The allocation of funding to clinical commissioning groups (CCGs) to support them in commissioning services for their local population is one of the key duties of NHS England. The approach NHS England must take in setting allocations is outlined in the mandate from the Department which says:<\/p>
<\/em><\/p> \u201cThe Government expects the principle of ensuring equal access for equal need to be at the heart of NHS England\u2019s approach to allocating budgets.\u201d<\/p> <\/p> The approach is also informed by NHS England\u2019s duty to reduce inequalities to accessing services and the outcomes of care.<\/p> <\/p> These two aims are reflected in the target formula, which produces a target allocation or \u2018fair share\u2019 for each area, based on a complex assessment of factors such as demography, morbidity, deprivation, and the unavoidable cost of providing services in different areas. The NHS England Board has agreed a pace of change policy that seeks to bring all CCGs to target funding over time.<\/p> <\/p> The formula is based on independent academic research and is overseen by an independent external group, the Advisory Committee on Resource Allocation, which provides advice to the Secretary of State for Health and Social Care and the Chief Executive of NHS England.<\/p> <\/strong><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"}
}
, "answeringMemberConstituency" : {"_value" : "Wimbledon"}
, "answeringMemberPrinted" : {"_value" : "Stephen Hammond"}
, "dateOfAnswer" : {"_value" : "2019-07-22", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-07-22T15:41:44.747Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-07-16", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure funding for Clinical Commissioning Groups is equitable and protects patient outcomes.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4717", "label" : {"_value" : "Biography information for Ms Lisa Forbes"}
}
, "tablingMemberConstituency" : {"_value" : "Peterborough"}
, "tablingMemberPrinted" : [{"_value" : "Ms Lisa Forbes"}
], "uin" : "277858"}
, {"_about" : "http://data.parliament.uk/resources/1041682", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1041682/answer", "answerText" : {"_value" : " NHS England sets clinical commissioning group (CCG) allocations. The real-term percentage increase in CCG place based allocations from the 2018/19 adjusted baseline allocation to the 2023/24 final allocation for England and each National Health Service commissioning region of England is shown in the following table. To ensure comparability of real terms growth rates between regions with differing levels of population growth the increase is shown on a per registered head basis:<\/p> NHS Commissioning Region<\/p><\/td> 2018-19 adjusted baseline<\/p><\/td> 2023-24 final allocation (2018/19 prices)<\/p><\/td> 2018-19 allocation per registered head<\/p><\/td> 2023-24 allocation per registered head (2018/19 prices)<\/p><\/td> % change 2018-19 to 2023-24<\/p><\/td><\/tr> £000<\/p><\/td> £000<\/p><\/td> £<\/p><\/td> £<\/p><\/td> %<\/p><\/td><\/tr> North East and Yorkshire<\/p><\/td> 15,620,061<\/p><\/td> 17,699,422<\/p><\/td> 1,748<\/p><\/td> 1,954<\/p><\/td> 11.8%<\/p><\/td><\/tr> North West<\/p><\/td> 13,565,139<\/p><\/td> 15,473,589<\/p><\/td> 1,825<\/p><\/td> 2,044<\/p><\/td> 12.0%<\/p><\/td><\/tr> Midlands<\/p><\/td> 17,976,071<\/p><\/td> 20,854,515<\/p><\/td> 1,631<\/p><\/td> 1,840<\/p><\/td> 12.8%<\/p><\/td><\/tr> East of England<\/p><\/td> 10,805,122<\/p><\/td> 12,554,710<\/p><\/td> 1,585<\/p><\/td> 1,778<\/p><\/td> 12.2%<\/p><\/td><\/tr> London<\/p><\/td> 16,125,151<\/p><\/td> 18,708,455<\/p><\/td> 1,635<\/p><\/td> 1,822<\/p><\/td> 11.4%<\/p><\/td><\/tr> South East<\/p><\/td> 14,713,843<\/p><\/td> 16,971,234<\/p><\/td> 1,592<\/p><\/td> 1,783<\/p><\/td> 12.0%<\/p><\/td><\/tr> South West<\/p><\/td> 9,444,423<\/p><\/td> 10,963,251<\/p><\/td> 1,637<\/p><\/td> 1,841<\/p><\/td> 12.4%<\/p><\/td><\/tr> England<\/p><\/td> 98,249,809<\/p><\/td> 113,225,176<\/p><\/td> 1,663<\/p><\/td> 1,863<\/p><\/td> 12.0%<\/p><\/td><\/tr><\/tbody><\/table> <\/p> Note:<\/p> <\/p> All figures reflect total \u2018place-based\u2019 CCG allocations, and include other funding outside of pace of change.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"}
}
, "answeringMemberConstituency" : {"_value" : "Wimbledon"}
, "answeringMemberPrinted" : {"_value" : "Stephen Hammond"}
, "dateOfAnswer" : {"_value" : "2019-01-23", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-01-23T13:53:51.003Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-01-15", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, with reference to Clinical Commissioning Group place based allocations 2019/20 \u2013 2023/24, what the real-term percentage increase in allocation from the 2018-19 adjusted baseline allocation to the 2023-24 final allocation for (a) England (b) each region of England is; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4244", "label" : {"_value" : "Biography information for Jonathan Ashworth"}
