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1063915

	registered interest
	date	19/02/2019
	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	Kidneys
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many people aged between 10 and 20 have had operations for kidney-stones in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	223055
	answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>Data is not available in the format requested.</p><p> </p><p>A count of finished admission episodes with a primary diagnosis of kidney stones and a main procedure for kidney stones, where the patient age was between 10 and 20 years (inclusive), for the years 2013-14 to 2017-18, is attached.</p><p> </p><p>The data should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/02/2019 11:06:42 answering member 1585 label Biography information for Stephen Hammond attachment 1 file name PQ223055 - data table format.xlsx title PQ223055 attached table
	tabling member	4131 label Biography information for Jim Shannon

1064067

	registered interest
	date	19/02/2019
	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: Staff
	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 number of agency workers and increase the number of permanent staff in the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	223265
	answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Department recognises that staff vacancies are among the biggest drivers of agency use in the National Health Service.</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 the NHS workforce has the time they need to care, working in a supportive culture that allows them to provide the expert compassionate care they are committed to providing.</p><p> </p><p>My Rt. hon. the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, Chair of NHS Improvement, working closely with Sir David Behan, Chair of Health Education England, to oversee the delivery of a workforce implementation plan. This will include proposals to grow the workforce, consideration of the additional staff and skills required, building a supportive working culture in the NHS and ensuring first rate leadership for NHS staff.</p><p> </p><p>The Government is already increasing nurse training places by 25%, with 5,000 additional nurse training places available every year from September 2018. Additionally, in 2018, up to 5,000 Nursing Associates commenced training through the apprentice route and the Department has a commitment to train up to a further 7,500 in 2019. The Government also made a commitment to have 5,000 additional doctors in general practice. The Department has started to roll out an extra 1,500 medical school places for domestic students, with the first 630 places taken up in September 2018. By 2020, five new medical schools will have opened to help deliver the expansion.</p><p> </p><p>We are also working with NHS Improvement to implement a number of measures to reduce agency expenditure with a particular focus on building trust bank capability, so that vacant shifts can be, where possible, filled by existing NHS staff. As a result of this work, total agency expenditure across NHS trusts in England has fallen from a peak of £3.6 billion in 2015/16 to £2.4 billion in 2017/18 – a £1.2 billion reduction. The Secretary of State has made it clear that he wants to do more to drive down agency spend, and we are committed to embedding a ‘bank first’ approach across the NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 17:00:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1087090

	registered interest
	date	12/03/2019
	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	Hospitals: Infectious Diseases
	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 effect of the proposed NHS Tariff and its alignment with the commitments set out in the NHS 10 Point Efficiency Plan on reducing infection rates in hospitals in the field of ophthalmology.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	231465
	answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>The national tariff is not designed to incentivise or reward providers around infection rates. Other mechanisms are employed to support the National Health Service to reduce infection rates.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/03/2019 16:20:16 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1104695

	registered interest
	date	25/03/2019
	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	NHS: Cost Effectiveness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the estimated cost of inefficiency in the NHS has been in each year since 2010.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	236368
	answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Neither the Department nor the National Health Service calculate a single estimate of inefficiency in the National Health Service. However, significant work in recent years has gone into calculating unwarranted variation in the NHS.</p><p> </p><p>The Lord Carter reviews into unwarranted variation, published in 2016-18, identified £5.8 billion of recurrent savings. These reports identified variation in service delivery, to quantify potential savings, noting that some variation is warranted and desirable, when different circumstances require it.</p><p> </p><p>In 2017/18, the NHS made £1.45 billion of efficiency savings, by enacting the recommendations of the Carter report and reducing unwarranted variation. Central support was delivered to trusts across a range of programmes, including the clinical workforce, diagnostics, pharmacy, back-office services, estates and procurement. Trusts have identified further opportunities beyond this, at a local level, and have been supported by the Department and NHS Improvement to deliver these additional savings.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:20:47 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1109267

	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	Operating Theatres
	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 improve efficiency in operating theatres.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239987
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>NHS Improvement has an ongoing programme to help trusts reduce their waiting times for patients by making better use of their theatre time. This has been supported by their theatre productivity report ‘Operating theatres: opportunities to reduce waiting lists’ which includes insights to support clinicians, managers and hospital leaders to further challenge themselves to improve how care is delivered and how valuable theatre resources and clinical expertise can be best used. NHS Improvement is taking steps to help trusts meet the challenges outlined in the report, including:</p><p>- Running workshops in the five English National Health Service regions so that trusts can learn from those that have made productivity and capacity gains through structured improvement work;</p><p> </p><p>- Getting It Right First Time (GIRFT) is supporting trusts to deliver quality and productivity improvements for patients in many surgical specialties; and</p><p> </p><p>- NHS Improvement’s regional teams are supporting trusts with theatre improvement work, using the insights from our analysis and drawing on expert advice from the GIRFT programme.</p><p> </p><p>‘Operating theatres: opportunities to reduce waiting lists’ is available via the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/operating-theatres-opportunities-reduce-waiting-lists/" target="_blank">https://improvement.nhs.uk/resources/operating-theatres-opportunities-reduce-waiting-lists/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:26:41 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1109268

