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19 Sept 2002 : Column 396W—continued

Consultant Treatment

Clive Efford: To ask the Secretary of State for Health what steps he is taking to monitor how many patients originally referred to a NHS consultant finally receive treatment in the private sector from the same consultant. [72222]

Mr. Hutton: This Department does not collect information about private patients treated in private hospitals. We have agreed as part of the framework for the new consultant contract that there will be contractual provisions governing the relationship between private practice and National Health Service commitments, based on the principle that an NHS consultant's commitment to the NHS must take priority over any work undertaken for other organisations. The detail of the provisions is under discussion, but we have agreed that consultants will be required to inform employers of their private practice commitments, as part of their annual job planning and appraisal process.

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Clive Efford: To ask the Secretary of State for Health if he will introduce regulations to prevent consultants treating patients in their private practices that were originally referred to them through the NHS. [72221]

Mr. Hutton: We have agreed as part of the framework for the new consultant contract that there will be contractual provisions governing the relationship between private practice and National Health Service commitments. These provisions will be based on the principle that an NHS consultant's commitment to the NHS must take priority over any work undertaken for other organisations and designed to minimise the potential for actual or perceived conflicts of interest. One of the key principles is that consultants should not allow private practice to disrupt the provision of NHS services or have any adverse impact on NHS performance or delivery of NHS commitments. The detail of the provisions is under discussion, but we have agreed that the areas covered by the new rules will include the transfer of patients between the NHS and private sector, and management of NHS waiting lists.

NHS Planning

Ms Shipley: To ask the Secretary of State for Health how many registered (a) town planners, (b) landscape designers, (c) chartered surveyors and (d) architects work in (i) NHS Estates, (ii) NHS regional offices and (iii) NHS trusts. [71857]

Mr. Lammy: NHS Estates employs four town planners, forty-seven chartered surveryors and fourteen architects. In addition it draws on specialist expertise from outside the Agency. We do not hold the requested information on National Health Service trusts centrally. NHS regional offices ceased to exist on 1 April 2002.

Accident and Emergency Departments

Virginia Bottomley: To ask the Secretary of State for Health what measures he has taken to publicise the fact that accident and emergency departments do not give advice over the phone. [72415]

Mr. Lammy: The Department has taken no specific measures to publicise the fact the accident and emergency departments do not give advice over the phone.

Patients can obtain telephone advice on medical emergencies from NHS Direct, a nurse-led telephone helpline providing health information and advice 24 hours a day, 365 days a year.

Mr. Wiggin: To ask the Secretary of State for Health what the average waiting time is in accident and emergency departments by region, before a patient gets treated in the last 12 months for which figures are available. [72461]

Mr. Lammy: The Department does not routinely collect information on average waiting times in accident and emergency departments (A and E).

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Information on total time in A and E from arrival to transfer, admission or discharge has been collected by the Department since August 2001. We have reliable data from October 2001.

The table below shows the number of people spending four hours or less in A and E by region from October 2001 to March 2002.

Percentage of patients spending less than four hours in A and E from arrival to transfer, admission or discharge.

OrganisationNumber of A and E attendancesNumber of patients spending under 4 hours in A and EPatients spending under 4 hours in A and E per cent.
Eastern488,915365,87175
London1,015,261653,04364
North West861,612665,21777
North Yorkshire779,716680,50387
South East822,514612,99375
South West443,697357,12380
Trent500,379406,25481
West Midlands641,729536,63584
England5,553,8234,277,63977

Brian Cotter: To ask the Secretary of State for Health what action he is taking to deal with increased accident and emergency admissions in the south-west area [71264]

Ms Blears [holding answer 19 July 2002]: In the former south west region over £15 million from the accident and emergency (A and E) modernisation fund has been invested in improving A and E facilities over the last three years.

Private Bed Facilities

Tim Loughton: To ask the Secretary of State for Health (1) how much revenue was earned by hospital trusts operating private bed facilities in the last 12 months for which figures are available; [71084]

Mr. Hutton [holding answer 18 July 2002]: In 2000–01 the total gross income received and receivable for patient care services from private patients treated by National Health Service trusts was £316,627,000. Source: NHS Trust Summarisation Schedules 2000–01. The income reported is for all private patients and not just those using a bed.


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