Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many foreign-born EU nationals are employed in the NHS in (a) the UK, (b) England and (c) London both in gross terms and as a proportion of the total NHS workforce.
Answered by Philip Dunne
NHS Digital publishes data on the nationality of staff working in the National Health Service in England. This is a self-reported field within the NHS human resources and payroll system, the electronic staff record (ESR).
The nationality information entered by an individual employee onto ESR may reflect their cultural heritage rather than their country of birth. As such, these figures should be treated with caution. Data is not available for the United Kingdom.
NHS Workforce in trusts, clinical commissioning groups, support organisations and central bodies as at 30 June 2016
| Headcount | Full-time equivalent |
England | 1,201,236 | 1,059,577 |
Of which European Union nationals | 59,769 | 55,787 |
Proportion (England) | 5.0% | 5.3% |
London | 185,633 | 171,607 |
Of which EU nationals | 19,266 | 18,263 |
Proportion (London) | 10.4% | 10.6% |
Source: NHS Digital
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the mental health services budget is for people living in Tottenham.
Answered by Alistair Burt
We are advised by NHS England that allocated funding for mental health services in the Haringey Clinical Commissioning Group area, which includes the Tottenham constituency, is £34.192 million, of which £31.326 million is allocated to Barnet, Enfield and Haringey Mental Health Trust.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what progress has been made in implementing recommendation three of the Five Year Forward View for Mental Health, published in February 2016, on local multi-agency suicide prevention plans in Tottenham constituency.
Answered by Alistair Burt
We are advised by NHS England that the approach to suicide prevention in the London Borough of Haringey, which includes the Tottenham constituency, encompasses a range of wider public mental health initiatives, some of which are targeting specific population groups that are known to be at higher risk of mental ill health and suicide.
We are further advised that a multi-agency plan is being developed by the local Suicide Prevention Alliance led by the voluntary sector and supported by Haringey Council and Haringey Clinical Commissioning Group.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to NHS England's announcement, NHS England backs general practice with a multi-billion transformation plan, published on 21 April 2016, what formula his Department plans to use to determine the allocation of the £2.4 billion a year funding.
Answered by Alistair Burt
In December 2015, the NHS England Board published Allocation of resources to NHS England and the commissioning sector for 2016/17 to 2020/21, which set firm allocations for the years 2016/17 to 2018/19 and indicative allocations, to assist with planning, for the years 2019/20 and 2020/21.
Part B of that paper is entitled Distribution of funds within each commissioning stream and paragraphs 34 to 38 describe the primary care allocation formula that was used to calculate the published allocations. Further details on the formula, including recent revisions and improvements to it, are outlined in annex E.
Allocation of resources to NHS England and the commissioning sector for 2016/17 to 2020/21 is on the NHS England website at:
https://www.england.nhs.uk/wp-content/uploads/2015/12/04.PB_.17.12.15-Allocations.pdf
In January 2016, the detailed NHS England Allocations Primary Care (medical) figures for 2016/17 to 2020/21 were published for clinical commissioning group (CCG) areas. These show firm allocations for 2016/17 to 2018/19 and indicative allocations, to help with planning, for 2019/20 and 2020/21. The paper is available on the NHS England website at:
https://www.england.nhs.uk/wp-content/uploads/2016/01/pc-medical-allocations.pdf
In addition, the 44 Sustainability and Transformation Plan (STP) areas have received indicative allocations, which include: CCG expenditure on general practice, which is funded from CCG allocations; shares of general practice access funding; and also the mental health allocation, which will fund the additional therapists mentioned in the General Practice Forward View.
Together the above account for around £2.1 billion of the £2.4 billion increase.
There are a number of elements not included in the commissioning or STP allocations, including the Estates and Technology Transformation Fund (formerly the Primary Care Transformation Fund), capital funding and funding for general practitioner (GP) trainers and GP trainees. These other elements account for around £0.3 billion of the £2.4 billion increase, and it is yet to be determined how this funding will be allocated across the country.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to NHS England's announcement, NHS England backs general practice with a multi-billion transformation plan, published on 21 April 2016, how much of the £2.4 billion a year funding will be allocated to GPs in (a) Tottenham constituency and (b) the London Borough of Haringey.
Answered by Alistair Burt
Primary care, dental, optometry and pharmacy services are commissioned by NHS England on a London-wide basis, therefore there is no figure available for borough-level funding.
Primary care medical (general practitioner (GP) services) allocations have been published for the next five years on a clinical commissioning group (CCG) -basis, the uplifts for Haringey are in the attached table.
The practice-level budgets for the GPs located within the Tottenham constituency total £18.4 million in 2016/17. These budgets are not set for future years but will be based on the practice-specific services and registered populations, as well as the national contract terms agreed in future years. They will benefit from the growth within the Haringey allocation as indicated in the table.
There is a development under way for a new practice at Tottenham Hale for which the capital cost is £558,000 which will expand capacity within Tottenham. CCGs also commission additional medical services from GP practices from their own resources.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the primary care budget is for people living in Tottenham constituency.
Answered by Alistair Burt
Primary care, dental, optometry and pharmacy services are commissioned by NHS England on a London-wide basis, therefore there is no figure available for borough-level funding.
Primary care medical (general practitioner (GP) services) allocations have been published for the next five years on a clinical commissioning group (CCG) -basis, the uplifts for Haringey are in the attached table.
The practice-level budgets for the GPs located within the Tottenham constituency total £18.4 million in 2016/17. These budgets are not set for future years but will be based on the practice-specific services and registered populations, as well as the national contract terms agreed in future years. They will benefit from the growth within the Haringey allocation as indicated in the table.
There is a development under way for a new practice at Tottenham Hale for which the capital cost is £558,000 which will expand capacity within Tottenham. CCGs also commission additional medical services from GP practices from their own resources.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answers of 6 June 2016 to Questions 37441 and 38348, why North Middlesex Hospital is not being supported by the Emergency Care Intensive Support Team via the Emergency Care Improvement Programme.
Answered by Ben Gummer
We are advised by NHS Improvement that North Middlesex University Hospital NHS Trust was not supported by the Emergency Care Intensive Support Team (ECIST) during 2015/16 as it did not fall within the criteria at the time of selection for enrolment in the Emergency Care Improvement Programme.
However, following concerns regarding the Emergency Department waiting time performance at the Trust, we are aware that NHS Improvement and NHS England jointly arranged a review of the system’s emergency care pathway by the North West Utilisation Management Unit.
We understand that in response to the findings the system has developed a ‘safer, faster, better’ programme to address issues across the pathway.
We are informed that the Trust requested support from ECIST at the end of April 2016. A tailored support programme is currently being developed. This will include visits from clinicians and improvement managers from ECIST.
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 23 May 2016 to Question 37441, what assessment he has made of the effectiveness of the provision of accident and emergency services at each of the eight urgent and emergency care vanguard sites currently provided with expert input by the Emergency Care Intensive Support Team.
Answered by Ben Gummer
At each of the eight urgent and emergency care vanguard sites, data is recorded on monthly accident and emergency Attendances and Emergency Admissions and this information is published at provider organisation level, from NHS trusts, NHS foundation trusts and Independent Sector Organisations.
The below are the eight urgent and emergency care vanguard sites:
Greater Nottingham System Resilience Group
Cambridgeshire and Peterborough Clinical Commissioning Group
North East Urgent Care Network
Barking and Dagenham, Havering and Redbridge System Resilience Group
West Yorkshire Urgent Emergency Care Network
Leicester, Leicestershire and Rutland System Resilience Group
Solihull Together for Better Lives
South Devon and Torbay System Resilience Group
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 23 May 2016 to Question 37441, what the name is of each of the 27 hospitals supported by the Emergency Care Intensive Support Team.
Answered by Ben Gummer
The following 27 health systems and the hospitals within these are supported by the Emergency Care Intensive Support Team via the Emergency Care Improvement Programme:
- Stoke & Staffordshire: County Hospital; Royal Stoke University Hospital
- Shropshire: Royal Shrewsbury Hospital; Princess Royal Hospital
- North Northamptonshire & Corby: Kettering General Hospital
- Coventry & Rugby: University Hospital Coventry and Warwickshire
- Worcestershire: Worcestershire Royal Hospital; Alexandra Hospital
- Wirral: Arrowe Park
- Lincolnshire: Lincoln County Hospital; Grantham District Hospital; Pilgrim Hospital
- Hull & East Riding: Hull Royal Hospital; Castle Hill Hospital
- North Cumbria: Cumberland Infirmary Carlisle; West Cumberland Infirmary
- York & Scarborough: York Hospital; Scarborough Hospital
- Wakefield & North Kirklees: Pinderfields Hospital; Pontefract Hospital; Dewsbury and District Hospital
- Kernow: Royal Cornwall Hospital
- Kingston: Kingston Hospital
- Bromley Lambeth & Southwark: King’s College Hospital - Denmark Hill; King’s College Hospital – Princess Grace
- Wandsworth Sutton & Merton: St George’s Hospital; Queen Mary’s Roehampton
- Cambridge & Ely: Addenbrooke’s Hospital
- Portsmouth & South East Hampshire: Queen Alexandra Hospital
- Western Devon: Plymouth Dereford Hospital
- North Somerset & Medway: Weston General Hospital
- Tower Hamlets Waltham Forest & Newham: Royal London Hospital; Whipps Cross Hospital
- Brent & Harrow: Northwick Park Hospital
- Mid Essex: Broomfield Hospital
- Herts Valley & West Herts: Watford General Hospital
- North East Essex: Colchester General Hospital
- Brighton & Hove: Royal Sussex County Hospital
- East Kent: Kent and Canterbury Hospital; William Harvey Hospital; Queen Elizabeth Queen Mother Hospital
- Medway: Medway Hospital
Asked by: David Lammy (Labour - Tottenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the provision of A&E services at North Middlesex Hospital.
Answered by Ben Gummer
We are advised that NHS Improvement (NHSI) is working with NHS England to bring together colleagues from across the local health and social care system to support North Middlesex University Hospital NHS Trust (NMUH) to work to deliver improvements to patients.
We are informed by NHSI that to address the poor performance in NMUH’s accident and emergency, it has devised a plan titled Safer, Faster, Better. This is a whole system programme with the primary objective of improving performance, patient experience and outcomes for patients. This will build on the recent Salford Royal NHS Foundation Trust analysis of the trust’s emergency care pathway, and complement previous reviews identifying root causes of the problem.