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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

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

1130111

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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to allocate funds to integrated care systems for increases in market rent.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260675
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>The market rent increases on NHS Property Services’ buildings have been permanently funded through clinical commissioning group (CCG) allocations, which are expected to be partners in integrated care systems.</p><p>CCG are expected to distribute the additional market rent funding to occupiers of NHS Property Services properties through, for example, health services contracts or rent reimbursement, where applicable. Where there are funding disputes there are matters for local commissioners and providers to agree.</p><p>Where there are billing disputes, NHS Property Services works with occupiers and commissioners as necessary to ensure the basis of charging is accurate and is fully understood and agreed by each party.</p><p>The most complex disputes involving National Health Service occupiers are reviewed by the Department and if necessary escalated to an independent arbitration panel to determine.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260676 question first answered 12/06/2019 13:33:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth

1130112

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: Buildings
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 NHS Property Services has made in resolving complex billing disputes as a result of the move to market rents.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	260676
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>The market rent increases on NHS Property Services’ buildings have been permanently funded through clinical commissioning group (CCG) allocations, which are expected to be partners in integrated care systems.</p><p>CCG are expected to distribute the additional market rent funding to occupiers of NHS Property Services properties through, for example, health services contracts or rent reimbursement, where applicable. Where there are funding disputes there are matters for local commissioners and providers to agree.</p><p>Where there are billing disputes, NHS Property Services works with occupiers and commissioners as necessary to ensure the basis of charging is accurate and is fully understood and agreed by each party.</p><p>The most complex disputes involving National Health Service occupiers are reviewed by the Department and if necessary escalated to an independent arbitration panel to determine.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 260675 question first answered 12/06/2019 13:33:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	4444 label Biography information for Karin Smyth