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1151313

registered interest
date	22/10/2019
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	Palliative Care: Expenditure
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 funding was allocated to palliative care in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2010.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3568
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3569 3570 question first answered 30/10/2019 16:25:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151316

registered interest
date	22/10/2019
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	Palliative Care: 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 funding his Department plans to allocate to end of life care in each of the next five years.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3571
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.</p><p> </p><p>The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.</p><p>Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.</p><p><br> In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.</p><p> </p><p>NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.</p><p> </p><p>On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3572 3573 question first answered 30/10/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151317

registered interest
date	22/10/2019
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	Palliative Care: 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 his policy is on the funding of hospices; and what levels of funding his Department plans to allocate to palliative care in each financial year until 2025.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3572
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.</p><p> </p><p>The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.</p><p>Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.</p><p><br> In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.</p><p> </p><p>NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.</p><p> </p><p>On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3571 3573 question first answered 30/10/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151318

registered interest
date	22/10/2019
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	Palliative Care: 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 his policy is on allocating funding to hospices in (a) the North East and (b) the UK; and what level of funding his Department plans to allocate to palliative care in each financial year until 2025.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3573
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.</p><p> </p><p>The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.</p><p>Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.</p><p><br> In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.</p><p> </p><p>NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.</p><p> </p><p>On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3571 3572 question first answered 30/10/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151321

registered interest
date	22/10/2019
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: Tyne and Wear
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 adequacy of funding for NHS services in (a) Jarrow constituency and (b) South Tyneside.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3576
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Clinical commissioning group (CCG) allocations for South Tyneside CCG, which covers Jarrow, are shown in the attached table. The CCG is expected to receive more than the England average per head per year in every year from 2019/20 to 2023/24. It has also received above the England average per head per year from 2013/14 to 2017/18.</p><p> </p><p>In 2019/20, South Tyneside and Sunderland NHS Foundation Trust was allocated £2 million Public Dividend Capital for GDE Fast Follower scheme. In addition, North East Ambulance Service NHS Foundation Trust, which covers South Tyneside and Jarrow, secured £835,000</p><p> </p><p>The Trust’s predecessor, City Hospitals Sunderland NHS Foundation Trust, also secured a £887,000 Public Dividend Capital award as part of a national programme for Energy Efficient LED Lighting.</p><p> </p><p>The Department are also aware of a likely award of Public Dividend Capital relating to Urgent and Emergency Care Services provision which is in the process of being allocated and there are a number of ongoing capital funding programmes that the Trust may be considering applications for.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3578 question first answered 30/10/2019 11:51:32 answering member 4362 label Biography information for Edward Argar attachment 1 file name PQ3576 PQ3578 - CCG allocations table.xlsx title pq3576 3578 tables
tabling member	520 label Biography information for Mr Stephen Hepburn

1151323

registered interest
date	22/10/2019
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: South Tyneside
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 funding has been allocated from the public purse for NHS services in South Tyneside in each year since 2010.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3578
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Clinical commissioning group (CCG) allocations for South Tyneside CCG, which covers Jarrow, are shown in the attached table. The CCG is expected to receive more than the England average per head per year in every year from 2019/20 to 2023/24. It has also received above the England average per head per year from 2013/14 to 2017/18.</p><p> </p><p>In 2019/20, South Tyneside and Sunderland NHS Foundation Trust was allocated £2 million Public Dividend Capital for GDE Fast Follower scheme. In addition, North East Ambulance Service NHS Foundation Trust, which covers South Tyneside and Jarrow, secured £835,000</p><p> </p><p>The Trust’s predecessor, City Hospitals Sunderland NHS Foundation Trust, also secured a £887,000 Public Dividend Capital award as part of a national programme for Energy Efficient LED Lighting.</p><p> </p><p>The Department are also aware of a likely award of Public Dividend Capital relating to Urgent and Emergency Care Services provision which is in the process of being allocated and there are a number of ongoing capital funding programmes that the Trust may be considering applications for.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3576 question first answered 30/10/2019 11:51:32 answering member 4362 label Biography information for Edward Argar attachment 1 file name PQ3576 PQ3578 - CCG allocations table.xlsx title pq3576 3578 tables
tabling member	520 label Biography information for Mr Stephen Hepburn

