Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of NHS Greater Manchester's financial deficit on (a) patient care and (b) service delivery.

NHS England has a range of mechanisms and guidance in place to support local organisations to improve their financial management. As part of the Oversight Framework, which is currently being refreshed, NHS England closely monitors the financial performance of providers and systems, intervening and providing support where there is concern about a risk of overspending against agreed plans.

The Investigation and Intervention programme was established in 2024/25 to help National Health Service systems that were facing significant risk to their finances. Following a comprehensive review, a series of actions and interventions are implemented to rectify the risks within their plan. The Greater Manchester Integrated Care System entered the Investigation and Intervention programme in July 2024 and has received external support to develop and implement a financial recovery plan that does not adversely impact patient care or service delivery.

Organisations with the largest financial challenges will enter NHS England's Recovery Support Programme (RSP) and will receive assistance from the National Intensive Support Team to strengthen financial control. Support for organisations who have entered the RSP can include, but is not limited to, specialist support to reduce use of agency staffing, implementation of cost controls, and full implementation of the grip and control checklist. The Greater Manchester Mental Health NHS Foundation Trust entered the RSP in November 2022 and is currently being supported by its intensive support team to review its spending and recovery plans.

These support mechanisms should ensure the continuity of services and patient safety, and ultimately where NHS trusts need help with cash flow, the Department will provide cash support in the form of Public Dividend Capital. To date, NHS trusts within the Greater Manchester Integrated Care System have received £22.4 million of cash support in 2024/25, with the Stockport NHS Foundation Trust receiving £15.6 million and the Tameside and Glossop Integrated Care NHS Foundation Trust receiving £6.8 million.