The junior doctors\u2019 contract introduced in 2016 included measures aimed at improving the wellbeing of the junior doctor workforce including new, stronger limits on working hours and patterns. These included reducing the maximum number of consecutive nights shifts to four (down from seven) and ensuring at least 46 hours rest at the end of a run of three or four consecutive nights.<\/p>
A joint review of the effectiveness of the contract has now been concluded by the British Medical Association (BMA) and NHS Employers which has resulted in even more robust safety and rest limits; for example, a rest period of 46 hours will be applied following any number of rostered night shifts. The BMA and NHS Employers have also agreed good rostering guidance that emphasises the need to have a balanced rota cycle with different types of shifts, including night shifts, evenly distributed to manage fatigue.<\/p>
A junior doctors\u2019 work schedule is designed to meet their training needs and this also, in practice, limits the number of night shifts they are expected to complete (as training usually takes place during the day time).<\/p>
<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T15:24:38.513Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-28", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Junior Doctors: Working Hours"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential benefit to the welfare of doctors of limiting the number of night shifts a junior doctor can work in a month.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/308", "label" : {"_value" : "Biography information for Mr Jim Cunningham"} } , "tablingMemberConstituency" : {"_value" : "Coventry South"} , "tablingMemberPrinted" : [{"_value" : "Mr Jim Cunningham"} ], "uin" : "270697"} , {"_about" : "http://data.parliament.uk/resources/1135522", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135522/answer", "answerText" : {"_value" : "
As at 26 June 2019, there were 151,529 United Kingdom-insured people residing in a European Union country, excluding Ireland, who had an active registered entitlement under the S1 scheme and are eligible for UK-funded healthcare. As S1 certificates are not issued for Ireland, the exact number of people receiving UK-funded healthcare within the EU is not held by the Government or its arm\u2019s length bodies.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T15:30:28.643Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-28", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Medical Treatments Abroad: British Nationals Abroad"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, how many UK citizens residing in the EU receive free healthcare under the S1 scheme.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/151", "label" : {"_value" : "Biography information for Tom Brake"} } , "tablingMemberConstituency" : {"_value" : "Carshalton and Wallington"} , "tablingMemberPrinted" : [{"_value" : "Tom Brake"} ], "uin" : "270693"} , {"_about" : "http://data.parliament.uk/resources/1135524", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135524/answer", "answerText" : {"_value" : "
The Government of Spain has offered to continue to maintain the existing arrangements for reciprocal healthcare in the event that the United Kingdom leaves the European Union without a deal. This includes access to treatment that becomes necessary during the course of a visit to Spain.<\/p>
This means that in Spain, UK-issued European Health Insurance Cards (EHICs) or the equivalent would continue to be accepted as proof of UK cover in a \u2018no deal\u2019 scenario. The UK EHIC or its equivalent would need to be presented with a valid passport. It is important to note that UK EHICs will be accepted in Spain for 21 months after EU exit.<\/p>
The Government of Portugal\u2019s \u2018no deal\u2019 unilateral offer is only extended to UK nationals. This means that other nationals, including EU citizens, resident in the UK who presently enjoy UK EHIC cover would be fully charged for accessing public healthcare when they visit Portugal. Only UK passports, and not UK EHICs, would be accepted as providing proof of UK cover. The unilateral offer covers the period from exit day until 31 December 2020.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"}
}
, "answeringMemberConstituency" : {"_value" : "Wimbledon"}
, "answeringMemberPrinted" : {"_value" : "Stephen Hammond"}
, "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-07-03T15:31:04.6Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-06-28", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Medical Treatments Abroad: British Nationals Abroad"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps UK citizens visiting Spain and Portugal will have to take to prove that they are entitled to healthcare under the bilateral agreements on healthcare rights for UK citizens in the event that the UK leaves the EU without an agreement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/151", "label" : {"_value" : "Biography information for Tom Brake"}
}
, "tablingMemberConstituency" : {"_value" : "Carshalton and Wallington"}
, "tablingMemberPrinted" : [{"_value" : "Tom Brake"}
], "uin" : "270695"}
, {"_about" : "http://data.parliament.uk/resources/1135583", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1135583/answer", "answerText" : {"_value" : "
National Health Service trusts make decisions locally on how the services needed to run their hospitals are delivered. This will be based on their service needs and their local environment, including taking into account the locations, types and economics of how these services can be procured and run. All organisations regardless of whether they are outsourced, or in-house teams are required to follow the same National Cleaning Standards and the five Core Standards for Hospital Food.<\/p>
