House of Commons Hansard Written Answers for 26 Jul 2000 (pt 7)

Correspondence

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.

Abortion

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]

26 Jul 2000 : Column: 624W

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.

26 Jul 2000 : Column: 623W

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

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

26 Jul 2000 : Column: 623W

Table 2:£000

Health Authority Additions to unified allocations Performance fund⁽¹⁾ Wheelchairs⁽¹⁾ Booked admissions⁽¹⁾ Access to primary care Smoking cessation⁽¹⁾

Avon 11,390 285 275 216 1,035 267

Barking and Havering 4,893 0 0 0 444 114

Barnet 3,996 0 88 0 363 97

Barnsley 3,094 0 65 113 281 169

Bedfordshire 6,288 167 158 0 571 220

Berkshire 8,779 219 222 61 797 204

Bexley and Greenwich 5,262 0 0 0 478 128

Birmingham 13,075 327 287 530 1,188 315

Bradford 6,090 152 138 0 553 346

Brent and Harrow 5,869 0 131 199 533 259

Bromley 3,527 0 0 0 320 82

Buckinghamshire 7,360 184 193 0 669 169

Bury and Rochdale 4,858 0 112 0 441 277

Calderdale and Kirklees 7,079 177 166 96 643 170

Cambridge 7,948 0 248 94 722 182

Camden and Islington 6,131 0 105 194 557 360

Cornwall and Isles of Scilly 5,952 0 140 0 541 328

County Durham 8,095 202 173 260 735 190

Coventry 3,998 100 86 0 363 92

Croydon 3,958 99 0 0 359 96

Doncaster 3,800 95 84 78 345 209

Dorset 8,389 210 194 209 762 195

Dudley 3,571 0 89 0 324 84

Ealing, Hammersmith and Hounslow 9,204 230 186 219 836 221

East and North Hertfordshire 5,661 0 140 177 514 127

East Kent 7,382 185 0 0 670 175

East Lancashire 6,790 170 147 91 617 161

East London and The City 9,944 249 173 0 903 574

East Riding 6,916 173 165 0 628 389

East Surrey 4,598 0 0 0 418 109

East Sussex Bright and Hove 9,443 236 0 0 858 224

Enfield and Haringey 6,234 156 135 0 566 154

Gateshead and South Tyneside 4,915 123 103 0 446 274

Gloucestershire 6,205 155 158 106 564 145

Herefordshire 1,909 48 47 0 173 44

Hillingdon 2,989 75 70 0 272 74

Isle of Wight 1,649 41 35 0 150 38

Kensington, Chelsea and Westminster 6,122 153 100 182 556 145

Kingston and Richmond 4,061 102 1,934 0 369 93

Lambeth, Southwark and Lewisham 10,949 274 0 389 995 648

Leeds 8,981 0 207 0 816 503

Leicestershire 10,286 257 264 261 934 386

Lincolnshire 7,603 190 175 99 691 173

Liverpool 6,521 163 135 75 592 368

Manchester 6,514 163 123 145 592 356

Merton, Sutton and Wandsworth 7,853 0 0 0 713 193

Morecambe Bay 3,803 95 89 67 345 90

Newcastle and North Tyneside 6,333 158 137 0 575 361

Norfolk 8,847 0 177 45 804 211

North and East Devon 5,689 0 135 139 517 131

North and Mid Hampshire 5,586 140 156 0 507 131

North Cheshire 3,779 94 89 42 343 91

North Cumbria 3,803 0 91 0 345 211

North Derbyshire 4,393 110 107 0 399 103

North Essex 9,755 244 250 0 886 233

North Nottinghamshire 4,669 117 112 0 424 110

North Staffordshire 5,965 0 137 0 542 300

North West Lancashire 6,175 154 133 108 561 148

North Yorkshire 8,368 209 210 0 760 196

Northamptonshire 6,208 155 173 80 564 158

Northumberland 3,777 0 89 68 343 208

Nottingham 7,678 192 184 0 697 436

Oxfordshire 6,535 0 172 119 594 149

Portsmouth and South East Hants 6,394 0 152 0 581 149

Redbridge and Waltham Forest 5,469 0 133 0 497 135

Rotherham 3,082 77 74 0 280 180

Salford and Trafford 5,847 0 128 95 531 330

Sandwell 3,959 99 84 70 360 212

Sefton 3,605 0 84 0 327 209

Sheffield 6,907 173 151 0 627 388

Shropshire 4,817 120 121 147 438 113

Solihull 2,337 58 58 0 212 51

Somerset 5,561 139 138 0 505 129

South and West Devon 7,250 0 170 88 659 276

South Cheshire 7,715 193 193 0 701 179

South Essex 8,255 206 200 75 750 192

South Humber 3,725 93 91 0 338 86

South Lancashire 3,543 89 89 90 322 82

South Staffordshire 6,189 0 168 147 562 148

Southampton and South West Hants 6,302 158 170 132 572 145

Southern Derbyshire 6,694 167 158 107 608 155

St. Helens and Knowsley 4,553 114 95 0 414 244

Stockport 3,377 84 84 66 307 79

Suffolk 7,546 189 189 125 685 170

Sunderland 3,877 97 86 0 352 222

Tees 7,169 179 159 147 651 406

Wakefield 4,045 0 91 150 367 220

Walsall 3,190 80 75 153 290 182

Warwickshire 5,531 0 142 0 502 131

West Hertfordshire 6,054 0 149 0 550 142

West Kent 10,750 0 0 125 976 249

West Pennine 5,816 145 137 101 528 144

West Sussex 9,050 226 0 77 822 211

Western Surrey 6,860 172 0 195 623 161

Wigan and Bolton 7,410 185 114 77 673 177

Wiltshire 6,531 163 172 0 593 152

Wirral 4,213 105 95 125 383 237

Wolverhampton 3,136 0 70 0 285 179

Worcestershire 5,748 144 154 0 522 135

Health Authority	Additions to unified allocations	Performance fund⁽¹⁾	Wheelchairs⁽¹⁾	Booked admissions⁽¹⁾	Access to primary care	Smoking cessation⁽¹⁾
Avon	11,390	285	275	216	1,035	267
Barking and Havering	4,893	0	0	0	444	114
Barnet	3,996	0	88	0	363	97
Barnsley	3,094	0	65	113	281	169
Bedfordshire	6,288	167	158	0	571	220
Berkshire	8,779	219	222	61	797	204
Bexley and Greenwich	5,262	0	0	0	478	128
Birmingham	13,075	327	287	530	1,188	315
Bradford	6,090	152	138	0	553	346
Brent and Harrow	5,869	0	131	199	533	259
Bromley	3,527	0	0	0	320	82
Buckinghamshire	7,360	184	193	0	669	169
Bury and Rochdale	4,858	0	112	0	441	277
Calderdale and Kirklees	7,079	177	166	96	643	170
Cambridge	7,948	0	248	94	722	182
Camden and Islington	6,131	0	105	194	557	360
Cornwall and Isles of Scilly	5,952	0	140	0	541	328
County Durham	8,095	202	173	260	735	190
Coventry	3,998	100	86	0	363	92
Croydon	3,958	99	0	0	359	96
Doncaster	3,800	95	84	78	345	209
Dorset	8,389	210	194	209	762	195
Dudley	3,571	0	89	0	324	84
Ealing, Hammersmith and Hounslow	9,204	230	186	219	836	221
East and North Hertfordshire	5,661	0	140	177	514	127
East Kent	7,382	185	0	0	670	175
East Lancashire	6,790	170	147	91	617	161
East London and The City	9,944	249	173	0	903	574
East Riding	6,916	173	165	0	628	389
