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DEFENCE

Efficiency Savings

Mr. Keith Simpson: To ask the Secretary of State for Defence if he will list the key milestones and their planned date for (a) his Department's and (b) his private office's 3 per cent. efficiency savings. [74650]

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Mr. George Robertson [holding answer 4 March 1999]: My Department's efficiency target is to achieve annual efficiency improvements of 3 per cent. (as a percentage of its operating costs efficiency baseline) each year from 1999-2000 to 2001-02. This target has not been applied uniformly across the Department, but has been disaggregated according to the scope to achieve efficiency in different budget areas. Progress in achieving this target is monitored by a steering group chaired by my hon. Friend the Minister for the Armed Forces.

Budget holders are required to identify the value and means of achievement of efficiency as part of my Department's annual planning processes. Total efficiency achieved will therefore be the sum of many hundreds of individual measures across the Department. Examples of some of the initiatives that will contribute towards the achievement of the Department's efficiency target were set out in section 4 of the Ministry of Defence's Public Service Agreement, published by HM Treasury in December 1998, a copy of which has been placed in the Library of the House. Draft plans at present indicate the potential to achieve efficiency improvements valued at some £530 million in 1999-2000. The realism of these plans, and the level of cash savings they eventually produce, remains under scrutiny.

Smart Procurement

Mr. Keith Simpson: To ask the Secretary of State for Defence, pursuant to his answer to the Under-Secretary of State for Social Security, the hon. Member for Liverpool, Garston (Maria Eagle), of 22 February 1999, Official Report, column 28, on smart procurement, when the full transition plan will be completed; and if he will place a copy in the Library. [74823]

Mr. Spellar: The Smart Procurement Initiative Implementation Team has recently delivered a report on its activities since September 1998 to the Steering Group chaired by myself. This includes a draft plan for the transition year, the very detailed and evolutionary nature of which does not lend itself to open publication. Over the coming weeks, I anticipate being able to announce achievements in the implementation of SDR measures, including the Smart Procurement Initiative. A summary of the Smart Procurement transition plan will be prepared and placed in the Library at that stage.

HEALTH

Nurses and Ancillaries (Injuries)

Mr. Mackinlay: To ask the Secretary of State for Health (1) what advice is given by his Department to trusts about their liability for injury to nurses and ancillaries arising from them lifting or moving patients; [73708]

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Mr. Denham [holding answer 26 February 1999]: The Government are committed to improving the health, safety and welfare of NHS patients and staff.

Insurance arrangements are a matter for National Health Service employers to determine locally. Staff who are injured in the course of their duties are entitled to payments from the National Health Service (Injury Benefits) Scheme for loss of earnings. They may also be entitled to compensation payments as a result of local insurance arrangements.

National Health Service employers, like all employers, are required to comply with the Health and Safety at Work, etc. Act 1974, the Manual Handling Operations Regulations 1992 and other statutory health and safety requirements.

The National Health Service Executive issued guidance on 18 May 1998 on "The Management of Health, Safety and Welfare Issues for NHS Staff". This guidance explains the obligations of NHS employers as well as giving advice on manual handling and other health and safety matters.

The National Health Service Executive sponsored a series of seminars around the country last year on health and safety issues.

Correspondence

Mr. Brady: To ask the Secretary of State for Health when he will reply to the letter of 29 January from the hon. Member for Altrincham and Sale, West on appointments to health authorities and NHS trusts in the North West. [74834]

Ms Jowell: I replied to the hon. Member on 4 March.

Health Authority Funding

Mr. Jenkins: To ask the Secretary of State for Health if he will list for each health authority in the West Midlands (i) the total funding allocation and (ii) the funding per capita for health services for each year between 1987 and 1999, indicating for each year the (1) planned and (2) actual funding allocation by his Department; and if he will make a statement. [74857]

Mr. Denham: Figures have been given for 1996-97 onwards as health authorities in their present form did not exist prior to that year.

The following tables give, for each health authority in the West Midlands:



    2. target allocation for crude and weighted head of population.


The target is the health authority's fair share of resources as calculated by the weighted capitation formula which is then used to inform the allocation. Health authorities are moved closer to their target over time through the differential distribution of growth.

Crude populations are based on figures supplied by the Office for National Statistics. Weighted populations are crude populations modified for age, need and unavoidable geographical costs as determined by the weighted capitation formula.

1999-2000 recurrent unified allocation and target per capita

Health authorityRecurrent allocation (1) £000Allocation per crude head £Allocation per weighted head £Target £000Target per crude head £Target per weighted head £
Birmingham681,946658632679,290656629
Coventry200,882625607208,064648628
Dudley183,018593622184,858599628
Herefordshire98,71359162898,652590628
North Staffordshire303,653644612311,809661628
Sandwell205,153670620207,949679629
Shropshire247,650584626248,555586628
Solihull122,698584636121,100577628
South Staffordshire322,868566633320,147561628
Walsall163,243648620165,336656628
Warwickshire293,422590645285,805575628
Wolverhampton160,226660619162,577670629
Worcestershire303,405572639298,177562628

(1) Does not include non-recurrent money given to health authorities containing health action zones.

Note:

Targets and allocations for 1999-2000 are not comparable with those for earlier years which only covered hospital community health services (HCHS). This is because from 1999-2000 allocations were unified to cover the three funding streams of HCHS, prescribing and general practice infrastructure.


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5 Mar 1999 : Column: 921

1998-99 HCHS allocation and target per capita

Health authorityAllocation £000Allocation per crude head £Allocation per weighted head £Target £000Target per crude head £Target per weighted head £
Birmingham506,138498464506,303498464
Coventry142,724473448147,679490464
Dudley134,546429459136,066434464
Herefordshire72,09643046671,703428464
North Staffordshire221,771470451227,928483464
Sandwell146,261502460147,546506464
Shropshire178,325419458180,470424464
Solihull83,83141347282,278405464
South Staffordshire239,424407466238,062405464
Walsall120,285460446125,128478464
Warwickshire218,459432481210,540417464
Wolverhampton118,036493456120,131502464
Worcestershire222,806413475217,677403464

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5 Mar 1999 : Column: 921

1997-98 HCHS allocation and target per capita

Health authorityAllocation £000Allocation per crude head £Allocation per weighted head £Target £000Target per crude head £Target per weighted head £
Birmingham481,774474450473,478466443
Coventry135,236449437136,849454442
Dudley128,245408437129,707413442
Herefordshire68,59041245167,300404442
North Staffordshire210,721443439212,605447443
Sandwell139,353475444138,735473442
Shropshire169,555397438171,405402442
Solihull80,40139545178,867388442
South Staffordshire228,820389450224,972383442
Walsall114,231435433116,823445442
Warwickshire209,327417464199,503397442
Wolverhampton112,409463440112,985466442
Worcestershire213,455397454208,229388442

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5 Mar 1999 : Column: 921

1996-97 HCHS allocation and target per capita

Health authorityAllocation £000Allocation per crude head £Allocation per weighted head £Target £000Target per crude head £Target per weighted head £
Birmingham464,917461443446,725443426
Coventry129,930433425129,922433425
Dudley122,509390419124,286396425
Herefordshire66,31739943564,911391425
North Staffordshire202,568425418206,082433426
Sandwell133,355455431131,620449425
Shropshire162,708384418165,445391425
Solihull77,19838443375,796377425
South Staffordshire220,542376433216,788369425
Walsall109,494414417111,831423425
Warwickshire201,336404443193,131387425
Wolverhampton107,274440422108,214444425
Worcestershire204,651378428203,412376426

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