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748175

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect on patient care of reductions in the number of NHS nurses and midwives since 2008.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	2848
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS Digital publishes information on the number of nursing, midwifery and health visiting staff employed in the National Health Service. Earliest data is available for September 2009.</p><p> </p><p>There has been no reduction in the number of nurses and midwives in the English NHS since September 2009. As at March 2017, latest available data, there were over 7,400 full time equivalent more nurses and health visitors and over 2,600 more midwives working in the NHS compared to September 2009.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 09:43:28 answering member 1542 label Biography information for Philip Dunne
tabling member	4061 label Biography information for Bill Esterson

748177

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to ensure all patients have a named GP.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	2845
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Since 1 April 2015, all general practitioner (GP) practices have been required, under the terms of their contract, to allocate a named, accountable GP to all patients, including children.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 09:26:15 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

748178

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect on patient care of the cap on staff pay in the NHS.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	2847
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State has made clear, the support and welfare of National Health Service staff is a top priority as they do a fantastic job - the Government is committed to ensuring they can continue to deliver world-class patient care. Pay restraint has helped the NHS to recruit an additional 33,800 (6.4%) professionally qualified clinical staff since May 2010.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 09:26:37 answering member 1542 label Biography information for Philip Dunne
tabling member	4061 label Biography information for Bill Esterson

748179

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breastfeeding
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, where England was ranked compared to other European countries for breastfeeding in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	2855
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Official statistics for England about breastfeeding and other infant feeding practices are captured in the Public Health Outcomes Framework and Maternity Services Dataset (MSDS); however these datasets are not designed to be used for international comparison.</p><p>Prior to this, data on breastfeeding in the United Kingdom was recorded by the Infant Feeding Survey (IFS) every five years from 1975 to 2010. You can access the 2010 Infant Feeding Survey Consolidated Report and Summary here:</p><p><a href="http://content.digital.nhs.uk/catalogue/PUB08694" target="_blank">http://content.digital.nhs.uk/catalogue/PUB08694</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:10:53 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748181

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Independent Mental Health Taskforce report entitled Five Year Forward View on Mental Health published in February 2016, what the timetable is for the establishment of a care pathway for autism.
tabling member constituency	Chesham and Amersham
tabling member printed	Mrs Cheryl Gillan
uin	2861
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>An indicative timeline for the development of care pathways was set out in the Five Year Forward View for Mental Health. The precise timetable for the establishment of a care pathway for autism will be confirmed by NHS England in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/07/2017 13:38:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	18 label Biography information for Dame Cheryl Gillan

748182

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Social Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital social workers have been employed by the NHS in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	2853
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS Digital publishes workforce statistics and the following table shows how many qualified Social Services staff are employed in the National Health Service in England at 30 September 2010 to 2016. Data for March 2017 is also provided as this is the latest available.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Qualified staff working within the area of Social Services in NHS trusts and clinical commissioning groups in England as at 30 September each specified year and latest data as at 31 March 2017.</p><p> </p><table><tbody><tr><td><p>Qualified staff working in Social Services</p></td><td><p>Qualified staff working within the area of Social Services (full-time equivalent)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2010</p></td><td><p>1,580</p></td></tr><tr><td><p>2011</p></td><td><p>1,500</p></td></tr><tr><td><p>2012</p></td><td><p>1,546</p></td></tr><tr><td><p>2013</p></td><td><p>1,541</p></td></tr><tr><td><p>2014</p></td><td><p>1,769</p></td></tr><tr><td><p>2015</p></td><td><p>1,885</p></td></tr><tr><td><p>2016</p></td><td><p>2,181</p></td></tr><tr><td><p>2017</p></td><td><p>2,349</p></td></tr></tbody></table><p>Source: NHS Digital, Provisional NHS HCHS monthly workforce statistics</p><p> </p><p>Note: It is not possible to identify staff working specifically in a hospital setting, nor those who are specifically registered social workers. The data provided are based on qualified staff working within the area of Social Services. Social Services staff included in this category have the following Occupation Codes; Consultant Therapist/Scientist, Manager, Therapist, Instructor/teacher and Tutor.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 14:50:40 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748186

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Piperacillin/tazobactam: Shortages
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will estimate the potential cost to the NHS of longer (a) treatment times and (b) hospital stays as a result of prescribing less powerful antibiotics as a result of the international shortage of the antibiotic piperacillin-tazobactam.
tabling member constituency	Heywood and Middleton
tabling member printed	Liz McInnes
uin	2903
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>No such estimate has been made. In response to the shortage of piperacillin-tazobactam, the Department has been working with national antimicrobial leads through Public Health England and the Department’s Expert Advisory Group on Antimicrobial Prescribing Resistance and Healthcare Associated Infections who published guidance on appropriate alternative treatment options to ensure that any impact on patient care has been minimised. This guidance provided recommendations on the different broad spectrum antibiotics, or a combination of narrower spectrum antibiotics that can be used to treat the range of infections for which piperacillin-tazobactam is licensed.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 14:38:55 answering member 4067 label Biography information for Steve Brine
tabling member	4342 label Biography information for Liz McInnes

