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843701

	registered interest
	date	19/02/2018
	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	Doctors: Training
	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 responding to the recommendations of the Shape of Training review of October 2013.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	128053
	answer	answer is ministerial correction date of answer 27/02/2018 answer text <p>A Ministerial Statement and the report of the Shape of Training United Kingdom Steering Group was published on 11 August 2017 here:</p><p> </p><p><a href="https://www.shapeoftraining.co.uk/1739.asp" target="_blank">https://www.shapeoftraining.co.uk/1739.asp</a></p><p> </p><p>Since then the four UK Health Departments and associated education bodies have established, with the General Medical Council, the Curriculum Oversight Group. This Group is engaging with the medical Royal Colleges and their Faculties to consider how training pathways and curricula might be adapted in each specialty to meet future patient and service needs in accordance with the Shape of Training principles.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 27/02/2018 13:07:08 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

843700

	registered interest
	date	19/02/2018
	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: Consultants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department is making an assessment of the potential merits of providing support for consultants who wish to work flexibly beyond retirement age; and if he will make a statement.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	128051
	answer	answer is ministerial correction date of answer 27/02/2018 answer text <p>As part of their responsibilities for ensuring they have sufficient skills and experience to deliver patient care, employers with consultant staff should be engaging them about whether they want to consider working flexibly beyond their retirement age.</p><p> </p><p>Those consultants who reach agreement with their employers to work beyond their retirement age have a range of flexible retirement options. These are described in the NHS Pensions “Retirement Guide”<sup>1</sup> chapter “What if I want to work after I retire?” including “retire and return” which sets out the circumstances under which staff can be re-employed having taken their pension benefits.</p><p> </p><p>Following Lord Hutton’s ‘Independent Public Service Pensions Commission: final report’<sup>2</sup>, Ministers set up a Working Longer Group. This partnership of nationally recognised trade unions, National Health Service employers and health departments reviewed the implications of NHS staff working longer. Following their review, a library of research, tools and resources<sup>3 </sup>are available to help employers and staff, including consultants, understand the implications of working to a raised retirement age.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup><a href="https://www.nhsbsa.nhs.uk/member-hub/applying-your-pension" target="_blank">https://www.nhsbsa.nhs.uk/member-hub/applying-your-pension</a></p><p><sup> </sup></p><p><sup>2</sup><a href="https://www.gov.uk/government/publications/independent-public-service-pensions-commission-final-report-by-lord-hutton" target="_blank">https://www.gov.uk/government/publications/independent-public-service-pensions-commission-final-report-by-lord-hutton</a></p><p><sup> </sup></p><p><sup>3</sup><a href="http://www.nhsemployers.org/your-workforce/need-to-know/working-longer-group" target="_blank">http://www.nhsemployers.org/your-workforce/need-to-know/working-longer-group</a></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 27/02/2018 13:11:04 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

838550

	registered interest
	date	07/02/2018
	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	Doctors: South West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will meet with representatives of local deaneries to discuss increasing the number of registrar places made available for employment in hospitals in the South West.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	127370
	answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>Health Education England (HEE) is responsible for planning and commissioning postgraduate medical training in England. This includes working with hospitals and trusts, such as those in the South West, to support the wider workforce, including registrars, to help trusts meet their workforce needs.</p><p> </p><p>HEE plans to review the geographical distribution of training programmes this year to address the role trainees play in service delivery across small or medium-sized hospitals.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 20/02/2018 12:19:40 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

846943

	registered interest
	date	22/02/2018
	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	Midwives: Retirement
	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 midwives left employment in the NHS in England on account of reaching retirement age in each of the last three years.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	129117
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>NHS Digital publishes workforce statistics and the following table shows the number of midwives who have left the National Health Service since October 2014 to 2017.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Leavers from the NHS that were midwives, those that had the recorded reason of retirement age, in NHS trusts and clinical commissioning groups in England, between 31 October 2014 and 31 October 2017, headcount</p><table><tbody><tr><td><p>Year</p></td><td><p>October 2014 - October 2015</p></td><td><p>October 2015 - October 2016</p></td><td><p>October 2016 - October 2017</p></td></tr><tr><td><p>Midwives, retired leavers (Headcount)</p></td><td><p>462</p></td><td><p>505</p></td><td><p>428</p></td></tr></tbody></table><p>Source: NHS Digital, NHS HCHS workforce statistics</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 01/03/2018 14:24:02 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

834693

	registered interest
	date	01/02/2018
	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 Trusts: Subsidiary Companies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance his Department is providing to NHS Trusts who have (a) set up or (b) are in the process of setting up subsidiary companies within their organisation.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	126141
	answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>NHS Improvement has advised that no formal guidance has been issued to National Health Service trusts who have set up or are in the process of setting up subsidiary companies within their organisation.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 06/02/2018 12:23:56 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

