Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the implications for his policies of the finding of the World Health Organisation's report, Preventing Noncomunicable Diseases by Reducing Environmental Risk Factors, published on 12 September 2017, (a) in general and (b) on the adverse health effects and premature mortality risks associated with indoor air pollution; and if he will make a statement.
Answered by Steve Brine
The World Health Organization's report, ‘Preventing Non-communicable Diseases by Reducing Environmental Risk Factors’, published on 12 September 2017, will be taken into consideration along with the rest of the relevant evidence base when developing cross-government policy.
The Department of has recently asked the National Institute for Health and Care Excellence to develop guidance on indoor air pollution at home. The focus will be on interventions related to the structure of, ventilation of, and materials used in, new / existing or retrofitted homes as well as on people’s knowledge, attitude and behaviour in relation to indoor air pollution. The guideline is going to be published in spring 2019.
Public Health England has developed a programme in support of national and local government to reduce mortality in England attributable to air pollution. This will be achieved by helping raise awareness of the health effects of air pollution and by further developing the evidence on the health effects of air pollutants, including nitrogen dioxide, particulate matter and ozone. The focus is on promoting actions that can bring multiple health co-benefits.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 24 October 2017 to Question 107810, on general practitioners: Greater London, what estimate his Department has made of the GP-to-patient ratio in (a) the Enfield Clinical Commissioning Group and (b) clinical commissioning groups in London in each financial year since April 2013.
Answered by Steve Brine
The requested information is attached. However, general practitioner (GP) locum figures were not collected prior to 2015, therefore 2013 and 2014 figures are not directly comparable to subsequent years.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of (a) total and (b) per capita spending on (i) health and (ii) mental health is spent in the London Borough of Enfield; and where Enfield is ranked in (A) London and (B) England.
Answered by Philip Dunne
General clinical commissioning group (CCG) spend on health is published by NHS England in its quarterly Financial Performance Report. Spend per head is not available, and CCGs are not ranked on spend per head. Total spend by NHS Enfield CCG can be found on page 13 of the Q4 2016-17 report, which can be accessed via the link below.
https://www.england.nhs.uk/wp-content/uploads/2017/09/financial-report-q4-16-17.pdf
CCG spend does not cover all health spend; it excludes directly commissioned primary care, specialised commissioning and other services directly commissioned by NHS England.
The Five Year Forward View for Mental Health Dashboard publishes mental health expenditure figures quarterly. It does not include spend per capita. NHS Enfield CCG detail and totals for Q4 2016-17, which are the most recent published figures, can be accessed via the link below:
https://www.england.nhs.uk/wp-content/uploads/2017/01/mhfyfv-dashboard-q4-1617.xlsx
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what recent estimate he has made of the GP to patient ratio for (a) Enfield Clinical Commissioning Group and (b) other clinical commissioning groups in London; and if he will make an assessment of the adequacy of those GP to patient ratios.
Answered by Steve Brine
The requested information is contained in the table below. There is no recommended ratio of general practitioners (GPs) to patients, recognising the differing needs of the registered patients of GP practices. GP practices plan and utilise their workforce to best meet the needs of their patients.
| Patients per GP |
NHS Enfield Clinical Commissioning Group (CCG) | 1,434 |
NHS Barking and Dagenham CCG | 1,787 |
NHS Barnet CCG | 1,448 |
NHS Bexley CCG | 1,528 |
NHS Brent CCG | 1,478 |
NHS Bromley CCG | 1,472 |
NHS Camden CCG | 1,143 |
NHS City and Hackney CCG | 1,286 |
NHS Croydon CCG | 1,510 |
NHS Ealing CCG | 1,610 |
NHS Greenwich CCG | 1,622 |
NHS Hounslow CCG | 1,535 |
NHS Hammersmith and Fulham CCG | 1,401 |
NHS Haringey CCG | 1,458 |
NHS Harrow CCG | 1,415 |
NHS Havering CCG | 1,677 |
NHS Hillingdon CCG | 1,760 |
NHS Islington CCG | 1,414 |
NHS Kingston CCG | 1,432 |
NHS Lambeth CCG | 1,244 |
NHS Lewisham CCG | 1,543 |
NHS Merton CCG | 1,494 |
NHS Newham CCG | 1,609 |
NHS Redbridge CCG | 1,728 |
NHS Richmond CCG | 1,424 |
NHS Southwark CCG | 1,631 |
NHS Sutton CCG | 1,457 |
NHS Tower Hamlets CCG | 1,219 |
NHS Waltham Forest CCG | 1,648 |
NHS Wandsworth CCG | 1,317 |
NHS West London CCG | 1,462 |
NHS Central London (Westminster) CCG | 1,382 |
Source: NHS Digital
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how long on average it has taken to fill a vacant GP post in every (a) local authority and (b) constituency in London in each year since 2010.
Answered by Steve Brine
NHS England does not collect centralised data on the average time to fill general practitioner (GP) vacancies, which varies significantly depending on area.
Clinical commissioning groups are currently working on strategies and plans to address recruitment issues which will vary from area to area. These plans will be reflective of the General Practice Forward View and national initiatives to support recruitment and retention.
Information on spending on locum doctors is not held centrally. GPs are independent contractors who have discretion on the number and type of staff they employ in their practices to assist in the delivery of primary medical services.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was spent by the NHS on locum doctors in each local authority in London in each of the last 12 months.
Answered by Steve Brine
NHS England does not collect centralised data on the average time to fill general practitioner (GP) vacancies, which varies significantly depending on area.
Clinical commissioning groups are currently working on strategies and plans to address recruitment issues which will vary from area to area. These plans will be reflective of the General Practice Forward View and national initiatives to support recruitment and retention.
Information on spending on locum doctors is not held centrally. GPs are independent contractors who have discretion on the number and type of staff they employ in their practices to assist in the delivery of primary medical services.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to increase the number of GPs in Enfield; and if he will make a statement.
Answered by Steve Brine
NHS England, Health Education England (HEE) and the Department have been working together to increase the general practitioner (GP) workforce and support recruitment in areas where this has been identified as a challenge. The General Practice Forward View, published in April 2016, set out investment of an extra £2.4 billion a year by 2020/21 to support and grow general practice services.
At the Royal College of General Practitioners conference on 12 October 2017, my Rt. hon. Friend the Secretary of State for Health announced the extension of the Targeted Enhanced Recruitment Scheme which funds a £20,000 salary supplement to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. HEE are currently deciding the allocation of up to a further 200 training places for 2018.
In addition to the national campaigns to increase the number of GPs, Enfield Clinical Commissioning Group is undertaking specific work to increase GP numbers within their area by working with NHS London and North Central London recruitment initiatives and continuing with its well established Vocational Training Scheme to train GPs locally and retain them in local practices.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many (a) doctors, (b) midwives and (c) nurses and health visitors were employed by the North Middlesex University Hospital NHS Trust in each year between 2014 and 2017.
Answered by Philip Dunne
NHS Digital publishes workforce statistics and the following table shows the number of full time equivalent Hospital and Community Health Service Doctors, Midwives and Nurses and Health Visitors employed by North Middlesex University Hospital NHS Trust at 30 September 2014 to 2016. Data for June 2017 is also provided as this is the latest available.
NHS Hospital and Community Health Services (HCHS): Doctors, Midwives and Nurses and health visitors in North Middlesex University Hospital NHS Trust as at 30 September each specified year and 30 June 2017.
Full-time equivalent | September 2014 | September 2015 | September 2016 | June 2017 |
HCHS Doctors | 467 | 458 | 470 | 487 |
Midwives | 147 | 148 | 162 | 128 |
Nurses and health visitors | 780 | 851 | 842 | 938 |
Source: NHS Digital, Provisional NHS HCHS monthly workforce statistics.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many (a) doctors, (b) midwives and (c) nurses and health visitors were employed by the Royal Free London NHS Trust in each year between 2014 and 2017.
Answered by Philip Dunne
NHS Digital publishes workforce statistics and the following table shows the number of full time equivalent Hospital and Community Health Service Doctors, Midwives and Nurses and Health Visitors employed by Royal Free London NHS Trust at 30 September 2014 to 2016. Data for June 2017 is also provided as this is the latest available.
NHS Hospital and Community Health Services (HCHS): Doctors, Midwives and Nurses and health visitors in Royal Free London NHS Trust as at 30 September each specified year and 31 June 2017.
Full-time Equivalent | September 2014 | September 2015 | September 2016 | June 2017 |
HCHS Doctors | 1,417 | 1,445 | 1,462 | 1,435 |
Midwives | 256 | 262 | 281 | 275 |
Nurses and health visitors | 2,346 | 2,285 | 2,281 | 2,330 |
Source: NHS Digital, Provisional NHS HCHS monthly workforce statistics.