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Written Question
Integrated Care Boards: Pay
Wednesday 17th May 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Lord Markham on 27 April (HL7236), whether they assessed the chief executive role for South Yorkshire and Bassetlaw integrated care board as exceptional for a higher salary; and what differences existed in South Yorkshire and Bassetlaw which justified a different salary to the chief executive for West Yorkshire which has similar issues of complexity.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Pay levels for integrated care board (ICB) CEOs were subject to NHS England approval following applications made by each integrated care system or ICB, according to a pay framework agreed between NHS England and the Department. The pay framework determined the pay ranges available for roles, including the CEOs of West Yorkshire and South Yorkshire and Bassetlaw. Any salaries proposed above the midpoint of the agreed respective pay ranges had to obtain additional Ministerial approval.


Written Question
Integrated Care Boards: Pay
Tuesday 16th May 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Lord Markham on 27 April (HL7236), for the pay of each of the three integrated care board chief executives of (1) Humber Coast and Vale, (2) South Yorkshire and Bassetlaw, and (3) Cornwall and Isles of Scilly, whether their previous salary was taken into account by NHS England in accordance with the sign-off process by Ministers; and if so, whether that information was passed on to the department.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England considered the existing salary of candidates when agreeing the salaries of the chief executives of integrated care boards. This information was also contained in the business cases considered by Ministers when their approval was required.


Written Question
Integrated Care Boards: Pay
Thursday 27th April 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Lord Markham on 3 April (HL6059), to list for the three Integrated Care Board chief executives of (1) Humber Coast and Vale, (2) South Yorkshire and Bassetlaw, and (3) Cornwall and Isles of Scilly; and why each was judged to be of an exceptional nature and higher rates of pay were therefore supported by Ministers on the basis of each or any of (a) geographical scale and complexity, (b) stakeholder footprint and complexity, or (c) systems complexity.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The reason for approving the salary at Humber Coast and Vale was that it features a large physical geography, making it difficult to support coastal towns. It also has the additional system complexity of having two of its foundation trusts, Northern Lincolnshire and Goole, in both quality and financial special measures.

For South Yorkshire and Bassetlaw, it features system complexity with Sheffield Health and Social Care Foundation Trusts due to being in quality special measures and needing to engage with five local authorities. It also contains former coalfields with considerable health needs.

Cornwall and Isles of Scilly features the geographical complexities of being a peninsula with 60% of people in settlements of under 30,000, affecting how and where services can be provided. There is also the additional complexity of having a large seasonal variation in population. Both of the two trusts within its remit required improvement as per their Care Quality Commission ratings.


Written Question
Integrated Care Boards: Pay
Monday 3rd April 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Lord Markham on 7 February (HL4741), what criteria they used to decide whether to approve the salaries for Integrated Care Boards (ICB) Chief Executives in (1) Humber Coast and Vale, (2) South Yorkshire and Bassetlaw, and (3) Cornwall and Isles of Scilly; and why these Chief Executives were thought to justify higher salaries than other ICB Chief Executives.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The criteria, as per the agreed pay framework, used to approve the salaries for the aforementioned integrated care board Chief Executives were geographical scale and complexity; stakeholder footprint and complexity; and systems complexity, including where any associated trusts are in financial and quality special measures. For these three chief executive roles these attributes were judged to be of an exceptional nature and, therefore, higher rates of pay were supported by Ministers.


Written Question
Ambulance Services: Motor Vehicles
Wednesday 8th February 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to their emergency care plan announced on 30 January, how many of the 800 new ambulances will be (1) replacing existing ambulances, or (2) extra vehicles on the road.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department published its Delivery plan for recovering urgent and emergency care services on 30 January 2023 and set out that ‘over 800 new ambulances are expected to be available during 2023/24, with the majority expected to be available ahead of winter, as part of ongoing improvement and replacement of our fleet, including 100 new specialist mental health response vehicles’. A copy of the delivery plan is attached.

As always there is a churn of old vehicles being taken off the road, but we still expect a significant increase in the overall size of the fleet of roughly 10% of the current fleet, equivalent to approximately 350 new vehicles, in addition to 100 new mental health ambulances.


Written Question
Health services: Staff
Wednesday 8th February 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to their emergency care plan announced on 30 January, how many extra staff will be required to staff the extra (1) hospital beds, and (2) ambulances.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

While all areas of the National Health Service workforce are under pressure, we know that there are specific areas of the urgent & emergency care (UEC) workforce which we need to expand. Further detail will be set out as part of the long-term workforce plan, to be published this year.

NHS England has asked systems as part of the 2023/24 planning round to develop and implement integrated UEC workforce plans based on capacity and demand assessments in line with local population need. As such, the number of extra staff required is still under consideration.


Written Question
NHS and Social Services: Staff
Wednesday 8th February 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to their emergency care plan announced on 30 January, how many extra staff will be required by (1) the NHS, and (2) social care, to staff the new tailored support at home services and keep people out of hospital.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England has asked systems as part of the 2023/24 planning round to develop and implement integrated urgent & emergency care workforce plans based on capacity and demand assessments in line with local population need. These plans will consider wider out-of-hospital services, including community services such as rehabilitation, therapy and reablement, and community nursing. As such, specific figures are still under consideration.

To scale virtual wards, NHS England will develop a national workforce recruitment capacity and capability plan, which will include multi-disciplinary teams, including staff with training in frailty, access to specialist and consultant oversight required to deliver hospital level care at home, and the therapy workforce. The Government has also made available up to £2.8 billion in 2023/24 and £4.7 billion in 2024/25 to support adult social care and discharge.

This funding will help local authorities address waiting lists, low fee rates, and workforce pressures in the social care sector.


Written Question
Integrated Care Boards: Pay
Tuesday 7th February 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government whether they have approved any individual pay and remuneration package for a Chief Executive of an Integrated Care Board (ICB), in line with public pay and terms guidance; and if so, for which ICBs and for how much in each case.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government has approved salaries for Chief Executives at Humber Coast and Vale, South Yorkshire and Bassetlaw and Cornwall and Isles of Scilly ICBs.

Owing to data protection reasons, individual salaries cannot be disclosed without the individuals being notified of the intention to disclose this information. Salary levels will feature in the ICBs’ annual reports.


Written Question
Integrated Care Boards: Pay
Thursday 19th January 2023

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what is the total salary bill for Chief Executives of Integrated Care Boards (ICBs) in England for the financial year 2022–23.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The 2022/23 financial year is ongoing. Integrated care board chief executive salary levels will feature in the annual reports of those boards.


Written Question
Hospital Beds and Social Services
Wednesday 16th November 2022

Asked by: Lord Scriven (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the report The state of health care and adult social care in England 2021/22 by the Care Quality Commission, published on 21 October, which found that, due to a lack of capacity in social care, just two in five people leave hospital when they are fit for discharge, what steps they are taking to increase capacity in social care so more patients can be discharged.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

We are investing £500 million to accelerate the safe discharge of medically fit patients from hospitals into social care. This funding can be used flexibly by local health and care systems, targeting areas facing the greatest challenges and supporting recruitment and retention in the sector. We are also investing £15 million to increase international recruitment of care workers and promoting adult social care careers through a recently launched national recruitment campaign.