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917319

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS Trusts: Fines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the total value of all fines levied by clinical commissioning groups (CCGs) against NHS trusts was for the financial year 2017-18; and what guidance his Department provides to (a) NHS England and (b) each CCG on how revenue raised through such fines should be used.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150202
answer	answer is ministerial correction date of answer 11/06/2018 answer text <p>Information is not held centrally on the level of fines levied by clinical commissioning groups against National Health Service trusts during 2017/18.</p><p> </p><p>In terms of the use by commissioners of revenue withheld from providers through financial sanctions, guidance on this is set out in NHS England’s Contract Technical Guidance, at section 40.5 onwards. This guidance sets out how commissioners may use funding they retain as a result of the application of contractual sanctions, recommending that the commissioner considers whether it is possible to invest the withheld funding in a way that will help to rectify the performance problem.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/06/2018 15:04:06 answering member 4067 label Biography information for Steve Brine
tabling member	4595 label Biography information for Gareth Snell

917320

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS Trusts: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS hospital trusts have (a) reported financial deficits in their budget at the end of the 2017-18 financial year and (b) estimated such deficits for future financial years; and if he will publish that information by NHS trust.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150203
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>NHS Improvement publishes quarterly reports regarding the financial position of National Health Service trusts and foundation trusts. The latest figures on current deficits can be found in the NHS Improvement Quarter 4 performance report via the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/resources/quarterly-performance-nhs-provider-sector-quarter-4-201718/" target="_blank">https://improvement.nhs.uk/resources/quarterly-performance-nhs-provider-sector-quarter-4-201718/</a></p><p> </p><p>NHS trusts and foundation trusts will develop their own plans for future financial years which will be collated and validated by NHS Improvement.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/06/2018 11:35:25 answering member 4095 label Biography information for Steve Barclay
tabling member	4595 label Biography information for Gareth Snell

917547

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS Trusts: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his Departments policy is on clinical commissioning groups levying fines on NHS Trusts that fail to meet contractual targets.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150211
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The NHS Standard Contract, which is used by clinical commissioning groups for all contracts with hospital providers of National Health Service healthcare services, sets out the consequences of breaches of the waiting time standards and other requirements. In many cases, this consequence is in the form of a financial sanction.</p><p> </p><p>Where a provider breaches a national standard set out in the Contract, prior to April 2016 it was mandatory, under the Contract, for the commissioner to apply the relevant financial sanction. This changed from April 2016, when the application of the principal sanctions (for accident and emergency waiting times, cancer waiting times and waiting times for elective care) being suspended for those NHS trusts and foundations trusts in the national Sustainability and Transformation Fund (STF). Trusts which signed up to the conditions of the STF, including in particular the delivery of a financial control total, were exempted from sanctions. Since April 2018, the arrangement has remained similar in principle, although the STF has now been renamed the Provider Sustainability Fund (PSF) and the range of sanctions suspended has been broadened.</p><p> </p><p>The great majority of trusts have signed up to the STF/PSF conditions since April 2016 and have been protected from financial sanctions as a result.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:21:10 answering member 4067 label Biography information for Steve Brine
tabling member	4595 label Biography information for Gareth Snell

917548

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS Trusts: Private Finance Initiative
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the Chancellor of the Exchequer on the refinancing of PFI contracts for NHS Trusts.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150212
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The debt incurred to finance Private Finance Initiative (PFI) projects is incurred predominantly by the PFI companies themselves. Officials at the Department discuss refinancing opportunities with the PFI companies as and when the relevant circumstances arise, although opportunities for re-financing PFI schemes are now comparatively limited given the nature of the financial instruments used by the PFI companies at the time.</p><p> </p><p>More generally the Department has helped and advised local trust contract managers where requested in relation to PFI contractual issues and also to support trusts in making operational savings in their PFI schemes.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/06/2018 11:28:59 answering member 4095 label Biography information for Steve Barclay
tabling member	4595 label Biography information for Gareth Snell

917549

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	General Practitioners: Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to increase the number of GPs in Stoke-on-Trent.
tabling member constituency	Stoke-on-Trent Central
tabling member printed	Gareth Snell
uin	150213
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>Stoke-on-Trent and North Staffordshire Clinical Commissioning Groups (CCGs) have developed a workforce strategy and plan for the area. This focuses on increasing the numbers of general practitioners (GPs), and also in diversifying the skill mix within general practice, to include clinical pharmacists, advanced nurse practitioners, nurses, physician associates, urgent care practitioners, mental health therapists and physiotherapists, to provide high quality care for patients through alternative health professionals.</p><p> </p><p>Staffordshire and Stoke-on-Trent Sustainability and Transformation Partnership successfully bid to be an early wave site for GP international recruitment, which is to commence in July 2018.</p><p> </p><p>A number of newly-qualified GPs have also been recruited to the area through a GP Fellowship scheme, which enables GPs to develop areas of specialist clinical interest. In 2018 there are also up to 18 £20,000 salary supplements available to GP trainees who commit to working for their three year speciality training in Stafford and Staffordshire as part of the Targeted Enhanced Recruitment Scheme.</p><p> </p><p>The CCGs are also working with the BMJ to develop a marketing campaign to raise the profile of Staffordshire as a place to work and increase the recruitment rate for General Practice. The campaign will be for 12 months and is planned to start by early July 2018.</p><p> </p><p>Schemes to improve GP retention are also currently being scoped in preparation to submit a bid for NHS England funding by the end of June 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 13:59:07 answering member 4067 label Biography information for Steve Brine
tabling member	4595 label Biography information for Gareth Snell