NHS: Finance

Department of Health written question – answered on 26th June 2017.

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Photo of Jon Ashworth Jon Ashworth Shadow Secretary of State for Health

To ask the Secretary of State for Health, who in his Department has lead responsibility for the new capped expenditure process in the NHS.

Photo of Jon Ashworth Jon Ashworth Shadow Secretary of State for Health

To ask the Secretary of State for Health, when final plans for savings in each local area affected by the new capped expenditure process in the NHS will be agreed; who has final responsibility for agreeing those plans; and when and by whom those final plans will be made public.

Photo of Jon Ashworth Jon Ashworth Shadow Secretary of State for Health

To ask the Secretary of State for Health, when and by whom the decision was taken to introduce the new capped expenditure process in the NHS; and how that decision was communicated to (a) NHS provider bodies and (b) patients and the public.

Photo of Jon Ashworth Jon Ashworth Shadow Secretary of State for Health

To ask the Secretary of State for Health, what guidance has been issued by (a) his Department, (b) NHS England and (c) NHS Improvement on the new capped expenditure process in the NHS; and if he will publish that guidance.

Photo of Jon Ashworth Jon Ashworth Shadow Secretary of State for Health

To ask the Secretary of State for Health, which local health economies will be subject to the NHS capped expenditure process; and how the decision was reached as to which local health economies will be included in that process.

Photo of Philip Dunne Philip Dunne The Minister of State, Department of Health

The National Health Service and wider health system has examined how to sustain and improve care – which produced the NHS Five Year Forward View. The Government committed to providing an additional £10 billion in real terms by 2020-21 to back the NHS’ plan, enabling it to deliver key priorities like seven day care, improved access to cancer treatments and better mental health services.

Since then, this Government has committed to increase NHS 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. As with all public services, the NHS needs to live within the budget agreed.

As the NHS itself has said, it is unfair if a small number of areas in effect take more than their fair share of that budget at the expense of other people’s hospital services, general practitioner care and mental health clinics elsewhere in the country. Although financial performance across the NHS has significantly improved over the past year, a few areas have not yet finalised their plans to keep within their budget, as the NHS is required to by the 2017/18 Government Mandate.

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