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HEALTH
Ronkswood, Worcester
Mr. Gill: To ask the Secretary of State for Health what is the cost of providing temporary operating theatres at the NHS site at Ronkswood, Worcester. [104035]
Yvette Cooper: The cost of providing additional theatre capacity at the Ronkswood site of the Worcester Royal Infirmary National Health Service Trust is £491,000, forming part of an overall development of £1,699,000. The development, which enables certain services to be transferred from the Castle Street site in Worcester, will generate savings of £1,728,000 over a three-year period, thereby paying back the capital investment.
The development addresses a number of clinical safety issues, including the current separation of accident and emergency and trauma services at the Worcester Royal Infirmary, and the need for 24-hour anaesthetic cover and on-site paediatric cover.
Preventive Medicine
Mr. Barron: To ask the Secretary of State for Health if he will estimate (a) NHS expenditure on cholesterol- lowering statins, on nicotine replacement therapy and on all smoking-cessation treatment for the three years of the Comprehensive Spending Review and (b) the cost- effectiveness in cost per discounted quality-adjusted life-year saved for treatment with statins, for nicotine- replacement therapy and for the range of smoking- cessation treatments. [104640]
Yvette Cooper: The estimated expenditure on cholesterol lowering statins for the three years of the Comprehensive Spending Review were as follows:
- 1999: £200 million
2000: £245 million
2001: £275 million.
Estimates of cost effectiveness of these therapies exist in the literature, though not in the precise form requested. Copies of the following literature will be made available in the Library:
7 Feb 2000 : Column: 64W
Mr. Hogg:
To ask the Secretary of State for Health what estimate he has made of the cost to the NHS of the introduction of the minimum wage in the current and each of the next three financial years. [106793]
Mr. Denham:
The introduction of the national minimum wage will add between £2-3 million to the National Health Service paybill from 1 April 1999.
Dr. Stoate:
To ask the Secretary of State for Health (1) how many patients were transferred from private hospitals to NHS hospitals in the last three years; [107430]
Ms Stuart:
The information available is set out in the table:
Parrott S, Godfrey C, Raw M, West R, McNeill A. Guidance for commissioners on the cost effectiveness of smoking cessation interventions. Thorax 1998;53 (Suppl 5, Part 2).
Ebrahim S, Davey Smith G, McCabe C, Payne N, Pickin M, Sheldon T.A, Lampe F, Sampson F, Ward S, Wannamethee G. What role for statins? A review and economic model. Health Technology Assessment 1999; Vol. 3: No. 19.
(2) how many deaths occurred in NHS hospitals of patients transferred from private hospitals in the last three years. [107431]
| Source of admission | Admissions | Deaths |
|---|---|---|
| 1995-96 | ||
| Non-NHS institution(15) | 21,160 | 1,345 |
| 1996-97 (16) | ||
| Non-NHS hospitals(15) | 5,153 | 298 |
| 1997-98 (17) | ||
| Non-NHS hospitals(15) | 6,978 | 414 |
(15) In 1995-96 the code for 'non-National Health Service institution' included non-NHS hospitals, nursing homes, health care and residential institutions.
(16) In 1996-97 the category was sub-divided so that admissions from non-NHS hospitals formed a single classification.
(17) Figures for 1997-98 are provisional and no adjustments have been made for shortfalls in data.
Dentistry
Mr. Bob Russell: To ask the Secretary of State for Health how many dentists have ceased to treat NHS patients in each of the past five years for which figures are available. [107727]
Mr. Hutton: There are a number of reasons why dentists leave the General Dental Services (GDS) including retirement and career breaks. The 1998-99 figures are inflated by the transfer of some dentists from the GDS to some Personal Dental Service pilots.
| 1994-95 | 1995-96 | 1996-97 | 1997-98 | 1998-99 | |
|---|---|---|---|---|---|
| Principals | 764 | 744 | 692 | 738 | 761 |
| Assistants | 46 | 54 | 64 | 85 | 106 |
| Vocational trainees | 84 | 22 | 78 | 77 | 105 |
| Total | 894 | 820 | 834 | 900 | 972 |
7 Feb 2000 : Column: 65W
Clinical Negligence Claims
Mr. Cox: To ask the Secretary of State for Health how many claims were made against the NHS for clinical negligence in each of the last three years. [108174]
Ms Stuart: Historically, data on the number of claims made have not been collected centrally. Costs of clinical negligence claims are as follows:
1995-96: £173 million
1996-97: £235 million
1997-98: £144 million.
It should be noted, however, that changes to accounting practice required by the National Audit Office mean that these data are not directly comparable.
Scientists
Mr. Sanders: To ask the Secretary of State for Health, pursuant to his oral statement of 14 December 1999, Official Report, column 35WH, how many trainee biomedical scientists have received a 26 per cent. pay rise. [108305]
Mr. Denham: I refer the hon. Member to the reply I gave my hon. Friend the Member for Erith and Thamesmead (Mr. Austin) on 31 January 2000, Official Report, column 453W.
NHS Finance
Mr. Pearson: To ask the Secretary of State for Health (1) if he will list for each year since 1989-90 the amount in (a) cash and (b) real terms allocated to each NHS region (i) in total and (ii) on a per capita basis; [107408]
- (2) if he will list for each year since 1989-90 the amount in (a) cash and (b) real terms provided to each health authority in the west midlands (i) in total and (ii) on a per capita basis. [107407]
7 Feb 2000 : Column: 66W
Mr. Ottaway: To ask the Secretary of State for Health what was the Hospital and Community Health Services revenue allocation (a) for each health authority, (b) per head of population and (c) in each health authority in total, for each of the last five years. [107263]
Mr. Denham: The information requested has been placed in the Library.
Health authorities have existed in their current form since 1 April 1996. Allocations are calculated in respect of individual health authorities based on the health authority weighted capitation formula. Prior to 1 April 1996 allocations were made to regional health authorities.
Tables showing the allocation, the allocation per crude head of population and the allocation per weighted head of population in cash real terms have been placed in the Library. The allocations for 2000-01 are not comparable with those for 1996-97 to 1998-99, which cover hospital and community hospital services only. 1999-2000 was the first year of unified allocations, which cover HCHS, prescribing and discretionary general medical services.
Includes increase for targeted funding for health authorities with health action zones.
Mr. Matthew Taylor:
To ask the Secretary of State for Health what plans there are for (a) hospital building and (b) total capital spending on the NHS over the period of the Comprehensive Spending Review. [108163]
Mr. Denham:
The information requested is shown in tables A and B.
7 Feb 2000 : Column: 65W
Table A:
Shows all major private finance initiative and public hospital development schemes that are currently either:
(a) approved and work has started on site, or
(b) under financial procurement.
Table B:
Shows total planned spending in the National Health Service over the period of the Comprehensive Spending Review.
Notes:
1. For schemes still in early stages of development, estimates are based on highest costed option.
2. Figures may not sum due to rounding.
3. The capital value of PFI schemes are approximate and defined as:
Total capital cost to the private sector includes the cost of land construction, equipment and professional fees but excludes VAT, rolled up interest and financing costs such as bank arrangement fees, bank due diligence fees, banks' lawyers fees and third party equity costs. As PFI procures a service rather than the underlying asset, capital values shown are necessarily estimates.
7 Feb 2000 : Column: 67W
| Year 1 | Year 2 | Year 3 | |
|---|---|---|---|
| 1999-2000 | 2000-01 | 2001-02 | |
| 1. Net HCHS Capital--Exchequer | 1,413 | 1,726 | 2,012 |
| 2. Plus Total Receipts | 337 | 363 | 351 |
| 3. Gross HCHS Capital | 1,750 | 2,089 | 2,363 |
| 4. Other NHS Capital | 27 | 16 | 16 |
| 5. Gross NHS Capital | 1,776 | 2,105 | 2,379 |
| 6. PFI | 400 | 710 | 790 |
| 7. Total Capital Investment | 2,176 | 2,815 | 3,169 |
Mr. Matthew Taylor: To ask the Secretary of State for Health what the (a) weighted and (b) unweighted average spending by EU countries as a proportion of gross domestic product on public-funded and private-funded health systems has been for the last 20 years; and if he will set out the basis for the figures. [108303]
Mr. Denham:
The information requested is not collected by the Department. It is collected by the Organisation for Economic Co-operation and Development and can be obtained from the OECD 1999 health database.
7 Feb 2000 : Column: 68W
Mr. Matthew Taylor:
To ask the Secretary of State for Health what was the level of spending on the NHS at current prices in each of the last 20 years. [108304]
Mr. Denham:
I refer the hon. Member to the reply given to the hon. Member for Northavon (Mr. Webb) on 2 February 2000, Official Report, column 630W.
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