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579499

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many diabetes specialist nurses are employed by the NHS.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45826
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>NHS Digital provides information on the number of nursing, midwifery and health visiting staff employed in the National Health Service in England but it does not separately identify diabetes specialist nurses.</p><p>It is for local NHS organisations with their knowledge of the healthcare needs of their local population to invest in training for specialist skills such as diabetes nursing and to deploy specialist nurses.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 45825 question first answered 19/09/2016 15:31:12 answering member 1542 label Biography information for Philip Dunne
tabling member	338 label Biography information for Keith Vaz

579500

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make a comparative assessment of the level of proposed weekend pay under the new junior doctors' contract with weekend pay for (a) prison officers, (b) fire fighters, (c) police officers, (d) call centre workers, (e) consultants and (f) nurses, midwives and physios.
tabling member constituency	Torbay
tabling member printed	Kevin Foster
uin	45817
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>Junior doctors already work weekends, and they will continue to be fairly rewarded for work undertaken at the weekend using the weekend allowance proposed by the British Medical Association negotiators. Comparative rates are set out in the <ins class="ministerial">attached</ins> table<del class="ministerial"> below</del>.</p><p> </p><p>Because of the allowance based approach to weekend working, the effective hourly rate juniors are paid will vary depending on how many hours they work over how many weekends. In almost all cases junior doctors will receive weekend pay better than other National Health Service professional staff.</p><p> </p><p>A typical rota for a junior doctor involves an average of 6.5 hours a week being worked at weekends. (i.e. they work two long shifts of 13 hours every four weekends). This is split evenly over Saturdays and Sundays and includes night work.</p><p> </p><p>For working those weekend hours the percentage hourly supplement across all the hours worked for different groups of NHS staff would be</p><p>- 66% for a junior doctor (37% for night work plus an additional 7.5% weekend allowance set as a percentage of basic pay)</p><p>- 56% for a band 3 Health Care Assistant (37% for Saturday, 74% for Sunday)</p><p>- 45% for a nurse (30% for Saturday, 60% for Sunday)</p><p>- 33% for a consultant</p><p> </p><p><strong><br /> </strong></p><p> </p><p> </p><table><tbody><tr><td><p><del class="ministerial"> </del></p></td><td><p><del class="ministerial">Payment</del></p></td></tr><tr><td><p><del class="ministerial">Junior doctors</del></p></td><td><p><del class="ministerial">Weekend night shifts ending by 10am. Time plus 37%. Weekend allowance - + 10% 1in2 - + 7.5% - + 6% - + 4% - + 3% - No allowance</del></p></td></tr><tr><td><p><del class="ministerial">Consultants</del></p></td><td><p><del class="ministerial">4hour Programmed Activity is reduced to 3 hours, effectively Time + 33%</del></p></td></tr><tr><td><p><del class="ministerial">Nurses</del></p></td><td><p><del class="ministerial">Time + 30% Saturday time +60% Sunday</del></p></td></tr><tr><td><p><del class="ministerial">Prison officers *</del></p></td><td><p><del class="ministerial">Time + 17%</del></p></td></tr><tr><td><p><del class="ministerial"> </del></p></td><td><p><del class="ministerial"> </del></p></td></tr><tr><td><p><del class="ministerial">Firefighters *</del></p></td><td><p><del class="ministerial">Shift duty covers shifts 24 hours, 7 days. No premia</del></p></td></tr><tr><td><p><del class="ministerial">Police Officers *</del></p></td><td><p><del class="ministerial">Time plus 10% for nights only (8pm-6am)</del></p></td></tr><tr><td><p><del class="ministerial">Call centre workers *</del></p></td><td><p><del class="ministerial">Between Time + 5% and Time + 40%</del></p></td></tr></tbody></table><p> </p><p><del class="ministerial">*Income Data Services study</del></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/09/2016 17:00:01 question first ministerially corrected 20/09/2016 09:51:13 answering member 1542 label Biography information for Philip Dunne attachment 1 file name Comparative weekend pay rates PQ45817.docx title Comparative Pay Rates PQ45817 previous answer version 12257 answering member constituency Ludlow answering member printed Mr Philip Dunne answering member 1542 label Biography information for Philip Dunne
tabling member	4451 label Biography information for Kevin Foster

