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1020007

	registered interest
	date	04/12/2018
	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	Doctors: Facilities
	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 make it his policy to ensure that all doctors have access to a dedicated place to rest (a) during and (b) at the end of their work shift.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	198753
	answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>It is a matter for employers to ensure that rest facilities are provided for all staff during breaks in their work shifts. Staff would normally leave their place of work at the end of their shift.</p><p> </p><p>There are particular provisions in the terms and conditions of doctors in training and consultants covering working at night.</p><p> </p><p>The doctors in training contract states: “Where a doctor is required to work overnight on a resident on-call working pattern, the doctor shall be provided with overnight accommodation for the resident on-call duty period. The consultant contract requires agreement with their employer on those occasions when they would be resident for night duties which, subject to the agreement, may include access to a dedicated place to rest.”</p><p> </p><p>Generally, employers do not require doctors to be resident on call, as all time resident on call is classified as working hours following the Jaeger judgement. It is a matter for employers to consider what rest facilities they wish to provide when a doctor has been called into the hospital and wishes to rest before going home.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/12/2018 11:23:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1023254

	registered interest
	date	11/12/2018
	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	Healthcare Environmental Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Written Statement of 11 December 2018 on Clinical Waste, Official Report, HCWS1168, if he will publish the NHS trusts that continue to receive services from Healthcare Environmental Services.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	201130
	answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>As of 13 December, no National Health Service trusts with remaining contacts in place with Healthcare Environment Services are reporting that they are continuing to receive their scheduled clinical waste collections from Healthcare Environmental Services. Contingency arrangements are in place for each of the affected trusts. An optional extension in the Mitie contract has been exercised, which will allow all affected trusts to access a replacement clinical waste collection service, should they choose to do so.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:40:40 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1023255

	registered interest
	date	11/12/2018
	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	Healthcare Environmental Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Written Statement of 11 December 2018 on Clinical Waste, Official Report HCWS1168, what assessment he has made of the reasons why clinical waste from NHS trusts was not collected and properly disposed of by Healthcare Environmental Services.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	201131
	answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>The Environment Agency is currently investigating the reasons as to why the clinical waste was over the permitted levels on a number of sites owned by Healthcare Environment Services, and they have launched criminal investigations into permit breaches by Healthcare Environmental Services.</p><p>As of 13 December, all the trusts still holding contracts with Healthcare Environment Services have reported that Healthcare Environment Services have failed to meet scheduled waste collections. NHS Improvement sought assurance from Healthcare Environment Services that it has not ceased trading and will continue to provide services. Such assurance has not been forthcoming and contingency arrangements have therefore been put in place for each of the affected trusts.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:39:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1027226

	registered interest
	date	17/12/2018
	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	Accident and Emergency Departments: Weather
	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 Winter Daily Situation Report published by NHS England on 13 December 2018, what assessment has been made of the health outcomes of the 25 patients that were diverted to another A&E department between 3 December and 9 December 2018.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	202726
	answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>NHS England’s Winter Daily Situation Reports are published at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2018-19-data/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2018-19-data/</a></p><p> </p><p>The data record the number of diverts in place and not the number of patients. The plans for diverts are pre-agreed locally between ambulance service and neighbouring trusts and are designed to ensure patients can be seen faster.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 202727 question first answered 20/12/2018 12:58:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1027227

	registered interest
	date	17/12/2018
	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	Accident and Emergency Departments: Weather
	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 Winter Daily Situation Report published by NHS England on 13 December 2018, what distance the 25 patients who were diverted to another A&E department between 3 December and 9 December 2018 had to travel (a) from their local hospital and (b) from their homes.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	202727
	answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>NHS England’s Winter Daily Situation Reports are published at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2018-19-data/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2018-19-data/</a></p><p> </p><p>The data record the number of diverts in place and not the number of patients. The plans for diverts are pre-agreed locally between ambulance service and neighbouring trusts and are designed to ensure patients can be seen faster.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 202726 question first answered 20/12/2018 12:58:14 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1029415

