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Tag: Parliamentary Question

  • Janet Daby – 2023 Parliamentary Question on the Retention and Recruitment of NHS Workers

    Janet Daby – 2023 Parliamentary Question on the Retention and Recruitment of NHS Workers

    The parliamentary question asked by Janet Daby, the Labour MP for Lewisham East, in the House of Commons on 24 January 2023.

    Janet Daby (Lewisham East) (Lab)

    If he will bring forward a plan to increase (a) retention and (b) recruitment of NHS staff.

    Jim Shannon (Strangford) (DUP)

    What steps he is taking to ensure that gaps in the NHS workforce are filled.

    Karl MᶜCartney (Lincoln) (Con)

    What progress he has made on increasing the number of doctors and nurses in the NHS.

    The Secretary of State for Health and Social Care (Steve Barclay)

    The long-term workforce plan that is being developed by NHS England will help to ensure that we have the right staff numbers with the right skills to deliver high-quality services in the future.

    Janet Daby

    Is the Secretary of State fully aware that under this Government every part of the NHS is in crisis? Are the Government satisfied with the fact that, as medical students in their second year told me recently, the shortage of staff on hospital wards and the pressures on those wards are affecting their training? The students also told me that they had little aspiration to work as junior doctors in the UK after qualifying, because of the acute strain on the NHS and because they felt undervalued. Does the Secretary of State know about this, and what is he going to do about it?

    Steve Barclay

    We see a considerable number of applications for medical undergraduate places, far in excess of the number of places available. We have boosted the number of places—[Interruption.] The hon. Member for Ilford North (Wes Streeting) chunters from the Opposition Front Bench, but when I was last in the Department and the Chancellor had my role, we increased the number of medical undergraduate places by 25%. Indeed, we have more doctors and nurses than we had last year, and 3.5% more full-time equivalent staff: we have over 42,000 more people working in the NHS than we had last year.

    Jim Shannon

    The British Heart Foundation has reported that by the end of August 2022 a record 346,000 people were waiting for heart care. Despite the best efforts of NHS staff, workforce shortages are affecting primary and secondary care services. Can the Secretary of State explain how the Government’s comprehensive NHS workforce plan will address specific gaps in the workforce, especially those in cardiology services?

    Steve Barclay

    The hon. Gentleman has raised an important issue. I think that, in particular, we should look at our approach to major conditions, and I will say more about our thinking in that regard at the start of topical questions. I also think that we need to look at the issue of heart conditions in the context of the wider debate about excess deaths; we know that there is a particular issue in the 50 to 64-year-old cohort. As well as providing those extra doctors and clinicians—and from next autumn we will also have the additional medical doctor degree apprenticeship route—we need to look at methods of upstream testing, particularly in respect of heart conditions.

    Karl MᶜCartney

    In reference to my right hon. Friend’s earlier answers, we are keen to see the success of the new Lincoln medical school leading to more locally trained NHS professionals working across Lincolnshire. What more can the Government do to remove barriers to entry to ensure that anyone who can do so is able to train to become a doctor, nurse, dentist or dental nurse in our NHS, specifically in Lincoln and Lincolnshire?

    Steve Barclay

    My hon. Friend raises an important point on two levels. The first relates to how we boost recruitment in areas such as Lincolnshire, and the new medical school in Lincoln will play a key part in that. The second relates to how we increase the retainability of staff in those parts of the country, and having more on-the-job training and apprenticeships is a key way of doing that. That is why things like the new medical doctor degree apprenticeship will be particularly relevant to cohorts of the population in areas such as Lincoln.

    Mr Louie French (Old Bexley and Sidcup) (Con)

    One of the biggest issues my local hospitals raise with me in outer London is the impact of Sadiq Khan’s ultra-low emission zone expansion, with nurses and other staff facing charges of £12.50 per shift or £25 if they are working nights. Given that 50% of London’s emergency service workers live outside the capital, does the Minister agree that the Mayor and the Labour party should stop ignoring Londoners and drop their ULEZ tax rate?

    Steve Barclay

    My hon. Friend raises an important point about the additional costs that the London Mayor is imposing not just on NHS staff but on all staff working in the capital, in contrast to the approach the Chancellor has taken to energy support to help staff across the workforce, including in the NHS, with the cost of living.

    Sir Gary Streeter (South West Devon) (Con)

    Most of the GP practices in South West Devon report to me that their biggest challenge is recruiting new doctors. Does my right hon. Friend have an estimate of the number of young doctors finishing their training this year who are likely to want to become GPs, and can he reassure us that that is a greater number than the number who are likely to retire in the next 12 months?

