Family Nurse Partnership Programme
Lucy Powell: To ask the Secretary of State for Health how many Family Nurse Partnership places there were in each year since 2010; and what progress the Government have made on their target of doubling the number of such places by 2015. [203318]
Dr Poulter: The commitment the Government made in 2010 to double the amount of places on the Family Nurse Partnership from a baseline of 6,000 was achieved by March 2014. It is currently expected that by 2015 there will be at least 16,000 places available. The figures for the end of each financial year since 2010 are as follows:
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| As at March: | Number |
| 1 Expected. | |
Family Planning
Fiona Bruce: To ask the Secretary of State for Health, further to the answer of 24 June 2014, Official Report, column 151W, on family planning, what definition his Department uses for (a) contraceptive and (b) abortifacient. [203173]
Jane Ellison: Contraception is licensed to prevent pregnancy prior to implantation. An abortifacient ends an established pregnancy post implantation.
General Practitioners
Debbie Abrahams: To ask the Secretary of State for Health how many training places for general practice in each region were (a) commissioned and (b) filled in each of the last five years. [203551]
Dr Poulter: The Department set up Health Education England (HEE) to deliver a better health care work force for England. HEE is responsible for ensuring a secure work force supply for the future balancing need against demand, taking into account factors such as the age profile of the existing work force, the impact of technology, and new drugs.
The table sets out the number of training places for general practice that were commissioned and filled for each of the last five years on a regional basis.
It should be noted that the figure for 2014 represents figures for the year to date. A further recruitment round is planned by HEE in the autumn.
| Number | ||||||||||
| 2010 | 2011 | 2012 | 2013 | 2014 | ||||||
| Posts | Post filled | Posts | Post filled | Posts | Post filled | Posts | Post filled | Posts | Post filled | |
| Note: London comprises North West London, South London and North Central and East London local education and training board areas. Source: National Recruitment Office for General Practice Training and HEE. | ||||||||||
Health Foods: Prescriptions
Gordon Banks: To ask the Secretary of State for Health (1) what estimate his Department has made of the potential cost savings to the NHS of pharmacy-led gluten-free prescribing schemes; and if his Department will issue guidance on such schemes; [R] [203847]
(2) what plans his Department has to encourage the roll out of pharmacy-led gluten-free prescribing schemes in England. [R] [203848]
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Norman Lamb: We have made no recent estimate.
However, we are aware that some local assessments of these schemes have been undertaken and details of these are available at:
www.coeliac.org.uk/healthcare-professionals/resources/community-pharmacy-supply-of-gluten-free-foods/
NHS England can commission a gluten-free food supply service as a local enhanced pharmaceutical service in the light of local need. Neither we nor NHS England have plans to issue guidance on these schemes.
Health Professions: North Yorkshire
Hugh Bayley: To ask the Secretary of State for Health how many full-time equivalent NHS (a) hospital doctors, (b) GPs, (c) dentists, (d) nurses and midwives, (e) other clinical staff and (f) staff in total were employed in (i) York and (ii) North Yorkshire in 1996-97 and in each year since; and what the staff costs in each category were in 1996-97 (A) in cash terms and (B) at current prices. [202894]
Dr Poulter: Information is not available in the format requested.
Full-time equivalent data for all doctors, dentists and non-medical staff for the York Hospitals NHS Foundation Trust and former primary care trusts in North Yorkshire have been placed in the Library.
Information on the cost of staff permanently employed by the national health service and non-NHS staff (agency staff) in 1996-97 is not available centrally.
Health Professions: Pay
Hugh Bayley: To ask the Secretary of State for Health what the annual basic pay per full-time employee for qualified nursing, midwifery and health visiting staff in (a) England, (b) the former North Yorkshire and York Primary Care Trust (PCT), (c) Vale of York Clinical Commissioning Group and (d) York Teaching Hospital NHS Foundation Trust was in 1996-97 and in each year since. [202893]
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Dr Poulter: The primary source of national health service earnings data are published by the Health and Social Care Information Centre. Data on average basic pay per full-time equivalent (FTE) are taken from this publication. This is based on Electronic Staff Record data which are only available from 2008-09 onwards so the data series cannot be extended into early years. Data relating to the Vale of York Clinical Commissioning Group cannot be provided as they are merged with data from other organisations. For ease, a comparison of basic pay per headcount, which has not specifically been requested, is provided.
| England | ||
| Average Basic Pay Cash Terms (£ )(England Average) FTE | Headcount | |
| York | ||
| Average Basic Pay Cash Terms (£) (York Average) | ||
| Former North Yorkshire and York Primary Care Trust | York Teaching Hospital NHS Foundation Trust | |
Health Professions: Warrington
Helen Jones: To ask the Secretary of State for Health how many (a) doctors and (b) nurses were employed by Warrington and Halton NHS Foundation Trust and by its predecessors in each year since 1995-96. [203328]
Dr Poulter: The information requested is shown in the following tables:
| NHS hospital and community health services: NHS staff by main staff group in each specified organisation as at 30 September 2001 to 2013 | ||||||||||
| Full-time equivalent | ||||||||||
| 1995 | 1996 | 1997 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | |
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| 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | |
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| Notes: 1. In 2000 Halton General Hospital NHS Trust merged with Warrington Hospital NHS Trust to form Warrington and Halton Hospitals NHS Foundation Trust. 2. Full time equivalent figures are rounded to the nearest whole number. 3. “-” denotes 0 4. These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave. 5. Data Quality: The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality where changes impact on figures already published. This is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses. Source: Health and Social Care Information Centre Non-Medical Workforce Census. Health and Social Care Information Centre Medical and Dental Workforce Census. | |||||||||
Health Services
John Glen: To ask the Secretary of State for Health (1) if he will make it his policy that there should be equality of access to treatment for patients in England with specialised conditions; [202919]
(2) when he expects NHS England's review of specialised services commissioning to conclude; who is leading the review; what (a) NHS England employees and (b) other interested parties are participating in the review; and if he will make a statement; [202924]
(3) what the purpose is of NHS England's review of specialised services commissioning; on what date the decision to commission the review was taken; when he expects the review to conclude; whether he intends to consult on the outcome of the review; and if he will make a statement. [202935]
Jane Ellison: Since April 2013, NHS England has been responsible for the commissioning of services that have been identified as specialised. NHS England’s role is to ensure that the national health service delivers better outcomes for patients requiring these specialised services in a consistent manner across the country.
NHS England is committed to commissioning and planning a healthcare system that seeks to reduce health inequalities. In line with the ‘UK Strategy for Rare Diseases’, NHS England promotes equity of access to allow everyone with a rare disease to follow a clear, well
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defined care pathway, in order to achieve high quality services for every individual through integrated personal care plans. The aim is to ensure no one gets left behind just because they have a rare disease.
NHS England has advised that the review of specialised services commissioning was initiated at the start of May and will run for an initial period of three months. Dr Paul Watson, Regional Director for the Midlands and East Region, is leading the specialised commissioning taskforce. National discussions took place at the end of April and the taskforce was established in April 2014 in order to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. This taskforce comprises of seven distinct work streams, which will focus on financial control in 2014-15, and planning for the 2015-16 commissioning round. The seven work streams each have a distinct portfolio of work, some of which is short-term, and some of which includes looking to the future and the development of a sustainable and effective model of specialised commissioning.
Around 50 additional individuals, from different disciplines, have been drawn from across NHS England, coming together to support intensive, focused attention in a number of these work streams.
There are aspects of the work which will require engagement with clinical commissioning groups (CCGs). In consultation with the Commissioning Assembly, a specific working group has been established to enable the joint discussions with CCGs to take place. The first meeting of this group was on 4 July.
NHS England advises that there are currently no plans to consult on the outcome of the work of the taskforce.
Health Services: EU Nationals
Dr Fox: To ask the Secretary of State for Health how many people from (a) Spain, (b) Portugal and (c) Italy have used the NHS in each of the last five years. [203097]
Jane Ellison: The Department does not hold this information. Although the Health and Social Care Information Centre collects hospital episode statistics, these do not contain information about the patient’s residency, nationality or migration status.