1151415

registered interest
date	22/10/2019
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	Mental Health Services: Equality
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 has taken to ensure equity of access to mental health treatment.
tabling member constituency	Bethnal Green and Bow
tabling member printed	Rushanara Ali
uin	3657
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We are making good progress on putting mental health services on an equal footing as those for physical health.</p><p> </p><p>The Five Year Forward View for Mental Health, published in 2016, made a set of recommendations for the National Health Service to achieve the ambition of parity of esteem between mental and physical health for children, young people, adults and older people. We continue to work with the NHS to deliver on these recommendations with the majority expected to be met by 2020/21.</p><p> </p><p>Investment in mental health services continues to rise. Total mental health spend in 2018/19 was £12.5 billion, up from £9.15 billion in 2015/16. The mental health investment standard requires clinical commissioning groups (CCGs) to increase the amount spent on mental health by at least as much as their overall budget. In 2018/19, all CCGs achieved this level of investment.</p><p> </p><p>The NHS Long Term Plan committed at least a further £2.3 billion a year to mental health services by 2023/24. This ring-fenced investment will continue the transformation and expansion of services for people with mental health conditions, building on our current targets. For the first time, children and young people’s mental health services will grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3799 question first answered 29/10/2019 14:53:35 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4138 label Biography information for Rushanara Ali

1151416

registered interest
date	22/10/2019
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	Mental Health Services: Children
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 has taken to improve the provision of mental health services for children aged five to 16.
tabling member constituency	Bethnal Green and Bow
tabling member printed	Rushanara Ali
uin	3658
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>Protecting our children’s mental health is a priority for this Government, and a core part of the NHS Long Term Plan.</p><p> </p><p>We made available £1.4 billion to improve specialist children and young people’s mental health services between 2015-21. Through the NHS Long Term Plan, mental health across all ages will receive a growing share of the National Health Service budget, worth at least a further £2.3 billion a year in real terms by 2023/24. Moreover, funding for children and young people’s mental health services will, for the first time, grow as a proportion of all mental health funding, which will itself also be growing faster than funding for the NHS overall.</p><p> </p><p>In December 2018, we announced 25 Trailblazer sites which will run the first wave of 59 Mental Health Support Teams, which will be fully operational by the end of 2019. On 12 July, we announced that a further 124 Mental Health Support Teams are to be set up across 57 sites.</p><p> </p><p>We remain committed to rolling out our new approach to at least a fifth to a quarter of the country by the end of 2022/23 subject to learning from the first wave.</p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 29/10/2019 14:54:14 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4138 label Biography information for Rushanara Ali

1151452

registered interest
date	22/10/2019
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	Intensive Care: Private Sector
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 implications of his Department’s policy of outsourcing healthcare for patients in need of intense 24 hour care.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	3798
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>This Government is fully committed to the National Health Service as a public service free at the point of need, whether care is provided by NHS organisations or by the private, voluntary or social enterprise sectors.</p><p><br> No assessment has been made by the Department of the implications of outsourcing healthcare for patients, which in this instance we have taken to mean intense 24-hour NHS-Continuing Healthcare care. It is the responsibility of commissioners of NHS healthcare services to ensure that the NHS provides the highest quality of services possible, on a financially and operationally sustainable footing. For that reason, the Department neither bans nor promotes the use of the private, voluntary or social enterprise sectors – the key is whether outcomes for patients improve.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 30/10/2019 11:55:13 answering member 4362 label Biography information for Edward Argar
tabling member	4511 label Biography information for Dr Rupa Huq

1151466

registered interest
date	22/10/2019
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	Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress his Department has made on achieving parity of esteem for mental and physical health.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	3799
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We are making good progress on putting mental health services on an equal footing as those for physical health.</p><p> </p><p>The Five Year Forward View for Mental Health, published in 2016, made a set of recommendations for the National Health Service to achieve the ambition of parity of esteem between mental and physical health for children, young people, adults and older people. We continue to work with the NHS to deliver on these recommendations with the majority expected to be met by 2020/21.</p><p> </p><p>Investment in mental health services continues to rise. Total mental health spend in 2018/19 was £12.5 billion, up from £9.15 billion in 2015/16. The mental health investment standard requires clinical commissioning groups (CCGs) to increase the amount spent on mental health by at least as much as their overall budget. In 2018/19, all CCGs achieved this level of investment.</p><p> </p><p>The NHS Long Term Plan committed at least a further £2.3 billion a year to mental health services by 2023/24. This ring-fenced investment will continue the transformation and expansion of services for people with mental health conditions, building on our current targets. For the first time, children and young people’s mental health services will grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3657 question first answered 29/10/2019 14:53:35 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4511 label Biography information for Dr Rupa Huq