A review of NHS food was announced on 17 June 2019, and this will include how bringing the provision of food services in-house could improve quality and value for money.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T13:26:10.387Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-28", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Hospitals: Cleaning Services and Food"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, if he will conduct a review of hospital (a) food and (b) cleaning contracts to assess the potential merits of bringing those services in-house to improve (i) food standards and (ii) infection control in NHS England hospitals.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3973", "label" : {"_value" : "Biography information for Grahame Morris"} } , "tablingMemberConstituency" : {"_value" : "Easington"} , "tablingMemberPrinted" : [{"_value" : "Grahame Morris"} ], "uin" : "270795"} , {"_about" : "http://data.parliament.uk/resources/1135600", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135600/answer", "answerText" : {"_value" : "
Funding that is made available through the Provider Sustainability Fund is a recurrent part of the NHS Long Term Plan funding settlement.<\/p>
<\/p>
The way in which the funding is being deployed is however changing and this means it is non-recurrent at the level of individual providers. For example, there has been a £1.2 billion reduction in the Fund in 2019-20, but this remains available to the National Health Service and has been transferred to urgent and emergency care tariff prices and the Financial Recovery Fund.<\/p>
<\/p>
NHS England and NHS Improvement have set out in this year\u2019s NHS Operational Planning and Contracting Guidance that their ambition is that this will be the last year of Provider Sustainability Funding.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T13:27:30.003Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-28", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "NHS: Finance"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, pursuant to his Answer of 26 June 2019 to Question 266189 NHS: Debts and with reference to NHS Improvement\u2019s Quarterly performance of the NHS provider sector: quarter 2 2018/19, what assessment his Department has made of the validity of NHS Improvement\u2019s statement that the Provider Sustainability Fund is non-recurrent funding; and what estimate he has made of the level of growth in the Provider Sustainability Fund in each of the next five years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4244", "label" : {"_value" : "Biography information for Jonathan Ashworth"} } , "tablingMemberConstituency" : {"_value" : "Leicester South"} , "tablingMemberPrinted" : [{"_value" : "Jonathan Ashworth"} ], "uin" : "270806"} , {"_about" : "http://data.parliament.uk/resources/1135269", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135269/answer", "answerText" : {"_value" : "
The Government has already committed to funding for universities to offer an extra 1,500 undergraduate medical school places for domestic students. The first 630 places were taken up in September 2018 and the remaining additional places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.<\/p>
The interim NHS People Plan recognises that we will need more people working in the National Health Service over the next 10 years. We will review what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-02", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-02T11:09:58.3Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Medicine: Education"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of allocating additional funding to increase the number of domestic medical student places to ensure that the NHS has adequate staff to meet demand.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4395", "label" : {"_value" : "Biography information for Baroness Hayman of Ullock"} } , "tablingMemberConstituency" : {"_value" : "Workington"} , "tablingMemberPrinted" : [{"_value" : "Sue Hayman"} ], "uin" : "270407"} , {"_about" : "http://data.parliament.uk/resources/1134879", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1134879/answer", "answerText" : {"_value" : "
The Department does not hold this information.<\/p>
National guidance is clear that immediately necessary or urgent care should never be withheld or delayed for reasons to do with eligibility or payment. Whether care is urgent is a decision only a clinician can make and on a case-by-case basis, informed by national guidance.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-07-01", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-01T15:42:38.583Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-26", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health Services: Undocumented Migrants"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of undocumented immigrants who have died after they were denied care because they were unable to pay the costs upfront.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/308", "label" : {"_value" : "Biography information for Mr Jim Cunningham"} } , "tablingMemberConstituency" : {"_value" : "Coventry South"} , "tablingMemberPrinted" : [{"_value" : "Mr Jim Cunningham"} ], "uin" : "269628"} , {"_about" : "http://data.parliament.uk/resources/1134884", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1134884/answer", "answerText" : {"_value" : "
The board of NHS England conducts as much of its business as possible in a session that members of the public are welcome to attend and observe. It remains NHS England\u2019s policy to publish private board meeting papers and papers up until May 2018 are now available on the NHS England website at the following link:<\/p>