Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many vacancies existed for (1) nurses, (2) junior doctors, (3) doctors, and (4) consultants, in the Brighton and Sussex University Hospitals NHS Trust, in each year since 2010.
Answered by Lord O'Shaughnessy
The data is not available in the format requested.
NHS Digital publishes workforce statistics. The following table contains full time equivalent vacancies for medical and dental, and registered nurses and midwives as at September 2017, the latest data available, in Brighton and Sussex University Hospitals NHS Trust.
Number of job adverts as at September 2017 Full time equivalent | Medical and Dental | Nursing and Midwifery Registered |
Brighton and Sussex University Hospitals NHS Trust | 35 | 113 |
Source: NHS Digital Vacancy Statistics
NHS Improvement collects monthly vacancy rate information since April 2017 with no historic information prior to this point. The collection includes a total medical vacancy figure but is not disaggregated to junior or consultant level and is not available at trust level.
The Trust’s Board published January 2018 Combined Board in Public papers which provide the following statement on vacancies in the Brighton and Sussex University Hospitals NHS Trust:
“The Trust Establishment stands at 8210.7 WTE. There are 7334.7 WTE staff in post which equates to a vacancy rate of 10.7%. Of the 876 WTE vacancies; 343 WTE are Nursing and Midwifery, 178 WTE are Admin & Clerical, 149 WTE are Scientific, therapeutic and technical staff (ST&T), 126 WTE are Ancillary Support and 80 are Medical. The highest vacancy rate is within Ancillary Support (18.6%)”.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what representations they have received from (1) local authorities, (2) carer organisations, (3) private providers, and (4) affected individuals, regarding the funding of adult social care.
Answered by Lord O'Shaughnessy
The additional £150 million for the Adult Social Care Support Grant in 2018/19 has been provided as a further resource for local authorities to support the care market in their areas.
We are in regular contact with stakeholders in the sector including national representation from the Local Government Association and the Association of Directors of Adult Social Services, as well as local authorities and providers, on a wide range of issues.
We are inviting representation from all interested parties on the upcoming Green Paper and will be holding further roundtables and consultation throughout the year.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of the long-term impact of the £150 million in additional funding granted to the Adult Social Care Support Grant, administered by local authorities, announced in the local government finance settlement 2018–19.
Answered by Lord O'Shaughnessy
The additional £150 million for the Adult Social Care Support Grant in 2018/19 has been provided as a further resource for local authorities to support the care market in their areas.
We are in regular contact with stakeholders in the sector including national representation from the Local Government Association and the Association of Directors of Adult Social Services, as well as local authorities and providers, on a wide range of issues.
We are inviting representation from all interested parties on the upcoming Green Paper and will be holding further roundtables and consultation throughout the year.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of the impact on adults receiving social care of the projected £2.3 billion shortfall in funding for adult social care by 2020 as forecast by the Local Government Association.
Answered by Lord O'Shaughnessy
The Budget in March 2017 announced an additional £2 billion to be given to councils over the three years from 2017/18 for social care. More recently the local government finance settlement announced a further £150 million for social care.
This additional funding means that Government has given councils access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18. Overall, councils are able to increase spending on adult social care in real terms in each of the next three years.
The Government has set out plans to publish a green paper by summer 2018 presenting its proposals to reform care and support for older people.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what steps they are taking to close the projected £2.3 billion funding gap in adult social care by 2020 as forecast by the Local Government Association.
Answered by Lord O'Shaughnessy
The Budget in March 2017 announced an additional £2 billion to be given to councils over the three years from 2017/18 for social care. More recently the local government finance settlement announced a further £150 million for social care.
This additional funding means that Government has given councils access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18. Overall, councils are able to increase spending on adult social care in real terms in each of the next three years.
The Government has set out plans to publish a green paper by summer 2018 presenting its proposals to reform care and support for older people.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many vacancies exist for (1) nurses, (2) junior doctors, and (3) consultants, in NHS Trust hospitals in (a) Sussex, (b) Surrey, and (c) Kent.
Answered by Lord O'Shaughnessy
The information is not available in the format requested.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether accountable care organisations will be created by delegated legislation; and if so, under what Act of Parliament.
Answered by Lord O'Shaughnessy
NHS England are developing a draft accountable care organisation (ACO) contract which could be used by local commissioners to commission a provider of integrated services. An ‘ACO’ is not a new type of legal entity, neither is it a body created under delegated legislation; instead it is a service provider that holds an ACO contract. NHS England have a power to draft terms and conditions for commissioning contracts in Regulation 17 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012. It is for NHS England to decide, after consultation, whether to introduce the ACO contract as a further commissioning contract.
NHS England have already announced that they will be launching a consultation on the contracting arrangements for ACOs in March 2018. No ACO contract will be awarded in the meantime. NHS England has informed the Department that if an ACO contract is introduced, it is most likely that the two areas using a contract of this type will be Dudley Clinical Commissioning Group and City of Manchester Clinical Commissioning Group.
If the contract is introduced, it will always be for local commissioners to decide how best to provide services to local patients, and this includes whether or not to establish an ACO.
Where such a decision is taken, it will be for local commissioners, using the standard terms and conditions published by NHS England, to determine the details of the ACO contract. This will include the ACO budget. NHS England has published detailed guidance on how an ACO budget may be calculated. This guidance, Whole population models of provision: Establishing integrated budgets, is attached.
Where a decision has been taken to commission an ACO, the commissioner will be responsible for the award of that contract and ensuring compliance with any relevant procurement law.
The Health Select Committee is conducting a review of ACOs and NHS England is consulting on the draft ACO contract. The Government will not bring forward legislation until the NHS England consultation has concluded.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what percentage of planned accountable care organisations will be subject to competitive tendering and contracting out provisions.
Answered by Lord O'Shaughnessy
NHS England are developing a draft accountable care organisation (ACO) contract which could be used by local commissioners to commission a provider of integrated services. An ‘ACO’ is not a new type of legal entity, neither is it a body created under delegated legislation; instead it is a service provider that holds an ACO contract. NHS England have a power to draft terms and conditions for commissioning contracts in Regulation 17 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012. It is for NHS England to decide, after consultation, whether to introduce the ACO contract as a further commissioning contract.
NHS England have already announced that they will be launching a consultation on the contracting arrangements for ACOs in March 2018. No ACO contract will be awarded in the meantime. NHS England has informed the Department that if an ACO contract is introduced, it is most likely that the two areas using a contract of this type will be Dudley Clinical Commissioning Group and City of Manchester Clinical Commissioning Group.
If the contract is introduced, it will always be for local commissioners to decide how best to provide services to local patients, and this includes whether or not to establish an ACO.
Where such a decision is taken, it will be for local commissioners, using the standard terms and conditions published by NHS England, to determine the details of the ACO contract. This will include the ACO budget. NHS England has published detailed guidance on how an ACO budget may be calculated. This guidance, Whole population models of provision: Establishing integrated budgets, is attached.
Where a decision has been taken to commission an ACO, the commissioner will be responsible for the award of that contract and ensuring compliance with any relevant procurement law.
The Health Select Committee is conducting a review of ACOs and NHS England is consulting on the draft ACO contract. The Government will not bring forward legislation until the NHS England consultation has concluded.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the budget for accountable care organisations (1) in total, and (2) for each area in which they plan to establish them.
Answered by Lord O'Shaughnessy
NHS England are developing a draft accountable care organisation (ACO) contract which could be used by local commissioners to commission a provider of integrated services. An ‘ACO’ is not a new type of legal entity, neither is it a body created under delegated legislation; instead it is a service provider that holds an ACO contract. NHS England have a power to draft terms and conditions for commissioning contracts in Regulation 17 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012. It is for NHS England to decide, after consultation, whether to introduce the ACO contract as a further commissioning contract.
NHS England have already announced that they will be launching a consultation on the contracting arrangements for ACOs in March 2018. No ACO contract will be awarded in the meantime. NHS England has informed the Department that if an ACO contract is introduced, it is most likely that the two areas using a contract of this type will be Dudley Clinical Commissioning Group and City of Manchester Clinical Commissioning Group.
If the contract is introduced, it will always be for local commissioners to decide how best to provide services to local patients, and this includes whether or not to establish an ACO.
Where such a decision is taken, it will be for local commissioners, using the standard terms and conditions published by NHS England, to determine the details of the ACO contract. This will include the ACO budget. NHS England has published detailed guidance on how an ACO budget may be calculated. This guidance, Whole population models of provision: Establishing integrated budgets, is attached.
Where a decision has been taken to commission an ACO, the commissioner will be responsible for the award of that contract and ensuring compliance with any relevant procurement law.
The Health Select Committee is conducting a review of ACOs and NHS England is consulting on the draft ACO contract. The Government will not bring forward legislation until the NHS England consultation has concluded.
Asked by: Lord Bassam of Brighton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many accountable care organisations they plan to establish; and in which areas.
Answered by Lord O'Shaughnessy
NHS England are developing a draft accountable care organisation (ACO) contract which could be used by local commissioners to commission a provider of integrated services. An ‘ACO’ is not a new type of legal entity, neither is it a body created under delegated legislation; instead it is a service provider that holds an ACO contract. NHS England have a power to draft terms and conditions for commissioning contracts in Regulation 17 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012. It is for NHS England to decide, after consultation, whether to introduce the ACO contract as a further commissioning contract.
NHS England have already announced that they will be launching a consultation on the contracting arrangements for ACOs in March 2018. No ACO contract will be awarded in the meantime. NHS England has informed the Department that if an ACO contract is introduced, it is most likely that the two areas using a contract of this type will be Dudley Clinical Commissioning Group and City of Manchester Clinical Commissioning Group.
If the contract is introduced, it will always be for local commissioners to decide how best to provide services to local patients, and this includes whether or not to establish an ACO.
Where such a decision is taken, it will be for local commissioners, using the standard terms and conditions published by NHS England, to determine the details of the ACO contract. This will include the ACO budget. NHS England has published detailed guidance on how an ACO budget may be calculated. This guidance, Whole population models of provision: Establishing integrated budgets, is attached.
Where a decision has been taken to commission an ACO, the commissioner will be responsible for the award of that contract and ensuring compliance with any relevant procurement law.
The Health Select Committee is conducting a review of ACOs and NHS England is consulting on the draft ACO contract. The Government will not bring forward legislation until the NHS England consultation has concluded.