East Surrey	4,598	0	0	0	418	109
East Sussex Bright and Hove	9,443	236	0	0	858	224
Enfield and Haringey	6,234	156	135	0	566	154
Gateshead and South Tyneside	4,915	123	103	0	446	274
Gloucestershire	6,205	155	158	106	564	145
Herefordshire	1,909	48	47	0	173	44
Hillingdon	2,989	75	70	0	272	74
Isle of Wight	1,649	41	35	0	150	38
Kensington, Chelsea and Westminster	6,122	153	100	182	556	145
Kingston and Richmond	4,061	102	1,934	0	369	93
Lambeth, Southwark and Lewisham	10,949	274	0	389	995	648
Leeds	8,981	0	207	0	816	503
Leicestershire	10,286	257	264	261	934	386
Lincolnshire	7,603	190	175	99	691	173
Liverpool	6,521	163	135	75	592	368
Manchester	6,514	163	123	145	592	356
Merton, Sutton and Wandsworth	7,853	0	0	0	713	193
Morecambe Bay	3,803	95	89	67	345	90
Newcastle and North Tyneside	6,333	158	137	0	575	361
Norfolk	8,847	0	177	45	804	211
North and East Devon	5,689	0	135	139	517	131
North and Mid Hampshire	5,586	140	156	0	507	131
North Cheshire	3,779	94	89	42	343	91
North Cumbria	3,803	0	91	0	345	211
North Derbyshire	4,393	110	107	0	399	103
North Essex	9,755	244	250	0	886	233
North Nottinghamshire	4,669	117	112	0	424	110
North Staffordshire	5,965	0	137	0	542	300
North West Lancashire	6,175	154	133	108	561	148
North Yorkshire	8,368	209	210	0	760	196
Northamptonshire	6,208	155	173	80	564	158
Northumberland	3,777	0	89	68	343	208
Nottingham	7,678	192	184	0	697	436
Oxfordshire	6,535	0	172	119	594	149
Portsmouth and South East Hants	6,394	0	152	0	581	149
Redbridge and Waltham Forest	5,469	0	133	0	497	135
Rotherham	3,082	77	74	0	280	180
Salford and Trafford	5,847	0	128	95	531	330
Sandwell	3,959	99	84	70	360	212
Sefton	3,605	0	84	0	327	209
Sheffield	6,907	173	151	0	627	388
Shropshire	4,817	120	121	147	438	113
Solihull	2,337	58	58	0	212	51
Somerset	5,561	139	138	0	505	129
South and West Devon	7,250	0	170	88	659	276
South Cheshire	7,715	193	193	0	701	179
South Essex	8,255	206	200	75	750	192
South Humber	3,725	93	91	0	338	86
South Lancashire	3,543	89	89	90	322	82
South Staffordshire	6,189	0	168	147	562	148
Southampton and South West Hants	6,302	158	170	132	572	145
Southern Derbyshire	6,694	167	158	107	608	155
St. Helens and Knowsley	4,553	114	95	0	414	244
Stockport	3,377	84	84	66	307	79
Suffolk	7,546	189	189	125	685	170
Sunderland	3,877	97	86	0	352	222
Tees	7,169	179	159	147	651	406
Wakefield	4,045	0	91	150	367	220
Walsall	3,190	80	75	153	290	182
Warwickshire	5,531	0	142	0	502	131
West Hertfordshire	6,054	0	149	0	550	142
West Kent	10,750	0	0	125	976	249
West Pennine	5,816	145	137	101	528	144
West Sussex	9,050	226	0	77	822	211
Western Surrey	6,860	172	0	195	623	161
Wigan and Bolton	7,410	185	114	77	673	177
Wiltshire	6,531	163	172	0	593	152
Wirral	4,213	105	95	125	383	237
Wolverhampton	3,136	0	70	0	285	179
Worcestershire	5,748	144	154	0	522	135

⁽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.

26 Jul 2000 : Column: 627W

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