850052

	registered interest
	date	26/02/2018
	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 Trusts: Subsidiary Companies
	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 NHS trusts (a) have set up a subsidiary company or (b) are in the process of setting up a subsidiary company; which such trusts have such companies; and what those companies are.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	129620
	answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>NHS Improvement has informed the Department that they ask foundation trusts, to report how many subsidiaries have been consolidated into their accounts. In returns received by NHS Improvement for the year ended 31 March 2017, foundation trusts reported 41 consolidated subsidiaries (excluding any consolidated National Health Service charitable funds).</p><p> </p><p>Information on the number of NHS trusts that have set up or are in the process of setting up subsidiary companies is not collected centrally.</p><p> </p><p>NHS trusts do not have an express statutory power to form or participate in ownership of a company other than for income generation purposes. NHS organisations have a duty to operate efficiently and economically and are responsible for putting in place the most effective structures they need to deliver services to their patients within available resources.</p><p> </p><p>Both the Department and NHS Improvement have not provided any advice to trusts seeking to set up subsidiary companies on their right to access private funding including patient income. The Secretary of State requires that NHS providers pay a Public Dividend Capital dividend based on a charge of 3.5% of actual average relevant net assets, including subsidiaries, during the financial year as determined in the draft/unaudited accounts submitted to NHS Improvement/the Department. The Secretary of State has the power under the Health and Medicines Act 1988, as invoked by Sch. 4 Para. 20 of the NHS Act 2006 to provide loans. However, in practice no loans have been provided to subsidiary companies of trusts.</p><p> </p><p>Local Health and Social Care Overview and Scrutiny Committees are consulted about service changes to their local NHS. No guidance has been issued to trusts who are seeking to set up subsidiary companies on submitting proposals to establish such companies to Health and Social Care Overview and Scrutiny Committees for examination.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 129703 129704 129705 question first answered 06/03/2018 14:12:03 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

850135

	registered interest
	date	26/02/2018
	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 Trusts: Subsidiary Companies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether NHS trusts that set up subsidiary companies are able to transfer (a) buildings and (b) other assets to those companies.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	129703
	answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>NHS Improvement has informed the Department that they ask foundation trusts, to report how many subsidiaries have been consolidated into their accounts. In returns received by NHS Improvement for the year ended 31 March 2017, foundation trusts reported 41 consolidated subsidiaries (excluding any consolidated National Health Service charitable funds).</p><p> </p><p>Information on the number of NHS trusts that have set up or are in the process of setting up subsidiary companies is not collected centrally.</p><p> </p><p>NHS trusts do not have an express statutory power to form or participate in ownership of a company other than for income generation purposes. NHS organisations have a duty to operate efficiently and economically and are responsible for putting in place the most effective structures they need to deliver services to their patients within available resources.</p><p> </p><p>Both the Department and NHS Improvement have not provided any advice to trusts seeking to set up subsidiary companies on their right to access private funding including patient income. The Secretary of State requires that NHS providers pay a Public Dividend Capital dividend based on a charge of 3.5% of actual average relevant net assets, including subsidiaries, during the financial year as determined in the draft/unaudited accounts submitted to NHS Improvement/the Department. The Secretary of State has the power under the Health and Medicines Act 1988, as invoked by Sch. 4 Para. 20 of the NHS Act 2006 to provide loans. However, in practice no loans have been provided to subsidiary companies of trusts.</p><p> </p><p>Local Health and Social Care Overview and Scrutiny Committees are consulted about service changes to their local NHS. No guidance has been issued to trusts who are seeking to set up subsidiary companies on submitting proposals to establish such companies to Health and Social Care Overview and Scrutiny Committees for examination.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 129620 129704 129705 question first answered 06/03/2018 14:12:03 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

