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Written Question
Health Professions: Termination of Employment
Tuesday 16th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many (a) nurses, (b) health visitors and (c) Hospital and community health services doctors left the NHS in England in 2020-21, by reason for leaving.

Answered by Edward Argar - Minister of State (Ministry of Justice)

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 number of HCHS doctors, nurses and health visitors who left the National Health Service in England in 2020-21 and by reason for leaving.

HCHS doctors

Nurses

Health visitors

Leavers

17,137

29,233

752

Leavers by reason for leaving:

Bank Staff not fulfilled minimum work requirement

33

4

-

Death in Service

57

263

5

Dismissal - Capability

19

211

6

Dismissal - Conduct

14

138

-

Dismissal - Some Other Substantial Reason

19

70

-

Dismissal - Statutory Reason

4

17

-

Employee Transfer

245

313

41

End of Fixed Term Contract

3,144

226

5

End of Fixed Term Contract - Completion of Training Scheme

657

26

-

End of Fixed Term Contract - End of Work Requirement

175

29

-

End of Fixed Term Contract - External Rotation

1,070

4

-

End of Fixed Term Contract - Other

381

45

2

Flexi Retirement

35

211

12

Has Not Worked

5

9

-

Initial Pension Ended

-

2

-

Merged Organisation - Duplicate Record

-

1

-

Mutually Agreed Resignation - Local Scheme with Repayment

5

25

-

Mutually Agreed Resignation - National Scheme with Repayment

4

3

1

Pregnancy

1

3

-

Redundancy - Compulsory

12

13

-

Redundancy - Voluntary

10

25

-

Retirement - Ill Health

49

239

6

Retirement Age

824

4,295

165

Voluntary Early Retirement - no Actuarial Reduction

50

253

9

Voluntary Early Retirement - with Actuarial Reduction

37

190

10

Voluntary Resignation - Adult Dependants

25

165

6

Voluntary Resignation - Better Reward Package

26

263

5

Voluntary Resignation - Child Dependants

26

292

9

Voluntary Resignation - Health

58

651

17

Voluntary Resignation - Incompatible Working Relationships

21

127

1

Voluntary Resignation - Lack of Opportunities

17

163

8

Voluntary Resignation - Other/Not Known

1,086

2,356

37

Voluntary Resignation - Promotion

158

1,026

32

Voluntary Resignation - Relocation

692

2,700

34

Voluntary Resignation - To undertake further education or training

186

249

7

Voluntary Resignation - Work Life Balance

236

2,489

87

Unknown

7,791

12,170

247

Source: NHS Digital NHS HCHS workforce statistics

Notes:

  1. Leavers data is 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.
  2. 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.
  3. Figures are based on data from all English NHS organisations who are using the Electronic Staff Record (ESR).
  4. Excludes people moving within the NHS.
  5. Leavers data for doctors will include junior doctors moving to postings in primary care.


Written Question
Radiology: Vacancies
Tuesday 16th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the vacancy rate is for diagnostic radiographers in each NHS commissioning region in England.

Answered by Edward Argar - Minister of State (Ministry of Justice)

The Department does not hold the data requested.


Written Question
Human Papillomavirus: Vaccination
Monday 15th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department had made of the recovery of the HPV vaccination programme from the covid-19 outbreak by October 2021.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England and its commissioned school aged providers continue to follow and implement the advice from the Joint Committee on Vaccination and Immunisation (JCVI) regarding human papillomavirus vaccinations. The National Health Service (NHS) is prioritising the first dose of the vaccine for all those eligible whilst working to recover those school aged immunisations that have been previously missed. NHS providers are adopting a flexible and transformative delivery model to ensure those eligible receive their vaccine on time. NHS England has been working closely with the Department and the Department of Education to ensure that schools facilitate the continuation of vaccinations where possible. NHS England is accountable for the commissioning and operational delivery of immunisation services in England and commissions primary care and school aged providers to deliver services locally. NHS England nationally and regionally provides oversight to immunisation services, working collaboratively with local NHS systems to deliver services safely and effectively.


Written Question
Vaccination: Children
Friday 12th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether all missed school aged vaccinations had been delivered by September 2021.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Providers are currently focussed on the flu and COVID-19 immunisation scheme and will recommence work on routine vaccinations (including any outstanding catch-up work) in the new year. During the first wave of the COVID-19 pandemic, routine childhood immunisation programmes continued to be delivered in primary care. However, the closure of schools from 23rd March 2020 meant that the delivery of all school-aged immunisation programmes, including HPV, Td/IPV and MenACWY were interrupted from this date onwards.

