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1140808

	registered interest
	date	22/07/2019
	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	Public Health: Expenditure
	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 the (a) NHS budget and (b) local authority public health grant in each year from 2013-14 to 2019-20.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	280248
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <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 2013:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England funding increase %</p></td><td><p>Public Health Grant increase %</p></td></tr><tr><td><p>2013/14</p></td><td><p>First year of NHS England</p></td><td><p>5.5%</p></td></tr><tr><td><p>2014/15</p></td><td><p>3.6%</p></td><td><p>5%</p></td></tr><tr><td><p>2015/16</p></td><td><p>3.3%</p></td><td><p>24%<sup>1,2</sup></p></td></tr><tr><td><p>2016/17</p></td><td><p>5.5%</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%<sup>3</sup></p></td></tr><tr><td><p>2018/19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr><tr><td><p>2019/20</p></td><td><p>7.8%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1 </sup>2015-16 includes a £200 million in-year cut implemented in advance of Spending Review 2015.</p><p><sup>2 </sup>Spending Review 2015 baseline, includes the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 – 5 in October 2015.</p><p><sup>3 </sup>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> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:34:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon

1139367

	registered interest
	date	16/07/2019
	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	Ophthalmic Services
	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 12 April 2019 to Questions 242132 and 242133 on Ophthalmic Services, what assessment he has made of the merits of having a tariff for combined trabecular bypass and cataract procedure that does not cover the cost of a combined procedure; and if his Department will publish the reference cost for the 2017-2019 national tariff for BZ91.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277723
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>In the development of each national tariff, NHS England and NHS Improvement undertakes an overall assessment of the impact of proposals. While this provides an overall assessment of impact, detailed feedback on proposed prices for individual HRGs (units of healthcare) is sought from clinical Expert Working Groups (EWGs). This is to ensure that the published tariff supports clinical practice.</p><p>For the 2017/19 tariff (set for two years), the prices for BZ91 were increased following EWG feedback. However, for the 2019/20 tariff the EWG advised that increasing the prices was no longer appropriate. The EWG felt that there had been a significant change in clinical practice since the 2017/19 prices were set, with a shift to performing minimally invasive glaucoma surgery (MIGS), which are significantly cheaper, rather than open/tube glaucoma procedures. Based on diagnosis and procedure codes entered into patient records, MIGS activity is assigned to the HRG BZ91. However, the current codes do not allow differentiation between MIGS and non-MIGS activity. This means that BZ91 covers procedures of different levels of resource use.</p><p>Reference costs are collected and published annually and the latest published data is for the financial year 2017-18. The reference cost data and links to previous years data can be found at the following link:</p><p><a href="https://improvement.nhs.uk/resources/reference-costs/#rc1718" target="_blank">https://improvement.nhs.uk/resources/reference-costs/#rc1718</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:34:53 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon