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789123

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	University Hospitals of North Midlands NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 8 November 2017 to Question 111044, on University Hospitals of North Midlands NHS Trust, for what reasons (a) his Department and (b) NHS England do not receive financial reports on NHS trusts in financial special measures.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	112834
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>It is for NHS Improvement to oversee and regulate National Health Service providers and, when necessary, to intervene to ensure the delivery of financially sustainable healthcare. This intervention may include placing a provider into special measures for financial reasons, and monitoring the progress of those individual providers. NHS England and the Department do not intervene in specific NHS providers matters such as these. The Department holds NHS Improvement to account for the delivery of their objectives, and fully supports their actions to improve the finances of the sector.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 22/11/2017 14:14:46 answering member 1542 label Biography information for Philip Dunne
tabling member	1436 label Biography information for Paul Farrelly

782755

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Staffordshire and Stoke On Trent Partnership NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when NHS (a) England and (b) Improvement received the Capped Expenditure Programme report for Staffordshire and Stoke-on-Trent.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111038
answer	answer is ministerial correction date of answer 10/11/2017 answer text <p>As happens prior to the start of every financial year, the National Health Service was asked by the Department to develop a plan for balancing NHS budgets in 2017/18. As part of their plan, NHS England and NHS Improvement have designed and implemented the capped expenditure process (CEP), and they therefore have lead responsibility for it.</p><p> </p><p>CEP is an extension of the annual planning process. 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:</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><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> </p><p>NHS England have published, at a national level, documents which describe the overall approach. Individual clinical commissioning groups directly affected will reflect the impact of the capped expenditure process as part of their publication of plans, and will comply with any further requirements for consultation.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 111043 question first answered 10/11/2017 12:28:58 answering member 1542 label Biography information for Philip Dunne
tabling member	1436 label Biography information for Paul Farrelly

782756

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups: Staffordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions (a) his Department, (b) NHS England or (c) NHS Improvement have had with the six clinical commissioning groups in Staffordshire regarding merging those groups into one body.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111046
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS England has an ongoing relationship with all the clinical commissioning groups (CCGs) in Staffordshire.</p><p> </p><p>With the agreement of NHS England, the Staffordshire CCGs have agreed to the appointment of a joint Accountable Officer (AO), shared by all the CCGs. On 25 October, it was announced that, following a competitive interview process, Marcus Warnes has been appointed to this post. He is currently the AO of North Staffordshire and Stoke-on-Trent CCGs. Marcus Warnes starts his new role from 1 November 2017 for five out of the six CCGs. He will be supported by Tony Bruce who will remain as AO for East Staffordshire CCG until he leaves in March 2018. Marcus Warnes will then take on the role for East Staffordshire CCG.</p><p> </p><p>The CCGs are also currently working through a process to bring together a joint executive team. This process is at a relatively early stage.</p><p> </p><p>Each CCG will retain its own legal status, ensuring decisions are locally led.</p><p> </p><p>The Department and NHS Improvement have not had any direct discussions with CCGs in Staffordshire about merging.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:41:35 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782758

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Staffordshire and Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the staffing budget is for 2017-18 for the team overseeing the Staffordshire and Stoke-on-Trent Sustainability and Transformation Plan.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111040
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Sustainability and Transformation Partnerships (STP) are not statutory organisations, and therefore cannot directly employ staff. The vast majority of work conducted within STP areas has therefore been conducted by existing staff from organisations within the STP, sometimes in addition to their duties.</p><p> </p><p>Given this, NHS England has advised that the total staff spend of developing the Staffordshire and Stoke-on-Trent STP could only be obtained at disproportionate cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:25:20 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782759

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Haywood Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions (a) NHS England or (b) NHS Improvement have had with (a) North Staffordshire and (b) Stoke-on-Trent Clinical Commissioning Groups on the future of wards at the Haywood Hospital in Stoke-on-Trent.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111051
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Decisions on configuration such as this are best made by the local National Health Service, who can assess how to meet the needs of people in their area. NHS England and NHS Improvement have issued guidance to the system that can help to support local areas in making these decisions.</p><p> </p><p>For any significant system reconfiguration, the expectation is that all local parts of the system talk to the public and stakeholders regularly.</p><p> </p><p>Furthermore, all significant service change is subject to a full public consultation and proposals must meet the Government’s four reconfiguration tests. These are support from clinical commissioners, clarity on the clinical evidence base, robust patient and public engagement and support for patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:45:40 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782761

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Hospitals: Staffordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects to receive the Independent Reconfiguration Panel's report and recommendations into local authority referrals to his Department of community hospital bed closures in North Staffordshire and Stoke-on-Trent.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111041
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p>The Department is considering the case, and an announcement will be made in due course.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 06/11/2017 15:43:59 answering member 1542 label Biography information for Philip Dunne
tabling member	1436 label Biography information for Paul Farrelly

782762

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Staffordshire and Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the current and projected funding gap are for health and social care in (a) Staffordshire and (b) Stoke-on-Trent for (i) 2017-18, (ii) 2018-19, (iii) 2019-20 and (iv) 2020-21 within the updated local Sustainability and Transformation Plan process.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111039
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS England advises that the total financial position recorded by healthcare organisations who are members of the Sustainability and Transformation Partnership (STP) in 2016/17 is as below. A number of organisations span the city and county borders and so it is not possible to apportion the financial positions between Staffordshire and Stoke on Trent.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Surplus (Deficit) in 2016/17 (£ million)</p></td></tr><tr><td><p>Providers</p></td><td><p> </p></td></tr><tr><td><p>Burton Hospitals NHS Foundation Trust (FT)</p></td><td><p>(10.07)</p></td></tr><tr><td><p>University Hospitals of North Midlands NHS Trust</p></td><td><p>(47.49)</p></td></tr><tr><td><p>South Staffordshire and Shropshire Healthcare NHS FT</p></td><td><p>3.13</p></td></tr><tr><td><p>North Staffordshire Combined Healthcare NHS Trust</p></td><td><p>0.84</p></td></tr><tr><td><p>Staffordshire and Stoke on Trent Partnership NHS Trust</p></td><td><p>(28.83)</p></td></tr><tr><td><p>Total for Providers</p></td><td><p>(82.42)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Clinical commissioning groups (CCGs)</p></td><td><p> </p></td></tr><tr><td><p>North Staffordshire</p></td><td><p>(4.38)</p></td></tr><tr><td><p>Stoke on Trent</p></td><td><p>(5.67)</p></td></tr><tr><td><p>Stafford and Surrounds</p></td><td><p>(12.66)</p></td></tr><tr><td><p>South East Staffordshire and Seisdon</p></td><td><p>(7.70)</p></td></tr><tr><td><p>Cannock Chase</p></td><td><p>(9.35)</p></td></tr><tr><td><p>East Staffordshire</p></td><td><p>0.00</p></td></tr><tr><td><p>Total for CCGs</p></td><td><p>(39.76)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total for STP Footprint</p></td><td><p>(122.17)</p></td></tr></tbody></table><p> </p><p>Looking forward, the Staffordshire and Stoke-on-Trent STP forecasts that the health service providers will have the following financial positions in each financial year between 2017 to 2021, both if no action is taken and if the STP is implemented.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2017/18 (£'000)</p></td><td><p>2018/19 (£'000)</p></td><td><p>2019/20 (£'000)</p></td><td><p>2020/21 (£'000)</p></td></tr><tr><td><p>Do Nothing forecast (Deficit)/Surplus</p></td><td><p>(169,268)</p></td><td><p>(212,666)</p></td><td><p>(252,888)</p></td><td><p>(285,402)</p></td></tr><tr><td><p>Do Something forecast (Deficit)/Surplus</p></td><td><p>(119,557)</p></td><td><p>(111,798)</p></td><td><p>(91,300)</p></td><td><p>1,420</p></td></tr></tbody></table><p> </p><p>The forecast position included the £6 million recurrent deficit due to the integration of Cannock Hospital at the Royal Wolverhampton NHS Trust.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 111045 question first answered 08/11/2017 17:28:57 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782765

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Better Care Fund: Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timescale is for his Department's Regional Assurance Panel to decide whether to approve Stoke-on-Trent's Better Care Fund plan.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111042
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Strong Better Care Fund (BCF) plans are in everyone’s interest. The regional assurance of BCF plans is a joint process between NHS England and local government, with NHS England having the final decision as part of its Senior Responsible Officer Role. As stipulated in the Integration and Better Care Fund Planning Requirements 2017-19, local areas should submit their BCF plans by 11 September 2017 for regional assurance.</p><p> </p><p>Stoke-on-Trent has submitted its BCF plan after the deadline. The BCF plan is now being reviewed by the Regional Assurance Panel. As a next step, the Panel will make a recommendation for Stoke-on-Trent's BCF shortly to the national team.</p><p> </p><p>The Integration and BCF Planning Requirements 2017-19 can be found on NHS England’s website:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/integration-better-care-fund-planning-requirements.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/integration-better-care-fund-planning-requirements.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:44:35 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782768

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Staffordshire and Stoke On Trent Partnership NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish the Capped Expenditure Programme report for Staffordshire and Stoke-on-Trent submitted to NHS England and NHS Improvement.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111043
answer	answer is ministerial correction date of answer 10/11/2017 answer text <p>As happens prior to the start of every financial year, the National Health Service was asked by the Department to develop a plan for balancing NHS budgets in 2017/18. As part of their plan, NHS England and NHS Improvement have designed and implemented the capped expenditure process (CEP), and they therefore have lead responsibility for it.</p><p> </p><p>CEP is an extension of the annual planning process. 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:</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><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> </p><p>NHS England have published, at a national level, documents which describe the overall approach. Individual clinical commissioning groups directly affected will reflect the impact of the capped expenditure process as part of their publication of plans, and will comply with any further requirements for consultation.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 111038 question first answered 10/11/2017 12:28:58 answering member 1542 label Biography information for Philip Dunne
tabling member	1436 label Biography information for Paul Farrelly

782770

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	University Hospitals of North Midlands NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what financial reports (a) his Department, (b) NHS England and (c) NHS Improvement have received since placing University Hospitals of North Midlands NHS Trust in special measures; and if he will publish those reports in the Library.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111044
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS Improvement is responsible for overseeing foundation trusts and National Health Service trusts and, as part of its remit to support these providers deliver financially sustainable healthcare, will lead on all direct action needed with providers in financial difficulty. This may include placing a provider into special measures for financial reasons as a regulatory measure to bring about swift improvement in challenged NHS providers’ finances. With the help of these measures, University Hospitals of North Midlands NHS Trust is making progress, and plans to achieve financial balance in 2019-20.</p><p> </p><p>All trusts under these measures will provide routine monthly financial reports to NHS Improvement. These are in the public domain and published as part of the Board papers on trusts’ websites.</p><p> </p><p>Financial reports on specific trusts in financial special measures are not routinely collected by the Department or NHS England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 08/11/2017 10:50:06 answering member 1542 label Biography information for Philip Dunne
tabling member	1436 label Biography information for Paul Farrelly