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1566133

registered interest
date	11/01/2023
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: Management Consultants
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 from the public purse the NHS in England has spent on management consultants in each of the last five years.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	121087
answer	answer is ministerial correction date of answer 26/01/2023 answer text <p>The following table shows the expenditure on consultancy from 2017/18 to 2020/21 covering NHS England, NHS England group and NHS Provider Trusts. NHS Trusts are required to disclose expenditure on consultancy, but this cannot be broken down further into types of consultancy. The 2021/22 data is not yet available and will be published shortly.</p><table><tbody><tr><td><p>Organisation</p></td><td><p>2020/21</p></td><td><p>2019/20</p></td><td><p>2018/19</p></td><td><p>2017/18</p></td></tr><tr><td><p>NHS England</p></td><td><p>£13.6 million</p></td><td><p>£2.5 million</p></td><td><p>£8.7 million</p></td><td><p>£26.6 million</p></td></tr><tr><td><p>NHS England Group</p></td><td><p>£51.6 million</p></td><td><p>£45.8 million</p></td><td><p>£64.1 million</p></td><td><p>£85.5 million</p></td></tr><tr><td><p>NHS providers</p></td><td><p>£234.0 million</p></td><td><p>£199.4 million</p></td><td><p>£227.0 million</p></td><td><p>£247.5 million</p></td></tr></tbody></table><p> </p><p>Source:</p><p>NHS Commissioning Board Annual Report and Accounts for years 2020/21, 2019/20, 2018/19 and 2017/18. This includes expenditure by Commissioning Support Units but excludes Clinical Commissioning Groups (CCGs).</p><p>Consolidated NHS provider accounts for years 2020/21, 2019/20, 2018/19 and 2017/18. This covers both NHS trusts and NHS foundation trusts.</p> answering member constituency Colchester answering member printed Will Quince question first answered 26/01/2023 17:23:01 answering member 4423 label Biography information for Will Quince previous answer version 48232 answering member constituency Colchester answering member printed Will Quince answering member 4423 label Biography information for Will Quince
tabling member	4504 label Biography information for Wes Streeting

1355605

registered interest
date	14/09/2021
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: Management Consultants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many management consultants have been employed by the NHS at annual equivalent salaries exceeding £100,000 in each of the last five years.
tabling member printed	Lord Jones of Cheltenham
uin	HL2708
answer	answer is ministerial correction date of answer 07/10/2021 answer text <p>This data requested is not held centrally.</p> answering member printed Lord Kamall question first answered 07/10/2021 12:23:55 answering member 4909 label Biography information for Lord Kamall
tabling member	248 label Biography information for Lord Jones of Cheltenham

605927

registered interest
date	19/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much the NHS has spent on external management consultants' pay in (a) 2015 and (b) 2016 to date.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	49459
answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>We do not hold the information in the format requested.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/10/2016 15:16:22 answering member 1542 label Biography information for Philip Dunne
tabling member	1591 label Biography information for Tim Farron

454369

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 22 February (HL5978), how many, and which, management consultancies engaged in failed initiatives from the previous rounds of consultancy-driven recovery initiatives will be excluded from NHS Improvement’s current round.
tabling member printed	Lord Hunt of Kings Heath
uin	HL6327
answer	answer is ministerial correction date of answer 07/03/2016 answer text <p>NHS Improvement undertakes its procurements in compliance with procurement rules and good practice. As such, no consultancies are automatically excluded from any consultancy driven recovery initiatives. However as part of this, NHS Improvement takes into account past performance of suppliers to the fullest extent permissible in its procurements.</p> answering member printed Lord Prior of Brampton question first answered 07/03/2016 17:26:57 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

451110

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether the intention of NHS Improvement to commission management consultancies to work with turnaround trusts is consistent with their aim to limit the use of such consultancies by NHS organisations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5976
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The guidance for use of management consultancies is set out as part of the spending approvals process. Monitor has published the following guidance for foundation trusts “Consultancy spending approval process: Initial guidance to NHS foundation trusts” with the Trust Development Authority (TDA) publishing similar for NHS trusts “Consultancy spending controls: Initial Guidance to NHS Trusts”. Copies of the guidance are attached.</p><p>The guidance is clear that expenditure on management consultancy must demonstrate that the skills and expertise of advisors cannot be delivered through use of existing resources. It is also a requirement that value for money must be demonstrated. This approach is the same for NHS providers, NHS Improvement or any NHS organisation. Therefore we are content NHS Improvement’s approach to managing turnaround programmes is consistent with this requirement.</p><p> </p><p>NHS Improvement ensures that lessons learned from all financial turnaround programmes are taken into account when considering how to handle any financially challenged providers requiring turnaround actions in the future. This includes the use of the best available, most appropriate consultancies with the right blend of skills and experience required to deliver the turnaround programme.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name Monitor consultancy guidance.pdf title Monitor guidance 2 file name TDA consultancy guidance.pdf title TDA guidance grouped question UIN HL5978 question first answered 22/02/2016 17:07:36 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

451111

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they propose to cap the rates paid by NHS bodies to management consultancies, similar to their policy with regard to staff agencies.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5977
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>Cabinet Office have published guidance on the use of management consultants <em>Cabinet Office controls guidance: version 4.0 </em>which government departments and their arms length bodies are required to follow. A copy of the guidance is attached.</p><p><strong> </strong></p><p>National Health Service providers follow a similar consultancy spending approvals process as defined by Monitor and the Trust Development Authority (TDA). Monitor has published the following guidance for foundation trusts <em>Consultancy spending approval process: Initial guidance to NHS foundation trusts</em>, with TDA publishing similar for NHS trusts <em>Consultancy spending controls: Initial Guidance to NHS Trusts</em>. Copies of the guidance are attached. <br></p><p>At this time, these do not include any directive to set caps on rates paid to management consultancies.</p> answering member printed Lord Prior of Brampton attachment 1 file name Cabinet Office consultancy guidance.pdf title Cabinet Office guidance 2 file name Monitor consultancy guidance.pdf title Monitor guidance 3 file name TDA consultancy guidance.pdf title TDA guidance question first answered 22/02/2016 17:25:18 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

451112

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether NHS Improvement, in commissioning management consultancies to work with turnaround trusts, will exclude those consultancies which were engaged in any failed initiatives from the previous round of consultancy-driven financial recovery initiatives.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5978
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The guidance for use of management consultancies is set out as part of the spending approvals process. Monitor has published the following guidance for foundation trusts “Consultancy spending approval process: Initial guidance to NHS foundation trusts” with the Trust Development Authority (TDA) publishing similar for NHS trusts “Consultancy spending controls: Initial Guidance to NHS Trusts”. Copies of the guidance are attached.</p><p>The guidance is clear that expenditure on management consultancy must demonstrate that the skills and expertise of advisors cannot be delivered through use of existing resources. It is also a requirement that value for money must be demonstrated. This approach is the same for NHS providers, NHS Improvement or any NHS organisation. Therefore we are content NHS Improvement’s approach to managing turnaround programmes is consistent with this requirement.</p><p> </p><p>NHS Improvement ensures that lessons learned from all financial turnaround programmes are taken into account when considering how to handle any financially challenged providers requiring turnaround actions in the future. This includes the use of the best available, most appropriate consultancies with the right blend of skills and experience required to deliver the turnaround programme.</p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name Monitor consultancy guidance.pdf title Monitor guidance 2 file name TDA consultancy guidance.pdf title TDA guidance grouped question UIN HL5976 question first answered 22/02/2016 17:07:36 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

450402

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total NHS spend on contracted work by (a) McKinsey, (b) PA Consulting, (c) Deloitte LLP and (d) GE Healthcare Finnamore was in each of the last three years; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Gareth Thomas
uin	25782
answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The below table outlines the total spend on the listed consultancies in the past three years. Between them, these consultancies provide a variety of services including developing policies, supporting service reviews and supporting New Models of Care programmes.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Sum Total invoice amount (£)</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>Grand Total</p></td></tr><tr><td><p>Deloitte LLP</p></td><td><p>5,347,502</p></td><td><p>6,187,184</p></td><td><p>5,826,711</p></td><td><p>17,361,396</p></td></tr><tr><td><p>GE Healthcare Finnamore</p></td><td><p>N/A</p></td><td><p>75,960</p></td><td><p>111,114</p></td><td><p>187,074</p></td></tr><tr><td><p>Mckinsey &amp; Co</p></td><td><p>1,002,018</p></td><td><p>932,866</p></td><td><p>N/A</p></td><td><p>1,934,884</p></td></tr><tr><td><p>PA Consulting Services LTD</p></td><td><p>1,406,858</p></td><td><p>1,516,525</p></td><td><p>4,127,595</p></td><td><p>7,050,978</p></td></tr><tr><td><p>Grand Total</p></td><td><p>7,756,378</p></td><td><p>8,712,534</p></td><td><p>10,065,420</p></td><td><p>26,534,332</p></td></tr></tbody></table> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 08/02/2016 17:08:05 answering member 4020 label Biography information for George Freeman
tabling member	177 label Biography information for Gareth Thomas

438034

registered interest
date	14/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much (a) clinical commissioning groups, (b) commission support units and (c) NHS England spent on consultancy services in 2014-15.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	20038
answer	answer is ministerial correction date of answer 17/12/2015 answer text <p>Operating expenses, including expenditure on consultancy services, can be found in NHS England’s 2014/15 annual report:</p><br /><p><a href="http://www.england.nhs.uk/wp-content/uploads/2015/07/nhse-annual-report-2014-15.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2015/07/nhse-annual-report-2014-15.pdf</a></p><p><strong></strong></p><p>NHS England is currently taking steps to minimise its spending on consultancy services. New rules introduced in June require Trusts and Foundation Trusts to seek approval for any consultancy contracts over £50,000.<strong> </strong></p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/12/2015 16:27:05 answering member 4020 label Biography information for George Freeman
tabling member	1588 label Biography information for Baroness Keeley

175273

registered interest
date	22/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Management Consultants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance he has issued to hospitals on their use of management consultants.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	221680
answer	answer is ministerial correction date of answer 27/01/2015 answer text <p>The Department has not issued guidance to trusts on their use of management consultants.</p><p> </p><p> </p><p> </p><p>We expect National Health Service organisations to keep a firm grip on their workforce planning and management and keep any use of management consultants, for example supporting short-term strategic reviews or providing interim management solutions, to a minimum. NHS organisations must also follow HM Treasury guidance on the engagement of staff off-payroll, including the requirement to put the most senior staff engaged for more than six months on their permanent staff payroll.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/01/2015 12:15:23 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	44 label Biography information for Sir David Amess