<-- Back to proposed bills
NHS Funding Bill
04 February 2020
Type
Bill Debate
At a Glance
Issue Summary
Rosie Winterton is addressing amendments and new clauses related to NHS funding for mental health services and maternity care. The statement addresses the underfunding and inadequate delivery of mental health services in the UK, particularly focusing on children's mental health. The MP discusses the need for increased funding for mental health services within the NHS, highlighting current disparities and calling for legislative amendments to ensure parity of esteem. The statement addresses the inadequacies of the NHS Funding Bill, particularly its failure to include public health and social care, and the need for more comprehensive funding solutions. The MP discusses the inadequacies of capital investment in the NHS and the failure to meet performance targets. The statement discusses the inadequacy of NHS funding and its impact on patient care. The statement discusses the weaknesses in the NHS Funding Bill regarding inflation and funding certainty. Jeremy Hunt discusses the history of mental health funding in the NHS and the challenges faced by mental health services. Jeremy Hunt discusses issues related to maternity safety in the NHS and the need for a learning culture rather than a blame culture. Jeremy Hunt discusses the NHS Funding Bill, focusing on the challenges of building new hospitals and maintaining existing ones. He also addresses the issue of waiting times and capacity in the NHS. The statement discusses the implications of English Votes for English Laws (EVEL) on health spending policy across the United Kingdom. The statement discusses the limitations of the NHS Funding Bill regarding amendments from Scottish Members of Parliament. The statement addresses the need for clarity and transparency in mental health funding within the NHS Funding Bill. Anne Marie Morris is discussing the need for better measurement and reporting of mental health provision through new clause 9. The speaker is discussing amendments aimed at improving funding transparency for mental health within the NHS. The MP discusses the importance of increased funding for mental health in the NHS. Rosie Winterton discusses the new clause focusing on child and adolescent mental health services (CAMHS) funding and accountability. Lucy Allan discusses the challenges of capital investment in healthcare infrastructure and its impact on local communities. The statement addresses concerns about funding for mental health services and smoking cessation programs in the UK. The statement discusses the government's record on mental health funding and initiatives under the NHS Funding Bill. The MP discusses the importance of focusing on health outcomes rather than ring-fencing funding for mental health and maternity services in the NHS. Rosie Winterton discusses the NHS Funding Bill and the importance of focusing on healthcare outputs rather than just inputs. Rosie Winterton discusses the NHS Funding Bill, focusing on long-term funding commitments and mental health services. The statement discusses the NHS Funding Bill, focusing on the double-lock duty to ensure £33.9 billion extra funding for NHS England by 2024. The statement discusses mental health services funding and accountability measures in the NHS Funding Bill. The statement discusses the procedures and voting rights within the Legislative Grand Committee (England) regarding a specific health funding bill. Rosie Winterton did not make a statement in the provided transcript. The debate in the English Parliament on the NHS Funding Bill is raising concerns about the rights of Scottish MPs to object to funding matters affecting Scotland.
Action Requested
The amendments propose requiring annual reporting of mental health spending, specifying yearly allocations for mental health and maternity safety training. New clauses would mandate assessments on the sufficiency of funding for meeting performance targets and impact of inflation on allotments. The aim is to improve transparency and accountability in NHS funding distribution.
Key Facts
- Amendments require annual statements on mental health service spending by 30 June each year.
- New clause requires assessment of whether expenditure on Child and Adolescent Mental Health Services meets the aims of the NHS Long Term Plan.
- Clauses mandate reporting on changes in costs affecting health outcomes since Act's passage.
- Investment in mental health services has been neglected recently.
- Mental health patients are often sent hundreds of miles from home due to lack of local resources.
- Adults with eating disorders wait over three years for treatment.
- Children's mental health services account for just 8% of total mental health spending.
- On average, children and young people visit their GP three times before getting a referral.
- Over 130,000 referrals to specialist services have been turned down.
- Four hundred thousand children with mental health conditions are not receiving professional help.
- Mental health illnesses represent 23% of the total disease burden but receive just 11% of NHS England's budget.
- The Government plans an additional £2.3 billion a year for mental health by 2023-24, but the IPPR estimates this needs to be at least £16.1 billion.
- Northwick Park Hospital and its CCG are over £30 million in deficit, leading to cuts in community mental health services.
- The NHS trusts are £14 billion in debt to the Government.
- Trusts are predicting a £571 million in-year deficit.
- The maintenance backlog has risen to over £6.5 billion, an 8% increase from the previous year's £6 billion.
- High and significant risk represents 53% of the current backlog compared to 34% in 2013-14.
- Capital maintenance backlog is not being addressed without government intervention.
- Morecambe Bay Hospital has closed its day case theatre due to unsuitable environments for safe clinical care.
- The Queen Elizabeth Hospital in King’s Lynn warns of a direct risk to life from roof issues.
- At Royal Derby Hospital, the children’s ward emergency buzzer system is failing.
- NHS Providers report suggests a need for multi-year capital settlement and alignment with comparable economies' investment levels.
- Performance targets such as 95% A&E patients seen within four hours have not been met since July 2015.
- The total number of people on waiting lists in England is now 4.41 million, which is the highest since records began.
- The target to treat 92% of patients within 18 weeks has not been met for four years.
- The target for treating cancer patients within 62 days of urgent GP referrals has not been met for five years.
- Research shows that almost 5,000 patients have died in the past three years due to long waits on hospital trolleys.
- Increased demand on A&E services is partly due to years of cuts to social care.
- The NHS Funding Bill is criticized for not providing certainty regarding inflation impacts on funding.
- Jeremy Hunt discusses new clauses to address mental health funding inadequacies.
- Steve Mallen set up the Zero Suicide Alliance in memory of his son Edward, who committed suicide due to severe mental illness.
- Targets introduced in the 2000s for A&E and elective care waiting times only covered physical healthcare.
- In 2012, a Labour amendment to the Health and Social Care Act 2012 instituted parity of esteem between mental and physical health in the NHS.
- The proportion of funding going into mental health has either stabilised or increased since the principle of parity of esteem was legislated.
- Twice a week in the NHS, multi-million pound settlements are signed off for families whose children have been disabled due to medical negligence.
- The number of such tragedies is not going down despite efforts.
- Transparency alone is not enough; changing practices and spreading best practice are needed.
- A no-fault compensation scheme was considered but deemed too expensive.
- The NHS Funding Bill aims to provide more money for the NHS in England and Scotland.
- Hospitals face delays in building projects due to management resource constraints.
- A central team at DHSC could help hospitals navigate hurdles in getting building projects off the ground.
- Hunt regrets not being able to build more hospitals during his tenure due to funding shortages.
- Maintenance issues, including leaking roofs and sewers, affect many hospitals.
- Winter crises cost £300m, £400m, £700m, £400m, and £400m over five years despite those funds.
- Training new doctors takes seven years, while training new nurses takes three years.
- The NHS Funding Bill has been certified as being only relevant to England.
- However, it will have implications for health spending policy across the whole of the United Kingdom.
- Labour's new clause 5 calls for an analysis of inflation effects on the figures in the Bill.
- The Labour party tried to amend the figures in the Bill but was restricted by House procedures.
- New clause 4 supports performance targets relevant to health spending per capita.
- Members from Scotland are prevented from voting on amendments that affect their constituents' interests.
- New clause 9 focuses specifically on mental health issues within the Bill.
- The proposal includes measuring inputs (funding) and outputs (improvements).
- There are challenges in gathering comprehensive data, particularly for rural and isolated communities.
- New clause 9 would require an annual report on mental health provision.
- The report would assess how individuals are identified as needing help and whether interventions are timely and effective.
- Morris supports including maternal mental health checks during six-week postnatal visits.
- The mental health workforce has had little growth over the last decade.
- The rate of unfilled NHS consultant psychiatrist posts in England has doubled in the last six years.
- Two-thirds of schools fund their own mental health support.
- Mental health support teams are present in 25 areas of the country.
- Hertfordshire was chosen as one of these areas with two mental health support teams piloting a hub-and-spoke model.
- The charity GRIT (Growing Resilience in Teens) is based in Hitchin and aims to build resilience among young people.
