Nursing Care
Mr. Burstow:
To ask the Secretary of State for Health (1) what estimate he has made of (a) the average length of time a nurse will need to spend per person when using the assessment tool for free nursing care and (b) the number of nurses required to complete the assessment by all self-funders by Christmas; [7481]
(2) which organisations his Department consulted in drawing up the assessment tool for implementing free nursing care. [7447]
Jacqui Smith:
[holding answer 15 October 2001]: The testing of the registered nursing care contribution (RNCC) tool has indicated that, on average, determinations take between 50 minutes and one hour to carry out.
By the end of this month, a total of 800 nurses in England will have undergone training in the use of the tool to enable the planned programme of determinations to be completed by the end of December.
The RNCC was developed with the input from a wide variety of organisations, nurses, as well as social services staff and the independent nursing home sector. National health service and independent sector nurses took part in its evaluation.
Mr. Burstow:
To ask the Secretary of State for Health (1) if part-funders in nursing homes will be assessed under the free nursing care guidance; when the assessments will commence; when they will be concluded; what levels of payment they will be entitled to; and if he will set out for each health authority how many part-funders there are; [7480]
(2) what steps he will take to ensure that self and part-funding residents in nursing homes receive a reduction in their nursing home fee equivalent to the NHS payments for nursing care under the free nursing care assessment. [7388]
Jacqui Smith
[holding answer 15 October 2001]: Those people who have, prior to 1 October 2001, paid a council towards the cost of their care by a registered nurse (part funders) will be classed as self funders from that date and treated identically. Those people entering nursing homes after 1 October 2001 who would previously have paid a small amount to the council in respect of their care by a registered nurse will no longer need to do so. All self funders currently in a nursing home should have had a determination of their need for the care of a registered nurse carried out by the end of December this year. The actual reductions in the level of payments experienced by this group will vary depending on the level of assessed need and how the council had previously assessed them. Information on the number of people in this group by health authority is not held centrally, but there are thought to be less than 10 per health authority on average in England.
18 Oct 2001 : Column: 1331W
Primary care trusts and health authorities have been asked to ensure that the contracts that they establish with nursing homes reflect the National Health Service contribution towards individuals' costs of nursing care and the expectation that this will result in a similar reduction in people's care home fees.
Mr. Drew:
To ask the Secretary of State for Health if he will make a statement on progress towards the payment of individuals eligible for free nursing help since the change in procedures. [8555]
Jacqui Smith:
Primary care trusts and health authorities have begun the process of arranging payments to nursing homes in respect of residents who fund the full cost of their nursing care themselves from 1 October. Determinations of individual nursing need are being
18 Oct 2001 : Column: 1332W
carried out by National Health Service registered nurses now, a programme that should be completed by the end of December 2001.
Elderly In-patients
Mr. Burstow:
To ask the Secretary of State for Health if he will list for each (a) NHS region and (b) health authority the number of elderly people aged 75 years or over for each quarter from Q1 19992000 to Q1 200102 for (i) ordinary admissions, (ii) day admissions and (iii) any other category or sub-category of admission for which statistics are collected. [7391]
Jacqui Smith
[holding answer 15 October 2001]:The table shows a count of ordinary admission and day case finished consultant episodes by health authority area of residence for patients aged 75 and over in each quarter for 19992000. Data for 200001 and 200102 are not yet published.
Finished consultant episodes: quarterly data by area of residence, ordinary admission/day case split, for patients aged over 75 NHS Hospitals
| | | | | | | | England 19992000
|
| Quarter 1 | Quarter 2 | Quarter 3 | Quarter 4
|
| Ordinary admission | Day case | Ordinary admission | Daycase | Ordinary admission | Day case | Ordinary admission | Day case
|
| Northern & Yorkshire Regional | | |
|
QDD Bradford HA | 4,041 | 946 | 3,852 | 1,154 | 4,305 | 1,044 | 4,253 | 1,236
|
QDE County Durham HA | 4,968 | 1,278 | 5,012 | 1,366 | 5,492 | 1,423 | 6,186 | 1,603
|
QDF East Riding HA | 5,539 | 1,298 | 5,640 | 1,317 | 5,772 | 1,361 | 6,068 | 1,602
|
QDG Gateshead & South Tyneside HA | 3,506 | 1,207 | 3,693 | 1,241 | 4,265 | 1,202 | 4,306 | 1,284
|
QDH Leeds HA | 7,546 | 1,420 | 7,559 | 1,600 | 8,338 | 1,604 | 8,415 | 1,569
|
QDJ Newcastle & North Tyneside HA | 4,674 | 1,467 | 4,868 | 1,547 | 5,214 | 1,629 | 5,447 | 1,810
|
QDK North Cumbria HA | 3,017 | 722 | 2,991 | 715 | 3,424 | 811 | 3,725 | 884
|
QDM Northumberland HA | 3,002 | 875 | 3,098 | 1,057 | 3,330 | 1,010 | 3,336 | 1,178
|
QDN Sunderland HA | 2,041 | 995 | 2,000 | 821 | 2,631 | 971 | 2,982 | 1,002
|
QDP Tees HA | 4,753 | 1,043 | 5,053 | 1,175 | 5,611 | 1,254 | 5,344 | 1,434
|
QDQ Wakefield HA | 2,416 | 639 | 2,317 | 638 | 2,540 | 639 | 2,553 | 770
|
QDR North Yorkshire HA | 6,427 | 1,868 | 6,484 | 2,138 | 7,113 | 2,158 | 6,868 | 2,308
|
QDT Calderdale & Kirklees HA | 4,815 | 1,177 | 5,063 | 1,285 | 5,329 | 1,326 | 5,582 | 1,478
|
| | | | | | | |
|
| Trent Regional Office | | | | |
|
QCG Barnsley HA | 3,044 | 449 | 3,001 | 498 | 3,210 | 514 | 3,294 | 527
|
QCH North Derbyshire HA | 3,407 | 899 | 3,347 | 941 | 3,705 | 878 | 3,995 | 1,127
|
QCJ South Derbyshire HA | 5,536 | 1,454 | 5,820 | 1,568 | 6,261 | 1,489 | 6,438 | 1,577
|
QCK Doncaster HA | 2,695 | 797 | 2,840 | 908 | 2,740 | 997 | 3,144 | 1,191
|
QCL Leicestershire HA | 9,057 | 2,058 | 9,463 | 2,235 | 9,715 | 2,293 | 9,452 | 2,375
|
QCM Lincolnshire HA | 6,522 | 1,417 | 6,710 | 1,626 | 7,256 | 1,617 | 7,279 | 1,709
|
QCN North Nottinghamshire HA | 3,944 | 769 | 3,879 | 821 | 4,718 | 810 | 4,965 | 846
|
QCP Nottingham HA | 6,649 | 1,286 | 7,015 | 1,352 | 7,786 | 1,405 | 8,002 | 1,425
|
QCQ Rotherham HA | 1,883 | 370 | 1,836 | 511 | 2,006 | 529 | 2,105 | 575
|
QCR Sheffield HA | 5,331 | 1,150 | 5,318 | 1,292 | 5,874 | 1,464 | 5,986 | 1,647
|
QDL South Humber HA | 2,441 | 626 | 2,486 | 720 | 2,612 | 736 | 2,630 | 878
|
| | | | | | | |
|
| West Midlands Regional Office | | |
|
