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Written Question
Medicine: Higher Education
Wednesday 4th June 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what was the total number of medical school places compared to the total number of resident doctor training places in each of the past five years for which data are available.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

We are committed to training the staff we need to ensure patients are cared for by the right professional, when and where they need it. This is central to the vision in our 10 Year Plan.  The following table shows the size of the medical school intake in England for each of the last five annual intakes available, the number of foundation programme trainees in years one and two in England, and the number of core and run through level one specialty training posts offered across all specialty pathways in England:

Year

Entrants to first year medicine courses in England

Foundation programme trainees in England, for years 1 and 2 combined

Total number of core and run-through level one specialty medical training posts offered each year in England

2020

8,405

12,243

8,081

2021

8,485

12,475

8,494

2022

7,625

12,574

7,936

2023

7,820

13,004

7,810

2024

8,045

14,104

7,929

Sources: the Office for Students: Medical and Dental Students survey 2024, available at the Office for Students’ website in an online only format, the National Training Survey from the General Medical Council, available at the General Medical Council’s website in an online only format, and the Specialty Training Places: NHS England, Fill Rates dataset, available at the NHS.UK website in an online only format.

Notes:

  1. 2024 entrants to university medical courses are based on initial figures and may change, and they also include medical degree apprentices for the first time, 25 in total, where the number of places are employer led;
  2. the figures from the Specialty Training Places: NHS England, Fill Rates dataset include only level one specialty places and therefore do not include places available at levels three and four, where often specialty training programmes undertake further entrance points or are choices for those who have undertaken core training programmes to specialise further; and
  3. the General Medical Council’s dashboard shows foundation years one and two combined.

In 2020 and 2021 the Government temporarily lifted the cap on medical school places for students who completed A-Levels and who had an offer from a university in England to study medicine, subject to their grades.

The UK Foundation Programme Office works to ensure that all eligible applicants receive a foundation training place.


Written Question
Doctors: Training
Wednesday 4th June 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many medical graduates did not continue training by taking a speciality as a resident doctor in (1) 2023–24, and (2) 2024–25.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Medical graduates initially complete a two-year foundation programme after their graduation. It is common for doctors not to progress from the completion of the second year of their foundation programme directly into specialty training. The following table shows the proportion of doctors in year two of their foundation programme who had not progressed into medical specialty training programmes within each 12-month period of the end of their foundation training, in each of the last 10 years:

Foundation second year

Years since the second year of foundation

One

Two

Three

Four

Five

2014

42.6%

20.8%

12.5%

9.9%

8.6%

2015

49.1%

24.4%

14.1%

10.2%

9.0%

2016

54.2%

28.9%

16.3%

11.6%

10.1%

2017

59.3%

29.8%

16.4%

11.4%

9.7%

2018

62.5%

33.1%

17.4%

11.8%

10.3%

2019

66.4%

36.5%

19.6%

12.7%

10.6%

2020

69.3%

40.5%

22.6%

14.3%

2021

70.4%

43.7%

25.3%

2022

75.1%

47.7%

2023

77.6%

Source: General Medical Council, Education Data Tool Progression Reports, available on the General Medical Council’s website, in an online only format.


Written Question
Doctors: Training
Wednesday 4th June 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many student doctors received their first choice for speciality training in (1) 2023, and (2) 2024.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Medical students completing their studies will initially apply to a two-year foundation programme of employment, and after completing that they will be able to apply to enter medical specialty training.

The Department does not hold information on doctors completing foundation year placements and entering specialty training as doctors are not required to rank applications where they are applying across multiple specialties. However, many individual specialties do utilise a single national process where geographical locations can be ranked.

The United Kingdom’s Foundation Programme Office does publish information on the success of medical graduates in accessing foundation programme placement choices. This shows that 84% of the 10,634 applicants across the UK got their first preference foundation school for the 2025 foundation programme. This compares to 75% of the 9,702 applicants in the 2024 foundation programme.


Written Question
Locums: Costs
Friday 30th May 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what was the total cost to the NHS of employing locum doctors in England in each of the past five years for which data are available.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

To date, NHS England has published reports to Quarter three of the 2024/25 financial year. The following table shows the total cost to the National Health Service of employing locum doctors in England in each of the past five years, up until Quarter three of the 2024/25:

Year

2020/21

2021/22

2022/23

2023/24

2024/25

Total

£919,000,000

£1,012,000,000

£1,140,000,000

£1,133,000,000

£950,000,000

Source: Provider Finance Returns.