Health Services: Lancaster
David Morris: To ask the Secretary of State for Health with reference to Lancaster City Council’s Local Plan for Lancaster District 2011-2031: Strategic Options for Land Allocations, what assessment his Department has made of the potential increased demand for NHS services in Lancaster District that would arise under Option 5 of that plan. [203502]
Dr Poulter:
Lancaster city council has published a public consultation on five potential options to identify additional sites for future housing development. The consultation closes on 31 July 2014. During the development of the chosen option, the local council will have to assess the provision of local infrastructure which will include health facilities. As part of this process, it would
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consult NHS England and the local clinical commissioning group in conjunction with local NHS service providers. These bodies are best placed to assess local needs and the Department does not become involved in these matters.
Heart Diseases
Andrew Gwynne: To ask the Secretary of State for Health, pursuant to the answer of 26 June 2014, Official Report, column 279W, on heart diseases, how the budget of £16.9 million for Commissioning through Evaluation announced by NHS England on 6 March 2014 is being allocated between each of the five technologies within the programme. [203096]
Jane Ellison: We understand from NHS England that the budget for Commissioning through Evaluation is being allocated as follows:
£9 million for three interventional cardiology schemes;
£4.8 million for selective internal radiation therapy; and
£1.6 million for selective dorsal rhizotomy.
£1.5 million has been removed from the budget as the renal denervation scheme is no longer being progressed. This is due to recently available research findings.
Hospitals: Debts
Derek Twigg: To ask the Secretary of State for Health whether any specialist trust hospitals currently have a deficit. [203705]
Jane Ellison: As at 31 March 2014, there was one specialist trust that ended the 2013-14 financial year in financial deficit (Royal National Hospital for Rheumatic Diseases NHS Foundation Trust).
In Vitro Fertilisation
Fiona Bruce: To ask the Secretary of State for Health, with reference to the answer of 7 May 2014, Official Report, column 238W, on invitro fertilisation, whether his Department considers there to be genomic DNA present in mitochondria as distinct from nuclear genomic DNA. [203171]
Jane Ellison: As I stated in my written answer of 7 May 2014, Official Report, column 238W, there is no evidence of nuclear genomic DNA inside mitochondria. A description of the non-nuclear DNA in mitochondria and its function can be found at paragraph 2.1 of the April 2011 scientific report of the Human Fertilisation and Embryology Authority (HFEA) convened Expert Panel. This can be found on the HFEA’s website at:
www.hfea.gov.uk/6372.html
Influenza
Mark Pritchard: To ask the Secretary of State for Health if he will discuss a public health campaign with Transport for London to educate passengers on reducing the spread of influenza on public transport. [203058]
Jane Ellison:
Public Health England (PHE) engages in public health campaigns when there is an evidence-base to demonstrate the likely impact on positive public
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health outcomes. There is evidence that people are more likely to respond to messages about respiratory and hand hygiene when there is an imminent threat to public health, such as a pandemic.
PHE closely monitors flu infection rates, and should rates suddenly accelerate or meet unacceptably high levels, they could activate such a campaign. Although PHE did not run a “Catch It, Bin It, Kill It” campaign during 2013-14, campaign materials, e.g. print and digital resources, were made available for local use.
PHE would engage key partners such as Transport for London in the preparation of any such initiative.
Jeena International
Mr Amess: To ask the Secretary of State for Health when he plans to respond to the letter sent to his Department by Jeena International on 27 May 2014 on the misrepresentation of its organisation in a parliamentary debate on abortion; and if he will make a statement. [202914]
Jane Ellison: A reply to the letter of 27 May has now been sent to Jeena International.
Meetings
Mr Amess: To ask the Secretary of State for Health what his policy is on the taking of minutes in meetings conducted by his departmental officials with representatives of (a) other Government Departments and (b) outside organisations; and if he will make a statement. [202915]
Dr Poulter: Where meetings of formally constituted committees or boards are held, a minute of the meeting must be produced for governance purposes. For other less formal meetings, a note or minute is produced at the discretion of the officials concerned.
Mosquitoes: Greater London
Mark Pritchard: To ask the Secretary of State for Health if he will discuss with the Mayor of London and the chief executives of the London Boroughs possible steps to reduce the spread of mosquitoes in London. [203048]
Jane Ellison: Entomologists at Public Health England (PHE), formerly the Health Protection Agency (HPA), have been working with colleagues in the Chartered Institute of Environmental Health (CIEH), local authorities and port health officers to better understand the risk posed by mosquitoes in London.
