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being purchased by the NHS from private hospitals and the criteria employed in making a decision to outsource health care. 
Mr. Denham: The most recent figures for 1999-2000 indicate that £1.41 billion or 5.0 per cent. of total NHS expenditure on hospital and community services was spent with the private sector. It is for local commissioners and providers to confirm for themselves that the services provided by the private sector are of sufficiently high quality and cost-effective.
Yvette Cooper: Birmingham health authority, working with National Health Service trusts, primary care groups, primary care trusts and the local authority, is on course to implement and resource the radical programme of change over the next 10 years as set out in the NHS Plan.
As a result we expect to see improvements in tackling heart disease, in the delivery of cancer services and further improvements in mental health services in line with the NHS frameworks. In addition, there will be further modernisation of hospital facilities in Birmingham following my right hon. Friend the Secretary of State's recent approval for a major new hospital development in South Birmingham and the development of an ambulatory care and diagnostic centre on the City Hospital site.
Mr. Denham: The National Beds Inquiry (NBI) was set up to review long-term assumptions about the volume of general and acute health services and their implications for the whole system of care. It focused on the needs of older people and considered the scope for alternative models of care. The consultation on the NBI report demonstrated overwhelming support for "care closer to home" and the development of intermediate care services. The NHS Plan set a target of 5,000 extra intermediate care beds by 2004, some of which will be in community hospitals. In the light of the NBI report and consultation and the NHS Plan, clear policy guidance was published on 15 February. This provides tools to help health authorities to benchmark their performance against comparable authorities and to assess future requirements for beds and services to meet the needs of local people in all areas, and requires them to develop action plans as part of a wider review of services to be undertaken in the summer. The guidance (HSC 2001/03:LAC (2001)4 "Implementing the NHS Plan: Developing services following the National Beds Inquiry") is in the Library.
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Mr. Denham: The Government are developing a National Service Framework for diabetes, for publication later this year. The Framework will set clear standards for diabetes services, to improve health outcomes for people with diabetes.
Mr. Denham: Both North Essex health authority and South Essex health authority have been making steady progress in relation to reducing waiting lists. Through the winter period, they have experienced more emergency admissions than expected but continue to reduce waiting lists.
|Waiting lists included in general cash uplift
|Waiting list performance fund
|Waiting list beacon
|Waiting list addition
|Waiting list booked admission programme
|Waiting list cancer out-patient waits
(29) Estimated pro rata share of £423 million hypothecated fund
(30) Not yet known
At the Swindon and Marlborough NHS Trust this has been used to fund a variety of schemes which by the end of January this year had led to a fall of 1,334 (20.2 per cent.) in the number of patients waiting for in-patient and daycare treatment since 1 April 1996.
Yvette Cooper: Most recently, I and members of the Health Select Committee were involved with the Imperial Cancer Research Funds campaign to raise awareness of men's cancers--particularly testicular and prostate cancers.
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Ms Stuart: The current National Health Service complaints procedure places the emphasis on resolving complaints as quickly as possible, and at a local level. However, the procedure has been subject to a two-year evaluation which is now complete. We have made it clear in the NHS Plan that we would act on the evaluation and reform the NHS complaints procedure to make it more independent and responsive to the needs of patients. This will include setting up patient Advocacy Liaison Services and Independent Advisory Services as part of a new system for better patient and public involvement.
Mr. Hutton: We are providing new intermediate care services, which will enable patients who are ready to be discharged to move on from hospital. Additionally, further resources of £103 million have been made available this winter to enable the National Health Service and social services to expand capacity and reduce delayed discharges. This will enable the current downward trend in delayed discharges to continue.
|Secretary of State
|31 October 2000
|Launch of the Concordat between the NHS and the private and voluntary health care sector with the Independent Healthcare Association
|Minister of State, the right hon. Member for Southampton, Itchen (Mr. Denham)
|13 September 2000
|Meeting with Parliamentary Under-Secretary of State for Health and Dr. Korlipara, Chairman of Bolton District Medical Services, to discuss smart card technology
|16 November 2000
|Attended a presentation by Shaw Homes Ltd. about public and private partnerships in Ledbury
|Minister of State, the hon. Member for Barrow and Furness (Mr. Hutton)
|25 October 2000
|Meeting with BUPA Westminster Healthcare Ltd., Idun Healthcare Ltd., Southern Cross Healthcare Ltd. and 4 Seasons Healthcare Ltd.
|26 October 2000
|Meeting with British Foundation of Care Home Proprietors, The Care Forum, Federation of Small Businesses, National Care Homes Association and Registered Nursing Home Association
|30 January 2001
|Meeting with Rescare
|Parliamentary Under-Secretary of State for Health
|20 June 2000
|Meeting with Norwich Union
|13 July 2000
|Meeting with the Consumers Association
|Meeting with General Healthcare Group/BMI Healthcare
|5 September 2000
|Meeting with Macmillan Cancer Relief
|4 October 2000
|Meeting with Russell, Jones and Walker to discuss clinical negligence
|9 November 2000
|Meeting with British Pregnancy Advisory Service
|24 January 2001
|Meeting with BUPA
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