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  • Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Emma Reynolds on 2015-11-26.

    To ask the Secretary of State for Health, how many nurses’ training places were available in each region in each year since 2009; how many (a) agency nurses and (b) nurses from outside the UK were used by the NHS in each year since 2009; and what the cost to the NHS was of both such categories of nurses in each of those years.

    Ben Gummer

    Non-medical training numbers are collected as part of the quarterly multi professional education and training budget monitoring returns that are submitted to the Department by Health Education England (HEE). Prior to the establishment of HEE in 2013/14 these were submitted to the Department by the Strategic Health Authority (SHA) as part of their quarterly Financial Information Management Systems (FIMS) monitoring returns. The table below shows the number of nurse training places available in each SHA from 2009/10 to 2012/13.

    2009/10

    2010/11

    2011/12

    2012/13

    NHS North East

    1,095

    1,045

    1,000

    992

    NHS North West

    3,630

    3,358

    3,082

    3,066

    NHS Yorkshire and Humber

    2,299

    2,278

    1,848

    1,805

    NHS East Midlands

    1,735

    1,660

    1,462

    1,430

    NHS West Midlands

    2,597

    2,557

    2,102

    2,102

    NHS East of England

    1,889

    1,717

    1,536

    1,494

    NHS London

    3,992

    3,695

    3,401

    3,088

    NHS South East Coast

    1,335

    1,281

    1,169

    1,123

    NHS South Central

    1,175

    1,237

    1,108

    1,153

    NHS South West

    1,590

    1499

    1,361

    1,293

    Total planned

    21,337

    20,327

    18,069

    17,546

    Source: SHA quarterly FIMS monitoring returns

    The following table details the information collected by HEE in relation to available nurse training places from 2013/14 to 2015/16, broken down by Local Education and Training Boards (LETB).

    The disaggregated data for 2013/14 is not held within the format requested. The published national workforce plan for 2013/14 stated that there would be 18,009 training commissions available for nursing.

    LETB Region

    2013/14

    2014/15

    2015/16

    North East

    1,105

    1,089

    North West

    3,415

    3,322

    Yorkshire and Humber

    2,010

    2,059

    West Midlands

    2,157

    2,192

    East Midlands

    1,613

    1,661

    East of England

    1,783

    2,015

    North West London

    820

    917

    North, Central and East London

    1,201

    1,280

    South London

    1,138

    1,171

    Kent, Surrey and Sussex

    1,126

    1,209

    Thames Valley

    768

    795

    Wessex

    941

    1,011

    South West

    1,368

    1,432

    Total

    18,009

    19,445

    20,153

    Source: Multi-professional education and training budget monitoring returns

    The Department does not collect data centrally on the number of agency nurses working in the NHS. This information may be held locally at Trust level.

    The Department started to collect financial data from NHS trusts and foundation trusts in respect of net temporary and agency staffing costs specifically from 2013/14. Available data on spending nationally on all agency staff in England is set out in the table below. We are not able to separately identify total spending with agencies on nurses from centrally held data.

    Total cost to the NHS of temporary staff in 2013/14 and 2014/15

    2013/14 £000s

    2014/15 £000s

    Total NHS Providers

    2,605,378

    3,355,723

    Source: Department of Health Annual Report and Accounts 2014/15

    The Department does not hold information on the total cost to the NHS of nurses from outside of the United Kingdom working in the service. The information provided in the table below shows the number of declared non-British nurses working in the NHS in England dating back to 2009. Non-British nursing numbers working in the NHS in England covers hospital and community health services in the NHS but not primary care.

    2009

    2010

    2011

    2012

    2013

    2014

    Non-British

    40,034

    41,642

    40,911

    40,030

    40,330

    43,258

    Proportion of non-British nurses as % of the nursing workforce

    14.4%

    14.3%

    13.8%

    13.3%

    13.0%

    13.5%

    Source: Health and Social Care Information Centre.

  • Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Emma Reynolds on 2015-11-26.

    To ask the Secretary of State for Health, what assessment the Government has made of the potential effect on student numbers of abolishing grants and maintenance allowances and introducing student loans and tuition fees for nurses’ training places; and what assessment the Government has made of the effect on students from poorer backgrounds of abolishing grants and maintenance allowances and introducing student loans and tuition fees for such training places.

    Ben Gummer

    The Government assessment undertaken to date is that nursing is consistently one of the most popular courses on the University Central Administration Service (fifth), with 57,000 applicants for around 20,000 nursing places in 2014. Midwifery and Allied Health Professional courses receive higher than average applications as well.

    A maximum £9,000 tuition fee for other subjects at higher education institutions was introduced in 2012. Between 2012 and 2014 the number of English domiciled applicants to enter full-time undergraduate courses in the United Kingdom increased by 7.5% (from 454,000 in 2012 to 487,870 in 2014). Figures for 2015 cycle will be released in mid-December and early indicators suggest that there will be further increase in 2015.

    Students from the most disadvantaged areas in England were 72% more likely to apply to higher education in 2015 than 2006.

  • Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Emma Reynolds on 2015-11-26.

    To ask the Secretary of State for Health, what estimate the Government has made of the number of training places for nurses required by the NHS in each of the next five years.

    Ben Gummer

    Health Education England (HEE) was established and has been mandated by the Government to provide national leadership on education, training and workforce development in the National Health Service. As one of the arm’s length bodies to help improve the quality of care delivered to patients, it ensures that the future workforce is available in the right numbers with the right skills, values and competencies to meet patient needs today and tomorrow.

    HEE operate an annual comprehensive planning process to ensure their investments meet the future needs of the population. This process determines the education commissioning volumes for the following financial year and are published in the Workforce Plan for England.

    The current workforce plan for England for 2015-16 published in December 2014 can be found at the following link:

    http://hee.nhs.uk/work-programmes/workforce-planning/

    HEE will publish its next annual National Workforce Plan for England by the end of December 2015.

  • Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Emma Reynolds on 2015-11-26.

    To ask the Secretary of State for Health, what proportion of student nurses had already studied for a degree before training as a nurse in each of the last five years; and what estimate he has made of the number of new student nurses who have studied for a degree likely to start training as a nurse in each of the next five years.

    Ben Gummer

    The information about the proportion of student nurses that had already studied for a degree before training as a nurse is not collected by the Department. Statistical information can be obtained from the Higher Education Statistics Agency.

    The Government does not have estimates of the number of student nurses who have studied for a degree and likely to start training. However we intend to make an exemption so that student nurses midwives and allied health professionals who already have a degree can access loans.

  • Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    Emma Reynolds – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Emma Reynolds on 2015-11-26.

    To ask the Secretary of State for Health, what estimate he has made of how long it would take on average for a nurse to pay off a student loan.

    Ben Gummer

    No estimate has been made as this will vary between individuals and is dependent upon a number of factors. Currently student loans are paid back over a maximum 30 year period and repayment is contingent on earnings. Graduates do not begin to pay back their loans until the April after they graduate, and then only 9% of their earnings over £21,000 per year.

    If their income drops below £21,000 for any reason (part-time working, career break) their repayments cease.

  • Jamie Reed – 2015 Parliamentary Question to the Department of Health

    Jamie Reed – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jamie Reed on 2015-11-26.

    To ask the Secretary of State for Health, what assessment he has made of the applicability of new care models in the Five Year Forward view to inflammatory arthritis services.

    Jane Ellison

    NHS England is working to support and stimulate the creation of a number of major new care models, led by the vanguard sites, which can be deployed in different combinations locally across England. These models are designed to overcome the traditional divide between primary care, community services and hospitals, as well as social and mental health care, which is increasingly a barrier to the personalised, coordinated and integrated services patients need.

    Improving continuity of care in this way is particularly relevant for patients with long term conditions (LTCs), such as inflammatory arthritis. A number of the vanguard sites (such as those introducing multispecialty community provider models and integrated primary and acute care system models) are focusing on the care of patients with LTCs. More information can be found at the following link:

    www.england.nhs.uk/ourwork/futurenhs/new-care-models/

  • Jamie Reed – 2015 Parliamentary Question to the Department of Health

    Jamie Reed – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jamie Reed on 2015-11-26.

    To ask the Secretary of State for Health, how many of the NHS vanguard sires are supporting the needs of people with inflammatory arthritis.

    Jane Ellison

    NHS England is working to support and stimulate the creation of a number of major new care models, led by the vanguard sites, which can be deployed in different combinations locally across England. These models are designed to overcome the traditional divide between primary care, community services and hospitals, as well as social and mental health care, which is increasingly a barrier to the personalised, coordinated and integrated services patients need.

    Improving continuity of care in this way is particularly relevant for patients with long term conditions (LTCs), such as inflammatory arthritis. A number of the vanguard sites (such as those introducing multispecialty community provider models and integrated primary and acute care system models) are focusing on the care of patients with LTCs. More information can be found at the following link:

    www.england.nhs.uk/ourwork/futurenhs/new-care-models/

  • Luciana Berger – 2015 Parliamentary Question to the Department of Health

    Luciana Berger – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2015-11-26.

    To ask the Secretary of State for Health, how many attendances at emergency departments for self-harm per 100,000 people there were in each year since that data has been collected; and how many people received a psychological assessment.

    Alistair Burt

    The table below shows the number of people who attended emergency departments for self-harm between 2007/08 and 2013/14. Data is not available for the number of people who received a psychosocial assessment after presenting at emergency departments for self-harm.

    Rate of Accident and Emergency (A&E) attendances where patient group was recorded as ‘self-harm’ per 100,000 population, from 2007/08 to 2013/14

    Year

    Number of attendances

    Rate per 100,000 population

    2007/08

    94,488

    184

    2008/09

    101,670

    196

    2009/10

    108,312

    208

    2010/11

    112,669

    214

    2011/12

    118,935

    224

    2012/13

    111,544

    209

    2013/14

    117,719

    219

    Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

  • Andrew Gwynne – 2015 Parliamentary Question to the Department of Health

    Andrew Gwynne – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Andrew Gwynne on 2015-11-26.

    To ask the Secretary of State for Health, what his policy is on the future of the mandated universal elements of the Healthy Child Programme for children aged 0 to five.

    Jane Ellison

    The commissioning of 0 to 5 years public health services transferred from NHS England to local authorities on 1 October 2015. Prior to transfer, Regulations were made to mandate the delivery of five universal health visitor reviews as set out in the Healthy Child Programme. The Regulations have a sunset clause that ends their effect on 31 March 2017, 18 months after coming into operation.

    The Regulations make provision for a review, by the Secretary of State, of the operation of the mandated elements. This will help inform future arrangements.

    In the interim, the Department is working with Public Health England, (as the strategic and professional lead for health visitor services), to monitor progress of the new arrangements.

  • Luciana Berger – 2015 Parliamentary Question to the Department of Health

    Luciana Berger – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2015-11-26.

    To ask the Secretary of State for Health, what steps he is taking to support children and young people who are referred to NHS Mental Health services but do not receive treatment as they did not meet the clinical threshold to quality for treatment at a Child and Mental Health Services centre.

    Alistair Burt

    The Government is committed to transforming the support for children and young people’s mental health and wellbeing as set out by the vision in Future in mind. This includes both clinical services commissioned by the NHS, and the wider support on offer in a range of settings.

    One of the first stages in achieving this vision is the implementation of Local Transformation Plans for children’s mental health and wellbeing developed by clinical commissioning groups (CCGs), together with their local partners. These Plans cover the full spectrum of mental health issues: from prevention and resilience building, to support and care for existing and emerging mental health problems, as well as transitions between services and addressing the needs of the most vulnerable.

    This means that by 2020, local offers will be transformed so that the emotional welfare and mental health of children will be supported whether or not their mental health issues are clinically diagnosable. In many cases, by building resilience in schools or by early intervention, we hope to prevent the emergence of mental disorders.