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Care Homes

Mr. Drew: To ask the Secretary of State for Health (1) if he will make a statement on fee levels for (a) care homes for older people and (b) care homes operating in other sectors of care; [64999]

Jacqui Smith: The Government welcome the contribution made by the Joseph Rowntree report to the discussion about the appropriate level of care home fees. We support any publication that aids councils in setting fair and realistic fee levels. The Government are putting record levels of investment into the system. We increased resources to social services by 20 per cent. in real terms between 1996–97 and 2002–03, this represents a national real terms increase of 3 per cent. per annum. There is evidence that this extra investment is making a difference. In a recent report by Laing and Buisson, the authors of the Joseph Rowntree report, it is stated that councils have raised care home fees by an average of 3 per cent. in the last year.

The social services performance assessment framework indicators published in October 2001 contain information on local council's unit costs for nursing and residential care for different client groups.

Mr. Burstow: To ask the Secretary of State for Health (1) pursuant to the answer of 22 May 2002, Official Report, column 424W, on care homes, how many of the letters from (a) hon. Members and (b) the public were about increases in care home fees related to the introduction of free nursing care; and if he will list the other subjects which (i) hon. Members and (ii) members of the public wrote concerning the introduction of NHS-funded care; [60793]

Jacqui Smith [holding answer 12 June 2002]: Since October last year, the Department has received in excess of 10,000 letters from hon. Members and in excess of 24,000 letters from members of the public. Of the letters received, 232 and 150 from hon. Members and members of the public respectively covered issues relating to free nursing care, including fee levels, the process of assessment, banding levels for registered nursing care contribution, policy justification, the mechanisms of payment and the costs of equipment. The letters from hon. Members are broken down by party as follows:


Long-term Care Beds

Mr. Burstow: To ask the Secretary of State for Health, pursuant to his answer of 17 June 2002, Official Report,

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column 167W, on long-term care beds, what resources and local priorities will prevent primary care trusts and NHS trusts from providing continence services. [63866]

Jacqui Smith [holding answer 24 June 2002]: Primary care trusts and national health service trusts provide continence services as part of their general community based services.

It is for health authorities in partnership with primary care trusts and other local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services.

As a result of the Budget, the NHS in England will receive an annual average real terms growth in resources of 7.4 per cent. for the five years from 2003–04 to 2007–08. This means that over the same five year period there will be an increase of £34 billion in NHS funding for England. This is the highest sustained growth in funding in the history of the NHS.

Mr. Burstow: To ask the Secretary of State for Health, pursuant to his answer of 17 June 2002, Official Report, column 167W, on long-term care beds, if he will set out the factors he considers other than number of beds in his determination of planning expenditure on long-term care. [63868]

Jacqui Smith [holding answer 24 June 2002]: Chapter 2 and Research Volume 1 of the Report of the Royal Commission on long-term care set out the factors which affect the demand for and cost of long-term care.

Intermediate Care

Mr. Drew: To ask the Secretary of State for Health if he will make a statement on progress towards the introduction of intermediate care. [65015]

Jacqui Smith: Intermediate care has made rapid progress over the last two years—there is very good progress towards the targets set in the NHS Plan and there are many examples of good practice around the country. However, it is still a relatively new service and there is more work to be done to ensure that it becomes firmly established and meets its full potential.

The Department's recent review of intermediate care—Intermediate Care: Moving Forward—is available on the website and a copy has been placed in the Library. The full results of the Department's survey of intermediate care provision conducted last summer are also in the Library.

Hearing Aids

Mr. Gibb: To ask the Secretary of State for Health when digital hearing aids will be available in West Sussex. [64667]

Jacqui Smith: An announcement about which national health service trusts will join the modernising hearing aid services project and will be providing digital hearing aids by the end of March 2003, was made in my reply to the hon. Member for East Worthing and Shoreham (Tim Loughton) and the hon. Member for Twickenham (Dr. Cable) on 10 April 2002, Official Report, column 465–66W.

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In addition to the second wave sites, we intend to provide at least a further 15 sites with the training and equipment they need to start fitting digital hearing aids from April 2003. I understand that Surrey and Sussex Healthcare has already expressed an interest in being one of those sites.

Neonatal Care

Mr. Sedgemore: To ask the Secretary of State for Health when he intends to publish the report of the National Review of Neonatal Care by Dr. R. MacFaul and others; and if he will make a statement. [64683]

Jacqui Smith: The report follows a very important review of provision for neonatal services. The report is under active consideration at present. I expect to determine the next steps in this process shortly.

Chelmsford PCT

Mr. Burns: To ask the Secretary of State for Health what accumulated deficit has been identified by the Chelmsford PCT from 1 April. [55737]

Mr. Lammy [holding answer 14 May 2002]: It is not possible to provide information on liabilities inherited by Chelmsford Primary Care Trust as it was newly established on 1 April 2002. The information will be published in the final accounts at the end of the financial year.

Worthing and Southlands Hospital Trust

Tim Loughton: To ask the Secretary of State for Health how many matrons have been recruited to the Worthing and Southlands Hospital Trust since his Department's announcement on the issue. [59571]

Ms Blears [holding answer 24 May 2002]: Available information was published in a report, "Modern Matrons in the NHS: a progress report", on 15 April 2002, showing that there are 1,895 nurses in modern matron posts across the national health service in England. Data broken down by individual trust are not available centrally.

Fostering

Mr. Burstow: To ask the Secretary of State for Health how many children have been placed in foster families broken down by (a) region and (b) health authority in each of the last five years. [61354]

Jacqui Smith [holding answer 17 June 2002]: The data available are shown in the table. The table shows the number of looked-after children who started one or more periods of foster care during the year.