- Tilehouse Counselling, another charity in Hitchin, provides counselling services when CAMHS lacks capacity.
- New clause 2 focuses on the chronic underfunding of child and adolescent mental health services (CAMHS).
- A report by the Children’s Commissioner found that many Clinical Commissioning Groups (CCGs) spend less than 1% of their mental health budget on children and young people.
- The CQC revealed that CCGs have prioritised adult mental health over CAMHS due to rationing needs.
- Subsection (2) aims to ensure accountability against the ambitions of the long-term plan for CAMHS spending growth.
- Regional variability in CAMHS funding ranges from 72p to £172 per child for low-level services and from £14 to £191 for specialist services.
- Lucy Allan's constituency and Shropshire have experienced significant capital investment.
- A proposal intended to transfer services from Telford to another community was valued at £312 million.
- The local community of Telford is expected to grow to 200,000 residents in the next decade.
- In 2018, 6,507 deaths were registered as suicides in the UK.
- Children as young as 12 are waiting over two weeks for mental health beds.
- One ward has some of the highest incidences of smoking and smoking during pregnancy.
- A ban on smoking in cars with children present led to a 75% drop in exposure to cigarette smoke.
- The constituency needs £100 million from the Government as guarantor to make the hospital project work.
- One in four adults will experience mental health illness in their lifetime.
- By 2023-24, at least an additional 345,000 children and young people under 25 will be able to access support via NHS-funded mental health services.
- £1.4 billion of funding is being provided for improving access to specialist services within the NHS.
- A new community support project in Fareham and Gosport run by Southern Health NHS Foundation Trust and the Princess Royal Trust For Carers aims to provide lower-level support to those who do not meet CAMHS eligibility criteria.
- The CQC reported that Southern Health trust should be rated as good, a vast improvement on previous years.
- The NHS long-term plan aims for a 50% reduction in stillbirths, maternal mortality, neonatal mortality, and serious brain injuries by 2025.
- There is a shortage of midwives and neonatal capacity.
- Investment in anaesthetists during childbirth is crucial.
- Winterton welcomes the Bill's clarity on funding for hospitals like Chesterfield Royal Hospital.
- She mentions her personal experience with the NHS, including both positive and negative cases involving family members.
- The MP stresses that healthcare success is not solely about money but also involves organisation, people, motivation, workforce, demand, prioritisation, processes, and technology.
- The NHS Funding Bill guarantees long-term funding to implement the NHS Long Term Plan.
- It commits to a £33.9 billion increase for the NHS by 2023-24, bringing total spend to £148.5 billion.
- The plan allocates an additional £2.3 billion annually for mental health services in real terms by 2023-24.
- The NHS Funding Bill has two clauses with a substantive clause putting a double-lock duty on the Secretary of State and HM Treasury for £33.9 billion extra funding by 2024.
- New clauses focusing on allocation sufficiency are deemed unnecessary as Parliament already reviews NHSE’s budget.
- Capital-to-revenue transfers from capital revenue are being phased out, but flexibility is maintained.
- Mental health services are funded at £12.5 billion in 2018-19.
- Spending on mental health services will increase by an additional £2.3 billion by 2023-24 as part of the NHS long-term plan.
- The NHS long-term plan represents the largest expansion of mental health services in a generation.
- The amendment 2 was negatived by Ayes 163 and Noes 300.
- Standing Order 83W restricts voting rights in these Divisions to Members representing constituencies geographically situated in England.
- Scottish, Welsh, and Northern Irish MPs do not have the right to vote on this particular amendment.
- Rosie Winterton's statements are missing from the provided transcript.
- The debate includes points of order raised by other MPs about procedural issues and the impact on Scottish constituencies.
- New clauses were proposed but negatived, requiring the Secretary of State to report annually on NHS funding sufficiency.
- Conservative Members voted for the procedure in 2015.
- Pete Wishart holds the record for speaking most times in the Legislative Grand Committee for England over four years.
- Scottish MPs do not have the right to vote on the NHS Funding Bill.
▸
Assessment & feedback
Summary accuracy