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1183067

registered interest
date	05/03/2020
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	Joint Replacements: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government has plans to maintain the 18-week waiting time for referral to treatment for joint replacement surgeries.
tabling member constituency	Richmond Park
tabling member printed	Sarah Olney
uin	25718
answer	answer is ministerial correction date of answer 10/03/2020 answer text <p>A maximum waiting time of 18 weeks from referral to elective treatment, including for joint replacement surgery, is the existing National Health Service access standard.</p><p> </p><p>A clinically-led review of NHS access standards is ongoing. NHS England and NHS Improvement’s final recommendations to the Government are due by the spring and the Government will carefully consider these recommendations.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 10/03/2020 12:39:07 answering member 4362 label Biography information for Edward Argar
tabling member	4591 label Biography information for Sarah Olney

1183082

registered interest
date	05/03/2020
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	Hospitals: Doctors and Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many (a) doctors and (b) nurses have been employed in hospitals in each of the last 20 years for which figures are available.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	25619
answer	answer is ministerial correction date of answer 10/03/2020 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care, general practitioner surgeries, local authorities or other providers.</p><p>Due to changes in the data collection and processing methodology, it is not possible to compare data prior to September 2009. Data from 2009 onwards relate to the HCHS workforce directly employed in National Health Service trusts and CCGs who are paid for activity. Data from 2000 to 2008 will include some staff not receiving pay for activity and some staff employed by NHS support organisations and central bodies.</p><p>The following table shows the number of doctors and nurses and health visitors in NHS trusts and CCGs as at September for each year specified, full time equivalent.</p><table><tbody><tr><td><p> </p></td><td><p>Doctors</p></td><td><p>Nurses and health visitors</p></td></tr><tr><td><p>2000</p></td><td><p>62,094</p></td><td><p>229,588</p></td></tr><tr><td><p>2001</p></td><td><p>64,055</p></td><td><p>238,647</p></td></tr><tr><td><p>2002</p></td><td><p>68,260</p></td><td><p>250,648</p></td></tr><tr><td><p>2003</p></td><td><p>72,260</p></td><td><p>260,149</p></td></tr><tr><td><p>2004</p></td><td><p>78,462</p></td><td><p>268,704</p></td></tr><tr><td><p>2005</p></td><td><p>82,568</p></td><td><p>276,086</p></td></tr><tr><td><p>2006</p></td><td><p>85,975</p></td><td><p>277,387</p></td></tr><tr><td><p>2007</p></td><td><p>87,533</p></td><td><p>275,211</p></td></tr><tr><td><p>2008</p></td><td><p>91,586</p></td><td><p>281,021</p></td></tr></tbody></table><p> </p><p>The following table shows the number of doctors and nurses and health visitors in NHS trusts and CCGs as at November 2019, the latest available data and at September for each year specified, full time equivalent.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Doctors</p></td><td><p>Nurses and health visitors</p></td></tr><tr><td><p>2009</p></td><td><p>95,410</p></td><td><p>278,470</p></td></tr><tr><td><p>2010</p></td><td><p>97,130</p></td><td><p>279,883</p></td></tr><tr><td><p>2011</p></td><td><p>98,389</p></td><td><p>277,047</p></td></tr><tr><td><p>2012</p></td><td><p>99,529</p></td><td><p>271,407</p></td></tr><tr><td><p>2013</p></td><td><p>101,137</p></td><td><p>274,627</p></td></tr><tr><td><p>2014</p></td><td><p>103,330</p></td><td><p>278,981</p></td></tr><tr><td><p>2015</p></td><td><p>104,498</p></td><td><p>281,474</p></td></tr><tr><td><p>2016</p></td><td><p>106,131</p></td><td><p>284,288</p></td></tr><tr><td><p>2017</p></td><td><p>109,002</p></td><td><p>283,853</p></td></tr><tr><td><p>2018</p></td><td><p>111,247</p></td><td><p>285,674</p></td></tr><tr><td><p>2019</p></td><td><p>116,416</p></td><td><p>292,934</p></td></tr><tr><td><p>November 2019</p></td><td><p>117,382</p></td><td><p>297,449</p></td></tr></tbody></table><p><strong> </strong></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 10/03/2020 17:40:22 answering member 4527 label Biography information for Helen Whately
tabling member	253 label Biography information for Mr Laurence Robertson

