NHS Funding Bill — House of Commons, 2020-02-04
Topic: Health
Rosalie Winterton (Labour, Centre-left): With this it will be convenient to discuss the following: Amendment 1, page 1, line 14, at end insert— "(2A) For each year in the table in subsection (1), the Secretary of State must specify the amount of the allotment that is for mental health services." This amendment requires the Secretary of State to specify the amount to be spent each year on mental health services. Amendment 5, page 1, line 14, at end insert— "(2A) For each year in the table in subsection (1), the Secretary of State must specify the amount of the allotment that is for training for staff to improve maternity safety and care for mothers and babies." This amendment would require the Secretary of State to specify the amount to be spent each year on improving maternity safety and care for mothers and babies. Amendment 3, page 1, line 18, at end insert— "and that the sums set out in the table are not permitted to be augmented by or composed of any virements from NHS capital budgets." This amendment would stop the Secretary of State meeting the NHS England allotment for resource spending by using funds from NHS capital budgets. Clauses 1 and 2 stand part New clause 1—Annual report on mental health spending— "The Secretary of State must lay before the House of Commons an annual statement of the outturn of NHS England spending on mental health services no later than six months after the end of each financial year, beginning with the year ending 31 March 2020 and up to and including the year ending 31 March 2024." This new clause requires the Secretary of State to report each year on the actual level of spending on mental health services. New clause 2—Annual Report on Child and Adolescent Mental Health Services spending— "(1) The Secretary of State must lay before the House of Commons an annual statement of the outturn of NHS England spending on Child and Adolescent Mental Health Service (CAMHS) no later than six months after the end of each financial year, beginning with the year ending 31 March 2020 and up to and including the year ending 31 March 2024 (2) The annual statement from subsection (1) must report figures on— (a) CAMHS expenditure per head, (b) the percentage of the annual NHS England budget allotted to CAMHS, and (c) the percentage of the annual mental health budget allotted to CAMHS (3) The figures in subsection (2) must be broken down by standard regional units in England or by such territories as the Secretary of State considers appropriate (4) Each statement under subsection (1) must include an assessment by the Secretary of State on whether expenditure on CAMHS has met the aims of the NHS Long Term Plan." This new clause would require the Secretary of State to report each year on the actual level of spending on CAMHS. It requires figures to be broken down by regional units and for the Secretary of State to include an assessment of whether expenditure on CAMHS is meeting the aims of the NHS Long Term Plan. New clause 3—Allocation of funding— "The Secretary of State must lay a report before the House of Commons no later than 31 July each year setting out how much in percentage and in cash terms in relation to the amounts set out at section 1(1) has been spent on mental health services in the most recent year ended on 31 March." This new clause would require the Secretary of State to report annually on the amount and proportion of NHS England spending devoted to mental health services. New clause 4—Annual statement on performance— "The Secretary of State must make a statement to the House of Commons no later than 31 March each year setting out— (a) whether in the Secretary of State’s opinion the amount specified in section 1(1) for the following financial year is sufficient to meet the performance targets set out in the NHS constitution, and (b) if in the Secretary of State’s opinion the amount specified in section 1(1) for the following financial year is not sufficient to meet the performance targets set out in the NHS constitution, what steps Secretary of State is taking to ensure that those targets are met." This new clause would require the Secretary of State to report annually on whether the allotment to the health service specified in section 1(1) year is sufficient to meet the performance targets set out in the NHS Constitution and, if not, what steps Secretary of State is taking to ensure that those targets are met. New clause 5—Inflation— "(1) The Secretary of State must make a statement to the House of Commons in the event that the annual rate of inflation as set out in the Consumer Prices Index is greater than 3.3% in any six months out of twelve after the date on which this Act is passed (2) The statement under subsection (1) must specify whether, and by how much, the allotments to the health service in England set out will exceed the amount specified in the table in section 1(1)." This new clause would require the Secretary of State to make a statement on the impact of inflation above a certain rate on the allotments to NHS England. New clause 9—Annual parity of esteem report: spending on mental health and mental illness— "Within six weeks of the end of each financial year specified in the table, the Secretary of State must lay before each House of Parliament a report on the ways in which the allotment made to NHS England for that financial year contributed to the promotion in England of a comprehensive health service designed to secure improvement— (a) in the mental health of the people of England, and (b) in the prevention, diagnosis and treatment of mental illness." This new clause would require the Secretary of State for Health and Social Care to make an annual statement on how the funding received by mental health services that year from the overall annual allotment has contributed to the improvement of mental health and the prevention, diagnosis and treatment of mental illness. New clause 11—Annual review of adequacy of allotment to NHS England— "The Secretary of State must lay before each House of Parliament within 14 days of the Treasury laying the annual main estimate for the Department of Health and Social Care an assessment of the extent to which changes in the costs of pharmaceutical treatments, medical devices and service delivery since the date on which this Act is passed have affected the health outcomes in England achieved as a result of the amounts in the table in section 1 of this Act allotted to NHS England." This new clause would require the Secretary of State to publish an annual assessment of the impact of changes in the costs of pharmaceutical treatments, medical devices and service delivery on the expected outcomes from the allotted amounts under this Act.