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439413

	registered interest
	date	17/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answers of 16 December 2015 to Question 19441 and 20 November 2015 to Question 16648, what the reason is for the apparent difference in the data collection policies on local clinical commissioning groups' spend with independent sector providers described in those Answers.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	20614
	answer	answer is ministerial correction date of answer 05/01/2016 answer text <p>This corrects the answer<del class="ministerial">s</del> to Question<del class="ministerial">s</del> 16648 <del class="ministerial">and 19441</del>. This was the result of a miscommunication between NHS England and the Department. The total NHS expenditure on non-NHS providers is collected centrally, and is published on page 47 of the Department’s annual report, available from:</p><br /><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/447002/DH_accounts_14-15_web.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/447002/DH_accounts_14-15_web.pdf</a></p><br /><p>This report divides providers by type (i.e. independent sector providers, voluntary organisations) – it does not specify the different types of services provided.</p><br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 05/01/2016 17:56:23 question first ministerially corrected 06/01/2016 10:54:05 answering member 1201 label Biography information for Alistair Burt previous answer version 37629 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	4036 label Biography information for Luciana Berger

100205

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidelines his Department issues to clinical commissioning groups; and if he will make a statement.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211371
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The commissioning responsibilities of clinical commissioning groups (CCGs) are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013, as amended.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has responsibility for issuing guidance to CCGs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:30:16 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

166328

	registered interest
	date	26/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether additional funding for running costs is provided to clinical commissioning groups given additional responsibilities for the commissioning or co-commissioning of specialised services.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	216233
	answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>NHS England is responsible for the commissioning of specialised services. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>During 2015-16 there will be monitoring of all specialised commissioning expenditure against nominal clinical commissioning groups (CCGs) budgets. This information will enable both NHS England commissioners and CCG commissioners to better understand the financial position and any pressures on all specialised services. NHS England will also be engaging with CCGs through co-commissioning to carry out work to redesign pathways and invest in upstream interventions. In this context there will be no additional funding for CCG running costs for 2015-16 but this may be revisited in 2016-17.</p><p> </p><p> </p><p> </p><p>For services that have been recommended for transfer, a new Task and Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 216131 question first answered 01/12/2014 17:26:46 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

166336

	registered interest
	date	26/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that (a) clinical commissioning groups (CCGs) do not inherit budget deficits when taking responsibility for commissioning or co-commissioning specialised services and (b) existing healh services commissioned by clinical commissioning groups are not adversely affected by the additional specialised services responsibilities of CCGs.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	216131
	answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>NHS England is responsible for the commissioning of specialised services. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>During 2015-16 there will be monitoring of all specialised commissioning expenditure against nominal clinical commissioning groups (CCGs) budgets. This information will enable both NHS England commissioners and CCG commissioners to better understand the financial position and any pressures on all specialised services. NHS England will also be engaging with CCGs through co-commissioning to carry out work to redesign pathways and invest in upstream interventions. In this context there will be no additional funding for CCG running costs for 2015-16 but this may be revisited in 2016-17.</p><p> </p><p> </p><p> </p><p>For services that have been recommended for transfer, a new Task and Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 216233 question first answered 01/12/2014 17:26:46 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

