bodies and industry, to ensure that all relevant parties are prepared for exiting the European Union. The quality and safety of patient care is paramount in our preparedness plans.</p><p> </p><p>The Government is working to mitigate the impact of any potential delays at borders if there is ‘no deal’. Our planning aims to ensure that from the day the United Kingdom leaves the EU, we will have the necessary resources in place to maintain uninterrupted supplies of medicines and medical products.</p><p> </p><p>Over the course of August, September and October 2018, the Government published a series of technical notices, eight of which are specific to the health and care sector. Since then, we have published further guidance on preparing for a ‘no deal’ scenario.</p><p> </p><p>In preparation for the possibility of a ‘no deal’ exit, the Department, with the support of NHS England and Improvement and Public Health England, has set up a national Operational Response Centre (ORC), which is structured to be able to respond to any impacts on health and social care. This will lead on responding to disruptions to delivery and co-ordinate reporting across the health and care system; the Department has a wide pool of trained staff available to support this if needed. The ORC will work with the devolved administrations to respond to United Kingdom-wide incidents where appropriate.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/01/2019 15:58:25 answering member 1585 label Biography information for Stephen Hammond
tabling member	4471 label Biography information for Rachael Maskell

1029368

registered interest
date	20/12/2018
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: Labour Turnover
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 steps he has taken to improve the retention level of GPs within the NHS.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204563
answer	answer is ministerial correction date of answer 09/01/2019 answer text <p>NHS England and Health Education England (HEE) are working together with the profession to increase the general practitioner (GP) workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>There is a broad offer available to support GPs to remain in the National Health Service including the GP Health Service, the GP Retention Scheme, and the GP Retention Fund.</p><p> </p><p>In May 2018, NHS England launched the £10 million GP Retention Fund, comprising of the Local Retention Fund (£7 million) and the Intensive Support Areas (£3 million) which will help GPs stay in the workforce by promoting new ways of working and offering additional support.</p><p> </p><p>Recognising that workload is one of the biggest issues impacting retention, NHS England is investing £30 million in the Releasing Time for Care Programme, which aims to help practices reduce their workload through spreading awareness of innovations and facilitating local programmes.</p><p> </p><p>Getting the skills mix right in general practice is also critical in addressing workload pressures as well as in delivering appropriate patient care. This will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs. As of September 2018, there were over 3,700 more clinical staff, excluding GPs, working in general practice since 2015; consisting of over 600 more nurses and over 3,000 more other direct patient care.</p><p> </p><p>In addition to this work, the General Practice Partnership Review, an independent review into the partnership model to which practices work, will deliver its final report early this year. The independent review will consider key questions around workforce and workload and make a number of recommendations with the aim of ensuring general practice remains an excellent place to work.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/01/2019 15:04:10 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell