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To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the abolition of NHS England on the (a) regulation and (b) oversight of clinical commissioning groups.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the abolition of NHS England on the (a) regulation and (b) oversight of clinical commissioning groups.
Ministers and senior Department officials will work with the new transformation team at the top of NHS England, led by Sir Jim Mackey, to lead this transformation. As we work to return many of NHS England’s current functions to the Department, we will ensure that we continue to evaluate impacts of all kinds.
The abolition of NHS England will strip out the unnecessary bureaucracy and cut the duplication that comes from having two organisations doing the same job. We will empower staff to focus on delivering better care for patients, driving productivity up, and getting waiting times down.
A broad overview of the legislative framework for child protection and child safeguarding in England.
A broad overview of the legislative framework for child protection and child safeguarding in England.
To ask the Secretary of State for Health and Social Care, what total health spending was in each (a) integrated care board in the most recent year for which data is available and (b) clinical commissioning group in each year since 1997.
To ask the Secretary of State for Health and Social Care, what total health spending was in each (a) integrated care board in the most recent year for which data is available and (b) clinical commissioning group in each year since 1997.
The available expenditure data for integrated care boards and clinical commissioning groups (CCGs) since their creation in 2013 is shown in the attached table. Data is unavailable for the financial year 2022/23 as the National Audit Office’s annual statutory audit of NHS England is not yet complete. The Department does not hold data before 2013 in the format requested.
It should also be noted that as the number and commissioning responsibilities of the CCGs changed during the period for which data has been provided, expenditure levels may not be directly comparable year-on-year.
To ask the Secretary of State for Health and Social Care, how much and what proportion of NHS England funding is expected to go to integrated care boards in the 2023-24 financial year; how much and what proportion of NHS England funding went to integrated care boards in the 2022-23...
To ask the Secretary of State for Health and Social Care, how much and what proportion of NHS England funding is expected to go to integrated care boards in the 2023-24 financial year; how much and what proportion of NHS England funding went to integrated care boards in the 2022-23...
The following table shows the total final allocation to integrated care boards (ICBs) and/or clinical commissioning groups (CCGs) for the financial years 2019/20 to 2022/23, plus the current annual allocation value as at month two for 2023/24. This includes all allocations to ICBs and/or CCGs, including core programme funding, services delegated to ICBs such as general practice and other primary care services, and additional allocations for specific service development and transformation programmes.
The remainder of NHS England’s allocation, not allocated to ICBs, pays mainly for other National Health Service services and costs not commissioned by ICBs. This includes specialised services, vaccinations and screening, education and training, and other centrally managed NHS costs.
| Financial year | ||||
2019/20 | 2020/21 | 2021/22 | 2022/23 | 2023/24 | |
£ million | £ million | £ million | £ million | £ million | |
CCG and/or ICB allocation | 89,730 | 101,907 | 115,007 | 119,174 | 123,880 |
Total NHS England allocation (Non-ring-fenced RDEL) | 123,377 | 149,473 | 150,614 | 158,521 | 167,313 |
| |||||
CCG/ICB allocation as % of total allocation | 73% | 68% | 76% | 75% | 74% |
‘The National Health Service (Integrated Care Boards: Responsibilities) Regulations 2022’ The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 SI/634 has made consequential amendments to regulation 2 of the NHS Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012,...
‘The National Health Service (Integrated Care Boards: Responsibilities) Regulations 2022’ The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 SI/634 has made consequential amendments to regulation 2 of the NHS Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012,...
This briefing provides an overview of funding and accountability arrangements within the NHS in England. It also highlights issues including patient safety, NHS funding and performance.
This briefing provides an overview of funding and accountability arrangements within the NHS in England. It also highlights issues including patient safety, NHS funding and performance.
To ask His Majesty's Government what is their policy justification for deciding not to define an integrated care board as a “relevant body” in regulation 2 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the effect that a range of patient...
To ask His Majesty's Government what is their policy justification for deciding not to define an integrated care board as a “relevant body” in regulation 2 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the effect that a range of patient...
‘The National Health Service (Integrated Care Boards: Responsibilities) Regulations 2022’ has made consequential amendments to regulation 2 of the NHS Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, replacing references to Clinical Commissioning Groups with integrated care boards (ICBs). ICBs are now the statutory bodies responsible for patient rights.
This House of Commons Library briefing paper is intended to help Members respond to queries from constituents about eligibility to NHS continuing healthcare in England. Equivalent provision in Scotland, Wales, and Northern Ireland is covered in the final section.
This House of Commons Library briefing paper is intended to help Members respond to queries from constituents about eligibility to NHS continuing healthcare in England. Equivalent provision in Scotland, Wales, and Northern Ireland is covered in the final section.
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of (a) private and (b) NHS mental health practitioners by Clinical Commissioning Groups in (i) 2019, (ii) 2020 and (iii) 2021.
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of (a) private and (b) NHS mental health practitioners by Clinical Commissioning Groups in (i) 2019, (ii) 2020 and (iii) 2021.
Data on the number of private mental health professionals working in clinical commissioning groups (CCGs) is not collected. Data on the National Health Service mental health workforce is not held in the format requested. A table showing the number of full time equivalent staff in the NHS mental health workforce by region and integrated care system (ICS) as at June 2019, June 2020, June 2021 and June 2022 is attached. ICSs replaced CCGs from July 2022. NHS trusts can provide services across multiple ICSs. Therefore in some instances the data presented may show where trusts have been assigned to a lead ICS.
To ask the Secretary of State for Health and Social Care, whether her Department has had recent discussions with (a) the National Institute for Health and Care Excellence and (b) clinical commissioning groups on the rollout of Libre Two sensors to manage diabetes.
To ask the Secretary of State for Health and Social Care, whether her Department has had recent discussions with (a) the National Institute for Health and Care Excellence and (b) clinical commissioning groups on the rollout of Libre Two sensors to manage diabetes.
There have been no recent discussions. The National Institute for Health and Care Excellence updated its guidance on real-time and intermittently scanned continuous glucose monitoring, such as FreeStyle Libre 2 sensors for eligible patients. The newly established integrated care boards will take this guidance into account in commissioning services for local populations.
To ask Her Majesty's Government what assessment they have made of (1) the challenges of the transition from Clinical Care Commissioning Groups to Integrated Care Boards, and (2) the risk of established ways of working being recreated within the new structures.
To ask Her Majesty's Government what assessment they have made of (1) the challenges of the transition from Clinical Care Commissioning Groups to Integrated Care Boards, and (2) the risk of established ways of working being recreated within the new structures.
NHS England led a transition programme to design integrated care boards (ICBs) and support the transfer of staff, property and liabilities from clinical commissioning groups (CCGs). Through joint planning and progress monitoring between NHS England and the Department, all 42 ICBs were legally established and no significant transition issues reported.
Whilst CCG functions have been conferred to ICBs and some continuity will remain where appropriate, ICBs are designed to work differently from CCGs. ICBs have new duties under the Health and Care Act 2022. This includes wider and more integrated care pathways, accelerated work on prevention and the determinants of health, new leadership in the National Health Service and new governance arrangements. The new ICB geographies will adopt new ways of working to ensure that the needs of local populations are responded to.
Integrated care boards took over the role of commission and secondary care services from clinical commissioning groups on 1 July 2022. NHS England formally oversees these ICBs, and it has a legal duty to assess annually the performance of each ICB and to publish its findings. CQC system assessments will also provide an independent assurance to the public and Parliament. The success and impact of these new arrangements will be measured by a DHSC-commissioned evaluation completed by academics.
Integrated care boards took over the role of commission and secondary care services from clinical commissioning groups on 1 July 2022. NHS England formally oversees these ICBs, and it has a legal duty to assess annually the performance of each ICB and to publish its findings. CQC system assessments will also provide an independent assurance to the public and Parliament. The success and impact of these new arrangements will be measured by a DHSC-commissioned evaluation completed by academics.
To ask Her Majesty’s Government how they are monitoring and assessing the transition of Clinical Commissioning Groups to Integrated Care Boards; and how the success and impact of the new structure will be evaluated and reported to Parliament.
My Lords, there are key factors to providing successful health and social care services that are outside the control of integrated care boards but very much within the control of the Government, including workforce supply and investment in social care capacity. Could the Minister tell the House how the impact of government provision will be measured and, where necessary, what action will be taken to put this right so that ICBs are actually able to deliver quality joined-up services for local people?
My Lords, there are key factors to providing successful health and social care services that are outside the control of integrated care boards but very much within the control of the Government, including workforce supply and investment in social care capacity. Could the Minister tell the House how the impact of government provision will be measured and, where necessary, what action will be taken to put this right so that ICBs are actually able to deliver quality joined-up services for local people?
As the noble Baroness will be aware, a lot of the work at the local level will be done by the ICBs, in partnership with others, under the ICS system. On the Government’s role on workforce, the department commissioned Health Education England to produce a report to look at the long-term strategic drivers to support long-term workforce planning. This work is nearing its final stages. We have also commissioned NHS England and NHS Improvement to develop a long-term workforce plan for the next 15 years. In addition, as the noble Baroness will know, Section 41 of the Health and Care Act 2022 gives the Secretary of State a duty to publish a report at least every five years.
As the noble Baroness will be aware, a lot of the work at the local level will be done by the ICBs, in partnership with others, under the ICS system. On the Government’s role on workforce, the department commissioned Health Education England to produce a report to look at the long-term strategic drivers to support long-term workforce planning. This work is nearing its final stages. We have also commissioned NHS England and NHS Improvement to develop a long-term workforce plan for the next 15 years. In addition, as the noble Baroness will know, Section 41 of the Health and Care Act 2022 gives the Secretary of State a duty to publish a report at least every five years.
As the noble Baroness will be aware, a lot of the work at the local level will be done by the ICBs, in partnership with others, under the ICS system. On the Government’s role on workforce, the department commissioned Health Education England to produce a report to look at the long-term strategic drivers to support long-term workforce planning. This work is nearing its final stages. We have also commissioned NHS England and NHS Improvement to develop a long-term workforce plan for the next 15 years. In addition, as the noble Baroness will know, Section 41 of the Health and Care Act 2022 gives the Secretary of State a duty to publish a report at least every five years.
My Lords, there are key factors to providing successful health and social care services that are outside the control of integrated care boards but very much within the control of the Government, including workforce supply and investment in social care capacity. Could the Minister tell the House how the impact of government provision will be measured and, where necessary, what action will be taken to put this right so that ICBs are actually able to deliver quality joined-up services for local people?
My Lords, can my noble friend the Minister say whether the importance of civil society to these care boards is realised? It is often local charities that really know what is going on in a community, and it is really important that they are involved going forward.
My Lords, can my noble friend the Minister say whether the importance of civil society to these care boards is realised? It is often local charities that really know what is going on in a community, and it is really important that they are involved going forward.
My noble friend makes a really important point on this: if you look at the structure at the local level, you will see the ICBs, but they are in partnership with civil society organisations and others to form the ICP. The integrated care boards and integrated care partnerships together comprise the integrated care system locally. When looking at local health needs and the health of populations, particularly in deprived areas, it is really important that we work
with local charities and civil society organisations; they are quite often trusted more by local people than professionals.