Asked by: Liz Kendall (Labour - Leicester West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the unallocated funding in the Next steps to put People at the Heart of Care report will be used for; and when that funding will allocated.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
Up to £600 million of funding announced in the People at the Heart of Care white paper has not yet been allocated. The Government is considering how best to use this funding, including further investment in workforce and will target this remaining funding on measures that will have the most impact.
The recently published ‘Next steps to put People at the Heart of Care’ set out more detail on the Government’s plans for reform over the next two years, building on the £100 million already invested in the past year.
Asked by: Luke Evans (Conservative - Bosworth)
Question to the HM Treasury:
To ask the Chancellor of the Exchequer, what fiscal steps his Department is taking to support future funding of county councils.
Answered by John Glen - Paymaster General and Minister for the Cabinet Office
At Spending Review 2021, the Government provided councils in England with £4.8 billion of new grant funding between 2022-23 and 2024-25.
Recognising that inflation is higher than it was when these budgets were set, at Autumn Statement 2022, the Chancellor announced that local authorities will have access to up to an additional £2.8 billion in 2023-24 and £4.7 billion in 2024-25 for social care and other services, which is of particular benefit to county councils.
The 2023-24 Local Government Finance Settlement confirmed an increase in total Core Spending Power for local authorities of 9.4%.
Decisions on spending beyond 2024-25 will be taken at the next Spending Review.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
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 20 April 2023 to Question 180229 on Social Services: Finance, whether he plans to assess the impact of changes in the level of social care workforce train and retain funding on charitable and not-for-profit providers.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
We have no plans to make an assessment.
Asked by: Julian Knight (Independent - Solihull)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to make funding available to local authorities to increase the rates paid to social care providers in order to help reduce waiting times for social care.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Government has provided a historic funding boost of up to £7.5 billion for adult social care. This includes the £562 million Market Sustainability and Improvement Fund which provides local authorities with funding to support social care in their areas. This funding is to be used by local authorities to increase fee rates, to increase workforce capacity and to reduce social care waiting times.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the impact of changes in the level of social care workforce train and retain funding on charitable and not-for-profit providers.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
No assessments have been made.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the impact of changes in the level of social care workforce train and retain funding on the number of social care vacancies.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
No assessments have been made.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of his Department's annual budget (a) will be spent on primary care in 2022-23 and (b) was spent on primary care in each of the last five years.
Answered by Neil O'Brien
Detailed breakdowns of the Department’s expenditure are included in the Departmental Annual Report and Accounts. These breakdowns report the limit of audited expenditure detail that is available, but do not include all spending categories covered in these questions. Where possible, we have included both audited spending data and the Departmental estimates to answer some but not all of these questions below. Final figures for 2022/23 figures are not yet available.
All primary care, including General Medical, Dental, Pharmaceutical and Ophthalmic Services are commissioned and paid for by NHS England and integrated care boards. The following table summarises the expenditure on these services reported in the Department’s Annual Report and Accounts and compares that to the total Departmental Resource DEL (RDEL) spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL Outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
Of which, spending by NHS England on Primary Care - | |||||
General Dental Services and Personal Dental Services | 3,100 | 3,062 | 3,089 | 2,920 | 2,945 |
General, Personal and Alternative Provider Medical Services | 11,365 | 10,399 | 9,154 | 8,526 | 8,274 |
Pharmaceutical Services | 2,341 | 2,124 | 1,961 | 1,935 | 1,907 |
General Ophthalmic Services | 561 | 590 | 548 | 554 | 556 |
| 17,367 | 16,176 | 14,752 | 13,935 | 13,682 |
as a % of total Departmental RDEL | 9.5% | 8.9% | 11.0% | 11.1% | 11.3% |
Source: DHSC Annual Report and Accounts, “Departmental Group Detail – Expenditure” tables
The vast majority of social care funding is held by local Government and is not part of the Department’s budgets. The Department for Levelling Up, Housing and Communities’ core spending power tables provide an overview of the core grants available to local authorities. These can be found at the following link:
The Department’s Resource DEL budget does fund a smaller amount of social care-related spending. This budget includes some grants paid directly to local Government, with the majority managed by NHS England via the Better Care Fund (BCF). A small amount of central spending is managed directly within the Department. The table below provides estimates of the related expenditure incurred by the Department and compares that to the total Department Resource DEL spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
NHS England contribution to BCF for Adult Social Care | 2,007 | 1,894 | 1,779 | 1,627 | 1,594 |
The Department’s social care related expenditure (including grants) | 1,288 | 1,443 | 172 | 164 | 166 |
Total | 3,295 | 3,336 | 1,951 | 1,791 | 1,760 |
as a % of total Departmental RDEL | 1.8% | 1.8% | 1.5% | 1.4% | 1.5% |
Source: Departmental estimates
Expenditure on community care is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Provision of community care will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
RDEL expenditure on diagnostics is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Spending on diagnostic services will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
Capital expenditure on diagnostic equipment is usually made at local level through integrated care system capital envelopes and is subject to local decision making on prioritisation. The national total for all local capital investment is £4.2 billion for 2022/23.
In addition to that, the Government has provided an extra £2.3 billion for the period between 2022/23 to 2024/25 to transform diagnostic services, and to roll out up to a total of 160 community diagnostic centres by March 2025 to help improve diagnostic services up and down the country, and other specific capital funding to improve diagnostic capacity has been provided through national programmes. The following table provides a timeseries showing the periods for which data is available.
| |||
| 2021-2022 | 2020-2021 | 2019-2020 |
Total Departmental CDEL Outturn (by million £s) | 7,126 | 12,683 | 7,015 |
National Diagnostic Programme | 273 | 99 | 97 |
as a % of total Departmental CDEL | 3.8% | 0.8% | 1.4% |
Note: The above shows national capital investment and does not include operational capital.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of his Department's annual budget (a) will be spent on social care in 2022-23 and (b) was spent on social care in each of the last five years.
Answered by Neil O'Brien
Detailed breakdowns of the Department’s expenditure are included in the Departmental Annual Report and Accounts. These breakdowns report the limit of audited expenditure detail that is available, but do not include all spending categories covered in these questions. Where possible, we have included both audited spending data and the Departmental estimates to answer some but not all of these questions below. Final figures for 2022/23 figures are not yet available.
All primary care, including General Medical, Dental, Pharmaceutical and Ophthalmic Services are commissioned and paid for by NHS England and integrated care boards. The following table summarises the expenditure on these services reported in the Department’s Annual Report and Accounts and compares that to the total Departmental Resource DEL (RDEL) spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL Outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
Of which, spending by NHS England on Primary Care - | |||||
General Dental Services and Personal Dental Services | 3,100 | 3,062 | 3,089 | 2,920 | 2,945 |
General, Personal and Alternative Provider Medical Services | 11,365 | 10,399 | 9,154 | 8,526 | 8,274 |
Pharmaceutical Services | 2,341 | 2,124 | 1,961 | 1,935 | 1,907 |
General Ophthalmic Services | 561 | 590 | 548 | 554 | 556 |
| 17,367 | 16,176 | 14,752 | 13,935 | 13,682 |
as a % of total Departmental RDEL | 9.5% | 8.9% | 11.0% | 11.1% | 11.3% |
Source: DHSC Annual Report and Accounts, “Departmental Group Detail – Expenditure” tables
The vast majority of social care funding is held by local Government and is not part of the Department’s budgets. The Department for Levelling Up, Housing and Communities’ core spending power tables provide an overview of the core grants available to local authorities. These can be found at the following link:
The Department’s Resource DEL budget does fund a smaller amount of social care-related spending. This budget includes some grants paid directly to local Government, with the majority managed by NHS England via the Better Care Fund (BCF). A small amount of central spending is managed directly within the Department. The table below provides estimates of the related expenditure incurred by the Department and compares that to the total Department Resource DEL spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
NHS England contribution to BCF for Adult Social Care | 2,007 | 1,894 | 1,779 | 1,627 | 1,594 |
The Department’s social care related expenditure (including grants) | 1,288 | 1,443 | 172 | 164 | 166 |
Total | 3,295 | 3,336 | 1,951 | 1,791 | 1,760 |
as a % of total Departmental RDEL | 1.8% | 1.8% | 1.5% | 1.4% | 1.5% |
Source: Departmental estimates
Expenditure on community care is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Provision of community care will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
RDEL expenditure on diagnostics is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Spending on diagnostic services will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
Capital expenditure on diagnostic equipment is usually made at local level through integrated care system capital envelopes and is subject to local decision making on prioritisation. The national total for all local capital investment is £4.2 billion for 2022/23.
In addition to that, the Government has provided an extra £2.3 billion for the period between 2022/23 to 2024/25 to transform diagnostic services, and to roll out up to a total of 160 community diagnostic centres by March 2025 to help improve diagnostic services up and down the country, and other specific capital funding to improve diagnostic capacity has been provided through national programmes. The following table provides a timeseries showing the periods for which data is available.
| |||
| 2021-2022 | 2020-2021 | 2019-2020 |
Total Departmental CDEL Outturn (by million £s) | 7,126 | 12,683 | 7,015 |
National Diagnostic Programme | 273 | 99 | 97 |
as a % of total Departmental CDEL | 3.8% | 0.8% | 1.4% |
Note: The above shows national capital investment and does not include operational capital.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of his Department's annual budget (a) will be spent on diagnostics in 2022-23 and (b) was spent on diagnostics in each of the last five years.
Answered by Neil O'Brien
Detailed breakdowns of the Department’s expenditure are included in the Departmental Annual Report and Accounts. These breakdowns report the limit of audited expenditure detail that is available, but do not include all spending categories covered in these questions. Where possible, we have included both audited spending data and the Departmental estimates to answer some but not all of these questions below. Final figures for 2022/23 figures are not yet available.
All primary care, including General Medical, Dental, Pharmaceutical and Ophthalmic Services are commissioned and paid for by NHS England and integrated care boards. The following table summarises the expenditure on these services reported in the Department’s Annual Report and Accounts and compares that to the total Departmental Resource DEL (RDEL) spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL Outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
Of which, spending by NHS England on Primary Care - | |||||
General Dental Services and Personal Dental Services | 3,100 | 3,062 | 3,089 | 2,920 | 2,945 |
General, Personal and Alternative Provider Medical Services | 11,365 | 10,399 | 9,154 | 8,526 | 8,274 |
Pharmaceutical Services | 2,341 | 2,124 | 1,961 | 1,935 | 1,907 |
General Ophthalmic Services | 561 | 590 | 548 | 554 | 556 |
| 17,367 | 16,176 | 14,752 | 13,935 | 13,682 |
as a % of total Departmental RDEL | 9.5% | 8.9% | 11.0% | 11.1% | 11.3% |
Source: DHSC Annual Report and Accounts, “Departmental Group Detail – Expenditure” tables
The vast majority of social care funding is held by local Government and is not part of the Department’s budgets. The Department for Levelling Up, Housing and Communities’ core spending power tables provide an overview of the core grants available to local authorities. These can be found at the following link:
The Department’s Resource DEL budget does fund a smaller amount of social care-related spending. This budget includes some grants paid directly to local Government, with the majority managed by NHS England via the Better Care Fund (BCF). A small amount of central spending is managed directly within the Department. The table below provides estimates of the related expenditure incurred by the Department and compares that to the total Department Resource DEL spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
NHS England contribution to BCF for Adult Social Care | 2,007 | 1,894 | 1,779 | 1,627 | 1,594 |
The Department’s social care related expenditure (including grants) | 1,288 | 1,443 | 172 | 164 | 166 |
Total | 3,295 | 3,336 | 1,951 | 1,791 | 1,760 |
as a % of total Departmental RDEL | 1.8% | 1.8% | 1.5% | 1.4% | 1.5% |
Source: Departmental estimates
Expenditure on community care is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Provision of community care will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
RDEL expenditure on diagnostics is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Spending on diagnostic services will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
Capital expenditure on diagnostic equipment is usually made at local level through integrated care system capital envelopes and is subject to local decision making on prioritisation. The national total for all local capital investment is £4.2 billion for 2022/23.
In addition to that, the Government has provided an extra £2.3 billion for the period between 2022/23 to 2024/25 to transform diagnostic services, and to roll out up to a total of 160 community diagnostic centres by March 2025 to help improve diagnostic services up and down the country, and other specific capital funding to improve diagnostic capacity has been provided through national programmes. The following table provides a timeseries showing the periods for which data is available.
| |||
| 2021-2022 | 2020-2021 | 2019-2020 |
Total Departmental CDEL Outturn (by million £s) | 7,126 | 12,683 | 7,015 |
National Diagnostic Programme | 273 | 99 | 97 |
as a % of total Departmental CDEL | 3.8% | 0.8% | 1.4% |
Note: The above shows national capital investment and does not include operational capital.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of his Department's annual budget (a) will be spent on community care in 2022-23 and (b) was spent on community care in each of the last five years.
Answered by Neil O'Brien
Detailed breakdowns of the Department’s expenditure are included in the Departmental Annual Report and Accounts. These breakdowns report the limit of audited expenditure detail that is available, but do not include all spending categories covered in these questions. Where possible, we have included both audited spending data and the Departmental estimates to answer some but not all of these questions below. Final figures for 2022/23 figures are not yet available.
All primary care, including General Medical, Dental, Pharmaceutical and Ophthalmic Services are commissioned and paid for by NHS England and integrated care boards. The following table summarises the expenditure on these services reported in the Department’s Annual Report and Accounts and compares that to the total Departmental Resource DEL (RDEL) spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL Outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
Of which, spending by NHS England on Primary Care - | |||||
General Dental Services and Personal Dental Services | 3,100 | 3,062 | 3,089 | 2,920 | 2,945 |
General, Personal and Alternative Provider Medical Services | 11,365 | 10,399 | 9,154 | 8,526 | 8,274 |
Pharmaceutical Services | 2,341 | 2,124 | 1,961 | 1,935 | 1,907 |
General Ophthalmic Services | 561 | 590 | 548 | 554 | 556 |
| 17,367 | 16,176 | 14,752 | 13,935 | 13,682 |
as a % of total Departmental RDEL | 9.5% | 8.9% | 11.0% | 11.1% | 11.3% |
Source: DHSC Annual Report and Accounts, “Departmental Group Detail – Expenditure” tables
The vast majority of social care funding is held by local Government and is not part of the Department’s budgets. The Department for Levelling Up, Housing and Communities’ core spending power tables provide an overview of the core grants available to local authorities. These can be found at the following link:
The Department’s Resource DEL budget does fund a smaller amount of social care-related spending. This budget includes some grants paid directly to local Government, with the majority managed by NHS England via the Better Care Fund (BCF). A small amount of central spending is managed directly within the Department. The table below provides estimates of the related expenditure incurred by the Department and compares that to the total Department Resource DEL spending for the period.
| 2021-2022 | 2020-2021 | 2019-2020 | 2018-2019 | 2017-2018 |
Total Department RDEL outturn (by million £s) | 183,664 | 181,441 | 134,183 | 125,278 | 120,650 |
NHS England contribution to BCF for Adult Social Care | 2,007 | 1,894 | 1,779 | 1,627 | 1,594 |
The Department’s social care related expenditure (including grants) | 1,288 | 1,443 | 172 | 164 | 166 |
Total | 3,295 | 3,336 | 1,951 | 1,791 | 1,760 |
as a % of total Departmental RDEL | 1.8% | 1.8% | 1.5% | 1.4% | 1.5% |
Source: Departmental estimates
Expenditure on community care is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Provision of community care will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
RDEL expenditure on diagnostics is not strictly defined and not separately reported in the Department’s Annual Report and Accounts. Spending on diagnostic services will cross organisations and expenditure types, so it is not possible to provide separate spending figures for this category.
Capital expenditure on diagnostic equipment is usually made at local level through integrated care system capital envelopes and is subject to local decision making on prioritisation. The national total for all local capital investment is £4.2 billion for 2022/23.
In addition to that, the Government has provided an extra £2.3 billion for the period between 2022/23 to 2024/25 to transform diagnostic services, and to roll out up to a total of 160 community diagnostic centres by March 2025 to help improve diagnostic services up and down the country, and other specific capital funding to improve diagnostic capacity has been provided through national programmes. The following table provides a timeseries showing the periods for which data is available.
| |||
| 2021-2022 | 2020-2021 | 2019-2020 |
Total Departmental CDEL Outturn (by million £s) | 7,126 | 12,683 | 7,015 |
National Diagnostic Programme | 273 | 99 | 97 |
as a % of total Departmental CDEL | 3.8% | 0.8% | 1.4% |
Note: The above shows national capital investment and does not include operational capital.