Question to the Department of Health and Social Care:

To ask His Majesty's Government what financial spend is planned on posts in the very senior managers category in the NHS in (1) this financial year, and (2) the following three years.

This information is not held centrally. Spend on very senior managers (VSM) pay is locally determined by individual National Health Service organisations within their local budget positions. VSM pay arrangements are subject to the decisions of local remuneration committees, which are ordinarily based on the provisions in the VSM pay framework and the independent recommendations of the Senior Salaries Review Body (SSRB). Future spending on VSM pay will depend on the outcomes of SSRB recommendations, and individual NHS trusts’ decisions are dependent on their financial position at a local level.