Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, when he plans to make an announcement on future running costs for integrated care boards.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services, and to reduce the duplication of responsibilities within their structure to achieve a 50% cost reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts on 1 April 2025, where ICBs were tasked with developing plans by the end of May setting out how they will manage their resources to deliver across their priorities.

In his letter to ICBs, Sir Jim Mackay committed to greater transparency and moving back to a fair shares allocation policy over time. Further information is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

No plans for an announcement by my Rt Hon. Friend, the Secretary of State for Health and Social Care have been made.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether Integrated Care Boards will receive extra funding to meet costs adjusted for population.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Integrated care boards (ICBs) receive funding allocations from NHS England to pay for the services they commission, and NHS England is responsible for decisions on the weighted capitation formula used to allocate resources between ICBs. This process is independent of the Government. NHS England takes advice from the Advisory Committee on Resource Allocation, a group of academics and other experts.

Most funding is allocated as non-ring-fenced budgets, informed by a calculation of what would constitute a ‘fair share’ of funding, taking account of population, age, need, deprivation, and health inequalities considerations. ICB allocations for 2025/26 were published on 30 January 2025. Further information is available at the following link:

https://www.england.nhs.uk/allocations/

Core allocations are growing by 4.4%, which is higher than population growth, so ICBs are receiving extra funding, adjusted for the population compared to the year before.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the 50 per cent cut to Integrated Care Boards on Solihull Hospital.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services, and to reduce the duplication of responsibilities within their structure to achieve a 50% cost reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts on 1 April 2025, where ICBs were tasked with developing plans by the end of May setting out how they will manage their resources to deliver across their priorities.

NHS England will work closely with the ICBs to ensure these changes do not compromise the quality of care or the statutory responsibilities of the ICBs, and to protect frontline staff from cuts. NHS England will be working closely with the ICBs to support the development of these plans, ensuring that their implementation reduces duplication and supports patient care. Further information is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

In his letter to the ICBs, Sir Jim Mackay committed to greater transparency and to moving back to a fair shares allocation policy over time. Currently, the Birmingham and Solihull ICB is 3.4% off its fair shares allocation targets, which includes specialised commissioning.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what steps she is taking to ensure that Gift Aid claimed by online fundraising platforms goes to charities.

Answered by James Murray - Exchequer Secretary (HM Treasury)

Charities have the flexibility to decide on their own strategy for fundraising and are free to partner with other organisations to process their Gift Aid claims. It will ultimately be a commercial decision on the part of a charity to work with a fundraising platform and whether it is appropriate to pay a fee for any services provided.

Many of the fundraising platforms are voluntarily registered with the Fundraising Regulator which can act if it believes standards have been breached.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she will take steps to ban the charging of commission on Gift Aid.

Answered by James Murray - Exchequer Secretary (HM Treasury)

Charities have the flexibility to decide on their own strategy for fundraising and are free to partner with other organisations to process their Gift Aid claims. It will ultimately be a commercial decision on the part of a charity to work with a fundraising platform and whether it is appropriate to pay a fee for any services provided.

Many of the fundraising platforms are voluntarily registered with the Fundraising Regulator which can act if it believes standards have been breached.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, whether she has made an assessment of the potential implications for her Department's policies of the use of tipping sliders by online fundraising platforms.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

Fundraising platforms are commercial organisations that provide an important service to charities and donors. Most platforms are registered with the Fundraising Regulator, which is the independent, non-statutory regulator of charitable fundraising in England, Wales and Northern Ireland. DCMS meets with the Fundraising Regulator regularly to discuss a range of issues.

The Fundraising Regulator’s new Code of Fundraising Practice, which will come into force on 1 November 2025, includes requirements for fundraising platforms to include information for donors about how fees, including any voluntary tips, are calculated. The information must be easy to find, and include details on how voluntary tips can be amended or removed altogether in a straightforward way.

The government has no current plans to bring forward legislation on fundraising platforms. DCMS will continue working with the Fundraising Regulator, charities, and online giving platforms to support best practice across all forms of charitable fundraising.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will bring forward legislative proposals to ensure that tipping sliders on online fundraising platforms can be dragged to zero.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

Fundraising platforms are commercial organisations that provide an important service to charities and donors. Most platforms are registered with the Fundraising Regulator, which is the independent, non-statutory regulator of charitable fundraising in England, Wales and Northern Ireland. DCMS meets with the Fundraising Regulator regularly to discuss a range of issues.

The Fundraising Regulator’s new Code of Fundraising Practice, which will come into force on 1 November 2025, includes requirements for fundraising platforms to include information for donors about how fees, including any voluntary tips, are calculated. The information must be easy to find, and include details on how voluntary tips can be amended or removed altogether in a straightforward way.

The government has no current plans to bring forward legislation on fundraising platforms. DCMS will continue working with the Fundraising Regulator, charities, and online giving platforms to support best practice across all forms of charitable fundraising.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to increase the transparency of fees on online fundraising platforms.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

Fundraising platforms are commercial organisations that provide an important service to charities and donors. Most platforms are registered with the Fundraising Regulator, which is the independent, non-statutory regulator of charitable fundraising in England, Wales and Northern Ireland. DCMS meets with the Fundraising Regulator regularly to discuss a range of issues.

The Fundraising Regulator’s new Code of Fundraising Practice, which will come into force on 1 November 2025, includes requirements for fundraising platforms to include information for donors about how fees, including any voluntary tips, are calculated. The information must be easy to find, and include details on how voluntary tips can be amended or removed altogether in a straightforward way.

The government has no current plans to bring forward legislation on fundraising platforms. DCMS will continue working with the Fundraising Regulator, charities, and online giving platforms to support best practice across all forms of charitable fundraising.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what discussions she has had with the Fundraising Regulator on the transparency of fees on online fundraising platforms.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

Fundraising platforms are commercial organisations that provide an important service to charities and donors. Most platforms are registered with the Fundraising Regulator, which is the independent, non-statutory regulator of charitable fundraising in England, Wales and Northern Ireland. DCMS meets with the Fundraising Regulator regularly to discuss a range of issues.

The Fundraising Regulator’s new Code of Fundraising Practice, which will come into force on 1 November 2025, includes requirements for fundraising platforms to include information for donors about how fees, including any voluntary tips, are calculated. The information must be easy to find, and include details on how voluntary tips can be amended or removed altogether in a straightforward way.

The government has no current plans to bring forward legislation on fundraising platforms. DCMS will continue working with the Fundraising Regulator, charities, and online giving platforms to support best practice across all forms of charitable fundraising.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of the recommendations on the minimum age for treatment for gender dysphoria in the Cass Review, published in April 2024.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Last year, NHS England held a public consultation regarding an updated referral pathway policy for children and young people to access NHS Children and Young People's Gender Services in line with the recommendations of the Cass Review.

The public consultation was supported by a detailed Equality and Health Inequalities Impact Assessment. A detailed report on the outcome of the consultation process, alongside guidance for secondary care health professionals, was published by NHS England on 7 August 2024.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the NHS follows guidance on the minimum age for gender dysphoria.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

On 7 August 2024, NHS England published a new service specification that describes the pathway onto the waiting list for NHS Children and Young People's Gender Services in line with the recommendations of the Cass Review. The service specification was agreed following a process of public consultation, respondents to which included medical bodies such as royal colleges of medicine. I would like to assure you that this service specification is followed by all commissioned providers of NHS Children and Young People’s Gender Services.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many children under the age of seven have been treated for gender dysphoria since 1 April 2024.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

No children under the age of seven have been treated for gender dysphoria since 1 April 2024.

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