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18 Dec 2002 : Column 876W—continued
Acute Trusts
Mr. Waterson: To ask the Secretary of State for Health which acute trusts are running a deficit in this financial year. [87423]
Mr. Hutton: The audited information in respect of the 2002–03 financial performance of National Health Service trusts, including acute trusts, will be published in their individual annual accounts. The audited information will be available centrally in autumn 2003.
Brain Injuries
Martin Linton: To ask the Secretary of State for Health what funding his Department has made available for rehabilitation services for brain-injury patients in London in each of the last three years; what funding he will make available for the next financial year; and if he will make a statement. [86281]
Mr. Hutton: The Department does not earmark funds for particular services, such as brain injury rehabilitation. Primary care trusts are responsible for ensuring that services for patients needing brain injury rehabilitation are in place. The configuration of this service provision, however, is a matter for local decision makers as they are best placed to understand the health needs of their local populations.
We would expect that the substantial extra funds this Government have provided to the national health service will help provide improved services for all patients including those needing rehabilitation after a brain injury.
Care Beds
Mr. Hoyle: To ask the Secretary of State for Health (1) what changes to the number of (a) private care beds and (b) council care beds he expects to occur in Chorley council area over the next five years; [87048]
- (2) how many care beds there are in the Chorley council area; and how many he estimates there will be in each year from 2003 to 2008. [87047]
Jacqui Smith: Information is not available for Chorley council area.
At 31 March 2001 there were 11,600 residential care beds in Lancashire local authority and 1,700 nursing care beds in south Lancashire health authority. Data for 2002 are not yet available.
Forecasts of the number of care home places are not made centrally.
On 23 July 2002, my right hon. Friend the Secretary of State announced additional funding to provide more help for older people. The funding is intended to support 6,000 more care home places in England by March 2006.
Care Housing Places (Elderly)
Dr. Evan Harris: To ask the Secretary of State for Health what estimate he has made of the cost of the 50 per cent. increase in the number of extra care housing places for older people, announced on 23 July 2002. [81686]
Jacqui Smith: We propose to increase extra care housing places for older people by 50 per cent. between 1997 and 2006. A further announcement will be made in due course.
Consultant Surgeons (Suspensions)
Dr. Fox: To ask the Secretary of State for Health how many consultant surgeons were suspended from clinical duties in the past two years. [87891]
Mr. Hutton: National health service trusts report suspensions lasting longer than six months or longer to the Department. The number of consultants reported has decreased since 30 September 2000.
| Year | Total consultants suspended in period |
|---|---|
| October 2000 to September 2001 | 23 |
| October 2001 to September 2002 | 18 |
18 Dec 2002 : Column 877W
Delayed Discharges
Mr. Burns: To ask the Secretary of State for Health (1) how many patients experienced delayed discharge from hospitals in (a) England and (b) Wales in the last quarter; [82835]
(2) if he will make a statement on the duration of delayed discharges, as a percentage of delayed discharges, waiting (a) less than eight days, (b) eight to 14 days, (c) 15 to 28 days and (d) more than 28 days in the last quarter; [82486]
(3) what proportion of patients awaiting discharge from hospital were delayed from being discharged due to awaiting (a) a care home placement, (b) assessment, (c) public funding, (d) a domiciliary package and (e) other reasons in the last quarter. [82487]
Jacqui Smith [holding answers 25 November 2002]: Delayed Discharge figures for Quarter 1, 2002–03 are available in the Library.
Mr. Jon Owen Jones: To ask the Secretary of State for Health what estimate he has made of the number of Welsh resident patients who have had their discharge from hospital in England delayed, in each hospital with more than 20 patients in this category. [87157]
Jacqui Smith: The information requested is not available centrally. However, in preparing for the introduction of the Community Care (Delayed Discharges, etc) Bill, it was established that the percentage of Welsh resident patients admitted to hospitals in English health authorities near to the border in 2000–01 was very small, an average of 7.5 per cent. of all admissions. No health and social care communities are reporting as many as 20 delays.