	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	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many people that have had a (a) hip, (b) knee and (c) shoulder replacement had to have a second replacement within 10 to 20 years in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239988
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The information requested is not centrally collected.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 15:25:15 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1109269

	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	NHS: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps are being taken to help NHS staff experiencing (a) stress and (b) depression.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	239989
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Supporting the mental health of National Health Service staff is the responsibility of NHS employers. NHS trusts are being supported to do this 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>Recommendations from the ‘NHS Staff and Learner Mental Wellbeing Programme’ report are being prioritised. The report contained recommendations to support improved mental wellbeing and address gaps or deficiencies in the system, including:</p><p>- the introduction of the Well Being Guardian in every NHS trust and for primary care at a local level to be determined;</p><p> </p><p>- the development of personal wellbeing supervisors for learners that are distinct from those assessing the learner and check-ins with those tutors within two weeks of placement;</p><p> </p><p>- a national NHS protocol implemented in every NHS organisation to independently examine the death by suicide of any member of NHS staff or a learner working in the NHS; and</p><p> </p><p>- the creation of/facilitating access to ‘safe spaces’ which are accessible to all to be used for reflection, learning and during breaks.</p><p> </p><p>The Workforce Implementation Plan (WIP) announced in the NHS Long Term Plan is prioritising recommendations from Health Education England’s ‘Mental Health Commission on NHS staff and learners’ which should give staff access to board level Well Being Guardians and personal wellbeing supervisors, complementing work with the Care Quality Commission and NHS Improvement to ensure staff have high quality supportive supervision and are not asked to work excessive hours. Staff now report any pressure to work excessive hours to the Guardian of Safe Working.</p><p> </p><p>The WIP is also expected to include proposals for making the NHS the best place to work with further commitments to improve staff health and wellbeing, tackling violence, abuse and bullying of staff and provide better opportunities for flexible working.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 10/04/2019 10:35:45 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1110531

	registered interest
	date	09/04/2019
	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	Operating Theatres
	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 (a) reduce delays and (b) increase efficiency in operating theatres.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	242839
	answer	answer is ministerial correction date of answer 16/04/2019 answer text <p>I refer the hon. Member to the answer I gave on 10 April to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=239987" target="_blank">239987</a>.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/04/2019 14:44:20 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1110533

	registered interest
	date	09/04/2019
	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: Staff
	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 support NHS staff with (a) stress and (b) depression.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	242841
	answer	answer is ministerial correction date of answer 12/04/2019 answer text <p>I refer the hon. Member to the answer I gave on 10 April 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-04-02/239989/" target="_blank">239989</a>.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/04/2019 13:51:06 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1123028

	registered interest
	date	25/04/2019
	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: Bullying
	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 incidences of bullying and harassment in the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	247704
	answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>The Department is committed to working in partnership with its arm’s length bodies, National Health Service organisations, trade unions and staff to deliver its manifesto commitment to tackle rates of bullying which are too high.</p><p>Ministers commissioned the national Social Partnership Forum (SPF) to tackle bullying. The SPF approach to ‘Creating positive workplace cultures and tackling bullying in the NHS - a collective call to action’ is entering its third year. Further information is available at the following link:</p><p><a href="https://www.socialpartnershipforum.org/priority-areas/creating-positive-workplace-cultures-and-tackling-bullying-in-the-nhs-a-collective-call-to-action/" target="_blank">https://www.socialpartnershipforum.org/priority-areas/creating-positive-workplace-cultures-and-tackling-bullying-in-the-nhs-a-collective-call-to-action/</a></p><p>The forthcoming People Plan is also expected to include actions to tackle bullying which will complement existing good practice already in place across the NHS and promoted via SPF’s “collective call to action” and other initiatives such as the Alliance of organisations committed to tackling bullying, recently launched and led by the Royal College of Surgeons of Edinburgh, the Royal College of Obstetricians and Gynaecologists, the National Guardian, the UK Health Departments and many others. The Alliance advocates kindness and respect in selecting staff with the right values and building kindness and respect into staff training and development throughout their careers.</p><p> </p><p>Note: The SPF brings together NHS Employers, NHS Trade Unions, NHS England, Health Education England, NHS Improvement and the Department to discuss and debate the development and implementation of the workforce implications of policy.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/05/2019 14:53:27 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon