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805141

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Trusts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what requirements his Department has placed on NHS Trusts to consult (a) staff and (b) local residents on changes to services provided by those Trusts.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	118813
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The National Health Service has published documentation to guide public, staff, and Governor involvement in proposed services changes.</p><p> </p><p>The guidance document ‘Engaging local people: A guide for local areas developing Sustainability and Transformation Plans’ was published in September 2016 and contains relevant information on public involvement and consultation. Clinical commissioning groups and NHS trusts and NHS foundation trusts are also required to have regard to relevant guidance. However, where there are concerns on patient safety grounds, the normal procedures for public consultation do not apply.</p><p> </p><p>With regard to staff, NHS Improvement’s November 2017 document ‘Transactions guidance – for trusts undertaking transactions, including mergers and acquisitions’ sets out how NHS Improvement works closely with the NHS trust board to ensure staff are engaged in any transaction process. NHS Improvement would look for evidence of engagement with key staff and stakeholders as evidence of good practice through its assessment process.</p><p> </p><p>Governors, in foundation trusts only, are required by law to represent the interests of both members of the NHS foundation trust and of the public. They may choose a range of different ways to engage with these groups. NHS Improvement is aware of a number of methods that some Councils of Governors have chosen to adopt, such as Governor “drop-in days” where members and the public can come and meet Governors, and surveys.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 118829 question first answered 18/12/2017 13:30:20 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

805145

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Baby Care Units
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department has issued on the recommended level of staffing of clinicians for Special Care Baby Units.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	118817
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Since July 2016, the National Quality Board (NQB) has undertaken to produce a series of sector-specific resources including maternity and neonatal care. These build upon “Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time: Safe, sustainable and productive staffing” and adopt the same approach to determining safe staffing levels.</p><p> </p><p>In June 2017 NHS Improvement published a draft improvement resource on behalf of the NQB to help standardise safe, sustainable and productive staffing decisions in maternity services “Safe, sustainable and productive staffing: An improvement resource for maternity services”. NHS Improvement is currently reviewing feedback on this draft resource which will help to shape the final document.</p><p> </p><p>In November 2017, NHS Improvement also published a draft improvement resource to help standardise safe, sustainable and productive staffing decisions in neonatal care “Safe, sustainable and productive staffing: An improvement resource for neonatal care”. The engagement period for this draft resource will run until 22 December 2017.</p><p> </p><p>Providers are expected to follow existing guidance for safe staffing levels.</p><p> </p><p>For maternity services, the National Institute for Health and Care Excellence (NICE) has published guidance in February 2015 “Safe midwifery staffing for maternity settings”, NICE guideline [NG4].</p><p> </p><p>The document is available at:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng4/chapter/1-Recommendations#setting-the-midwifery-staffing-establishment" target="_blank">https://www.nice.org.uk/guidance/ng4/chapter/1-Recommendations#setting-the-midwifery-staffing-establishment</a></p><p> </p><p>For neonatal units, the British Association for Perinatal Medicine has set recommended staffing levels in the third edition of its Service Standards for Hospitals Providing Neonatal Care published in August 2010.</p><p> </p><p>The document is available at:</p><p> </p><p><a href="http://www.nna.org.uk/html/BAPM_Standards_Final_Aug2010.pdf" target="_blank">http://www.nna.org.uk/html/BAPM_Standards_Final_Aug2010.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 118818 question first answered 18/12/2017 16:35:18 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

805146

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department has issued on the recommended level of staffing of clinicians for Maternity Units.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	118818
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Since July 2016, the National Quality Board (NQB) has undertaken to produce a series of sector-specific resources including maternity and neonatal care. These build upon “Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time: Safe, sustainable and productive staffing” and adopt the same approach to determining safe staffing levels.</p><p> </p><p>In June 2017 NHS Improvement published a draft improvement resource on behalf of the NQB to help standardise safe, sustainable and productive staffing decisions in maternity services “Safe, sustainable and productive staffing: An improvement resource for maternity services”. NHS Improvement is currently reviewing feedback on this draft resource which will help to shape the final document.</p><p> </p><p>In November 2017, NHS Improvement also published a draft improvement resource to help standardise safe, sustainable and productive staffing decisions in neonatal care “Safe, sustainable and productive staffing: An improvement resource for neonatal care”. The engagement period for this draft resource will run until 22 December 2017.</p><p> </p><p>Providers are expected to follow existing guidance for safe staffing levels.</p><p> </p><p>For maternity services, the National Institute for Health and Care Excellence (NICE) has published guidance in February 2015 “Safe midwifery staffing for maternity settings”, NICE guideline [NG4].</p><p> </p><p>The document is available at:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng4/chapter/1-Recommendations#setting-the-midwifery-staffing-establishment" target="_blank">https://www.nice.org.uk/guidance/ng4/chapter/1-Recommendations#setting-the-midwifery-staffing-establishment</a></p><p> </p><p>For neonatal units, the British Association for Perinatal Medicine has set recommended staffing levels in the third edition of its Service Standards for Hospitals Providing Neonatal Care published in August 2010.</p><p> </p><p>The document is available at:</p><p> </p><p><a href="http://www.nna.org.uk/html/BAPM_Standards_Final_Aug2010.pdf" target="_blank">http://www.nna.org.uk/html/BAPM_Standards_Final_Aug2010.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 118817 question first answered 18/12/2017 16:35:18 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

805147

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Strokes: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department issues on recommended clinician staffing levels for stroke units.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	118819
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The recommended staffing levels in the National Guidelines for Stroke (5th edition) in 2016 are as follows:</p><p><strong> </strong></p><table><tbody><tr><td rowspan="2"><p> </p></td><td><p>Physio-therapist</p></td><td><p>Occupational<br> therapist</p></td><td><p>Speech and language therapist</p></td><td><p>Clinical neuro-psychologist/clinical psychologist</p></td><td><p>Dietitian</p></td><td><p>Nurse</p></td><td><p>Consultant stroke physician</p></td></tr><tr><td colspan="5"><p>(Whole-time equivalent per five beds)</p></td><td><p>(Whole-time equivalent per bed)</p></td><td><p> </p></td></tr><tr><td><p>Hyper-acute<br> Stroke Unit</p></td><td><p>0.73</p></td><td><p>0.68</p></td><td><p>0.34</p></td><td><p>0.20</p></td><td><p>0.15</p></td><td><p>2.9<br> (80:20 registered: unregistered)</p></td><td><p>24/7 availability; minimum six thrombolysis trained physicians on rota</p></td></tr><tr><td><p>Acute Stroke Unit</p></td><td><p>0.84</p></td><td><p>0.81</p></td><td><p>0.40</p></td><td><p>0.20</p></td><td><p>0.15</p></td><td><p>1.35<br> (65:35 registered: unregistered)</p></td><td><p>Consultant-led ward round five days a week</p></td></tr></tbody></table><p><strong> </strong></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/12/2017 16:46:03 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

805157

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Trusts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what requirements his Department has placed on NHS Trusts to consult Governors prior to any changes to services provided by those Trusts.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	118829
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The National Health Service has published documentation to guide public, staff, and Governor involvement in proposed services changes.</p><p> </p><p>The guidance document ‘Engaging local people: A guide for local areas developing Sustainability and Transformation Plans’ was published in September 2016 and contains relevant information on public involvement and consultation. Clinical commissioning groups and NHS trusts and NHS foundation trusts are also required to have regard to relevant guidance. However, where there are concerns on patient safety grounds, the normal procedures for public consultation do not apply.</p><p> </p><p>With regard to staff, NHS Improvement’s November 2017 document ‘Transactions guidance – for trusts undertaking transactions, including mergers and acquisitions’ sets out how NHS Improvement works closely with the NHS trust board to ensure staff are engaged in any transaction process. NHS Improvement would look for evidence of engagement with key staff and stakeholders as evidence of good practice through its assessment process.</p><p> </p><p>Governors, in foundation trusts only, are required by law to represent the interests of both members of the NHS foundation trust and of the public. They may choose a range of different ways to engage with these groups. NHS Improvement is aware of a number of methods that some Councils of Governors have chosen to adopt, such as Governor “drop-in days” where members and the public can come and meet Governors, and surveys.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 118813 question first answered 18/12/2017 13:30:20 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

782757

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Malnutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many (a) children and (b) adults have been admitted to hospital with malnutrition in the last 12 months.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	111037
answer	answer is ministerial correction date of answer 10/11/2017 answer text <p>Data is not available in the format requested. Such data as is available is provided in the table below. This is a count of finished admission episodes (FAEs)<sup>1 </sup>with a primary or secondary diagnosis<sup>2</sup> of malnutrition<sup>3</sup>, by patients aged 0-17 and adults aged 18 and over, for the financial year 2016-17. This is a count of hospital attendances resulting in admissions, not individual patients as the same person may have been admitted into a National Health Service hospital on more than one occasion.</p><p> </p><table><tbody><tr><td><p>Age</p></td><td><p>FAE’s</p></td></tr><tr><td><p>Children (Aged 0-17)</p></td><td><p>344</p></td></tr><tr><td><p>Adults (Aged 18+)</p></td><td><p>7,939</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>FAEs</p><p> </p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><p><sup>2</sup>Number of episodes in which the patient had a primary or secondary diagnosis</p><p> </p><p>The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</p><p> </p><p><sup>3</sup>ICD-10 coding for malnutrition</p><p> </p><p>E40 Kwashiorkor</p><p>E41 Nutritional marasmus</p><p>E42 Marasmic kwashiorkor</p><p>E43 Unspecified severe protein-energy malnutrition</p><p>E44 Protein-energy malnutrition of moderate and mild degree</p><p>E45 Retarded development following protein-energy malnutrition</p><p>E46 Unspecified protein-energy malnutrition</p><p>O25 Malnutrition in pregnancy</p><p>P00.4 Fetus and newborn affected by maternal nutritional disorders</p><p>P05.2 Fetal malnutrition without mention of light or small for gestational age</p><p><br> The presence of an ICD-10 code of malnutrition on the admission episode indicates that the patient was diagnosed with, and would therefore being treated for malnutrition during the episode of care. The cause of malnutrition is not presented here but may be due to dietary issues, an inability to absorb nutrients normally or another disease affecting the patient’s ability to feed normally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/11/2017 14:57:27 answering member 1542 label Biography information for Philip Dunne
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

758765

registered interest
date	07/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children in Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many looked after children (a) had an initial mental health screening and (b) are awaiting further assessments or treatment in each of the last 12 months.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	9409
answer	answer is ministerial correction date of answer 12/09/2017 answer text <p>The information requested is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/09/2017 14:43:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

754075

registered interest
date	19/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Work: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many applications have been made for social work bursaries for students commencing courses in September 2017; and how many and what proportion of those applications have been successful.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	6050
answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>The information requested is not yet available. The deadline for postgraduate social work students starting courses in September 2017 applying for a bursary is 1 November 2017. A separate deadline of 14 February 2018 applies for postgraduate students starting their course in January 2018.</p><p> </p><p>Undergraduate social work students starting in the 2017 academic year will not be eligible for a bursary until their second year of study.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/09/2017 13:09:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

715079

registered interest
date	29/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Healthy Start Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of eligible people applied for the Healthy Start scheme in (a) 2015-16 and (b) 2016-17 to date; and what plans his Department has to increase uptake of that scheme.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	69891
answer	answer is ministerial correction date of answer 24/04/2017 answer text <p>The figures for take-up of the Healthy Start scheme for 2015-16 and 2016-17 are as follows:</p><p> </p><p>- Between 6 April 2015 and 3 April 2016, 197,842 eligible beneficiaries were invited to apply. 208,486 applications were received, of which 147,124 were approved as meeting the criteria (74%).</p><p>- Between 4 April 2016 and 5 March 2017, 198,319 eligible beneficiaries were invited to apply. 172,020 applications were received, of which 125,134 were approved as meeting the criteria (63%).</p><p> </p><p>Expenditure on the Healthy Start Scheme is demand-led and based on the number of eligible people who apply for it. The Government is working to ensure that eligible families are aware of the scheme and how it can help them. It is promoted via the Healthy Start and Start4Life websites, reminding families to take up the vouchers. We are also exploring how digital technology could make it easier for people to receive Healthy Start benefits in the future, as part of the Government’s wider digital strategy. At a local level, midwives and health visitors play a key role in promoting awareness of the scheme.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 24/04/2017 12:37:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

662935

registered interest
date	20/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Reorganisation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which organisations and bodies are involved in decisions on whether Sustainability and Transformation Plans are implemented; which of these organisations makes that final decision; and what the Government's policy is on requiring the implementation of such plans in the event that agreement on implementation cannot be reached.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	58545
answer	answer is ministerial correction date of answer 11/01/2017 answer text <p>Sustainability and Transformation Plans (STPs) are an opportunity for providers and commissioners of health and care services to come together within a local area and ensure they have a plan for how they, as a group, expect to deliver services over the coming years.</p><p> </p><p>Ultimately it is for local organisations to decide how best to implement plans and to ensure that they have the support of NHS bodies, local government and the communities they serve. NHS England and NHS Improvement will continue to have roles in ensuring that commissioners and providers respectively deliver on their plans.</p><p> </p><p>STPs are not new statutory organisations and the STP process does not alter the existing accountabilities of clinical commissioning groups, local authorities or NHS provider organisations.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 11/01/2017 11:30:21 answering member 4080 label Biography information for David Mowat
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck