Part 1: Health Service in England: Integration, Collaboration and Other Changes Integrated Care System: Financial Controls Section 27: NHS England’s financial responsibilities
This section substitutes sections 223C to 223E of the NHS Act 2006.
	Financial duties of NHS England: expenditure. New Section 223C sets out that NHS England must exercise its functions with a view to ensuring that total health expenditure in respect of each financial year does not exceed the aggregate of any sums received in the year by NHS England and integrated care boards.
	Under subsection (2), the Secretary of State may, by direction, specify descriptions of sums that are, or are not, to be treated for the purposes of this section as having been received by a body, or as having been received by it in a particular financial year; specify descriptions of expenditure that are, or are not, to be treated as part of total health expenditure or part of total expenditure for a particular year.
	NHS England: banking facilities. New Section 223CA allows the Secretary of State to direct NHS England to use banking facilities specified by them.
	Financial duties of NHS England: controls on total resource use. New section 223D sets out that NHS England must exercise its functions with a view to ensuring that total capital resource use does not exceed the limit specified in a direction by the Secretary of State and that total revenue resource use does not exceed the limit specified in a direction by the Secretary of State. In this section total capital and revenue resource use are the resource use of NHS England, integrated care boards, English NHS trusts and NHS foundation trusts taken together. Subsection (2) excludes transfers of resource between those bodies from the definition of resource use.
	Under subsection (4), a direction specifying a limit in relation to a financial year may be varied by a subsequent direction only if-(a) NHS England agrees to the change, (b) a parliamentary general election takes place, or (c) the Secretary of State considers that there are exceptional circumstances which make the variation necessary.
	Under subsection (5), the Secretary of State must publish and lay before Parliament any directions under this section.
	Financial duties of NHS England: additional controls on resource use. Under new section 223E, the Secretary of State may direct NHS England to ensure- (a) that relevant capital resource use in a financial year which is attributable to matters specified in the direction does not exceed an amount so specified; (b) that relevant revenue resource use in a financial year which is attributable to matters specified in the direction does not exceed an amount so specified. In this section "relevant capital resource use" and "relevant revenue resource use" refer to that resource use by NHS England and integrated care boards. Under subsection (3), the Secretary of State may direct NHS England to ensure that NHS England’s use of revenue resources in a financial year which is attributable to such matters relating to administration as are specified in the direction does not exceed an amount so specified.