PHE discusses the issues of mosquitoes with the CIEH which then provides advice (and contact) to environmental health officers (EHOs) at the London boroughs. PHE does work with local authorities directly for specific mosquito surveillance schemes, but this is always through the principal EHO at CIEH.
PHE currently runs a mosquito surveillance scheme to monitor problem mosquitoes from EHOs and the public, and have been conducting surveillance of invasive species at airports and seaports across England, including London.
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Nurses: Pay
Hugh Bayley: To ask the Secretary of State for Health what the average gross earnings of a full-time equivalent NHS nurse were in (a) cash and (b) real terms in (i) England and (ii) York in 1996-97 and in each year since. [202891]
Dr Poulter: The primary source of national health service earnings data is published by the Health and Social Care Information Centre. Data on average basic pay per full-time equivalent are taken from this publication. This is based on Electronic Staff Record data which are only available from 2008-09 onwards so the data series cannot be extended into early years. Data relating to York relate to the former North Yorkshire and York Primary Care Trust and York Teaching Hospitals Foundation Trust. For reference a comparison of basic pay per headcount, which has not specifically been requested, is provided.
| England average | ||
| Headcount | ||
| Average total earnings | ||
| Cash (£) | Real Terms (£) | |
| York average | ||
| Headcount | ||
| Average total earning | ||
| Cash (£) | Real terms (£) | |
Hugh Bayley: To ask the Secretary of State for Health what the starting salary of a full-time equivalent NHS nurse in York was in (a) cash and (b) real terms in 1996-97 and in each year since. [202892]
Dr Poulter: Since the introduction of Agenda for Change in October 2004, nurses who are newly qualified start at Agenda for Change band 5. Prior to Agenda for Change they started at Whitley grade D. National salary scales apply for NHS nurses in York. The starting salary for a full-time equivalent NHS nurse in cash and real terms is shown in the following table:
| £ | ||
| Full-time national scale | ||
| Cash terms starting salary | Real terms starting salary | |
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| Notes: 1. Starting pay for a newly qualified nurse is normally the minimum of the scale applicable to basic grade qualified nurses as follows: 1996-97 to 2003-04: Whitley D grade 2004-05 o 2013-14: Agenda for Change band 5. 2. Starting pay is taken from national pay scales. 3. Figures given include any staged increases in the year in question. 4. The starting pay given for 2004-05 is the minimum of the Agenda for Change band 5 scale at the effective date of implementation of Agenda for Change on 1 October 2004. 5. The 2014-15 starting salary change is due to an adjustment to ensure all staff on spine point 5 eligible for incremental progression received at least 1% when progressing to spine point 16, which is also the current starting spine point for a newly qualified nurse. 6. The cash terms data have been converted into real terms using the latest official gross domestic product (GDP) deflator series taken from the HM Treasury website on 30 June 2014 and last updated on 20 December 2013. 7. It is not possible to convert the 2014-15 cash starting salary to real terms because of the way the GDP deflator series operates. 8. To be as up to date as possible, the real terms data are presented in 2013-14 prices. This involves using the HM Treasury forecast GDP deflator value for 2013-14. | ||
Organs: Donors
Hugh Bayley: To ask the Secretary of State for Health how many organ donations have been received in Yorkshire and the Humber in 2008-09 and in each year since. [202899]
Jane Ellison: The information requested is in the following tables:
| Deceased organ donors at hospitals in Yorkshire and the Humber - by financial year as at 30 June 2014 | |
| Number | |
| Source: NHS Blood and Transplant | |
| Total organ transplants for Yorkshire and the Humber residents1-by financial year as at 30 June 2014 | |||||||
| Total | 2008-09 | 2009-10 | 2010-11 | 2011-12 | 2012-13 | 2013-14 | 2014-15(to date) |
| 1 Transplant counts are based on recipient residence postcode rather than transplant unit Source: NHS Blood and Transplant | |||||||
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Lilian Greenwood: To ask the Secretary of State for Health what steps he is taking to maximise the use of donated organs. [203546]
Jane Ellison: The six years between April 2008 and April 2014 have seen a strengthening of the donation programme; increasing donation rates by 63% and transplant rates by 47%. The number of people registering for organ donation has increased by over 3 million since 2010 to over 20 million. NHS Blood and Transplant launched a United Kingdom strategy in July 2013, “Taking Organ Transplantation to 2020” that sets the agenda for increasing organ donation and transplantation rates over the next seven years. This includes an aim to transplant 5% more of the organs offered from donors through work to increase the number of organs retrieved, offered and accepted for transplant.
