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Written Question
NHS: Finance
Friday 13th March 2020

Asked by: Jack Brereton (Conservative - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the market forces factors for NHS funding are determined; and what assessment he has made of the effect of market forces factors on the funding allocated to each clinical commissioning group.

Answered by Edward Argar

NHS England is responsible for funding allocations to clinical commissioning groups (CCGs). This process is independent of government and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation. CCG allocations take account of health inequalities and unmet need. The approach was updated in 2019/20 and further information can be found at the following link:

https://www.england.nhs.uk/wp-content/uploads/2019/01/note-on-ccg-allocations-2019-20-2023-24.pdf

NHS England and NHS Improvement are responsible for the design of tariff, including the Market Forces Factor. The approach and underlying data were updated in 2019/20. These changes have been introduced on a five-year glide path to ensure stability for the sector. Further information can be found in the guide available at the following link:

https://improvement.nhs.uk/documents/475/Guide_to_the_market_forces_factor.pdf

Written Question
University Hospitals of North Midlands NHS Trust: Finance
Wednesday 11th March 2020

Asked by: Jack Brereton (Conservative - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the PFI interest rate is that is charged to the University Hospitals of North Midlands Trust on the construction of the Royal Stoke University Hospital, what the comparable rate is for HM Treasury-funded projects; and what additional funding is provided to that NHS Trust for mitigating any difference.

Answered by Edward Argar

As each Private Finance Initiative (PFI) company raises its finance in different ways and from different sources, the most relevant and easily comparable way of describing the cost of PFI finance is the pre-tax nominal project internal rate of return. This rate for the Royal Stoke University Hospital PFI project was 5.70% in June 2007 based on the Government’s standard inflation rate assumption.

At the time the Royal Stoke University Hospital PFI was signed in June 2007, the interest rate for loans for capital investment, which was based on the relevant National Loan Fund rates, was 5.65%.

Where public dividend capital is made available for capital investment, under current rules Trusts are required to pay a 3.5% dividend on its net assets.

Speech in Commons Chamber - Tue 28 Jan 2020
Oral Answers to Questions

"T4. Labour’s private finance initiative contract means that Royal Stoke University Hospital is paying double the interest on its debt than if it had been funded directly from the Treasury—money that should be going to improve patient care. Will my hon. Friend agree to look at how these costs can …..."
Jack Brereton - View Speech

View all Jack Brereton (Con - Stoke-on-Trent South) contributions to the debate on: Oral Answers to Questions
Speech in Commons Chamber - Tue 23 Jul 2019
Oral Answers to Questions

"9. What steps he is taking to improve NHS facilities. ..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Tue 23 Jul 2019
Oral Answers to Questions

"I thank the Minister for visiting the site of the proposed new Longton health centre in my constituency recently. Does he agree that we must deliver new primary care facilities such as this to make sure that improvements in health in my local community continue?..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Tue 19 Feb 2019
Oral Answers to Questions

"Will the Minister join me in thanking the Donna Louise children’s hospice for its hard work in my constituency—it does incredible work—and in welcoming the new facility for young adults that it is hoping to open in the spring?..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Tue 27 Nov 2018
Oral Answers to Questions

"14. What steps he is taking to ensure that the NHS has sufficient long-term funding. ..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Tue 27 Nov 2018
Oral Answers to Questions

"Royal Stoke University Hospital continues to be in financial special measures, and local clinical commissioning groups are now projecting significant overspends in their budgets. How will the Secretary of State ensure that stressed health economies such as those in Stoke-on-Trent and Staffordshire get a significant share of the additional £20.5 …..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Tue 06 Feb 2018
Oral Answers to Questions

"Under plans announced by NHS England, child victims of sexual assault in Stoke-on-Trent would have to travel as far as Birmingham to receive the vital support that they need. Will the Secretary of State agree to look urgently into the proposals to remove child sexual assault referral services from the …..."
Jack Brereton - View Speech

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Speech in Commons Chamber - Mon 23 Oct 2017
Healthcare: North Staffordshire

"I recognise that there are significant financial challenges, particularly around the hospital, but North Staffordshire Combined Healthcare NHS Trust, for example, has made significant improvements in the wider health economy. Does the hon. Gentleman agree that the main financial challenges are with the hospital and that, if we can address …..."
Jack Brereton - View Speech

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