The main provisions of the Health and Social Care Act 2012 came into effect on 1 April 2013. They reshaped the National Health Service so that is more patient-centred, led by health professionals and focussed on delivering world-class health outcomes.

My Rt. hon. Friend the Secretary of State announced the costs in his Written Ministerial Statement of 22 July 2014 official report, column 119WS.

These have been more than covered by the savings arising from the Health and Social Care Act which, up to 31 March 2014, were approximately £4.9 billion, and the NHS will see recurrent savings of £1.5 billion per year as a result of the reforms. This money will be available for reinvestment in future patient care.

The information is not available centrally and could only be obtained at disproportionate cost.

This information is not collected centrally.

The information requested is shown in the following table.

Source: Health and Social Care Information Centre Medical and Dental Workforce Census.

Source: Health and Social Care Information Centre, Provisional NHS HCHS monthly workforce statistics.

This work remains the sole and exclusive property of Health and Social Care Information Centre and may only be reproduced where there is explicit reference to the ownership of Health and Social Care Information Centre.

These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.

Notes:

2010-2013 figures are from the medical and dental annual workforce census, as at 30 September each specified year

2014 figures are from the Provisional Monthly Workforce Statistics, as at 30 September 2014.

Full time equivalent figures are rounded to the nearest whole number.

¹ All figures exclude locum doctors

Monthly data

Provisional monthly NHS workforce data figures may be revised from month to month as issues are uncovered and resolved. The monthly workforce data does not include Primary care staff or Bank staff.

www.hscic.gov.uk/pubs/provisionalmonthlyhchsworkforce

Data quality

The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed.

The information requested is shown in the following table.

Source:

Health and Social Care Information Centre (HSCIC), HCHS: Non-Medical Workforce Census.

HSCIC, HCHS: provisional monthly workforce statistics.

Notes:

'-' denotes zero.

Full-time equivalent figures are rounded to the nearest whole number.

¹2010-2013 figures are taken from the Non-Medical Workforce Census as at 30 September for each specified year.

²2014 figures are taken from the provisional monthly workforce statistics as at 30 September 2014.

These statistics relate to the contracted positions within English National Health Service organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.

The changes in staff figures in Lancashire Care NHS Foundation Trust over the period of this request are likely to be due to moves in service provider from primary care trusts to neighbouring trusts as part of Transforming Community Services.

Monthly data

As from 21 July 2010 the HSCIC has published provisional monthly NHS workforce data. As expected with provisional statistics, some figures may be revised from month to month as issues are uncovered and resolved. The monthly workforce data is not directly comparable with the annual workforce census; it only includes those staff on the Electronic Staff Record (i.e. it does not include Primary care staff or Bank staff). There are also new methods of presenting data (headcount methodology is different and there is now a role count). This information is available from September 2009 onwards at the following website:

www.hscic.gov.uk

Data quality

The HSCIC seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed.

The information requested is shown in the following table.

Source:

Health and Social Care Information Centre (HSCIC), HCHS: Non-Medical Workforce Census.

HSCIC, HCHS: provisional monthly workforce statistics.

Notes:

'-' denotes zero.

Full-time equivalent figures are rounded to the nearest whole number.

¹2010-2013 figures are taken from the Non-Medical Workforce Census as at 30 September for each specified year.

²2014 figures are taken from the provisional monthly workforce statistics as at 30 September 2014.

These statistics relate to the contracted positions within English National Health Service organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.

The changes in staff figures in Lancashire Care NHS Foundation Trust over the period of this request are likely to be due to moves in service provider from primary care trusts to neighbouring trusts as part of Transforming Community Services.

Monthly data

As from 21 July 2010 the HSCIC has published provisional monthly NHS workforce data. As expected with provisional statistics, some figures may be revised from month to month as issues are uncovered and resolved. The monthly workforce data is not directly comparable with the annual workforce census; it only includes those staff on the Electronic Staff Record (i.e. it does not include Primary care staff or Bank staff). There are also new methods of presenting data (headcount methodology is different and there is now a role count). This information is available from September 2009 onwards at the following website:

www.hscic.gov.uk

Data quality

The HSCIC seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed.

The commissioning and provision of National Health Services is a matter for the NHS locally.

NHS England is responsible for commissioning all dental services including domiciliary care to meet local need. The range of care offered in domiciliary settings can be limited by constraints on equipment, health and safety issues and cross infection. NHS England considers all these factors as well as costs in commissioning domiciliary dental services.

Local National Health Service organisations are responsible for identifying and disposing of surplus estate. The Department collects annually information about NHS land that is surplus or potentially surplus to clinical requirements. An extract of this data, excluding sites that have been defined by the NHS as sensitive, is attached.