National Health Service providers are adopting a flexible and transformative delivery model to ensure those eligible receive their vaccine. This includes prioritisation of immunisations based on JCVI advice, digitalising consent processes and utilising a range of alternative community settings to deliver vaccines where appropriate. NHS England has also been working closely with the Department of Health and Social Care and the Department of Education to ensure that schools facilitate the continuation of vaccinations.


Written Question
Domestic Abuse: Females
Tuesday 9th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department plans to recognise domestic abuse as a driver of mental ill-health in the upcoming Women’s Health Strategy.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Research suggests that women experiencing domestic abuse are more likely to experience poor mental health outcomes.

We are currently working to analyse the responses to the Call for Evidence, which was launched as part of the new Women’s Health Strategy for England.

The evidence gathered through the Call for Evidence will inform the priorities, content and actions of the Strategy. This will ensure that the Strategy is evidence-based and reflects what women identify as priorities.


Written Question
Mental Health: Research
Thursday 4th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much the Government spent on mental health research in (a) 2015-16, (b) 2016-17, (c) 2017-18, (d) 2018-19, (e) 2019-20 and (f) 2020-21.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The Department’s National Institute for Health Research (NIHR) is the largest funder of mental health research in the United Kingdom. The following table shows the NIHR’s spending on mental health research from 2015/16 to 2019/20. Information on spending in 2020/21 is not yet available.

2015/16

£73,055,090

2016/17

£76,627,407

2017/18

£80,318,055

2018/19

£93,377,813

2019/20

£93,411,275


Written Question
Domestic Abuse: Females
Thursday 4th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department has taken to ensure organisations that work to end domestic abuse and support victims are consulted on the upcoming Women's Health Strategy.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The call for evidence, which will inform the priorities, content and actions of the Women’s Health Strategy for England ran for 14 weeks. Organisations and individuals were invited to contribute, including organisations supporting the victims of domestic abuse. We are currently analysing the responses to the call for evidence and will publish the Strategy in due course.


Written Question
Diagnosis
Thursday 4th November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to page 49 of the Autumn Budget and Spending Review 2021, if he will publish the planned locations of the 100 community diagnostic hubs.

Answered by Edward Argar - Minister of State (Ministry of Justice)

The National Health Service is planning to open  44 community diagnostic centres across England this year and we have announced funding for a further 56 centres through the Spending Review. The sites of the initial 40 centres are available at the following link:

https://www.gov.uk/government/news/40-community-diagnostic-centres-launching-across-england

NHS England and NHS Improvement are working with systems to identify suitable locations for the community diagnostic centres referenced in the Spending Review. The sites will be announced in due course.


Written Question
Fractures
Tuesday 2nd November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking with the NHS to improve prevention of falls and fractures, particularly for people with osteoporosis.

Answered by Gillian Keegan - Secretary of State for Education

NHS England and NHS Improvement’s Best MSK Health Collaborative Pathway Improvement Programme issued a high impact restoration strategy, which includes a recommendation for systems to optimise secondary prevention of fragility fractures by ensuring equitable provision of and access to, quality assured fracture liaison services.

The Office for Health Improvement and Disparities (OHID) are leading a programme to promote reconditioning and improve prevention of falls and fractures. This includes raising awareness and promoting the Chief Medical Officer’s strength and balance exercise guidelines with members of the National Falls Prevention Coordination Group, chaired by NHS England and NHS Improvement.


Written Question
Influenza: Drugs
Monday 1st November 2021

Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the size of the UK's stockpiles of (a) Oseltamivir (tamiflu), (b) Zanamivir (relenza) and (c) other antiviral drugs to treat influenza have changed since 2014.

Answered by Maggie Throup

The following table shows the total spend from 2013/14 to 2020/21 in England for the replenishment of oseltamivir and zanamivir antivirals for the pandemic influenza preparedness stockpile. The United Kingdom’s stockpiles have not included any other antivirals for influenza.

Year

£ million (including VAT)

2013/14

49.0

2014/15

0.0

2015/16

1.4

2016/17

55.9

2018/19

46.0

2019/20

104.8

2020/21

50.4

Stockpile volumes of oseltamivir and zanamivir are held to treat 50% of the population, based on a reasonable worst-case scenario. The stockpiles have been maintained since the 2009 swine flu pandemic. Year-to-year variation in stockpile spending is due to variation in cost of replenishing and maintaining the stockpile at these levels. The devolved administrations are responsible for their respective antiviral stockpiles