Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, pursuant to the Answer of 1 December 2014 to Question 216131, what processes will be used to promote specialised commissioning expenditure against nominal clinical commissioning groups budgets; and how the present central NHS England budget for commissioning dialysis services will be transferred to clinical commissioning groups.

Significant work has been undertaken by NHS England to analyse current specialised commissioning expenditure patterns at clinical commissioning group (CCG) level. This CCG level monitoring will continue in 2015/16 with the aim of improving commissioning decisions.

There is no planned transfer of renal dialysis budgets from NHS England to CCGs in either the current financial year or during 2015-16. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.

Neither NHS England specialised commissioners nor CCGs have control over capital funding for dialysis facilities and maintenance. Capital funding for renewal of dialysis facilities and equipment remains with the incumbent providers. Ensuring that these facilities are of appropriate quality is achieved through the application of detailed service specifications which form part of the contract with providers.