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1012273

	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	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 November 2018 analysis from the Nuffield Trust on the effect on the cost of NHS services of leaving the EU without a deal, what contingency plans he has put in place to tackle the estimated £2.3 billion in additional annual costs.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	194697
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Government is committed to ensuring leaving the European Union is a success for the health and social care sector as well as the United Kingdom as a whole.</p><p> </p><p>The Department continually assesses the implications of the UK leaving the EU, to help ensure the best outcome for the health and care sectors. This includes understanding the financial implications of the UK exiting the EU for the National Health Service and wider care system, and, where appropriate, mitigation planning for any risks. The Department is working with its partners across Government, arms-length bodies and industry to ensure that all relevant parties are prepared for exiting the EU, and the Secretary of State sends regular communication to frontline NHS organisations about EU Exit preparations.</p><p> </p><p>It is in everyone’s interests to secure a good deal for both sides. We expect to secure a good deal. However, it is the duty of a responsible government to contingency-plan for all potential EU exit scenarios, and that is exactly what we are doing. Our plans are well developed and have been designed to provide the flexibility to respond to all scenarios and ensure the smoothest exit in all outcomes. The quality and safety of patient care is paramount in our negotiations and preparedness plans.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 14:01:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4518 label Biography information for Tulip Siddiq

1020809

	registered interest
	date	07/12/2018
	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	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, what discussions he has had with the Chancellor of the Exchequer on making available additional funding for the NHS to prepare for a potential increase in demand for health services between December 2018 and March 2019.
	tabling member constituency	Sunderland Central
	tabling member printed	Julie Elliott
	uin	200129
	answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>My Rt hon. Friend The Secretary of State for Health and Social Care regularly meets with colleagues across Government to discuss a range of subjects. The Government is supporting the National Health Service with £1.6 billion of extra resource for 2018-19 to support accident and emergency and elective care performance. In addition, the Government has provided £145 million capital funding to support emergency care across the country to prepare for winter pressures; £36 million for ambulance trusts, which will go towards buying 256 new state-of-the-art ambulances; and, £240 million for local authorities to help ease winter pressures on the NHS, getting patients home quicker and freeing up hospital beds across England.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:47:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4127 label Biography information for Julie Elliott

1038034

	registered interest
	date	08/01/2019
	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, whether his Department's estimate of the funding required to deliver the NHS Long Term Plan reflects a potential reduction in investment after the UK leaves the EU.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	206305
	answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>In its estimate of the funding required to deliver the NHS Long Term Plan, the Department has not assumed any change in investment after the United Kingdom leaves the European Union. The National Health Service has confirmed the Long Term Plan is fully costed. The extra funding for the NHS will still apply in all exit scenarios in order to ensure it is there for the long term.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/01/2019 12:33:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger

1038447

	registered interest
	date	09/01/2019
	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, whether he has made an assessment of the validity of the October 2018 analysis by the Nuffield Trust showing an NHS funding shortfall of about £1 billion in 2019-20; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	206793
	answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>We do not agree that there will be a shortfall in 2019-20, and the Nuffield Trust’s analysis, dated 26 October 2018, concludes that once recurrent efficiencies are factored in there is financial headroom within the National Health Service’s long-term settlement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/01/2019 16:12:26 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1038952

	registered interest
	date	10/01/2019
	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, if his Department will publish correspondence with (a) NHS England and (b) NHS Improvement on any (i) assessment and (b) analysis that indicates a funding shortfall of more than £1 billion in 2019-20.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	207213
	answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>We have had no correspondence with NHS England or NHS Improvement regarding the Nuffield Trust’s analysis, dated 26 October 2018. We do not agree there is a shortfall in 2019-20, and the aforementioned analysis concludes that once recurrent efficiencies are factored in, there is financial headroom within the National Health Service long term settlement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/01/2019 12:30:56 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1042267