167765

	registered interest
	date	03/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the potential merits of allowing clinical commissioning groups to access their spending surplus in order to overcome overspending in future years.
	tabling member constituency	Bracknell
	tabling member printed	Dr Phillip Lee
	uin	217020
	answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England announced in December 2013 that every CCG would receive a funding increase in 2014-15 and 2015-16 at least matching inflation (based on inflation projections at the time of the announcement).</p><p> </p><p> </p><p> </p><p>The most under-funded areas, and those with the most fast-growing populations, will receive more. NHS England is spending £500 million over 2014-15 and 2015-16 to bring under-target CCGs up towards their target allocations.</p><p> </p><p> </p><p> </p><p>The table below summarises the allocation per head for 2014-15 and the growth on prior year for each of the CCGs in East Berkshire.</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p>CCG</p></td><td><p>2014-15</p></td><td><p>2014-15</p></td></tr><tr><td><p>Allocation per head (£)</p></td><td><p>Growth on prior year (%)</p></td></tr><tr><td><p>NHS Bracknell and Ascot CCG</p></td><td><p>969</p></td><td><p>3.92</p></td></tr><tr><td><p>NHS Windsor, Ascot and Maidenhead CCG</p></td><td><p>951</p></td><td><p>3.80</p></td></tr><tr><td><p>NHS Slough CCG</p></td><td><p>1,029</p></td><td><p>4.12</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p>The NHS England Board will meet on 17 December to decide how to allocate the £1.98 billion additional funding for frontline services announced in the Autumn Statement.</p><p> </p><p><strong> </strong></p><p> </p><p>In line with HM Treasury requirements, The Department sets NHS England’s annual expenditure limits to allow for a controlled access to historic surplus across the whole health system. Access to historic surplus for a specific area has to be balanced against these overall requirements of the health system to deliver within the agreed financial envelope. The use of prior year surplus is only ever available on a non-recurrent basis and the use of such surpluses is controlled by the review of a business case for each application allowing prioritisation to deliver value for money for the taxpayer, and patient.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 217021 217076 question first answered 10/12/2014 16:34:21 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3921 label Biography information for Dr Phillip Lee

167766

	registered interest
	date	03/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to improve the fairness of funding allocations between clinical commissioning groups in England.
	tabling member constituency	Bracknell
	tabling member printed	Dr Phillip Lee
	uin	217021
	answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>NHS England has responsibility for clinical commissioning group (CCG) allocations and, as a result of Government protecting the overall health budget for NHS England, NHS England announced in December 2013 that every CCG would receive a funding increase in 2014-15 and 2015-16 at least matching inflation (based on inflation projections at the time of the announcement).</p><p> </p><p> </p><p> </p><p>The most under-funded areas, and those with the most fast-growing populations, will receive more. NHS England is spending £500 million over 2014-15 and 2015-16 to bring under-target CCGs up towards their target allocations.</p><p> </p><p> </p><p> </p><p>The table below summarises the allocation per head for 2014-15 and the growth on prior year for each of the CCGs in East Berkshire.</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p>CCG</p></td><td><p>2014-15</p></td><td><p>2014-15</p></td></tr><tr><td><p>Allocation per head (£)</p></td><td><p>Growth on prior year (%)</p></td></tr><tr><td><p>NHS Bracknell and Ascot CCG</p></td><td><p>969</p></td><td><p>3.92</p></td></tr><tr><td><p>NHS Windsor, Ascot and Maidenhead CCG</p></td><td><p>951</p></td><td><p>3.80</p></td></tr><tr><td><p>NHS Slough CCG</p></td><td><p>1,029</p></td><td><p>4.12</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p>The NHS England Board will meet on 17 December to decide how to allocate the £1.98 billion additional funding for frontline services announced in the Autumn Statement.</p><p> </p><p><strong> </strong></p><p> </p><p>In line with HM Treasury requirements, The Department sets NHS England’s annual expenditure limits to allow for a controlled access to historic surplus across the whole health system. Access to historic surplus for a specific area has to be balanced against these overall requirements of the health system to deliver within the agreed financial envelope. The use of prior year surplus is only ever available on a non-recurrent basis and the use of such surpluses is controlled by the review of a business case for each application allowing prioritisation to deliver value for money for the taxpayer, and patient.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 217020 217076 question first answered 10/12/2014 16:34:21 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3921 label Biography information for Dr Phillip Lee

169844

	registered interest
	date	11/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what requirements his Department has placed on clinical commissioning groups to make financial savings in the last four years.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	218334
	answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>In its mandate for NHS England, the Government sets a clear objective for NHS England to secure improvements in value for money across the NHS in order to maximise resources for frontline patient care.</p><p> </p><p> </p><p> </p><p>NHS England has responsibility for clinical commissioning group (CCG) allocations. While NHS England does not set specific financial savings targets for them, CCGs need to manage their expenditure within their allocation whilst meeting the business rules as set out in the planning guidance, including setting out clear and credible plans for making efficiency improvements.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/12/2014 17:10:22 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1511 label Biography information for Lord Austin of Dudley

170421

	registered interest
	date	15/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much each commissioning support unit received in income from clinical commissioning groups since 2013-14.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	218829
	answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>NHS England advises that the total Commissioning Support Unit (CSU) income from clinical commissioning groups (CCGs) in 2013-14 was £602.1 million.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>CSU 2013-14 Income from CCGs:</p></td><td> </td></tr><tr><td> </td><td> </td></tr><tr><td><p>CSU</p></td><td><p>CCG Income £k</p></td></tr><tr><td><p>Anglia</p></td><td><p>16,426</p></td></tr><tr><td><p>Arden</p></td><td><p>23,062</p></td></tr><tr><td><p>Central Midlands</p></td><td><p>25,513</p></td></tr><tr><td><p>Central Southern</p></td><td><p>37,694</p></td></tr><tr><td><p>Essex</p></td><td><p>23,590</p></td></tr><tr><td><p>Greater East Midlands</p></td><td><p>48,228</p></td></tr><tr><td><p>Greater Manchester</p></td><td><p>35,848</p></td></tr><tr><td><p>Hertfordshire Integrated</p></td><td><p>17,946</p></td></tr><tr><td><p>Kent and Medway</p></td><td><p>21,226</p></td></tr><tr><td><p>South West</p></td><td><p>18,914</p></td></tr><tr><td><p>Staffordshire &amp; Lancashire</p></td><td><p>43,840</p></td></tr><tr><td><p>North and East London</p></td><td><p>55,359</p></td></tr><tr><td><p>North Of England</p></td><td><p>37,720</p></td></tr><tr><td><p>North West London</p></td><td><p>32,156</p></td></tr><tr><td><p>North Yorkshire &amp; Humber</p></td><td><p>24,153</p></td></tr><tr><td><p>South</p></td><td><p>22,712</p></td></tr><tr><td><p>South London</p></td><td><p>46,240</p></td></tr><tr><td><p>Surrey and Sussex</p></td><td><p>9,909</p></td></tr><tr><td><p>West Yorkshire</p></td><td><p>36,124</p></td></tr><tr><td><p>Cheshire and Merseyside</p></td><td><p>25,461</p></td></tr><tr><td><p>Grand Total</p></td><td><p>602,123</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>The total planned income (full year) for CSUs from CCGs in 2014-15 is £610.2 million.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/12/2014 16:35:35 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

170446

	registered interest
	date	15/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which board members of each clinical commissioning group have a financial interest in healthcare providers.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	218627
	answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>This information is not collected centrally. The Health and Social Care Act 2012 sets out clear requirements of clinical commissioning groups to make arrangements in their constitutions for managing conflicts of interest, to ensure the transparency and integrity of their decision-making processes.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/12/2014 17:21:56 answering member 3918 label Biography information for Jane Ellison
	tabling member	304 label Biography information for Mr Roger Godsiff

171162

	registered interest
	date	17/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will undertake an audit of the board members of clinical commissioning groups who have a financial interest in healthcare providers for potential conflicts of interest.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	219163
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p>Clinical commissioning groups (CCGs) are autonomous organisations. The Health and Social Care Act 2012 sets out clear requirements of CCGs to make arrangements in their constitutions for managing conflicts of interest, to ensure the transparency and integrity of their decision-making processes.</p><p> </p><p> </p><p> </p><p>Each CCG’s constitution sets out the arrangements made by the CCG to exercise its functions, and must include the arrangements made for discharging its duties with regard to registers of interests and managing conflicts of interest.</p><p> </p><p> </p><p> </p><p>NHS England published guidance for CCGs on managing conflicts of interest in March 2013. CCGs must have regard to such guidance.</p><p> </p><p> </p><p> </p><p>A copy of NHS England’s guidance to CCGs - Managing conflicts of interests: Guidance for Clinical Commissioning groups is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/01/2015 16:24:35 answering member 3918 label Biography information for Jane Ellison attachment 1 file name manage-con-int.pdf title CCG Guidance
	tabling member	304 label Biography information for Mr Roger Godsiff