Jonathan Ashworth Portrait

Jonathan Ashworth

Labour (Co-op) - Leicester South

Shadow Secretary of State for Health and Social Care

(since January 2018)
Jonathan Ashworth is not a member of any APPGs
Shadow Secretary of State for Health
7th Oct 2016 - 9th Jan 2018
Shadow Minister without Portfolio (Cabinet Office)
14th Sep 2015 - 7th Oct 2016
Shadow Minister (Cabinet Office)
7th Oct 2013 - 14th Sep 2015
Opposition Whip (Commons)
7th Oct 2011 - 7th Oct 2013


Department Event
Monday 28th June 2021
Department of Health and Social Care
Legislation - Main Chamber
The Rating (Coronavirus) and Directors Disqualification (Dissolved Companies) Bill: Second Reading
View calendar
Note: This event involves a Department with which this person is linked, and does not guarantee their actual attendance.
Division Votes
Wednesday 9th June 2021
Protecting the Public and Justice for Victims
voted Aye - in line with the party majority
One of 193 Labour Aye votes vs 0 Labour No votes
Tally: Ayes - 223 Noes - 0
Speeches
Wednesday 16th June 2021
Coronavirus

I begin by paying tribute to our much-missed friend and colleague Jo Cox. Jo was an internationalist, and I know …

Written Answers
Tuesday 22nd June 2021
Podiatry: Coronavirus
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of …
Early Day Motions
None available
Bills
None available
MP Financial Interests
Tuesday 1st June 2021
3. Gifts, benefits and hospitality from UK sources
Name of donor: Leicester City Football Club Ltd
Address of donor: King Power Stadium, Filbert Way, Leicester LE2 7FL
Amount …
EDM signed
Friday 26th March 2021
Immigration
That an humble Address be presented to Her Majesty, praying that the Immigration (Guidance on Detention of Vulnerable Persons) Regulations …

Division Voting information

During the current Parliamentary Session, Jonathan Ashworth has voted in 244 divisions, and never against the majority of their Party.
View All Jonathan Ashworth Division Votes

Debates during the 2019 Parliament

Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.

Sparring Partners
Matt Hancock (Conservative)
Secretary of State for Health and Social Care
(152 debate interactions)
Lindsay Hoyle (Speaker)
(14 debate interactions)
Eleanor Laing (Conservative)
(10 debate interactions)
View All Sparring Partners
Department Debates
Department of Health and Social Care
(208 debate contributions)
Cabinet Office
(4 debate contributions)
View All Department Debates
View all Jonathan Ashworth's debates

Leicester South Petitions

e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.

If an e-petition reaches 10,000 signatures the Government will issue a written response.

If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).

Petitions with highest Leicester South signature proportion
Petitions with most Leicester South signatures
Jonathan Ashworth has not participated in any petition debates

Latest EDMs signed by Jonathan Ashworth

24th March 2021
Jonathan Ashworth signed this EDM on Friday 26th March 2021

Immigration

Tabled by: Keir Starmer (Labour - Holborn and St Pancras)
That an humble Address be presented to Her Majesty, praying that the Immigration (Guidance on Detention of Vulnerable Persons) Regulations 2021 (S.I., 2021, No. 184), dated 23 February 2021, a copy of which was laid before this House on 25 February 2021, be annulled.
82 signatures
(Most recent: 26 Apr 2021)
Signatures by party:
Labour: 40
Scottish National Party: 24
Liberal Democrat: 8
Independent: 3
Plaid Cymru: 3
Alba Party: 2
Alliance: 1
Green Party: 1
25th February 2019
Jonathan Ashworth signed this EDM as a sponsor on Monday 25th February 2019

National Health Service

Tabled by: Jeremy Corbyn (Independent - Islington North)
That an humble Address be presented to Her Majesty, praying that the Amendments Relating to the Provision of Integrated Care Regulations 2019 (S.I., 2019, No. 248), dated 13 February 2019, a copy of which was laid before this House on 13 February 2019, be annulled.
69 signatures
(Most recent: 13 May 2019)
Signatures by party:
Labour: 63
Independent: 4
Green Party: 1
Crossbench: 1
View All Jonathan Ashworth's signed Early Day Motions

Commons initiatives

These initiatives were driven by Jonathan Ashworth, and are more likely to reflect personal policy preferences.

MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.


9 Urgent Questions tabled by Jonathan Ashworth

Tuesday 25th May 2021
Monday 8th March 2021
Tuesday 8th December 2020
Tuesday 15th September 2020
Tuesday 7th July 2020
Tuesday 5th May 2020
Monday 9th March 2020

Jonathan Ashworth has not been granted any Adjournment Debates

Jonathan Ashworth has not introduced any legislation before Parliament

Jonathan Ashworth has not co-sponsored any Bills in the current parliamentary sitting


260 Written Questions in the current parliament

(View all written questions)
Written Questions can be tabled by MPs and Lords to request specific information information on the work, policy and activities of a Government Department
7th Dec 2020
To ask the Prime Minister, when he plans to respond to the letter of 21 October 2020 from the Inequalities in Health Alliance on the need for a cross-Government strategy to reduce health inequalities as part of the Government’s covid-19 recovery plans.

My Office has no record of receiving this letter. I have asked my Office to contact the organisation to see if they can re-send the correspondence.

Boris Johnson
Prime Minister, First Lord of the Treasury, Minister for the Civil Service, and Minister for the Union
26th Nov 2020
To ask the Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office, what IT system will be used to handle sanitary and phytosanitary checks on trade between Great Britain and Northern Ireland after the transition period.

Details of the systems for handling sanitary and phytosanitary checks on relevant goods movement between Great Britain to Northern Ireland are set out in published guidance on gov.uk.

Penny Mordaunt
Paymaster General
11th May 2020
To ask the Minister for the Cabinet Office, how many BAME people have died in Leicester as a result of contracting covid-19.

The information requested falls under the remit of the UK Statistics Authority. I have therefore asked the Authority to respond.

Chloe Smith
Minister of State (Cabinet Office)
4th May 2020
To ask the Minister for the Cabinet Office, whether the Government has awarded covid-19 related contracts to (a) Deloitte and (b) McKinsey; and what the value of each contract is.

Details of central government contracts above £10,000 are published on Contracts Finder: https://www.contractsfinder.service.gov.uk/Search.

Penny Mordaunt
Paymaster General
21st Apr 2021
To ask the Secretary of State for Education, what support his Department plans to provide to universities to meet the additional (a) educational workforce and (b) physical capacity requirements that will result from the increased number of students embarking on nursing degrees in the 2021-22 academic year.

We have asked the Office for Students (OfS) to reform the Strategic Priorities Grant for 2021/22 to ensure that more of taxpayers’ money is spent on supporting higher education provision which aligns with national priorities. This includes the reprioritisation of funding towards the provision of high-cost subjects that support the NHS and wider healthcare policy (which includes nursing), high-cost STEM subjects, and subjects meeting specific labour market needs.

Specifically on capital funding, we want to be assured that capital funding is adding real value and that investment is focused on key government priorities, such as nursing, and supports provision with excellent student outcomes.

In 2021/22, this funding will be allocated through a bidding process that will target specific high-impact projects and activities that offer better value for money for students and taxpayers.

The OfS has launched a public consultation on all these reforms before final allocations for 2021/22 are confirmed and will carefully consider the impact of any changes on providers.

The consultation can be accessed at https://www.officeforstudents.org.uk/publications/consultations/.

Michelle Donelan
Minister of State (Education)
21st Apr 2021
To ask the Secretary of State for Education, if his Department will make capital investment funding available to universities to expand their physical capacity to support the training of the increased number of students that are due to start nursing degrees in the 2021-22 academic year.

We have asked the Office for Students (OfS) to reform the Strategic Priorities Grant for 2021/22 to ensure that more of taxpayers’ money is spent on supporting higher education provision which aligns with national priorities. This includes the reprioritisation of funding towards the provision of high-cost subjects that support the NHS and wider healthcare policy (which includes nursing), high-cost STEM subjects, and subjects meeting specific labour market needs.

Specifically on capital funding, we want to be assured that capital funding is adding real value and that investment is focused on key government priorities, such as nursing, and supports provision with excellent student outcomes.

In 2021/22, this funding will be allocated through a bidding process that will target specific high-impact projects and activities that offer better value for money for students and taxpayers.

The OfS has launched a public consultation on all these reforms before final allocations for 2021/22 are confirmed and will carefully consider the impact of any changes on providers.

The consultation can be accessed at https://www.officeforstudents.org.uk/publications/consultations/.

Michelle Donelan
Minister of State (Education)
2nd Jun 2020
To ask the Secretary of State for Education, what plans he has to support the families of pupils on free school meals in Leicester South constituency during the school summer holidays in 2020.

I refer the hon. Members to the answer I gave on 23 June 2020 to Question 54195.

Vicky Ford
Parliamentary Under-Secretary (Department for Education)
1st Jun 2020
To ask the Secretary of State for Work and Pensions, how many spot checks of workplaces the Health and Safety Executive has carried out to ensure that appropriate measures are in place to protect workers from covid-19 since 1 May 2020.

The Health and Safety Executive (HSE) is currently setting up and trialling an approach to spot checks with initial contact being made remotely, and with a follow up with employers who do not provide the necessary assurance that they have sufficient measures in place to protect workers. As of 2nd June 2020, 108 initial contacts had been made and this number will increase significantly in the coming weeks.

Mims Davies
Parliamentary Under-Secretary (Department for Work and Pensions)
17th Jun 2021
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of community podiatric surgery services that have experienced (a) closure and (b) restrictions of referrals in the last 12 months.

The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Jun 2021
To ask the Secretary of State for Health and Social Care, what steps he plans to take to encourage Integrated Care Systems to adopt the recommendations set out in Versus Arthritis’ recent publication, Supporting people with arthritis waiting for surgery, including (a) clear communication with people on waiting lists, (b) personalised pain self-management support, (c) physical activity programmes, (d) mental health support and (e) signposting to financial support and employment advice.

The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.

Helen Whately
Minister of State (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, what plans are in place to ensure that NHS accident and emergency departments are adequately prepared for winter 2021-22.

The Government provided £450 million in 2020-21 to upgrade emergency departments across England. National Health Service trusts have used the new funding to expand waiting areas and increase the number of treatment cubicles, helping them boost capacity by providing additional space, reducing overcrowding and improving infection control measures. These improvements will continue to support emergency departments in their preparations for winter this year.

NHS England and NHS Improvement have set out operational priorities for services for 2021-22 in their published planning guidance. The planning guidance is available at the following link:

https://www.england.nhs.uk/operational-planning-and-contracting/

Edward Argar
Minister of State (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, what plans the Government has to increase the numbers of people with inflammatory bowel disease who have a personalised care and support plan.

NHS England and NHS Improvement’s RightCare team are working on a scenario for inflammatory bowel disease (IBD) which will set out high-quality joined-up care at every point of the patient journey, and how the IBD service should be organised to deliver this, including the use of personalised care plans.

Helen Whately
Minister of State (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in waiting times for elective surgery for people with inflammatory bowel disease.

No formal assessment has been made.

Edward Argar
Minister of State (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the ability of the podiatry workforce to meet demand for services over the next (a) five and (b) 10 years.

It is the responsibility of individual National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.

The Government is committed to ensuring that the NHS has the workforce it needs to deliver high quality care. As part of the new funding package for healthcare students, non-repayable, training grants of at least £5,000 per academic year are available to eligible new and continuing pre-registration podiatry students, studying at English universities. There is an additional specialist subject grant of £1,000 to eligible new students who choose to study in shortage professions, including podiatry.

There has been significant investment both via Health Education England, NHS England and NHS Improvement and the Office for Students over the last three years in a number of specific programmes of work involving the College of Podiatry, including television and social media campaigns to stimulate interest in podiatry careers both in school leavers and those seeking a second career.

The latest data from the Universities and Colleges Admissions Service shows there were 275 acceptances on podiatry courses in England in 2020, an increase of 53% compared to 2019.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, if he will publish a list of participating councils in the local test and trace scheme; what the (a) conditions and (b) timescales were for that pilot; and what the evaluation plan is for that scheme.

NHS Test and Trace works closely with local authorities as a ‘team of teams’ to further improve the United Kingdom’s response to COVID-19. A list of the participating councils is attached.

We are currently running two pilots. The ‘Local-0 Pilot’, where local authorities are provided positive cases to trace, bypassing the National Contact centre.  There are 130 local authorities who participated. The pilot has been evaluated and the service is currently being strengthened to make it available for all local authorities should they wish to participate and have the resources available.

The ‘Non-Household Contacts Pilot(s)’ is providing non-household contacts to local authorities, where the National Contact Centre have been unable to reach them.  These pilots were with a very small number of local authorities but showed promising results. As such the pilots will be expanded to a wider group and evaluated further. The outcome of these will determine whether this is to be offered to local authorities as a standard service, for those who express interest in this and have the resource capacity to support it and maintain an agreed service standard.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, whether the Government plans to appoint a National Clinical Director for inflammatory bowel disease.

We have no current plans to do so.

Helen Whately
Minister of State (Department of Health and Social Care)
19th May 2021
To ask the Secretary of State for Health and Social Care, what plans the Government has to reduce the number of emergency hospital admissions for inflammatory bowel disease.

NHS England and NHS Improvement are working closely with front-line clinical experts, patient representative groups and leading charities, including Crohn’s and Colitis UK, to develop evidence-based improvement tools to improve inflammatory bowel disease (IBD) care and reduce the need for emergency hospital admissions. This includes a new IBD RightCare scenario, which will set out high-quality joined-up care at every point of the patient journey, as well as data packs for local commissioners.

Helen Whately
Minister of State (Department of Health and Social Care)
26th Apr 2021
To ask the Secretary of State for Health and Social Care, if he will publish a list of participating councils in the local test and trace scheme; what the (a) conditions and (b) timescale were of that pilot; and what the evaluation plan is for that scheme.

It has not proved possible to respond to the hon. Member in the time available before prorogation.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Apr 2021
To ask the Secretary of State for Health and Social Care, what support is available for international travellers who enter the hotel quarantine system and who have specific exercise requirements as a result of a health condition.

The on-site security company at each quarantine hotel arranges exercise breaks, which are facilitated where possible. These are prioritised based on need, so people with a health requirement or families with children are prioritised.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Apr 2021
To ask the Secretary of State for Health and Social Care, what support is available for international travellers who enter the hotel quarantine system and who have a health condition that has specific dietary requirements.

Specific dietary requirements from travellers can be accommodated in quarantine hotels and should be notified by guests to the hotel management.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Apr 2021
To ask the Secretary of State for Health and Social Care, what support is available for international travellers who enter the hotel quarantine system and who have a health condition which requires regular medical attention.

Medical staff are available at all quarantine hotels to attend to any guests who need medical attention.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
22nd Apr 2021
To ask the Secretary of State for Health and Social Care, how many additional hospital beds the Government estimates will be available in winter 2021-22 compared to the previous winter.

National Health Service bed capacity is not fixed and can be flexed to meet changes in demand. For winter 2021/22, demand remains uncertain due to factors including hospitalisations of patients with influenza or COVID-19. Last winter, hospitals opened significantly more beds than in previous years, including over 6,000 critical care beds.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Apr 2021
To ask the Secretary of State for Health and Social Care, what plans are in place to ensure that NHS emergency departments are prepared for Winter 2021-22.

It has not proved possible to respond to the hon. Member in the time available before prorogation.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Apr 2021
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the efficacy of the NHS 111 First service.

The NHS 111 First programme is successfully directing people to the most clinically appropriate service to meet their needs. This could include a pre-booked appointment at accident or emergency or another service. NHS England and NHS Improvement are aiming to complete a full evaluation of the services impact later this year.

Edward Argar
Minister of State (Department of Health and Social Care)
12th Apr 2021
To ask the Secretary of State for Health and Social Care, what steps the Government is taking to improve the speed of diagnosis for children with brain tumours.

Improving early diagnosis of all cancer is a priority and in the Spending Review we announced a further £325 million of new investment in National Health Service diagnostics equipment to improve clinical outcomes.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Apr 2021
To ask the Secretary of State for Health and Social Care, what plans he has for increasing funding awards for brain tumour research, particularly for research on brain tumours in children.

In May 2018 the Government announced £40 million over five years for brain tumour research as part of the Tessa Jowell Brain Cancer Mission through the National Institute for Health Research (NIHR). This includes research on brain tumours in children.

The NIHR welcomes funding applications for research into any aspect of human health, including brain tumours. As with other Government funders of health research, the NIHR does not allocate funding for specific disease areas. The level of research spend in a particular area, is driven by factors including scientific potential and the number and scale of successful funding applications.

Edward Argar
Minister of State (Department of Health and Social Care)
12th Apr 2021
To ask the Secretary of State for Health and Social Care, what plans the Government has to increase public awareness of the symptoms of brain tumours in children.

We have no current plans to do so. However, we welcome the public facing campaign of the charity HeadSmart, which has increased awareness of symptoms that could indicate brain cancer in children and young people. As well as making the National Health Service in England aware of the benefits of HeadSmart, we have highlighted the values of it with Directors of Public Health, health visitors and school nurses, to encourage their use by professionals in signposting to specialist advice.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
25th Mar 2021
To ask the Secretary of State for Health and Social Care, what assessment he has made of the value of podiatry services following the award of the Royal Charter to the College of Podiatry.

The Government recognises the important role that Allied Health Professionals, including podiatrists, play in supporting treatment for a wide range of conditions, including those where there is increasing demand for treatment due to diseases such as diabetes. This is also highlighted in the NHS Long Term Plan.

Podiatry provides high quality expert advice and specialist treatment for conditions affecting the lower limb and foot, working alongside areas such as vascular and diabetology to help improve patient care. The value and importance of good podiatry services is well recognised across a number of different specialties. The award of the Royal Charter to the College of Podiatry will allow the College to further raise its profile and help give a greater voice to its members and their patients in all areas of the Health and Social Care agenda.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
25th Mar 2021
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the ability of the podiatry workforce to meet demand for services over the next (a) five years and (b) 10 years.

It has not proved possible to respond to the hon. Member in the time available before prorogation.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
25th Mar 2021
To ask the Secretary of State for Health and Social Care, what steps he is taking to support the recovery of podiatry services across the NHS after the covid-19 outbreak.

Podiatry services are generally commissioned by clinical commissioning groups, therefore it would be a matter for the local health systems to determine the recovery of these services in line with local priorities.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
18th Mar 2021
To ask the Secretary of State for Health and Social Care, how many and what proportion of NHS staff left the NHS in England in (a) 2018-19 and (b) 2019-20; and for what reasons did those staff leave.

NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practice surgeries, local authorities or other providers.

The following table shows the total number and proportion of National Health Service staff who left the NHS in England in 2018-19 and 2019-20 by reason for leaving.

March 2018 to March 2019

March 2019 to March 2020

All HCHS Staff - Leavers

133,041

132,032

All HCHS Staff - Leavers rate

10.9%

10.5%

Bank Staff not fulfilled minimum work requirement

47

44

Death in Service

777

889

Dismissal - Capability

1,983

1,839

Dismissal - Conduct

989

962

Dismissal - Some Other Substantial Reason

763

693

Dismissal - Statutory Reason

149

103

Employee Transfer

3,776

3,265

End of Fixed Term Contract

6,207

5,525

End of Fixed Term Contract - Completion of Training Scheme

1,488

1,293

End of Fixed Term Contract - End of Work Requirement

487

549

End of Fixed Term Contract - External Rotation

1,265

1,191

End of Fixed Term Contract - Other

698

714

Flexi Retirement

558

662

Has Not Worked

32

32

Initial Pension Ended

1

2

Merged Organisation - Duplicate Record

1

3

Mutually Agreed Resignation - Local Scheme with Repayment

327

232

Mutually Agreed Resignation - National Scheme with Repayment

17

21

Not Set in Legacy at Migration

4

2

Pregnancy

30

26

Redundancy - Compulsory

696

562

Redundancy - Voluntary

256

216

Retirement - Ill Health

1,037

1,000

Retirement Age

13,342

13,914

Voluntary Early Retirement - no Actuarial Reduction

929

839

Voluntary Early Retirement - with Actuarial Reduction

1,092

1,137

Voluntary Resignation - Adult Dependants

616

659

Voluntary Resignation - Better Reward Package

2,833

2,402

Voluntary Resignation - Child Dependants

1,466

1,477

Voluntary Resignation - Health

2,899

3,157

Voluntary Resignation - Incompatible Working Relationships

849

969

Voluntary Resignation - Lack of Opportunities

1,415

1,340

Voluntary Resignation - Other/Not Known

16,984

15,196

Voluntary Resignation - Promotion

5,098

5,002

Voluntary Resignation - Relocation

10,011

9,677

Voluntary Resignation - To undertake further education or training

2,928

2,963

Voluntary Resignation - Work Life Balance

9,885

10,458

Unknown

41,333

43,232

Source: NHS Digital NHS HCHS workforce statistics

Notes:

Leavers data are based on headcount and shows staff leaving active service. This would include those going on maternity leave or career break, as well as those leaving a NHS provider to work in another part of the health and social care sector, including social care or primary care. Totals for NHS leavers that are different to the sum of constituent parts indicate where staff have left the NHS in more than one post.

