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The Department has introduced controls assurance standards as part of performance management arrangements. There are 21 controls assurance standards including a health and safety standard, medical devices standard, infection control standard and a decontamination of medical devices standard.
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NHS trusts are required to undertake risk assessment and the implementation of action plans against criteria defined in the controls assurance standards. NHS trusts must include a controls assurance statement in their annual report.
Mr. Francois: To ask the Secretary of State for Health what the total staffing budget of the NHS was in financial year 200001 (a) as an actual figure and (b) as a percentage of the total NHS Budget; and what the equivalent estimates are for (a) and (b) in the NHS Budget for 200102. 
Mr. Hutton: Finalised figures for 200001 are not yet available. Provisional figures show that the hospital and community health service paybill in 200001 is £20.4 billion. This is 46 per cent. of the estimated net national health service expenditure in 200001 (£44.6 billion).
Ms Buck: To ask the Secretary of State for Health if he will list the category and amount of each item of funding outside the revenue support grant which his Department made available to (a) Westminster and (b) Kensington and Chelsea in (i) 200001 and (ii) 200102. 
|AIDS Support Grant||798||547|
|Mental Health Grant||930||1,088|
|Training Support Programme||319||355|
|Promoting Independence Grant(36)||||1,979|
|Improving Information Management Grant(37)||||16,666|
|Deferred Payments Grant(37)||||32|
|Young People's Substance Misuse Planning Grant(37)||||51|
|Building Care Capacity Grant(37)||||422|
|Supplementary credit approvals:|
(36) The Partnership and Prevention Grants were amalgamated into the Promoting Independence Grant from 200102
(37) The grants commenced in 200102
21 Jan 2002 : Column 679W
|Aids Support Grant||816||592|
|Mental Health Grant||780||891|
|Training Support Grant||204||195|
|Promoting Independence Grant(38)||||1,324|
|Improving Information Management Grant(39)||||16,666|
|Deferred Payments Grant(39)||||26|
|Young People's Substance Misuse Planning Grant(39)||||37|
|Building Care Capacity Grant(39)||||265|
|Supplementary credit approvals:|
(38) The Partnership and Prevention Grants were amalgamated into the Promoting Independence Grant from 200102
(39) The grants commenced in 200102
Mr. Hutton: The current re-organisation of the national health service involves a significant movement of staff. However, all staff are guaranteed employment until 2003. With this in mind, it is too early to indicate levels (and therefore costs) of early retirement resulting from the forthcoming structural changes.
Mr. Francois: To ask the Secretary of State for Health what the anticipated annual saving to the NHS budget is of replacing existing health authorities with the proposed strategic health authorities. 
Mr. Hutton: Strategic health authorities will not be replacing the existing 95 health authorities. Existing health authorities will be disestablished at the end of March and the vast majority of their functions transferred to primary care trusts. Strategic health authorities will have a new role: one of strategic development and performance management. However, the reductions in bureaucracy made as a result of the whole reform programme will lead over time to annual savings of £100 million.
Mr. Francois: To ask the Secretary of State for Health how many executive directors of NHS trusts and health authorities were allowed to retire early in financial year 200001; and what cost this represented to the NHS Budget. 
Mr. Hutton: The national health service does not hold details of the number of executive directors who were allowed to retire early in 200001, or the cost to the NHS Budget. However, the total compensation for loss of office paid in respect of all NHS directors in trusts, primary care trusts and health authorities, both executive and non-executive, was £3,652,000 for 200001.
21 Jan 2002 : Column 680W
Sandra Gidley: To ask the Secretary of State for Health (1) what new recruitment initiatives he plans to rectify the shortfall in surgeons in England; what assessment he has made of the feasibility of widening access to training programmes; what expenditure has been allocated to rectify the shortfall; by what date he expects the shortfall to be redressed; and if he will make a statement; 
Mr. Hutton: The NHS Plan work force numbers targets, updated in the Government's manifesto, provide the staff needed to deliver the NHS Plan up until 2005. International recruitment of medical staff including surgical staff is being taken forward to help deliver these targets.
Increases in national health service staffing are funded from the general allocation to the NHS and for staff in training from the multi professional education and training budget. Spending plans beyond 200203 are currently being finalised as part of SR2002.
Our current supply projections expect an increase of around 1,320 trained specialists to be available to take up surgical consultant posts by 200910. This reflects increases in the numbers of doctors in higher specialist training in surgery as a result of the NHS Plan. Projections to 200910 suggest an increasing gap between supply and demand may emerge without further action. We continually review future work force needs as part of our national work force planning processes and take action accordingly to address any shortfalls. This action includes increasing numbers in training but also modernising roles and developing new ways of working for doctors alongside other staff.
Mr. Hepburn: To ask the Secretary of State for Health how many assaults there have been on paramedics and hospital staff in each year since 1997 in (a) the UK, (b) the north-east and (c) South Tyneside. 
Mr. Hutton: Information on the levels of violent incidents by individual staff group is not collected centrally, but may be held at a local level by national health service employers. Data on violent incidents involving all staff in the NHS were not collected centrally for 199798.
The Department conducted a survey of NHS trusts in England in 199899. The survey found that, on average, seven violent incidents were recorded each month per 1,000 staff. This is equivalent to approximately 65,000 violent incidents against NHS trust staff each year. Details of the survey can be found in Health Service Circular 1999/229: "Managing Violence, Accidents and Sickness Absence in the NHS", a copy of which is in the Library. Figures for recorded violent incidents in 200001 are currently being analysed by the Department.
21 Jan 2002 : Column 681W
|Calendar Year||Violent incidents|
|Financial Year||Violent incidents|
|1 April 1997 to 31 March 1998||39|
|1 April 1998 to 31 March 1999||66|
|1 April 1999 to 31 March 2000||142|
|1 April 2000 to 31 March 2001||201|
|1 April 2001 to 31 December 2001(40)||188|
(40) To date
The increase in reported violent incidents by staff is as a result of both on-going local and national campaigns to tackle violence against staff working in the NHS. The reduction in reported violence in 2001 is however a more meaningful comparison, indicating an actual reduction in violent incidents over that 12 month period.
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