Written Question
Doctors and Nurses: Overseas Workers
Friday 30th May 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many (1) doctors, and (2) nurses, who were trained in the UK left the UK within five years of completing their training to work abroad in (a) 2023–24, and (b) 2024–25.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department does not hold the information requested.


Written Question
Social Security Benefits: Asthma
Wednesday 19th March 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department for Work and Pensions:

To ask His Majesty's Government what estimate they have made of the benefits claimed by individuals who are unable to work because of asthma in the most recent year for which figures are available.

Answered by Baroness Sherlock - Minister of State (Department for Work and Pensions)

The information requested is not readily available and to provide it would incur disproportionate cost.


Written Question
Asthma
Tuesday 18th March 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government whether they plan to monitor the implementation of the National Institute for Health and Care Excellence, British Thoracic Society and Scottish Intercollegiate Guidelines Network asthma guidelines, published in November 2024, and if so, whether they plan to make the data publicly available.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Healthcare Quality Improvement Partnership (HQIP), on behalf of NHS England, commissions a national audit across respiratory care, which includes asthma. All data from the audit is published and available at the HQIP’s website, in an online only format.

The National Institute for Health and Care Excellence (NICE), the British Thoracic Society (BTS), and the Scottish Intercollegiate Guideline Network (SIGN) published a new collaborative guideline for asthma in November 2024. The NICE is working with the BTS, the SIGN, NHS England, and others to review the resources available to support implementation of the guideline, and plans to publish a respiratory toolkit.


Written Question
Death
Monday 20th January 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Cabinet Office:

To ask His Majesty's Government, further to the Written Answer by Baroness Neville-Rolfe on 21 November 2023 (HL36), whether they will publish data on an annualised basis on what proportion of deaths where COVID-19 is mentioned on the death certificate have been (1) male, and (2) female, for the period in which data are available.

Answered by Baroness Twycross - Baroness in Waiting (HM Household) (Whip)

The information requested falls under the remit of the UK Statistics Authority.

Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.

The Rt Hon. the Earl Howe GBE

House of Lords

London

SW1A 0PW

13 January 2025

Dear Earl Howe,

As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Question asking, further to the Written Answer by Baroness Neville-Rolfe on 21 November 2023 (HL36), whether data on an annualised basis on what proportion of deaths where COVID-19 is mentioned on the death certificate have been (1) male, and (2) female, for the period in which data are available, will be published (HL3740).

The Office for National Statistics’ (ONS) mortality statistics are compiled from information supplied when deaths are certified and registered as part of civil registration, which is a legal requirement. This data enables the ONS to produce detailed statistics on deaths that are registered in England and Wales. In October 2024, the ONS published annual statistics for deaths registered in 2023[1]. Deaths where COVID-19 was the underlying cause by year are published in our Deaths registered in England and Wales dataset[2]. Table 1 also provides the data you have requested.

Table 1: Deaths registered where COVID-19 was the underlying cause, England and Wales, all ages excluding under 1, 2020 to 2023.

Year of registration

Sex

Number of deaths

2023

Male

6,450

2023

Female

5,387

2022

Male

12,219

2022

Female

10,226

2021

Male

36,792

2021

Female

30,556

2020

Male

40,995

2020

Female

32,771

Source: Office for National Statistics

Yours sincerely,

Professor Sir Ian Diamond

[1]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregistrationsummarytables/2023

[2]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/deathsregisteredinenglandandwalesseriesdrreferencetables


Written Question
Death
Monday 20th January 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Cabinet Office:

To ask His Majesty's Government how many age-standardised excess deaths there have been in England and Wales for each year in which data are available in the last decade.

Answered by Baroness Twycross - Baroness in Waiting (HM Household) (Whip)

The information requested falls under the remit of the UK Statistics Authority.

Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.

The Rt Hon. the Earl Howe GBE

House of Lords

London

SW1A 0PW

13 January 2025

Dear Earl Howe,

As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Questions asking how many excess deaths over the state pension age there have been in England and Wales for each year in which data are available in the last decade (HL3738); and how many age-standardised excess deaths there have been in England and Wales for each year in which data are available in the last decade (HL3739).

In February 2024, the Office for National Statistics (ONS) published new estimates of excess deaths in the UK using a new method[1]. Estimates of excess deaths in the UK for those aged 65 and over for the last decade can be found in Table 1. State pension age varies by sex and changes over time, so we have presented figures for the 65 and over age group which most closely aligns with those at state pension age or above. Please also note that estimates from our model are only possible at a UK level when they are broken down by age.

Our new methodology for estimating excess deaths uses a statistical model to estimate the expected number of deaths. The model accounts for changes in population size, age structure, and trends in mortality over time. The estimates shown in Table 1 therefore account for changes in age structure. Further breakdowns providing excess deaths by age group are available in our Estimating excess deaths in the UK, methodology changes dataset[2].

Yours sincerely,

Professor Sir Ian Diamond

Table 1: Annual estimates of expected and excess deaths, aged 65 and over, UK: 2011 to 2023.

Year

Deaths

Expected deaths

Excess deaths

2011

456,325

465,039

-8,714

2012

476,380

465,439

10,941

2013

483,793

464,395

19,398

2014

478,365

480,138

-1,773

2015

509,320

483,194

26,126

2016

502,024

505,470

-3,446

2017

512,972

509,638

3,334

2018

519,410

519,379

31

2019

509,129

541,019

-31,890

2020

583,671

515,763

67,908

2021

557,006

515,535

41,471

2022

553,884

513,315

40,569

2023

556,678

544,447

12,231

Source: Office for National Statistics

[1]https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/articles/estimatingexcessdeathsintheukmethodologychanges/february2024

[2]https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/articles/estimatingexcessdeathsintheukmethodologychanges/february2024/relateddata


Written Question
Death: Pensioners
Monday 20th January 2025

Asked by: Earl Howe (Conservative - Excepted Hereditary)

Question to the Cabinet Office:

To ask His Majesty's Government how many excess deaths over the state pension age there have been in England and Wales for each year in which data are available in the last decade.

Answered by Baroness Twycross - Baroness in Waiting (HM Household) (Whip)

The information requested falls under the remit of the UK Statistics Authority.

Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.

The Rt Hon. the Earl Howe GBE

House of Lords

London

SW1A 0PW

13 January 2025

Dear Earl Howe,

As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Questions asking how many excess deaths over the state pension age there have been in England and Wales for each year in which data are available in the last decade (HL3738); and how many age-standardised excess deaths there have been in England and Wales for each year in which data are available in the last decade (HL3739).

In February 2024, the Office for National Statistics (ONS) published new estimates of excess deaths in the UK using a new method[1]. Estimates of excess deaths in the UK for those aged 65 and over for the last decade can be found in Table 1. State pension age varies by sex and changes over time, so we have presented figures for the 65 and over age group which most closely aligns with those at state pension age or above. Please also note that estimates from our model are only possible at a UK level when they are broken down by age.

Our new methodology for estimating excess deaths uses a statistical model to estimate the expected number of deaths. The model accounts for changes in population size, age structure, and trends in mortality over time. The estimates shown in Table 1 therefore account for changes in age structure. Further breakdowns providing excess deaths by age group are available in our Estimating excess deaths in the UK, methodology changes dataset[2].

Yours sincerely,

Professor Sir Ian Diamond

Table 1: Annual estimates of expected and excess deaths, aged 65 and over, UK: 2011 to 2023.

Year

Deaths

Expected deaths

Excess deaths

2011

456,325

465,039

-8,714

2012

476,380

465,439

10,941

2013

483,793

464,395

19,398

2014

478,365

480,138

-1,773

2015

509,320

483,194

26,126

2016

502,024

505,470

-3,446

2017

512,972

509,638

3,334

2018

519,410

519,379

31

2019

509,129

541,019

-31,890

2020

583,671

515,763

67,908

2021

557,006

515,535

41,471

2022

553,884

513,315

40,569

2023

556,678

544,447

12,231

Source: Office for National Statistics

[1]https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/articles/estimatingexcessdeathsintheukmethodologychanges/february2024

[2]https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/articles/estimatingexcessdeathsintheukmethodologychanges/february2024/relateddata