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1149224

registered interest
date	15/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that hospitals are used to near capacity before new hospitals are built; and if he will make a statement.
tabling member constituency	East Yorkshire
tabling member printed	Sir Greg Knight
uin	459
answer	answer is ministerial correction date of answer 22/10/2019 answer text <p>In planning strategic change within a health economy, including the development of new capacity, commissioners are expected to look at current available capacity, projected need, the condition and adaptability of existing estates and safe and efficient levels of usage including bed occupancy. These are complex matters with many variables and are planned at local with appropriate public consultation.</p><p>All organisations are expected to develop business cases to inform their investment decisions that follows HM Treasury’s best practice guidance to develop their cases. NHS England and NHS Improvement provides guidance on the capital regime for National Health Service trusts and foundation trusts, including the principles and processes for capital investment and property transactions. This guidance can be found at the following link:</p><p><a href="https://improvement.nhs.uk/resources/capital-regime-investment-and-property-business-case-approval-guidance-nhs-trusts-and-foundation-trusts/" target="_blank">https://improvement.nhs.uk/resources/capital-regime-investment-and-property-business-case-approval-guidance-nhs-trusts-and-foundation-trusts/</a></p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 22/10/2019 13:51:00 answering member 4362 label Biography information for Edward Argar
tabling member	1200 label Biography information for Sir Greg Knight

1148124

registered interest
date	03/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story, New hospital building programme, published on 29 September 2019, what criteria his Department used to determine which NHS trusts were eligible for funding under that programme to develop new hospitals.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	294244
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the 6 projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through NHS regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 08/10/2019 15:54:16 answering member 4362 label Biography information for Edward Argar
tabling member	4598 label Biography information for Mohammad Yasin

1147825

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story of 29 September 2019, New hospital building programme, what discussions his Department had with the NHS Property Board on those 40 hospital building projects prior to that announcement being made.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	293621
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through National Health Service regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 293622 293623 293624 293625 question first answered 08/10/2019 16:06:00 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1147826

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story of 29 September 2019, New hospital building programme, what discussions his Department had with the appropriate Sustainability and Transformation Partnerships on those 40 hospital building projects prior to that announcement being made.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	293622
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through National Health Service regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 293621 293623 293624 293625 question first answered 08/10/2019 16:06:00 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1147828

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story of 29 September 2019, New hospital building programme, what criteria were used to assess the relative merits of those 40 hospital building projects.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	293623
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through National Health Service regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 293621 293622 293624 293625 question first answered 08/10/2019 16:06:00 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1147854

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story of 29 September 2019, New hospital building programme, which NHS bodies were involved in the assessment of the relative merits of those 40 hospital building projects prior to that announcement being made.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	293624
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through National Health Service regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 293621 293622 293623 293625 question first answered 08/10/2019 16:06:00 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1147856

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to his Department's News story of 29 September 2019, New hospital building programme, how many of those 40 hospital building projects have submitted business cases for approval.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	293625
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September, the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented), and engagements through National Health Service regional teams. This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p>HIP scheme selection was not specifically discussed at the NHS Property Board, which did not meet during the period when final decisions were made. However, the underlying principles and issues have been discussed previously by the NHS Property Board and members were involved in discussions that led to the final selection of schemes.</p><p>Schemes will be required to submit business cases to provide the required standard assurance on the key features including patient benefits, value for money and commercial terms etc. A number of the six HIP1 schemes have submitted business cases to NHS Improvement previously but these will need to be developed further or revised to align with the current scope of their scheme. The Department is looking to speed up and streamline the business case process and approvals.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 293621 293622 293623 293624 question first answered 08/10/2019 16:06:00 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1147946

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will publish the criteria on which the choice of the 40 hospitals for renovation as part of his recent capital announcement was based.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	293591
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On 29 September the Government announced the largest hospital building programme in a generation as part of a new Health Infrastructure Plan (HIP) that is backed by a long-term programme of investment. The plan’s new, strategic approach will ensure the health service will have world-class facilities for patients and staff for the long term.</p><p>The HIP1 and HIP2 schemes were selected through the following process:</p><p>NHS England and NHS Improvement conducted a strategic assessment of hospital estates and came up with a list of priority schemes. These were selected on the basis of age and/or where a combination of other metrics that indicated a high need for investment in the estate. This included the consideration of the high value scheme bids submitted by providers as part of previous sustainability and transformation partnership (STP) capital rounds, and other relevant previous representations by trusts and STPs. The other metrics being - Estates and facilities running costs; backlog costs; Critical Infrastructure Risk (a subset of the highest risk elements of backlog with a potential for significant impact e.g. fire safety); unused and functionally unsuitable space; and incidents having an impact on clinical services.</p><p>Based on that, a small number of schemes were identified as being suitable to fully fund now, given their advanced level of readiness to deliver in near future. These are the six projects for HIP1.</p><p>The remaining list of priority schemes was then further filtered based on a combination of criteria, including the level of Critical Infrastructure Risk in the estate and an overall check of the regional breakdown (to make sure no regions were over or under-represented). This gave us the 21 projects identified to receive seed funding to kick start their schemes, ready for building in HIP2.</p><p><strong> </strong></p> answering member constituency Charnwood answering member printed Edward Argar question first answered 08/10/2019 16:07:43 answering member 4362 label Biography information for Edward Argar
tabling member	4244 label Biography information for Jonathan Ashworth

1148085

registered interest
date	02/10/2019
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	Hospitals: Construction
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the estimated total cost of the 40 hospital building projects announced on 29 September.
tabling member printed	Lord Roberts of Llandudno
uin	HL18013
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On Sunday 29 September, the Secretary of State for Health and Social Care formally announced the next stage in our strategic investment in the National Health Service, with the Health Infrastructure Plan (HIP) to ensure that our health infrastructure is fit-for-purpose for decades to come. On Wednesday 2 October, the Prime Minister then set out his plan that “in the next ten years we will build 40 new hospitals in the biggest investment in hospital infrastructure for a generation.” As a step towards this, we have committed funding for six new hospitals as well as seed funding to support the initial stage of a further 34 building projects.</p><p>The package of funding includes:</p><p>- £2.7 billion for six new hospital projects to be delivered in our first phase of major hospital rebuilds (HIP1);</p><p>- £100 million to support for 21 major projects (£5 million each) comprising 34 hospital sites go to the next stage of developing their plans to be delivered in the second phase of major hospital rebuilds, subject to business case development and future spending reviews. Other projects will be able to bid into this and other future waves too. (HIP2); and</p><p>- £200 million investment for state-of-the-art MRI, CT and breast cancer screening machines, to update or replace our most out of date diagnostic equipment, across over 80 trusts.</p><p>The Health Infrastructure Plan also outlines our plans for a new system for ensuring funding reaches the frontline when and where it is needed, with national infrastructure to support this, and clear accountability for how it is spent. These plans include proposals for assisting trusts, including allowing some access to early funding and streamlining the business case process.</p><p>As part of our rolling investment programme, we have confirmed that there will be future phases of the Health Infrastructure Plan, with opportunities for the NHS to put forward further new hospital projects for the next phases of the programme. We also recognise that there may some more schemes suitable for investments that are not currently part of HIP1 and HIP2. These should continue developing their plans and priorities for local NHS infrastructure, and where exceptionally strong schemes come to light before HIP3, we will consider these in the context of available funding.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:45:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3691 label Biography information for Lord Roberts of Llandudno

1147321

registered interest
date	30/09/2019
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	Hospitals: Construction
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the (a) level of use and (b) ward occupation rate of NHS hospitals in advance of new NHS hospitals being built; and if he will make a statement.
tabling member constituency	East Yorkshire
tabling member printed	Sir Greg Knight
uin	292130
answer	answer is ministerial correction date of answer 03/10/2019 answer text <p>The NHS Long Term Plan sets out a number of reforms to the National Health Service’s capital regime to ensure capital funding is prioritised and allocated efficiently, supports the transformation of services and increased productivity, and allows for effective planning and control.</p><p>As part of their planning process, sustainability and transformation partnerships and integrated care systems would need to assess changing needs, additional activity and the new services that we envisage for the NHS in their future plans. The number of beds required in new NHS hospitals would be part of their service demand modelling and would need to be set out in their business case.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 03/10/2019 15:15:16 answering member 4362 label Biography information for Edward Argar
tabling member	1200 label Biography information for Sir Greg Knight