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Nursing and Residential Care Homes
Dr. Fox: To ask the Secretary of State for Health how many nursing and residential care homes in each health authority have closed in each year since 1997. [24619]
Jacqui Smith: The total number of residential and nursing care establishment closures in 1999 and 2000, together with number of new registrations, are shown in the table. Regular statistical collections on nursing and residential care home closures were first introduced for the year ending 31 March 1999. Reliable information is not available for each health authority.
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| Year ending 31 March | |||
|---|---|---|---|
| 1999 | 2000 | ||
| Establishment closures | |||
| Residential | 885 | 1,510 | |
| Nursing | 245 | 360 | |
| New registrations | |||
| Residential | 1,540 | 1,920 | |
| Nursing | 245 | 345 | |
Source:
Registration and Inspection Survey
Clinical Indicators
Dr. Fox: To ask the Secretary of State for Health which of the clinical indicators announced on 9 July 1997 were adopted as performance measures. [24571]
Mr. Hutton: The Department published a consultation paper to the national health service in July 1997 which proposed a set of 15 clinical indicators. Following consultation six indicators were published in "Quality and performance in the NHS: Clinical Indicators" in June 1999 and in "Quality and performance in the NHS: NHS Performance Indicators" in July 2000.
The six indicators published were:
- Deaths in hospital following surgery
Deaths in hospital following a fractured hip
Deaths in hospital following a heart attack
Readmission to hospital following discharge
Returning home following treatment for a stroke
Returning home following treatment for a fractured hip.
NICE-Approved Therapies
Dr. Fox: To ask the Secretary of State for Health what new funding will be made available to health authorities to ensure the funding of all NICE-approved therapies. [24588]
Ms Blears: We have recently announced an average 7.2 per cent. real terms increase in funding of the national health service.
We expect health authorities and primary care trusts to fund treatments recommended by the National Institute for Clinical Excellence from their general allocations.
Diabetes
Dr. Fox: To ask the Secretary of State for Health what financial support will be made available to GPs who seek to implement the delivery strategy prelude to the National Service Framework for Diabetes. [24589]
Jacqui Smith: The Diabetes National Service Framework Standards, published on 14 December 2001, include an analysis of the implications for planning and organising services. Those who are planning and investing in local diabetes services on an on-going basis will be able to take account of this in their plans for next year and beyond. Health improvement programmes and primary care implementation plans produced by health authorities, primary care groups and primary care trusts must include strategies for implementing National Service Frameworks.
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The delivery strategy for the Diabetes National Service Framework will follow this summer, for implementation from April 2003. We shall set milestones in the delivery strategy based upon the resources that will be available to support implementation.
Dr. Gibson: To ask the Secretary of State for Health when he expects to introduce the National Standards Framework for diabetes. [26020]
Jacqui Smith: We published the Diabetes National Service Framework Standards on 14 December 2001. The delivery strategy will follow this summer, for implementation from April 2003.
National Institute for Clinical Excellence
Mr. Barker: To ask the Secretary of State for Health (1) what steps are being taken to provide extra funding for new treatments approved by NICE mid-way though the financial year and to ensure that the funding of other treatments and services awaiting approval is not adversely affected; [25874]
- (2) what steps are being taken by the National Institute for Clinical Excellence to ensure that patients whose treatment has not been (a) examined and (b) approved by NICE will not assume a lower priority than patients on approved treatments; [25876]
(3) what steps are being taken by the National Institute for Clinical Excellence to ensure that the provision of unapproved services is not affected by funding the cost of approved treatments. [25875]
Mr. Hutton: Standing guidance in Health Service Circular 1999/176 advise national health service bodies to use their existing arrangements to determine local policies for treatments not referred to the National Institute for Clinical Excellence or pending guidance from NICE, using publicly available evidence to inform their decisions.
The statutory obligation on health authorities and primary care trusts to provide appropriate funding for treatments recommended by NICE was introduced as part of our strategy to ensure consistency of access to treatments for patients.
Funding is provided in baseline allocations to meet these commitments. NHS bodies are expected to take into account in-year pressures in developing their expenditure plans.
Health Care Provision (Value Comparisons)
Mr. Barker: To ask the Secretary of State for Health what plans he has to establish a body to compare the value of (a) extra district nurses and (b) counsellors with the cost-effectiveness of drugs and treatments. [25873]
Mr. Hutton: We have no plans to establish such a body.
Tuberculosis
Mr. Hancock: To ask the Secretary of State for Health how many cases of tuberculosis have been reported in the Portsmouth and South East Hampshire health authority in each of the last five years; and if he will make a statement. [24946]
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Ms Blears: Information on statutory notifications of tuberculosis (excluding chemoprophylaxis) are available from the Public Health Laboratory Service. Further local information can be obtained from the Chairman of Portsmouth and South East Hampshire health authority.
The Department collects information on tuberculosis as part of the Hospital Episodes Statistic (HES) system, which contains details of patients admitted to and treated in NHS hospitals in England.
| Number | |
|---|---|
| 1996–97 | 10 |
| 1997–98 | 11 |
| 1998–99 | 16 |
| 1999–2000 | 28 |
| 2000–01 | 27 |
Admissions are defined as the first period of patient care under one consultant within one health care provider. Admissions do not represent the number of patients, as a person may have more than one admission within the year.
Stroke Clinics
Mr. Jenkins: To ask the Secretary of State for Health what recent discussions have taken place with concerned parties regarding funding of stroke clinics in the UK. [24894]
Jacqui Smith: The funding of stroke clinics is a matter for local discussion as set out in the recently published priorities and planning framework 2002–03. One of the priorities is to continue to implement on agreed time scales the National Service Framework for Older People.
The NSF for Older People sets a milestone of April 2002 for every general hospital which cares for people with stroke to have plans to introduce a specialised stroke service as described in the stroke service model from 2004. The development for these plans will incorporate local service configuration, integration and any relevant aspects of local funding requirements/priorities.
Orthopaedic Consultants
Martin Linton: To ask the Secretary of State for Health how many orthopaedic consultants were working
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in NHS hospitals in Merton, Sutton and Wandsworth health authority in each year since 1997; and if he will make a statement. [25848]
Mr. Hutton: The information requested is provided in the table.
| Number | |
|---|---|
| 1997 | 10 |
| 1998 | 10 |
| 1999 | 20 |
| 2000(29) | 20 |
(29) As at 30 September 2000
Notes:
1. Figures rounded to the nearest 10.
2. In 1997 and 1998 there were seven organisations within this HA:
Merton and Sutton Community Healthcare NHS Trust
Merton, Sutton and Wandsworth HA
Pathfinder NHS Trust
Richmond, Twickenham and Roehampton NHS Trust
St. George's Group NHS Trust
St. Helier NHS Trust
Wandsworth Community Health NHS Trust
3. In 1999 and 2000 there were five organisations within this HA:
Epsom and St. Helier NHS Trust
Merton, Sutton and Wandsworth HA
Pathfinder NHS Trust
South West London Community NHS Trust
St. George's Group NHS Trust
Source:
Department of Health 2000 medical and dental work force census
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