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NHS Trusts
Helen Southworth: To ask the Secretary of State for Health what financial arrangements are being made in respect of (a) the NHS trusts dissolved and (b) the new NHS trusts and primary care trusts established in 2001–02. [42603]
Mr. Milburn: Pursuant to the dissolution of 64 National Health Service trusts on 1 April 2001 and their reconfiguration through the establishment of 29 new NHS trusts, I propose to create originating capital for the new NHS trusts equal to the net assets transferred to them and therefore to remit the outstanding debt of the dissolved trusts.
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A number of primary care trusts were also established during the year. Public Dividend Capital is not required for the establishment of new Primary Care trusts as they are subject to a different financial regime. Net assets transferred from dissolving NHS trusts to Primary Care trusts are reflected in the General Fund of the Primary Care trust.
These operations involved no overall loss to the Exchequer. Her Majesty's Treasury has today presented a minute to the House giving particulars and circumstances of the proposed remission which it has approved in principle.
Malnutrition
Mr. Burstow: To ask the Secretary of State for Health, pursuant to his answer of 25 February 2002, Official Report, column 974W, on malnutrition, what plans she has to instigate a single assessment process for malnutrition. [40806]
Yvette Cooper: We have no plans to instigate a single assessment process for malnutrition.
Thrombolysis
Mr. Wiggin: To ask the Secretary of State for Health what plans he has to allow pre-hospital thrombolysis in Herefordshire. [41493]
- Job No: 715993 Folios: 000-000Operator: Operator No 3. Date: 08/03/02
Yvette Cooper: The NHS Plan contained a commitment to improve "call-to-needle" times for administering thrombolytic drugs for treating heart attack victims.
I am advised that the Hereford and Worcester Ambulance Service National Health Service trust are already meeting targets set for ambulance response times.
The trust, in collaboration with Herefordshire and Worcestershire health authorities, Hereford Hospitals NHS Trust and Worcestershire Acute Hospitals NHS Trust, have initiated procedures to train and equip ambulance paramedics to provide thrombolysis safely for appropriate patients.
I understand that in May 2002 the trust will begin to roll out their 18 month programme to safely administer thrombolytic drugs to heart attack patients to the 14 ambulance stations covered by their ambulances.
Care Homes
Mr. Wiggin: To ask the Secretary of State for Health if he will make a statement on changes in bed numbers in the care home sector in Herefordshire since 1997. [41495]
- mickm
Jacqui Smith: The table shows the number of places in residential care homes and the number of registered nursing beds in the Hereford and Worcester1 area between 1997 and 2001.
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| Year | Number of places in residential care homes | Number of registered beds in nursing homes2 |
|---|---|---|
| 19973 | 5,552 | 3,383 |
| 1998 | 5,413 | 3,654 |
| 1999 | 5,543 | 3,980 |
| 2000 | 5,392 | 3,526 |
| 2001 | 5,080 | 3,365 |
1 Information is presented for the former Local Authority district of Hereford and Worcester to ensure details of residential places given in the table are on consistent boundaries. (At 1 April, 1998 the Unitary authority of Herefordshire and the shire county area of Worcestershire were created).
2 Registered beds in general and mental nursing homes, hospitals and clinics. Information is presented on nursing beds for the two Health Authorities of Herefordshire and Worcestershire (equating to the former local authority district of Hereford and Worcester).
3 Information for registered nursing beds for 1997 relates to the period 1 October 1996 to 31 March 1997.
Source: Department of Health annual returns.
Job No: 715993 Folios: 000-000Operator: Operator No 3. Date: 08/03/02
Home Helps
Mr. Breed: To ask the Secretary of State for Health how many local authority home helps there were in each (a) constituency and (b) health authority in England in each year since 1992; and what the most recent 12 month figures are. [38340]
Jacqui Smith [holding answer 28 February 2002]: Information on the number of home helps by parliamentary constituency and by health authority area is not held centrally.
Psychiatric Nurses
Mr. Heald: To ask the Secretary of State for Health how many child and adolescent community psychiatric nurses were employed (a) in May 1997 and (b) at the latest date for which figures are available. [39686]
Jacqui Smith [holding answer 1 March 2002]: Data collected by the Department do not differentiate between different types of community psychiatric nurses. Workforce information is collected annually on 30 September.
There has been a 31 per cent. increase in the number of community psychiatric nurses employed in England between 1996 and 2001.
Mental Health (Children)
Mr. Heald: To ask the Secretary of State for Health how many children under four years of age have been diagnosed as suffering from depression in the last 12 months. [39684]
Jacqui Smith [holding answer 1 March 2002]: The information requested is not collected centrally.
Job No: 715993 Folios: 000-000Operator: Operator No 3. Date: 08/03/02
Convalescent Care
Mr. Burns: To ask the Secretary of State for Health if a scheme to promote the provision of convalescent and recuperative care in rural bed and breakfast accommodation requires Government approval; and if he will make a statement. [37729]
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Jacqui Smith [holding answer 5 March 2002]: Currently any establishment intending to provide either nursing or personal care to its resident would have to register under the Registered Homes Act 1984. From April 2002 onwards, all establishments providing personal or nursing care will have to be registered under the Care Standards Act 2000 and will be subject to the relevant national minimum standards. Establishments will be inspected by the National Care Standards Commission.
Mental Illness
Mr. Heald: To ask the Secretary of State for Health how many and what proportion of people, broken down by age, were (a) admitted and (b) discharged from hospital in each of the last five years where the main diagnosis was mental illness, but the patients also suffered other illness; and if he will make a statement as to the physical health of those being treated for mental illness. [40580]
Jacqui Smith [holding answer 5 March 2002]: The figures show the number of discharges (table 1) and admissions (table 2) to National Health Service hospitals in England, where the main diagnosis was mental illness and a secondary diagnosis was present which was not a mental illness.
Between 0.0 per cent. and 0.08 per cent. of all discharges and admissions had a main diagnosis of mental illness where a secondary (non mental illness) diagnosis was present.
NB. Mental Illness = ICD-10: F00-F99.
| Age | 2000–01 | 1999–2000 | 1998–99 | 1997–98 | 1996–97 | All five years |
|---|---|---|---|---|---|---|
| 0–16 | 0 | 0 | 0 | 0 | 0 | 0 |
| 17–24 | 0 | 0 | 0 | 0 | 0 | 0 |
| 25–44 | 0 | 0 | 0 | 0 | 0 | 0 |
| 45–64 | 3 | 12 | 30 | 51 | 31 | 82 |
| 65–74 | 85 | 31 | 129 | 319 | 170 | 489 |
| 75–84 | 130 | 56 | 236 | 643 | 333 | 976 |
| 85+ | 51 | 34 | 128 | 306 | 197 | 503 |
| Total | 269 | 133 | 523 | 1,319 | 731 | 2,050 |
Notes:
Admissions are defined as the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Discharge episodes are defined as the last period of in-patient care and ends with death, discharge or transferred to another hospital.
The main diagnosis is the first seven diagnosis fields in the Hospital Episode Statistics (HES) data set, and provides the main reason why the patient was in hospital.
Figures are grossed for both coverage and missing/invalid clinical data, except for 2000–01 which is not yet adjusted for shortfalls.
Source:
Hospital Episode Statistics (HES), Department of Health.
The National Service Framework (NSF) for mental health draws attention to the evidence in the national psychiatric morbidity survey of high levels of physical ill health and higher rates of death amongst those with mental health problems compared to the rest of the population. This is confirmed in the more recent Office of National Statistics (ONS) survey of psychiatric morbidity among adults living in private households. Our policy as set out in the NSF is that assessment of people with severe mental illness should include assessment of physical health needs, and the care plan should identify the health and social care required to be provided under the care programme approach.
Job No: 715993 Folios: 000-000Operator: Operator No 3. Date: 08/03/02
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