Capped Expenditure Process

Thank you for contacting me about future NHS funding.

I believe fully in the NHS and its values, and I would like to assure you that the Government is committed to a tax-funded NHS, free at the point of use. As Ministers plan a new relationship with the EU, I know they will continue to ensure that the NHS is given the high priority it deserves.

Despite tight public finances, the Government has actively supported the NHS's own plan for the future. That is why it is increasing NHS spending by a minimum of £8 billion in real terms over the next five years. This will ensure that by the end of this Parliament, everyone will be able to access GP services at evenings and weekends.

At the recent Budget, additional capital funding was announced to support the NHS, with £325 million for local improvement plans and £100 million to improve A&E services.

I wholeheartedly support the Government's increase to the NHS budget. However, the NHS is a public service like any other, and local areas must live within their agreed budgets, otherwise they are effectively unfairly depriving other parts of the NHS of much-needed resources. As I understand, the so-called 'capped expenditure process' is part of NHS England and NHS Improvement's financial planning, which examines how a small number of NHS areas could do more to balance their budgets, and remain on a financially sustainable footing for the long run.

More money is being invested in mental health than ever before, with an estimated record £11.4 billion this year and investment continues to rise. Additional mental health funding has been invested since April 2017, rising to £1 billion by 2020/21 for mental health to support crisis care and perinatal services, and respond to the Five Year Forward View for Mental Health. For children and young people, £1.4 billion has been committed to transform mental health and eating disorder services over five years.

The NHS will earmark an extra £2.4 billion a year for GP services by 2020/21, a 14 per cent real terms increase. This investment includes a £500 million Sustainability and Transformation package to help GP practices add to the workforce and tackle workload.

On top of this, to secure the best value for taxpayers, tough new financial controls have been introduced to cut down on waste in the NHS, including introducing caps for agency staff and management consultants, and introducing central procurement rules.

In recognition of the pressures facing social care in local areas, the Chancellor has announced a package of measures in the recent budget which go even further to help the health and care system. Local Authorities in England will receive an additional £2 billion for social care over the next three years. This will help to ease pressures on the NHS by supporting more people to be discharged from hospital and into care as soon as they are ready.

Thank you again for taking the time to contact me.