}
, "tablingMemberConstituency" : {"_value" : "Leicester South"}
, "tablingMemberPrinted" : [{"_value" : "Jonathan Ashworth"}
], "uin" : "208904"}
, {"_about" : "http://data.parliament.uk/resources/1029466", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1029466/answer", "answerText" : {"_value" : " NHS England is able to apply directions to a clinical commissioning group (CCG) when it is satisfied that a CCG is failing or is at risk of failing to discharge its functions.<\/p> <\/p> This includes but is not limited to a CCG\u2019s financial performance and management. The following table shows the number of CCGs that have been directed since CCGs were authorised in 20131<\/sup>.<\/p> <\/p> Year<\/p><\/td> Number of CCGs with directions<\/p><\/td><\/tr> 2013/14<\/p><\/td> -<\/p><\/td><\/tr> 2014/15<\/p><\/td> 1<\/p><\/td><\/tr> 2015/16<\/p><\/td> 5<\/p><\/td><\/tr> 2016/17<\/p><\/td> 26<\/p><\/td><\/tr> 2017/18<\/p><\/td> 13<\/p><\/td><\/tr> 2018/19<\/p><\/td> 2<\/p><\/td><\/tr> Total<\/p><\/td> 47<\/p><\/td><\/tr><\/tbody><\/table> Note:<\/p> 1<\/sup>One CCG has been directed to enable it to support other failing CCGs, not due to its own failure. Therefore, it is not included in these numbers.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
}
, "answeringMemberConstituency" : {"_value" : "Winchester"}
, "answeringMemberPrinted" : {"_value" : "Steve Brine"}
, "dateOfAnswer" : {"_value" : "2019-01-11", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-01-11T11:55:28.267Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2018-12-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of Clinical Commissioning Groups which have been placed into financial directions by NHS England in each year since 2011-12; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/177", "label" : {"_value" : "Biography information for Gareth Thomas"}
}
, "tablingMemberConstituency" : {"_value" : "Harrow West"}
, "tablingMemberPrinted" : [{"_value" : "Gareth Thomas"}
], "uin" : "204365"}
, {"_about" : "http://data.parliament.uk/resources/748570", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/748570/answer", "answerText" : {"_value" : " NHS England have confirmed that they plan to publish the list of clinical commissioning groups that are subject to the capped expenditure process in due course.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"}
}
, "answeringMemberConstituency" : {"_value" : "Ludlow"}
, "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"}
, "dateOfAnswer" : {"_value" : "2017-07-13", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-07-13T12:10:10.053Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-07-05", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, pursuant to the Answer of 30 June 2017 to Question 681, if he will list all clinical commissioning groups that are subject to the capped expenditure process.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4418", "label" : {"_value" : "Biography information for Justin Madders"}
}
, "tablingMemberConstituency" : {"_value" : "Ellesmere Port and Neston"}
, "tablingMemberPrinted" : [{"_value" : "Justin Madders"}
], "uin" : "3068"}
, {"_about" : "http://data.parliament.uk/resources/732294", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/732294/answer", "answerText" : {"_value" : " All clinical commissioning groups in deficit receive additional support from the NHS England regional teams and local offices in helping them to manage their resources as effectively as possible, whilst supporting their day to day decision making. This allows them to meet the clinical need of the local area.<\/p> <\/p> NHS England is also in the process of revising the work programme for the financial resilience programme, which aims to provide broader support to all clinical commissioning groups, with a particular focus on those in deficit.<\/p> <\/p> Clinical commissioning groups in deficit will often also benefit from a review by external advisors to help clarify the nature of their financial challenge, and to help craft solutions to ensure that the local clinical need is best met.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"}
}
, "answeringMemberConstituency" : {"_value" : "Ludlow"}
, "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"}
, "dateOfAnswer" : {"_value" : "2017-06-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-06-28T14:11:52.327Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-06-23", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, what support his Department is providing to clinical commissioning groups that are in deficit to allow them to meet clinical need.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
