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1001913

	registered interest
	date	05/11/2018
	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	Public Health: Finance
	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 potential effect on substance misuse services of the removal of the ring fenced public health grant to local authorities in April 2019.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	188114
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>I refer the hon. Member to the answer I gave on 6 November 2018 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=QuestionsWithAnswersOnly&amp;house=commons&amp;use-dates=True&amp;answered-from=2014-06-04&amp;dept=17&amp;uin=185077" target="_blank">185077</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:29:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1001969

	registered interest
	date	05/11/2018
	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	Public Health: Finance
	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 the report entitled Taking our health for granted: Plugging the public health grant funding gap, published in October 2018, whether he plans to increase central government funding for local authority public health services as a result of that report.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	188045
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>Indicative local authority public health grant allocations for 2019/20 are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/public-health-grants-to-local-authorities-2018-to-2019" target="_blank">https://www.gov.uk/government/publications/public-health-grants-to-local-authorities-2018-to-2019</a></p><p> </p><p>Future funding for local authorities’ public health responsibilities will be a matter for the next Spending Review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:35:07 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1002046

	registered interest
	date	05/11/2018
	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	Public Health: Finance
	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 effect of the planned £85 million cuts to local authority public health budgets for 2019-2020 on (a) access to sexual health services and (b) rates of sexually transmitted infections.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	188162
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Government has mandated local authorities to commission comprehensive open access sexual health services. Local authorities are best placed to understand and meet the public health needs of their local communities. While councils have had to make savings, they have also shown that good results can be achieved at the same time.</p><p> </p><p>The total number of attendances at sexual health services nationally increased 13% between 2013 and 2017 (from 2,940,779 to 3,323,275). To help manage the overall increase in demand, local authorities have been utilising technology to manage lower risk and asymptomatic patients. Free, confidential online services which are convenient for patients are increasingly being commissioned. As these services develop, they also have the potential to reach groups not currently engaged with clinical services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:36:58 answering member 4067 label Biography information for Steve Brine
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1003581

	registered interest
	date	09/11/2018
	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	Public Health: Finance
	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 effect of recent reductions to the local authority public health grant on health inequalities at a (a) regional and (b) socio-economic group level.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	189625
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Local authorities are responsible for setting their own priorities and are accountable to their electorates for their decisions. The 2015 Spending Review made available £16 billion for funding for local authorities’ health improvement functions in England over the five year period. As a condition of the grant they receive, local authorities must have due regard to reducing inequalities in outcomes from the health services they arrange.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:33:49 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1003582

	registered interest
	date	09/11/2018
	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	Public Health: Finance
	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 the report entitled Taking our health for granted: plugging the public health grant funding gap, published in October 2018, what assessment he has made of the implications for his policies of that report's finding that the reduction in public health spending per person will be 23.5% between 2014-15 and 2019-20.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	189626
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The 2015 Spending Review made available £16 billion of funding for local authorities’ health improvement functions in England over the five year period. Future funding for local authorities’ public health responsibilities will be a matter for the next Spending Review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:32:11 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1003772

	registered interest
	date	09/11/2018
	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	Public Health: 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 much money has his Department allocated to the public health budget in each of the last five years.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	189664
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The information is not held in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:30:57 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1010543

	registered interest
	date	20/11/2018
	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	Public Health: Finance
	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 percentage change has been in (a) total funding for NHS England and (b) the local authority public health grant in each year since 2014.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	193486
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The local authority public health grant provides funding for health services delivered through local authorities. However it is not the entirety of the funding nor spend for public health services. For example, in addition to the grant there is circa £1.2 billion ringfenced for NHS national public health services within the NHS mandate figures, as well as other Departmental expenditure on vaccines and on grant in aid to Public Health England.</p><p> </p><p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2014:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England funding increase %</p></td><td><p>Public health grant increase %</p></td></tr><tr><td><p>2014-15</p></td><td><p>3.6%</p></td><td><p>5.0%</p></td></tr><tr><td><p>2015-16</p></td><td><p>3.3%</p></td><td><p>24%*</p></td></tr><tr><td><p>2016-17</p></td><td><p>5.4%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017-18</p></td><td><p>3.6%</p></td><td><p>-2.5%**</p></td></tr><tr><td><p>2018-19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p><br>Notes:</p><p>* End year allocation for 2015-16 including the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 - 5.</p><p>** Figures from 2017-18 includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p><p> </p><p>The total Department of Health and Social Care Departmental Expenditure Limit for 2018-19 was £128.4 billion. 2.5 % was allocated to the local authority public health grant in 2018-19.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193487 question first answered 28/11/2018 17:38:47 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

