Tenth Report

Contents


Appendix 1: Draft Health and Social Care Act 2008 (Regulated Activities) (Amendment) (Coronavirus) Regulations 2021

Additional material from the DHSC following the oral evidence session on 13 July 2021

Q1: The latest vaccination uptake data (data for 4 July was cited - we would be grateful if you could confirm the figures given.)

A1: The figures Minister Zahawi quoted for 4th July were the latest available public figures. Data is published each Thursday afternoon correct to the previous Sunday and can be found here: Statistics » COVID-19 Vaccinations (england.nhs.uk)

Q2: Any information you have about the percentage of care home staff who are medically exempt from vaccination ( the example figures for Barchester 78 of 16,000 related to those who left the firm rather than accept vaccination which is a slightly different point.)

A2: The Department does not collect data on the number of staff who are medically exempt from vaccination. However, the Impact Statement will include our current best estimate of the proportion of workers in CQC-regulated care homes who will be medically exempt from the regulation, but the committee should note that this is a judgement partly based on census and demographic data, supported by the findings of the Driving Uptake survey.

Q3: A “stratification” of the care home sector by size of firm. It was explained that ‘the big four’ firms represent 15%. To explain why there are localised difficulties with vaccine take up, you offered a better breakdown of the small and very small homes that form the bulk of the sector, and which these Regulations target.

A3: Please find below:

The committee should note that this data is up to date as of 1 July 2021.

Q4: At one point the existence of an equality impact assessment was mentioned - is that published anywhere? If so may we have the link to make it available to the House.

A5: The Public Sector Equality Duty is available here Making vaccination a condition of deployment in care homes: public sector equality duty impact assessment - GOV.UK (www.gov.uk)

Q5. An Impact Assessment/Statement - covering all the issues about the potential effect on the sector raised in our report and in questions. (The Committee would prefer to see an Impact Assessment - which follows a standardised format.)

A5: We are intending to lay the Impact Statement on Monday ahead of the Lords debate on Tuesday. The impact statement will outline analysis from the Department of Health and Social Care of the number of current staff who we estimate may not be vaccinated or exempt by the end of the 16-week grace period, and therefore the numbers that may need to be recruited by the sector to replace workers who may choose to leave the workforce rather than be vaccinated.

Q6: The Minister mentioned that the ability to provide suitable evidence on the NHS App would be provided “soon” - do you have any more precise date to offer?

A6: The NHS App currently enables people to provide confirmation of their vaccination status and there is a non-digital alternative in place. We are working to enhance the functionality of the app and ensure a non-digital alternative is in place for those who will need to confirm their vaccination status to enter care homes. We are finalising the exemptions process with NHSX and engaging with external stakeholders in the NHS. We will set out further detail on this in the operational guidance which we intend to publish at the end of July.

Number of care homes by bed category (All ages): England

Pie chart showing perecentage of care homes by bed category

Source: DHSC’s CQC Registration Data Tracker, current at 1 July 2021.

