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1178014

registered interest
date	12/02/2020
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: 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 individual funding requests were refused in the NHS in the last 12 months; what procedures were used for making those refusals; and what the reasons were for each of those refusals.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	1255
answer	answer is ministerial correction date of answer 28/02/2020 answer text <p>The information requested is not held centrally by the Department.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 28/02/2020 12:11:31 answering member 4380 label Biography information for Jo Churchill
tabling member	4244 label Biography information for Jonathan Ashworth

1174905

registered interest
date	30/01/2020
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: 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 (a) NHS England and (b) clinical commissioning groups spent in aggregate on (i) primary medical services, (ii) community health services, (iii) mental health services, (iv) acute health services, (v) specialised services and (vi) all health and care services in cash terms in each year since 2016-17; and how much is forecast to be spent in aggregate in each of those areas in the 2019-20 financial year.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	10386
answer	answer is ministerial correction date of answer 10/02/2020 answer text <p>The information is shown in the following table.</p><table><tbody><tr><td><p>2016-17 £ billion</p></td><td><p>2017-18 £ billion</p></td><td><p>2018-19 £ billion</p></td><td><p>2019-20 £ billion</p></td></tr><tr><td><p>Specialised services</p></td><td><p>15.4</p></td><td><p>16.4</p></td><td><p>17.2</p></td><td><p>18.9</p></td></tr><tr><td><p>Primary medical care</p></td><td><p>9.1</p></td><td><p>9.4</p></td><td><p>9.7</p></td><td><p>10.5</p></td></tr><tr><td><p>Community services</p></td><td><p>7.3</p></td><td><p>7.4</p></td><td><p>7.5</p></td><td><p>8.0</p></td></tr><tr><td><p>Continuing Care</p></td><td><p>4.7</p></td><td><p>4.6</p></td><td><p>4.7</p></td><td><p>4.9</p></td></tr><tr><td><p>Clinical commissioning group (CCG) acute</p></td><td><p>40.1</p></td><td><p>41.4</p></td><td><p>42.9</p></td><td><p>45.3</p></td></tr><tr><td><p>CCG core mental health</p></td><td><p>7.6</p></td><td><p>8.1</p></td><td><p>8.5</p></td><td><p>9.2</p></td></tr><tr><td><p>Other</p></td><td><p>17.8</p></td><td><p>18.3</p></td><td><p>18.6</p></td><td><p>18.4</p></td></tr><tr><td><p>Total programme spend</p></td><td><p>102.0</p></td><td><p>105.5</p></td><td><p>109.1</p></td><td><p>115.2</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Of which:</p></td><td><p> </p></td></tr><tr><td><p>Payments to local authorities</p></td><td><p>3.1</p></td><td><p>3.3</p></td><td><p>3.5</p></td><td><p>3.4</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>The small forecast reduction in other spend relates to technical changes in commissioning arrangements between NHS England and CCGs in respect of delegated primary care commissioning.</p><p>To present all figures on the same basis, the mental health figures presented here are collected in a different way than the mental health dashboard. The figures presented in the mental health dashboard are on a wider basis, and include mental health spend included in other budgets (for example, on mental health prescribing), and the specialised service line here includes spending on mental health that falls within specialised services.</p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Charnwood answering member printed Edward Argar question first answered 10/02/2020 16:59:49 answering member 4362 label Biography information for Edward Argar
tabling member	4244 label Biography information for Jonathan Ashworth

1135600

registered interest
date	28/06/2019
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	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to his Answer of 26 June 2019 to Question 266189 NHS: Debts and with reference to NHS Improvement’s Quarterly performance of the NHS provider sector: quarter 2 2018/19, what assessment his Department has made of the validity of NHS Improvement’s statement that the Provider Sustainability Fund is non-recurrent funding; and what estimate he has made of the level of growth in the Provider Sustainability Fund in each of the next five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	270806
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Funding that is made available through the Provider Sustainability Fund is a recurrent part of the NHS Long Term Plan funding settlement.</p><p> </p><p>The way in which the funding is being deployed is however changing and this means it is non-recurrent at the level of individual providers. For example, there has been a £1.2 billion reduction in the Fund in 2019-20, but this remains available to the National Health Service and has been transferred to urgent and emergency care tariff prices and the Financial Recovery Fund.</p><p> </p><p>NHS England and NHS Improvement have set out in this year’s NHS Operational Planning and Contracting Guidance that their ambition is that this will be the last year of Provider Sustainability Funding.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 13:27:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1131644