1010544

	registered interest
	date	20/11/2018
	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	Public Health: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of the health and social care budget was allocated to the local authority public health grant in 2018-19.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	193487
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The local authority public health grant provides funding for health services delivered through local authorities. However it is not the entirety of the funding nor spend for public health services. For example, in addition to the grant there is circa £1.2 billion ringfenced for NHS national public health services within the NHS mandate figures, as well as other Departmental expenditure on vaccines and on grant in aid to Public Health England.</p><p> </p><p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2014:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England funding increase %</p></td><td><p>Public health grant increase %</p></td></tr><tr><td><p>2014-15</p></td><td><p>3.6%</p></td><td><p>5.0%</p></td></tr><tr><td><p>2015-16</p></td><td><p>3.3%</p></td><td><p>24%*</p></td></tr><tr><td><p>2016-17</p></td><td><p>5.4%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017-18</p></td><td><p>3.6%</p></td><td><p>-2.5%**</p></td></tr><tr><td><p>2018-19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p><br>Notes:</p><p>* End year allocation for 2015-16 including the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 - 5.</p><p>** Figures from 2017-18 includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p><p> </p><p>The total Department of Health and Social Care Departmental Expenditure Limit for 2018-19 was £128.4 billion. 2.5 % was allocated to the local authority public health grant in 2018-19.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193486 question first answered 28/11/2018 17:38:47 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

1011422

	registered interest
	date	21/11/2018
	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	Public Health: Finance
	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 Local Authority circular, published on 21 December 2017, what assessment he has made of the effect on the NHS of the reduction in the public health grant settlement.
	tabling member constituency	Brighton, Kemptown
	tabling member printed	Lloyd Russell-Moyle
	uin	194121
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Government considers all the relevant factors in setting the level of the public health grant. Over the five years of the current spending review period we are making over £16 billion of grant funding available to local authorities in England exclusively for use on improving health. The grant is only a proportion of the total spending on public health: for example, NHS England commissions national screening and immunisation programmes with a budget of £1.2 billion in 2017/18, and many other interventions occur in National Health Service primary care settings. Public Health England monitors progress against the wide-ranging set of indicators published in the Public Health Outcomes Framework (PHOF) which shows that, as a whole, for the majority of PHOF indicators the trends in England are either broadly constant or have improved in comparison with 2014.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/11/2018 16:05:11 answering member 4067 label Biography information for Steve Brine
	tabling member	4615 label Biography information for Lloyd Russell-Moyle

1012269

	registered interest
	date	22/11/2018
	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	Public Health: 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 much funding has been allocated to local authorities for the local authority public health grant in each year between 2014 and 2020.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	194695
	answer	answer is ministerial correction date of answer 30/11/2018 answer text <p>The information requested is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Public Health Grant Allocation (£ billion)</p></td></tr><tr><td><p>2013/14</p></td><td><p>2.663</p></td></tr><tr><td><p>2014/15</p></td><td><p>2.795</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>3.031</p></td></tr><tr><td><p>2016/17</p></td><td><p>3.387</p></td></tr><tr><td><p>2017/18<sup>2</sup></p></td><td><p>3.304</p></td></tr><tr><td><p>2018/19</p></td><td><p>3.219</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1</sup>Funding public health services for children aged 0-5 was transferred from the NHS to local authorities from October 2015.</p><p><sup>2</sup>Includes funding retained by the Greater Manchester local authority as part of a business rate retention pilot not allocated as grant.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/11/2018 11:20:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire