NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.

NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.

NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.

NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.

NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.

NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.

NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.

NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.

NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.

The advert for the post of senior administrator from NHS Liverpool Clinical Commissioning Group (CCG) is attached.

This post was approved by the Primary Care Commissioning Committee of the CCG’s governing body at its meeting held in public in August 2015. This was not a secondment but a CCG employed fixed term post for 12 months.

We are informed by NHS England that NHS Liverpool Clinical Commissioning Group has received an unqualified audit opinion for each year since its inception. The audit covers a regularity opinion, findings regarding controls, value for money review and any other issues that require auditors to apply statutory powers and duties. This audit findings for each year are available to the public on its website:

www.liverpoolccg.nhs.uk/

We are informed by NHS England that NHS Liverpool Clinical Commissioning Group has received an unqualified audit opinion for each year since its inception. The audit covers a regularity opinion, findings regarding controls, value for money review and any other issues that require auditors to apply statutory powers and duties. This audit findings for each year are available to the public on its website:

www.liverpoolccg.nhs.uk/

In accordance with NHS England guidance and accounting rules, details of the salaries of Executive, general practitioner and lay members of the Clinical Commissioning Group Governing Body are published annually and follow the nationally prescribed format in the Remuneration Report. This forms part of the Annual Report of the clinical commissioning group which is publically available from the clinical commissioning group website and by request.

Remuneration is set by the Remuneration Committee of the Clinical Commissioning Group in accordance with the Clinical Commissioning Group Constitution and NHS England guidance.

The Department has asked NHS England to look into the remuneration of governing body members at the Liverpool Clinical Commissioning Group.

The Department has asked NHS England to look into the remuneration of non-executive directors at Liverpool Clinical Commissioning Group and to write to the Honourable Lady once their enquiries are completed.

The Department has asked NHS England to look into the remuneration of non-executive directors at Liverpool Clinical Commissioning Group and to write to the hon. Member once their enquiries are completed.

I understand that my right hon. Friend the Health Secretary has asked NHS England to investigate the remuneration of non-executive directors at Liverpool CCG, and I am sure that he will keep the hon. Lady updated. We want to make the NHS even more efficient so that every possible penny can be spent on frontline patient care, and I am pleased to say that we are seeing results. The financial position has improved by £1.3 billion compared with this time last year, with 44 fewer trusts in deficit. As I say, NHS England is investigating the issue that the hon. Lady has raised.

Despite austerity, shocking pay increases were awarded to the board of the Liverpool clinical commissioning group, with a lay deputy chair now being paid more than £100,000 following

a 43% increase. Will the Prime Minister agree to investigate the failures of governance within the CCG and the lack of scrutiny within the wider Liverpool health economy, and ensure that no mergers take place while those matters are being investigated?

In accordance with NHS England guidance and accounting rules, details of the salaries of Executive, general practitioner and Lay Members of Clinical Commissioning Group (CCG) Governing Body are published annually in the nationally prescribed format in the Remuneration Report that forms part of the Annual Report of the CCG which is publicly available from the CCG website at:

http://www.liverpoolccg.nhs.uk/

and by request. The annual report and remuneration report for 2016/17 is expected to be published in June 2017, following external audit and in accordance with the 2016/17 national audit timetable.

For 2016/17, the Remuneration Committee determined that a 1% pay increase for the Chief Officer and Chief Finance Officer would apply from 1 April 2016 and a 1% pay increase for the Chief Nurse would apply from 1 October 2016. No increases to other Governing Body Members were approved for 2016/17.

We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS Foundation Trust (FT) has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health NHS Trust contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.

The accepted bid for 2017/18 is for £77 million recurrent funding, the same level as for the current year.

We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS FT has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.

Bidders were told prior to re-submitting their bids in August 2016 for the first two years, that non-recurrent resource would reduce over a period of time.

Contract values for 2019/20, 2020/21 and 2021/22 will be negotiated and agreed in advance of those financial years. As such, no figure can be put on depreciation over a future five year period by commissioners.

We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS Foundation Trust (FT) has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.

The accepted bid for 2017/18 includes £4.6 million non-recurrent funding for transition and transformation, the same level as for the current year.

We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS Foundation Trust (FT) has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health NHS Trust contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.

Efficiency targets post 2018/19 cannot be forecast for any NHS provider. For 2017/18 and 2018/19, all NHS providers are expected to deliver the nationally set target of 2% efficiencies. This would be expected of Bridgewater NHS FT across all its services.

The Cheshire and Mersey Sustainability and Transformation Plan (STP) contained a national template which set out that community spend was anticipated to increase by approximately 3.5% per year (for all CCGs) while hospital spend was anticipated to increase by approximately 1.8% each year. The STP, along with other planning activity, is expected to manage spend to sustainable levels while also ensuring quality and service performance are secured. In North Mersey, there is a Local Delivery System Plan which describes all the work to be undertaken to address this. This includes implementation of the Healthy Liverpool Community Model.

We are informed by NHS Improvement of the following details in relation to the future provision of community services in Liverpool.

The value of the contract for community health services in Liverpool for 2017/18 is £81.6 million. This matches the value of the contract for these services in 2016/17.

NHS Improvement and Bridgewater Community Healthcare NHS Foundation Trust both recognise the need for thorough due diligence. Any analysis of potential redundancies will take place during this process.

The new contract will not be in place until 1 July 2017 to enable due diligence to be completed. This will enable NHS Improvement fully to assess the Full Business Case to be submitted by Bridgewater NHS Foundation Trust. NHS Improvement will also have sight of the Care Quality Commission’s inspection report for the Trust and the Trust’s subsequent action plan and response. It will also have sight of the outcome of the clinical review in relation to Liverpool Community Healthcare NHS Trust being led by Dr Bill Kirkup which will have reported well within the timeframe.

The funding envelope was communicated to bidders in advance of their submissions. Both bidders were given the opportunity to resubmit their bids by NHS Improvement in October 2016. At this juncture, Bridgewater NHS Foundation Trust revised its bid price.

The current status of Bridgewater NHS Foundation Trust is that of ‘preferred provider’ and as such NHS Liverpool Clinical Commissioning Group (CCG) has not yet formally engaged the Trust in any contract discussions.

Details around governance and financial risk sharing are still being worked on. Bridgewater NHS Foundation Trust is currently working on the details of the proposed governance and financial risk sharing arrangements between the Trust, Liverpool City Council and the Liverpool GP Provider Organisation. These will be shared as part of the Full Business Case submission. The contract would be let by NHS Liverpool CCG on behalf of all three commissioners of these services; Liverpool City Council, NHS England and NHS Liverpool CCG itself. The contract would be under the standard National Health Service contracting arrangements. The contract would be let to Bridgewater NHS Foundation Trust.