}
, "tablingMemberConstituency" : {"_value" : "York Central"}
, "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
], "uin" : "905"}
, {"_about" : "http://data.parliament.uk/resources/732295", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/732295/answer", "answerText" : {"_value" : " NHS England is responsible for the national funding formula for clinical commissioning groups (CCGs). NHS England makes allocations to CCGs, informed by advice from the independent external Advisory Committee on Resource Allocation. NHS England is mandated by Government to allocate resources on the basis of need and without destabilising local health economies. The process has been subject to external scrutiny via the National Audit Office.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"}
}
, "answeringMemberConstituency" : {"_value" : "Ludlow"}
, "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"}
, "dateOfAnswer" : {"_value" : "2017-06-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-06-28T14:03:10.207Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-06-23", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the national funding formula for clinical commissioning groups.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
}
, "tablingMemberConstituency" : {"_value" : "York Central"}
, "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
], "uin" : "903"}
, {"_about" : "http://data.parliament.uk/resources/732296", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/732296/answer", "answerText" : {"_value" : " NHS England\u2019s business rules require all clinical commissioning groups (CCGs) to have a balanced financial plan for 2017-18.<\/p> <\/p> Any CCGs planning to go into deficit have to satisfy NHS England that they can return to a breakeven or surplus position in the short to medium term and that the deficit is unavoidable. Where CCGs indicate a deteriorating position they will come under close scrutiny from the regional teams and can be put in recovery which means that they have to develop and agree recovery plans with NHS England.<\/p> <\/p> Transitional funding will not be provided to CCGs in deficit, though in establishing the period over which the CCG should return to a balanced financial position, NHS England takes account of the level of deficit, the pressures facing the organisation and the level of growth in funding.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"}
}
, "answeringMemberConstituency" : {"_value" : "Ludlow"}
, "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"}
, "dateOfAnswer" : {"_value" : "2017-06-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-06-28T14:01:57.62Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-06-23", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, if the Government will provide transitional funding to assist clinical commissioning groups that are in deficit.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
}
, "tablingMemberConstituency" : {"_value" : "York Central"}
, "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
], "uin" : "904"}
, {"_about" : "http://data.parliament.uk/resources/731746", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/731746/answer", "answerText" : {"_value" : " This Government has committed to increase National Health Service spending by a minimum of £8 billion in real terms over the next five years, and for the first time to deliver an increase in real funding per head of the population for every year of the Parliament.<\/p> <\/p> As with all public services, local NHS areas need to live within the budget agreed \u2013 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. But it is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, or reducing running costs \u2013 because this improves patient care overall.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"}
}
, "answeringMemberConstituency" : {"_value" : "Ludlow"}
, "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"}
, "dateOfAnswer" : {"_value" : "2017-06-30", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "735"}
, {"_value" : "736"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-06-30T10:25:39.143Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-06-22", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Clinical Commissioning Groups: Finance"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, how many clinical commissioning groups are subject to the capped expenditure process.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4418", "label" : {"_value" : "Biography information for Justin Madders"}
}
, "tablingMemberConstituency" : {"_value" : "Ellesmere Port and Neston"}
, "tablingMemberPrinted" : [{"_value" : "Justin Madders"}
], "uin" : "681"}
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