registered interest
date	12/06/2019
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	NHS: 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 table headed Spending in Departmental Expenditure Limits on page 129 of the Central Government Supply Estimates 2019-20: Main Supply Estimates, published in May 2019, if he will publish the allocation of spending under the heading NHS Providers capital net expenditure.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	263830
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The figures contained within page 129 of the Central Government Supply Estimates 2019-20 show details of the planned resource and capital budgets for each sector of the Department of Health and Social Care, available at the time of production.</p><p>Details of each departmental body’s spending plans will be published in their individual Business Plans.</p><p>The Department prepares a Memorandum which is published by the Health and Social Care Committee, this provides further information on the Main Estimates publication. The Memorandum is prepared in accordance with the guidance issued by Parliamentary Scrutiny Unit and can be found at:</p><p><a href="https://www.parliament.uk/mps-lords-and-offices/offices/commons/scrutinyunit/reports-and-publications/main-estimates-2019-20/" target="_blank">https://www.parliament.uk/mps-lords-and-offices/offices/commons/scrutinyunit/reports-and-publications/main-estimates-2019-20/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 263831 263832 263833 263834 263835 263836 question first answered 20/06/2019 14:31:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130905

registered interest
date	10/06/2019
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	NHS: 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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to ensure that (a) each NHS organisation delivers its agreed financial position and (b) that the NHS budget overall is balanced during 2019-20; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262386
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The National Health Service has set out its own strategy for the next five years in the NHS Long Term Plan. NHS England and NHS Improvement have been working with local organisations and regional leaders over recent months to develop the right operational plans to deliver that strategy in 2019-20.</p><p> </p><p>The NHS Long Term Plan is backed by a significant funding increase from the Department of £33.9 billion in cash terms by 2023/24. As part of the Plan, the NHS committed to meeting the Government’s financial tests, including that the NHS will deliver overall financial balance in every year, and that all NHS organisations will be in balance by 2023/24. The Plan rightly sets out that putting the NHS back onto a sustainable financial path is a key priority and is essential to allowing the NHS to deliver further improvements in care.</p><p> </p><p>As part of 2019-20 planning, the vast majority of organisations have signed up to their control totals, with the number of providers expected to report a deficit reducing by more than half compared to 2018-19. We also expect overall NHS financial balance to be achieved, with further work taking place with the regions to mitigate risks in plans that emerge.</p><p> </p><p>For the period beyond 2019-20, as set out in the NHS Long Term Plan an Implementation Framework will be published shortly which will set out the next steps the National Health System will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 262387 question first answered 18/06/2019 13:12:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130906

registered interest
date	10/06/2019
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	NHS: 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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to reduce year-on-year the number of trusts and CCGs individually in deficit so that (a) all NHS organisations are in balance by 2023-24 and (b) the expectation is met that the number of Trusts reporting a deficit in 2019-20 will be reduced by more than half; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262387
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The National Health Service has set out its own strategy for the next five years in the NHS Long Term Plan. NHS England and NHS Improvement have been working with local organisations and regional leaders over recent months to develop the right operational plans to deliver that strategy in 2019-20.</p><p> </p><p>The NHS Long Term Plan is backed by a significant funding increase from the Department of £33.9 billion in cash terms by 2023/24. As part of the Plan, the NHS committed to meeting the Government’s financial tests, including that the NHS will deliver overall financial balance in every year, and that all NHS organisations will be in balance by 2023/24. The Plan rightly sets out that putting the NHS back onto a sustainable financial path is a key priority and is essential to allowing the NHS to deliver further improvements in care.</p><p> </p><p>As part of 2019-20 planning, the vast majority of organisations have signed up to their control totals, with the number of providers expected to report a deficit reducing by more than half compared to 2018-19. We also expect overall NHS financial balance to be achieved, with further work taking place with the regions to mitigate risks in plans that emerge.</p><p> </p><p>For the period beyond 2019-20, as set out in the NHS Long Term Plan an Implementation Framework will be published shortly which will set out the next steps the National Health System will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 262386 question first answered 18/06/2019 13:12:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1130907

registered interest
date	10/06/2019
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	NHS: 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 NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to phase in an updated Market Forces Factor over the next five years, applying it to payment arrangements and allocations for 2019-20; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262388
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England and Improvement is responsible for updating the methodology and underlying data used to calculate the market forces factor (MFF).</p><p>The National Health Service published operational planning guidance for clinical commissioning groups and providers on 10 January 2019, which detailed the financial regime for 2019-20. In the National Tariff Payment System for 2019-20, which came into effect on 1 April, the NHS set out that providers will transition to their new MFF values over a five-year period in equal steps, with the MFF moving by a fifth of the distance between the existing and updated MFF values in each year. The NHS manages this as part of the overall position. The MFF values for 2019-20 represent the first year of this transition period.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/06/2019 11:00:15 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1121870

registered interest
date	18/04/2019
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	NHS: 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 from the (a) Sustainability and Transformation Fund and (b) subsequent Provider Sustainability Fund has been (i) awarded to and (ii) spent by (A) NHS trusts, (B) NHS foundation trusts in each financial year since 2016-17.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	245796
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The amounts received by National Health Service trusts and foundations trusts from the Provider Sustainability Fund (PSF) have been published by NHS Improvement at the following links:</p><p>2016-17: <a href="https://improvement.nhs.uk/documents/1264/M12_201617_provider_sector_performance_report_-_Fin_Accts_-_FINAL.pdf" target="_blank">https://improvement.nhs.uk/documents/1264/M12_201617_provider_sector_performance_report_-_Fin_Accts_-_FINAL.pdf</a></p><p>2017-18:</p><p><a href="https://improvement.nhs.uk/documents/2852/Quarter_4_2017-18_performance_report.pdf" target="_blank">https://improvement.nhs.uk/documents/2852/Quarter_4_2017-18_performance_report.pdf</a></p><p>The final distribution of the 2018-19 PSF will be published by NHS Improvement on 30 May 2019.</p><p>NHS trusts’ expenditure is not reported by its income stream; therefore, it is not possible to determine what proportion of the PSF has been spent, though the intention of the fund is that it directly improves trust’s bottom-line surplus/deficit position.</p><p>The balance sheet shows all assets and liabilities held by trusts. However, trusts do not report the source of these assets, i.e. it is not possible to determine what proportion of cash held relates to the PSF.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 245797 question first answered 25/04/2019 16:30:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1121871

registered interest
date	18/04/2019
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	NHS: 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 and what proportion of the funds awarded from the (a) Sustainability and Transformation Fund and (b) Provider Sustainability Fund remained on the balance sheet of each NHS organisation in the 2018-19 financial year; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	245797
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The amounts received by National Health Service trusts and foundations trusts from the Provider Sustainability Fund (PSF) have been published by NHS Improvement at the following links:</p><p>2016-17: <a href="https://improvement.nhs.uk/documents/1264/M12_201617_provider_sector_performance_report_-_Fin_Accts_-_FINAL.pdf" target="_blank">https://improvement.nhs.uk/documents/1264/M12_201617_provider_sector_performance_report_-_Fin_Accts_-_FINAL.pdf</a></p><p>2017-18:</p><p><a href="https://improvement.nhs.uk/documents/2852/Quarter_4_2017-18_performance_report.pdf" target="_blank">https://improvement.nhs.uk/documents/2852/Quarter_4_2017-18_performance_report.pdf</a></p><p>The final distribution of the 2018-19 PSF will be published by NHS Improvement on 30 May 2019.</p><p>NHS trusts’ expenditure is not reported by its income stream; therefore, it is not possible to determine what proportion of the PSF has been spent, though the intention of the fund is that it directly improves trust’s bottom-line surplus/deficit position.</p><p>The balance sheet shows all assets and liabilities held by trusts. However, trusts do not report the source of these assets, i.e. it is not possible to determine what proportion of cash held relates to the PSF.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 245796 question first answered 25/04/2019 16:30:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1047673

registered interest
date	24/01/2019
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	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 January 2019 to Question 209341 on NHS Finance, and with reference to paragraph 5.10 of the Budget 2018 Red Book, what proportion of the NHS budget is (a) spent on (b) for mental health services; what (c) proportion of the NHS budget he plans to spend on and (d) estimate he has made of the NHS budget for mental health services in 2023-24; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	212364
answer	answer is ministerial correction date of answer 31/01/2019 answer text <p>For 2017/18, the most recent year available, the spend on mental health overall, and as a proportion of the overall National Health Service budget, is shown in the following table. This gives information on the mental health expenditure recorded by clinical commissioning groups (CCGs) and specialised commissioned services.</p><p> </p><p>NHS England mental health spend, as a proportion of overall health spend 2017/18</p><table><tbody><tr><td><p> </p></td><td><p>CCG mental health spend</p></td><td><p>Specialised mental health spend</p></td><td><p>Total CCG and specialised mental health</p></td><td><p>CCG and Specialised mental spend as a % of allocation</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p> </p></td></tr><tr><td><p>2017/18</p></td><td><p>10,080</p></td><td><p>1,896</p></td><td><p>11,976</p></td><td><p>13.3%</p></td></tr></tbody></table><p>Source: NHS England</p><p> </p><p>The 2018 Budget confirmed that spend on mental health services will grow as a share of the overall NHS budget over the next five years. The Department does not hold the requested estimated breakdown of future funding into mental health services specifically. How future NHS budgets will be spent will depend on the commissioning decisions of individual commissioner organisations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/01/2019 13:38:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth