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Mr. Wilshire: To ask the Secretary of State for Health when he will reply to the letter from the hon. Member for Spelthorne dated 17 February relating to his constituent, Mrs. J. Stevens. [130653]

Ms Stuart [holding answer 17 July 2000]: I replied to the hon. Member on 24 July.


Fiona Mactaggart: To ask the Secretary of State for Health what action he has taken to promote the uptake of the Royal College of Gynaecologists' guidelines entitled The Care of Women Requesting Induced Abortion. [131463]

Yvette Cooper: The Department has alerted all independent sector places carrying out termination of pregnancy to this new guideline. One of the conditions for approval is that practice should be guided by authoritative guidelines such as those from the Royal Colleges and we will monitor implementation during inspection visits. We expect the guideline to be used as the basis of local protocols that will promote the development of high quality services and take account of local needs and service provision.

In addition, the guideline will be considered as part of the national sexual health and HIV strategy currently being developed.

26 Jul 2000 : Column: 623W

Health Spending

Mr. Hesford: To ask the Secretary of State for Health how much of the additional spending for health announced in the last Budget has been allocated to achieve specific targets; what the targets are for each health authority; and how much funding has been allocated to each target within each health authority. [131744]

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Mr. Denham: Table 1 shows the elements of the additional spending for health announced in the last Budget that have been earmarked for health authorities to date, together with targets where appropriate. Table 2 shows the sums that have been allocated to each health authority to date. Other sums have been allocated other than to health authorities or are yet to be allocated.

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Table 1:

Purpose£ million
Additions to health authority any primary care group/trust unified allocations, to achieve financial balance, to improve waiting lists and times, to implement winter plans, including developing intermediate care services and to action recommendations of the National Institute for Clinical Excellence.600
To reward performance against indicators for waiting, winter planning and financial balance. The money is allocated in stages throughout the year. The criteria used to assess whether health authorities receive payments are based on national benchmarks and locally agreed plans.60
For further development of services for wheelchair users. Health authorities are able to use this money flexibly to meet local needs and priorities in wheelchair services.4
For further development of smoking cessation clinics. This money supports the National Priorities Guidance targets for smoking, namely 150,000 smokers accessing services and 20,000 quitting long-term; which in turn supports a 1 per cent. fall in prevalence by April 2001.4
Further funding for booked admissions to reduce waiting. By March 2001 booking should be taking place in all acute NHS Trusts, in at least two specialities/high volume procedures. By the same date amount two million patients will have received a booked appointment or admission to hospital.10
To support extended access to primary care and access to extended services in primary care. No specific targets for health authorities yet set.54.5
For nurse leadership initiatives enabling all ward sisters and charge nurses to attend a leadership programme.2
To increase critical care capacity (£5 million for neo-natal services and £145 million for adult intensive care of which £2.5 million goes to support local service redesign). Allocations to individual health authorities will be announced shortly.150
For a flu vaccination programme. This will be offered to all aged 65 and over, as well as the 'risk' population. The main objective is to reduce the number of deaths and serious illness in those groups most likely to be affected. 60
For information technology. Allocations to health authorities and targets to be finalised.60
For the development of cancer networks and for a peer review assessment visiting process for cancer services.3

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Table 2:£000

Health AuthorityAdditions to unified allocationsPerformance fund(1)Wheelchairs(1)Booked admissions(1)Access to primary careSmoking cessation(1)
Avon 11,3902852752161,035267
Barking and Havering4,893000444114
Bexley and Greenwich5,262000478128
Brent and Harrow5,8690131199533259
Bury and Rochdale4,85801120441277
Calderdale and Kirklees7,07917716696643170
Camden and Islington6,1310105194557360
Cornwall and Isles of Scilly5,95201400541328
County Durham 8,095202173260735190
Ealing, Hammersmith and Hounslow9,204230186219836221
East and North Hertfordshire5,6610140177514127
East Kent7,38218500670175
East Lancashire6,79017014791617161
East London and The City9,9442491730903574
East Riding6,9161731650628389
East Surrey4,598000418109
East Sussex Bright and Hove9,44323600858224
Enfield and Haringey6,2341561350566154
Gateshead and South Tyneside4,9151231030446274
Hillingdon 2,9897570027274
Isle of Wight1,6494135015038
Kensington, Chelsea and Westminster6,122153100182556145
Kingston and Richmond4,0611021,934036993
Lambeth, Southwark and Lewisham10,9492740389995648
Manchester 6,514163123145592356
Merton, Sutton and Wandsworth7,853000713193
Morecambe Bay3,80395896734590
Newcastle and North Tyneside6,3331581370575361
North and East Devon5,6890135139517131
North and Mid Hampshire5,5861401560507131
North Cheshire3,77994894234391
North Cumbria3,8030910345211
North Derbyshire4,3931101070399103
North Essex9,7552442500886233
North Nottinghamshire4,6691171120424110
North Staffordshire5,96501370542300
North West Lancashire6,175154133108561148
North Yorkshire8,3682092100760196
Portsmouth and South East Hants6,39401520581149
Redbridge and Waltham Forest5,46901330497135
Salford and Trafford5,847012895531330
Sefton 3,6050840327209
South and West Devon7,250017088659276
South Cheshire7,7151931930701179
South Essex8,25520620075750192
South Humber3,7259391033886
South Lancashire3,54389899032282
South Staffordshire6,1890168147562148
Southampton and South West Hants6,302158170132572145
Southern Derbyshire6,694167158107608155
St. Helens and Knowsley4,553114950414244
Sunderland 3,87797860352222
Tees 7,169179159147651406
Walsall 3,1908075153290182
West Hertfordshire6,05401490550142
West Kent10,75000125976249
West Pennine 5,816145137101528144
West Sussex9,050226077822211
Western Surrey6,8601720195623161
Wigan and Bolton7,41018511477673177
Wiltshire 6,5311631720593152
Wirral 4,21310595125383237

(1) Performance fund paid in quarterly tranches. Figures shown are for the first tranche.

(1) The additional funding announced in the Budget has been used to enhance an existing budget. Figures shown are for the full budget.

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