579501

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make a comparative assessment of the level of the proposed night time premium under the new junior doctors' contract with the night time premium for (a) airline pilots, (b) fire fighters, (c) police officers, (d) consultants and (e) nurses, midwives and physios.
tabling member constituency	Torbay
tabling member printed	Kevin Foster
uin	45818
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>Under the new contract the night time premium proposed for junior doctors means that they will be paid a higher supplement rate than consultants and nurses in the National Health Service and significantly more than other public sector employees.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Night Window</p></td><td><p>Payment</p></td></tr><tr><td><p>Junior doctors</p></td><td><p>9pm-7am or until the end of the night shift up to 10am</p></td><td><p>Time + 37%</p></td></tr><tr><td><p>Consultants</p></td><td><p>7pm-7am</p></td><td><p>4 hour Programmed Activity is reduced to 3 hours, effectively time + 33%</p></td></tr><tr><td><p>Nurses</p></td><td><p>8pm-6am</p></td><td><p>Time + 30%</p></td></tr><tr><td><p>Airline Pilots*</p></td><td><p>1am-7am</p></td><td><p>Time + 14-17% for captain</p></td></tr><tr><td><p>Police Officers*</p></td><td><p>8pm-6am</p></td><td><p>Time + 10%</p></td></tr><tr><td><p>Firefighters *</p></td><td><p>n/a</p></td><td><p>Shift duty covers shifts 24 hours, 7 days. No premia</p></td></tr></tbody></table><p> </p><p>*Income Data Services study</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/09/2016 16:21:37 answering member 1542 label Biography information for Philip Dunne
tabling member	4451 label Biography information for Kevin Foster

579502

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department's (a) £10 million payment to the Macfarlane Trust in 1987 and (b) £500,000 payment to the Eileen Trust in 1993 was allocated to his Department's capital budget or revenue budget.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	45819
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Department does not hold the information requested.</p><p> </p><p>The Department only holds data for the last seven financial years, in accordance with departmental policy for retention of financial data, and the Finance Act 1998 - Schedule 18 Part III, Duty to keep and preserve records.</p><p><strong> </strong></p><p>The government spending control regime has changed many times since the period referred to in the question, however generally payments to charities such as these would score as “grants”. The treatment of a grant as “revenue” or “capital” is explained on page 31 of HM Treasury’s Consolidated Budgeting Guidance 2016-17, which can be found at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/503365/Consolidated_budgeting_guidance_2016-17.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/503365/Consolidated_budgeting_guidance_2016-17.pdf</a></p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/09/2016 10:15:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1533 label Biography information for Dame Diana Johnson

579503

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Consultants: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will estimate how many consultants earn more than the Prime Minister.
tabling member constituency	Torbay
tabling member printed	Kevin Foster
uin	45802
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>It is estimated that 8,000 consultants earn more than £142,500. This figure relates to the earnings of consultants employed by the NHS Hospital and Community Health Service (HCHS) in England, and is based on NHS Earnings Estimates and Workforce Statistics published by the Health and Social Care Information Centre (HSCIC).</p><p> </p><p>Sources: HCHS Consultants earnings figures based on statistics published by the HSCIC, from NHS Electronic Staff Record data, in NHS Staff Earnings Estimates to December 2015. The NHS Electronic Staff Record is the HR and Payroll system used by almost all National Health Service trusts and foundation trusts in England. HCHS Consultant numbers published by the Health and Social Care Information Centre in NHS Workforce Statistics.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/09/2016 15:04:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4451 label Biography information for Kevin Foster

579505

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress has been made on reducing required variations in the care provided to people with diabetes.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45823
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>This Government is working hard to improve outcomes and quality of life for those already living with diabetes and those who will develop it in the coming years. One of our key goals in the mandate to the National Health Service is a measurable reduction in variation in the management and care of people with the condition within the lifetime of this Parliament. Funding has been secured through the spending review to help achieve this and NHS England is developing a programme to ensure that those clinical commissioning groups (CCGs) which need extra investment in this area, accompanied by sound plans for delivery, receive it.</p><p> </p><p>In addition, the Clinical Commissioning Group Improvement and Assessment Framework will play a key role in delivering this as it contains two recognised evidence based measures of whether patients with diabetes are being supported to successfully manage their condition (achievement of the National Institute for Health and Care Excellence treatment targets and participation in structured education programmes).</p><p> </p><p>Using data from the NHS Atlas of Variation, NHS Right Care is also working with CCGs and other local partners to make improvements in diabetes care and reduce variation by providing hands on practical support.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in the proportion of people newly diagnosed with diabetes recorded as being referred to structured education courses, designed to help them manage their condition in the long term. However, whilst we know that the data on take up needs improving, there is still much further to go in enabling people with diabetes to access these programmes.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to improve the take up of structured education including exploring how more diversity of provision might be delivered through digital and web based approaches. The Department recently held a seminar with key stakeholders to identify actions that would facilitate improved access.</p><p> </p><p>CCGs are primarily responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence, taking into account national guidelines. This should include consideration of access to continuous glucose monitoring for people with Type 1 diabetes who might benefit from it.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 45827 45828 question first answered 16/09/2016 14:49:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