Face-down physical restraint is not included in the list of Never Events contained within the Never Events Framework that must be reported to the Strategic Executive Information System.

Use of face-down restraint is, however, a patient safety incident that should be reported and submitted to the National Reporting and Learning System. Any serious harm resulting from the use of face-down restraint would be reportable to the Strategic Executive Information System as a Serious Incident.

The Nursing and Midwifery Council (NMC) is an independent body. Accordingly, the NMC Council is responsible for determining the level of the annual fee it charges for registration, which must cover the full cost of its regulatory activity.

In 2012 the NMC identified that £120 per registrant per year is the amount required to cover its regulatory costs. The NMC had intended to increase the level of its fee to £120 in February 2013. However, for two years the NMC’s costs have been subsidised by a £20 million Government grant, which in-part enabled the NMC to charge a lower registration fee of £100 instead of £120.

The Government has no plans to offer the NMC a further grant to subsidise the registration fee increase to £120, which came into force on 1 February 2015.

The 2010 Spending Review protected health funding in real terms. However, in order to continue to meet rising demands from an ageing population while improving services, it was estimated that up to £20 billion of efficiency savings would be required over the four years from 2011-12 to 2014-15. This became known as the ‘QIPP’ (Quality, Innovation, Productivity and Prevention) challenge.

The National Health Service is on track to deliver these efficiency savings, having reported around £15 billion of efficiencies in the first three years, all of which are being reinvested into frontline care.

As part of this wider efficiency challenge and as a result of our reforms, modernisation is also expected to save £4.9 billion cumulatively over this Parliament, through reductions in administration costs - and £1.5 billion a year from 2014-15 onwards.

NHS England is responsible for commissioning dental services. As such, the Department has made no assessment of the adequacy of the provision of NHS dental services in Clacton constituency.

NHS England advises that it believes there are sufficient units of dental activity commissioned in the Clacton area to meet oral health needs. NHS England is not aware of any significant complaints in respect of accessing NHS dental provision in this locality.

Nationally, more than 30 million people were seen by an NHS dentist in the 24 month period ending 31 December 2014. Almost 1.6 million more people have been seen by an NHS dentist since May 2010. The Government is committed to working with NHS England to increase access to NHS dentistry.

Spending on NHS Protect does not represent the total spend on anti-fraud activity across the Department of Health group. In November 2014 the Department created a DH Anti-fraud unit which is responsible for developing, implementing and reviewing the group wide anti-fraud strategy.

Further investment of £5.87m has been made to tackle prescription charge evasion and dental contractor losses in 2014/15 and 2015/16.

NHS England, Clinical Commissioning Groups and NHS providers also invest in anti-fraud activity to tackle fraud that can be dealt with locally.

The real terms spending on anti-fraud activity by NHS Protect is shown in the following table:

This information is not collected centrally.

Between 2010/11 and 2013/14 the Department and its non-departmental public bodies spent the following on vacant property:

2010 - £500,669

2011 - £352,875

2012 - £163,996

2013 - £229,540

2014 - £174,669

This includes spend on holding costs such as maintenance and security, for wholly vacant properties.

Hourly ward rounds (known as intentional rounding) are viewed as good practice but are not mandated. National Health Service organisations with their knowledge of the patients they serve are best placed to decide if hourly ward rounds should be implemented based on clinical need and sound evidence. Depending on their need, some patients may need more contact with nursing staff, while others may only require hourly or two-hourly checks.

Since April 2014, under its new inspection methodology, the Care Quality Commission’s monitoring of hospitals consists of a range of systemic indicators, including the monitoring of hourly ward rounds during inspections to ensure that these are being undertaken.

None. This information is not collected centrally.

The Department answers parliamentary questions where it is able to, based on the information it collects. Transparency in public services and access to open data are key Government priorities. Transparency in the health and social care sector is important to support public accountability of services and choice for service users.

This information is not held centrally.

NHS England advises that the NHS Vale of York Clinical Commissioning Group (CCG) Annual Report and Accounts for 2013-14 give a breakdown of operating expenses, including services from other National Health Service organisations. The Annual Report and Accounts can be found at the following link:

http://www.valeofyorkccg.nhs.uk/publications/annual-report-and-accounts-for-2013-14/

The relevant extract is also given below.

Note: For 2014-15 figures, the CCG publishes a detailed finance, activity and QIPP report on its website. Appendix A of the report gives a detailed breakdown of programme costs and is available at:

http://www.valeofyorkccg.nhs.uk/data/uploads/governing-body-papers/5-february-2015/item-7-finance-activity-and-qipp-month-9.pdf