QD9 Birmingham HA | 8,317 | 1,966 | 8,280 | 2,176 | 9,134 | 2,150 | 9,419 | 2,362
|
QEA Coventry HA | 2,655 | 621 | 2,702 | 659 | 3,001 | 767 | 2,920 | 814
|
QEC Dudley HA | 1,969 | 854 | 2,048 | 836 | 2,237 | 860 | 2,046 | 857
|
QED Herefordshire HA | 1,426 | 419 | 1,311 | 369 | 1,483 | 538 | 1,474 | 542
|
QEE Sandwell HA | 2,206 | 719 | 2,391 | 792 | 2,735 | 745 | 2,793 | 861
|
QEF Shropshire HA | 3,166 | 983 | 3,280 | 1,029 | 3,465 | 1,069 | 3,534 | 1,180
|
QEG Solihull HA | 1,289 | 478 | 1,463 | 502 | 1,624 | 494 | 1,610 | 549
|
QEH North Staffordshire HA | 3,845 | 1,535 | 4,029 | 1,540 | 4,064 | 1,526 | 4,050 | 1,584
|
QEJ South Staffordshire HA | 4,276 | 1,637 | 4,357 | 1,563 | 4,707 | 1,541 | 4,691 | 1,606
|
QEK Walsall HA | 2,019 | 419 | 2,007 | 468 | 2,421 | 448 | 2,561 | 560
|
QEL Warwickshire HA | 4,240 | 1,115 | 4,109 | 1,147 | 4,697 | 1,158 | 4,592 | 1,226
|
QEM Wolverhampton HA | 1,778 | 410 | 1,957 | 458 | 2,359 | 508 | 2,590 | 656
|
QEN Worcestershire HA | 4,010 | 1,166 | 3,861 | 1,187 | 4,106 | 1,249 | 4,025 | 1,368
|
| | | | | | | |
|
| North West Regional Office | | |
|
QC1 South Lancashire HA | 2,802 | 1,087 | 2,838 | 990 | 2,872 | 1,103 | 2,880 | 1,091
|
QC2 Liverpool HA | 5,470 | 1,177 | 5,571 | 1,176 | 6,158 | 1,150 | 6,362 | 1,216
|
QC3 Manchester HA | 3,411 | 1,304 | 3,516 | 1,486 | 3,737 | 1,469 | 3,583 | 1,583
|
QC4 Morecambe Bay HA | 2,873 | 1,189 | 2,834 | 1,402 | 3,092 | 1,275 | 3,109 | 1,378
|
QC5 St. Helens & Knowsley HA | 3,246 | 794 | 3,328 | 805 | 3,647 | 824 | 3,662 | 831
|
QC6 Salford & Trafford HA | 4,456 | 1,751 | 4,520 | 1,854 | 4,654 | 1,830 | 4,768 | 1,806
|
QC7 Sefton HA | 2,726 | 1,073 | 2,863 | 1,143 | 3,284 | 1,048 | 2,865 | 1,163
|
QC8 Stockport HA | 2,269 | 1,157 | 2,270 | 1,302 | 2,444 | 1,313 | 2,706 | 1,272
|
QC9 West Pennine HA | 4,355 | 1,347 | 4,443 | 1,623 | 4,512 | 1,768 | 4,622 | 2,025
|
QCT Bury & Rochdale HA | 3,607 | 1,142 | 3,517 | 1,185 | 3,867 | 1,180 | 4,139 | 1,412
|
QCV North Cheshire HA | 2,754 | 710 | 2,824 | 782 | 3,461 | 785 | 2,911 | 824
|
QCW South Cheshire HA | 5,161 | 1,656 | 5,644 | 1,847 | 5,935 | 1,789 | 6,255 | 1,911
|
QCX East Lancashire HA | 5,365 | 1,863 | 5,391 | 2,063 | 5,772 | 1,994 | 5,831 | 2,154
|
QCY North West Lancashire HA | 4,643 | 2,357 | 4,516 | 2,477 | 4,662 | 2,433 | 5,063 | 2,897
|
QDA Wigan & Bolton HA | 5,000 | 1,447 | 5,203 | 1,629 | 5,651 | 1,565 | 6,184 | 1,721
|
QDC Wirral HA | 4,434 | 507 | 4,251 | 559 | 4,805 | 618 | 4,654 | 734
|
|
|
Eastern Regional Office | | | | | | | |
|
QA6 Bedfordshire HA | 3,967 | 1,008 | 4,045 | 958 | 4,320 | 945 | 3,586 | 1,036
|
QAX North Essex HA | 7,343 | 1,548 | 7,567 | 1,685 | 7,854 | 1,846 | 8,652 | 1,889
|
QAY South Essex HA | 6,271 | 1,787 | 6,259 | 1,874 | 6,705 | 1,816 | 6,590 | 2,142
|
QCF Suffolk HA | 7,961 | 1,745 | 7,805 | 1,889 | 8,418 | 1,906 | 8,060 | 2,089
|
QEP East & North Hertfordshire HA | 4,071 | 1,286 | 4,148 | 1,414 | 4,328 | 1,327 | 4,969 | 1,515
|
QEQ West Hertfordshire HA | 4,285 | 1,094 | 4,258 | 1,205 | 4,719 | 1,177 | 4,683 | 1,278
|
QER Cambridge HA | 6,525 | 1,436 | 6,734 | 1,605 | 7,420 | 1,570 | 8,244 | 1,772
|
QET Norfolk HA | 10,043 | 2,429 | 9,717 | 2,783 | 10,608 | 2,796 | 10,525 | 2,948
|
| | | | | | | |
|
| London Regional Office | | | | |
|
QA2 Hillingdon HA | 1,706 | 467 | 1,665 | 455 | 1,983 | 510 | 1,921 | 549
|
QA3 Kensington Chelsea & Westminster | 2,495 | 667 | 2,380 | 680 | 2,515 | 667 | 2,462 | 762
|
QA4 Enfield & Haringey HA | 2,884 | 869 | 2,735 | 942 | 3,094 | 941 | 2,955 | 1,089
|
QA5 Redbridge & Waltham Forest HA | 3,064 | 1,078 | 3,102 | 1,103 | 3,422 | 1,024 | 3,324 | 1,143
|
QAA Bexley & Greenwich HA | 3,086 | 838 | 3,199 | 813 | 3,345 | 838 | 3,226 | 999
|
QAC Bromley HA | 2,672 | 787 | 2,519 | 842 | 2,713 | 914 | 2,647 | 929
|
QAD Croydon HA | 2,057 | 703 | 2,073 | 683 | 2,267 | 721 | 2,230 | 721
|
QAG Kingston & Richmond HA | 2,520 | 638 | 2,583 | 700 | 2,929 | 757 | 2,795 | 746
|
QAH Lambeth Southwark & Lewisham | 3,668 | 1,026 | 3,930 | 1,062 | 4,444 | 1,018 | 4,281 | 1,084
|
QAJ Merton Sutton & Wandsworth HA | 4,151 | 1,173 | 4,295 | 1,177 | 4,507 | 1,143 | 4,565 | 1,189
|
QAP Barking & Havering HA | 3,123 | 925 | 3,126 | 919 | 3,570 | 985 | 3,549 | 1,005
|
QAQ Barnet HA | 2,583 | 592 | 2,462 | 616 | 2,677 | 568 | 2,786 | 722
|
QAR Brent & Harrow HA | 2,769 | 880 | 2,618 | 907 | 2,922 | 958 | 3,111 | 1,080
|
QAT Camden & Islington HA | 2,357 | 446 | 2,420 | 546 | 2,584 | 481 | 2,650 | 548
|
QAV Ealing Hammersmith & Hounslow | 3,897 | 1,075 | 3,767 | 1,143 | 4,333 | 1,254 | 4,146 | 1,213
|
QAW East London & The City HA | 3,500 | 739 | 3,650 | 827 | 3,994 | 839 | 3,974 | 890
|
| | | | | | | |
|
| South East Regional Office | | |
|
QA7 Berkshire HA | 4,988 | 1,084 | 4,900 | 1,193 | 5,281 | 1,190 | 5,041 | 1,361
|
QA8 Buckinghamshire HA | 4,499 | 911 | 4,602 | 1,015 | 5,145 | 1,051 | 4,892 | 1,149
|
QAE East Kent HA | 6,732 | 1,666 | 6,010 | 1,699 | 6,945 | 2,020 | 5,450 | 2,176
|
QAF West Kent HA | 7,680 | 1,344 | 7,187 | 1,448 | 7,295 | 1,543 | 7,448 | 1,676
|
QAK East Surrey HA | 3,714 | 877 | 3,416 | 950 | 3,547 | 866 | 3,401 | 883
|
QAL West Surrey HA | 4,459 | 1,248 | 4,535 | 1,478 | 5,149 | 1,402 | 4,782 | 1,364
|
QAM East Sussex Brighton & Hove HA | 8,022 | 2,126 | 8,268 | 2,309 | 8,590 | 2,208 | 8,539 | 2,420
|
QAN West Sussex HA | 6,772 | 2,071 | 6,885 | 2,317 | 7,418 | 2,422 | 7,612 | 2,612
|
QCC Northamptonshire HA | 4,976 | 1,171 | 4,813 | 1,338 | 5,171 | 1,302 | 5,646 | 1,384
|
QCE Oxfordshire HA | 4,602 | 1,092 | 4,462 | 1,132 | 4,790 | 1,104 | 4,666 | 1,002
|
QD1 North & Mid Hampshire HA | 4,127 | 1,054 | 4,099 | 1,005 | 4,136 | 930 | 4,351 | 1,048
|
QD2 Portsmouth & South East Hampshire | 5,185 | 1,093 | 4,896 | 1,312 | 5,823 | 1,187 | 5,634 | 1,317
|
QD3 Southampton & South West Hampshire | 5,541 | 1,688 | 5,751 | 1,893 | 6,308 | 1,761 | 6,325 | 2,098
|
QD4 Isle of Wight HA | 1,542 | 223 | 1,400 | 258 | 1,562 | 261 | 1,500 | 260
|
| | | | | | | |
|
| South West Regional Office | | | | |
|
QD5 Somerset HA | 5,308 | 1,421 | 5,082 | 1,378 | 5,676 | 1,443 | 5,832 | 1,807
|
QD6 South & West Devon HA | 6,721 | 1,716 | 6,481 | 1,788 | 6,730 | 1,733 | 6,694 | 1,823
|
QD7 Wiltshire HA | 4,560 | 1,191 | 4,606 | 1,409 | 4,832 | 1,383 | 5,108 | 1,422
|
QD8 Avon HA | 9,163 | 2,552 | 9,058 | 2,679 | 9,678 | 2,792 | 9,529 | 3,058
|
QDV Cornwall & Isles of Scilly HA | 6,240 | 2,416 | 6,503 | 2,386 | 6,957 | 2,096 | 6,954 | 1,521
|
QDW Dorset HA | 10,877 | 3,491 | 10,436 | 3,844 | 10,812 | 3,775 | 11,506 | 4,014
|
QDX North & East Devon HA | 5,839 | 1,626 | 5,662 | 1,706 | 6,312 | 1,831 | 6,833 | 1,901
|
QDY Gloucestershire HA | 5,007 | 1,533 | 5,004 | 1,608 | 5,347 | 1,645 | 5,307 | 1,764
|
| | | | | | | |
|
QW1 Gwent HA | 0 | 0 | 2 | 0 | 0 | 0 | 1 | 0
|
QW2 Bro Taf HA | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0
|
QW3 Dyfed Powys HA | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0
|
QW4 North Wales HA | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0
|
QW5 Iechyd Morgannwg HA | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0
|
Wales (other) | 965 | 308 | 1,122 | 342 | 1,165 | 354 | 1,153 | 482
|
Scotland | 197 | 18 | 300 | 22 | 200 | 26 | 171 | 19
|
Foreign | 1,413 | 899 | 1,425 | 838 | 1,350 | 777 | 1,406 | 761
|
Northern Ireland | 13 | 1 | 17 | 1 | 14 | 0 | 13 | 0
|
Not known | 331 | 25 | 413 | 33 | 483 | 33 | 485 | 25
|
|
Total | 437,494 | 119,175 | 439,061 | 127,784 | 476,222 | 128,497 | 480,467 | 138,903
|
Note:
1. An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.
2. Figures in this table have not yet been adjusted for shortfalls in data.
Source:
Hospital Episodes Statistics (HES), Department of Health
18 Oct 2001 : Column: 1335W