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1171854

registered interest
date	20/01/2020
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	Doctors: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of reducing the annual allowance for pension growth on senior doctors and consultants in the NHS retiring early.
tabling member constituency	Gower
tabling member printed	Tonia Antoniazzi
uin	5504
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 5505 question first answered 23/01/2020 12:14:14 answering member 4362 label Biography information for Edward Argar
tabling member	4623 label Biography information for Tonia Antoniazzi

1171855

registered interest
date	20/01/2020
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	Doctors: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what representations he has received from senior doctors and consultants on changes to the NHS Pension Scheme.
tabling member constituency	Gower
tabling member printed	Tonia Antoniazzi
uin	5505
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 5504 question first answered 23/01/2020 12:14:14 answering member 4362 label Biography information for Edward Argar
tabling member	4623 label Biography information for Tonia Antoniazzi

1171869

registered interest
date	20/01/2020
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	Accident and Emergency Departments: Standards
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 forreplacement for the four-hour A&E target time to improve the efficiency of (a) health services and (b) patient care.
tabling member constituency	Ceredigion
tabling member printed	Ben Lake
uin	5506
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>At the Government’s request, NHS England and NHS Improvement are working with clinical leaders across the system to review our standards as part of the clinically-led review of access standards. The recommendations of the review will be carefully studied, and any recommended changes will be based on clinical evidence to ensure the best outcome for patients. We will update on this in due course.</p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 23/01/2020 14:46:28 answering member 4362 label Biography information for Edward Argar
tabling member	4630 label Biography information for Ben Lake

1172020

registered interest
date	20/01/2020
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: Pensions
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 plans to devolve increased employer pension contributions to local clinical commissioning groups.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	5429
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>We intend in due course to devolve funding for the increased employer contribution rate in the NHS Pension Scheme although a date has not yet been set. For 2019/20, the Department, NHS England and NHS Improvement and the NHS Business Services Authority agreed a transitional arrangement to distribute the pensions revaluation funding following an increase to the employer contribution rate from 14.38% (inclusive of the 0.08% administration levy) to 20.68% from 1 April 2019.</p><p>The employer contribution cost arrangements for 2020/21 will be confirmed in the 2020/21 Operational Planning Guidance document which will be released towards the end of January 2020.</p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 23/01/2020 12:10:14 answering member 4362 label Biography information for Edward Argar
tabling member	4243 label Biography information for Dan Jarvis

1171340

registered interest
date	16/01/2020
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	Joint Replacements: Waiting Lists
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 meet the NHS's 18-week maximum waiting time for planned hip and knee joint replacement surgery.
tabling member constituency	Chatham and Aylesford
tabling member printed	Tracey Crouch
uin	4330
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The NHS Long Term Plan sets out our plans for transformation and improvement across the National Health Service. In the shorter term, the NHS Accountability Framework for 2019-20 outlines how NHS England and NHS Improvement will continue ongoing service development, including for hip and knee surgery, so that performance is maintained and improved, including with the commencement of the redesign of outpatient services. The 2019-20 framework is available via the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/803114/accountability-framework-to-nhse-and-nhsi-2019-to-2020.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/803114/accountability-framework-to-nhse-and-nhsi-2019-to-2020.pdf</a></p><p>Further to this, at the Government’s request, NHS England and NHS Improvement are also working with clinical leaders across the system to review our performance standards and will update on this in due course.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 23/01/2020 14:44:47 answering member 4362 label Biography information for Edward Argar
tabling member	3950 label Biography information for Dame Tracey Crouch

1170929

registered interest
date	15/01/2020
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	Department of Health and Social Care: Brexit
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 his Department has allocated to preparation for leaving the EU without a deal (a) since 2016 and (b) since March 2019.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	3836
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>Since 2016, £6.3 billion has been made available for Government wide preparations, of which the Department has been allocated £355 million. This includes allocations of £334 million for financial year 2019-20.</p><p>Due to the nature of European Union exit spend, we do not hold the information to be able to determine specific ‘no deal’ spend from wider EU exit spend.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 23/01/2020 14:52:10 answering member 4362 label Biography information for Edward Argar
tabling member	4471 label Biography information for Rachael Maskell