<p>Trusts in Special Measures are receiving increased support and intensive oversight
from NHS Improvement to turn around their performance, including tailored improvement
packages and Improvement Directors.</p><p> </p><p>22 trusts are now out of Special
Measures for Quality since the programme began in 2013.</p><p> </p>
<p>Inappropriately placing people away from their home area is unacceptable and the
Government is committed to eliminating these in non-specialist, acute mental health
care by 2020/21. NHS England and NHS Improvement now have a comprehensive national
programme supporting reductions in inappropriate placements. Every part of the country
now has a clear, realistic plan for ending out of area placements safely by 2021,
with many areas having already ended this practice altogether.</p>
To ask the Secretary of State for Health and Social Care, what steps he is taking
to reduce the time taken to provide patients in the north of England with palliative
care.
<p>The commissioning of palliative care services is a local matter. Patients should
receive palliative care in an appropriate timeframe according to clinical need. Palliative
care can be provided in a patient’s home, care home, hospice or hospital.</p>
To ask the Secretary of State for Health and Social Care, when the relevant Clinical
Reference Group plans to make its decision in relation to NICE guidance on testing
for Lynch syndrome.
<p>As part of their work programmes during 2018/19, NHS England will be working with
clinical commissioning groups pathology service commissioners to determine whether
they can jointly develop a policy position relating to genetic testing and the National
Institute for Health and Care Excellence guidance on testing for Lynch syndrome. A
specific date has not yet been set for this.</p>
To ask the Secretary of State for Health and Social Care, with reference to his Department's
publication, Carers Action Plan 2018-2020, published June 2018, what discussions he
has had with Cabinet colleagues on providing employment rights to unpaid carers.
<p>The Carers Action Plan set out our commitment to raising the profile of carers
with employers to encourage them to improve their practices to enable carers to continue
to work alongside their caring role.</p><p> </p><p>Ministers meet regularly to discuss
labour market issues. The question of dedicated employment rights for carers (alongside
existing employment rights - such as the right to request flexible working and the
right to time off for family and dependents) has been part of those discussions. The
Carers Action Plan makes a specific commitment to consider the crucial questions around
introducing dedicated employment rights.</p><p> </p><p>The Action Plan makes the following
explicit commitment on employment rights for informal carers:</p><p>- The Department
for Business, Energy and Industrial Strategy are considering the question of dedicated
employment rights for carers alongside existing employment rights (such as the right
to request flexible working and the right to time off for family and dependents);</p><p>-
We have set up an official level working group (the Department of Health and Social
Care, the Department for Work and Pensions, the Department for Business, Energy and
Industrial Strategy and HM Treasury) to work on this; and</p><p>- This includes considering
the crucial questions that arise around introducing dedicated employment rights with
the support of analysts so that any emerging carers leave proposal is most effective.</p>
To ask the Secretary of State for Health and Social Care, pursuant to the Answers
of 3 May 2018 to Questions 139593 and 139592, for what reasons (a) neonatal herpes
has not yet been considered for categorisation as a notifiable disease and (b) no
information on the incidence of that disease is held centrally.
<p>Type 1 and 2 of the herpes infection were considered for categorisation as a notifiable
disease in 2010 when the Health Protection Regulations were undergoing development;
expert opinion and consultation concluded that they should not be included. Further
information is available at the following link:</p><p> </p><p><a href="http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Consultations/Closedconsultations/DH_102134"
target="_blank">http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Consultations/Closedconsultations/DH_102134</a></p><p>
</p><p>Hospital Episode Statistics do collect diagnoses of herpes; however, it is
not possible to identify neonates. This is because identifiers including date of birth
are stripped from records submitted with sensitive codes such as sexually transmitted
diseases.</p>
To ask the Secretary of State for Health and Social Care, what the (a) cash sum and
(b) real terms increase in NHS funding is planned to be for (i) 2018-2019, (ii) 2019-2020,
(iii) 2020-2021, (iv) 2021-2022 and (v) 2022-2023.