	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: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the (a) number and (b) cost of refrigerators bought for the preservation of medicines as part of contingency planning in the event the UK leaves the EU without a deal.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	204430
	answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>As part of the Department’s ‘no deal’ European Union exit contingency planning a tender process to procure additional warehouse space for stockpiled medicines, including ambient, refrigerated and controlled drug storage, was undertaken in October 2018. Contract agreements for storage, including refrigerated storage for around 5,000 pallets of medicines, have recently been signed. The refrigerated storage will cost circa £1 million.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/01/2019 16:12:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1039001

	registered interest
	date	10/01/2019
	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	Epilepsy: Drugs
	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 adequacy of the availability of essential epilepsy medicines imported from the EU in the event that the UK leaves the EU without a deal; and if he will make a statement.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	207180
	answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>We understand that epilepsy medicines are vitally important to many people in this country. Our contingency plans aim to ensure that the supply of epilepsy medicines and other essential medicines to patients is not disrupted in all European Union exit scenarios, including a ‘no deal’ exit.</p><p> </p><p>That is why on 23 August 2018, the Department wrote to all pharmaceutical companies that supply prescription only medicines and pharmacy medicines to the United Kingdom that come from, or via, the EU or European Economic Area (EEA) asking them to ensure a minimum of six weeks additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019.</p><p> </p><p>We followed that up on 7 December 2018 when the Department wrote to pharmaceutical companies that supply licensed medicines to the UK from or via the EU/EEA, and/or manufacture medicines in the UK, informing them of the updated reasonable worst-case scenario border planning assumptions and asking them about their current transportation routes and their ability to re-route their supply chains if they currently rely on Dover and/or Folkestone.</p><p> </p><p>In response to those communications we have received very good engagement from industry, including companies supplying epilepsy medicines to the UK, who share our aims of ensuring continuity of medicines supply for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/01/2019 15:53:16 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1063732

	registered interest
	date	18/02/2019
	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	East of England Ambulance Service NHS Trust: Dismissal
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much has been spent by East of England Ambulance Service NHS Trust on (a) legal fees and (b) other costs associated with terminating the employment of Gordon Fleming and defending legal action brought by him.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	222781
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>The total legal costs incurred by the East of England Ambulance Service NHS Trust, since 2014, in respect of all matters, proceedings and appeals involving Mr Gordon Fleming is £252,162.15 plus VAT. This figure includes disbursements and Counsel’s fees. The Trust is unable to quantify other costs.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 16:53:33 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1082317

	registered interest
	date	05/03/2019
	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 Trusts: Legal Costs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much each NHS trust spent on legal fees defending employment tribunal cases relating to (a) discrimination, (b) unfair dismissal and (c) public interest disclosure in each year since 2016.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	228644
	answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Costs for how much each National Health Service trust spent in legal fees defending employment tribunal cares relating to discrimination, unfair dismissal and public interest disclosure since 2016 is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/03/2019 12:42:06 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb

1105875

	registered interest
	date	28/03/2019
	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	East of England Ambulance Service NHS Trust: Legal Costs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the East of England Ambulance Service NHS Trust spent on legal fees on its appeal to the First Tier Tribunal with respect to the Information Commissioner's Office's decision notices on patient safety and welfare information.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	238289
	answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The East of England Ambulance Service NHS Trust spent £4,655.29 on legal fees on its appeal to the First Tier Tribunal with respect to the Information Commissioner's Office's decision notices on patient safety and welfare information.</p><p> </p><p>The amount East of England Ambulance Service NHS Trust has spent on legal fees defending employment tribunal cases in each year since 2016 is set out in the following table.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Amount</p></td></tr><tr><td><p>2016/17</p></td><td><p>£267,037.81</p></td></tr><tr><td><p>2017/18</p></td><td><p>£213,414.20</p></td></tr><tr><td><p>2018/19</p></td><td><p>£325,640.03 (year to date)</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 238290 question first answered 02/04/2019 14:05:46 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1439 label Biography information for Norman Lamb