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100035

	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	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
	tabling member printed	Baroness McDonagh
	uin	HL2241
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

517583

	registered interest
	date	04/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how the governance arrangements put in place to oversee the development of Sustainability and Transformation Plans will ensure appropriate accountability to Parliament for decisions made.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8176
	answer	answer is ministerial correction date of answer 10/05/2016 answer text <p>The development of Sustainability and Transformation Plans does not alter the existing statutory responsibilities of clinical commissioning groups, local authorities and NHS arms length bodies. Sustainability and Transformation Plans are designed to enable local health and care leaders to work together more collaboratively to help each other meet their statutory responsibilities more effectively and efficiently. They do not alter existing arrangements for accountability.</p> answering member printed Lord Prior of Brampton question first answered 10/05/2016 13:00:10 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

517584

	registered interest
	date	04/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what form of delegation from Clinical Commissioning Groups is being made to ensure appropriate governance in relation to Sustainability and Transformation Plans.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8177
	answer	answer is ministerial correction date of answer 10/05/2016 answer text <p>Clinical commissioning groups (CCGs) remain accountable for securing high-quality healthcare services for their local populations. In some areas, CCGs have established or are planning to establish collaborative commissioning arrangements across a number of CCGs and/or with local authorities, where they consider that this will help them improve quality and outcomes for their local population.</p> answering member printed Lord Prior of Brampton question first answered 10/05/2016 14:45:26 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

517585

	registered interest
	date	04/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what formal public consultation will need to take place before Sustainability and Transformation Plans are submitted to NHS England by 30 June.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8178
	answer	answer is ministerial correction date of answer 10/05/2016 answer text <p>Where Sustainability and Transformation plans envisage changes to the way that NHS services are commissioned or delivered, it will be the responsibility of the relevant clinical commissioning groups to involve patients and the public in considering and making decisions on those proposals, in line with their duties under the National Health Service Act 2006.</p> answering member printed Lord Prior of Brampton grouped question UIN HL8179 question first answered 10/05/2016 12:57:02 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

517586

	registered interest
	date	04/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what formal public consultation will need to take place when Sustainability and Transformation Plans are given approval by NHS England.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8179
	answer	answer is ministerial correction date of answer 10/05/2016 answer text <p>Where Sustainability and Transformation plans envisage changes to the way that NHS services are commissioned or delivered, it will be the responsibility of the relevant clinical commissioning groups to involve patients and the public in considering and making decisions on those proposals, in line with their duties under the National Health Service Act 2006.</p> answering member printed Lord Prior of Brampton grouped question UIN HL8178 question first answered 10/05/2016 12:57:02 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

517587

	registered interest
	date	04/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what role local authorities will play in the development of Sustainability and Transformation Plans other than through membership of Health and Wellbeing Boards.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8180
	answer	answer is ministerial correction date of answer 10/05/2016 answer text <p>The NHS Planning Guidance, published in December 2015, explained that the success of Sustainability and Transformation Plans will depend on having an open, engaging, and iterative process that harnesses the energies of clinicians, patients, carers, citizens, local authorities, health and wellbeing boards, and local community partners. Local authorities should be fully engaged in the development of all Sustainability and Transformation Plans. In some cases, local National Health Service organisations have agreed with local authorities that a senior council leader will lead the Sustainability and Transformation Plan for their area.</p> answering member printed Lord Prior of Brampton question first answered 10/05/2016 12:55:33 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

603964

	registered interest
	date	17/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how much money has been (1) spent, and (2) committed to be spent, on consultancies in the preparation of NHS sustainability and transformation plans.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2360
	answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>Sustainability and Transformation Plans are local plans and have been developed locally. Neither the Department nor NHS England collects data on whether these plans have been developed with outside advice.</p> answering member printed Lord Prior of Brampton question first answered 25/10/2016 16:29:41 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

603965

	registered interest
	date	17/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what governance arrangements are in place to ensure that expenditure committed in the preparation of NHS sustainability and transformation plans provides value for money.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2361
	answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>Sustainability and Transformation Plans (STPs) themselves are drawn up collaboratively by existing organisations in the local areas, utilising existing resources. In addition, national bodies are working directly with STP teams to ensure local plans are as strong and deliverable as possible, and that financial plans achieve the best results for patients and communities within the resources available.</p> answering member printed Lord Prior of Brampton question first answered 25/10/2016 16:30:22 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

640797

	registered interest
	date	21/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what criteria they use to measure the success of NHS Sustainability and Transformation Plans.
	tabling member printed	Baroness Smith of Basildon
	uin	HL3390
	answer	answer is ministerial correction date of answer 01/12/2016 answer text <p>In order to be successful in transforming their local health and care system, Sustainability and Transformation Plans (STPs) will need to demonstrate strong leadership, local engagement, an ambitious vision and a plan for financial sustainability.</p><p> </p><p>Over time STPs will be monitored on improvements in the quality of their local health services. Most importantly, through the work they are doing as a system, STPs will need to demonstrate a step change in patient outcomes in areas that have been identified a priority for the National Health Service such as mental health, cancer and primary care.</p> answering member printed Lord Prior of Brampton question first answered 01/12/2016 16:02:11 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4170 label Biography information for Baroness Smith of Basildon

678852

	registered interest
	date	25/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what criteria will be used to judge whether NHS sustainability and transformation plans have been the result of meaningful local community engagement and reflect local context, needs and financial situations.
	tabling member printed	Baroness Redfern
	uin	HL5003
	answer	answer is ministerial correction date of answer 08/02/2017 answer text <p>In NHS England’s 30 June and 21 October 2016 STP submission guidance, NHS England set out clear expectations that STPs would include the following elements as part of their plans:</p><p> </p><p>- A plan to engage more formally with NHS boards and those of their partners after the July conversations between STP leads and representatives from national bodies;</p><p>- Evidence of how footprints have engaged organisations and other key stakeholders so far, and with whom they are still to engaged; and</p><p>- Evidence or plans to involve staff, clinicians and care professionals, patients and Health and Wellbeing Boards etc.</p><p> </p><p>Copies of the 30 June and 21 October guidance documents are attached.</p><p> </p><p>NHS England has made clear that STP partners should work with the knowledge, skills and experience of people in their communities. To support this, it jointly produced a practical guide for those developing plans in each of the 44 footprint areas and the statutory organisations that form part of them.</p><p>A copy of this guidance <em>Engaging local people: A guide for local areas developing Sustainability and Transformation Plans</em> is attached.</p><p> </p><p>Those STP areas that are more advanced in their plans have begun formal consultation in line with business as usual requirements for service changes. Even where this is not taking place, dialogue with local people is essential throughout. Local community and voluntary sector engagement will be a central factor in national bodies’ consideration of individual local proposals and the support they give to local areas to deliver them.</p> answering member printed Lord O'Shaughnessy attachment 1 file name engag-local-people-stps.pdf title Engaging local people 2 file name STPs - STP October 2016 guidance letter.pdf title 21 October Guidance 3 file name stp-submission-guidance-june.pdf title 30 June Guidance grouped question UIN HL5004 question first answered 08/02/2017 17:21:55 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4551 label Biography information for Baroness Redfern