<p>My Rt. hon. Friend the Prime Minister has announced a five-year funding agreement
which will see the National Health Service budget grow by over £20 billion, in real
terms, by 2023-24. The planned resource budgets for NHS England; and what these amount
to as additional funding in real terms, are included in the following table. These
planned increases will be confirmed at a future fiscal event, subject to an NHS plan
that meets the tests we have set out.</p><p> </p><p>Planned NHS England resource budgets,
2018-19 to 2023-24</p><table><tbody><tr><td><p>NHS England Resource Departmental Expenditure
Limit (excluding depreciation)</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td><td><p>2020-21</p></td><td><p>2021-22</p></td><td><p>2022-23</p></td><td><p>2023-24</p></td></tr><tr><td><p>New
nominal budget (£ billion)</p></td><td><p>114.60</p></td><td><p>120.55</p></td><td><p>126.91</p></td><td><p>133.15</p></td><td><p>139.83</p></td><td><p>147.76</p></td></tr><tr><td><p>Cumulative
real growth (2018/19 prices) (£ billion)</p></td><td><p> </p></td><td><p>4.1</p></td><td><p>8.3</p></td><td><p>12.1</p></td><td><p>16.1</p></td><td><p>20.5</p></td></tr><tr><td><p>Real
growth (%)</p></td><td><p> </p></td><td><p>3.6%</p></td><td><p>3.6%</p></td><td><p>3.1%</p></td><td><p>3.1%</p></td><td><p>3.4%</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>
</p></td><td><p> </p></td></tr><tr><td><p>Plus pensions funding (£ billion nominal)</p></td><td><p>
</p></td><td><p>1.25</p></td><td><p>1.25</p></td><td><p>1.25</p></td><td><p>1.25</p></td><td><p>1.25</p></td></tr><tr><td><p>Revised
new nominal budget (£ billion)</p></td><td><p>114.60</p></td><td><p>121.80</p></td><td><p>128.16</p></td><td><p>134.40</p></td><td><p>141.08</p></td><td><p>149.01</p></td></tr></tbody></table><p>
</p><p>This breakdown can also be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan"
target="_blank">https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan</a></p>
To ask the Secretary of State for Health and Social Care, what recent estimate his
Department has made of the (a) Resources Department Expenditure Limit (RDEL), (b)
Capital Department Expenditure Limit and (c) Total Department Expenditure Limit (TDEL)
for his Department in (a) 2017-18, (b) 2018-19, (c) 2019-20, (d) 2020-21, (e) 2021-22,
(f) 2022-23, and (g) 2023-24.
<p>The Department’s Resource Department Expenditure Limit (RDEL), Capital Department
Expenditure Limit (CDEL), and Total Department Expenditure Limit (TDEL) for the years
2017-18 to 2020-21 can be found in the following table:</p><p> </p><p>Department of
Health and Social Care RDEL, CDEL and TDEL, 2017-18 to 2020-21</p><p> </p><table><tbody><tr><td
rowspan="2"><p> </p></td><td><p>2017-18<sup>1</sup></p></td><td><p>2018-19<sup>2</sup></p></td><td><p>2019-20<sup>3</sup></p></td><td><p>2020-21<sup>4</sup></p></td></tr><tr><td><p>£
billion</p></td><td><p>£ billion</p></td><td><p>£ billion</p></td><td><p>£ billion</p></td></tr><tr><td><p>RDEL</p></td><td><p>121.3</p></td><td><p>123.5</p></td><td><p>125.7</p></td><td><p>128.7</p></td></tr><tr><td><p>CDEL</p></td><td><p>5.6</p></td><td><p>6.4</p></td><td><p>6.7</p></td><td><p>6.8</p></td></tr><tr><td><p>TDEL<sup>5</sup></p></td><td><p>125.4</p></td><td><p>128.4</p></td><td><p>130.9</p></td><td><p>133.9</p></td></tr></tbody></table><p>
</p><p><br>The Department’s Departmental Expenditure Limits for 2021-22 onwards have
not yet been confirmed.</p><p> </p><p>The Prime Minister has announced a five-year
funding agreement which will see the National Health Service budget grow by over £20
billion, in real terms, by 2023-24. The figures exclude the associated planned additions
to resource budgets for NHS England in 2019-20 and 2020-21, which will be confirmed
at a future fiscal event and which are not yet reflected in the Department’s Departmental
Expenditure Limits. They also exclude the additional funding that the Government will
provide to the NHS in the current financial year to cover Agenda for Change pay deal
costs.</p><p> </p><p>More information on the recent announcement of the five-year
funding agreement for the NHS can be found at the following link:</p><p> </p><p><a
href="https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan"
target="_blank">https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan</a></p><p>
</p><p>Notes:</p><p> </p><p>1. RDEL and CDEL figures are from Page 151 of the 2017-18
Supplementary Estimate publication</p><p> </p><p>2017-18 Supplementary Estimate can
be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/supplementary-estimates-2017-18"
target="_blank">https://www.gov.uk/government/publications/supplementary-estimates-2017-18</a></p><p>
</p><p>2. RDEL and CDEL figures are from Page 127 the 18-19 Main Estimate publication</p><p>
</p><p>2018-19 Supplementary Estimate can be found at the following link:</p><p> </p><p><a
href="https://www.gov.uk/government/publications/main-supply-estimates-2018-to-2019"
target="_blank">https://www.gov.uk/government/publications/main-supply-estimates-2018-to-2019</a></p><p>
</p><p>3. RDEL for 2019-20 is from two sources. The 2017 Autumn Budget statement shows
the RDEL (excluding depreciation) of £124.2 billion which can be found in Table 1.7.
The depreciation of £1.5 billion can be found in Annex A (Page 164) of the 2016-17
Department of Health and Social Care Annual Report.</p><p> </p><p>CDEL can be found
in Table 1.8 of the 2017 Autumn Budget statement.</p><p> </p><p>2017 Autumn Budget
statement can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/autumn-budget-2017-documents"
target="_blank">https://www.gov.uk/government/publications/autumn-budget-2017-documents</a></p><p>
</p><p>4. RDEL figures are from Annex A in the Core Tables of the 2016-17 Department
of Health and Social Care Annual Report.</p><p> </p><p>CDEL figures are from Table
1.8 of the 2017 Autumn Budget statement.</p><p> </p><p>2016-17 Department of Health
and Social Care Annual Report can be found at the following link:</p><p> </p><p><a
href="https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2016-to-2017"
target="_blank">https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2016-to-2017</a></p><p>
</p><p>5. In line with HM Treasury’s budgeting guidance, TDEL figures are calculated
as RDEL excluding depreciation plus CDEL. The depreciation figures for all years were
set out in Annex A of the Department of Health and Social Care’s 2016/17 Annual Report.</p><p>
</p><p>2016-17 Department of Health and Social Care Annual Report can be found at
the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2016-to-2017"
target="_blank">https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2016-to-2017</a></p>
To ask the Secretary of State for Health and Social Care, with reference to the Prime
Minister’s of 18 June 2018 on the NHS, what (a) baseline year and (b) baseline NHS
England budget was used to calculate that NHS England’s budget would be £394 million
a week higher in real terms by 2023-24.
<p>The baseline year for the five-year funding agreement, covering NHS England resource
budgets, is 2018-19. The 2018-19 baseline has been uplifted by £800 million to take
account of additional funding that the Government will provide to the National Health
Service in the current financial year to cover Agenda for Change pay deal costs –
as previously announced. This baseline excludes NHS England revenue budgets for depreciation
and impairments, which will be handled separately.</p><p> </p><p>This information
is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan"
target="_blank">https://www.gov.uk/government/news/prime-minister-sets-out-5-year-nhs-funding-plan</a></p>
To ask the Secretary of State for Health and Social Care, with reference to the Prime
Minister’s speech of 18 June 2018 on the NHS, whether revenue dedicated to the Better
Care Fund was included in NHS England’s budget in the baseline year for the purposes
of calculating that NHS England’s budget would be £394 million a week higher in real
terms by 2023-24.
<p>Revenue dedicated to the Better Care Fund was included in the 2018-19 baseline
for NHS England’s resource budgets for the five-year funding agreement announced by
the Prime Minister.</p>