    Steve Barclay

    My hon. Friend raises two important themes. The first relates to how many are in training, and I think it is around 4,000. We have boosted the number of GP training places and we have looked at medical schools as a specific issue. Also, he will have seen some of the changes being made around pensions in order to better retain staff, mindful of those clinicians who are leaving the profession, and further discussions are taking place with Treasury colleagues in that regard.

    Helen Morgan (North Shropshire) (LD)

    In Shropshire there are 14% fewer GPs and 29% fewer GP partners than in 2019, yet in the period from April to November 2022, they provided 6% more appointments. It is this additional workload that is causing burnout in GP practices and a flight from the profession. What is the Secretary of State doing to improve the retention of GPs as well as recruitment?

    Steve Barclay

    It is important to look at the number of doctors in general practice, and those numbers are up. There are 2,298 more than there were in September 2019, so we are increasing the number of doctors. What is also important is getting the right care at the right time within primary care, which is about the wider workforce—the paramedics, the mental health support and others working in primary care—and there are an extra 21,000 there. This is enabling GPs to see more patients a day and allowing more patients to get the right primary care, perhaps not from a doctor but from others who can offer specialised support.

    Eddie Hughes (Walsall North) (Con)

    One of the best ways to improve recruitment and retention is to make sure that staff have an excellent working environment, which is why I campaigned for a new urgent and emergency care department at Walsall Manor Hospital. I was successful, and it is opening in March. Will one of the ministerial team join me to celebrate this success?

    Steve Barclay

    I welcome my hon. Friend’s drawing attention to the investment that has been made, which is in no small part due to his campaigning and championing his constituents, as he does so assiduously. I think the Minister of State, Department of Health and Social Care, my hon. Friend the Member for Colchester (Will Quince) has plans to join him to mark the opening of that important facility, which shows our investment in the estate within the NHS.

    Mr Speaker

    There will be a 24-hour service at Chorley as well, I hope.

    Gareth Thomas (Harrow West) (Lab/Co-op)

    One way to improve retention and recruitment of NHS staff at Northwick Park Hospital, which serves my constituency and which I believe the Secretary of State visited last Thursday, would be to invest in doubling its intensive care beds. Did the Secretary of State discuss that issue with the chief executive of Northwick Park when he visited last week? Will he tell us when he might be able to announce funding for the new 60-bed unit that Northwick Park needs?

    Steve Barclay

    The hon. Gentleman is right to highlight the importance of bed capacity at Northwick Park, but my discussions with the chief executive were more in the context of how step-down capacity will relieve pressure on A&E. The hon. Gentleman will know that Northwick Park has one of the busiest, if not the busiest, A&Es in London on many days, and the chief executive spoke to me about the value of adding extra bed capacity from a step-down perspective, much more so than from an intensive-care perspective. If there are specific issues for intensive care, I am happy to follow them up with the hon. Gentleman.

    Mr Speaker

    I call the shadow Minister.

    Dr Rosena Allin-Khan (Tooting) (Lab)

    In mental health we rely on staff, not shiny machinery, so why is the Secretary of State rehashing old announcements and scrapping plans? It is because the Government have run out of ideas. Labour has a plan. We will recruit 8,500 more mental health professionals, ensuring a million more patients get treated every year. We will double the number of medical school places. We will train 10,000 extra nurses and midwives every year, and we will focus on retaining the fantastic staff we already have. Where is the Government’s plan? We have had our plan for two years, but they are binning theirs.

    Steve Barclay

    It is slightly odd for the hon. Lady to talk about a plan when she does not agree with the plan of the shadow Health Secretary, the hon. Member for Ilford North (Wes Streeting). He plans to use the private sector, which he describes as “effective and popular,” whereas the hon. Lady said:

    “In my own brief in mental health we have use of the private sector, which ultimately often lets patients down.”

    First, the hon. Lady does not agree with the shadow Secretary of State. [Interruption.] The hon. Lady chunters, but she asked about a plan when she does not agree with her own Secretary of State.

    Secondly, the hon. Lady talked about shiny new equipment. I am delighted that she allows me to draw the House’s attention to yesterday’s announcement of a fleet of 100 new mental health ambulances, which will relieve pressure on A&E. I am delighted that she gave me an open door to highlight that investment, which is part of our £2.3 billion investment in mental health.

  • Jack Lopresti – 2023 Parliamentary Question on Ambulance Cover on Strike Days

    Jack Lopresti – 2023 Parliamentary Question on Ambulance Cover on Strike Days

    The parliamentary question asked by Jack Lopresti, the Conservative MP for Filton and Bradley Stoke, in the House of Commons on 24 January 2023.

    Jack Lopresti (Filton and Bradley Stoke) (Con)

    What steps he is taking to ensure that ambulance services continue to operate during strikes.

    The Secretary of State for Health and Social Care (Steve Barclay)

    We have introduced a range of contingency measures, such as the provision of military personnel, who are available to assist with the driving of ambulances, and community first responders, who can help before ambulances arrive on the scene.

    Jack Lopresti

    Will my right hon. Friend join me in thanking call handlers at the South Western Ambulance Service NHS Foundation Trust—and the public—for halving the number of 999 calls to the trust over the last month, and reducing average call answering times by 95%, to just three seconds? Will he also join me in expressing dismay at the approach taken by the Leader of the Opposition during the most recent session of Prime Minister’s Question Time in seeking to sow fear in the hearts of my constituents and others for his own narrow political gain?

    Steve Barclay

    I am happy to join my hon. Friend in paying tribute to the work of call handlers at the South Western Ambulance Service, and to the staff there as a whole. He is right to draw attention to the improved performance that we have seen in recent weeks, and also right to point out that all parts of the United Kingdom have faced considerable challenges, particularly over the Christmas period when we saw a significant spike in flu levels.

    Rachael Maskell (York Central) (Lab/Co-op)

    We have just heard in the Health and Social Care Committee that on strike days there was a drop in service demand, but also value added by the increased clinical support, resulting in better and more cost-effective decisions. Why does that happen on strike days rather than on every single day of the year?

    Steve Barclay

    We are taking a number of steps to improve performance, and not just on strike days—but I thought the hon. Lady was going to refer to the comment that she made about those on her own Front Bench, when she said:

    “I think what our health team need to do is really spend more time in that environment with clinicians to really understand what drives them.”

    We on this side of the House are spending a significant amount of time with clinicians, and it is important that those on the hon. Lady’s Front Bench do so as well.

  • John Redwood – 2023 Parliamentary Question on Pausing the Ban on New Petrol and Diesel Vehicles

    John Redwood – 2023 Parliamentary Question on Pausing the Ban on New Petrol and Diesel Vehicles

    The parliamentary question asked by John Redwood, the Conservative MP for Wokingham, in the House of Commons on 18 January 2023.

    John Redwood (Wokingham) (Con)

    As we are very short of commitments to assemble more EVs in the United Kingdom, which would be needed to create battery demand, will the Minister pause the ban on the sale of new petrol and diesel vehicles until our EV capacity has caught up? Otherwise, the industry will shrink too much.

    Graham Stuart

    I thank my right hon. Friend, whose economic insights I always value and appreciate. However, we are committed to electric and zero-emission vehicles and we will not stimulate investment in those sectors by removing the mandates that drive consumer choice and have led to such a significant change in our road transport emissions. We are going to have even more ambitious steps.

  • Tim Loughton – 2016 Parliamentary Question to the Foreign and Commonwealth Office

    Tim Loughton – 2016 Parliamentary Question to the Foreign and Commonwealth Office

    The below Parliamentary question was asked by Tim Loughton on 2016-03-24.

    To ask the Secretary of State for Foreign and Commonwealth Affairs, when he expects the UK-China human rights dialogue to take place.

    Mr Hugo Swire

    The next round of the annual UK-China Human Rights Dialogue will take place in London. The date is still being agreed with the Chinese Government.

  • Tulip Siddiq – 2016 Parliamentary Question to the HM Treasury

    Tulip Siddiq – 2016 Parliamentary Question to the HM Treasury

    The below Parliamentary question was asked by Tulip Siddiq on 2016-05-04.

    To ask Mr Chancellor of the Exchequer, with which countries the UK has negotiated agreements on the exchange of tax information which (a) are in compliance with the OECD’s standard for such agreements and (b) provide for the automatic exchange of tax information since the OECD’s standard was released in July 2014.

    Mr David Gauke

    The UK has exchange of tax information agreements with 142 different jurisdictions, through Double Taxation Agreements and Tax Information Exchange Agreements, and also as party to the OECD/Council of Europe Convention on Mutual Administrative Assistance in Tax Matters (the ‘Multilateral Convention’).

    A list of the international agreements the UK is party to can be found on Gov.uk under ‘Tax Treaties’, and details of which jurisdictions have entered the Multilateral Convention into force alongside the UK can be found on the OECD website.

    Of the 142 international tax agreements the UK is party to, only the following 12 do not meet the international standard for exchange of information on request:

    1. Egypt

    2. Fiji

    3. Gambia

    4. Israel

    5. Jamaica

    6. Kenya

    7. Namibia

    8. Oman

    9. Papua new Guinea

    10. Sri Lanka

    11. Swaziland

    12. Zimbabwe

      That international standard does not apply to automatic exchange. The standard for automatic exchange the question refers to (as published by the OECD in July 2014) is the Common Reporting Standard, the globally acceptable standard on automatic exchange of information with respect of financial accounts information.

      The means of ensuring this standard was through a common Competent Authority Agreement, which supplements the international tax agreement allowing for exchange of tax information, rather than being an international tax agreement itself. There is no standard for automatic exchange in international tax agreements; just whether the agreement allows for it or not.

      It is the UK policy to interpret international tax agreements to allow automatic exchange even where not expressly stated, with the exception of cases where the exchange of information provision clearly uses restrictive wording that would preclude such an exchange.

  • Crispin Blunt – 2016 Parliamentary Question to the Department of Health

    Crispin Blunt – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Crispin Blunt on 2016-06-09.

    To ask the Secretary of State for Health, with reference to paragraph 10 of NHS England’s Strategic Framework for Specialised Services board paper, published in May 2016, what plans his Department has to issue directions to NICE regarding the adoption of its guidance by NHS England for treatments recommended through (a) the technology appraisal programme and (b) the highly specialised treatment evaluation programme.

    George Freeman

    The Department has no plans to issue any such directions to the National Institute for Health and Care Excellence (NICE).

    NHS England and clinical commissioning groups are legally required to fund drugs and treatments recommended in technology appraisal and highly specialised technologies guidance issued by the NICE, normally within three months of the publication of the NICE’s guidance.

    Following NHS England’s review of its specialised commissioning processes and the publication in the summer of the final report from the Accelerated Access Review, we anticipate the NICE will want to look at its processes and methods for the assessment of drugs and treatments used in specialised commissioning.

  • Jim Cunningham – 2016 Parliamentary Question to the Department for Exiting the European Union

    Jim Cunningham – 2016 Parliamentary Question to the Department for Exiting the European Union

    The below Parliamentary question was asked by Jim Cunningham on 2016-09-06.

    To ask the Secretary of State for Exiting the European Union, when he plans for the UK to initiate Article 50; and if he will make a statement.

    Mr Robin Walker

    The Prime Minister has made it clear that we will not be triggering Article 50 before the end of 2016. She has said that we won’t be triggering Article 50 until we have a UK approach and clear objectives for negotiations. It is in everyone’s interest that we establish this before we trigger Article 50.

  • Diana Johnson – 2016 Parliamentary Question to the Department for International Trade

    Diana Johnson – 2016 Parliamentary Question to the Department for International Trade

    The below Parliamentary question was asked by Diana Johnson on 2016-10-21.

    To ask the Secretary of State for International Trade, with reference to the Answer of 10 October 2016 to Question 46333, how much has been spent on the functions of the Department for International Trade; and what estimate he has made of how much will be spent on those functions by the end of the current fiscal year.

    Mark Garnier

    Following her appointment on 13 July 2016 the Prime Minister established the Department for International Trade (DIT). Until such time as a transfer of functions order establishes my Rt hon Friend the Secretary of State for International Trade as a corporation sole, DIT remains a unified Foreign and Commonwealth Office (FCO) and Department for Business, Energy & Industrial Strategy (BEIS) department for accounting purposes. The transfer of functions order (No 2016/ 992) laid on 19 October 2016 will come into effect on 9 November 2016.

    DIT is a new Department and is in the process of establishing a separate and distinct budget for its operating costs. This will be shared with Parliament through the Autumn Statement and Supplementary Estimates.

  • Lord Truscott – 2015 Parliamentary Question to the Ministry of Defence

    Lord Truscott – 2015 Parliamentary Question to the Ministry of Defence

    The below Parliamentary question was asked by Lord Truscott on 2015-11-18.

    To ask Her Majesty’s Government, following recent atrocities by ISIL against a number of countries, including Russia, they have reconsidered the statement by the Defence Secretary on 19 February that there is a real and present danger” Russia could try to destabilise the Baltic states.”

    Earl Howe

    The Government’s position has been stated in the recently published Strategic Defence and Security Review 2015 (Cm 9161). Russia’s behaviour is hard to predict and although highly unlikely, we cannot rule out the possibility that Russia may feel tempted to act aggressively against NATO Allies. We also want to keep open the possibility of co-operation and will continue to seek to engage with Russia on global security issues, including international efforts to tackle the ISIL threat.

  • Adam Holloway – 2015 Parliamentary Question to the Department for Transport

    Adam Holloway – 2015 Parliamentary Question to the Department for Transport

    The below Parliamentary question was asked by Adam Holloway on 2015-12-16.

    To ask the Secretary of State for Transport, if his Department will make an assessment of the potential effect on congestion at the Dartford Tunnel of increasing the number of Channel Tunnel freight trains that off-load north of the River Thames.

    Claire Perry

    The Department is not planning to make such an assessment. Channel Tunnel rail freight trains with loads for destinations beyond London would be expected to continue on the rail network rather than off-loading in the London area.