Number of looked after children who started one or more periods of foster care during the years ending 31 March 1997 to 2001
England   Number

Year ending 31 March
19971998199920002001
England32,90033,30032,40032,70029,800
North East2,0002,0002,0002,0001,800
Shire counties
Durham300270300305160
Northumberland210230215220175
Unitary authorities
Darlington5555856095
Hartlepool7075105100120
Middlesbrough100120100110140
Redcar and Cleveland135115145115115
Stockton on Tees11513013011590
Metropolitan districts
Gateshead11015514590145
Newcastle upon Tyne265280310335285
North Tyneside255190175195210
South Tyneside1009512585(26)
Sunderland250255180230155
North West3,9004,0003,9003,8003,300
Shire counties
Cheshire330370405375275
Cumbria270295350325300
Lancashire815800675585605
Unitary authorities
Blackburn and Darwen1501058095120
Blackpool185190190180205
Halton115130155160125
Warrington1101351009045
Metropolitan districts
Bolton160190155190155
Bury11075909075
Manchester780775775745585
Oldham110135165130110
Rochdale10515014512555
Salford200180160210180
Stockport110130115110100
Tameside150140120120150
Trafford70908510090
Wigan165155170210145
Merseyside9001,0001,1001,100900
Metropolitan districts
Knowsley145125120145190
Liverpool445450530550450
Sefton8010510511080
St. Helens6580907080
Wirral205230205175145
Yorkshire and Humberside3,7003,8003,5003,4003,100
Shire counties
North Yorkshire305275210200215
Unitary authorities
East Riding of Yorkshire11012011014585
Kingston upon Hull395420325285270
North East Lincs170155120140150
North Lincolnshire1151001257550
York100807595105
Metropolitan districts
Barnsley135150150120115
Bradford470425405370320
Calderdale1201451509595
Doncaster230165235220175
Kirklees155170140180140
Leeds600675625645585
Rotherham185205210170195
Sheffield335430400400440
Wakefield320315265245125
East Midlands2,4002,7002,6002,5002,400
Shire counties
Derbyshire315290315385365
Leicestershire165175240275220
Lincolnshire365305290275275
Northamptonshire410450415400310
Nottinghamshire330385385410415
Unitary authorities
Derby235205165160155
Leicester240410425345405
Nottingham355425385280285
West Midlands3,7003,9003,6003,7003,200
Shire counties
Shropshire1409090135110
Staffordshire290260260280255
Warwickshire330395310330245
Worcestershire300285320385295
Unitary authorities
Herefordshire1301201307580
Stoke-on-Trent105180155165195
Telford and Wrekin130709075100
Metropolitan districts
Birmingham9301,085865880820
Coventry205195165220145
Dudley170150195235140
Sandwell335375370295225
Solihull165150130130105
Walsall235295300305290
Wolverhampton240200190175175
South West3,8003,5003,2003,3002,900
Shire counties
Cornwall590580545485375
Devon470405410450385
Dorset285280200160140
Gloucestershire280280290310280
Somerset345300285285305
Wiltshire 280285245230165
Unitary authorities
Bath and North East Somerset85856510065
Bournemouth160175145145150
Bristol345320275260270
North Somerset150160135135135
Plymouth300185140250225
Poole10012590125100
South Gloucestershire9070958585
Swindon195155130155160
Torbay11512013510590
Eastern3,4003,3003,1003,4002,900
Shire counties
Bedfordshire225195180180190
Cambridgeshire325385345285185
Essex795665670860695
Hertfordshire445450425370340
Norfolk480435520490450
Suffolk400415370380360
Unitary authorities
Luton180150180210200
Peterborough215290180285185
Southend190215175185165
Thurrock1109080150120
London5,0005,1005,3005,4005,300
Inner London
Camden155185230220190
Greenwich135140225275240
Hackney285280260220205
Hammersmith and Fulham135175155200270
Islington140135160185120
Kensington and Chelsea751059570100
Lambeth295260280245265
Lewisham250300220270205
Southwark335345270265260
Tower Hamlets245100120125115
Wandsworth205195190185240
Westminster135145145140140
Outer London
Barking and Dagenham6595115135155
Barnet95120170150200
Bexley120140165150140
Brent220220215215245
Bromley11515513011070
Croydon235135165170175
Ealing125130195215215
Enfield8510012090125
Haringey175165210205255
Harrow759510014095
Havering857510512580
Hillingdon150110140230250
Hounslow155160115150150
Kingston upon Thames6060654065
Merton12014515015085
Newham255340385320305
Redbridge18519014011070
Richmond upon Thames8050808055
Sutton9560908580
Waltham Forest155190110155130
South East4,2004,1004,1004,2004,200
Shire counties
Buckinghamshire135115130165130
East Sussex365250300280300
Hampshire410435460505465
Kent8759951,0901,0601,105
Oxfordshire245180245200225
Surrey 255210265255280
West Sussex455500370545440
Unitary authorities
Bracknell Forest4040303535
Brighton and Hove355340265220200
Isle of Wight14015513515590
Medway Towns155170165135150
Milton Keynes125175150(26)(26)
West Berkshire7040505565
Portsmouth11512510595150
Reading9575303045
Slough6530555535
Southampton180195190235240
Windsor and Maidenhead5035203545
Wokingham2530404045

(26) Not available.

Notes:

1. The table excludes children looked after under a series of short term placements.

2. All local council figures have been rounded to the nearest five.

3. Data for three local councils, Rutland, City of London and Isles of Scilly, have been suppressed for reasons of confidentiality. All regional and England figures include estimates for missing data and have been rounded to the nearest 100.


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