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To ask His Majesty’s Government what plans they have to increase the number of staff working in the NHS.
To ask His Majesty’s Government what plans they have to increase the number of staff working in the NHS.
A record number of staff are working in the NHS, including more than 6,000 more doctors and more than 16,400 more nurses than last year. We have backed the NHS long-term workforce plan with more than £2.4 billion over five years. This will put us on course to double the number of medical school training places, almost double the number of adult nursing training places and increase the number of GP training places by 50% by 2031. It will also ensure that the NHS workforce is put on a sustainable footing for the future.
I thank the Minister for his Answer, but he knows that there is a dire shortage of staff right across the NHS, with 47,000 nursing vacancies. The recruitment of nurses to training places is down 13% this year. Some 170,000 workers in the NHS left their jobs last year, mainly under stress. Today, we have the news that a survey found that 32% of students who are currently in medical school have said that they intend to emigrate on completing their studies. I repeat what I asked in my Question: what plans do the Government have to increase the number of staff working in the NHS?
I thank the Minister for his Answer, but he knows that there is a dire shortage of staff right across the NHS, with 47,000 nursing vacancies. The recruitment of nurses to training places is down 13% this year. Some 170,000 workers in the NHS left their jobs last year, mainly under stress. Today, we have the news that a survey found that 32% of students who are currently in medical school have said that they intend to emigrate on completing their studies. I repeat what I asked in my Question: what plans do the Government have to increase the number of staff working in the NHS?
The whole House will, I think, recognise that we have extensive plans that are, as I said, backed by £2.4 billion. That is what the long-term
workforce plan was all about. There were many requests for us to put it in place and that is what we have delivered. All of this comes in the context of 63,000 more members of staff over the past year—actually, around 280,000 more members of staff since 2010. Those are substantial increases. Do we need to do more? Yes. Is that what the long-term workforce plan is all about? Yes.
My Lords, I have attended a great number of football matches, and I see what appears to be an inconsistency in various clubs’ attention and response to individuals running on to
the pitch—they are probably the most dangerous individuals, because they have a contempt. I have an interest in Carlisle United, and we have a policy that, if someone comes on to the pitch, we exclude and ban them. Will the Minister consult every club in the Football League to make sure that they take the same strong action against individuals?
My Lords, I have attended a great number of football matches, and I see what appears to be an inconsistency in various clubs’ attention and response to individuals running on to
the pitch—they are probably the most dangerous individuals, because they have a contempt. I have an interest in Carlisle United, and we have a policy that, if someone comes on to the pitch, we exclude and ban them. Will the Minister consult every club in the Football League to make sure that they take the same strong action against individuals?
The noble Lord makes an important point, and, yes, we work with clubs of all tiers and sizes across the country to look at this issue. The policing of football matches is an operational decision for local police forces—the local police commander will make a risk assessment and deploy resources accordingly. That is of course right, but we and the police speak regularly to clubs of all sizes about these issues.
Lords question for short debate on what plans they have for the number of National Health Service staff after the COVID-19 pandemic.
Lords question for short debate on what plans they have for the number of National Health Service staff after the COVID-19 pandemic.
To ask Her Majesty’s Government when they intend to publish the NHS Workforce Implementation Plan which was announced in the NHS Long Term Plan, published on 7 January.
To ask Her Majesty’s Government when they intend to publish the NHS Workforce Implementation Plan which was announced in the NHS Long Term Plan, published on 7 January.
My Lords, the chair of NHS Improvement and the chair of Health Education England will present initial recommendations to DHSE in spring 2019. A final workforce implementation will follow later in the year, taking into account the outcomes of the spending review. The new national workforce group will consider key areas including the future workforce, making the NHS the best place to work, leadership development and talent management.
My Lords, I thank the Minister for her Answer. Does she accept that there are currently over 110,000 vacancies in the NHS, yet only last week the Government announced that they were to recruit 20,000 pharmacists, physios and paramedics to assist GPs? Where are these people going to come from?
My Lords, I thank the Minister for her Answer. Does she accept that there are currently over 110,000 vacancies in the NHS, yet only last week the Government announced that they were to recruit 20,000 pharmacists, physios and paramedics to assist GPs? Where are these people going to come from?
My Lords, this Government are committed to an NHS and social care that work for everyone. In 2018, we committed to increasing NHS funding by an average of 3.4% year on year, meaning that by 2023-24 the NHS will receive £20.5 billion a year more than it currently does, giving the around 1 million NHS staff a well-deserved pay rise with all staff receiving at least a 3% pay increase by the end of 2018-19. We are increasing the number of training places for doctors, nurses and midwives, with more GPs than ever starting training in the NHS this year. We are delivering an additional 1,500 undergraduate medical places as part of the extension, opening five new medical schools across England.
However, I take on board the point that the noble Lord is making. We also have short-term strategies in place, which means that we are looking at increasing the workforce even further.
My Lords, I thank the Minister for his Answer. Earlier this year he pleased the House by announcing that NHS staff who had worked in the NHS for more than five years would be allowed to remain in Britain under the settled case arrangements. Can he advise the House whether, following the Prime Minister’s statement on immigration at the Tory party conference, that remains the case?
My Lords, I thank the Minister for his Answer. Earlier this year he pleased the House by announcing that NHS staff who had worked in the NHS for more than five years would be allowed to remain in Britain under the settled case arrangements. Can he advise the House whether, following the Prime Minister’s statement on immigration at the Tory party conference, that remains the case?
Yes, it is absolutely the case that anybody from the EU who is living and working in this country, not just in NHS and social care, before exit day—or December 2020, the end of the withdrawal period—will be able to apply for settled status. Indeed, if they have not lived here for five years, they will be able to apply for what is called pre-settlement status and then apply after five years.
To ask Her Majesty’s Government what plans they have to ensure that the National Health Service has sufficient staff following Brexit.
To ask Her Majesty’s Government what plans they have to ensure that the National Health Service has sufficient staff following Brexit.
My Lords, my department is working with Health Education England, NHS England, the royal colleges and others to make sure that the NHS is able to recruit and retain the staff it needs. Furthermore, we are working with NHS and social care employers to make
sure that the 167,000 EU nationals working in health and care can access the EU settlement scheme, which will safeguard their rights to live and work in the United Kingdom.
To ask the Senior Deputy Speaker how many members of House of Lords staff are paid more than the Prime Minister.
To ask the Senior Deputy Speaker how many members of House of Lords staff are paid more than the Prime Minister.
One member of House of Lords staff, the Clerk of the Parliaments, is paid more than the Prime Minister. The Clerk of the Parliaments’ salary is linked to the Judicial Salary Group, as published each year by the Government. In 2017-18, the relevant salary group, JG4, was set at £181,566.
Full details of the salaries of all House of Lords Management Board members are published in the remuneration report in each year’s Annual Report and Resource Accounts, which is available on the website: https://www.parliament.uk/business/lords/house-lords-administration/how-the-lords-is-run/business-and-financial-information/business-plans-annual-reports-and-accounts/
To ask the Senior Deputy Speaker how many individuals are employed by (1) the House of Lords, and (2) by the House of Lords jointly with the House of Commons.
To ask the Senior Deputy Speaker how many individuals are employed by (1) the House of Lords, and (2) by the House of Lords jointly with the House of Commons.
At the end of Q1 2018, the Administration of the House of Lords had 607 employees. This equates to a full time equivalent (FTE) workforce of 513.4 staff. Of these staff, 46 (44.43 FTE) were employed in the Parliamentary Archives and the Parliamentary Procurement and Commercial Service, both of which provide a service to the House of Lords and the House of Commons. The Parliamentary Digital Service (PDS) is a joint department of both Houses. In June 2018, the total number of PDS staff was 456 (442.83 FTE). While there are a number of other offices or departments providing a bicameral service, those staff are not employed by the House of Lords Administration.
To ask Her Majesty’s Government what plans they have to increase staffing levels in the National Health Service to meet anticipated demand during the forthcoming winter period.
To ask Her Majesty’s Government what plans they have to increase staffing levels in the National Health Service to meet anticipated demand during the forthcoming winter period.
My Lords, providing appropriate staffing over winter is essential. NHS England and NHS Improvement have worked together to make sure that every major consultant-led emergency department has a robust plan to meet demand. This includes necessary staffing levels. In addition, the department has provided £100 million to relieve pressure on urgent and emergency care specifically to allow primary care streaming and improve patient flow in A&E departments.
I thank the Minister for his reply. Those are soothing words, but I am afraid not really matched by the reality on the ground. It is clear that we face a dire prospect this winter on account of the Government’s poor labour planning over the years they have been in power. We know that we are 40,000 nurses short, GP numbers are tumbling and adult social care staff numbers have fallen from 70,000 to 48,000 in four years. Last year, 45% of the consultant posts advertised were not able to be filled. We really are in a very difficult position.
I ask the Minister a very specific question: is it true that the Government have given the go-ahead for vulnerable patients who are not fit to be discharged to their home to be discharged to third parties? They will be allocated to homes where the hosts have no medical expertise and for which they will get paid £1,000 a month.
I thank the Minister for his reply. Those are soothing words, but I am afraid not really matched by the reality on the ground. It is clear that we face a dire prospect this winter on account of the Government’s poor labour planning over the years they have been in power. We know that we are 40,000 nurses short, GP numbers are tumbling and adult social care staff numbers have fallen from 70,000 to 48,000 in four years. Last year, 45% of the consultant posts advertised were not able to be filled. We really are in a very difficult position.
I ask the Minister a very specific question: is it true that the Government have given the go-ahead for vulnerable patients who are not fit to be discharged to their home to be discharged to third parties? They will be allocated to homes where the hosts have no medical expertise and for which they will get paid £1,000 a month.
The noble Lord knows that winter is always a more difficult time for the NHS. I hope he also knows that there are 11,000 more nurses on wards than there were in 2010. Indeed, I was looking at the data on doctors. There has been a 30% uplift in emergency doctors in that time as well. So there are more staff in the NHS—but, of course, there is much more need for winter preparedness. The NHS feels that it is better prepared than ever for winter.
On the issue that the noble Lord refers to—I assume he is talking about the story in the press today—that is, I stress, a local pilot that is being explored. I do not think it is even under way. It is being proposed by a local doctor—indeed, an emergency registrar. For it to go ahead, it is clear that any such pilot would have to abide by the very strict rules that exist on safety, safeguarding quality and so on for any care setting. The head of Age UK said that any new innovation—I think we want to encourage innovation—needs to pass the mum or grandma test. I think that is a very reasonable test to apply to something such as this.
My Lords, the Minister has said that we have to train more of our own doctors, and on previous occasions he said that we have to train more of our own nurses. In training the nurses, we are taking a risk in abolishing the bursary system so that when those new nurses are qualified in 15 months’ or 18 months’ time they will have debts of about £40,000. What progress are the Government making in trying to reward those nurses who spend a considerable time in the health service—perhaps 10 or 15 years—so that those debts can possibly be written off?
My Lords, the Minister has said that we have to train more of our own doctors, and on previous occasions he said that we have to train more of our own nurses. In training the nurses, we are taking a risk in abolishing the bursary system so that when those new nurses are qualified in 15 months’ or 18 months’ time they will have debts of about £40,000. What progress are the Government making in trying to reward those nurses who spend a considerable time in the health service—perhaps 10 or 15 years—so that those debts can possibly be written off?
The noble Lord will know that we are consulting on the proposals to remove bursaries and replace them with student loans. All the indications are that this will enable us to increase the number of nurses because the current system means that many young men and women who wish to become nurses are not able to do so. I think that three out of four people who apply are not able to get on the right courses. We hope that the new system will increase the number of nurses available to the NHS.
What was the shortfall at 1st March in the manpower strengths of (a) the Royal Navy and (b) the Royal Air Force. - Inc available figures.
What was the shortfall at 1st March in the manpower strengths of (a) the Royal Navy and (b) the Royal Air Force. - Inc available figures.
What assessment the Royal Air Force has made of the European staff requirement for the European Future Large Aircraft.
What assessment the Royal Air Force has made of the European staff requirement for the European Future Large Aircraft.
When his Department estimates that the Army will reach its full manning requirement.
When his Department estimates that the Army will reach its full manning requirement.
If he will list the size of the Territorial Army in each of the last five years; and what is his Department's estimate of the figure in each of the next three years. - Includes figures.
If he will list the size of the Territorial Army in each of the last five years; and what is his Department's estimate of the figure in each of the next three years. - Includes figures.
What was the total trained strength of the British Army at (a) 1st April 1990 and (b) 1st April 1992, including the Gurkhas but not including the Royal Irish Regiment. - Including figures.
What was the total trained strength of the British Army at (a) 1st April 1990 and (b) 1st April 1992, including the Gurkhas but not including the Royal Irish Regiment. - Including figures.
What is the scale of the proposed reduction in the size of (a) the Army, including the Gurkhas but excluding the Royal Irish Regiment, (b) the RAF and (c) the Royal Navy between (i) 1st April 1990 and 1st April 1999 and (ii) 1st April 1992 and 1st April 1999,...
What is the scale of the proposed reduction in the size of (a) the Army, including the Gurkhas but excluding the Royal Irish Regiment, (b) the RAF and (c) the Royal Navy between (i) 1st April 1990 and 1st April 1999 and (ii) 1st April 1992 and 1st April 1999,...