Table: Care Home Market Stratification July 2021

Region

Local authority name

# of care home beds

# of care homes

# of care homes without nursing

# of care homes with nursing

% of care homes with 1 to 10 beds

% of care homes with 11 to 25 beds

% of care homes with 26 to 50 beds

% of care homes with 51 to 75 beds

% of care homes with 76+ beds

Average care home size

London

Barking and Dagenham

718

22

14

8

45%

9%

23%

9%

14%

32.64

London

Barnet

2636

82

61

21

32%

18%

27%

12%

11%

32.15

Yorkshire and The Humber

Barnsley

2326

76

61

15

26%

16%

42%

13%

3%

30.61

South West

Bath and North East Somerset

1700

59

36

23

32%

17%

36%

12%

3%

28.81

East of England

Bedford

1666

79

66

13

42%

25%

25%

4%

4%

21.09

London

Bexley

1571

31

19

12

16%

26%

13%

16%

29%

50.68

West Midlands

Birmingham

7596

286

210

76

42%

19%

22%

12%

6%

26.56

North West

Blackburn with Darwen

1090

36

27

9

14%

36%

33%

11%

6%

30.28

North West

Blackpool

1721

70

53

17

21%

39%

33%

6%

1%

24.59

North West

Bolton

1821

59

40

19

37%

7%

41%

7%

8%

30.86

South West

Bournemouth, Christchurch and Poole

4748

156

117

39

31%

28%

17%

18%

6%

30.44

South East

Bracknell Forest

476

15

11

4

20%

33%

27%

13%

7%

31.73

Yorkshire and The Humber

Bradford

4180

115

75

40

14%

23%

44%

11%

8%

36.35

London

Brent

1123

59

49

10

68%

10%

8%

7%

7%

19.03

South East

Brighton and Hove

2079

88

61

27

27%

34%

33%

2%

3%

23.63

South West

Bristol, City of

2932

104

67

37

40%

23%

15%

14%

7%

28.19

London

Bromley

1533

52

31

21

25%

23%

35%

13%

4%

29.48

South East

Buckinghamshire

4517

130

90

40

29%

18%

24%

20%

8%

34.75

North West

Bury

1838

55

41

14

31%

16%

38%

5%

9%

33.42

Yorkshire and The Humber

Calderdale

1416

51

34

17

31%

31%

22%

10%

6%

27.76

East of England

Cambridgeshire

4615

129

84

45

24%

19%

29%

19%

9%

35.78

London

Camden

359

10

7

3

10%

30%

30%

30%

0%

35.90

East of England

Central Bedfordshire

1841

57

37

20

30%

18%

26%

23%

4%

32.30

North West

Cheshire East

4329

99

52

47

15%

11%

38%

24%

11%

43.73

North West

Cheshire West and Chester

3005

81

40

41

16%

10%

53%

19%

2%

37.10

London

City of London

0

0

0

0

South West

Cornwall

5244

223

168

55

30%

29%

35%

4%

2%

23.52

North East

County Durham

5206

146

84

62

25%

12%

37%

21%

5%

35.66

West Midlands

Coventry

2096

77

62

15

27%

23%

39%

6%

4%

27.22

London

Croydon

3052

128

93

35

44%

24%

17%

9%

5%

23.84

North West

Cumbria

4392

146

111

35

24%

21%

40%

12%

3%

30.08

North East

Darlington

1224

32

22

10

28%

13%

22%

28%

9%

38.25

East Midlands

Derby

2174

69

42

27

12%

28%

51%

9%

1%

31.51

East Midlands

Derbyshire

7615

264

175

89

23%

18%

48%

8%

1%

28.84

South West

Devon

8076

322

257

65

20%

38%

34%

8%

1%

25.08

Yorkshire and The Humber

Doncaster

2427

80

55

25

29%

18%

36%

10%

8%

30.34

South West

Dorset

3909

122

85

37

11%

34%

34%

20%

1%

32.04

West Midlands

Dudley

2497

95

76

19

33%

27%

28%

7%

4%

26.28

London

Ealing

1607

48

29

19

35%

17%

25%

10%

13%

33.48

Yorkshire and The Humber

East Riding of Yorkshire

4604

148

129

19

17%

30%

39%

11%

4%

31.11

South East

East Sussex

8180

307

234

73

28%

30%

26%

13%

2%

26.64

London

Enfield

1858

81

68

13

49%

19%

19%

7%

6%

22.94

East of England

Essex

12512

409

329

80

37%

18%

24%

12%

8%

30.59

North East

Gateshead

2021

54

30

24

19%

22%

26%

28%

6%

37.43

South West

Gloucestershire

6126

218

140

78

33%

20%

31%

12%

4%

28.10

London

Greenwich

909

43

31

12

67%

5%

7%

19%

2%

21.14

London

Hackney

331

15

11

4

60%

13%

20%

0%

7%

22.07

North West

Halton

836

26

17

9

27%

19%

27%

27%

0%

32.15

London

Hammersmith and Fulham

442

9

5

4

44%

11%

0%

11%

33%

49.11

South East

Hampshire

14121

492

346

146

35%

22%

23%

15%

5%

28.70

London

Haringey

478

32

30

2

75%

9%

9%

3%

3%

14.94

London

Harrow

1218

56

45

11

48%

27%

11%

7%

7%

21.75

North East

Hartlepool

884

26

17

9

27%

12%

31%

27%

4%

34.00

London

Havering

1801

59

40

19

36%

19%

24%

15%

7%

30.53

West Midlands

Herefordshire, County of

2127

87

58

29

31%

28%

34%

6%

1%

24.45

East of England

Hertfordshire

9669

266

191

75

37%

14%

15%

23%

11%

36.35

London

Hillingdon

1427

47

31

16

32%

17%

30%

17%

4%

30.36

London

Hounslow

819

30

19

11

53%

10%

10%

23%

3%

27.30

South East

Isle of Wight

1923

74

61

13

19%

43%

31%

5%

1%

25.99

South West

Isles of Scilly

14

1

1

0

0%

100%

0%

0%

0%

14.00

London

Islington

565

16

8

8

25%

19%

13%

38%

6%

35.31

London

Kensington and Chelsea

358

11

6

5

27%

18%

27%

27%

0%

32.55

South East

Kent

14838

536

423

113

35%

21%

27%

12%

4%

27.68

Yorkshire and The Humber

Kingston upon Hull, City of

2295

86

73

13

33%

22%

35%

8%

2%

26.69

London

Kingston upon Thames

1216

39

22

17

33%

10%

38%

13%

5%

31.18

Yorkshire and The Humber

Kirklees

3564

132

96

36

31%

23%

33%

11%

2%

27.00

North West

Knowsley

1112

27

16

11

19%

11%

41%

22%

7%

41.19

London

Lambeth

1098

42

31

11

57%

14%

5%

12%

12%

26.14

North West

Lancashire

12800

426

309

117

22%

27%

37%

10%

4%

30.05

Yorkshire and The Humber

Leeds

5598

151

103

48

23%

18%

36%

11%

11%

37.07

East Midlands

Leicester

2862

105

87

18

21%

36%

32%

8%

3%

27.26

East Midlands

Leicestershire

5202

175

143

32

24%

26%

34%

13%

3%

29.73

London

Lewisham

959

56

46

10

57%

21%

14%

4%

4%

17.13

East Midlands

Lincolnshire

8431

291

220

71

22%

25%

40%

10%

3%

28.97

North West

Liverpool

3485

89

48

41

19%

10%

48%

15%

8%

39.16

East of England

Luton

1115

40

33

7

45%

18%

18%

13%

8%

27.88

North West

Manchester

2565

91

54

37

35%

23%

29%

8%

5%

28.19

South East

Medway

1601

70

54

16

43%

21%

24%

9%

3%

22.87

London

Merton

938

38

23

15

45%

18%

18%

13%

5%

24.68

North East

Middlesbrough

1778

44

30

14

20%

16%

30%

25%

9%

40.41

South East

Milton Keynes

1473

47

32

15

36%

15%

28%

15%

6%

31.34

North East

Newcastle upon Tyne

2643

71

35

36

18%

23%

31%

23%

6%

37.23

London

Newham

660

27

21

6

74%

4%

4%

0%

19%

24.44

East of England

Norfolk

9535

342

283

59

28%

24%

35%

11%

3%

27.88

Yorkshire and The Humber

North East Lincolnshire

1774

57

43

14

23%

25%

33%

14%

5%

31.12

Yorkshire and The Humber

North Lincolnshire

1979

59

47

12

7%

34%

44%

10%

5%

33.54

South West

North Somerset

2871

98

64

34

24%

24%

37%

8%

6%

29.30

North East

North Tyneside

1684

44

28

16

18%

20%

34%

23%

5%

38.27

Yorkshire and The Humber

North Yorkshire

6275

205

143

62

28%

23%

28%

16%

5%

30.61

East Midlands

Northamptonshire

6498

249

183

66

39%

18%

26%

13%

4%

26.10

North East

Northumberland

3450

100

64

36

16%

20%

41%

20%

3%

34.50

East Midlands

Nottingham

2009

76

55

21

34%

25%

26%

12%

3%

26.43

East Midlands

Nottinghamshire

8866

287

204

83

32%

19%

28%

14%

7%

30.89

North West

Oldham

1786

44

32

12

2%

23%

59%

5%

11%

40.59

South East

Oxfordshire

5629

131

51

80

14%

14%

34%

34%

5%

42.97

East of England

Peterborough

1334

37

26

11

32%

19%

24%

8%

16%

36.05

South West

Plymouth

2467

99

79

20

31%

23%

35%

10%

0%

24.92

South East

Portsmouth

1147

39

29

10

23%

28%

36%

10%

3%

29.41

South East

Reading

838

32

27

5

53%

16%

13%

9%

9%

26.19

London

Redbridge

1373

80

69

11

64%

18%

11%

4%

4%

17.16

North East

Redcar and Cleveland

1348

46

34

12

22%

30%

33%

11%

4%

29.30

London

Richmond upon Thames

946

44

36

8

59%

11%

16%

7%

7%

21.50

North West

Rochdale

1711

58

43

15

22%

31%

34%

9%

3%

29.50

Yorkshire and The Humber

Rotherham

2331

82

58

24

39%

21%

18%

16%

6%

28.43

East Midlands

Rutland

419

12

9

3

8%

33%

42%

8%

8%

34.92

North West

Salford

1460

44

30

14

20%

23%

39%

14%

5%

33.18

West Midlands

Sandwell

2119

83

56

27

46%

14%

24%

11%

5%

25.53

North West

Sefton

3775

133

95

38

25%

24%

38%

11%

3%

28.38

Yorkshire and The Humber

Sheffield

4253

112

68

44

19%

20%

29%

25%

7%

37.97

West Midlands

Shropshire

3485

117

83

34

30%

17%

36%

12%

5%

29.79

South East

Slough

465

16

11

5

38%

25%

13%

19%

6%

29.06

West Midlands

Solihull

2107

65

49

16

38%

14%

17%

18%

12%

32.42

South West

Somerset

6473

216

158

58

29%

25%

27%

12%

7%

29.97

South West

South Gloucestershire

2202

81

56

25

35%

26%

19%

16%

5%

27.19

North East

South Tyneside

1292

34

22

12

21%

12%

32%

32%

3%

38.00

South East

Southampton

1522

59

49

10

37%

31%

19%

8%

5%

25.80

East of England

Southend-on-Sea

1946

92

78

14

24%

48%

23%

4%

1%

21.15

London

Southwark

580

17

14

3

41%

6%

29%

12%

12%

34.12

North West

St. Helens

1366

38

25

13

8%

32%

39%

16%

5%

35.95

West Midlands

Staffordshire

8028

252

169

83

29%

17%

33%

15%

6%

31.86

North West

Stockport

2443

65

45

20

12%

26%

37%

15%

9%

37.58

North East

Stockton-on-Tees

1971

53

34

19

23%

19%

30%

19%

9%

37.19

West Midlands

Stoke-on-Trent

2388

84

67

17

36%

24%

24%

11%

6%

28.43

East of England

Suffolk

7389

194

129

65

15%

18%

38%

23%

6%

38.09

North East

Sunderland

2483

84

56

28

40%

5%

40%

12%

2%

29.56

South East

Surrey

13865

423

272

151

37%

13%

22%

19%

9%

32.78

London

Sutton

1429

79

58

21

58%

18%

18%

4%

3%

18.09

South West

Swindon

1286

51

37

14

47%

14%

24%

12%

4%

25.22

North West

Tameside

1639

38

26

12

3%

11%

63%

16%

8%

43.13

West Midlands

Telford and Wrekin

1157

39

28

11

38%

13%

26%

21%

3%

29.67

East of England

Thurrock

753

32

26

6

50%

16%

19%

9%

6%

23.53

South West

Torbay

2095

84

69

15

15%

43%

38%

2%

1%

24.94

London

Tower Hamlets

352

10

7

3

40%

10%

20%

20%

10%

35.20

North West

Trafford

1685

57

36

21

35%

21%

25%

11%

9%

29.56

Yorkshire and The Humber

Wakefield

2722

93

73

20

30%

29%

22%

14%

5%

29.27

West Midlands

Walsall

1797

59

43

16

32%

15%

36%

14%

3%

30.46

London

Waltham Forest

927

50

47

3

54%

24%

14%

6%

2%

18.54

London

Wandsworth

1569

32

18

14

34%

13%

13%

16%

25%

49.03

North West

Warrington

1980

56

36

20

38%

7%

29%

20%

7%

35.36

West Midlands

Warwickshire

5417

170

118

52

31%

14%

32%

18%

5%

31.86

South East

West Berkshire

975

46

35

11

61%

13%

7%

17%

2%

21.20

South East

West Sussex

10084

349

232

117

23%

27%

37%

11%

3%

28.89

London

Westminster

371

12

7

5

50%

8%

25%

0%

17%

30.92

North West

Wigan

2262

55

29

26

7%

15%

56%

18%

4%

41.13

South West

Wiltshire

4814

176

131

45

40%

19%

19%

16%

6%

27.35

South East

Windsor and Maidenhead

1722

41

19

22

24%

17%

22%

12%

24%

42.00

North West

Wirral

3636

122

78

44

24%

27%

30%

14%

5%

29.80

South East

Wokingham

1419

53

40

13

45%

19%

13%

15%

8%

26.77

West Midlands

Wolverhampton

2321

71

49

22

23%

30%

24%

15%

8%

32.69

West Midlands

Worcestershire

5789

181

118

63

24%

17%

39%

17%

4%

31.98

Yorkshire and The Humber

York

1565

39

26

13

18%

18%

31%

18%

15%

40.13

National

458459

15321

10947

4374

30%

22%

30%

13%

5%

29.92





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