1183083

registered interest
date	05/03/2020
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	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many GPs have been contracted to the NHS in each of the last 20 years for which figures are available.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	25620
answer	answer is ministerial correction date of answer 11/03/2020 answer text <p>The number of full-time equivalent (FTE) doctors working in general practice in England in each year since September 2015 presented in the following table. Data is not included prior to 2015 as improvements were made to the methodology for recording all staff working in general practice and data prior to this is not comparable.</p><p> </p><table><tbody><tr><td rowspan="2"><p>FTE</p></td><td colspan="4"><p> </p></td><td><p> </p></td></tr><tr><td><p>September 2015</p></td><td><p>September 2016</p></td><td><p>September 2017</p></td><td><p>September 2018</p></td><td><p>September 2019</p></td></tr><tr><td><p>All general practitioners (GPs)</p></td><td><p>34,429</p></td><td><p>35,229</p></td><td><p>34,653</p></td><td><p>34,534</p></td><td><p>34,862</p></td></tr></tbody></table><p>Source: NHS Digital</p><p>Notes:</p><p>1. Data as at 30 September 2019.</p><p>2. Figures shown do not include GPs working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres, walk-in centres and other alternative settings.</p><p>3. Each period, figures contain estimates, for practices that did not provide fully valid General Medical Practice GP records.</p><p>4. FTE refers to the proportion of full time contracted hours that the post holder is contracted to work. 1 would indicate they work a full set of hours (37.5), 0.5 that they worked half time. In Registrars' contracts 1 FTE = 40 hours. To ensure consistency, these FTEs have been converted to the standard wMDS measure of 1 FTE = 37.5 hours in the table.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 11/03/2020 17:58:29 answering member 4380 label Biography information for Jo Churchill previous answer version 11699 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	253 label Biography information for Mr Laurence Robertson

1183104

registered interest
date	05/03/2020
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	Social Services: Coronavirus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to support social care providers in managing the effect of covid-19 on people who need care; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	25646
answer	answer is ministerial correction date of answer 01/05/2020 answer text <p>On 13 March 2020 [updated on 6 April 2020], the government published guidance for social or community care and residential settings which was cascaded across the United Kingdom by Public Health England and devolved authorities which can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance" target="_blank">https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance</a></p><p>The guidance is tailored for providers of residential care, supported living and home care, in the event of a COVID-19 outbreak. The guidance sets out:</p><p>- How to maintain delivery of care in the event of an outbreak or widespread transmission of COVID-19; and</p><p>- What to do if care workers or individuals being cared for have symptoms of COVID-19.</p><p>On 15 April 2020 the government published ‘Coronavirus (COVID-19): adult social care action plan’ which can be read here:</p><p><a href="https://www.gov.uk/government/publications/coronavirus-covid-19-adult-social-care-action-plan" target="_blank">https://www.gov.uk/government/publications/coronavirus-covid-19-adult-social-care-action-plan</a></p><p>The government also announced £2.9 billion funding to strengthen care for the vulnerable. This funding is part of the government’s commitment to ensure the National Health Service, social care system and other public services, have all the resources they need during the COVID-19 outbreak.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25639 25640 25647 question first answered 01/05/2020 09:27:34 answering member 4527 label Biography information for Helen Whately
tabling member	3930 label Biography information for Caroline Lucas

