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967442

	registered interest
	date	04/09/2018
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	White Helmets: Syria
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether members of the White Helmets and their families evacuated from Syria vis Israel have arrived in the UK.
	tabling member printed	Baroness Cox
	uin	HL9939
	answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>Together with international partners, the UK is working to resettle members of the White Helmets and their families. Any resettlement to the UK will be in line with the established UN Refugee Agency (UNHCR) process for identifying and resettling the most vulnerable refugees. Our prime concern for those coming to the UK under our resettlement schemes is their safety and protection as they arrive in this country. We believe that one way to protect their privacy and support their recovery and integration is to limit the amount of information about them that we make publicly available.</p><p>Notwithstanding this the Home Office is committed to publishing data on arrivals in an orderly way as part of the regular quarterly Immigration Statistics, in line with the Code of Practice for Official Statistics.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL9940 HL9941 question first answered 13/09/2018 12:51:36 answering member 4311 label Biography information for Baroness Williams of Trafford
	tabling member	3364 label Biography information for Baroness Cox

967443

	registered interest
	date	04/09/2018
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	White Helmets: Syria
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government where in the UK members of the White Helmets group evacuated from Syria via Israel (1) have been, and (2) will be settled.
	tabling member printed	Baroness Cox
	uin	HL9940
	answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>Together with international partners, the UK is working to resettle members of the White Helmets and their families. Any resettlement to the UK will be in line with the established UN Refugee Agency (UNHCR) process for identifying and resettling the most vulnerable refugees. Our prime concern for those coming to the UK under our resettlement schemes is their safety and protection as they arrive in this country. We believe that one way to protect their privacy and support their recovery and integration is to limit the amount of information about them that we make publicly available.</p><p>Notwithstanding this the Home Office is committed to publishing data on arrivals in an orderly way as part of the regular quarterly Immigration Statistics, in line with the Code of Practice for Official Statistics.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL9939 HL9941 question first answered 13/09/2018 12:51:36 answering member 4311 label Biography information for Baroness Williams of Trafford
	tabling member	3364 label Biography information for Baroness Cox

967444

	registered interest
	date	04/09/2018
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	White Helmets: Syria
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many of the White Helmets group and their families evacuated from Syria via Israel are now in the UK.
	tabling member printed	Baroness Cox
	uin	HL9941
	answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>Together with international partners, the UK is working to resettle members of the White Helmets and their families. Any resettlement to the UK will be in line with the established UN Refugee Agency (UNHCR) process for identifying and resettling the most vulnerable refugees. Our prime concern for those coming to the UK under our resettlement schemes is their safety and protection as they arrive in this country. We believe that one way to protect their privacy and support their recovery and integration is to limit the amount of information about them that we make publicly available.</p><p>Notwithstanding this the Home Office is committed to publishing data on arrivals in an orderly way as part of the regular quarterly Immigration Statistics, in line with the Code of Practice for Official Statistics.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL9939 HL9940 question first answered 13/09/2018 12:51:36 answering member 4311 label Biography information for Baroness Williams of Trafford
	tabling member	3364 label Biography information for Baroness Cox

967440

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9937
	answer	answer is ministerial correction date of answer 18/09/2018 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 grouped question UIN HL9938 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

967441

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9938
	answer	answer is ministerial correction date of answer 18/09/2018 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 grouped question UIN HL9937 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

947553

	registered interest
	date	24/07/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9839
	answer	answer is ministerial correction date of answer 26/07/2018 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 grouped question UIN HL9840 HL9841 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

947554

	registered interest
	date	24/07/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9840
	answer	answer is ministerial correction date of answer 26/07/2018 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 grouped question UIN HL9839 HL9841 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

947555

	registered interest
	date	24/07/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9841
	answer	answer is ministerial correction date of answer 26/07/2018 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 grouped question UIN HL9839 HL9840 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

947547

	registered interest
	date	24/07/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9837
	answer	answer is ministerial correction date of answer 26/07/2018 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 grouped question UIN HL9838 question first answered 26/07/2018 12:52:37 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

947551

	registered interest
	date	24/07/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Baroness Cox
	uin	HL9838
	answer	answer is ministerial correction date of answer 26/07/2018 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 grouped question UIN HL9837 question first answered 26/07/2018 12:52:36 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox