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752129

registered interest
date	14/07/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 3 July 2017 to Question 1736, whether his Department holds any information on how much the NHS has paid private healthcare companies for the provision of (a) eating disorder and (b) mental health services since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	5004
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>This data is not collected in the format requested. NHS England directly commissions specialised services for mental health and eating disorders; including those for National Health Service services in the independent sector. Other services for eating disorders and mental health services are commissioned by clinical commissioning groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/07/2017 10:38:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

748497

registered interest
date	05/07/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on whether patients who receive NHS care from (a) Virgin Care and (b) other private providers of NHS Care should pay for any element of the treatment at point of delivery.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	3227
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The Government’s policy is that National Health Service care is free at the point of delivery regardless of who provides it.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 16:09:53 answering member 1542 label Biography information for Philip Dunne
tabling member	1538 label Biography information for Rosie Cooper

713804

registered interest
date	24/03/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS patients were transferred to a private hospital to undertake elective surgery in each year since 2010-11.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	69089
answer	answer is ministerial correction date of answer 03/04/2017 answer text <p>Data is not available in the format requested.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 03/04/2017 12:49:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

685525

registered interest
date	06/02/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to (a) plan no further capital developments using the Private Finance Initiative and (b) place no further NHS contracts with private health firms.
tabling member constituency	City of Chester
tabling member printed	Christian Matheson
uin	63098
answer	answer is ministerial correction date of answer 10/02/2017 answer text <p>Major investments in new hospital buildings are, in general, undertaken by National Health Service trusts and NHS foundation trusts, not by the Department.</p><p> </p><p>In producing their business cases, those organisations choose their planned procurement and financing routes and they are expected to do so with due regard to value for money and affordability, given the specifics of the facility that they are seeking to have built.</p><p> </p><p>HM Treasury is responsible for the policy on the use of ‘Private Finance 2’ (PF2), the successor to the Private Finance Initiative. Only one PF2 scheme is currently being taken forward in the NHS.</p><p> </p><p>With regard to the commissioning of patient care, any decision about use of the private sector is for local NHS commissioners. We are clear that patients should be able to access the best possible treatments based on quality of care, not the type of provider.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/02/2017 12:20:09 answering member 1542 label Biography information for Philip Dunne
tabling member	4408 label Biography information for Christian Matheson

677415

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, in respect of the Department of Health’s figure of £8,722,000 for the amount spent in purchasing services from Independent Sector Providers in 2015–16, what are the (1) contracts, (2) providers and (3) service categories concerned.
tabling member printed	Lord Owen
uin	HL4881
answer	answer is ministerial correction date of answer 06/02/2017 answer text <p>Information pertaining to contracts and service categories is not held centrally.</p><p> </p><p>National Health Service commissioners purchase services from a range of independent sector providers. NHS England records independent sector providers through coding identifiers; a sample of independent sector providers sourced from NHS England’s coding identifiers is attached, due to the large amount of data. Some providers do not have separate coding identifiers, therefore there are providers commissioned by NHS England which do not appear in the attached list.</p> answering member printed Lord O'Shaughnessy question first answered 06/02/2017 13:20:49 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Example list of Providers.docx title Example list of providers
tabling member	992 label Biography information for Lord Owen

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