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1144677

	registered interest
	date	04/09/2019
	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: Capital Investment
	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 capital funding has been (a) allocated to and (b) spent by (i) NHS foundation trusts and (ii) NHS trusts per capita in each of the last five years.
	tabling member constituency	Totnes
	tabling member printed	Dr Sarah Wollaston
	uin	286728
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>National Health Service capital expenditure by NHS providers is funded in large part through their ability to generate income via trading activity with Commissioners. This internally generated financing is supplemented by Departmental financing in the form of repayable capital loans and Public Dividend Capital (PDC) for specific strategic initiatives, for example sustainability and transformation partnerships funding; for investment to address pressures on urgent and emergency care over the winter period or for investment in strategic technology fields.</p><p>Details of these investments can be found in the annual report ‘Financial Assistance under Section 40 of the National Health Service Act 2006’, which is published alongside the Department’s Annual Report. This can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/dhsc-annual-report-and-accounts-2018-to-2019" target="_blank">https://www.gov.uk/government/publications/dhsc-annual-report-and-accounts-2018-to-2019</a></p><p>The following table provides detail of the outturn Capital Departmental Expenditure Limit (CDEL) for foundation trusts and NHS trusts over the past five years.</p><p>It is not possible to provide this information ‘per capita’ as there is no fixed population or geographical boundary for any given hospital trust.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td></tr><tr><td><p>Foundation Trust CDEL Outturn Expenditure (£,000s)</p></td><td><p>1,925,555</p></td><td><p>1,795,693</p></td><td><p>1,815,837</p></td><td><p>2,061,023</p></td><td><p>2,380,091</p></td></tr><tr><td><p>NHS Trust CDEL Outturn Expenditure (£,000s)</p></td><td><p>1,381,276</p></td><td><p>1,146,203</p></td><td><p>1,049,501</p></td><td><p>1,002,017</p></td><td><p>1,551,799</p></td></tr><tr><td><p>Total NHS Provider CDEL Outturn Expenditure (£,000s)</p></td><td><p>3,306,831</p></td><td><p>2,941,896</p></td><td><p>2,865,338</p></td><td><p>3,063,040</p></td><td><p>3,931,890</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:54:15 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4073 label Biography information for Dr Sarah Wollaston

1144377

	registered interest
	date	03/09/2019
	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	Hospitals: North West
	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 clinical service incidents caused by estates and infrastructure failure were recorded by NHS trusts and foundation trusts within NHS North West in each of the last five years.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	286110
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Through the annual Estates Return Information Collection, data is collected annually on the number of incidents caused by estates and infrastructure failure which resulted in clinical services being delayed, cancelled or otherwise interfered with owing to problems or failures related to the estates and infrastructure failure. For National Health Service trusts and NHS foundation trusts, the data available is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of clinical service incidents caused by estates and infrastructure failure</p></td></tr><tr><td><p>2015/16</p></td><td><p>256</p></td></tr><tr><td><p>2016/17</p></td><td><p>97</p></td></tr><tr><td><p>2017/18</p></td><td><p>841</p></td></tr></tbody></table><p>This data was not collected before 2015/16.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:22:19 answering member 4021 label Biography information for Chris Skidmore
	tabling member	481 label Biography information for Sir George Howarth

1144381

	registered interest
	date	03/09/2019
	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: Capital Investment
	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 bids for capital spending has (a) his Department and (b) NHS England received from NHS organisations in each of the last five years.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	286113
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The number of bids received by the Department and NHS England and NHS Improvement for capital spending are not held centrally and could only be obtained at disproportionate cost.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:24:21 answering member 4021 label Biography information for Chris Skidmore
	tabling member	481 label Biography information for Sir George Howarth

1142965

	registered interest
	date	02/09/2019
	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	Health Services: Northern Ireland
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether doctors and healthcare workers in Northern Ireland will be permitted in the course of their employment to be in possession of medication in the Republic of Ireland in the event that the UK leaves the EU without a deal.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	284198
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Health and care professionals possessing dual registration in Ireland and Northern Ireland will continue to be able to work across the border should we leave the European Union without a deal. Those who are currently able to write prescriptions for both Ireland and Northern Ireland will still be able to do so.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:26:26 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4666 label Biography information for Dr Paul Williams

1142983

	registered interest
	date	02/09/2019
	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 England: Contracts
	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 fines have been issued by NHS England to private companies that run contracted services for the NHS as a result of (a) not complying with a contractual agreement and (b) services falling below the standard required in each of the last five years.
	tabling member constituency	Wansbeck
	tabling member printed	Ian Lavery
	uin	284494
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Neither the Department nor NHS England holds information on the number of ‘fines’ that have been issued by NHS England to private companies that run contracted services.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:37:27 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4139 label Biography information for Ian Lavery

1143133

	registered interest
	date	02/09/2019
	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	Dialysis Machines: British Nationals Abroad
	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 his European counterparts to ensure that British residents can access dialysis when travelling to countries (a) within the EU and (b) which have existing health agreements with the EU.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	284559
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has proposed to all European Union Member States that when we leave, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to healthcare provision for United Kingdom nationals and EU citizens.</p><p>A number of member states, including Spain and Belgium, have already prepared legislation that will protect the healthcare rights of UK nationals travelling and living in-country after 31 October 2019.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:45:10 answering member 4021 label Biography information for Chris Skidmore
	tabling member	252 label Biography information for Dr David Drew

1143135

	registered interest
	date	02/09/2019
	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	Dialysis Machines: Reciprocal Arrangements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to ensure that existing mutual aid arrangements for dialysis will continue after the UK leaves the EU; and if he will make a statement.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	284801
	answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The Government has proposed to all European Union Member States that if the United Kingdom leaves the EU without a deal, we should maintain existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to healthcare provision for UK nationals and EU citizens. This is subject to negotiations, which are ongoing, and we are hopeful that we can agree reciprocal healthcare arrangements.</p><p>A number of Member States, including Spain and Belgium, have already prepared legislation that will protect the healthcare rights of UK-insured individuals travelling and living in-country after 31 October 2019.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 05/09/2019 16:39:08 answering member 4021 label Biography information for Chris Skidmore
	tabling member	252 label Biography information for Dr David Drew

1143191

	registered interest
	date	02/09/2019
	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	Insulin
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that an adequate supply of insulin is available in the event that the UK leaves the EU without a deal.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	284604
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>As part of a responsible Government, the Department is doing everything appropriate to prepare for European Union exit. We want to reassure patients that we should be fully prepared for leaving on 31 October, and that our plans should ensure the supply of medicines and medical products remains uninterrupted when we leave the EU on 31 October.</p><p>The Department, in consultation with the devolved administrations, has been working with trade bodies, product suppliers, and the health and care system in England to make detailed plans that should ensure continuation of the supply of medicines and medical products, including insulin, to the whole of the United Kingdom and its Crown Dependencies.</p><p>On 26 June, we wrote to suppliers of medicines to the UK from or via the EU or European Economic Area setting out our continuing multi-layered approach to support continuity of supply of medicines and medical products from 31 October.</p><p>Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:30:02 answering member 4021 label Biography information for Chris Skidmore
	tabling member	478 label Biography information for Lord Field of Birkenhead

1143276

	registered interest
	date	02/09/2019
	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure the availability of ongoing radiotherapy treatment in the event that the UK leaves the EU without a deal.
	tabling member constituency	Bristol East
	tabling member printed	Kerry McCarthy
	uin	284594
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>As part of a responsible Government, the Department is doing everything appropriate to prepare for European Union exit. We want to reassure patients that our plans should ensure the supply of medicines and medical products remains uninterrupted when we leave EU on 31 October.</p><p>The Department, in consultation with the devolved administrations, has been working with trade bodies, product suppliers, and the health and care system in England to make detailed plans that should ensure continuation of the supply of medical products, including those for use in radiotherapy, to the whole of the United Kingdom and its Crown Dependencies.</p><p>As with our plans leading up to 29 March, for those medicines that cannot be stockpiled because, for example, they have short shelf-lives, such as medical radioisotopes for use in radiotherapy, we have asked suppliers to make alternative arrangements, using airfreight, which some suppliers are already doing now. We have offered support to companies to arrange this.</p><p>On 26 June, we wrote to suppliers of medicines to the UK from or via the EU or European Economic Area setting out our continuing multi-layered approach to support continuity of supply of medicines and medical products from 31 October.</p><p>Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:34:30 answering member 4021 label Biography information for Chris Skidmore
	tabling member	1491 label Biography information for Kerry McCarthy

1143283

	registered interest
	date	02/09/2019
	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	Kidney Diseases: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to protect the supply and space for storage of medicines, equipment and consumables required for the treatment of kidney disease patients in the event that the UK leaves the EU without a deal.
	tabling member constituency	Wigan
	tabling member printed	Lisa Nandy
	uin	284605
	answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>As part of a responsible Government, the Department is doing everything appropriate to prepare for European Union exit. We want to reassure patients that we should be fully prepared for leaving on 31 October, and that our plans should ensure the supply of medicines and medical products remains uninterrupted when we leave the EU.</p><p>The Department is implementing a multi-layered approach, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages. This should ensure the continuity of supply of medicines and medical products following EU exit.</p><p> </p><p>The scope includes medicines, medical devices and clinical consumables, including those related to the treatment of kidney disease.</p><p> </p><p> </p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 05/09/2019 16:34:20 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4082 label Biography information for Lisa Nandy