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806149

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which Clinical Commissioning Groups are forecasting an overspend for the 2017-18 financial year.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	119350
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>NHS England Quarter 2 Financial Performance reports show the clinical commissioning groups forecasting an overspend for the 2017-18 financial year. These can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/11/financial-information-q2-17-18.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/11/financial-information-q2-17-18.pdf</a></p><p> </p><p><strong> </strong></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/12/2017 16:43:50 answering member 1542 label Biography information for Philip Dunne
tabling member	429 label Biography information for Derek Twigg

802313

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by what method his Department requires CCGs to show they have regard for NICE guidelines.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	118000
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) clinical guidelines provide authoritative, evidence-based guidance for healthcare professionals on the most effective ways to treat and care for patients. They are based on a thorough assessment of the available evidence and are developed through wide consultation with stakeholders. As such, the Government expects National Health Service organisations to take them fully into account in the care and treatment of individual patients, but there is no explicit legal requirement on clinical commissioning groups (CCGs) to have regard to them and there is no central process for monitoring CCG compliance with NICE guidelines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118002 question first answered 14/12/2017 14:24:06 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

802315

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, who is responsible for monitoring the legal duty of CCGs to have regard for NICE guidelines.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	118002
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) clinical guidelines provide authoritative, evidence-based guidance for healthcare professionals on the most effective ways to treat and care for patients. They are based on a thorough assessment of the available evidence and are developed through wide consultation with stakeholders. As such, the Government expects National Health Service organisations to take them fully into account in the care and treatment of individual patients, but there is no explicit legal requirement on clinical commissioning groups (CCGs) to have regard to them and there is no central process for monitoring CCG compliance with NICE guidelines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118000 question first answered 14/12/2017 14:24:06 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

795593

registered interest
date	27/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the mean level of funding was, per patient, for each English Clinical Commissioning Group in the last financial year for which figures are available.
tabling member constituency	Tynemouth
tabling member printed	Mr Alan Campbell
uin	116013
answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>NHS England’s published clinical commissioning group (CCG) allocation figures are published, and accessible via the link below. Per capita allocations are found in column nine, and figures from the last financial year – 2016-17 – begin on page one. Data for North Tyneside CCG can also be found on this page.</p><p> </p><p>These figures are as published when allocations were updated in January 2016, and thus do not include any adjustments that may subsequently have been made locally. It should be noted that these figures relate to funding for core CCG services only; they do not, for example, include primary medical care.</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/01/ccg-allocations.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/01/ccg-allocations.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 116012 question first answered 05/12/2017 14:17:31 answering member 1542 label Biography information for Philip Dunne
tabling member	529 label Biography information for Sir Alan Campbell

794121

registered interest
date	22/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which CCG's have experienced a reduction in the number of referrals in 2017-18; and by what (a) percentage and (b) number of cases each such CCG's referrals have so reduced.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	115209
answer	answer is ministerial correction date of answer 27/11/2017 answer text <p>The information is not collected in the format requested and could only be obtained at disproportionate cost.</p><p> </p><p>Official statistics are published by NHS England throughout the year for specific work areas, including consultant-led referral to treatment and cancer waiting times. The publication calendar can be accessed online.</p><p> </p><p>This information is published at both provider and commissioner level and can be found at this link:</p><p><a href="https://www.england.nhs.uk/statistics/12-months-statistics-calendar/" target="_blank">https://www.england.nhs.uk/statistics/12-months-statistics-calendar/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/11/2017 16:45:54 answering member 4067 label Biography information for Steve Brine
tabling member	429 label Biography information for Derek Twigg

790988

registered interest
date	16/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, who is responsible for (a) appointing and (b) removing chief clinical officers of Clinical Commissioning Groups.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	113507
answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>Responsibility for the appointment and removal of a chief clinical officer lies with the clinical commissioning group and is undertaken within a framework set by NHS England.</p><p> </p><p>NHS England has produced guidance to support the employment of senior managers in clinical commissioning groups and is available at:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/10/ccg-snr-appt-guidance.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/10/ccg-snr-appt-guidance.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:26:14 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

790989

registered interest
date	16/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what powers he has to intervene in clinical commissioning groups in the event that there are concerns about commissioning policies.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	113503
answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>Clinical commissioning groups (CCGs) are independent organisations responsible for their own commissioning decisions. NHS England is accountable for ensuring that CCGs commission services that are high quality, and deliver value for money; this is assessed through mechanisms such as the CCG Improvement and Assessment Framework. Where performance concerns are identified, NHS England has the ability to exercise formal powers to either provide enhanced support to a CCG, or to issue legal directions where it believes that a CCG is failing or is at risk of failing to discharge its functions.</p><p> </p><p>The Department holds NHS England to account for improving the performance of CCGs. This is done through mechanisms such as the Mandate to NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:17:41 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris

776889

registered interest
date	24/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the budget surplus of (a) clinical commissioning groups in England and (b) Greater Manchester Clinical Commissioning Group for 2016-17.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	109213
answer	answer is ministerial correction date of answer 01/11/2017 answer text <p>Financial performance information for each clinical commissioning group (CCG) (and in total for CCGs) can be found in the quarterly published Financial Performance Reports, accessible via the link below. NHS Manchester CCG did not exist in 2016-17; it was created in 2017-18 through the merger of the three Manchester CCGs (North, South and Central). The most recent figures for these CCGs can be found on page eight of the Quarter 4 2016-17 report. The latest figures for the newly-formed NHS Manchester CCG can be found on page 10 of the Quarter 1 2017-18 report, available at:</p><p><a href="https://www.england.nhs.uk/publication/financial-performance-reports/" target="_blank">https://www.england.nhs.uk/publication/financial-performance-reports/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 01/11/2017 11:35:16 answering member 1542 label Biography information for Philip Dunne
tabling member	4398 label Biography information for Chris Green

770015

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that clinical commissioning groups follow National Institute for Health and Care Excellence guidelines.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107711
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.</p><p> </p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:13 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

769714

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much each clinical commissioning group was estimated to be (a) overspending or (b) underspending over on underspending prior to the introduction of the capped expenditure process.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	107432
answer	answer is ministerial correction date of answer 17/10/2017 answer text <p>The National Health Service has set out its own plan to maximise spending within funding limits, and deliver financial balance and sustainability. As set out in the Spending Review 2015, NHS funding will increase by £8 billion in real terms by 2020-21, compared to 2015-16. In this year alone, real terms NHS funding is £1.7 billion higher than last year and £5 billion higher than it was in 2015-16.</p><p>As with all public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.</p><p>It is important that these plans are consistent with constitutional standards on waiting times and patient choice. It is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, or reducing running costs – because this improves patient care overall.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2017 13:38:09 answering member 1542 label Biography information for Philip Dunne
tabling member	4518 label Biography information for Tulip Siddiq