	registered interest
	date	16/01/2019
	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, what recent estimate his Department has made of funding in (a) 2019-20, (b) 2020-21, (c) 2021-22, (d) 2022-23 and (e) 2023-24 for (i) the acute sector, (ii) primary care, (iii) cancer services, (iv) mental health services, (e) community services, (f) NHS IT and digital services, (g) maternity services, (h) medicines and pharmaceuticals, (j) mental health, (k) diabetes and (l) dementia services; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	209341
	answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>Alongside publication of the NHS’s Long Term Plan, the Government has confirmed its final cash settlement for the National Health Service, which will see the NHS budget grow by £33.9 billion in cash terms by 2023-24, compared to 2018-19. This is equivalent to the £20.5 billion real terms increase set out last June and reiterated at Budget 2018.</p><p> </p><p>The following table confirms the NHS England resource budget in each year under this final settlement, which has been agreed with the NHS as the basis of its fully costed Plan. This excludes NHS England revenue budgets for depreciation and impairments, which will be handled separately. Furthermore, it excludes additional funding for NHS pension costs arising as a result of the ongoing revaluation of public sector pensions that the Treasury has made provision for, as outlined in June 2018 and at Budget 2018.</p><p> </p><table><tbody><tr><td><p>NHS England Resource Departmental Expenditure Limit (excluding depreciation)</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td><td><p>2020-21</p></td><td><p>2021-22</p></td><td><p>2022-23</p></td><td><p>2023-24</p></td></tr><tr><td><p>Nominal budget (£ billion)</p></td><td><p>114.60</p></td><td><p>120.81</p></td><td><p>127.01</p></td><td><p>133.28</p></td><td><p>139.99</p></td><td><p>148.47</p></td></tr></tbody></table><p> </p><p>The Department does not hold the requested breakdown of funding into the service and sector categories listed. How the NHS budget set out above is spent will depend on the commissioning decisions of individual commissioner organisations.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 17:29:33 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1043054

	registered interest
	date	17/01/2019
	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 his oral contribution of 7 January 2019, Official Report column 80, when he plans to publish the local provision funding increases for the first year of the NHS Long Term Plan.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	209758
	answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>NHS England set clinical commissioning group (CCG) allocations. The National Health Service published draft five-year CCG allocations for 2019/20 to 2023/24 on 10 January 2019 at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/draft-ccg-allocations-2019-20-to-2023-24-core-services/" target="_blank">https://www.england.nhs.uk/publication/draft-ccg-allocations-2019-20-to-2023-24-core-services/</a></p><p> </p><p>These are subject to final approval by the NHS England Board on 31 January 2019.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/01/2019 17:04:07 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1436 label Biography information for Paul Farrelly

1045900

	registered interest
	date	22/01/2019
	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, what criteria his Department uses to capture the costs of rurality in allocating NHS funding.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	211202
	answer	answer is ministerial correction date of answer 29/01/2019 answer text <p>NHS England is responsible for decisions on the weighted-capitation formula used to allocate resources between clinical commissioning groups. This process is independent of Government. NHS England takes advice from the Advisory Committee on Resource Allocation, a group of academics and other experts.</p><p> </p><p>Target allocations include three adjustments that specifically support remote or sparsely populated areas:</p><p>- an emergency ambulance costs adjustment to reflect longer travel times in sparsely populated areas;</p><p>- an adjustment to remove from the formula supply induced demand in urban areas where people live close to a hospital; and</p><p>- an adjustment to support continued provision by hospitals with 24 hours, seven days a week accident and emergency services that are remote from the wider hospital network and have unavoidably higher costs.</p><p> </p><p>The tendency for rural populations to be older, is naturally taken into account in the overall formula.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/01/2019 17:39:38 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4249 label Biography information for Anne Marie Morris

1046080

	registered interest
	date	22/01/2019
	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, what estimate he has made of the number of NHS and foundation trusts expected to be in deficit at the end of the 2018-19 financial year; and whether the NHS trust sector as a whole is expected to be in deficit at the end of the 2018-19 financial year.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	211285
	answer	answer is ministerial correction date of answer 29/01/2019 answer text <p>The latest published information, as at Quarter 2 2018-19, forecasted that 111 National Health Service providers would end the year in deficit; with the provider sector overall forecasting a year-end deficit of £558 million.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/01/2019 17:35:47 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1050241

	registered interest
	date	28/01/2019
	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, how much of the £300 Million funding announced in the 2015 Comprehensive Spending Review been allocated to (a) new diagnostic equipment and (b) additional staff capacity.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	213314
	answer	answer is ministerial correction date of answer 31/01/2019 answer text <p>The 2015 Comprehensive Spending Review made a commitment to invest up to £300 million per year by 2020/21. The published financial profile agreed for the NHS England Cancer Programme over the four years to 2020/21 was:</p><p> </p><table><tbody><tr><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td><td><p>2020/21</p></td></tr><tr><td><p>£123 million</p></td><td><p>£140 million</p></td><td><p>£154 million</p></td><td><p>£190 million</p></td></tr></tbody></table><p> </p><p>This is being invested in earlier diagnosis and personalised care, including additional staff capacity and equipment.</p><p> </p><p>In addition, £130 million has been invested to modernise radiotherapy equipment. Funding has been allocated for over 80 new or upgraded linear accelerators across the country since October 2016.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 31/01/2019 11:36:19 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1604 label Biography information for Mr Virendra Sharma