Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 2 December 2025 to Question 87411 on NHS England: Redundancy, what proportion of the £860 million will be spent in each financial year.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The £860 million figure reflects funding brought forward from the Department’s 2025 Spending Review settlement. It will be brought forward to earlier years to bring NHS England into the Department, resulting in one organisation, and significantly reducing integrated care board running costs. This investment now will deliver savings of at least £1 billion per year by the end of this Parliament. This reprofiling was agreed following detailed discussions with HM Treasury and was announced at the Budget in November 2025.
The cost estimates to support this reprofiling were calculated jointly by the Department and NHS England’s finance teams, with input from subject matter experts. The calculations remain subject to ongoing policy development and refinement as part of wider transformation planning and prioritisation. Relevant material financial information will be published in due course in line with transparency obligations.
The profile by financial year has been published by HM Treasury within table 4.1, page 90, line 38 of the 2025 Budget policy paper, a copy of which is attached. It should be noted that these figures represent United Kingdom-wide allocations informed by the Barnett formula, rather than the England-only value referenced in the question.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to question 87411, if he will publish the calculations for the figure of £860 million.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The £860 million figure reflects funding brought forward from the Department’s 2025 Spending Review settlement. It will be brought forward to earlier years to bring NHS England into the Department, resulting in one organisation, and significantly reducing integrated care board running costs. This investment now will deliver savings of at least £1 billion per year by the end of this Parliament. This reprofiling was agreed following detailed discussions with HM Treasury and was announced at the Budget in November 2025.
The cost estimates to support this reprofiling were calculated jointly by the Department and NHS England’s finance teams, with input from subject matter experts. The calculations remain subject to ongoing policy development and refinement as part of wider transformation planning and prioritisation. Relevant material financial information will be published in due course in line with transparency obligations.
The profile by financial year has been published by HM Treasury within table 4.1, page 90, line 38 of the 2025 Budget policy paper, a copy of which is attached. It should be noted that these figures represent United Kingdom-wide allocations informed by the Barnett formula, rather than the England-only value referenced in the question.
Asked by: Shaun Davies (Labour - Telford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what policy he has on match funding raised by charity fundraisers for capital projects that will exclusively benefit the the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is supportive of the National Health Service working with the charities sector to identify opportunities for philanthropic donations alongside match funding. We are aware of several successful examples of infrastructure projects either part or majority funded through such partnerships, including investment at Great Ormond Street Hospital and Moorfield Eye Hospital.
Ultimately, it is for local NHS organisations and trusts to identify and agree these arrangements with charitable partners.
More broadly, as set out in the 10-Year Health Plan we are implementing several national reforms to the capital regime that should ultimately support the NHS’ ability to work effectively with charitable partners, including on options for securing match funding for projects. These include providing multi-year capital allocations, extending to 10 years of funding certainty for NHS maintenance budgets, and expanding capital flexibilities and autonomy for high-performing providers and integrated care boards. These reforms should enable systems to better plan longer term pipelines of investment, better facilitating and enabling philanthropic and charitable contributions.
Asked by: John McDonnell (Labour - Hayes and Harlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of how much the NHS budget will need to grow to keep pace with patient need, drug prices, inflation and private finance debt in each of the next five years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The financial pressures and the cost of new commitments for the National Health Service are analysed as part of the Spending Review process. The outcome of the most recent Spending Review is given in the policy paper Spending Review 2025, which is available at the following link:
https://www.gov.uk/government/publications/spending-review-2025-document/spending-review-2025-html
As set out in the document, this level of funding growth will support the NHS to deliver on the Government's priorities, including delivery of the Government’s Plan for Change commitment, meaning that by the end of this Parliament, 92% of patients will start consultant led treatment for nonurgent conditions within 18 weeks of referral.
At the 2025 Autumn Budget, the Government protected the NHS envelope announced at the 2025 Spending Review. This will see the NHS in England receive an over £15 billion real terms increase in annual resource budgets by the end of the period, between 2025/26 and 2028/29.
Asked by: John McDonnell (Labour - Hayes and Harlington)
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 merits of renegotiating current private finance debt to fund neighbourhood health centres with any potential savings.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Private finance initiative contracts are not held by the Department. Contracts are held between the local National Health Service trust and their respective private finance company.
The Department’s Private Finance Centre of Best Practice (CoBP) team, together with the National Infrastructure and Service Transformation Authority, provides expert support and advice to public authorities with private finance initiative contracts, to improve the performance of existing contracts and manage their expiry.
The Department focuses on supporting trusts to assess the costs and performance of their contracts, to help maximise support for frontline services and make every penny of our NHS funding count. The Department supports trusts on a case-by-case basis considering all options available whilst maintaining contractual compliance. The contracts were let for a prescribed period of time, with the terms set at the outset with limited areas for renegotiation. The CoPB team, however, continues to assess opportunities to refinance debt where possible and where it would provide value for money.
As set out in the 10 Year Infrastructure Strategy (the Strategy) and the 10-Year Health Plan, in addition to significant capital investment, the Government would explore the feasibility of using new Public Private Partnership (PPP) Neighbourhood Health Centres (NHCs).
The Budget, published on 26 November 2025, builds on the Strategy and the 10-Year Health Plan by confirming that the NHS Neighbourhood Rebuild Programme will deliver new NHCs through upgrading and repurposing existing buildings and building new facilities through a combination of public sector investment and a new model of PPPs.
To ensure the NHC PPPs are managed transparently and are fiscally sustainable, these partnerships will be budgeted for as if they are on a balance sheet.
Delivering new NHCs through a combination of public investment and PPPs will also allow, for the first time, for evidence to be built and compared between different delivery models.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, Further to his Department’s press release entitled Billions to be redirected back into patient care with NHS reform, published on 11 November, if he will publish the calculations for the stated £1bn a year saving.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The reintegration of NHS England and the restructuring of integrated care boards will deliver efficiencies that are expected to save £1 billion a year by the end of this Parliament. These savings will be achieved through streamlining functions, reducing duplication, and redirecting resources towards frontline patient care.
The Government is committed to transparency in how these figures are calculated. The methodology underpinning the £1 billion saving estimate will be set out through established mechanisms, including publication of supporting documentation where appropriate. This will ensure that both Parliament and the public are able to scrutinise the basis of the savings. Further detail will be brought forward in due course, in line with our commitment to provide clear and timely information.
Asked by: Edward Morello (Liberal Democrat - West Dorset)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will allocate funding to support mental health provision in rural communities in the Autumn Budget 2025.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that too many people are not receiving the mental health care they need, and we recognise that people living in rural communities may face particular challenges in accessing the mental health services they need. For 2025/26, mental health spending is forecast to amount to £15.6 billion. This represents a significant uplift of £688 million in real terms spending on mental health compared to the previous financial year.
Following publication by NHS England of the Medium Term Planning Framework on 24 October 2025, details of funding arrangements, including integrated care board allocations over the next three years, will be set out across revenue finance and contracting guidance, capital guidance, and published allocations in due course.
Asked by: Rachel Gilmour (Liberal Democrat - Tiverton and Minehead)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his department is taking to help ensure trusts have sufficient access to operational capital funding to repair buildings, replace old equipment, and provide a suitable environment for patients.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to delivering a National Health Service that is fit for the future through our 10-Year Health Plan, and we recognise the importance of supporting NHS trusts to manage and maintain their estates using operational capital allocations.
The Government’s recently published 10 Year Infrastructure Strategy set out 10-year maintenance budgets for the public estate, confirming £6 billion per year for the maintenance and repair of the NHS estate up to 2034/35.
Within this overall figure, the Government is providing over £4 billion in operational capital in 2025/26 and has now allocated a further £15.6 billion directly to providers over the following four years, from 2026/27 to 2029/30. Providers have also been given further five-year operational capital planning assumptions, covering 2030/31 to 2034/35, allowing them to plan longer term with confidence and accelerate investment decisions aligned to local priorities, including repairs, maintenance, and ensuring suitable patient environments.
In addition to operational capital, the Estates Safety Fund, established in 2025/26, will continue, with £6.75 billion investment over the next nine years to target the most critical building repairs and ensure safe environments for healthcare delivery.
Asked by: Valerie Vaz (Labour - Walsall and Bloxwich)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of allowing an NHS body to roll over to the next financial year any unspent budget to avoid incentivising unnecessary expenditure within that financial year.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England publishes guidance setting out the revenue finance and contracting framework for National Health Service organisations. The guidance for 2026/27 onwards has recently been published to support the Medium Term Planning Framework, and is available at the following link:
Where an integrated care board (ICB) delivers a surplus, this will be applied to the ICB cumulative position as set out in the updated NHS finance business rules, and available for drawdown in future years subject to agreement with NHS England as part of the financial planning process.
Asked by: Josh Fenton-Glynn (Labour - Calder Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many NHS Local Improvement Finance Trust facilities there are in each region of England; and what proportion of those contracts are due to expire before 2030.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
From 2029, the leases on 308 NHS Local Improvement Finance Trust (LIFT) buildings will begin to expire. The Department has initiated a national programme, Securing the Future, to manage these lease expiries through a structured, phased approach, and has determine which buildings should be retained to meet future health requirements.
Securing the Future will be led by Community Health Partnerships (CHP), a Department owned company that manages the LIFT estate. A business case is being developed to determine how best to secure the required estate after LIFT contract expiry, and this will assess the financial impact of different commercial approaches.
The Securing the Future programme will be informed by CHP’s expertise in managing Public Private Partnership assets. The business case will ensure that commercial arrangements to manage LIFT expiry are robust, and that any wider lessons from managing private finance initiatives are taken on board.
The number of NHS LIFT buildings in each region of England and the percentage of those contracts due to expire before the end of the 2029/30 financial year are as follows: