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677416

registered interest
date	23/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the figure of £8,722,000 stated by the Department of Health in its Annual Report and Accounts 2015–16 (HC322) as the amount spent in purchasing services from Independent Sector Providers includes amounts (1) spent by NHS Trusts and NHS Foundation Trusts on such providers, and (2) paid under Private Finance Initiative and Private Finance 2 projects; and, if so, whether they will publish the respective amounts.
tabling member printed	Lord Owen
uin	HL4882
answer	answer is ministerial correction date of answer 01/02/2017 answer text <p>The £8.722 million figure in Departmental accounts is the total value of NHS England commissioners’ contracts with private sector providers in 2015-16. This includes all types of secondary care, but not primary or social care. This does not include services contracted between individual trusts or foundation trusts and independent sector providers or any private finance arrangements.</p> answering member printed Lord O'Shaughnessy question first answered 01/02/2017 17:56:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	992 label Biography information for Lord Owen

605942

registered interest
date	19/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of how much additional surgical and diagnostic capacity independent sector healthcare organisations are able to make available to NHS patients over the remainder of 2016-17; and if he will make a statement.
tabling member constituency	Bath
tabling member printed	Ben Howlett
uin	49352
answer	answer is ministerial correction date of answer 26/10/2016 answer text <p>No assessment has been made. Decisions about whether to use independent sector capacity are generally made at local level. Use of the independent sector will depend on a range of factors including the needs of individual local health systems, patient choice and availability of suitable independent sector capacity.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 26/10/2016 09:25:04 answering member 1542 label Biography information for Philip Dunne
tabling member	4445 label Biography information for Ben Howlett

605943

registered interest
date	19/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the Government has made of its progress in implementing the commitment in the 2015 Spending Review to encourage long-term partnerships between the NHS and the private sector; and if he will make a statement.
tabling member constituency	Bath
tabling member printed	Ben Howlett
uin	49353
answer	answer is ministerial correction date of answer 27/10/2016 answer text <p>We will continue to encourage long term partnerships between the National Health Service and the private sector in order to deliver responsive and innovative healthcare services while ensuring better value for taxpayers. It is right that these decisions are made locally by the NHS and not politicians. We are clear that patients should be able to access the best possible providers based on quality not the sector.</p><p> </p><p>Commissioners can use a range of tools to secure services, including managing providers’ performance, extending and varying contracts, widening choice of qualified provider, and tendering. They will need to choose the right tools for different circumstances. Local conditions vary and there is no one-size-fits-all model for raising standards.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 27/10/2016 09:16:27 answering member 1542 label Biography information for Philip Dunne
tabling member	4445 label Biography information for Ben Howlett

448327

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many companies which comprised a single person were paid for services by NHS trusts in 2014-15.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	24394
answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>The information is not held centrally by the Department.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/02/2016 11:09:56 answering member 4020 label Biography information for George Freeman
tabling member	4436 label Biography information for Cat Smith

446825

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether NHS bodies which carry out surgery to repair work performed by outsourcing companies are able to claim back the costs of carrying out that work.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	23636
answer	answer is ministerial correction date of answer 26/01/2016 answer text <p>Whether or not National Health Service bodies are able to claim back the costs depends on a number of circumstances. For instance:</p><br /><p>- A clinical commissioning group (CCG) may have placed a contract for elective surgery with an independent sector provider. A patient treated in this provider’s hospital may experience complications and require further treatment, which has to be arranged under the CCG’s separate contract with the local NHS trust or foundation trust (FT) (perhaps because it has the facilities to carry out more specialist treatment); or</p><br /><p>- An NHS trust or FT may sub-contract surgical procedures to an independent sector provider. Again, a patient treated at the sub-contractor’s hospital may experience complications and require further treatment, which has to be carried out by the NHS Trust or FT (again, because it has the facilities to carry out more specialist treatment).</p><br /><p>The terms of such subcontracts are not nationally prescribed, but it would be usual for such a sub-contract to require the sub-contractor to indemnify the NHS provider for the cost it incurs as a result of negligent or inadequate treatment on the part of the sub-contractor.</p><br /><p>However, it is important to be clear that complications after surgery are not necessarily associated with negligence. It is normal for patients experiencing complications to be referred to the hospital which can provide the best care. In these circumstances, each NHS provider will normally be paid by the relevant NHS commissioner for the specific service it has provided to the patient.</p><br /><p>In the first example, the NHS trust or FT will be paid in full by its local CCG for the further treatment it has provided, at the normal national prices laid down in the National Tariff Payment System. Normally, the CCG would also have paid for the initial treatment provided by the independent sector provider, but if there is evidence of breach of contract or negligence, the CCG would be entitled to be indemnified for the additional costs of further treatment.</p><br /><p>In the second example, the NHS provider is responsible to the commissioner both for the treatment it has carried out itself and under sub-contract by the independent sector provider. It will therefore be paid by its CCG at National Tariff prices for all the operations that have been undertaken at both hospitals – though, again, this would be subject to the potential for the CCG to withhold payment to in a clear case of negligence or breach of contractual requirements. Payment between the NHS provider and its sub-contractor would be a matter for those parties to agree locally between themselves, as a part of their sub-contract.</p><br /> <br /> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/01/2016 15:33:22 answering member 4020 label Biography information for George Freeman
tabling member	304 label Biography information for Mr Roger Godsiff

446827

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much compensation the NHS has paid to patients who were injured by healthcare carried out by private contractors in each of the last five years.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	23616
answer	answer is ministerial correction date of answer 26/01/2016 answer text <p>The Department does not hold this information centrally; the answer has been supplied by the National Health Service Litigation Authority (NHS LA).</p><br /><p>The table below shows all payments made on claims against private providers as at 31 December 2015 (open and closed claims) for payment years 2010/11 to 2014/15.</p><p><br></p><table><tbody><tr><td><p>Year of Payment</p></td><td><p>Damages £</p></td><td><p>Defence Costs £</p></td><td><p>Claimant Costs £</p></td><td><p>Total Paid £</p></td></tr><tr><td><p>2010/11 <br> 2011/12 <br> 2012/13 <br> 2013/14 <br> 2014/15</p></td><td><p>3,213,372 <br> 4,143,937 <br> 8,132,597 <br> 8,522,797 <br> 8,905,057</p></td><td><p>378,903 <br> 621,887 <br> 807,120 <br> 868,765 <br> 1,096,935</p></td><td><p>1,251,698 <br> 1,989,256 <br> 3,312,219 <br> 4,172,732 <br> 4,504,967</p></td><td><p>4,843,973 <br> 6,755,080 <br> 12,251,935 <br> 13,564,293 <br> 14,506,960</p></td></tr><tr><td><p>Total</p></td><td><p>32,917,760</p></td><td><p>3,773,610</p></td><td><p>15,230,871</p></td><td><p>51,922,241</p></td></tr></tbody></table><p><em>Source: </em>NHSLA</p><p>Date: January 2016</p><br /><p>Prior to that date indemnity cover was provided by the referring National Health Service body. Since 1 April 2013 independent providers have been directly eligible for membership of the clinical negligence scheme for trusts. The figures in the table represent all private provider claims for each of the last five years.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 26/01/2016 16:36:11 answering member 3988 label Biography information for Ben Gummer
tabling member	304 label Biography information for Mr Roger Godsiff

446828

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether there is any requirement for NHS bodies which outsource health services to ensure that companies with which they contract are fully insured.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	23614
answer	answer is ministerial correction date of answer 26/01/2016 answer text <p>Clinical commissioning groups and NHS England, when commissioning foundation trusts, NHS trusts and others to deliver non-primary care clinical services, must do so using the NHS Standard Contract published each year by NHS England.</p><br /><p>The NHS Standard Contract requires the provider of clinical services to “put in place and maintain appropriate indemnity arrangements in respect of:</p><br /><p>- employers’ liability;</p><p>- clinical negligence;</p><p>- public liability; and</p><p>- professional negligence.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/01/2016 14:58:35 answering member 4020 label Biography information for George Freeman
tabling member	304 label Biography information for Mr Roger Godsiff

446829

registered interest
date	21/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether private outsourcing companies which take on NHS contracts and obtain insurance by paying into the NHS insurance scheme are required to contribute (a) full or (b) a partial cost of that cover.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	23615
answer	answer is ministerial correction date of answer 26/01/2016 answer text <p>The NHS Litigation Authority is responsible for administering all National Health Service risk pooling schemes. Since April 2013, independent sector providers of healthcare have been able to obtain indemnity cover under the Clinical Negligence Scheme for Trusts (CNST). All CNST members are required to pay their actuarially assessed costs for each year that they are a member of the scheme.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 26/01/2016 17:10:27 answering member 3988 label Biography information for Ben Gummer
tabling member	304 label Biography information for Mr Roger Godsiff

432295

registered interest
date	25/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans NHS England has to use capacity in independent sector hospitals to reduce waiting lists in 2015-16.
tabling member constituency	Birmingham, Yardley
tabling member printed	Jess Phillips
uin	17672
answer	answer is ministerial correction date of answer 04/12/2015 answer text <p>Decisions about whether to use independent sector capacity are made at local level according to local need, as part of the operational management of capacity and demand.</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 17673 question first answered 04/12/2015 14:26:43 answering member 3918 label Biography information for Jane Ellison
tabling member	4370 label Biography information for Jess Phillips

432296

registered interest
date	25/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of (a) surgical operations, (b) diagnostic tests and (c) endoscopy procedures which could be used to treat NHS patients and are available from independent sector healthcare providers in winter 2015-16.
tabling member constituency	Birmingham, Yardley
tabling member printed	Jess Phillips
uin	17673
answer	answer is ministerial correction date of answer 04/12/2015 answer text <p>Decisions about whether to use independent sector capacity are made at local level according to local need, as part of the operational management of capacity and demand.</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 17672 question first answered 04/12/2015 14:26:43 answering member 3918 label Biography information for Jane Ellison
tabling member	4370 label Biography information for Jess Phillips