Epilepsy
Mrs. Gillan: To ask the Secretary of State for Health (1) if an initial health needs assessment of epilepsy has been produced by (a) eastern, (b) London, (c) north-west Greater Manchester, (d) north-west Lancashire, (e) north-west Mersey and Cheshire, (f) northern region, (g) Yorkshire, (h) central south-east, (i) Kent, Surrey and Sussex, (j) south-east five counties, (k) south-west, (l) Trent NORCOM and (m) west midlands NHS regions; which of these NHS regions has agreed a common service strategy for the commissioning of epilepsy services, involving providers and patients/carers representatives in the process; and
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which of them has agreed common standards, implementation and investment plans for the provision of epilepsy services; [86238]
- (2) whether the necessary purchasing arrangements, including setting up service agreements, financial risk-sharing models and establishing primary care trust-led consortia, have been put in place by (a) eastern, (b) London, (c) north-west Greater Manchester, (d) north-west Lancashire, (e) north-west Mersey and Cheshire, (f) northern region, (g) Yorkshire, (h) central south-east, (i) Kent, Surrey and Sussex, (j) south-east five counties, (k) south-west, (l) Trent NORCOM and (m) west midlands NHS regions. [86239]
Mr. Hutton: The majority of epilepsy services are provided in a primary or secondary care setting and are not specialised services. The organisations listed in the question are regional specialised commissioning groups whose function is to commission specialised services, generally located in tertiary hospitals; non-specialised services such as epilepsy services are not within their remit. Surgery is appropriate for less than 5 per cent. of epilepsy patients. It is provided in neurosciences centres and is subject to the same access targets as other forms of elective surgery.
We expect to publish an action plan for epilepsy services following the recommendation in the chief medical officer's 2001 annual report that we should improve the standard of services for people with epilepsy. The action plan will also address the findings of the national clinical audit of epilepsy-related death, which was published in May 2002.
In addition to the epilepsy action plan, the National Institute for Clinical Excellence will publish an appraisal of anti-epilepsy drugs next year, followed by a guideline on the diagnosis, management and treatment of epilepsy in 2004. We are also developing the national service framework (NSF) for long-term conditions, which will focus on improving services for neurological conditions, including epilepsy. We expect to publish the NSF in 2004.
General Practitioners
Mr. Hoban: To ask the Secretary of State for Health if he will make a statement on the age distribution of general practitioners in (a) Hampshire and (b) England. [87236]
Mr. Hutton [holding answer 16 December 2002]: The age distribution of general practitioners in England and in Hampshire and Isle of Wight Strategic Health Authority as at March 2002 is shown in the table.
18 Dec 2002 : Column 879W
| Of which aged: | ||||||
|---|---|---|---|---|---|---|
| 50–54 | 55–59 | 60–64 | 65–69 | 70 and over | Unknown | |
| England | ||||||
| All Practitioners | 4,633 | 3,379 | 1,419 | 506 | 66 | 1 |
| Percentage | 14.5 | 10.6 | 4.4 | 1.6 | 0.2 | 0.0 |
| Of which: | ||||||
| NHS Plan GPs | 4,594 | 3,365 | 1,419 | 506 | 65 | 0 |
| Percentage | 15.9 | 11.6 | 4.9 | 1.7 | 0.2 | — |
| UPEs | 4,525 | 3,281 | 1,358 | 454 | 0 | 0 |
| Percentage | 16.2 | 11.7 | 4.9 | 1.6 | 0.0 | |
| Hampshire and Isle of Wight StHA | ||||||
| All Practitioners | 164 | 128 | 29 | 4 | 0 | 0 |
| Percentage | 13.9 | 10.8 | 2.4 | 0.3 | 0.0 | — |
| Of which: | ||||||
| NHS Plan GPs | 163 | 127 | 29 | 4 | 0 | 0 |
| Percentage | 15.7 | 12.3 | 2.8 | 0.4 | 0.0 | — |
| UPEs | 163 | 125 | 29 | 4 | 0 | 0 |
| Percentage | 15.9 | 12.2 | 2.8 | 0.4 | 0.0 | — |
(14) All Practitioners include GMS Unrestricted Principals, PMS Contracted GPs, PMS Salaried GPs, Restricted Principals, Assistants, GP Registrars, Salaried Doctors (Para 52 SFA),
PMS Other and GP Retainers.
(15) NHS Plan GPs include GMS Unrestricted Principals, PMS Contracted GPs, PMS Salaried GPs, Restricted Principals, Assistants, Salaried Doctors (Para 52 SFA) and PMS Others.
(16) UPEs include GMS Unrestricted Principals, PMS Contracted GPs and PMS Salaried GPs.
(17) Headcount
Note:
Data has been converted to match April 2002 StHA boundaries.
Source:
Department of Health General and Personal Medical Services Statistics
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