579506

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to make continuous glucose monitoring and insulin pump technology available to diabetics on the NHS.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45827
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>This Government is working hard to improve outcomes and quality of life for those already living with diabetes and those who will develop it in the coming years. One of our key goals in the mandate to the National Health Service is a measurable reduction in variation in the management and care of people with the condition within the lifetime of this Parliament. Funding has been secured through the spending review to help achieve this and NHS England is developing a programme to ensure that those clinical commissioning groups (CCGs) which need extra investment in this area, accompanied by sound plans for delivery, receive it.</p><p> </p><p>In addition, the Clinical Commissioning Group Improvement and Assessment Framework will play a key role in delivering this as it contains two recognised evidence based measures of whether patients with diabetes are being supported to successfully manage their condition (achievement of the National Institute for Health and Care Excellence treatment targets and participation in structured education programmes).</p><p> </p><p>Using data from the NHS Atlas of Variation, NHS Right Care is also working with CCGs and other local partners to make improvements in diabetes care and reduce variation by providing hands on practical support.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in the proportion of people newly diagnosed with diabetes recorded as being referred to structured education courses, designed to help them manage their condition in the long term. However, whilst we know that the data on take up needs improving, there is still much further to go in enabling people with diabetes to access these programmes.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to improve the take up of structured education including exploring how more diversity of provision might be delivered through digital and web based approaches. The Department recently held a seminar with key stakeholders to identify actions that would facilitate improved access.</p><p> </p><p>CCGs are primarily responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence, taking into account national guidelines. This should include consideration of access to continuous glucose monitoring for people with Type 1 diabetes who might benefit from it.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 45823 45828 question first answered 16/09/2016 14:49:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

579507

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much the NHS spent on drugs related to diabetes in the most recent year for which figures are available.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45824
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>In the 2015/16 financial year, the total net ingredient cost of prescription items prescribed in England and dispensed in the community in the United Kingdom for drugs listed within trhe British National Formulary section 6.1 “Drugs used in diabetes”(using the classification system prior to edition 70), was £956.7 million<sup>1</sup>.</p><p><sup> </sup></p><p><sup>1</sup><em>Source:</em> Prescriptions for Diabetes, England 2005/06 to 2015/16, NHS Digital</p><p><a href="http://digital.nhs.uk/catalogue/PUB21158/pres-diab-eng-200506-201516.pdf" target="_blank">http://digital.nhs.uk/catalogue/PUB21158/pres-diab-eng-200506-201516.pdf</a></p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 12:44:13 answering member 4080 label Biography information for David Mowat
tabling member	338 label Biography information for Keith Vaz

579508

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to recruit more diabetes specialist nurses.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45825
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>NHS Digital provides information on the number of nursing, midwifery and health visiting staff employed in the National Health Service in England but it does not separately identify diabetes specialist nurses.</p><p>It is for local NHS organisations with their knowledge of the healthcare needs of their local population to invest in training for specialist skills such as diabetes nursing and to deploy specialist nurses.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 45826 question first answered 19/09/2016 15:31:13 answering member 1542 label Biography information for Philip Dunne
tabling member	338 label Biography information for Keith Vaz

579509

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure access to structured education for people with type 1 and type 2 diabetes.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	45828
answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>This Government is working hard to improve outcomes and quality of life for those already living with diabetes and those who will develop it in the coming years. One of our key goals in the mandate to the National Health Service is a measurable reduction in variation in the management and care of people with the condition within the lifetime of this Parliament. Funding has been secured through the spending review to help achieve this and NHS England is developing a programme to ensure that those clinical commissioning groups (CCGs) which need extra investment in this area, accompanied by sound plans for delivery, receive it.</p><p> </p><p>In addition, the Clinical Commissioning Group Improvement and Assessment Framework will play a key role in delivering this as it contains two recognised evidence based measures of whether patients with diabetes are being supported to successfully manage their condition (achievement of the National Institute for Health and Care Excellence treatment targets and participation in structured education programmes).</p><p> </p><p>Using data from the NHS Atlas of Variation, NHS Right Care is also working with CCGs and other local partners to make improvements in diabetes care and reduce variation by providing hands on practical support.</p><p> </p><p>Since 2009/10, there has been an almost 70% increase in the proportion of people newly diagnosed with diabetes recorded as being referred to structured education courses, designed to help them manage their condition in the long term. However, whilst we know that the data on take up needs improving, there is still much further to go in enabling people with diabetes to access these programmes.</p><p> </p><p>The Department, NHS England and Diabetes UK are working on ways to improve the take up of structured education including exploring how more diversity of provision might be delivered through digital and web based approaches. The Department recently held a seminar with key stakeholders to identify actions that would facilitate improved access.</p><p> </p><p>CCGs are primarily responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence, taking into account national guidelines. This should include consideration of access to continuous glucose monitoring for people with Type 1 diabetes who might benefit from it.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 45823 45827 question first answered 16/09/2016 14:49:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz