Tag: Lord Warner

The below Parliamentary question was asked by Lord Warner on 2015-11-25.

To ask Her Majesty’s Government what guidance they plan to issue on the integration of health and social care services, in the light of their commitment to do so by 2020 at paragraph 2.49 of the Spending Review and Autumn Statement 2015; whether that guidance will cover integrated budgets for those services locally and nationally; and whether new legislation will be required to ensure that integration.

Lord Prior of Brampton

It is clear from progress already made up and down the country towards the integration of health and social care that there is no single ‘correct’ way to achieve the Government’s ambition of full integration by 2020. On this basis, the Government will encourage areas to design and implement those solutions that are most appropriate for their own context, and will avoid setting out an overly prescriptive policy framework, including with respect to the integration of budgets.

However, in order to ensure that adequate progress is made in the given timeframe, and that the benefits of integration are realised both for members of the public and for health and social care organisations, it will be important to set out the Government’s minimum expectations for integration. Areas will be expected to pay regard to these minimum expectations when setting out their plans for integration by 2020, and it will be by demonstrating that they have moved beyond this baseline that they will be entitled to graduate from the existing Better Care Fund programme management, which will continue to be mandatory in 2016-17.

The existing legislative framework already provides a great degree of flexibility for local areas wishing to pursue different approaches to the integration of health and social care. The Government will work closely with local areas in the years to 2020 to understand the limits of this legislative framework and to understand how any limits can be overcome.

It is the intention that guidance will be published in 2016 reflecting the position set out above, and it is likely that this guidance will include material on the integration of budgets.

The below Parliamentary question was asked by Lord Warner on 2016-01-20.

To ask Her Majesty’s Government what percentage of gross domestic product was spent on (1) the NHS and public health, (2) publicly financed adult social care, and (3) both of those, in (a) 1996–97, (b) 2000–01, (c) 2009–10, and (d) for each year thereafter up to and including 2014–15.

Lord Prior of Brampton

Spend as a percentage of gross domestic product (GDP) is usually reported on a United Kingdom basis.

The Department is responsible for reporting on health spend in England and is not in a position to provide equivalent spend figures for health and adult social care by the devolved administrations.

HM Treasury publish UK health spend figures as a percentage of GDP which are shown in table below.

Spend on health in UK as % of GDP

Year	UK Public Spending on health as a % of GDP
1996/97	5.0%
2000/01	5.2%
2009/10	7.8%
2010/11	7.6%
2011/12	7.4%
2012/13	7.5%
2013/14	7.5%
2014/15	7.4%

Source: Table 4.4 HMT, Public Expenditure Statistical Analyses 2015.

Numbers shown do not include total spend on adult social care

The below Parliamentary question was asked by Lord Warner on 2016-02-02.

To ask Her Majesty’s Government what consideration they have given to the finding of the report by the Fair Admissions Campaign and the British Humanist Association last year An Unholy Mess that a significant number of religiously selective schools are not making clear in their admission arrangements the process by which children with statements of special educational needs are admitted; and what steps they are taking to ensure that all schools have clear guidance regarding that.

Lord Nash

Admission authorities for all state-funded schools, including schools with a religious designation, are required to comply with the mandatory provisions of the School Admissions Code and other admissions law.

Where an objection is made to the Schools Adjudicator, if the arrangements are found to be unfair or fail to comply with the Code, the admission authority must make changes to ensure their arrangements are compliant without undue delay. Where an admission authority fails to implement decisions of the adjudicator, the Secretary of State may direct the admission authority to do so.

We continue to keep the Code under review, and, where we consider any changes are necessary to make the admissions system work more effectively for parents, these will be subject to a full public consultation.

The below Parliamentary question was asked by Lord Warner on 2016-05-25.

To ask Her Majesty’s Government what Ofsted inspections of Birmingham City Council’s children’s social care services have been made since April 2014; whether Ofsted have indicated since then any major concerns about those services; and what information is available to the Department for Education Ministers to suggest that the City Council is not adhering to the three-year improvement plan approved by the City Council and the Department’s previous Commissioner in April 2015.

Lord Nash

The most recent Ofsted inspection of Birmingham City Council’s children’s services took place in March 2014. This inspection found services to be inadequate. Since then, Birmingham City Council has made some progress against its improvement plan, which ends in 2017. However, the current Commissioner for children’s services in Birmingham, Andrew Christie, and the council itself recognise that much more needs to be done. The Council is coming to the end of its current improvement plan and is exploring models for further improvement in future.

The below Parliamentary question was asked by Lord Warner on 2015-11-25.

To ask Her Majesty’s Government whether the budget figures for the Department of Health and the Department for Communities and Local Government include provision for the implementation of the Dilnot Commission proposals for capping individual liability for social care, as under the Care Act 2014; and if so, in which years such provision has been made.

Lord Prior of Brampton

The Government remains committed to introducing the cap on reasonable care costs and extension of means tested support, which will come into force and be funded from April 2020. The Spending Review 2015 sets budgets for the next four years to 2019/20. The final year includes funding to cover the costs of local authorities preparing to implement the changes the following year. This start date is also indicated in the Autumn Statement 2015, as the delayed annually managed expenditure impact of this policy is shown with the policy starting in 2020.

The below Parliamentary question was asked by Lord Warner on 2016-01-20.

To ask Her Majesty’s Government what they estimate will be the percentage of gross domestic product spent on (1) the NHS and public health, (2) publicly financed adult social care, and (c) both of those, following the allocations and economic forecast in the 2015 Spending Review.

Lord Prior of Brampton

The Department is unable to provide estimated spend figures as a percentage of United Kingdom gross domestic product.

The Department reports on health expenditure in England but we are not in a position to provide equivalent health estimated spend figures from the devolved administrations.

The below Parliamentary question was asked by Lord Warner on 2016-02-23.

To ask Her Majesty’s Government, further to the Written Answer by Lord Nash on 15 February (HL5803), what assessment they have made of the criticisms of the admissions practices of a significant number of religiously selective schools in the report by the Fair Admissions Campaign and the British Humanist Association; and what action they are taking to stop any such practices.

Lord Nash

Schools which are found by the Schools Adjudicator to have aspects of their admission arrangements which do not comply with the Schools Admissions Code are required to amend their arrangements to ensure they are compliant.

The Department carefully considers the recommendations of the Chief Schools Adjudicator, as well as feedback from parents and other members of the sector. Where we consider changes are necessary to make the admissions system work more effectively for parents, these will be subject to a full public consultation.

The below Parliamentary question was asked by Lord Warner on 2016-05-25.

To ask Her Majesty’s Government which local authorities have had their children’s services transferred into arms-length trusts; whether these transfers cover all such services; what Ofsted reports are available on such transferred services; and what changes in performance these reports show.

Lord Nash

Doncaster Children’s Services Trust took over responsibility for delivering all children’s social care functions, apart from services for disabled children and universal early help services, on behalf of the council under Direction from the Secretary of State for Education and the Secretary of State for Communities and Local Government in September 2014. Ofsted inspected children’s services in Doncaster in September 2015. The judgement was inadequate overall. However, the inspection found improvement since the previous inspection in 2012, when all sub-judgements were inadequate. In 2015, all sub-judgements were requires improvement, save for children in need of help and protection, which was inadequate; and adoption performance, which was good.

Slough Children’s Services Trust took over responsibility for the provision of children’s early help and social care functions along with specific special educational needs services on behalf of the council under direction from the Secretary of State for Education in September 2015. Ofsted inspected children’s social care services in Slough in November 2015, less than 8 weeks after the Trust went live. The judgement was ‘inadequate’ overall. Despite the short amount of time that the trust had been in operation at the time of the inspection, Ofsted commented positively on the impact of the Trust leadership. Their report described how the pace of improvement accelerated since it was established. Encouragingly the inspectors reported that there were clear signs that the Trust understands what needs to change and there is evidence that it can deliver the required improvements.

Achieving for Children is a social enterprise company that delivers all education support and children’s services, as well as integrated health services for children with disabilities, on behalf of Kingston Upon Thames and Richmond Upon Thames councils. Prior to the creation of this voluntary trust in April 2014, safeguarding and looked after children services in Kingston were judged to be inadequate in May 2012, and child protection services were judged to be inadequate in June 2013. Children’s services in Kingston were judged to be good when they were inspected again in May 2015. Children’s services in Richmond were last inspected in March 2012 when they were rated good.

The below Parliamentary question was asked by Lord Warner on 2015-11-25.

To ask Her Majesty’s Government whether the resource Departmental Expenditure Count figure for the NHS in 2016–17, set out in Table 2.9 of the Spending Review and Autumn Statement 2015, includes provision for a rolled forward overspend from 2015–16; and if not, how any such overspend will be treated.

Lord O’Neill of Gatley

The Department of Health has plans in place to manage Trust deficits in 2015-16 within the overall health budget.

The agreed Spending Review funding supports the NHS’s own detailed assessment of pressures over the Parliament – including from an ageing and growing population. In 2016-17 total NHS funding will increase by £3.8bn in real terms, equivalent to a 3.6 per cent real terms increase.

The below Parliamentary question was asked by Lord Warner on 2016-01-20.

To ask Her Majesty’s Government what was the actual expenditure on public health in (1) 1996–97, (2) 2000–01, (3) 2009–10, and (4) 2014–15; and what percentage of total expenditure on the NHS and public health those amounts represent.

Lord Prior of Brampton

Expenditure on public health in 2014-15 was £5,062 million.

Public health expenditure in 2014-15 represents 4.5% of total Departmental health expenditure of £113,345 million.

The Department is unable to provide figures on public health from earlier years as prior to 2013-14 primary care trusts were responsible for public health and budgets were determined locally.