748187

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress the Government has made in implementing recommendation 52 of the Five Year Forward View for Mental Health on undertaking a review of existing regulations of the Health and Social Care Act to identify disparities and gaps between provisions relating to physical and mental health services.
tabling member constituency	Manchester, Withington
tabling member printed	Jeff Smith
uin	2952
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The Health and Social Care Act 2012 placed the principle of parity of esteem on a statutory footing.</p><p> </p><p>As set out in the Queen’s Speech, the Government will review the mental health legislative landscape, including how the Mental Health Act is implemented on the ground.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/07/2017 09:27:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4456 label Biography information for Jeff Smith

748191

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Social Security Benefits
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the Government provides guidance to GP surgeries on whether they should provide supporting letters for disability benefit claims if patients request them.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	2927
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS England contracts with general practitioners (GPs) as independent providers of medical services for the National Health Service. Under the terms of their contract, GPs are required to provide certain medical reports or complete certain forms, including those related to claiming disability benefits, free of charge to their registered patients.</p><p> </p><p>Outside their contractual requirements, GPs also offer a variety of other services which successive governments have regarded as private matters between the patient and the GP. In such cases, decisions on whether to charge a fee and the level of the fee charged are at the GP’s discretion.</p><p> </p><p>Where GPs intend to charge for services to patients, the British Medical Association (BMA) advises them to forewarn patients, at the earliest opportunity, of the likely level of fees. The BMA also produces guidance on the level of fees that should be charged for commonly provided services.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 2928 question first answered 10/07/2017 14:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	304 label Biography information for Mr Roger Godsiff

748192

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Insulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospitals have been identified which are clad with (a) material similar to the Grenfell Tower and (b) other fire-risk material; what remedial work has been carried out on those hospitals; and whether additional funding will be provided by the Government to ensure remedial work on those hospitals is not met from existing NHS budgets.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	2936
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The National Health Service estate encompasses a huge, varied and complex set of buildings and facilities. Currently annual running costs of the NHS estates are over £8 billion, and NHS providers also spend some £3 billion annually on capital investment, in particular on maintaining and improving their estates and infrastructure. The use of resources to find and remedy fire safety issues remains an absolute priority.</p><p>As part of the response to the tragic events at Grenfell Tower, actions have been implemented across the NHS to assess the risks of similar issues and ensure that the NHS estate is safe.</p><p>Fire safety checks of NHS facilities are regularly undertaken in line with legislation and guidance. Hospitals are well prepared – each one has a tailored fire safety plan, which includes assessment of the provision of fire safety precautions including alarms and evacuation plans. But nothing is more important than the safety of patients and staff, so on a precautionary basis we asked all hospitals to conduct additional checks. Jim Mackey, Chief Executive of NHS Improvement instigated inspections by local fire and rescue services on 24 June 2017.</p><p>All NHS trusts and foundation trusts were asked to carry out urgent fire safety checks following the Grenfell Tower fire. All NHS trusts have provided assurance that they have undertaken a fire risk assessment in the past 12 months.</p><p>NHS Improvement has identified 38 organisations requiring support to carry out urgent checks to ascertain if they had cladding similar to that used on the Grenfell Tower. All 38 of these ‘priority 1’ trusts have started 24-hour fire warden patrols. As of 6 July, of those trusts and foundation trusts:</p><p>- 19 have had fire safety inspections and a review of additional technical information supplied to NHS Improvement and no further action is necessary at this stage;</p><p>- 16 are not required to take further action at this stage as the building material sampled is not aluminium composite material (ACM) cladding;</p><p>- samples of ACM cladding taken from three providers have failed combustibility tests;</p><p>- The three providers that have failed ACM tests are taking all necessary steps to ensure the safety of those buildings and occupants, in line with updated fire safety guidance issued by NHS Improvement. Of these three providers:</p><p>- a test sample taken from an office building at King’s College Hospital NHS Foundation Trust failed an ACM fire safety test. The Trust has already removed the cladding as a precautionary measure. This was not a building used by patients;</p><p>- Sheffield Children’s NHS Foundation Trust is taking steps to remove cladding from one of its buildings following a failed ACM test result. The building is not used for inpatient accommodation and measures are being put in place to ensure the safety of the building while the ACM is removed; and</p><p>- samples from a building at North Middlesex University Hospitals NHS Trust have also failed the ACM combustibility test. The cladded areas do not house any inpatients.</p><p>NHS Improvement have confirmed that patient safety is paramount, and that there will be no disruptions to patient services or continuity of care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2937 2941 question first answered 10/07/2017 15:02:10 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth