|Previous Section||Index||Home Page|
Tim Loughton: To ask the Secretary of State for Health what amount in (a) real terms and (b) percentage terms of the health authority revenue resource allocations announced on 6 December are accounted for by estimated (i) salary increases for (A) pay review body staff and (B) non-pay review body staff, (ii) medical price inflation, (iii) new pension contribution rates, (iv) implementation of planned national service frameworks and (v) special arrangements for speeding up heart operations. 
Mr. Hutton [holding answer 8 January 2002]: Health authority revenue allocations for 200203 include funding to meet increases in pay, prices and other pressures faced by all health authorities, and to implement national service frameworks, but these are not separately identified within allocations.
A small number of initiatives, including action to speed up heart operations and extend choice for those who wait longest for heart surgery, will be funded through central budgets. Details will be announced later.
However, the Department does provide support for research commissioned by charities and the research councils that takes place in the national health service. Details of on-going and recently completed research projects funded by, or of interest to, the NHS are available on the National Research Register at www.doh.gov.uk/ research/nrr.htm.
22 Jan 2002 : Column 753W
Jacqui Smith: The national health service already has available to it, via contracts negotiated by the NHS Purchasing and Supply Agency, the widest possible range of prosthetic limb components available. The decision as to which type of prosthesis an individual patient receives is one that should be decided at a local level taking into account an individual's clinical circumstances.
Bob Spink: To ask the Secretary of State for Health what was the NHS prosthetics expenditure in the last financial year for which records are available per amputee; and what proportion of this expenditure was used on (a) administration, (b) prosthetics staff and (c) prosthetics. 
Jacqui Smith: The Department does not collect information on the financial expenditure on each individual amputee. Expenditure is decided at a local health authority and national health service trust level.
The NHS Purchasing and Supply Agency estimate that some £23 million including value added tax was spent on prosthetic service contracts and a further £13 million including VAT was spent on prosthetic limb hardware and associated items during 19992000.
Bob Spink: To ask the Secretary of State for Health what assessment he has made of the impact on the UK prosthetics industry of the emigration of qualified prosthetics professionals and technicians. 
Bob Spink: To ask the Secretary of State for Health what training is given to orthopaedic surgeons on prosthetics and orthotics, with specific reference to the functional implications of the various levels of amputation and residual limb lengths. 
Jacqui Smith: The Royal College of Surgeons is the body responsible for the training of medical students on surgery. The majority of amputations are carried out by vascular and general surgeons, and relatively few are undertaken by orthopaedic surgeons. Orthopaedic surgeons receive training on amputations and prosthetics at various stages of the medical curriculum, such as:
Basic surgical trainees will receive training from mainly vascular surgeons on the practical skills of "common amputations".
Specialist Registrars receive higher surgical training on amputation and rehabilitation, and on prosthetics and orthotics.
Jacqui Smith: The Department has not issued any guidelines to disablement services centres for the prescription and delivery of prosthetics. Prescriptions and delivery criteria are decided at a local level to take account of an individual patient's clinical need.
22 Jan 2002 : Column 754W
Bob Spink: To ask the Secretary of State for Health what was the level of funding for prosthetics in each of the last five financial years for which records are available; and what level is anticipated for the (a) current and (b) next financial years. 
Jacqui Smith: The level of funding on prosthetic services is not separately identified in health authority financial baseline allocations. But on 9 January 2001 we announced that funding for providing silicone cosmesis to prosthetic limb users was to be made available totalling £4 million over the next three years. The funding started in April 2001 with £0.5 million for 200102, £1.5 million for 200203 and £2 million for 200304. This was an addition to the baseline allocation.
The local health authority will decide the level of funding an individual disablement service centre receives. We would not expect the level of funding a DSC receives next financial year to be any less than invested this financial year.
Jacqui Smith: The Department has not issued any central guidelines for the issue of ischial containment sockets. Ischial containment sockets for amputees are issued on the basis of a clinical decision made by the multi-professional team at a national health service trust.
22 Jan 2002 : Column 755W
Dr. Fox: To ask the Secretary of State for Health (1) what recent steps have been taken to ensure co-ordination between local authorities' social and educational services with regard to supporting children at risk; 
Jacqui Smith: The safeguarding of children at risk is a high priority for us. That is why over the last few years we have introduced new legislation, new guidance, new structures and new policy initiatives to make children safer and to ensure that there is a proper focus on children at the very heart of Government. These measures include:
Revised core inter-agency child protection guidance: Working Together to Safeguard Children (1999) and the new Framework for the Assessment of Children in Need and Their Families (2000);
New guidance focusing on Safeguarding Children Involved in Prostitution (2000) and a National Plan for Safeguarding Children from Commercial Sexual Exploitation (2001);
A Minister for Young Peoplemy right hon. Friend the Member for Southampton, Itchin (Mr. Denham)and a new Cabinet Committee focusing on Children and Young People's issues;
The first ever national Children's Rights Director for EnglandRoger Morganto act as a powerful champion for some of the most vulnerable children in our country;
The establishment of the Children and Young People's Unit, which is responsible for ensuring the coherence of Government polices that affect all children and young people under 19;
Radical new initiatives such as the £885 million Quality Protects programme, Sure Start and Connexions.
Co-ordination of the planning and delivery of services by education and social services departments is a key element of the Government's five year £885 Quality Protects programme, which is improving the management and delivery of children's services. The Government have published Objectives for Children's Social Services. The Department's public service agreement contains targets including improving the educational outcomes of children in need and children looked after. Local authorities have to produce annual QP management action plans (MAPs) on how they are moving towards the achievement of these objectives. The national overview report of local authority's QP MAPs published in October 2001 reported in relation to services for children in need
"closer partnerships in a range of contexts are beginning to draw social work expertise and the needs of vulnerable children onto agendas which in the past might have been seen as 'purely educational'".
22 Jan 2002 : Column 756W
"MAPS this year included considerable evidence of joint working between education and social work staff, designed to support the education of looked after children."
Learning disability partnerships boards have been set up in local authority areas to oversee and advise on the implementation of the adult aspects of "Valuing People". Membership should include representation from a range of statutory sector interests, including social services and education. Guidance issued to local councils in August said that one member should be appointed to be a champion for child/adult transition issues. The guidance adds that boards will need to develop effective links with other agencies whose responsibilities are relevant to implementing valuing people; these will include Connexions partnerships, local learning partnerships, further education colleges, and education institutions.
|Next Section||Index||Home Page|