Lilian Greenwood: To ask the Secretary of State for Health (1) what proportion of lungs retrieved from donors are transplanted into recipients; [203547]
(2) what proportion of kidneys retrieved from donors are transplanted into recipients; [203548]
(3) what proportion of hearts retrieved from donors are transplanted into recipients; [203549]
(4) what proportion of livers retrieved from donors are transplanted into recipients. [203550]
Jane Ellison: It is the responsibility of the transplanting surgeon to decide whether or not to accept a donor organ for transplant. This decision may be made both before retrieval and at retrieval, or occasionally at allocation. The following table shows those organs retrieved and subsequently transplanted over the last five years.
| Percentage of organs retrieved that were subsequently transplanted | ||||
| Percentage | ||||
| Organ | DBD1 | DCD2 | Total deceased donors | |
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| 1 Donors who died after brain death 2 Donors who died after circulatory death Source: NHS Blood and Transplant | ||||
Ovarian Hyperstimulation Syndrome
Jim Dobbin: To ask the Secretary of State for Health, pursuant to the answer of 24 June 2014, Official Report, columns 156-57W, on ovarian hyperstimulation syndrome, what assessment he has made of the reasons for the reductions in the number and proportion of severe cases of ovarian hyperstimulation syndrome reported to the Human Fertilisation and Embryology Authority between 2009 and 2010 and between 2010 and 2011. [203247]
Jane Ellison: The Human Fertilisation and Embryology Authority has advised that it has made no assessment of the reason as to why there was a reduction in the number and proportion of severe cases of ovarian hyperstimulation syndrome reported to the authority between 2009 and 2010 and between 2010 and 2011.
Jim Dobbin: To ask the Secretary of State for Health, pursuant to the answer of 24 June 2014, Official Report, columns 156-57W, on ovarian hyperstimulation syndrome, in how many licensable treatment cycles at least (a) 30 and (b) 40 eggs per cycle were collected in each of the last five years for which figures are available. [203248]
Jane Ellison: The information requested is shown in the following table.
| Licensable treatment cycles where at least: | ||
| 30 eggs were collected | 40 eggs were collected | |
| 1 The year 2013 only covers the period 1 January to 30 June 2013. Source: The Human Fertilisation and Embryology Authority. | ||
Parkinson’s Disease
Andrew Rosindell: To ask the Secretary of State for Health what direct funding his Department has made available for research into Parkinson's disease. [203182]
Dr Poulter: The Department's National Institute for Health Research (NIHR) spent £4.0 million in 2013-14 on Parkinson's disease research through research programmes, research centres and units, and research fellowships.
The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including Parkinson's
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disease. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and the national health service, value for money and scientific quality.
Pay
Mr Nicholas Brown: To ask the Secretary of State for Health which organisations collect subscriptions through the employers' payroll service in his Department and its agencies. [203106]
Dr Poulter: The requested information is listed as follows:
Department of Health
Association of First Division Civil Servants (FDA)
Civil Service Club
Civil Service Sports
Civil Service Sports Council (CSSC)
Health and Social Security Recreational Association (HASSRA)
Prospect (IPMS)
Public and Commercial Services Union (PCS)
Medicines and Healthcare Products Regulatory Agency
Civil Service Sports
Civil Service Sports Council (CSSC)
Health and Social Security Recreational Association (HASSRA)
Lottery
NIBSC Unite
Public and Commercial Services Union (PCS)
Prospect (IPMS)
Public Health England
Amicus/Unite
Civil Service Sports Council (CSSC)
General, Municipal, Boilermakers and Allied Trades Union (GMBATU)
Health and Social Security Recreational Association (HASSRA)
Prospect (IPMS)
Public and Commercial Services Union (PCS)
Unison