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  • Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2015-10-29.

    To ask the Secretary of State for Health, how many advanced nurse practitioners were employed by the NHS in each region of the UK in each of the last five years.

    Ben Gummer

    An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.

    Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.

    Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.

    We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.

    Although not explicitly mentioned in NHS England’s Five Year Forward view, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.

    Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.

    The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”

  • Gregory Campbell – 2015 Parliamentary Question to the Department of Health

    Gregory Campbell – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Gregory Campbell on 2015-10-29.

    To ask the Secretary of State for Health, if he will hold discussions with the devolved administrations on sharing best practice on steps to reduce (a) self-harm and (b) suicide rates.

    Alistair Burt

    Departmental officials are in regular contact with colleagues in devolved administrations, sharing best information on suicide and self-harm prevention around cross-cutting issues.

  • Grahame Morris – 2015 Parliamentary Question to the Department of Health

    Grahame Morris – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Grahame Morris on 2015-10-29.

    To ask the Secretary of State for Health, what the average cost to the NHS is of educating and training a junior doctor.

    Ben Gummer

    The Department does not hold information on the average cost to the taxpayer of training someone to become a junior doctor.

    The Personal Social Services Research Unit at the University of Kent estimates within their report ‘Unit Costs of Health and Social Care 2014’, published in March 2014, that the average cost in 2013/14 of training to become a general practitioner is £485,390, with the consultant training cost being £726,551. These figures reflect the pre-registration costs of tuition, living expenses/lost production and clinical placements and the post-graduate costs of tuition and replacement costs not the average cost to the taxpayer.

  • Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2015-10-29.

    To ask the Secretary of State for Health, what steps he is taking to support advanced nurse practitioners in the NHS.

    Ben Gummer

    An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.

    Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.

    Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.

    We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.

    Although not explicitly mentioned in NHS England’s Five Year Forward view, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.

    Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.

    The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”

  • Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2015-10-29.

    To ask the Secretary of State for Health, what his Department’s definition is of an advanced nurse practitioner.

    Ben Gummer

    An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.

    Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.

    Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.

    We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.

    Although not explicitly mentioned in NHS England’s Five Year Forward view, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.

    Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.

    The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”

  • Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2015-10-29.

    To ask the Secretary of State for Health, what assessment he has made of the effect on advanced nurse practitioners of his plans for a seven-day NHS.

    Ben Gummer

    An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.

    Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.

    Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.

    We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.

    Although not explicitly mentioned in NHS England’s Five Year Forward view, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.

    Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.

    The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”

  • Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    Greg Mulholland – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2015-10-29.

    To ask the Secretary of State for Health, what assessment he has made of the effect on advanced nurse practitioners of proposed adjustments of GPs working hours.

    Ben Gummer

    An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.

    Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.

    Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.

    We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.

    Although not explicitly mentioned in NHS England’s Five Year Forward view, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.

    Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.

    The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”

  • Gareth Thomas – 2015 Parliamentary Question to the Department of Health

    Gareth Thomas – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Gareth Thomas on 2015-10-29.

    To ask the Secretary of State for Health, how much funding was allocated to each clinical commissioning group area in London per head of population since 2010; and if he will make a statement.

    Alistair Burt

    Local National Health Service funding allocations per head of population since 2010 are shown in the attached tables.

    Allocations were made to primary care trusts (PCTs) until 2012-13 but since 2013-14 have been made to clinical commissioning groups (CCGs) excluding public health.

    It should be noted that CCGs do not share all the responsibilities of PCTs. In addition to commissioning primary care, PCTs commissioned a higher proportion of specialised services than CCGs do now. PCTs also commissioned public health services, a function which has transferred to local authorities via the public health grant.

    Further, not all CCG areas and populations are coterminous with those of the former PCTs.

  • Helen Hayes – 2015 Parliamentary Question to the Department of Health

    Helen Hayes – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Helen Hayes on 2015-10-29.

    To ask the Secretary of State for Health, when NHS England plans to publish guidance to commissioners on their duty to pay excess treatment costs.

    George Freeman

    NHS England has confirmed that guidance to commissioners on their duty to pay excess treatment costs will be published by the middle of November 2015.

  • Dan Jarvis – 2015 Parliamentary Question to the Department of Health

    Dan Jarvis – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Dan Jarvis on 2015-10-29.

    To ask the Secretary of State for Health, what estimate he has made of the number of cases of frostbite diagnosed in (a) Barnsley Central constituency, (b) Yorkshire and Humber and (c) the UK in each year since May 2010.

    Jane Ellison

    The table below sets out the count of finished admission episodes (FAEs)1 with a primary diagnosis2 of frostbite3 in Barnsley Central constituency4, North Yorkshire and Humber, West Yorkshire, and South Yorkshire and Bassetlaw Area Teams of residence5 and England for years 2010-11 to 2013-146

    Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

    2010-11

    2011-12

    2012-13

    2013-14

    Barnsley Central

    0

    0

    0

    0

    North Yorkshire and Humber Area Team of Residence

    2

    0

    1

    0

    South Yorkshire and Bassetlaw Area Team of Residence

    2

    1

    3

    2

    West Yorkshire Area Team of Residence

    5

    7

    6

    3

    England

    84

    43

    48

    51

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

    Notes:

    1. Finished admission episode

    A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the period.

    2. Primary diagnosis

    The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.

    3. ICD-10 Codes

    The following ICD-10 codes were used to identify frostbite:

    T33 Superficial frostbite

    T34 Frostbite with tissue necrosis

    T35 Frostbite involving multiple body regions and unspecified frostbite

    4. Parliamentary constituency of residence

    The parliamentary constituency containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another parliamentary constituency for treatment. This field is only available from 2009-10 onwards.

    5. Area Team of residence

    The area team containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.

    6. Assessing growth through time (Inpatients)

    HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.