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1138941

registered interest
date	15/07/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Children: Maintenance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, whether her Department has plans to undertake a public consultation on changing the sequence by which deductions from benefits are ordered to ensure that child maintenance payments take priority over debts to private companies.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	277210
answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>Under Universal Credit there is a structured approach to deductions from benefit, which simplifies the current complex arrangements of the legacy system.</p><p>The aims of the deductions policy in Universal Credit are to protect vulnerable claimants by providing a last resort repayment method for arrears of essential services, to enforce social obligations and to recover Government debt in a cost effective manner.</p><p>Deductions are made following the priority order, which determines the order in which items should be deducted. ‘Last resort’ deductions, such as rent or fuel costs, are at the top of the priority order, ensuring that claimant welfare is prioritised, followed by social obligation deductions, such as child maintenance, and finally benefit debt, such as Social Fund loans and benefit overpayments.</p><p>We prioritise the welfare of claimants, as this is the best way to support them and to help them to move towards work and off benefits.</p><p>The Deduction Priority Order can be found here (p. 72) - <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/683470/benefit-overpayment-recovery-guide.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/683470/benefit-overpayment-recovery-guide.pdf</a></p> answering member constituency Reading West answering member printed Alok Sharma question first answered 23/07/2019 09:28:18 answering member 4014 label Biography information for Sir Alok Sharma
tabling member	4444 label Biography information for Karin Smyth

1131183

registered interest
date	11/06/2019
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 and Social Care Act 2012
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 to inform Parliament about his Department's response to NHS England's proposals on amending the Health and Social Care Act 2012.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	263180
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The National Health Service outlined several potential areas for legislative change in ‘Implementing the NHS Long Term Plan: Proposals for possible changes to legislation’, published in February 2019. NHS England are currently developing a consultation response on the legislative proposals, following a public engagement exercise. They expect to publish this shortly, and the Government will respond formally in due course.</p><p>The Government’s priority is to support the NHS to improve patient outcomes by delivering the Long Term Plan. The Government will consider legislative proposals where they support the vision outlined in the Long Term Plan and have widespread support from within the NHS.</p><p>As the proposals are still under development, the Government response to these proposals was not included in the 2019-20 Accountability Framework, which combines the Government’s mandate to NHS England with the remit to NHS Improvement and was published on 21 May 2019 on GOV.UK.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 263181 question first answered 19/06/2019 15:31:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1131184

registered interest
date	11/06/2019
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 and Social Care Act 2012
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the 2019 NHS mandate will include a response to NHS England's proposals on amending the Health and Social Care Act 2012.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	263181
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The National Health Service outlined several potential areas for legislative change in ‘Implementing the NHS Long Term Plan: Proposals for possible changes to legislation’, published in February 2019. NHS England are currently developing a consultation response on the legislative proposals, following a public engagement exercise. They expect to publish this shortly, and the Government will respond formally in due course.</p><p>The Government’s priority is to support the NHS to improve patient outcomes by delivering the Long Term Plan. The Government will consider legislative proposals where they support the vision outlined in the Long Term Plan and have widespread support from within the NHS.</p><p>As the proposals are still under development, the Government response to these proposals was not included in the 2019-20 Accountability Framework, which combines the Government’s mandate to NHS England with the remit to NHS Improvement and was published on 21 May 2019 on GOV.UK.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 263180 question first answered 19/06/2019 15:31:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1131185

registered interest
date	11/06/2019
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: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how the term lead provider is defined and whether organisations other than the NHS may be lead providers.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	263182
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The term ‘lead provider’ does not have a specific legal definition, but it usually means a person who holds a contract, and subcontracts some obligations under that contract. It is a term used in the National Health Service and elsewhere. In the NHS context, health and other related services are commissioned by public bodies – NHS England, clinical commissioning groups and local authorities. Providers, including lead providers, may be NHS (i.e. NHS trusts and foundation trusts) or non-NHS bodies.</p><p><em> </em></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 19/06/2019 15:33:45 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1131186

registered interest
date	11/06/2019
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	NHS: Freedom of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will issue guidance to commissioners of NHS services on how commercial confidentiality affects answers to freedom of information requests.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	263183
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Freedom of Information Act 2000 provides a right of access to a wide range of information held by public sector organisations, including clinical commissioning groups (CCGs).</p><p>The Parliamentary and Public Accountability Agreements Protocols in place between the Department and its arm’s length bodies covers best practice for responding to Freedom of Information (FOI) requests. This includes consulting with the Department where necessary and sets out that the Department’s FOI team will provide informal, impartial advice on relevant legislation and duties.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 19/06/2019 15:26:30 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130872

registered interest
date	10/06/2019
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: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons NHS England decided that only NHS organisations can be the lead on contracts for specialised mental health services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	262408
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has determined that provider collaboratives for specialised mental health, learning disability and autism services will be managed by a lead provider in their local area. The lead provider will be given delegated responsibility for managing the budget and patient pathway for specialised care for their local population.</p><p>They will be monitored and held to account via a contract with NHS England, which will retain ultimate accountability for the commissioning of these services. The lead provider will work in partnership with a collaborative of National Health Service and independent sector providers to deliver care locally to their population.</p><p>Although provider collaboratives will be led by an NHS organisation, independent providers can participate in provider collaboratives and enter into partnership agreements to support the effective and efficient delivery of NHS-funded care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:40:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4444 label Biography information for Karin Smyth

1130102

registered interest
date	05/06/2019
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	Integrated Care Systems: Conflict of Interests
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish guidance on the governance of integrated care systems to enable the disclosure of conflicts of interest.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260671
answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>There are no current plans to publish separate conflict of interest guidance for integrated care systems. On 9 February 2017, NHS England issued guidance on managing conflicts of interest in the National Health Service. There is also separate guidance on managing conflicts of interest for clinical commissioning groups, which NHS England published on 16 June 2017.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/06/2019 12:38:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130103

registered interest
date	05/06/2019
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	NHS: Risk Assessment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will publish the risk register for the NHS Ten Year Plan.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260672
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>Any risks associated with implementation of the NHS Long Term Plan will be captured, agreed and managed as part of NHS England and NHS Improvement’s normal business operations and overarching risk register. Therefore, we do not have, or plan to create, a specific risk register for the Long Term Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/06/2019 15:48:02 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130104

registered interest
date	05/06/2019
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	NHS Trusts: Capital Investment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether an assessment has been made of the effect on NHS trusts of their limitations on capital spending compared with the different limitations on NHS foundation trusts.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260673
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>National Health Service provider organisations invest in excess of £3 billion of capital annually and are responsible for keeping their estate and infrastructure safe, by prioritising their available capital and revenue budgets accordingly. The Department is working with NHS England and NHS Improvement so that Trusts have the ability to spend to keep their estate safe.</p><p>Data from the annual Estates Return Information Collection (ERIC) suggests level of backlog in the NHS estate has increased across recent years. To support providers maintain existing estates and invest in new facilities, the Government announced £3.9 billion of additional capital funding in the 2017 Spring and Autumn Budgets, and the Government has been clear that it will consider proposals from the NHS to support transformation of the estate as part of the forthcoming Spending Review.</p><p>Both NHS trusts and foundation trusts receive income on the same basis, and where additional capital investment funding is provided centrally there are no differences between access to, or assessment processes, for NHS trusts and NHS foundation trusts. Although NHS trusts are subject to some additional layers of governance in respect of capital investment when compared to NHS foundation trusts, these are not intended to impose limitations on their capital spending, rather to provide the balance between trusts’ freedom to manage their own capital investments with an assurance process for the approval of capital investment plans in the context of the wider financial sustainability of the bodies.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260674 question first answered 12/06/2019 13:09:27 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130110

registered interest
date	05/06/2019
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	Hospitals: Repairs and Maintenance
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 continuing controls on capital spending by his Department on maintenance in hospitals.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260674
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>National Health Service provider organisations invest in excess of £3 billion of capital annually and are responsible for keeping their estate and infrastructure safe, by prioritising their available capital and revenue budgets accordingly. The Department is working with NHS England and NHS Improvement so that Trusts have the ability to spend to keep their estate safe.</p><p>Data from the annual Estates Return Information Collection (ERIC) suggests level of backlog in the NHS estate has increased across recent years. To support providers maintain existing estates and invest in new facilities, the Government announced £3.9 billion of additional capital funding in the 2017 Spring and Autumn Budgets, and the Government has been clear that it will consider proposals from the NHS to support transformation of the estate as part of the forthcoming Spending Review.</p><p>Both NHS trusts and foundation trusts receive income on the same basis, and where additional capital investment funding is provided centrally there are no differences between access to, or assessment processes, for NHS trusts and NHS foundation trusts. Although NHS trusts are subject to some additional layers of governance in respect of capital investment when compared to NHS foundation trusts, these are not intended to impose limitations on their capital spending, rather to provide the balance between trusts’ freedom to manage their own capital investments with an assurance process for the approval of capital investment plans in the context of the wider financial sustainability of the bodies.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260673 question first answered 12/06/2019 13:09:27 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth