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.

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.