Helen Whately
Minister of State (Department of Health and Social Care)
11th Mar 2021
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of care homes that will be unable to allow visitors due to lack of insurance cover during the covid-19 outbreak.

We have made no such estimate.

Helen Whately
Minister of State (Department of Health and Social Care)
10th Mar 2021
To ask the Secretary of State for Health and Social Care, how many (a) nurses and health visitors, and (b) Hospital and Community Health Services doctors left NHS in England in (i) 2018-19 and (ii) 2019-20, by reason for leaving.

NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practice surgeries, local authorities or other providers. A table showing the number of nurses and health visitors and HCHS doctors who have left the National Health Service in England in 2018-2019 and 2019-2020 by reason for leaving is attached.

Helen Whately
Minister of State (Department of Health and Social Care)
2nd Mar 2021
To ask the Secretary of State for Health and Social Care, what (a) guidance and (b) mechanisms are available to NHS trusts that are seeking to close a private finance initiative contract.

We are not aware of any Private Finance Initiatives (PFI) contracts listed on the HM Treasury database for the National Health Service which are primarily related to energy, although energy provision may be included in some of the NHS’ larger acute care sector PFI contracts.

In 2014 HM Treasury provided advice to Accounting Officers on considerations they should make when agreeing to the early termination of contracts. An addendum was provided to this letter in 2015 that related specifically to Public Private Partnership (PPP) and PFI contracts. These are available at the following links:

https://www.gov.uk/government/publications/dao-0214-early-termination-of-contracts

https://www.gov.uk/government/publications/dao-0214-early-termination-of-ppp-and-pfi-contracts

The precise mechanism to terminate a PFI or PPP contract early will depend on the terms of the individual contract. Early termination of a PFI or PPP contract would require approval from NHS England and NHS Improvement, the Department for Health and Social Care and HM Treasury.

Edward Argar
Minister of State (Department of Health and Social Care)
2nd Mar 2021
To ask the Secretary of State for Health and Social Care, how many private finance initiative contracts related to energy there are in the NHS.

We are not aware of any Private Finance Initiatives (PFI) contracts listed on the HM Treasury database for the National Health Service which are primarily related to energy, although energy provision may be included in some of the NHS’ larger acute care sector PFI contracts.

In 2014 HM Treasury provided advice to Accounting Officers on considerations they should make when agreeing to the early termination of contracts. An addendum was provided to this letter in 2015 that related specifically to Public Private Partnership (PPP) and PFI contracts. These are available at the following links:

https://www.gov.uk/government/publications/dao-0214-early-termination-of-contracts

https://www.gov.uk/government/publications/dao-0214-early-termination-of-ppp-and-pfi-contracts

The precise mechanism to terminate a PFI or PPP contract early will depend on the terms of the individual contract. Early termination of a PFI or PPP contract would require approval from NHS England and NHS Improvement, the Department for Health and Social Care and HM Treasury.

Edward Argar
Minister of State (Department of Health and Social Care)
8th Feb 2021
To ask the Secretary of State for Health and Social Care, if he will publish statistics on the number of A&E attendances for mental health reasons in each month since March 2020.

From April 2020 publication of accident and emergency data was transferred to the Emergency Care Data Set which is currently provisional. The annual publication for 2020-21, including data on accident and emergency attendances from April 2020 to March 2021, is currently scheduled for September 2021.

Nadine Dorries
Minister of State (Department of Health and Social Care)
8th Feb 2021
To ask the Secretary of State for Health and Social Care, how many (a) care homes and (b) nursing homes closed in 2020.

The Department does not routinely collect data on care home closures. While the Care Quality Commission publishes data on care home deactivations, this is not the same as a closure. For example, a location may have deactivated and re-registered because it has made changes to its legal structure or changed address.

Helen Whately
Minister of State (Department of Health and Social Care)
8th Feb 2021
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the effect of the covid-19 outbreak on the level of admissions to A&E for dentistry.

Data on accident and emergency (A&E) admissions by diagnosis is collected centrally by NHS Digital. NHS Digital records dentistry admissions via A&E within the maxillofacial diagnosis group but are not disaggregated. Specific data on dentistry admission levels is therefore not available for assessment by the Department centrally. Changes in emergency admissions levels will be monitored locally by National Health Service commissioners and providers who are best placed to respond to patient demand locally. The NHS has put in place over 600 urgent dental centres to support the provision of urgent and emergency care.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
8th Feb 2021
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the number of non-urgent operations cancelled during the covid-19 outbreak.

The collection of data on cancelled elective operations has been paused to support the COVID-19 response, therefore no assessment has been made.

Edward Argar
Minister of State (Department of Health and Social Care)
3rd Feb 2021
To ask the Secretary of State for Health and Social Care, how many children reported to English A&E departments with a mental health crisis in (a) 2019 and (b) 2020.

This information is not available in the format requested. The data is only available as number of attendances, as an individual may have more than one attendance in any given period.

Nadine Dorries
Minister of State (Department of Health and Social Care)
3rd Feb 2021
To ask the Secretary of State for Health and Social Care, what the longest patient waiting time was in A&E at each NHS trust in England during 2020.

A table showing the maximum duration to departure in accident and emergency for each National Health Service trust in England for the financial period 2019-2020 is attached.

Edward Argar
Minister of State (Department of Health and Social Care)
3rd Feb 2021
To ask the Secretary of State for Health and Social Care, what the median waiting time is for routine NHS treatment at each NHS trust in England.

The latest available data as of November 2020 is attached table.

Edward Argar
Minister of State (Department of Health and Social Care)
3rd Feb 2021
To ask the Secretary of State for Health and Social Care, whether he plans to include covid-19 testing staff at drive-through, walk-in testing centres and elsewhere in vaccination priority groups 1-9.

Testing staff who work at sites for symptomatic members of the public where assisted tests are carried out, are eligible to be prioritised for a vaccine as they are considered frontline healthcare workers for the purpose of the Joint Committee on Vaccination and Immunisation’s prioritisation. Laboratory staff and those at sites for asymptomatic testing are not considered frontline healthcare workers and therefore will not be eligible for vaccine prioritisation.

Edward Argar
Minister of State (Department of Health and Social Care)
3rd Feb 2021
To ask the Secretary of State for Health and Social Care, what the median waiting time is for patients waiting over 12 months for routine NHS treatment at each NHS trust in England.

The data is not held centrally.

Edward Argar
Minister of State (Department of Health and Social Care)
1st Feb 2021
To ask the Secretary of State for Health and Social Care, what data is being collected and held on the number of people testing positive for covid-19 after receiving a vaccination dose.

Public Health England has published data on the early effectiveness of COVID-19 vaccines, this includes data on the number of cases or individuals testing positive by period after vaccination. This is available at the following link:

https://www.medrxiv.org/content/10.1101/2021.03.01.21252652v1

Helen Whately
Minister of State (Department of Health and Social Care)
1st Feb 2021
To ask the Secretary of State for Health and Social Care, if he will publish statistics on the uptake of the covid-19 vaccine by care home staff.

We are working with the vaccination programme in NHS England to monitor progress on the vaccination of staff. NHS England now publish weekly data on the vaccination of staff in older adult care homes which is available at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/covid-19-vaccinations/

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
1st Feb 2021
To ask the Secretary of State for Health and Social Care, how many care homes have experienced outbreaks of covid-19 in each week since the start of the outbreak.

Since 8 October 2020, Public Health England has published data on COVID-19 in care homes as part of its wider national flu and COVID-19 surveillance reports which are available at the following link:

https://www.gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports

The data on care homes reports on the weekly percentage of new cases in care homes. Data on the number of new cases are published alongside the report in the supplementary tables.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Feb 2021
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effect of the covid-19 vaccination programme on covid-19 infection rates for NHS staff.

The SIREN study will assess the effect of the COVID-19 vaccination programme on infection rates for National Health Service staff in its study of health care workers. Analysis is currently in progress, but data from early February will be required for a more robust assessment and this will be published in due course.

Data is also currently being assessed from pillar 1 and 2 testing data in those identified as likely to be health care workers.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Feb 2021
To ask the Secretary of State for Health and Social Care, what steps he is taking to monitor the effect of the covid-19 vaccination programme on trends in care home deaths from the virus.

As large numbers of people from at risk groups are vaccinated, we will be able to gather the evidence to assess the impact on infection rates, hospitalisation and reduced deaths.

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
28th Jan 2021
To ask the Secretary of State for Health and Social Care, what the (a) subject, (b) date and (c) reason was for each Ministerial Direction he has issued since 1 February 2020.

Ministerial Directions are published on GOV.UK. A Ministerial Direction was published on 30 March 2020 which authorised spend on urgent COVID-19 issues by the Department and its arms’ length bodies. This is available at the following link:

https://www.gov.uk/government/publications/coronavirus-covid-19-ministerial-direction-on-spend

Edward Argar
Minister of State (Department of Health and Social Care)
21st Jan 2021
To ask the Secretary of State for Health and Social Care, what assessment he has made since the publication the Government’s personal protective equipment (PPE) strategy in September 2020 of the (a) adequacy and (b) appropriateness of the four months’ stockpile of PPE pledged for winter 2020-21 to (i) protect healthcare workers and (ii) meet demand, in the context of recent increases in covid-19 cases.

Since February 2020 we have ordered almost 32 billion items of personal protective equipment (PPE), the majority of which has already been delivered or is on its way and by December we had built a four-month stockpile of all COVID-19 critical PPE. We are confident we have secured enough PPE for the ongoing challenges of COVID-19 and that we have the processes and logistics in place to distribute PPE to where it is needed.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Jan 2021
To ask the Secretary of State for Health and Social Care, what proportion of patients attending A&E booked an appointment through the booking system since that system was launched.

The NHS 111 first service model, which enabled the booking of appointments into emergency departments, was tested during the summer. The service was subsequently made available across the whole of England from 1 December 2020. The number of bookable appointments is therefore expected to increase over time. Data on accident and emergency (A&E) attendances and booked appointments is published on a monthly basis. A comparison of the proportion of booked appointments with total monthly A&E attendances reported since launch will be available when a full month’s data is reported by the National Health Service for January. This data will be published on 11 February.

Edward Argar
Minister of State (Department of Health and Social Care)
21st Jan 2021
To ask the Secretary of State for Health and Social Care, how many care homes have registered to become a designated setting to provide care for covid-positive patients discharged from hospital.

As of 25 January 2021, the Care Quality Commission (CQC) has inspected and assured 147 care homes as designated settings.

The CQC regularly updates the latest information on designated settings, which is available at the following link:

https://www.cqc.org.uk/news/stories/designated-settings-people-covid-19-leaving-hospital

Helen Whately
Minister of State (Department of Health and Social Care)
21st Jan 2021
To ask the Secretary of State for Health and Social Care, how many NHS staff have been redeployed to provide care in covid-19 wards since December 2020.

The Department does not hold the information requested.

Data on the number of staff redeployed onto COVID-19 wards since December 2020 is not held centrally. The decision to redeploy staff is managed locally at trust or integrated care system level. The levels of redeployment will differ across each individual trust.

Helen Whately
Minister of State (Department of Health and Social Care)
21st Jan 2021
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effect of existing health inequalities on the spread of covid-19.

On 22 October the Minister for Equalities, (Kemi Badenoch MP) published the first quarterly report to the Prime Minister and the Secretary of State for Health and Social Care on progress to tackle COVID-19 disparities experienced by individuals from an ethnic minority background, making 13 recommendations. This includes reviewing the effectiveness and impact of current actions being undertaken by Government departments as well as taking action to modify existing policy and policy in development, to address these disparities. All of which the Prime Minister has accepted.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, with reference to his Department's policy paper, Personal protective equipment (PPE) strategy: stabilise and build resilience, published on 29 September 2020, what assessment he has made of whether the four months' stockpile of PPE during winter 2020-21 is adequate to protect healthcare workers.

Since February 2020 we have ordered almost 32 billion items of personal protective equipment (PPE), the majority of which has already been delivered or is on its way and by December we had built a four-month stockpile of all COVID-critical PPE.

We are confident we have secured enough PPE for the ongoing challenges of COVID-19 and that we have the processes and logistics in place to distribute PPE to where it is needed.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, what assessment he has made of the British Medical Association’s recent letter to his Department on the availability of personal protective equipment (PPE) designed to meet the differing needs of individual healthcare workers; and what steps he is taking to ensure that all workers who require PPE have equipment that fits them properly.

We are firmly committed to ensuring that the personal protective equipment (PPE) provided to our healthcare workers is of the required quality, size, and that it fits. We actively identify user needs and take appropriate action to incorporate user feedback in PPE provision, including on gender and cultural specificity.

Our buying teams are aware of the different categories to buy against and source as many different sizes of gowns, facemasks, and other items of critical PPE, as possible. We are improving the availability and quality of fit testing of PPE.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, what processes his Department has put in place to ensure that all workers in the NHS who require personal protective equipment (PPE) have PPE that fits them properly; and what assessment he has made of the adequacy of availability of PPE that meets the differing needs of the NHS workforce.

We actively identify user needs and take appropriate action to incorporate user feedback in personal protective equipment (PPE) provision. Feedback has largely focused on the fit of face masks where an appropriate fit is critical for effective protection.

Alongside building and managing the resilient supply of high quality FFP3 masks, the Government is improving the availability and quality of fit testing in trusts to ensure appropriate PPE is available to individual National Health Service staff.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, whether his Department has made a recent assessment of the adequacy of the Infection Prevention and Control guidance on the occasions when an FFP3 mask should be used by workers in the NHS; and whether that matter has been considered since the identification of the covid-19 variant designated VOC-202012/01.

The infection prevention and control guidance (IPC) covers all patient facing roles. Its implementation should be underpinned by risk assessments that take into consideration the patient, environment, procedure and task being undertaken by any member of health care staff. This will include personal protective equipment (PPE) and the use of FFP3 respirators and eye/face protection, with the risk assessments and use of the PPE determined at an organisational level. Updated IPC guidance was published on 21 January and is available on GOV.UK.

A peer review has been undertaken by an expert group of clinicians to assess the new variant strains. The evidence review has not identified a change in the mode of transmission between the variants and previous circulating strains of COVID-19, and therefore there are no changes to the recommendations set out in the IPC guidance at this stage.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the British Medical Association’s request for wider use of respiratory protective equipment, in high risk settings outside of those procedures designated as aerosol generating, to reduce the risk of infection among healthcare staff.

The safety of National Health Service and social care staff has always been our top priority and we continue to work round the clock to deliver personal protective equipment (PPE) to protect those on the frontline.

The PPE recommendations in the infection prevention and control (IPC) guidance are agreed by an expert group of clinicians and scientists from across all four nations of the United Kingdom, based on the latest clinical evidence and are kept under constant review. The latest edition was published on 21 January 2021.

The IPC guidance covers all patient facing roles. Its implementation should be underpinned by risk assessments that take into consideration the patient, environment, procedure and task being undertaken by any member of health care staff. This will include PPE and the use of FFP3 respirators, as well as eye and face protection, with the risk assessments and use of the PPE determined at an organisational level. Emerging evidence and data on variant strains will be continually monitored and reviewed, and the guidance amended accordingly if needed.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Jan 2021
To ask the Secretary of State for Health and Social Care, what assessment he has made of the modified guidance from the World Health Organisation that, where available, respirators should be considered for wider use in healthcare settings; and whether he plans to facilitate a wider use of respiratory protective equipment, such as FFP3 respirators, in high risk healthcare settings outside of those procedures designated as aerosol generating.

The official guidance ‘COVID-19: Guidance for the remobilisation of services within health and care settings, Infection prevention and control recommendations’ sets out the personal protective equipment (PPE) that is needed in health and care settings.

The recommendations in the guidance, which was updated on 21 January, are agreed by an expert group of clinicians and scientists from across all four nations of the United Kingdom, based on the latest clinical evidence and are kept under constant review. They remain aligned with other international agencies including the World Health Organization in the use of PPE, which includes FFP3 respirators or equivalent.

The guidance covers all patient facing roles. Its implementation should be underpinned by local risk assessments that take into consideration the patient, environment, procedure and task being undertaken by any member of health care staff. This will include PPE and the use of FFP3 respirators and eye/face protection.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, how many people are in each of the priority groups for the covid-19 vaccine, by region.

Data on the number of people in each priority group by region is not held centrally.

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of nursing students in England who have had the completion of their unversity education delayed due to covid-19; and what the average length is of that delay.

Data collected by Health Education England (HEE) from universities, indicated that as a result of COVID-19, up to 2,092 nursing students had extended their education and were not able to complete their programme by July 2020 as anticipated. The average delay to completion of training was estimated at seven weeks.

HEE will continue to work with system partners to ensure any impact on training and placements is minimised, including supporting universities to rearrange interrupted clinical placements and finding alternatives such as using simulation where that is appropriate. In cases where extensions to students’ courses are unavoidable, the Government will continue to ensure that appropriate financial support is made available to affected students.

Helen Whately
Minister of State (Department of Health and Social Care)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, how many nursing students in England have had their clinical placements cancelled due to the covid-19 outbreak; and if he will make a statement on the effect of that matter on the completion of their courses.

Data collected by Health Education England (HEE) from universities, indicated that as a result of COVID-19, up to 2,092 nursing students had extended their education and were not able to complete their programme by July 2020 as anticipated. The average delay to completion of training was estimated at seven weeks.

HEE will continue to work with system partners to ensure any impact on training and placements is minimised, including supporting universities to rearrange interrupted clinical placements and finding alternatives such as using simulation where that is appropriate. In cases where extensions to students’ courses are unavoidable, the Government will continue to ensure that appropriate financial support is made available to affected students.

Helen Whately
Minister of State (Department of Health and Social Care)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, how many of the 13,000 more nurses in the NHS are (a) new registrants, (b) moving from part time to full time, (c) part of the NHS Bring Back Staff scheme, (d) retained staff and (e) nurses moving from non-NHS employers into the NHS.

The information requested is not held centrally.

Helen Whately
Minister of State (Department of Health and Social Care)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, what recent estimate his Department has made of the amount of financial support (a) nursing, (b) midwifery and (c) allied health profession students need to complete their university degrees.

The Government keeps the funding arrangements for all pre-registration undergraduate and postgraduate NHS health professionals’ education under review, to ensure that students are appropriately supported.

Full-time nursing, midwifery and allied health profession students qualify for up-front fee loans to meet the full costs of their tuition, partially means-tested loans as a contribution towards their living costs and, where applicable, additional grants for students with disabilities and those with adult or child dependants. Additional means-tested living costs support is available for full-time students whose courses require more than 30 weeks and three days attendance in an academic year.

In addition to student loans, since September 2020, all eligible pre-registration nursing, midwifery and allied health students have been able to access a non-repayable training grant of at least £5,000 per academic year through the NHS Learning Support Fund.

Helen Whately
Minister of State (Department of Health and Social Care)
18th Jan 2021
To ask the Secretary of State for Health and Social Care, how many people are in each priority groups for phase 1 of the covid-19 vaccination programme, by ethnicity.

We do not currently hold this information centrally in the format requested.

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
6th Jan 2021
To ask the Secretary of State for Health and Social Care, how many people do not live within (a) 10 and (b) 20 miles of a covid-19 vaccination centre.

In England, more than 98% of the population are currently within 10 miles of a vaccine service. In a small number of highly rural areas, the vaccination centre will be a mobile unit. The latest data from 26 March shows that a total of 1,763 vaccination sites have now been established in England including:

- 1,032 local vaccination services;

- 299 pharmacies;

- 274 hospital hubs; and

- 158 large scale vaccination centres.

The location of vaccination sites is available at the following link:

https://www.england.nhs.uk/coronavirus/publication/vaccination-sites/

The number of operational vaccination sites is not collected by local authority.

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
15th Dec 2020
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 24 November 2020 to Question 114825 on Coronavirus and Respiratory System: Health Services, what estimate he has made of the resources that are required to deliver respiratory commitments set out in the Long Term Plan.

No estimates have been made past the funding that has already been announced.

The National Respiratory Programme is a sub-programme of the wider Cardiovascular Disease and Respiratory programme. The Cardiovascular Disease and Respiratory Programme was allocated NHS Long Term Plan funding as follows:

- 2019/20 £8.4 million

- 2020/21 £15 million

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Dec 2020
To ask the Secretary of State for Health and Social Care, what plans he has to tackle the backlogs in (a) respiratory diagnosis and (b) referrals for urgent care for people with lung conditions.

Through its communication to general practitioner practices and commissioners on 31 July 2020, NHS England and NHS Improvement asked general practice to restore activity to usual levels where clinically appropriate and reach out proactively to clinically vulnerable patients and those whose care may have been delayed.

Through national and regional campaigns, the National Health Service continues to make the public aware that the NHS is available to help them and to come forward as they would have done prior to the pandemic with their health concerns. A national campaign to encourage the public to seek help when necessary began in October 2020 in partnership with Public Health England.

Edward Argar
Minister of State (Department of Health and Social Care)
15th Dec 2020
To ask the Secretary of State for Health and Social Care, what plans are in place to ensure access to digital or face-to-face pulmonary rehabilitation services during the covid-19 outbreak.

Through its communication to general practitioners (GPs) and commissioners on 31 July 2020, NHS England and NHS Improvement asked GPs to restore activity to usual levels where clinically appropriate and contact clinically vulnerable patients and those whose care may have been delayed.

Respiratory disease is a national clinical priority in the NHS Long Term Plan and increasing access to pulmonary rehabilitation is part of this. The National Respiratory Programme is part of the wider Cardiovascular Disease and Respiratory programme which was allocated £15 million of the NHS Long Term Plan funding for 2020/21.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Dec 2020
To ask the Secretary of State for Health and Social Care, what guidance is in place for primary care on the provision of routine care to respiratory patients.

The Quality and Outcomes Framework (QOF) for 2020/21 has been revised to release capacity within general practice to focus efforts upon the identification and prioritisation of people at risk of poor health and those who experience health inequalities for proactive review including:

- Those most vulnerable to harm from COVID-19; evidence suggests that this includes patients from black, Asian and ethnic minority groups and those from the 20% most deprived neighbourhoods nationally;

- Those at risk of harm from poorly controlled long-term condition parameters; and

- Those with a history of missing annual reviews.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Dec 2020
To ask the Secretary of State for Health and Social Care, whether he plans to develop a national comprehensive severe asthma guideline to ensure that people with severe asthma are identified and put on the right treatments.

Through NHS England and NHS Improvement specialised commissioning, a comprehensive specification for managing difficult and severe asthma is available. This has been refreshed recently and is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/04/specialised-respiratory-services-adult-severe-asthma.pdf.

Those with severe asthma require systematic assessment and specialist care in tertiary respiratory centres, as there is no standard diagnostic test for severe asthma.

Edward Argar
Minister of State (Department of Health and Social Care)
9th Dec 2020
To ask the Secretary of State for Health and Social Care, what estimate Public Health England has made of the number of deaths linked to drug and alcohol misuse since March 2020.

Public Health England is monitoring information on excess mortality to help understand the impact of COVID-19 during the pandemic period, including looking at the underlying causes of death.

Between 20 March and 27 November 2020, there have been an estimated 522 excess deaths attributed to cirrhosis and other liver disease. There was a total of 6,046 registered deaths from cirrhosis and other liver disease in the same period. However, not all these deaths will be linked to alcohol misuse, and there will be additional alcohol-related deaths which are not related to liver disease.

No estimate has been made of the number of deaths from causes such as drug or alcohol poisoning. This is because many of these deaths will be the subject of coroners’ inquests and not yet registered.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
9th Dec 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the covid-19 outbreak on the number of deaths related to drug and alcohol misuse; and if he will publish the statistics that he holds on that issue.

Public Health England is monitoring information on excess mortality to help understand the impact of COVID-19 during the pandemic period, including looking at the underlying causes of death.

Between 20 March and 27 November 2020, there have been an estimated 522 excess deaths attributed to cirrhosis and other liver disease. There was a total of 6,046 registered deaths from cirrhosis and other liver disease in the same period. However, not all these deaths will be linked to alcohol misuse, and there will be additional alcohol-related deaths which are not related to liver disease.

No estimate has been made of the number of deaths from causes such as drug or alcohol poisoning. This is because many of these deaths will be the subject of coroners’ inquests and not yet registered.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
9th Dec 2020
To ask the Secretary of State for Health and Social Care, how many deaths related to drug and alcohol misuse have been recorded since March 2020.

Statistics on the number of recorded deaths since March 2020 related to drug and alcohol misuse are not available.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
1st Dec 2020
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 27 February 2018 to Question 129353, how much was spent in total on vaccination programmes in each of the last five years; and what the total expenditure on each individual vaccine programme was during that time period.

The following table shows expenditure on adult and childhood vaccines in each of the last five years.

2015/16 £’000

2016/17 £’000

2017/18 £’000

2018/19 £’000

Annual vaccine expenditure

364,831

391,470

393,754

396,938

Source: Department of Health and Social Care Annual Report and Accounts – Notes to the Accounts 12. Inventories and work in progress

Data on annual expenditure for each vaccine programme is not held centrally.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
1st Dec 2020
To ask the Secretary of State for Health and Social Care, with reference to the Green Book routine immunisation schedule, how many of each vaccine has been administered in each of the last five years; and what the annual expenditure has been on each vaccine.

This information is not held in the format requested.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
18th Nov 2020
To ask the Secretary of State for Health and Social Care, what the role of Clinical Commissioning Groups will be in the nationwide roll out of a covid-19 vaccine.

The NHS has a tried and tested track record for delivering vaccination programmes and is working with existing partners across the healthcare system to ensure the Covid-19 vaccine can be deployed safely and effectively. Deployment planning is being led by local integrated care system/sustainability and transformation partnerships, with clinical commissioning groups playing a key role in the planning with partners across their system.

In particular, local systems are best placed to reach out to our diverse communities and avoid inequalities in access, and every system should have a plan for full coverage for health inclusion groups. Regional teams working with local systems have identified local health inclusion groups that will require access to the vaccine, within eligible patient cohorts. Locally commissioned arrangements to reach these groups may include local NHS Community & Mental Health Trust providers, PCNs or partnership activity with statutory and voluntary services.  Working with Primary Care Networks and NHJS regional teams, Clinical Commissioning Group have also played an important role selecting local vaccination sites. CCGs are also co-ordinating arrangements for all health and care staff to receive their vaccination locally.

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
12th Nov 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help maintain support for stroke survivors during the covid-19 outbreak.

NHS England and NHS Improvement have ensured that stroke services across England continue to provide rehabilitation and post-acute services to stroke survivors and their families and carers during the COVID-19 pandemic.

NHS England and NHS Improvement have funded the Stroke Association over the last six months to provide Stroke Connect, which was developed in direct response to COVID-19 to ensure stroke survivors and their carers had support when discharged from hospital.

The Department has also funded the Stroke Association over the last six months for them to continue to provide frontline support to stroke survivors and others connected to stroke during the COVID-19 pandemic.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Nov 2020
To ask the Secretary of State for Health and Social Care, how the Government plans to continue delivering its commitments for stroke during the covid-19 outbreak.

NHS England and NHS Improvement have ensured that stroke services across England continue to provide rehabilitation and post-acute services to stroke survivors and their families and carers during the COVID-19 pandemic.

NHS England and NHS Improvement have funded the Stroke Association over the last six months to provide Stroke Connect, which was developed in direct response to COVID-19 to ensure stroke survivors and their carers had support when discharged from hospital.

The Department has also funded the Stroke Association over the last six months for them to continue to provide frontline support to stroke survivors and others connected to stroke during the COVID-19 pandemic.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
9th Nov 2020
To ask the Secretary of State for Health and Social Care, what plans the Government has to ensure the rapid distribution of a covid-19 vaccine.

An enormous amount of work has taken place to ensure we have the logistical expertise, transport and workforce to roll out a vaccine according to clinical priority, at the speed at which it can be manufactured. Over 6.5 million people across the UK have now received their first dose of a COVID vaccine and nearly half a million have received their second dose. There are now over 2700 sites across the UK already offering vaccines to those at risk by age and clinical priority.

Daily updates on vaccine doses are available here: https://coronavirus.data.gov.uk/details/healthcare

The UK Vaccine delivery plan was published on 11 January 2021 and can be found here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/951928/uk-covid-19-vaccines-delivery-plan-final.pdf

Nadhim Zahawi
Parliamentary Under-Secretary (Department for Business, Energy and Industrial Strategy)
9th Nov 2020
To ask the Secretary of State for Health and Social Care, how many refrigerators for the storage of pharmaceutical products with temperatures below minus 80 degrees the Government has access to.

It is not possible to quantify the total volume of refrigerated space for the storage of medicines that the Government has access to as some of its stockpiles are held by suppliers and wholesalers on its behalf.

The Government holds stockpiles of a range of different medicines, including crucial medicines used to treat COVID-19 patients, vaccines, and the Essential Medicines Buffer Stock, to help ensure there is uninterrupted supply over the coming months. Some of those stockpiled products are held by Public Health England (PHE), and also by suppliers, in refrigerated storage.

PHE currently has access to around 6,000 chill (2-8 degrees Celsius) storage pallet spaces. This will be increasing in 2021 in line with anticipated storage requirements.

PHE has also secured 58 ultra-low temperature freezers which provide sufficient storage for approximately five million doses of potential COVID-19 vaccines which require ultra-low temperature storage.

As part of our end of European Union Exit Transition Period contingency plans we have requested suppliers to stockpile to a target level of six week’s total stock on United Kingdom soil by 31 December 2020, where possible. Supplier stockpiles, which continue to be built, will also make use of refrigerated storage.

Edward Argar
Minister of State (Department of Health and Social Care)
9th Nov 2020
To ask the Secretary of State for Health and Social Care, how many refrigerators for the storage of pharmaceutical products the Government has access to.

It is not possible to quantify the total volume of refrigerated space for the storage of medicines that the Government has access to as some of its stockpiles are held by suppliers and wholesalers on its behalf.

The Government holds stockpiles of a range of different medicines, including crucial medicines used to treat COVID-19 patients, vaccines, and the Essential Medicines Buffer Stock, to help ensure there is uninterrupted supply over the coming months. Some of those stockpiled products are held by Public Health England (PHE), and also by suppliers, in refrigerated storage.

PHE currently has access to around 6,000 chill (2-8 degrees Celsius) storage pallet spaces. This will be increasing in 2021 in line with anticipated storage requirements.

PHE has also secured 58 ultra-low temperature freezers which provide sufficient storage for approximately five million doses of potential COVID-19 vaccines which require ultra-low temperature storage.

As part of our end of European Union Exit Transition Period contingency plans we have requested suppliers to stockpile to a target level of six week’s total stock on United Kingdom soil by 31 December 2020, where possible. Supplier stockpiles, which continue to be built, will also make use of refrigerated storage.

Edward Argar
Minister of State (Department of Health and Social Care)
9th Nov 2020
To ask the Secretary of State for Health and Social Care, how many validated cool boxes for the covid-19 vaccine the Government has.

The National Health Service is working with all stakeholders, including the Department, Public Health England and manufacturers to ensure the NHS has access to equipment with the right specifications based on the latest vaccine characteristics information. This includes balancing the amount of equipment needed based on forecasted vaccine supply and the delivery approaches.

Over 4,500 cool boxes have been purchased to date, with more available from suppliers. These are available on a short lead-time.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Oct 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to assess the effect of covid-19 on NHS mental health services; and if he will make a statement.

We recognise the pressures on mental health services due to the COVID-19 pandemic. National Health Service mental health services have remained open for business throughout this time, including delivering support digitally and by phone. For those with severe needs or in crisis, NHS mental health providers have established all-age 24 hours per day, seven days a week mental health crisis lines.

We are working with the NHS, Public Health England and other key partners to gather evidence and assess the potential longer-term mental health impacts, and plan for how to support mental health and wellbeing throughout the coming weeks and months. In addition, NHS England and NHS Improvement are working at pace on their winter planning for NHS mental health services, to help them respond to demand.

Nadine Dorries
Minister of State (Department of Health and Social Care)
12th Oct 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking with NHS England to ensure more timely data is published on the capacity of mental health services during winter.

The Mental Health Services Dataset and the Improving Access to Psychological Therapies dataset are the primary routine sources of information on mental health services activity.

Alongside the existing mental health data publications available across the system, NHS Digital has taken steps to increase timeliness of data on mental health services by releasing a provisional version of published monthly statistics early each month. However, it is important to note that the data quality of this provisional data is not as complete as the final data and will cover a lower set of providers.

Nadine Dorries
Minister of State (Department of Health and Social Care)
7th Oct 2020
To ask the Secretary of State for Health and Social Care, when the NHS Trusts Estates Returns Information Collection 2019-20 will be published.

Owing to the COVID-19 pandemic, the collection and publication of the Estates Returns Information Collection 2019-20 has been delayed. Its publication date has yet to be confirmed for 2021 but the National Health Service intends to publish as soon as is practicable. This includes the level of backlog maintenance. Data for 2018-19 and previous years is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection

Edward Argar
Minister of State (Department of Health and Social Care)
7th Oct 2020
To ask the Secretary of State for Health and Social Care, what the total cost to the public purse was of tackling the maintenance backlog in NHS Trusts in 2019-20.

Owing to the COVID-19 pandemic, the collection and publication of the Estates Returns Information Collection 2019-20 has been delayed. Its publication date has yet to be confirmed for 2021 but the National Health Service intends to publish as soon as is practicable. This includes the level of backlog maintenance. Data for 2018-19 and previous years is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection

Edward Argar
Minister of State (Department of Health and Social Care)
7th Oct 2020
To ask the Secretary of State for Health and Social Care, what the total cost to the public purse was of providing inpatient hospital food in 2019-20.

The information requested is not available due to delays as a result of COVID-19 and is expected to be available in the new year.

Edward Argar
Minister of State (Department of Health and Social Care)
7th Oct 2020
To ask the Secretary of State for Health and Social Care, how many out-of-area mental health placements started in each NHS region in each month since March 2020.

During the height of the pandemic, the scrutiny on out-of-area (OAPs) placements was paused, acknowledging the need for providers to focus on managing the impact of the pandemic. NHS England and NHS Improvement published guidance to the National Health Service on 26 March 2020, which provided a relaxation in the reporting of OAPs. Nationally, both bed occupancy and OAPs dropped significantly in March and April due to significant efforts to discharge people from hospital wherever it was safe to do so, coupled with reduced referrals and presentations. Bed occupancy began to increase again in May as lockdown eased, leading to a subsequent increase in OAPs from June.

The available information requested1 is shown in the following table.

Region

March 2020

April 2020

May 2020

June 2020

July 2020

London Commissioning Region

75

35

55

50

95

South West Commissioning Region

75

15

50

60

70

South East Commissioning Region

15

30

35

60

50

Midlands Commissioning Region

85

65

85

120

120

East of England Commissioning Region

55

15

30

15

30

North West Commissioning Region

45

15

45

70

70

North East and Yorkshire Commissioning Region

100

55

80

120

130

Unknown Region

5

5

10

10

5

England (total)

455

230

385

505

570

Source: NHS Digital
1 rounded to the nearest 5


The percentage of organisations in scope which participated each month was as follows: March 2020: 89%; April 2020: 84%; May 2020: 79%; June 2020: 81%; July 2020: 82%.

Nadine Dorries
Minister of State (Department of Health and Social Care)
7th Oct 2020
To ask the Secretary of State for Health and Social Care, when his Department's annual report and accounts 2019-20 will be published.

The Department intends to lay its 2019-20 Annual Report and Accounts by the end of November 2020.

Edward Argar
Minister of State (Department of Health and Social Care)
6th Oct 2020
To ask the Secretary of State for Health and Social Care, how many dental laboratories have closed in England since March 2020.

No information is held by the Department on the adequacy of the service provided by Dental Laboratories to dentists. Dentists contract with laboratories both in the United Kingdom and overseas and this is a commercial relationship between dentist and laboratory.

Demand for the appliances dental laboratories provide is likely to be reduced during the COVID-19 outbreak as the enhanced infection control required means most dentists are able to see fewer patients than prior to the outbreak.

Because dental laboratories are private companies the Department holds no information on their numbers or whether any have closed in the UK or overseas.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
6th Oct 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the service provided by Dental Laboratories since the start of the covid-19 outbreak.

No information is held by the Department on the adequacy of the service provided by Dental Laboratories to dentists. Dentists contract with laboratories both in the United Kingdom and overseas and this is a commercial relationship between dentist and laboratory.

Demand for the appliances dental laboratories provide is likely to be reduced during the COVID-19 outbreak as the enhanced infection control required means most dentists are able to see fewer patients than prior to the outbreak.

Because dental laboratories are private companies the Department holds no information on their numbers or whether any have closed in the UK or overseas.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
6th Oct 2020
To ask the Secretary of State for Health and Social Care, what proportion of government expenditure on health care has been paid to private sector organisations in 2020-21 to date.

As of the beginning of November 2020, 937 contracts worth an estimated £17.8 billion have been awarded by the Department and its executive agencies in response to the COVID-19 pandemic for a wide range of products and services including personal protective equipment, the Test and Trace initiative, ventilators, IT, logistics and medicines.

In July, the Chancellor of the Exchequer announced an extra £31.9 billion of support for health services to respond to COVID-19. At the end of September he announced an additional £16.4 billion for health services.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many care homes in England (a) have started and (b) are waiting to begin regular covid-19 testing.

All care homes in England are currently eligible for a combination of polymerase chain reaction (PCR) and lateral flow device (LFD) testing. As part of our updated guidance on regular testing, staff have provision for two LFD and one PCR tests per week and residents have provision for one PCR test per month. In addition, all staff have access to ‘rapid response’ testing if a positive case is detected in the home consisting of daily LFD testing until five days after any further cases are found. Residents do not currently undertake regular LFD testing, unless in an outbreak setting.

Helen Whately
Minister of State (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many patients have accessed a dental hub in each month since March 2020.

This information is not currently available. Data is collected on the number of courses of treatment delivered and unique patients seen but this information is not routinely collected by individual practice or urgent dental care centre.

All high street practices should now be open and delivering face to face care as needed. In addition, over 600 Urgent Dental Care centres (UDCs) remain open to ensure that any patient having difficulty in accessing urgent care through a high street practice can be treated.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many children have attended accident and emergency departments in England for mental health issues in each month since March 2020.

This information is not held in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many and what proportion of dental practices are offering routine NHS dental services.

Routine face-to-face National Health Service dental services resumed from 8 June with the aim of increasing levels of service in line with infection control procedures and personal protective equipment requirements. All dental practices are able to offer routine face to face treatment that is clinically necessary. Over 600 Urgent Dental Care Centres set up at the height of the pandemic also remain open to ensure that dental treatment needed urgently can be accessed while practices expand their services as safely as possible.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many patients underwent surgery at an NHS cancer hub in each month since March 2020.

NHS England does not hold average waiting time data for treatment or surgery appointments at each NHS cancer hub.

Between March to August, more than 246,000 people received cancer treatment - 85% of the level in 2019.

The number of people receiving a first or subsequent treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

50,973

49,285

97%

April 2020

37,223

35,749

96%

May 2020

35,041

33,247

95%

June 2020

40,134

37,826

94%

July 2020

44,018

41,962

95%

August 2020

38,965

37,020

95%

The number of people receiving a first or subsequent surgery treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

19,049

17,891

94%

April 2020

12,555

11,585

92%

May 2020

12,140

10,820

89%

June 2020

14,354

12,703

88%

July 2020

15,946

14,396

90%

August 2020

14,659

13,133

90%

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, what the average waiting time has been for surgery at each NHS cancer hub in each month since March 2020.

NHS England does not hold average waiting time data for treatment or surgery appointments at each NHS cancer hub.

Between March to August, more than 246,000 people received cancer treatment - 85% of the level in 2019.

The number of people receiving a first or subsequent treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

50,973

49,285

97%

April 2020

37,223

35,749

96%

May 2020

35,041

33,247

95%

June 2020

40,134

37,826

94%

July 2020

44,018

41,962

95%

August 2020

38,965

37,020

95%

The number of people receiving a first or subsequent surgery treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

19,049

17,891

94%

April 2020

12,555

11,585

92%

May 2020

12,140

10,820

89%

June 2020

14,354

12,703

88%

July 2020

15,946

14,396

90%

August 2020

14,659

13,133

90%

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, what the average waiting time was for a treatment appointment at each NHS cancer hub for each month since March 2020.

NHS England does not hold average waiting time data for treatment or surgery appointments at each NHS cancer hub.

Between March to August, more than 246,000 people received cancer treatment - 85% of the level in 2019.

The number of people receiving a first or subsequent treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

50,973

49,285

97%

April 2020

37,223

35,749

96%

May 2020

35,041

33,247

95%

June 2020

40,134

37,826

94%

July 2020

44,018

41,962

95%

August 2020

38,965

37,020

95%

The number of people receiving a first or subsequent surgery treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

19,049

17,891

94%

April 2020

12,555

11,585

92%

May 2020

12,140

10,820

89%

June 2020

14,354

12,703

88%

July 2020

15,946

14,396

90%

August 2020

14,659

13,133

90%

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how many patients have accessed an NHS cancer hub in each month since March 2020.

NHS England does not hold average waiting time data for treatment or surgery appointments at each NHS cancer hub.

Between March to August, more than 246,000 people received cancer treatment - 85% of the level in 2019.

The number of people receiving a first or subsequent treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

50,973

49,285

97%

April 2020

37,223

35,749

96%

May 2020

35,041

33,247

95%

June 2020

40,134

37,826

94%

July 2020

44,018

41,962

95%

August 2020

38,965

37,020

95%

The number of people receiving a first or subsequent surgery treatment from March to August are included in the following table.

Total number

Within 31 days of a decision to treat

% Within 31 days of a decision to treat

March 2020

19,049

17,891

94%

April 2020

12,555

11,585

92%

May 2020

12,140

10,820

89%

June 2020

14,354

12,703

88%

July 2020

15,946

14,396

90%

August 2020

14,659

13,133

90%

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, how much flu vaccine stock was available in England in (a) 2019 and (b) 2020.

In 2019, over 22 million doses of flu vaccine were made available in England.

More than 30 million doses of flu vaccine are expected to be made available in England before the end of 2020. Further information is available at the following link:

https://www.gov.uk/government/news/record-numbers-offered-flu-vaccine-as-those-with-flu-and-covid-19-more-likely-to-die

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Sep 2020
To ask the Secretary of State for Health and Social Care, what the cost to the public purse is of private sector health contracts since March 2020.

As of the beginning of November 2020, 937 contracts worth an estimated £17.8 billion have been awarded by the Department and its executive agencies in response to the COVID-19 pandemic for a wide range of products and services, including personal protective equipment, the Test and Trace initiative, ventilators, IT, logistics and medicines.

Edward Argar
Minister of State (Department of Health and Social Care)
23rd Sep 2020
To ask the Secretary of State for Health and Social Care, which organisation has overall responsibility for ensuring that (a) NHS hospitals and (b) other NHS care settings have sufficient personal protective equipment for the winter 2020-21 period.

Everybody working on the front line deserves to have the equipment they need to do their job safely. A significant number of Government departments are working together to make sure that happens. Amid unprecedented global pressures on supply chains over 3.5 billion items of personal protective equipment (PPE) have been delivered to frontline workers thanks to the efforts of the Government, the National Health Service, industry and the armed forces to massively scale up distribution networks.

We have significantly strengthened and diversified our supply chains for PPE – looking to new suppliers abroad as well as boosting our domestic manufacturing capability. This has helped to build resilience into the future. We have moved from an emergency situation a few months ago to a stable position, which allows us to prepare for any second spike or a new wave in the autumn or winter.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Sep 2020
To ask the Secretary of State for Health and Social Care, how many (a) full-length surgical gowns, (b) FFP3 masks, (c) pairs of gloves, (d) visors and (e) surgical masks were in the stockpile of personal protective equipment on the most recent date for which that information is available; and how many of those items were in that stockpile in September 2019.

We have stabilised the United Kingdom personal protective equipment (PPE) supply chain. Since 25 February 2020, the Department has distributed over 4.9 billion PPE items for use by health and social care services in England, which includes gowns, gloves, visors and surgical masks. We have around 32 billion PPE items on order and this month, we will have a four month stockpile of all COVID-19 critical PPE in place, with a tremendous contribution from UK manufacturers.

‘Personal protective equipment (PPE) strategy: stabilise and build resilience’, published on 28 September and available on GOV.UK, sets out how the Government is moving beyond the emergency COVID-19 response to stabilise and build resilience. We are confident we have secured enough supply for this winter period and that we have the processes and logistics in place to distribute PPE to where it is needed.

The operational process to build stockpiles is supported by a range of detailed operational and management data. We are working with those data flows to produce figures that could be published as official statistics; making the information available in a fully validated and clear way that aids understanding.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Sep 2020
To ask the Secretary of State for Health and Social Care, how many items of personal protective equipment are in the stockpile of personal protective equipment for the NHS.

We have stabilised the UK PPE supply chain. Since 25 February 2020, the Department of Health and Social Care has distributed over 3.8 billion PPE items for use by health and social care services in England, which includes gowns, gloves, visors and surgical masks. We have over 32 billion PPE items on order and are building a stockpile equivalent to approximately 4 months PPE usage at COVID-19 usage levels which will be in place by November.

As set out in our PPE Strategy, which was published on 28 September, we are confident in managing demand for PPE arising from any second spike and from the winter period.

The operational process to build stockpiles is supported by a range of detailed operational and management data. We are working with those data flows to produce figures that could be published as official statistics; making the information available in a fully validated and clear way that aids understanding.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
23rd Sep 2020
To ask the Secretary of State for Health and Social Care, whether his Department plans to publish a plan to ensure that the NHS is able to receive sufficient supplies of personal protective equipment for use in winter 2020-21 as recommended by the Public Accounts Committee in July 2020.

‘Personal protective equipment (PPE) strategy: stabilise and build resilience’, published on 28 September, sets out how the Government has moved beyond the emergency COVID-19 response by stabilising the supply for PPE and build resilience. It also includes details about how Government is preparing for and managing the ongoing response to the pandemic alongside the usual seasonal pressures. We are confident we have secured enough supply for this winter period and that we have the processes and logistics in place to distribute PPE to where it is needed. The strategy is available at the following link:

https://www.gov.uk/government/publications/personal-protective-equipment-ppe-strategy-stabilise-and-build-resilience

We have around 32 billion PPE items on order and this month we will have a four month stockpile of all COVID-19-critical PPE in place, with a tremendous contribution from United Kingdom manufacturers.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
10th Sep 2020
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of regional demand for covid-19 tests ordered through the online booking system, and if he will publish that data by postcode area.

Public Health England (PHE), the Joint Biosecurity Centre (JBC) and NHS Test and Trace are monitoring infection levels across the country so higher volumes of testing are targeted where they are needed most

We do allocate more testing to higher prevalence areas in line with JBC reporting (devolved administrations manage their own allocations on a geographic basis). Allocation decisions are frequently and systematically reviewed to ensure we are using our testing where it can be most effective. We are working with PHE and others to develop more sophisticated approaches, based on the latest evidence to manage the prioritisation process to ensure that we can provide appropriate testing for both outbreak management and surveillance purposes.

Helen Whately
Minister of State (Department of Health and Social Care)
10th Sep 2020
To ask the Secretary of State for Health and Social Care, how many (a) NHS and (b) social care workers have died from covid-19.

The Office for National Statistics publish mortality data for deaths involving COVID-19 for healthcare workers and social care workers in England and Wales. The last iteration of this release showed that in England there were 305 deaths among healthcare workers and 307 deaths among social care workers registered between 9 March and 12 October 2020 in England, of those aged 20-64 years, using last known occupation. The definition of healthcare workers used will include not only those employed in the National Health Service but wider healthcare sector workers.

Helen Whately
Minister of State (Department of Health and Social Care)
4th Sep 2020
To ask the Secretary of State for Health and Social Care, what the evidential basis is for his oral contribution of 1 September 2020, Official Report, column 29, that the backlog of cancer cases built up during the covid-19 outbreak has been reduced by half.

Those figures are drawn from management information that is shared weekly with the Department by NHS England. This shows that the backlog of patients waiting longer than 62 days from an urgent general practitioner referral for suspected cancer to first treatment increased by around 21,000 between the end of March and the end of May 2020. At the end of August, the backlog stood around 8,000 higher than the end of March, a reduction of more than half in the backlog of cancer cases built up during the COVID-19 outbreak.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
1st Sep 2020
To ask the Secretary of State for Health and Social Care, how many tests for covid-19 have been completed at drive in testing centres in each month since they were established.

Data on total test results sent out and conducted by Regional Test Sites has been published weekly since the start of the Test and Trace programme on 28 May. This can be found on the GOV.UK website. The information is not available in the format requested because it is currently not possible to split the data into drive-in testing centres.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Sep 2020
To ask the Secretary of State for Health and Social Care, what the criteria are for deciding whether a mobile covid-19 testing unit should be (a) opened and (b) closed in an area; and whether local authorities are consulted on those decisions.

Mobile testing units have been spread across the United Kingdom, with consideration given to population, geography and need. The day to day operations for the majority of these testing units will be locally directed by those who understand their communities best. An additional number of units will serve as a strategic reserve, to be deployed to wherever they are needed at short notice.

The deployment process is overseen centrally by the Department and where they are deployed is informed by regional bodies organised into regional coordination groups.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Sep 2020
To ask the Secretary of State for Health and Social Care, how many covid-19 public testing sites are operating in England; and how many of those sites are (a) walk in and (b) drive in sites.

The Government has put in place the largest network of diagnostic testing facilities created in British history, including, as of 2 September:

- 72 drive-through sites;

- 53 walk-through sites;

- 21 satellite test sites;

- 236 mobile testing units, home testing and satellite kits; and

- Five lighthouse laboratories.

Helen Whately
Minister of State (Department of Health and Social Care)
22nd Jul 2020
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with (a) charities, (b) campaign groups and (c) pharmaceutical companies on the drug Kaftrio since 2018.

The Department regularly engages with external stakeholders about a range of matters, including the availability of medicines for the treatment of a number of conditions.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Jul 2020
To ask the Secretary of State for Health and Social Care, what discussions he had with representatives from (a) NICE and (b) NHS England on Kaftrio.

Departmental ministers and officials regularly discuss a range of matters with colleagues in the National Institute for Health and Care Excellence and NHS England and NHS Improvement. Such discussions include the availability of medicines for the treatment of a number of conditions.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
14th Jul 2020
To ask the Secretary of State for Health and Social Care, what the average number of people per day was that experienced a delayed discharge from hospital for (a) April, (b) May and (c) June 2020; and what the reason was for the delayed discharge.

This data is not available.

Helen Whately
Minister of State (Department of Health and Social Care)
8th Jul 2020
To ask the Secretary of State for Health and Social Care, what the total cost to NHS hospitals was of using (a) agency staff and (b) bank staff in each year since 2010-11.

The following table below sets out expenditure data for National Health Service trusts and foundation trusts with a split between bank staff and agency staff for the previous three financial years, which represents a decrease in agency spend since 2015. Prior to 2017-18, total expenditure costs for agency and bank staff were not separately identifiable by the Department.

NHS Provider Expenditure £ billion

2017-18

2018-19

2019-20

Bank staff including on-costs

3.0

3.5

3.8

Agency/contract

2.4

2.4

2.4

Total

5.4

5.9

6.2

Source: NHS England and NHS Improvement

Helen Whately
Minister of State (Department of Health and Social Care)
8th Jul 2020
To ask the Secretary of State for Health and Social Care, how many care homes have closed since the 2016-17 financial year; and how many beds were lost as a result of those closures.

The following tables show how many care homes have closed since 1 April 2016 and the associated number of beds. It is important to note that when a care home closes, the service may continue but under a new registration due to a legal entity change, address change, or a change in the provider. The data obtained from the Care Quality Commission is accurate as of 22 July 2020.

.

Number of Care Home Locations by Deactivation Type

Total Number of Care Home Locations

Financial Year of Deactivation

Location deactivated through enforcement

Location deactivated voluntarily

2016/2017

113

1,379

1,492

2017/2018

98

1,094

1,192

2018/2019

85

916

1,001

2019/2020

69

827

896

2020/2021

24

246

270

Total

389

4,462

4, 851

Number of Beds by Deactivation Type

Total Number of Beds

Financial Year of Deactivation

Location deactivated through enforcement

Location deactivated voluntarily

2016/2017

2,756

40,493

43,249

2017/2018

2,538

30,625

33,163

2018/2019

2,178

22,108

24,286

2019/2020

1,575

21,686

23,261

2020/2021

521

6,950

7,471

Total

9568

121,862

131,430

Helen Whately
Minister of State (Department of Health and Social Care)
8th Jul 2020
To ask the Secretary of State for Health and Social Care, how many FTE vacancies for (a) registered nurses and (b) medical staff there were in each quarter from Q1 2018-19 up to and including Q1 2020-21.

NHS Improvement collects vacancy data for three staff groups; doctors, nurses and ‘other staff’. This data is published quarterly by NHS Digital and can be found via the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2020-experimental-statistics

The following table shows the vacancy rate and full time equivalent (FTE) vacancies for nursing and medical (doctors) staff from 2018/19 Q1 to 2019/20 Q4, the latest available data.

.

Nursing

Medical

.

Vacancy rate

FTE Vacancies

Vacancy rate

FTE Vacancies

2018/19 Q1

12.00%

42,589

9.60%

12,025

2018/19 Q2

12.10%

42,679

7.70%

9,743

2018/19 Q3

11.10%

39,686

7.10%

8,989

2018/19 Q4

11.10%

39,520

7.20%

9,183

2019/20 Q1

12.30%

43,617

9.00%

11,619

2019/20 Q2

12.10%

43,463

7.10%

9,265

2019/20 Q3

10.70%

38,785

6.60%

8,734

2019/20 Q4

9.90%

36,083

6.30%

8,338

Helen Whately
Minister of State (Department of Health and Social Care)
8th Jul 2020
To ask the Secretary of State for Health and Social Care, how many people were admitted to hospital as a result of flu in each year since 2010-11.

Public Health England monitors the number of people admitted to hospital with influenza in a sentinel group of National Health Service trusts each year. The number of people admitted to hospital as a result of flu in these trusts, and the mean weekly rate of admission for each season since 2010-11 is attached.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
24th Jun 2020
To ask the Secretary of State for Health and Social Care, how many NHS Trusts reported surplus land in 2019-20; and what estimate the NHS has made of the (a) size and (b) value of that land.

Data is not held in the requested format.

Edward Argar
Minister of State (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, whether he plans to issue guidance to local authorities on the (a) definition and (b) enforcement of a local lockdown.

The Government wrote to all local authorities in May to ask them to produce Local Outbreak Control Plans, and have allocated £300 million to develop and implement these, including additional capacity.

We have been working with them to produce hints and tips for outbreak plans, which has been shared. The Association of Directors of Public Health have also issued Guiding Principles.

A further Framework for decision makers and Action Cards will be issued at the end of the month, setting out measures that can be taken.

If local councils need additional powers to manage these, we will review if these can be delivered, but we expect the majority of circumstances to be dealt with by public consent.

Nadine Dorries
Minister of State (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, what discussions has he had with representatives from local authorities on proposals for (a) local and (b) regional lockdown measures.

Ministers have met with local authorities multiple times, including Tom Riordan attending a weekly Local Advisory Board chaired by the Chair of the Local Government Association.

In the vast majority of cases, local public health teams are dealing very effectively with outbreaks and containing them to settings like workplaces or care homes.

If local councils need additional powers to manage community flare ups, we will work with them to review how best this can be achieved, but we expect the majority of circumstances to be dealt with by public consent.

We will do all we can to avoid full lockdowns, but we can not rule them out.

Nadine Dorries
Minister of State (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, how many dental practices in England have reopened (a) fully and (b) partially since 8 June 2020.

This data is not available.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, what the timeframe is for the provision of localised data on people that tested positive for covid-19 to (a) local authorities and (b) GPs.

All upper tier local authorities have access to record level (including sex, age, occupation and postcode) test and case data. Directors of Public Health are also receiving fully identifiable test, case and contact tracing data where the case data includes, address, postcode, sex, age, NHS Number, occupation, test date, and additional data describing progress through the NHS Test and Trace contact tracing process. Public Health England (PHE) provides access to this data via a secure platform to Directors of Public Health to support them to carry out their outbreak management responsibilities. This data is currently updated on a daily basis.

PHE began providing record level positive test data, including postcodes, to local authorities (including Directors of Public Health) on 24 June.

Helen Whately
Minister of State (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, with reference to his Department's Guidance on shielding and protecting people who are clinically extremely vulnerable from covid-19, what plans he has to revise that guidance as the covid-19 social distancing measures are lifted.

On 22 June 2020, the Department set out a series of steps to relax the shielding guidance until shielding is paused on 31 July 2020. Full details are set out in the advice to clinically extremely vulnerable people at the following link:

www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, how many NHS Trusts in England are piloting routine PCR covid testing for staff.

We have made testing available to all symptomatic National Health Service staff as a priority. We are also testing those who are asymptomatic in specific circumstances where appropriate. For NHS workers specifically, NHS England has recently published guidance on when testing of this nature might be appropriate, including where an incident has taken place, an outbreak or where high prevalence has been established.

Following a pilot with 34 trusts, the NHS is now rolling out regular testing of asymptomatic patient-facing NHS staff to include all trusts, using lateral flow testing devices.

Helen Whately
Minister of State (Department of Health and Social Care)
17th Jun 2020
To ask the Secretary of State for Health and Social Care, how many NHS Trusts in England are offering antibody testing to their staff.

National Health Service staff in all regions in England should have been offered the opportunity to take an antibody test should they have wished to have one.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, whether employees who currently work for social care providers who receive no public funding will be eligible to receive the Coronavirus Life Assurance Scheme Death in Service payments.

The Government launched the NHS and Social Care Coronavirus Life Assurance scheme on 20 May 2020. The scheme is non-contributory and pays a £60,000 lump sum where staff who had been recently working where personal care is provided to individuals who have contracted COVID-19 die as a result of the virus.

Care workers are eligible, providing that their work requires them to be present in frontline settings where COVID-19 is present. Employees of all care homes registered by the Care Quality Commission (CQC) are eligible, regardless of how they are funded.

Any social care staff working in non-CQC registered settings are also eligible, if their employer receives public funding.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the needs of blind and partially sighted people are included in guidance on social distancing as part of measures to ease the lockdown during the covid-19 outbreak.

The Minister of State for Disabled People, Health and Work, (Justin Tomlinson MP) has confirmed the appointment of a senior lead for accessible information. This will help to make sure that blind and partially sighted people can access the latest Government guidance about COVID-19, including what to do if someone in your household is unwell, what social distancing means and general advice on the Government website. All United Kingdom Government advice can be found at the following link:

https://www.gov.uk/coronavirus

Helen Whately
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, how the test and trace programme will be rolled out and linked to the reopening of schools.

The Government launched its new NHS Test and Trace service on 28 May 2020. This includes enhanced contact tracing.

The phased reopening of schools for some year groups from 1 June has been guided by the best scientific and medical advice. It is supported by, but is not dependent on, the NHS Test and Trace service.

All symptomatic individuals in England, including children, will be able to access a test if they need one and our guidance sets out the protocols to be followed in the event of a positive test result.

Nadine Dorries
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, whether SAGE plans to consult people with experience in (a) disability, (b) psychology and (c) psychiatry when discussing the easing of the covid-19 lockdown.

We know that some groups are particularly at risk during this difficult period. We are committed to working closely with partners from across the health and care sector, including the mental health and social care workforce.

In the case of COVID-19, the Scientific Advisory Group for Emergencies (SAGE) has been providing ministers and officials with expert advice based on the latest scientific evidence. The Scientific Pandemic Influenza Group on Behaviours (SPI-B), who feed into SAGE, is comprised of many leading experts in the field of psychology. The composition of experts in SAGE changes to address the crisis facing the country, to reflect the expertise needed at that time. SAGE is open to input from experts outside the core group to address gaps outside their expertise when needed.

Helen Whately
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the eligibility for covid-19 testing to be available to (a) staff and (b) patients of care facilities that are not Care Quality Commission registered settings.

We will shortly be writing to Directors of Public Health to ask them to help us determine which Extra Care and Supported Living adult social care settings, including those that may not be Care Quality Commission registered, meet certain risk-based criteria and therefore should be eligible for initial round of asymptomatic testing.

All care workers with symptoms should be self-isolating and can access testing through the self-referral or employer-referral portal. Our approach to testing asymptomatic care staff is based on evidence regarding prevalence and risks and clinical guidance, rather than a blanket approach.

Nadine Dorries
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, what discussions he has had with local authority leaders on the provision of covid-19 testing, tracking and tracing in local authority areas.

I lead the Test and Trace engagement with local authorities, alongside Tom Riordan, Chief Executive of Leeds Council.

This is alongside other local engagement in Testing from Sarah-Jane Marsh, who was appointed to head up Testing at the same time as Tom Riordan was appointed to drive the joint work between the Government and local authorities on 11 May.

Ministers and officials have regular discussions with local authority leaders on the NHS Test and Trace service and attend a Local Outbreak Planning National Advisory Board, chaired by the Chairman of the Local Government Association.

Nadine Dorries
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, what postnatal care is available to new parents during the covid-19 outbreak.

Guidance from the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists sets out that postnatal care should be regarded as essential care and women should be encouraged to attend appointments. NHS England and NHS Improvement have been working with local government to modify and prioritise community health services. Maternity and health visiting services are continuing to deliver the healthy child programme predominantly via virtual methods, with health visitors encouraged to identify children that require a home visit.

Mental health providers are also looking at how they can maximise the use of digital and virtual channels to keep delivering support to existing and new service users.

Nadine Dorries
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, how the NHSX covid-19 contact tracing app will be integrated into local track and trace plans implemented by local authorities.

The National Health Service COVID-19 app is new technology to assist with a well-established technique of contact tracing. It will work alongside the wider programme of Test and Trace, helping the country return safely to normality. The goal of the app is to reduce transmission of the virus by alerting people who may have been exposed to the virus so they can take action to protect themselves, the people they care about and the NHS.

Nadine Dorries
Minister of State (Department of Health and Social Care)
1st Jun 2020
To ask the Secretary of State for Health and Social Care, what (a) advice or (b) guidance on the easing of covid-19 social distancing measures has been issued to clinically vulnerable people who have been shielding.

On 1 June the shielding guidance was updated to advise that those shielding may wish to consider spending time outdoors once a day. This can be with members of their own household or, for those shielding alone, with one person from another household. For those who do choose to go outside, particular care should be taken to minimise contact with others and they should follow social distancing guidelines.

More information can be found on GOV.UK at the following link:

https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
20th May 2020
To ask the Secretary of State for Health and Social Care, how much revenue was raised by the Immigration Health Surcharge in the 2019-20 financial year.

This information is not available in the format requested.

Edward Argar
Minister of State (Department of Health and Social Care)
20th May 2020
To ask the Secretary of State for Health and Social Care, how much revenue was raised by the Immigration Health Surcharge from (a) NHS workers and (b) social care workers in the 2019-20 financial year.

This information is not available in the format requested.

Edward Argar
Minister of State (Department of Health and Social Care)
19th May 2020
To ask the Secretary of State for Health and Social Care, what steps are being taken in (a) primary and (b) community care settings throughout England to proactively monitor the health of people who have received a positive covid-19 test result in order to (i) identify and (ii) support those people who may be at risk of hospitalisation.

For patients with suspected or confirmed COVID-19, the monitoring and identification of ‘silent hypoxia’ and rapid patient deterioration at home, including care homes, is important.

Oxygen levels are the best means of identifying patients most at risk of poor outcomes. Oximetry is an important tool to monitor oxygen levels in patients with confirmed or suspected COVID-19. Frontline professionals (in hospitals, community services and general practice) already use oximeters to help diagnose and monitor the health of patients.

When in contact with an individual to conduct a test for COVID-19, we encourage individuals to contact 111 or 999 if their symptoms worsen. A page on NHS.UK is also available at the following link to help those receiving test results understand them:

https://www.nhs.uk/conditions/coronavirus-covid-19/testing-for-coronavirus/what-your-coronavirus-test-result-means/

Helen Whately
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, what plans the Government has to introduce covid-19 immunity passports.

In order to fully understand the potential of certification in the next phase of our national response to this pandemic, we first need to improve our understanding of how the immune system responds to infection with the COVID-19 virus.


COVID-19 is a new disease and the science around ‘immunity’ to the virus remains uncertain. We do not, for example, know how long an antibody response to the virus lasts nor whether having antibodies means one does not transmit the virus to others.

Nadine Dorries
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, how data from the NHS covid-19 contact-tracing app will be (a) used, (b) stored and (c) disposed of.

The data will only be used for National Health Service care, management, evaluation and research related to COVID-19. It will remain under the control of the Department and the NHS. Any companies working with the NHS are bound by robust contract and data processing agreements that specify how they use and store data. The data will be stored in a secure NHS data centre.

If users delete the app, all data stored on the phone and not already voluntarily shared with the Department or the NHS would be deleted. If users do not opt to share their data while the app remains on their phone, it will automatically be deleted on a continuous 28-day cycle within the app, on the phone.

Any data voluntarily shared with the NHS as part of the public health emergency, either proactively or as part of requesting a test, may be retained and used in the future for research in the public interest, or by the NHS for planning and delivering services, provided that doing so is in accordance with necessary legislation, including the General Data Protection Regulation.

Nadine Dorries
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, how many care homes have accessed covid-19 tests via the new portal for care home testing to date.

Since the launch of the Care Home Portal on the 11 May 2020, 16,717 care homes to date have requested a test through the portal, while 12,061 care homes have subsequently registered the test kit via the Test Registration portal.

We continue to issue over 50,000 tests a day to care homes across the country, with the majority of these in high priority outbreak areas. Any symptomatic person can get a test and care homes with suspected positive cases will be able to access whole home testing via their local Health Protection Team.

Helen Whately
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, when the Roche antibody test will be available to the general public.

The Government has announced the start of its national antibody testing programme, with initial plans to provide antibody tests for National Health Service and care staff, as well as hospital patients and care residents on the basis of clinical advice, in England from the end of May. The United Kingdom Government has purchased tests on behalf of the devolved administrations, and each devolved nation is deciding how to use its test allocation.

Nadine Dorries
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, what is the median time for the results of a covid-19 test taken at a testing facility to be received by a patient.

The data is not held in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, what the average time is that it takes (a) directors of public health and (b) GPs to receive covid-19 test results.

The vast majority of people who have a test through the National Testing Programme get their result the next day. Public Health England receives a data feed of these results after they have been processed by the labs and uploaded to the National Pathology Exchange every 30 minutes. The test results also flow into general practitioner records, if a National Health Service number or other identifying information has been provided.

Helen Whately
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, how many residents of care homes have received tests for covid-19 since the announcement by the Government on 28 April 2020 that testing would be extended to those residents.

The data is not held in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to help prevent shortages of (a) tests for covid-19 and (b) personal protective equipment for healthcare workers in the event of a second wave of covid-19 infections.

The safety of healthcare staff remains paramount during the COVID-19 pandemic. The Government is taking action to ensure the availability of testing for COVID-19 and personal protective equipment (PPE) to meet both current and future demand. National Health Service staff and care home residents and workers will continue to be prioritised as we increase testing capacity across the country towards 200,000 tests a day. We have contracted with over 100 new suppliers able to deliver at the scale and pace the United Kingdom requires. Over 1.5 billion items of PPE have been delivered across the health and social care system within England with tens of millions more items distributed in Scotland, Northern Ireland and Wales.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, how many people with covid-19 have been discharged from hospitals into care homes in the UK.

Information is not available in the format requested.

The attached table shows a count of finished discharge episodes with any diagnosis of COVID-19 by discharge destination for each month in 2020 in England.

Health is a devolved matter within Scotland, Wales and Northern Ireland and the data requested is therefore unavailable.

The following codes have been used within the document:

- U07.1 – Covid-19, virus identified; and

- U07.2 – Covid-19, virus not identified

The data shows the number of completed episodes and not the number of people as some individuals may have been admitted and discharged on more than one occasion during the period.

The data is provisional and is subject to review.

Helen Whately
Minister of State (Department of Health and Social Care)
18th May 2020
To ask the Secretary of State for Health and Social Care, how the Roche antibody test will contribute to the Government strategy on easing the covid-19 lockdown.

Availability of reliable antibody tests are a major boost in the United Kingdom’s battle against COVID-19.

While these tests cannot tell us if someone is ‘immune’ to the COVID-19 virus and as such, it is vital that we all continue to follow social distancing guidelines, antibody testing has a critical role to play in helping us to learn more about how the immune system responds to infection and how the virus has spread across the country.

The UK Government is currently undertaking some of the biggest seroprevalence surveys in the world to gain answers to these critical scientific questions – and eventually, such studies could mean more of us are able to return to our normal lives with greater confidence that we will not infect – or be infected – by others.

Nadine Dorries
Minister of State (Department of Health and Social Care)
15th May 2020
To ask the Secretary of State for Health and Social Care, how many (a) children and (b) adults have had tooth extractions in each month of 2020.

The data is not held in the format requested.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th May 2020
To ask the Secretary of State for Health and Social Care, which private companies were involved in the development of the NHSX contact tracing app and what role did each of those companies play.

The National Health Service COVID-19 app software is being built for the NHS by VMware Pivotal Labs, a software development company that is part of a company called VMware Inc. Several other organisations are actively helping the NHS to develop and test the NHS COVID-19 app including Zuhlke Engineering, Microsoft, and Amazon Web Services. The data protection impact assessment lists the data processors and their roles. This is available on the NHS website.

Nadine Dorries
Minister of State (Department of Health and Social Care)
15th May 2020
To ask the Secretary of State for Health and Social Care, when dentists will be able to resume normal practice in England after the covid-19 lockdown.

Routine dentistry has been suspended during the peak of the pandemic period with urgent face to face care concentrated on urgent dental care centres both to support social distancing measures and maximise safety for patients. NHS England and NHS Improvement are working to ensure appropriate services are in place for all who need them. All National Health Service dental practices are expected to provide urgent advice over the phone and, if needed, prescriptions for painkillers or antibiotics. Practices, or NHS 111 if the patient is unable to contact a practice, will triage patients and if needed refer to one of the urgent dental centres set up so far by NHS England and NHS Improvement.

As of 20 May there are 528 NHS urgent dental centres across England providing urgent dental care and treatment to patients.

NHS England and NHS Improvement and the Chief Dental Officer are looking urgently, in collaboration with the dental sector, at how soon wider NHS dental services can safely reopen. ?NHS England will publish further guidance once decisions on the recovery of dental services have been finalised.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
11th May 2020
To ask the Secretary of State for Health and Social Care, how many items of personal protective equipment purchased since the start of the covid-19 outbreak have had to be disposed of because they do not meet safety standards for use in the UK.

An important customer alert was issued on 26 June regarding a product fault with some Cardinal Health Type IIR Masks.

Personal protective equipment (PPE) which has not met safety standards is currently being analysed and nothing has been disposed of yet.

All PPE procured from abroad that arrives at the Daventry warehouse is checked. If it is not CE marked then documents are sent to the United Kingdom regulators, the Health and Safety Executive and Medicines and Healthcare products Regulatory Agency, who agree to its release as the Market Surveillance Authorities for PPE and medical devices. Products are only released into the supply chain if the documents show the product is fit for its intended use.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
11th May 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of testing and chemical supply to support 200,000 covid-19 tests a day.

Since NHS Test and Trace launched on 28 May, we have exceeded the 200,000 testing capacity target, with current capacity standing at 309,921 as of 12 October 2020.

Along with home-testing and satellite kits, we have established a large network of testing sites across the United Kingdom with 77 regional test sites, 172 local test services (walk through), 21 satellite testing centres and 258 mobile testing units. We will look to increase this in the coming months to meet our needs.

In addition to the five Lighthouse laboratories operating currently, we have announced the addition of new Lighthouse laboratories in Newport, Newcastle, Bracknell and Charnwood to the national laboratory network. We are also using additional ‘surge’ laboratory capacity to process more tests in the short-term. We are working to ensure that we continue to support scaling capacity, allowing more people to be tested daily.

Helen Whately
Minister of State (Department of Health and Social Care)
6th May 2020
To ask the Secretary of State for Health and Social Care, whether he plans to publish the scientific (a) advice and (b) evidence provided to SAGE on covid-19.

Transparency, including on the evidence informing the views of the Scientific Advisory Group for Emergencies (SAGE), is vital in helping to maintain the public’s trust and grow our collective understanding of the disease, while also helping to explain how scientific advice to the Government is being formed. The Government is working to publish evidence documents and studies which have formed the basis of SAGE’s discussions and advice, on issues including the lockdown and prevalence, to Ministers regularly and will publish more evidence in the coming weeks.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
6th May 2020
To ask the Secretary of State for Health and Social Care, how many tests for covid-19 undertaken at home have been processed since the start of the outbreak of that disease.

Home testing has been expanded over several weeks from the initial piloting phase, through to the large-scale ramp up where thousands of home tests are available on a daily basis. As at 8 May 2020, over 134,000 home tests have been dispatched and more than 105,000 completed samples have been collected and this number increases daily.

Nadine Dorries
Minister of State (Department of Health and Social Care)
6th May 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of face mask wearing by the general public for helping to prevent the spread of covid-19.

The Scientific Advisory Group for Emergencies considered the very limited evidence available on the use of face coverings and advised that there was some positive benefit for reducing the transmission of COVID-19. However, the main ways to reduce the spread of COVID-19 are social distancing and washing hands regularly.

The Government is now advising wearing a face covering in situations where it is difficult to manage social distancing and there may be close contact with people the wearer would not usually meet.

Instructions on how to make and use a face covering are available at the following link:

https://www.gov.uk/government/publications/how-to-wear-and-make-a-cloth-face-covering

Further guidance on the use of face coverings is available at the following link:

https://www.gov.uk/government/publications/staying-safe-outside-your-home/staying-safe-outside-your-home#face-coverings

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
24th Apr 2020
To ask the Secretary of State for Health and Social Care, how many at home covid-19 antigen tests have (a) been sent to homes and (b) delivered results since 31 January 2020.

We introduced large-scale home testing in April, making testing accessible many more eligible individuals. As of 2 May, 115,589 Home Tests have been ordered and we are working to increase capacity even further.

Nadine Dorries
Minister of State (Department of Health and Social Care)
24th Apr 2020
To ask the Secretary of State for Health and Social Care, on what date did the UK Government sign the EU's ventilator procurement scheme known as the Joint Procurement Agreement.

The United Kingdom has been a signatory to the European Union Joint Procurement Agreement since 2014 and is eligible to participate in EU joint procurements during the transition period under the terms of the Withdrawal Act.

Owing to an initial communication problem, the UK did not receive an invitation in time to take part in the first four EU Joint Procurements in response to COVID-19, including the ventilators scheme.

However, participating in those four initial joint procurement schemes would not have allowed us to do anything that we have not been able to do ourselves. We currently have over 10,800 mechanical ventilators available to National Health Service patients, with thousands more ventilators on order from manufacturers in the UK and abroad.

The UK will participate in the EU Joint Procurement scheme on therapeutics that is soon to launch and will consider participating in other future schemes on the basis of public health requirements, including any on personal protective equipment.

Edward Argar
Minister of State (Department of Health and Social Care)
24th Apr 2020
To ask the Secretary of State for Health and Social Care, how many items of personal protective equipment have been shipped from the UK in each month of 2020.

HM Revenue and Customs is responsible for the collection and publication of data on United Kingdom imports and exports of goods to and from the UK. HMRC releases this information monthly, as a National Statistic called the Overseas Trade in Goods Statistics.

There is aggregated trade data available for personal protective equipment (PPE) goods and for the periods requested on HMRC’s website, under ‘Build your own data tables’ at the following link:

uktradeinfo.com

The site also contains a ‘Help’ function with information on how to extract trade data.

HMRC also maintains a list of COVID-19 products, including PPE goods, and their commodity codes on GOV.UK. Unfortunately, the trade data collected does not allow HMRC to distinguish PPE goods classified under a particular commodity code from any non-PPE goods classified under that same commodity code.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care what assessment he has made of the potential merits of introducing death-in-service benefit to all NHS workers.

The NHS Pension Scheme provides death in service cover of two times annual pay to active members who are yet to retire, to support a member’s partner and dependents, should they die before claiming their retirement benefits. Membership of the pension scheme is voluntary and is available to all eligible staff in the National Health Service. Around 90% of NHS staff are active scheme members.

Staff who have recently retired from the NHS will have already received a tax-free lump sum from the NHS Pension Scheme and are therefore entitled to less generous death in service benefits should they re-join the scheme after retirement, but their family will receive additional death benefit if they die within five years of their retirement date, as well as partner and dependent pensions.

The Department is considering whether to offer further support for the families of all staff providing frontline NHS services, including those who are not in the NHS Pension Scheme.

Helen Whately
Minister of State (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, how many cervical smear tests have taken place in the NHS in each month of 2020 to date.

Information on the number of cervical smear tests carried out between January and April 2020 is not currently available. Information on cervical screening uptake rates is published quarterly by NHS Digital and can be found on their website using the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/cervical-screening-programme/cervical-screening-programme-coverage-statistics-management-information

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, which urgent care centres for dental treatment have opened in each area since 25 March 2020; and how many (a) patients have been treated and (b) FP17s have been submitted for urgent care at each centre since that date.

NHS dentistry was reorganised in late March along with other NHS primary care services to minimise face to face care to contain the spread of COVID-19 during the peak of the pandemic. Dentists were asked to suspend all routine treatment and instead to offer urgent advice and, where required, prescriptions for antibiotics by telephone. Urgent treatment was made available through urgent dental centres (UDCs) set up in each National Health Services region.

As of 25 May there are currently over 550 UDCs open. Patients are triaged into UDCs by their own dentistry or through NHS 111. The urgent dental centres are expected to provide, where urgently needed, the full range of dental treatment normally available on the NHS.

The NHS England and Improvement guidance issued from the Chief Dental Officer on 25 March applied directly only to NHS dental care. When providing private care dentists should consider any advice or guidance issued by regulators, the relevant professional body, Chief Professional Officers, or the NHS, as appropriate. All official guidance should be considered in delivery of private or NHS treatment but guidance issued to the NHS is only binding for NHS care.

NHS England and Improvement announced on 28 May that NHS dentistry outside urgent care centres will begin to restart from 8 June with the aim of increasing levels of service as fast as is compatible with maximising safety. The letter to dentists setting this out is available at the following link:

https://www.england.nhs.uk/coronavirus/wp-ontent/uploads/sites/52/2020/03/Urgent-dental-care-letter-28-May.pdf

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, how many NHS Trusts offer on site covid-19 testing for NHS staff.

National Health Service trusts have all put in place swabbing arrangements for their employees. This is either on the hospital estate or provided at locations in the local communities near their trust that are accessible for employees.

COVID-19 tests are conducted through pathology networks across England in laboratories. They are conducted at the laboratories with the relevant testing platforms.

Nadine Dorries
Minister of State (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, which departmental decisions have been subject to a ministerial direction in 2020.

Ministerial Directions are published on GOV.UK. A Ministerial Direction was published on 30 March 2020 which authorised spend on urgent COVID-19 issues by the Department and its arm’-length bodies. This can be found at the following link:

https://www.gov.uk/government/publications/coronavirus-covid-19-ministerial-direction-on-spend

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, how many additional ventilators have been provided (a) in total and (b) to each NHS Trust since 31 January 2020.

At the start of the COVID-19 outbreak in March there were more than 8,000 mechanical ventilators in hospitals across the United Kingdom. As of 4 May, we have around 10,900 mechanical ventilators available to National Health Service patients. In addition, there are also 6,291 non-invasive ventilators available to the NHS across the UK which were not available before the start of the crisis in mid-March plus a further 73 from the private sector.

These figures will continue to rise as we procure further equipment and more products from the Prime Minister’s ventilator challenge become available.

Mechanical ventilators are allocated pro rata between England and the devolved administrations, but then within each nation decisions of where to send ventilators are based on clinical need. In England hospitals can make a bid for ventilators and these are discussed and allocated with regional NHS England and NHS Improvement teams. Details can be found at the following link:

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0233-ventilator-consumables-8-april.pdf

The following table shows the distribution of the new mechanical ventilators to date.

Mechanical Ventilators dispatched from Donnington Warehouse as of 4 May 2020
(this excludes those still in warehouses and those made and held by the private sector)

Location

Number of Mechanical Ventilators

Airedale General Hospital

2

Basildon University Hospital

10

Countess of Chester Hospital

5

East Surrey Hospital

5

Essex and Herts Air Ambulance

1

Gloucester Royal Hospital

1

Guernsey

8

Isle of Man

3

Jersey

5

Kings Mill Hospital

2

Leighton Hospital

7

Lister Hospital

2

London Ambulance Service

19

London NHS Nightingale

168

Manchester General Hospital

5

Manchester Royal Infirmary

9

North Manchester General Hospital

3

Northern Ireland

28

Nottingham University Hospitals NHS Trust

1

Royal Lancaster Infirmary

2

Royal Oldham Hospital

3

Royal Papworth Hospital

54

Scotland

77

South Central Amublance

2

Southport General Hospital

8

St George’s University Hospital Foundation Trust

4

St Mary’s Hospital

5

Tameside General Hospital

8

UK Overseas Territories

11

Wales

46

NHS London (for onward distribution)

125

Lancashire Teaching Hospitals NHS Trust

3

Sandwell and West Birmingham NHS Foundation Trust

6

Harrogate NHS Nightingale

7

South West Region (for onward distribution)

5

Bristol NHS Nightingale

9

North East NHS Nightingale

2

Warwick Hospital

2

Worcestershire Acute Hospitals NHS Trust

2

Grand Total

665

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the reasons why covid-19 disproportionately affects people from BAME communities; and what steps he is taking to mitigate those effects.

The Parliamentary Under-Secretary of State for Equalities (Kemi Badenoch MP) is reviewing the findings from Public Health England’s reports to better understand the drivers behind the disparities and the relationships between the different risk factors. Her work will help us to improve understanding of the virus and who it affects so we can build on the existing action we are taking to tackle health inequalities. This includes our childhood obesity plan, NHS health checks, our tobacco control plan and diabetes prevention programme.

In addition, the NHS Long Term Plan commits all major national programmes and every local area across England to set out specific measurable goals and mechanisms by which they will contribute to narrowing health inequalities over the next five and ten years.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
22nd Apr 2020
To ask the Secretary of State for Health and Social Care, how many NHS staff have undertaken additional training to support patients with respiratory needs since 31 January 2020.

Information on the number of National Health Service staff who have undertaken additional training to support patients with respiratory needs is not collected centrally. It would be for individual trusts to train staff according to local needs and demand.

A variety of guidance on workforce, including the principles for increasing the nursing workforce in response to exceptional increased demand in adult critical care, can be found on NHS England’s website and accessed via the following link:

https://www.england.nhs.uk/coronavirus/workforce/

Helen Whately
Minister of State (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, what personal protective equipment has been distributed to dietitians in the UK.

Everybody working on the front line, including dietitians and other professions, deserves to have the equipment they need to do their job safely and the Government is working night and day to make that happen.

Having begun with a supply chain designed to accommodate delivery to 226 National Health Service trusts, we are now providing essential personal protective equipment (PPE) supplies to 58,000 different settings, including care homes, hospices and community care organisations.

Since 25 February, we have delivered over 2.3 billion items of PPE across the health and social care system within England.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, how many elective operations have been cancelled in NHS trusts in England in each month of 2020 to date.

Collection of this information has been temporarily suspended to free up capacity both centrally within NHS England and NHS Improvement and at local provider level.

Edward Argar
Minister of State (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, what the cost to the public purse was of purchasing covid-19 antibody tests.

The results from the first evaluation of antibody tests have shown that, of the tests the Government has looked at so far, none have proven accurate enough to be rolled out for public use. The Government is therefore in the very early stages of negotiation with suppliers who received prepayment, in order to cancel orders. To date, the Government has cancelled orders, with no liability to the Government, totalling £70 million in value. Negotiations are ongoing with other suppliers.

Nadine Dorries
Minister of State (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that NHS dentistry services will continue to be available after the covid-19 outbreak.

NHS dentistry was reorganised in late March along with other NHS primary care services to minimise face to face care to contain the spread of COVID-19 during the peak of the pandemic. Dentists were asked to suspend all routine treatment and instead to offer urgent advice and, where required, prescriptions for antibiotics by telephone. Urgent treatment was made available through urgent dental centres (UDCs) set up in each National Health Service region

As of 25 May there are currently over 550 UDCs open. Patients are triaged into UDCs by their own dentistry or through NHS 111. The urgent dental centres are expected to provide, where urgently needed, the full range of dental treatment normally available on the NHS

The NHS England and Improvement guidance issued from the Chief Dental Officer on 25 March applied directly only to NHS dental care. When providing private care dentists should consider any advice or guidance issued by regulators, the relevant professional body, Chief Professional Officers, or the NHS, as appropriate. All official guidance should be considered in delivery of private or NHS treatment but guidance issued to the NHS is only binding for NHS care

NHS England and Improvement announced on 28 May that NHS dentistry outside urgent care centres will begin to restart from 8 June with the aim of increasing levels of service as fast as is compatible with maximising safety. The letter to dentists setting this out is available at the following link:

https://www.england.nhs.uk/coronavirus/wp-ontent/uploads/sites/52/2020/03/Urgent-dental-care-letter-28-May.pdf

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, with reference to his Department's guidance on the use of personal protective equipment, whether (a) naso-gastric or (b) naso-jejunal tubes are classed as an aerosol generating procedure; and what advice his Department took to reach this decision.

Placement of naso-gastric and naso-jejunal tubes are not currently categorised as aerosol generating procedures (AGPs). The evidence around AGPs is being kept under review and the evidence review is led by Public Health Scotland.

The Department’s expert advisory committee on New and Emerging Respiratory Virus Threats Advisory Group (NERVTAG) members and invited experts are assessing the evidence base for medical procedures which create a higher risk of respiratory infection transmission from patient to healthcare worker. A rapid evidence appraisal has been conducted to assess the risk of patient to healthcare worker infection transmission associated with a wide range of potentially aerosol generating medical procedures. An updated evidence review and the position on the presented evidence review from NERVTAG is awaited.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, how many NHS staff have been tested for covid-19 in each trust in England.

This information is not available in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, how many items of (a) fluid repellent surgical face masks, (b) disposable respirators (FFP3/ FFP2/ N95), (c) fluid repellent gowns, (d) eye goggles and (e) visors have been delivered to each trust in England in each month of 2020.

Since the outbreak began, we have delivered over 1 billion items of personal protective equipment (PPE) across the health and social care system within England, plus tens of millions more will have been distributed by the devolved administrations. We are now providing essential PPE supplies to 58,000 different providers. Every single National Health Service trust has now had a PPE delivery.

The full weight of the Government is behind this effort and we are working closely with industry, social care providers, the NHS, NHS Supply Chain and the army so all NHS and care staff have the protection they need.

The United Kingdom Government has published clear guidance on appropriate PPE for health and care workers based upon clinical expertise. Our guidance is consistent with World Health Organization guidance for protecting health and social care workers from COVID-19.

Guidance, including videos, on the use of PPE for aerosol generating procedures is available at the following link:

https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, how many NHS staff in each CCG have been tested for covid-19.

This information is not available in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the continued delivery of the national screening programme during the covid-19 pandemic.

To protect patients and staff during this pandemic, some clinical services are rescheduling routine invitations or appointments to a later date, including routine screening appointments. NHS England and NHS Improvement are working with service providers to ensure that plans are in place to reschedule and restore services as soon as is safely possible to do so, in order to minimise any risk to individual patients.

NHS England and NHS Improvement recommend that anyone experiencing any unusual symptoms should contact their general practice as soon as possible for advice.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
21st Apr 2020
To ask the Secretary of State for Health and Social Care, how many new ventilators have been (a) procured and (b) delivered to NHS trusts in response to the covid-19 pandemic.

At the start of the COVID-19 outbreak in March there were more than 8,000 mechanical ventilators in hospitals across the United Kingdom. As of 4 May, we have around 10,900 mechanical ventilators available to National Health Service patients. In addition, there are also 6,291 non-invasive ventilators available to the NHS across the UK which were not available before the start of the crisis in mid-March plus a further 73 from the private sector.

These figures will continue to rise as we procure further equipment and more products from the Prime Minister’s ventilator challenge become available.

Mechanical ventilators are allocated pro rata between England and the devolved administrations, but then within each nation decisions of where to send ventilators are based on clinical need. In England hospitals can make a bid for ventilators and these are discussed and allocated with regional NHS England and NHS Improvement teams. Details can be found at the following link:

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0233-ventilator-consumables-8-april.pdf

The following table shows the distribution of the new mechanical ventilators to date.

Mechanical Ventilators dispatched from Donnington Warehouse as of 4 May 2020
(this excludes those still in warehouses and those made and held by the private sector)

Location

Number of Mechanical Ventilators

Airedale General Hospital

2

Basildon University Hospital

10

Countess of Chester Hospital

5

East Surrey Hospital

5

Essex and Herts Air Ambulance

1

Gloucester Royal Hospital

1

Guernsey

8

Isle of Man

3

Jersey

5

Kings Mill Hospital

2

Leighton Hospital

7

Lister Hospital

2

London Ambulance Service

19

London NHS Nightingale

168

Manchester General Hospital

5

Manchester Royal Infirmary

9

North Manchester General Hospital

3

Northern Ireland

28

Nottingham University Hospitals NHS Trust

1

Royal Lancaster Infirmary

2

Royal Oldham Hospital

3

Royal Papworth Hospital

54

Scotland

77

South Central Amublance

2

Southport General Hospital

8

St George’s University Hospital Foundation Trust

4

St Mary’s Hospital

5

Tameside General Hospital

8

UK Overseas Territories

11

Wales

46

NHS London (for onward distribution)

125

Lancashire Teaching Hospitals NHS Trust

3

Sandwell and West Birmingham NHS Foundation Trust

6

Harrogate NHS Nightingale

7

South West Region (for onward distribution)

5

Bristol NHS Nightingale

9

North East NHS Nightingale

2

Warwick Hospital

2

Worcestershire Acute Hospitals NHS Trust

2

Grand Total

665

Edward Argar
Minister of State (Department of Health and Social Care)
20th Apr 2020
To ask the Secretary of State for Health and Social Care, what training is being given to dental nurses who are redeployed to hospital wards during the covid-19 outbreak.

NHS England has issued updated guidance on 20 April covering the redeployment of the dental workforce to support the delivery of the National Health Service delivery plan during COVID-19. The guidance can be found at the following link:

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0301-Permissions-Redeploying-our-people-clinical-dental-workforce-v2.pdf

The guidance sets out that for dental nurses possible redeployment could include decontamination measures, administrative jobs, talking to relatives, helping with feeding, moving patients, donning personal protective equipment, bedside support, equipment preparation, acting as ‘runner’ between teams, turning and washing patients and providing bedside comfort.

The guidance also makes clear that redeployment should be aligned closely with current competencies and where training is needed that is provided.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
20th Apr 2020
To ask the Secretary of State for Health and Social Care, what services are available to women seeking an abortion during the covid-19 outbreak.

Abortion services remain open and are defined as an essential service. In light of the COVID-19 pandemic, we have put in place two temporary measures in England to limit the transmission and ensure continued access to abortion services: women and girls are able to take both pills (Mifepristone and Misoprostol) for early medical abortion up to 10 weeks gestation in their own homes, without the need to first attend a hospital or clinic (subject to eligibility); and registered medical practitioners are able to prescribe both pills for the treatment of early medical abortion up to 10 weeks from their own homes.

Helen Whately
Minister of State (Department of Health and Social Care)
20th Apr 2020
To ask the Secretary of State for Health and Social Care, what guidance his Department is providing to dental nurses who are redeployed to hospital wards during the covid-19 outbreak.

NHS England has issued updated guidance on 20 April covering the redeployment of the dental workforce to support the delivery of the National Health Service delivery plan during COVID-19. The guidance can be found at the following link:

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0301-Permissions-Redeploying-our-people-clinical-dental-workforce-v2.pdf

The guidance sets out that for dental nurses possible redeployment could include decontamination measures, administrative jobs, talking to relatives, helping with feeding, moving patients, donning personal protective equipment, bedside support, equipment preparation, acting as ‘runner’ between teams, turning and washing patients and providing bedside comfort.

The guidance also makes clear that redeployment should be aligned closely with current competencies and where training is needed that is provided.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to safeguard the medicines supply chain during the covid-19 outbreak.

The country is well prepared to deal with any impacts of COVID-19 and we have stockpiles of generic drugs, in the event of any supply issues.

The Department is working closely with industry, the National Health Service and others in the supply chain to help ensure patients can access the medicines they need, and precautions are in place to reduce the likelihood of future shortages.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, how many additional companies have agreed to start producing ventilators for the covid-19 outbreak.

On 27 March the Government confirmed it had received a large number of offers from companies who can support in the supply of ventilators and ventilator components across the United Kingdom. They will be matching requirements and will reach out to companies individually.

There are currently three major companies supporting this effort which include:

- VentilatorchallengeUK - whose role is to help ramp up production of a proven ventilator design, which has been supplied by a leading UK medical company to help those suffering from the virus. They will be providing integrated, tested sub-systems and components, which makes best use of their strong project management and engineering skills, while saving significant time during final assembly of the ventilators;

- Dyson, the globally recognized appliance maker, is working with The Technology Partnership on a brand new ventilator design called the CoVent. This design is meant to be made quickly and at high volumes, and leverages Dyson’s existing digital motor design, as well as the company’s air purification products, to deliver safe and consistent ventilation for COVID-19 patients. Dyson is donating 5,000 CoVent ventilator units to the international effort, 1,000 of which will go to the UK and intends to fulfil a UK Government order of 10,000 more units; and

- GTECH - another UK home appliance and vacuum maker, is working to respond to the Government’s call for ventilator hardware. A request was received to build up to 30,000 ventilators. The company has developed a ventilator that can be made from parts easily obtained from abundant stock materials, or off-the-shelf pre-assembled parts. The company says that within a week or two it will be able to produce up to 100 units per day, if it can source steel fabrication and CNC machining suppliers.

Edward Argar
Minister of State (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the merits of introducing mandatory testing for covid-19 for all (a) NHS and (b) care staff.

The Government must prioritise and understand that National Health Service staff want to get tested so they can return to the frontline as fast as possible. Early on the decision was taken that seriously ill patients had to come first. For them, a test can mean the difference between life and death.

On 4 April, the Secretary of State for Health and Social Care advised that ‘our ultimate goal is that anyone who needs a test should have one. We will get there through a phased approach, starting with patients who need the test, expanding to NHS workers and their families as we are now doing, then other critical key workers as we ramp up further, and then expanding to the wider community over time. Our testing strategy has five pillars, which this document sets out in full’.

The full document, published on 4 April 2020, can be found at the following link:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/878121/coronavirus-covid-19-testing-strategy.pdf

Nadine Dorries
Minister of State (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, which NHS trusts have received additional stocks of personal protective equipment for staff since 1 January 2020.

As of 14 April, since the start of the COVID-19 outbreak we have delivered over 923 million pieces of personal protective equipment (PPE) to 58,000 different health and care settings including National Health Service trusts, general practitioners, pharmacies and community providers. We have provided PPE equipment to over 26,000 care homes including home care and hospices across the country. Over the Easter Bank Holiday weekend, over 48 million PPE items have been delivered.

We are working around the clock to give the NHS and the wider social care sector the equipment and support they need to tackle this outbreak. We have brought together the NHS, industry and the Armed Forces to create a new nationwide PPE distribution network, delivering critical PPE supplies to those who need it.

We have a 24 hours a day, seven days a week helpline for those experiencing supply disruption with business as usual ordering channels. Where there may be any shortages, we act on this immediately. Local Resilience Forums are also supporting care homes, hospices, home care and primary care in getting hold of PPE equipment.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, which social care providers have received additional stocks of personal protective equipment for staff since 1 January 2020.

Since the start of the pandemic, we have provided an emergency supply of personal protective equipment (PPE) to the adult social care sector through the PPE portal, Local Resilience Forums (LRFs), the National Supply Disruption Response, as well as by supplying PPE to wholesalers for onward sale to the adult social care sector. Recognising the increase in cost and demand for PPE this year, in the recently published Adult Social Care Winter Plan the Government committed to the provision of free PPE for adult social care providers for COVID-19 needs until March 2021.

Since 25 February 2020 the Department has distributed over 4.9 billion PPE items for use by health and social care services. This includes 252 million items to designated wholesalers for onward sale to adult social care providers, as well as 209 million items to LRFs. Since 28 September 2020 over 33.8 million items of PPE have also been distributed to local authorities that no longer use LRFs.

As of 18 November, over 19,500 adult social care providers, including care homes and domiciliary care providers, have registered with the PPE portal to receive free PPE to meet the increased need arising from the COVID-19 pandemic. Up to and including 15 November, we estimate that over 310 million items have been delivered to adult social care providers through the PPE portal. This includes over 190 million items to adult residential care providers and over 120 million items to adult domiciliary care providers via the portal.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of people admitted to NHS Trust intensive care units in London in each week since February 1 2020.

The number of people admitted to National Health Service trust intensive care units in London and the Midlands in each week since February 1 2020 is not available in the format requested.

NHS England and NHS Improvement collect and publish weekly sitreps data over winter from acute trusts with a type 1 accident and emergency department. This includes critical care bed numbers and occupancy rates:

https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2019-20-data/

The NHS is working hard to support critically ill patients during the COVID-19 epidemic. The Chancellor recently advised that the NHS will get the resources it needs to cope with a COVID-19 epidemic.

The NHS is currently scaling up intensive care beds and is working with independent sector providers to achieve this.

Edward Argar
Minister of State (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of people admitted to NHS Trust intensive care units in the Midlands in each week since February 1 2020.

The number of people admitted to National Health Service trust intensive care units in London and the Midlands in each week since February 1 2020 is not available in the format requested.

NHS England and NHS Improvement collect and publish weekly sitreps data over winter from acute trusts with a type 1 accident and emergency department. This includes critical care bed numbers and occupancy rates:

https://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winter-daily-sitrep-2019-20-data/

The NHS is working hard to support critically ill patients during the COVID-19 epidemic. The Chancellor recently advised that the NHS will get the resources it needs to cope with a COVID-19 epidemic.

The NHS is currently scaling up intensive care beds and is working with independent sector providers to achieve this.

Edward Argar
Minister of State (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the continued supply of medicines during the covid-19 outbreak.

The country is well prepared to deal with any impacts of COVID-19 and we have stockpiles of generic drugs, in the event of any supply issues.

The Department is working closely with industry, the National Health Service and others in the supply chain to help ensure patients can access the medicines they need, and precautions are in place to reduce the likelihood of future shortages.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of GP practices have received additional stocks of personal protective equipment for staff since 1 January 2020.

As of 14 April, since the start of the COVID-19 outbreak we have delivered over 923 million pieces of personal protective equipment (PPE) to 58,000 different health and care settings including National Health Service trusts, general practitioners, pharmacies and community providers. We have provided PPE equipment to over 26,000 care homes including home care and hospices across the country. Over the Easter Bank Holiday weekend, over 48 million PPE items have been delivered.

We are working around the clock to give the NHS and the wider social care sector the equipment and support they need to tackle this outbreak. We have brought together the NHS, industry and the Armed Forces to create a new nationwide PPE distribution network, delivering critical PPE supplies to those who need it.

We have a 24 hours a day, seven days a week helpline for those experiencing supply disruption with business as usual ordering channels. Where there may be any shortages, we act on this immediately. Local Resilience Forums are also supporting care homes, hospices, home care and primary care in getting hold of PPE equipment.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
19th Mar 2020
To ask the Secretary of State for Health and Social Care, what support is available to people who rely on fundraising events to access private medicines that will be cancelled due to the covid-19 outbreak.

As part of our concerted national efforts to respond to the COVID-19 outbreak, we are doing everything we can to ensure patients continue to access safe and effective medicines.

For those who rely on fundraising events to access private medicines, events which do not involve people gathering in one place may still go ahead provided they comply with Government policy and guidelines which can be found at the following link:

https://www.gov.uk/government/news/charities-act-2016-new-fundraising-rules

Examples of events that could still go ahead are virtual races or meetups. Further advice on fundraising during the COVID-19 pandemic can be found at the following link:

https://www.fundraisingregulator.org.uk/more-from-us/news/coronavirus-covid-19-advice-fundraising

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
10th Mar 2020
To ask the Secretary of State for Health and Social Care, how many ventilator machines there are in each NHS trust in the UK.

Ventilator machines are used to support patient care in Intensive Care Units, operating theatres and High Dependency Units, although they are also used in other parts of a hospital, for example, in respiratory care. Other technologies are also used to support some individuals who need assistance with breathing in community care and at home.

During the COVID-19 outbreak the National Health Service has been purchasing additional ventilators, and other oxygen support devices, at pace to further enhance capacity and the precise numbers by trust are increasing daily.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
6th Mar 2020
To ask the Secretary of State for Health and Social Care, what plans he has to ensure that the NHS Leadership Compact uses the latest available evidence on good leadership and management.