850136

	registered interest
	date	26/02/2018
	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 Trusts: Subsidiary Companies
	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 his Department offers to NHS trusts seeking to set up subsidiary companies on (a) their right to access private funding including private patient income, (b) their obligation to pay capital charges on any asset owned and (c) access to NHS loans.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	129704
	answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>NHS Improvement has informed the Department that they ask foundation trusts, to report how many subsidiaries have been consolidated into their accounts. In returns received by NHS Improvement for the year ended 31 March 2017, foundation trusts reported 41 consolidated subsidiaries (excluding any consolidated National Health Service charitable funds).</p><p> </p><p>Information on the number of NHS trusts that have set up or are in the process of setting up subsidiary companies is not collected centrally.</p><p> </p><p>NHS trusts do not have an express statutory power to form or participate in ownership of a company other than for income generation purposes. NHS organisations have a duty to operate efficiently and economically and are responsible for putting in place the most effective structures they need to deliver services to their patients within available resources.</p><p> </p><p>Both the Department and NHS Improvement have not provided any advice to trusts seeking to set up subsidiary companies on their right to access private funding including patient income. The Secretary of State requires that NHS providers pay a Public Dividend Capital dividend based on a charge of 3.5% of actual average relevant net assets, including subsidiaries, during the financial year as determined in the draft/unaudited accounts submitted to NHS Improvement/the Department. The Secretary of State has the power under the Health and Medicines Act 1988, as invoked by Sch. 4 Para. 20 of the NHS Act 2006 to provide loans. However, in practice no loans have been provided to subsidiary companies of trusts.</p><p> </p><p>Local Health and Social Care Overview and Scrutiny Committees are consulted about service changes to their local NHS. No guidance has been issued to trusts who are seeking to set up subsidiary companies on submitting proposals to establish such companies to Health and Social Care Overview and Scrutiny Committees for examination.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 129620 129703 129705 question first answered 06/03/2018 14:12:03 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

850137

	registered interest
	date	26/02/2018
	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 Trusts: Subsidiary Companies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance his Department gives to NHS trusts seeking to set up subsidiary companies on submitting proposals to establish such companies to the Health and Social Care Overview and Scrutiny Committees for examination.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	129705
	answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>NHS Improvement has informed the Department that they ask foundation trusts, to report how many subsidiaries have been consolidated into their accounts. In returns received by NHS Improvement for the year ended 31 March 2017, foundation trusts reported 41 consolidated subsidiaries (excluding any consolidated National Health Service charitable funds).</p><p> </p><p>Information on the number of NHS trusts that have set up or are in the process of setting up subsidiary companies is not collected centrally.</p><p> </p><p>NHS trusts do not have an express statutory power to form or participate in ownership of a company other than for income generation purposes. NHS organisations have a duty to operate efficiently and economically and are responsible for putting in place the most effective structures they need to deliver services to their patients within available resources.</p><p> </p><p>Both the Department and NHS Improvement have not provided any advice to trusts seeking to set up subsidiary companies on their right to access private funding including patient income. The Secretary of State requires that NHS providers pay a Public Dividend Capital dividend based on a charge of 3.5% of actual average relevant net assets, including subsidiaries, during the financial year as determined in the draft/unaudited accounts submitted to NHS Improvement/the Department. The Secretary of State has the power under the Health and Medicines Act 1988, as invoked by Sch. 4 Para. 20 of the NHS Act 2006 to provide loans. However, in practice no loans have been provided to subsidiary companies of trusts.</p><p> </p><p>Local Health and Social Care Overview and Scrutiny Committees are consulted about service changes to their local NHS. No guidance has been issued to trusts who are seeking to set up subsidiary companies on submitting proposals to establish such companies to Health and Social Care Overview and Scrutiny Committees for examination.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 129620 129703 129704 question first answered 06/03/2018 14:12:03 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew

989491

	registered interest
	date	17/10/2018
	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	Neurology: Consultants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to increase the number of neurology consultants.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	180628
	answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>National Health Service workforce statistics published by NHS Digital show that the full time equivalent number of consultant neurologists employed by the NHS in England has increased by 45% between September 2010 and June 2018 (latest published data):</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Neurology Consultants</p></td></tr><tr><td><p>September 2010</p></td><td><p>536</p></td></tr><tr><td><p>September 2011</p></td><td><p>550</p></td></tr><tr><td><p>September 2012</p></td><td><p>584</p></td></tr><tr><td><p>September 2013</p></td><td><p>616</p></td></tr><tr><td><p>September 2014</p></td><td><p>647</p></td></tr><tr><td><p>September 2015</p></td><td><p>672</p></td></tr><tr><td><p>September 2016</p></td><td><p>732</p></td></tr><tr><td><p>September 2017</p></td><td><p>766</p></td></tr><tr><td><p>June 2018</p></td><td><p>776</p></td></tr></tbody></table><p><br>Source: NHS Hospital and Community Health Service (HCHS) monthly workforce statistics, NHS Digital</p><p> </p><p>Responsibility for staffing levels, including the number of consultant posts, rests with individual NHS trusts and their boards who are best placed to decide how many staff they need to provide a given service.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/10/2018 13:58:27 answering member 4095 label Biography information for Steve Barclay
	tabling member	252 label Biography information for Dr David Drew