1183105

registered interest
date	05/03/2020
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	Care Workers: Coronavirus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to manage the potential effect of covid-19 on the social care workforce; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	25647
answer	answer is ministerial correction date of answer 01/05/2020 answer text <p>On 13 March 2020 [updated on 6 April 2020], the government published guidance for social or community care and residential settings which was cascaded across the United Kingdom by Public Health England and devolved authorities which can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance" target="_blank">https://www.gov.uk/government/publications/covid-19-residential-care-supported-living-and-home-care-guidance</a></p><p>The guidance is tailored for providers of residential care, supported living and home care, in the event of a COVID-19 outbreak. The guidance sets out:</p><p>- How to maintain delivery of care in the event of an outbreak or widespread transmission of COVID-19; and</p><p>- What to do if care workers or individuals being cared for have symptoms of COVID-19.</p><p>On 15 April 2020 the government published ‘Coronavirus (COVID-19): adult social care action plan’ which can be read here:</p><p><a href="https://www.gov.uk/government/publications/coronavirus-covid-19-adult-social-care-action-plan" target="_blank">https://www.gov.uk/government/publications/coronavirus-covid-19-adult-social-care-action-plan</a></p><p>The government also announced £2.9 billion funding to strengthen care for the vulnerable. This funding is part of the government’s commitment to ensure the National Health Service, social care system and other public services, have all the resources they need during the COVID-19 outbreak.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25639 25640 25646 question first answered 01/05/2020 09:27:34 answering member 4527 label Biography information for Helen Whately
tabling member	3930 label Biography information for Caroline Lucas

1183106

registered interest
date	05/03/2020
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	University Hospitals of North Midlands NHS Trust: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the PFI interest rate is that is charged to the University Hospitals of North Midlands Trust on the construction of the Royal Stoke University Hospital, what the comparable rate is for HM Treasury-funded projects; and what additional funding is provided to that NHS Trust for mitigating any difference.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Jack Brereton
uin	25725
answer	answer is ministerial correction date of answer 11/03/2020 answer text <p>As each Private Finance Initiative (PFI) company raises its finance in different ways and from different sources, the most relevant and easily comparable way of describing the cost of PFI finance is the pre-tax nominal project internal rate of return. This rate for the Royal Stoke University Hospital PFI project was 5.70% in June 2007 based on the Government’s standard inflation rate assumption.</p><p>At the time the Royal Stoke University Hospital PFI was signed in June 2007, the interest rate for loans for capital investment, which was based on the relevant National Loan Fund rates, was 5.65%.</p><p>Where public dividend capital is made available for capital investment, under current rules Trusts are required to pay a 3.5% dividend on its net assets.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 11/03/2020 14:07:50 answering member 4362 label Biography information for Edward Argar
tabling member	4643 label Biography information for Jack Brereton

1183107

registered interest
date	05/03/2020
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	Clinical Commissioning Groups: Finance
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 effect of the deprivation index on the methodology used to calculate funding for clinical commissioning groups; and how the deprivation rating of each area is determined.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Jack Brereton
uin	25726
answer	answer is ministerial correction date of answer 13/03/2020 answer text <p>NHS England is responsible for funding allocations to clinical commissioning groups (CCGs). This process is independent of government and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation. CCG allocations take account of health inequalities and unmet need. The approach was updated in 2019/20 and further information can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/note-on-ccg-allocations-2019-20-2023-24.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/note-on-ccg-allocations-2019-20-2023-24.pdf</a></p><p> </p><p>NHS England and NHS Improvement are responsible for the design of tariff, including the Market Forces Factor. The approach and underlying data were updated in 2019/20. These changes have been introduced on a five-year glide path to ensure stability for the sector. Further information can be found in the guide available at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/documents/475/Guide_to_the_market_forces_factor.pdf" target="_blank">https://improvement.nhs.uk/documents/475/Guide_to_the_market_forces_factor.pdf</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 25727 question first answered 13/03/2020 12:39:19 answering member 4362 label Biography information for Edward Argar
tabling member	4643 label Biography information for Jack Brereton

1183108

registered interest
date	05/03/2020
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: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how the market forces factors for NHS funding are determined; and what assessment he has made of the effect of market forces factors on the funding allocated to each clinical commissioning group.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Jack Brereton
uin	25727
answer	answer is ministerial correction date of answer 13/03/2020 answer text <p>NHS England is responsible for funding allocations to clinical commissioning groups (CCGs). This process is independent of government and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation. CCG allocations take account of health inequalities and unmet need. The approach was updated in 2019/20 and further information can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/note-on-ccg-allocations-2019-20-2023-24.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/note-on-ccg-allocations-2019-20-2023-24.pdf</a></p><p> </p><p>NHS England and NHS Improvement are responsible for the design of tariff, including the Market Forces Factor. The approach and underlying data were updated in 2019/20. These changes have been introduced on a five-year glide path to ensure stability for the sector. Further information can be found in the guide available at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/documents/475/Guide_to_the_market_forces_factor.pdf" target="_blank">https://improvement.nhs.uk/documents/475/Guide_to_the_market_forces_factor.pdf</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 25726 question first answered 13/03/2020 12:39:19 answering member 4362 label Biography information for Edward Argar
tabling member	4643 label Biography information for Jack Brereton

1183111

registered interest
date	05/03/2020
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	Coronavirus: 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 plans he has to enable physician associates to prescribe medication in tackling the spread of covid-19.
tabling member constituency	Stevenage
tabling member printed	Stephen McPartland
uin	25661
answer	answer is ministerial correction date of answer 10/03/2020 answer text <p>Whilst there is no legal requirement for a profession to be regulated before it can be given prescribing responsibilities, all healthcare professions that have prescribing responsibilities in the United Kingdom are regulated. This is because prescribing is a high-risk activity.</p><p>Physicians associates (PAs) are not regulated and therefore do not have prescribing responsibilities. Work to bring PAs into regulation is underway and the Department plans to consult on draft legislation later this year.</p><p>Arrangements can be made under the Human Medicines Regulations 2012 when a disease is, or is imminently anticipated to be, a pandemic. These arrangements can set aside the usual prescribing arrangements and allow medicines to be supplied under a protocol approved by Ministers or a National Health Service body.</p><p> </p><p><strong> </strong></p> answering member constituency Charnwood answering member printed Edward Argar question first answered 10/03/2020 17:04:54 answering member 4362 label Biography information for Edward Argar
tabling member	4093 label Biography information for Stephen McPartland

1183115

registered interest
date	05/03/2020
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	Ambulance Services: Staff
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 effect on the financial viability of career progression for ambulance service staff of the changes to unsocial hours payments as part of the 2018 NHS Pay Deal.
tabling member constituency	St Helens North
tabling member printed	Conor McGinn
uin	25690
answer	answer is ministerial correction date of answer 10/03/2020 answer text <p>The National Health Service trade unions agreed as part of the three-year deal that new ambulance staff would be paid unsocial hours in the same way as everyone else under the Agenda for Change contract. This is so ambulance staff have the same arrangements as, for example, nurses and midwives.</p><p>We do not anticipate an impact on retention. Existing ambulance staff were given the choice to remain on their historic unsocial hours arrangements if they did not want to move to the new arrangements in place for all other staff. The latest data available does not show any reduction in unsocial hours pay for ambulance staff.</p><p>Under Section 2 of the NHS Terms and Conditions of Service, a percentage enhancement is paid on top of hours worked in unsocial hours periods, such as nights and weekends. These are the arrangements that apply to new ambulance staff and those that choose to switch to them, and mean the more unsocial hours that are worked, the higher the pay.</p><p>In 2016 a new job profile for paramedics was agreed with ambulance trade unions, allowing them to develop in to a higher pay band. Newly qualified paramedics can progress in to the higher band after two years if they meet the learning outcomes. Paramedics can be ‘fast-tracked’ if they can meet all the competencies in less than two years.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25691 25692 25693 question first answered 10/03/2020 12:58:40 answering member 4527 label Biography information for Helen Whately
tabling member	4458 label Biography information for Conor McGinn