The NHS Leadership Compact will describe an agreed set of behaviours that all senior National Health Service leaders need to display in order to create a positive, compassionate and inclusive NHS leadership culture. The NHS Leadership Compact has been developed in partnership with leaders at every level. Evidence from similar agreements already in use in the NHS and in other sectors, as well as evidence of good leadership and management practice, has been used to inform development of the NHS Leadership Compact.

Helen Whately
Minister of State (Department of Health and Social Care)
6th Mar 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that managers of NHS trusts are compliant with the NHS Leadership Compact.

NHS England and NHS Improvement will work closely with other National Health Service organisations to ensure that all senior leaders follow the NHS Leadership Compact. NHS England and NHS Improvement are also working to ensure that NHS regulatory and oversight frameworks support the behaviours set out in the NHS Leadership Compact.

Helen Whately
Minister of State (Department of Health and Social Care)
6th Mar 2020
To ask the Secretary of State for Health and Social Care, what steps his Department has taken to prepare NHS leaders for implementation of the NHS people plan.

A wide range of senior leaders have been involved in the development of the NHS People Plan. NHS England and NHS Improvement, alongside Health Education England, are working collaboratively with local health and care systems to agree how best to support local leaders in implementing the People Plan. The NHS Leadership Compact, which will support the People Plan, has also been developed in partnership with leaders at every level.

Helen Whately
Minister of State (Department of Health and Social Care)
6th Mar 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to create psychologically healthy workplaces in the NHS.

The final NHS People Plan will set out a wide range of actions to make the National Health Service a consistently great place to work and improve patient care. It will set out how NHS England and NHS Improvement will work with local health systems and NHS organisations to improve the experience of work in the NHS and ensure that NHS workplaces are psychologically healthy.

The NHS currently provides mental health support for doctors in England through the NHS Practitioner Health Programme, a mental health assessment and treatment service that NHS doctors and dentists can access via confidential self-referral.

Helen Whately
Minister of State (Department of Health and Social Care)
26th Feb 2020
To ask the Secretary of State for Health and Social Care, what plans NHS England has to issue protective masks to GP surgeries to help protect staff from covid-19.

Public Health England has published interim guidance for primary care. The main principles of the advice are to identify potential cases as soon as possible, prevent potential transmission of infection to other patients and staff, advice to avoid direct physical contact, including physical examination, and exposures to respiratory secretions and to isolate the patient, obtain specialist advice and determine if the patient is at risk of COVID-19.

Within this guidance under actions to take it is advised that if entry to the room or contact with a patient suspected of having COVID-19 is unavoidable in an emergency, wear personal protective equipment (PPE) in line with standard infection control precautions, such as gloves, apron and fluid resistant surgical mask.

General practitioner surgeries should continue to use their current procedures for ordering, supplying and procuring PPE and use their usual contracted routes should any escalation be needed.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
26th Feb 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to prevent malnutrition in (a) hospitals, (b) care homes and (c) primary care settings.

Malnutrition is a common health problem, affecting all ages and all health and care settings.

The National Institute for Health and Care Excellence quality standard for nutrition support in adults (QS24) requires that all care services take responsibility for the identification of people at risk of malnutrition and provide nutrition support for everyone who needs it. An integrated approach to the provision of services is fundamental to the delivery of high-quality care to adults who need nutrition support.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
26th Feb 2020
To ask the Secretary of State for Health and Social Care, for what reason the commissioning of orthodontic services in (a) Central and (b) East Midlands has been discontinued.

NHS England is responsible for commissioning orthodontic services from specialist practitioners in primary care, to meet local need.

NHS England halted orthodontic services in the Midlands and East region due to concerns about the way the process was managed. Across the region NHS England has extended all existing providers contracts for a further two years, which will now expire in 2022.

NHS England will be working across its national team and its Midlands and East regions to undertake a lessons learned exercise. This exercise will inform the decision making around the next steps for orthodontic procurements across those regions.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
26th Feb 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to raise awareness of malnutrition in the elderly amongst (a) older people, (b) their relatives and (c) health and care staff.

Government advice is that most people should follow a diet in line with the United Kingdom’s national food model, the Eatwell Guide. Those who are underweight may need more energy or nutrient-dense foods and drinks. The Eatwell Guide is available at the following link:

https://www.gov.uk/government/publications/the-eatwell-guide

The National Health Service website provides information to help raise awareness of the common signs of malnutrition and seeking treatment for individuals and carers. This is available at the following link:

https://www.nhs.uk/conditions/malnutrition/

Health Education England (HEE) have a number of e-learning sessions covering diet and nutrition across the life course that can be accessed via the e-Learning for Healthcare platform. The HEE population wellbeing portal offers free access to education, training and professional development resources, to help deliver improvements in public health and prevention. HEE are currently developing a healthier weight competency framework.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
26th Feb 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to (a) enable and (b) support prevention of malnutrition at a community level.

Malnutrition (or under-nutrition), is both a cause and a consequence of ill health and the government recognises the multiple complex issues associated with it.

Public Health England has published an evidence review which considers what works in supporting older people to maintain a healthy diet and reduce the risk of malnutrition in a community setting. The review can be found at the following link:

https://www.gov.uk/government/publications/helping-older-people-maintain-a-healthy-diet-a-review-of-what-works/helping-older-people-maintain-a-healthy-diet-a-review-of-what-works

Government advice is that most people should follow a diet in line with the United Kingdom’s national food model, the Eatwell Guide. Those who are underweight may need more energy or nutrient-dense foods and drinks. The Eatwell Guide is available at the following link:

https://www.gov.uk/government/publications/the-eatwell-guide

The National Institute for Health and Care Excellence 2012 quality standard 'Nutrition support in adults’ provides advice to the National Health Service to help identify people who are either malnourished or at risk of malnutrition in hospital or in the community. This is available at the following link:

https://www.nice.org.uk/guidance/qs24

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
25th Feb 2020
To ask the Secretary of State for Health and Social Care, with reference to the recommendation of 7 February 2020 by the Royal College of Obstetricians and Gynaecologists, if he will convene a working group with industry, regulatory agencies and professional bodies to tackle the HRT shortages.

We are in regular discussions with the Royal College of Obstetricians and Gynaecologists about hormone replacement therapy (HRT) supply issues and are currently reviewing their proposal to convene a working group with industry, regulatory agencies and professional bodies to tackle this supply issue.

We continue to work with the Royal College as well as a number of other stakeholders including the National Health Service, the pharmaceutical industry, the Medicines and Healthcare products Regulatory Agency, the British Menopausal Society and the Facility of Sexual and Reproductive Healthcare to resolve HRT supply issues as quickly as possible. The overall supply situation will start to improve from the end of February 2020.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Feb 2020
To ask the Secretary of State for Health and Social Care, if he will publish a list of each of the (a) HRT and (b) contraceptive medications subject to NHS supply shortages as at 12 February 2020.

The Department shares regular updates about supply issues affecting hormone replacement therapy (HRT) and contraceptive products directly with the National Health Service and communicates with other networks including the Royal College of Obstetricians and Gynaecologists. These communications include information about mitigation actions and management plans to ensure affected patients can be managed appropriately.

All information included within these communication documents are written for healthcare professionals. The Department does not share this information publicly.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Feb 2020
To ask the Secretary of State for Health and Social Care, what guidance has been issued to community health NHS trusts on the treatment of suspected Covid-19 patients at home.

Public Health England has published guidance for primary and secondary care professionals that outlines infection prevention and control advice for healthcare providers assessing, testing and caring for possible cases of COVID-2019. This guidance should be used in conjunction with local policies and can be found at the following link:

https://www.gov.uk/government/collections/wuhan-novel-coronavirus

Additional guidance for primary care professionals can be found at the following link:

https://www.gov.uk/government/publications/wn-cov-guidance-for-primary-care

Currently, all suspected cases are assessed by NHS 111 and if COVID-19 is considered a possibility then they are advised to self-isolate and the testing arrangements are clarified. The history and test result are then used by clinicians and local health protection teams to determine next steps. Some community health National Health Service trusts may be involved in the testing of suspected cases and they will be working to an agreed local protocol.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
12th Feb 2020
To ask the Secretary of State for Health and Social Care, how many individual funding requests were refused in the NHS in the last 12 months; what procedures were used for making those refusals; and what the reasons were for each of those refusals.

The information requested is not held centrally by the Department.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
10th Feb 2020
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to implement maximum waiting times for adult inpatient mental health care; and what progress he has made on the maximum waiting time pilots.

NHS England has committed in the interim report of the Clinically-Led Review of Access Standards to testing a range of new access standards for mental health, including for crisis services in the community and liaison psychiatry services, four week waiting times for children and young people who need specialist community mental health services and four week waiting times for adults and older adults to access community mental health teams.

Testing of these new access standards are underway in pilot areas. An update on the testing of the new mental health access standards will be set out in the final report of the Clinically-Led Review of Access Standards to be published later this year. Once recommendations are made, following field-testing of the proposals within the National Health Service, the Government has committed to studying them carefully.

Nadine Dorries
Minister of State (Department of Health and Social Care)
10th Feb 2020
To ask the Secretary of State for Health and Social Care, how many children aged 17 and under accessed community mental health treatment for eating disorders in (a) 2015, (b) 2016, (c) 2017, (d) 2018 and (e) 2019.

The data is not available in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
10th Feb 2020
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 February to Question 9687, what assessment he has made of the (a) correlation between the level of (i) resources and (ii) workforce planning and the ability of commissioners and providers to employ sufficient numbers of suitably qualified, skilled and experienced staff at all times and (b) potential effect of increased accountability in Government on resourcing and workforce planning.

Health Education England (HEE) provides leadership for the education and training system. HEE ensures that the workforce has the right skills, behaviours and training, and is available in the right numbers, to support the delivery of excellent healthcare and drive improvements.

It is the responsibility of each individual employer to ensure that they have sufficient numbers of suitably qualified, skilled and experienced staff at all times, as part of strict registration regulations of the Care Quality Commission.

The NHS People Plan aims to ensure a sustainable overall balance between supply and demand across all staff groups. We have committed to deliver 50,000 more nurses in the National Health Service by 2025.

Proposals around workforce accountability, workforce resourcing and planning currently are being considered by the Government.

Edward Argar
Minister of State (Department of Health and Social Care)
10th Feb 2020
To ask the Secretary of State for Health and Social Care, how many A&E attendances there were for people aged over 18 for eating disorders in (a) 2015, (b) 2016, (c) 2017, (d) 2018 and (e) 2019.

The information is not available in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
10th Feb 2020
To ask the Secretary of State for Health and Social Care, how many A&E attendances there were for children aged 17 and under for eating disorders in (a) 2015, (b) 2016, (c) 2017, (d) 2018 and (e) 2019.

The information is not available in the format requested.

Nadine Dorries
Minister of State (Department of Health and Social Care)
30th Jan 2020
To ask the Secretary of State for Health and Social Care, how much (a) NHS England and (b) clinical commissioning groups spent in aggregate on (i) primary medical services, (ii) community health services, (iii) mental health services, (iv) acute health services, (v) specialised services and (vi) all health and care services in cash terms in each year since 2016-17; and how much is forecast to be spent in aggregate in each of those areas in the 2019-20 financial year.

The information is shown in the following table.

2016-17 £ billion

2017-18 £ billion

2018-19 £ billion

2019-20 £ billion

Specialised services

15.4

16.4

17.2

18.9

Primary medical care

9.1

9.4

9.7

10.5

Community services

7.3

7.4

7.5

8.0

Continuing Care

4.7

4.6

4.7

4.9

Clinical commissioning group (CCG) acute

40.1

41.4

42.9

45.3

CCG core mental health

7.6

8.1

8.5

9.2

Other

17.8

18.3

18.6

18.4

Total programme spend

102.0

105.5

109.1

115.2

Of which:

Payments to local authorities

3.1

3.3

3.5

3.4

Notes:

The small forecast reduction in other spend relates to technical changes in commissioning arrangements between NHS England and CCGs in respect of delegated primary care commissioning.

To present all figures on the same basis, the mental health figures presented here are collected in a different way than the mental health dashboard. The figures presented in the mental health dashboard are on a wider basis, and include mental health spend included in other budgets (for example, on mental health prescribing), and the specialised service line here includes spending on mental health that falls within specialised services.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many registered nurses were employed in school nursing teams in each year since 2010.

The information is not held in the format requested.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, when he plans to increase the number GP training places; and how many additional places will be made available.

In 2019/20 Health Education England (HEE) advertised 3,250 general practitioner (GP) training posts and 3,540 doctors accepted a place.

From 2020/21 HEE is planning on advertising 3,500 GP training posts.

Discussions regarding the number of GP training places made available from 2020/21 will be confirmed in due course.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many extra-corporeal membrane oxygenation beds have been available to the NHS in England in each (a) year since 2015 and (b) week since 1 December 2019; and if he will make a statement.

Since 2015, NHS England has commissioned a total of 15 adult respiratory extra corporeal membrane oxygenation (ECMO) beds per annum from five providers in England (with a further provider in Scotland). In periods of high demand, capacity can be increased in line with an agreed standard operating procedure. In winter 2018/19, when there was significant morbidity associated with influenza, capacity was increased to over 30 beds. The five providers of adult ECMO beds are as below:

- Guy’s and St Thomas’ NHS Foundation Trust;

- Manchester University NHS Foundation Trust;

- Royal Papworth Hospital NHS Foundation Trust;

- Royal Brompton & Harefield NHS Foundation Trust; and

- University Hospitals of Leicester NHS Trust.

Since 2015, NHS England has also commissioned paediatric respiratory ECMO beds from five providers in England (with a further provider in Scotland). In periods of high demand, capacity at these providers can be increased in line with an agreed standard operating procedure. Whilst there is no set number of beds per provider because the number of paediatric cases is very small, there are typically no more than three patients requiring respiratory ECMO at any one time. The five providers of paediatric ECMO beds are as below:

- Alder Hey Children’s NHS Foundation Trust;

- Birmingham Women and Children’s Hospital NHS Foundation Trust;

- Great Ormond Street Hospital for Children NHS Foundation Trust;

- The Newcastle upon Tyne Hospitals NHS Foundation Trust; and

- University Hospitals of Leicester NHS Trust.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
-To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of the availability of extra-corporeal membrane oxygenation beds in winter 2019-20.

Extra-corporeal membrane oxygenation (ECMO) bed capacity is assessed and managed through an agreed standard operating procedure. During the period 1 November to 31 March, NHS England monitors capacity on a weekly basis (increasing this frequency to daily if required). No patient eligible for ECMO treatment has been unable to access an ECMO bed in either the last 12 months or the last five years.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many patients have been unable to access an extra-corporeal membrane oxygenation bed after its use had been clinically recommended in each of the (a) last 12 months and (b) last five years.

Extra-corporeal membrane oxygenation (ECMO) bed capacity is assessed and managed through an agreed standard operating procedure. During the period 1 November to 31 March, NHS England monitors capacity on a weekly basis (increasing this frequency to daily if required). No patient eligible for ECMO treatment has been unable to access an ECMO bed in either the last 12 months or the last five years.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many and which hospitals in England have provided extra-corporeal membrane oxygenation treatment in each year since 2010.

Since 2015, NHS England has commissioned a total of 15 adult respiratory extra corporeal membrane oxygenation (ECMO) beds per annum from five providers in England (with a further provider in Scotland). In periods of high demand, capacity can be increased in line with an agreed standard operating procedure. In winter 2018/19, when there was significant morbidity associated with influenza, capacity was increased to over 30 beds. The five providers of adult ECMO beds are as below:

- Guy’s and St Thomas’ NHS Foundation Trust;

- Manchester University NHS Foundation Trust;

- Royal Papworth Hospital NHS Foundation Trust;

- Royal Brompton & Harefield NHS Foundation Trust; and

- University Hospitals of Leicester NHS Trust.

Since 2015, NHS England has also commissioned paediatric respiratory ECMO beds from five providers in England (with a further provider in Scotland). In periods of high demand, capacity at these providers can be increased in line with an agreed standard operating procedure. Whilst there is no set number of beds per provider because the number of paediatric cases is very small, there are typically no more than three patients requiring respiratory ECMO at any one time. The five providers of paediatric ECMO beds are as below:

- Alder Hey Children’s NHS Foundation Trust;

- Birmingham Women and Children’s Hospital NHS Foundation Trust;

- Great Ormond Street Hospital for Children NHS Foundation Trust;

- The Newcastle upon Tyne Hospitals NHS Foundation Trust; and

- University Hospitals of Leicester NHS Trust.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, what contingency plans are in place if all nationally designated extra corporeal membrane oxygenation beds are in use.

Extra-corporeal membrane oxygenation (ECMO) bed capacity is assessed and managed through an agreed standard operating procedure. During the period 1 November to 31 March, NHS England monitors capacity on a weekly basis (increasing this frequency to daily if required). No patient eligible for ECMO treatment has been unable to access an ECMO bed in either the last 12 months or the last five years.

Edward Argar
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many and what proportion of children aged five and under have dental disease in each local authority area of England.

The data is not held in the format requested.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, what information his Department holds on the proportion of children under the age of two who have visited an NHS dentist in the last 12 months.

The number of children in England, under the age of two who received National Health Service dental care in the previous 12 months as of 30 June 2019 is set out in the following table:

Age

Number of children seen by an NHS dentist

Population

0

22,485

653,467

1

162,724

674,807

2

272,151

675,045

Total

457,360

2,003,319

Source: NHS Dental Statistics for England, publication series

https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of bringing forward legislative proposals to ensure safe staffing levels are maintained in the NHS.

It is the responsibility of each individual employer to ensure that they have sufficient numbers of staff in the right place at the right time. Those staffing decisions are best made on the ward in real time by experienced and qualified clinicians.

Appropriate staffing levels are a core element of the Care Quality Commission’s registration regime and the law already requires hospitals to employ sufficient numbers of suitably qualified, skilled and experienced staff at all times.

We are considering the merit of any further measures on safe staffing levels.

Nadine Dorries
Minister of State (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the (a) supply and (b) availability of glucose monitoring systems for the treatment of diabetes; and if he will make a statement.

Recent technological advances and introduction of glucose monitoring systems to the market has brought significant benefits to patients and the way they can live their lives.

As global demand for these systems increases we recognise that it is likely to see temporary constraints on supply emerge from time to time. However, the Department maintains close engagement with industry to minimise the impact of these situations and be assured in any such situations suitable alternative products are available.

Clinical commissioning groups (CCGs) are responsible for commissioning diabetes services for their local populations. This includes technologies such as glucose monitoring devices. CCGs are best placed as clinically led organisations that have both the local knowledge and accountability to make commissioning decisions in the best interests of their patients.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
29th Jan 2020
To ask the Secretary of State for Health and Social Care, how many hospital admissions there were with a primary diagnosis of diabetes in each year since 2010.

A count of finished admission episodes (FAEs) with a primary diagnosis of diabetes in the years 2010-11 to 2018-19 can be found in the following table.

Financial year

FAEs

2010-11

81,523

2011-12

77,667

2012-13

67,275

2013-14

66,692

2014-15

67,333

2015-16

71,738

2016-17

75,046

2017-18

78,440

2018-19

80,734

Source: Hospital Episode Statistics, NHS Digital

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
27th Jan 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of GPs conducting a routine postnatal physical and mental health check for all new mothers.

Post-natal care can be delivered by a number of different providers, including midwives, health visitors and general practitioners. NHS England and NHS Improvement expect commissioners and providers of maternity care to pay due regard to the National Institute for Health and Care Excellence (NICE) guidelines. NICE guidance on ‘Postnatal care up to eight weeks after birth’ states that at each postnatal contact, women should be asked about their emotional wellbeing, what family and social support they have and their usual coping strategies for dealing with day-to-day matters. At the end of the postnatal period, the coordinating healthcare professional should ensure that the woman’s physical, emotional and social wellbeing is reviewed. NHS England and NHS Improvement are reviewing the available evidence to establish a clearer picture of current practice in this area.

A decision on whether to specifically include a six-week postnatal maternal health check in negotiations for changes to the 2020-21 contract has not yet been taken.

Nadine Dorries
Minister of State (Department of Health and Social Care)
27th Jan 2020
To ask the Secretary of State for Health and Social Care, whether people seeking leave to remain in the UK are eligible for NHS IVF treatment.

Non-European Economic Area nationals seeking leave to remain in the United Kingdom are not eligible for National Health Service in vitro fertilisation services free of charge.

Edward Argar
Minister of State (Department of Health and Social Care)
27th Jan 2020
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on patient safety of the implementation of the Health and Care (Staffing) (Scotland) Act 2019; and if he will make a statement.

It is a matter for the devolved Government for Scotland to make any assessment of the effects on patient safety of the implementation of their legislation.

When any such assessment is made available we will review it as we review a range of evidence on the provision of healthcare.

Nadine Dorries
Minister of State (Department of Health and Social Care)
27th Jan 2020
To ask the Secretary of State for Health and Social Care, how many children's operations were cancelled in each NHS trust in each month of (a) 2019 and (b) 2018.

This information is not available in the format requested.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, which clinical commissioning groups (a) have been approved (i) conditionally and (ii) unconditionally and (b) are under consideration for mergers from April 2020 by NHS England.

In autumn 2019 NHS England conditionally approved the merger of 74 existing clinical commissioning groups (CCGs) to establish 18 new CCGs. These are set out in the attached table.

The new CCGs will be established from 1 April 2020 where the conditions of merger are assessed as having been met in March 2020 by NHS England.

There are no mergers which have been unconditionally approved and there are no further mergers under consideration to take effect on 1 April 2020.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce consultant-led referral to treatment waiting times; and if he will make a statement.

Under the NHS Long Term Plan, the National Health Service remains committed to improving access to elective care. We're providing an extra £33.9 billion a year by 2023/24 to grow the amount of planned surgery year on year to reduce the waiting list.

In the shorter term, the NHS Accountability Framework for 2019-20 outlines how NHS England and NHS Improvement will continue ongoing service development, so that performance is maintained and improved. This includes the commencement of the redesign of outpatient services, which will reduce the need for unnecessary face to face appointments in hospitals, saving patients time and freeing up medical and nursing time.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, what the average waiting time was for (a) hip and (b) knee replacement surgery in each NHS Foundation Trust in each month of 2018-19.

A count of finished admission episodes with a main operative procedure of hip and knee replacements, with average (mean and median) waiting times, per month between April 2018 to March 2019 by hospital provider is attached. This is a count of admissions, not attendees as the same person may have had more than one admission within the time period.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, what the timeframe is for the publication of the final NHS People Plan.

The final NHS People Plan will be published by the National Health Service in early 2020 and will set out a clear framework for collective action on workforce priorities, with a focus on growing and sustaining a well-skilled workforce across the whole NHS.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, how many people waited for more than 40 weeks from referral to treatment for (a) hip and (b) knee replacements by NHS Hospital Trust in each month from April 2018 to December 2019.

A count of finished admission episodes with a main operative procedure of hip and knee replacements with a treatment waiting time of more than 40 weeks by National Health Service Hospital trust in each month from April 2018 to December 2019 is attached. This is a count of admissions, not attendees as the same person may have had more than one admission within the time period. Data for 2019-20 is currently provisional.

Edward Argar
Minister of State (Department of Health and Social Care)
22nd Jan 2020
To ask the Secretary of State for Health and Social Care, how many people waited for more than 52 weeks from referral to treatment for (a) hip and (b) knee replacements, by NHS Hospital Trust in each month from April 2019 to December 2019.

A count of finished admission episodes with a main operative procedure of hip and knee replacements with a treatment waiting time of more than 52 weeks by NHS hospital trust in each month from April 2019 to December 2019 is attached. This is a count of admissions, not attendees as the same person may have had more than one admission within the time period. Data provided is currently provisional.

Edward Argar
Minister of State (Department of Health and Social Care)
17th Jan 2020
To ask the Secretary of State for Health and Social Care, how the levels of (a) local, (b) regional and (c) other directors are structured in NHS England/NHS Improvement.

NHS England/NHS Improvement’s structure can be found at the following link:

https://www.england.nhs.uk/about/nhs-executive-group/

Information about the regional and local teams can be found at the following link:

https://www.england.nhs.uk/about/regional-area-teams/

Edward Argar
Minister of State (Department of Health and Social Care)
17th Jan 2020
To ask the Secretary of State for Health and Social Care, with reference to the Answer of 4 February 2019 to Question 214552, how much NHS England and clinical commissioning groups have spent in aggregate on (a) primary medical services, (b) community health services, (c) continuing healthcare and (d) other main areas of healthcare in each year since 2015-16; and how much those organisations plan to spend in aggregate in each of those areas in 2019-20.

The information requested is attached.

Edward Argar
Minister of State (Department of Health and Social Care)
17th Jan 2020
To ask the Secretary of State for Health and Social Care, with reference to the Answer of 4 February 2019 to Question 214552, how much NHS England and clinical commissioning groups have spent in aggregate on (a) mental health services and (b) acute health services, (c) social care services and (d) other main areas of spending in each year since 2015-16; and how much those organisations plan to spend in aggregate in each of those areas in 2019-20.

The information requested is attached.

Edward Argar
Minister of State (Department of Health and Social Care)
17th Jan 2020
To ask the Secretary of State for Health and Social Care, how many whole-time-equivalent employees including payroll and non-payroll staff there were in (a) NHS England, (b) Monitor and (c) the NHS Trust Development Authority in January (i) 2015, (ii) 2019 and (iii) 2020.

Figures are provided for January in each year:

NHS England

2015 – 6,033

2019 – 5,989

2020 – 5,585

NHS Trust Development Authority

2015 – 291

2019 – 1,241

2020 – 1,605

Monitor

2015 – 218

2019 – 333

2020 – 148

Edward Argar
Minister of State (Department of Health and Social Care)
15th Jan 2020
To ask the Secretary of State for Health and Social Care, when he will publish the full allocations for the Public Health Grant for 2020-21; and if he will make a statement.

Local authority public health allocations for 2020/21 will be published shortly.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Jan 2020
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the effect of the nationwide HRT shortage on the health of the transgender community; and if he will make a statement.

The Department fully understands that maintaining access to hormone replacement therapy (HRT) medications is vitally important to many people, including transgender people in this country.

We are aware of ongoing supply issues with some HRT preparations due to a range of issues including manufacturing issues, regulatory issues and problems accessing the raw pharmaceutical ingredient as well as commercial decisions made by some companies to divest these products.

We have been working closely with all suppliers of HRT preparations to maintain overall supply to patients. Although some HRT products are affected by supply issues, supplies of alternative HRT preparations have remained available.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Jan 2020
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of women affected by shortages of HRT; and if he will make a statement.

We are aware of ongoing supply issues with some HRT preparations due to a range of issues including manufacturing issues, regulatory issues and problems accessing the raw pharmaceutical ingredient as well as commercial decisions made by some companies to divest these products.

We have been working closely with all suppliers of HRT preparations to maintain overall supply to patients. We have shared relevant information about the supply situation and availability of HRT products with the NHS and are in regular discussions with organisations such as the Royal College of Obstetricians and Gynaecologists, Faculty of Sexual and Reproductive Healthcare and the British Menopausal Society. We continue to work with all stakeholders to ensure relevant information about the HRT products affected by supply issues and the products that remain available is shared across the NHS on a regular basis. On 4 October, we also added HRT products to the list of medicines that cannot be parallel exported from the United Kingdom market.

The Department does not hold data about the number of women who have been unable to receive HRT because of recent shortages. However, although some HRT products are affected by supply issues, supplies of other alternative HRT products have remained available.

We will continue to work closely with all suppliers and anticipate the supply situation to improve from February 2020.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Jan 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to tackle delays in the supply of HRT medications.

We are aware of ongoing supply issues with some HRT preparations due to a range of issues including manufacturing issues, regulatory issues and problems accessing the raw pharmaceutical ingredient as well as commercial decisions made by some companies to divest these products.

We have been working closely with all suppliers of HRT preparations to maintain overall supply to patients. We have shared relevant information about the supply situation and availability of HRT products with the NHS and are in regular discussions with organisations such as the Royal College of Obstetricians and Gynaecologists, Faculty of Sexual and Reproductive Healthcare and the British Menopausal Society. We continue to work with all stakeholders to ensure relevant information about the HRT products affected by supply issues and the products that remain available is shared across the NHS on a regular basis. On 4 October, we also added HRT products to the list of medicines that cannot be parallel exported from the United Kingdom market.

The Department does not hold data about the number of women who have been unable to receive HRT because of recent shortages. However, although some HRT products are affected by supply issues, supplies of other alternative HRT products have remained available.

We will continue to work closely with all suppliers and anticipate the supply situation to improve from February 2020.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
15th Jan 2020
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the continued supply of Degaralix for the treatment of patients with advanced prostate cancer.

The Department fully understands that maintaining access to degarelix (Firmagon) injection is vitally important to many people in this country.

We are currently not aware of any supply issues with degarelix injection from Ferring Pharmaceuticals Ltd and supplies are currently available.

We continue to work closely with industry and partners in the health system to help prevent shortages and to ensure that the risks to patients are minimised when supply issues do arise.

Jo Churchill
Parliamentary Under-Secretary (Department of Health and Social Care)
9th Jan 2020
To ask the Secretary of State for Health and Social Care, how many people waited for more than 52 weeks from referral to treatment for (a) hip replacement and (b) knee replacements by NHS Hospital Trust from April 2018 to March 2019.

A count of finished admission episodes with a main operative procedure of hip replacement and knee replacement with treatment waiting times of over 18 weeks and 52 weeks in 2018-19 by National Health Service hospital trust is attached. This is a count of admissions, not patients as the same patient may have had more than one admission within the same time period.

Edward Argar
Minister of State (Department of Health and Social Care)
9th Jan 2020
To ask the Secretary of State for Health and Social Care, how many people waited for more than 18 weeks from referral to treatment for (a) hip replacement and (b) knee replacements by NHS Hospital Trust from April 2018 to March 2019.

A count of finished admission episodes with a main operative procedure of hip replacement and knee replacement with treatment waiting times of over 18 weeks and 52 weeks in 2018-19 by National Health Service hospital trust is attached. This is a count of admissions, not patients as the same patient may have had more than one admission within the same time period.

Edward Argar
Minister of State (Department of Health and Social Care)
9th Jan 2020
To ask the Secretary of State for Health and Social Care, what the average waiting time is for Trauma and Orthopaedic surgery in the 12 NHS Trusts participating in the field test programme as part of the interim review of clinically-led access standards.

The average (median) waiting time for trauma and orthopaedic surgery in each National Health Service foundation trust in each month in 2018-19 is attached.

The average (median) waiting time for trauma and orthopaedic surgery in the NHS trusts participating in the field test programme as part of the interim review of clinically-led access standards is available in the following table:

Provider Code

Provider Name

November 2019 Average (median) waiting time (in weeks)

R1H

Barts Health NHS Trust

9.58

RP4

Great Ormond Street Hospital for Children NHS Foundation Trust

-

RA7

University Hospitals Bristol NHS Foundation Trust

6.98

RBA

Taunton and Somerset NHS Foundation Trust

10.53

RTP

Surrey and Sussex Healthcare NHS Trust

6.43

RKB

University Hospitals Coventry and Warwickshire NHS Trust

9.30

RNS

Northampton General Hospital NHS Trust

7.56

RD8

Milton Keynes University Hospital NHS Foundation Trust

10.81

RET

The Walton Centre NHS Foundation Trust

-

RXR

East Lancashire Hospitals NHS Trust

5.66

RCD

Harrogate and District NHS Foundation Trust

10.00

RWY

Calderdale and Huddersfield NHS Foundation Trust

6.75

Edward Argar
Minister of State (Department of Health and Social Care)
9th Jan 2020
To ask the Secretary of State for Health and Social Care, what the average waiting time was for trauma and orthopaedic surgery in each NHS Foundation Trust in each month in 2018-19.

The average (median) waiting time for trauma and orthopaedic surgery in each National Health Service foundation trust in each month in 2018-19 is attached.

The average (median) waiting time for trauma and orthopaedic surgery in the NHS trusts participating in the field test programme as part of the interim review of clinically-led access standards is available in the following table:

Provider Code

Provider Name

November 2019 Average (median) waiting time (in weeks)

R1H

Barts Health NHS Trust

9.58

RP4

Great Ormond Street Hospital for Children NHS Foundation Trust

-

RA7

University Hospitals Bristol NHS Foundation Trust

6.98

RBA

Taunton and Somerset NHS Foundation Trust

10.53

RTP

Surrey and Sussex Healthcare NHS Trust

6.43

RKB

University Hospitals Coventry and Warwickshire NHS Trust

9.30

RNS

Northampton General Hospital NHS Trust

7.56

RD8

Milton Keynes University Hospital NHS Foundation Trust

10.81

RET

The Walton Centre NHS Foundation Trust

-

RXR

East Lancashire Hospitals NHS Trust

5.66

RCD

Harrogate and District NHS Foundation Trust

10.00

RWY

Calderdale and Huddersfield NHS Foundation Trust

6.75

Edward Argar
Minister of State (Department of Health and Social Care)
9th Jan 2020
To ask the Secretary of State for Health and Social Care, how many people waiting for joint replacement surgery have exercised their right to an alternative provider from April 2018 to March 2019 by NHS Hospital Trust.

The information requested is not collected centrally.

Edward Argar
Minister of State (Department of Health and Social Care)
18th Nov 2020
To ask the Chancellor of the Exchequer, if he will make it his policy to provide fiscal support to the Midlands in the forthcoming Spending Review.

This government is committed to levelling up opportunity so that everyone benefits from economic growth - including people and places across the Midlands. That is why we have supported the Midlands throughout the Covid-19 crisis, including protecting around 1,563,100 jobs through the Coronavirus Job Retention Scheme and providing for 299,000 claims through the Self-Employed Income Support Scheme. Furthermore, the Chancellor announced at the Spending Review over £75m for Leicester, Derby, and Nottingham in 21/22 through the Transforming Cities Fund, to improve public transport, boost connectivity and reduce congestion.

Kemi Badenoch
Exchequer Secretary (HM Treasury)
18th Nov 2020
To ask the Chancellor of the Exchequer, if he will make an assessment of the potential merits of incorporating the recommendations from the Energy Research Accelerator's Spending Review submission into his forthcoming Spending Review.

The Government recognises the importance of Research and Development in reducing the costs of decarbonisation and meeting our Net Zero goal and I appreciate the work that the Energy Research Accelerator has been undertaking across the Midlands in this critical space.

We have significantly increased our investment on energy innovation, and the Prime Minister recently reiterated our Budget pledge to at least double the size of the Energy Innovation Programme in a new Net Zero Innovation Portfolio.

HM Treasury is considering all contributions as evidence to inform the upcoming Spending Review, which will be set out on 25 November.

Kemi Badenoch
Exchequer Secretary (HM Treasury)
18th Nov 2020
To ask the Chancellor of the Exchequer, if he will make it his policy to provide fiscal support for jobs that produce goods or provide services that benefit the environment or conserve natural resources through the forthcoming Spending Review.

The Government remains committed to pursuing a green recovery, with concern for our environment at its heart. The £40m Green Recovery Challenge Fund opened to applications in September and will provide funding for projects across England to restore nature while creating and safeguarding jobs. A further £40m for a second round of the Fund was recently announced in the Prime Minister’s Ten Point Plan for a Green Industrial Revolution.

Kemi Badenoch
Exchequer Secretary (HM Treasury)
12th Feb 2020
To ask the Chancellor of the Exchequer, pursuant to the Answer of 10 February 2020 to Question 12225 on Mental Health Services: Reciprocal Arrangements, what enforcement action will be taken to ensure that companies comply with the Financial Conduct Authority's guidance to improve access to travel insurance for all consumers with medical conditions; and in the event that companies do not comply with that guidance, what consequences will apply.

New rules and guidance published by the FCA on Wednesday 5th February require firms to signpost consumers with mental health conditions to specialist providers when they are declined travel insurance cover on account of their condition.

Insurers must treat customers fairly and firms are required to do so under the Financial Conduct Authority’s (FCA) rules. Furthermore, the FCA also states that an insurer’s communications should be clear, fair and not misleading.

If consumers believe they have been treated unfairly by their insurer, or if they believe that their insurer has not communicated with them in a clear manner, they should first make a formal complaint to the insurer, before referring the matter to the Financial Ombudsman Service.

It is for regulators to determine the powers they use to address problems in the markets they regulate. They are authorised to impose fines, order injunctions, bring criminal prosecution and issue public censure when disciplinary action against a firm or individual is taken. The FCA sets out their enforcement powers on their website.

John Glen
Economic Secretary (HM Treasury)
12th Feb 2020
To ask the Chancellor of the Exchequer, pursuant to the Answer of 10 February 2020 to Question 12225 on Mental Health Services: Reciprocal Arrangements, how people with mental health conditions seeking travel insurance will be made aware of the risk that they might be declined cover; and what rights those people will have to challenge such a decision.

New rules and guidance published by the FCA on Wednesday 5th February require firms to signpost consumers with mental health conditions to specialist providers when they are declined travel insurance cover on account of their condition.

Insurers must treat customers fairly and firms are required to do so under the Financial Conduct Authority’s (FCA) rules. Furthermore, the FCA also states that an insurer’s communications should be clear, fair and not misleading.

If consumers believe they have been treated unfairly by their insurer, or if they believe that their insurer has not communicated with them in a clear manner, they should first make a formal complaint to the insurer, before referring the matter to the Financial Ombudsman Service.

It is for regulators to determine the powers they use to address problems in the markets they regulate. They are authorised to impose fines, order injunctions, bring criminal prosecution and issue public censure when disciplinary action against a firm or individual is taken. The FCA sets out their enforcement powers on their website.

John Glen
Economic Secretary (HM Treasury)
5th Feb 2020
To ask the Chancellor of the Exchequer, what steps he is taking to ensure that (a) comprehensive and (b) competitively priced travel insurance cover is available to people with mental health problems after the transition period ends.

On Wednesday 5 February, the Financial Conduct Authority (FCA) published new rules and guidance to improve access to travel insurance for all consumers with medical conditions

Included within the FCA’s rules is a requirement for firms to signpost consumers to specialist providers if they are declined cover, offered cover with an exclusion, or charged a significantly higher premium based on their pre-existing medical condition.

In addition, the Government has legislated to ensure that all UK insurance policies with EU insurance companies can continue to be serviced by those EU companies after Brexit, notably with a Temporary Permissions Regime (TPR) for EEA firms currently passporting into the UK. This allows EU firms to continue operations in the UK for a time-limited period at the end of the transition period while they apply for full UK authorization, while the Financial Services Contracts Regime allows for the orderly wind down of the UK regulated activities of remaining firms who do not enter the TPR.

John Glen
Economic Secretary (HM Treasury)
5th Feb 2020
To ask the Chancellor of the Exchequer, what steps the Government is taking to ensure that (a) comprehensive and (b) competitively priced travel insurance cover is available to people with (i) disabilities and (ii) chronic health conditions after the transition period ends.

On Wednesday 5 February, the Financial Conduct Authority (FCA) published new rules and guidance to improve access to travel insurance for all consumers with medical conditions

Included within the FCA’s rules is a requirement for firms to signpost consumers to specialist providers if they are declined cover, offered cover with an exclusion, or charged a significantly higher premium based on their pre-existing medical condition.

In addition, the Government has legislated to ensure that all UK insurance policies with EU insurance companies can continue to be serviced by those EU companies after Brexit, notably with a Temporary Permissions Regime (TPR) for EEA firms currently passporting into the UK. This allows EU firms to continue operations in the UK for a time-limited period at the end of the transition period while they apply for full UK authorization, while the Financial Services Contracts Regime allows for the orderly wind down of the UK regulated activities of remaining firms who do not enter the TPR.

John Glen
Economic Secretary (HM Treasury)
5th Feb 2020
To ask the Chancellor of the Exchequer, with reference to the Treasury Select Committee's inquiry, consumers’ access to financial services, launched on 9 November 2018, what steps he plans to take to ensure that people with existing medical conditions have access to insurance after the transition period.

On Wednesday 5 February, the Financial Conduct Authority (FCA) published new rules and guidance to improve access to travel insurance for all consumers with medical conditions

Included within the FCA’s rules is a requirement for firms to signpost consumers to specialist providers if they are declined cover, offered cover with an exclusion, or charged a significantly higher premium based on their pre-existing medical condition.

In addition, the Government has legislated to ensure that all UK insurance policies with EU insurance companies can continue to be serviced by those EU companies after Brexit, notably with a Temporary Permissions Regime (TPR) for EEA firms currently passporting into the UK. This allows EU firms to continue operations in the UK for a time-limited period at the end of the transition period while they apply for full UK authorization, while the Financial Services Contracts Regime allows for the orderly wind down of the UK regulated activities of remaining firms who do not enter the TPR.

John Glen
Economic Secretary (HM Treasury)