House of Commons Hansard Written Answers for 18 Dec 2002 (pt 23)

18 Dec 2002 : Column 879W—continued

Health Funding

Ms Buck: To ask the Secretary of State for Health how much was granted from each source of support within his Department to (a) Westminster City Council and (b) the Royal Borough of Kensington and Chelsea, outside the revenue support grant settlements, in each year since 1997. [85832]

18 Dec 2002 : Column 880W

Jacqui Smith: The tables show the funding made available by the Department to Westminster City Council and the Royal Borough of Kensington and Chelsea outside the revenue support grant settlements in each year since 1997.

Westminster City Council#000

1997–98 1998–99 1999–2000 2000–01 2001–02 2002–03 2003–04

Grant

AIDS Support 800 770 810 798 547 547 ⁽¹⁸⁾—

Drugs and Alcohol Specific Grant 27 33 34 — — — —

Guardians Ad Litem and Reporting Officer Services 29 — — — — — —

Mental Health (Adults) 539 539 804 904 1,006 1,013 1,014

Child and Adolescent Mental Health Services — — 26 26 82 146 376

Training Support Programme 215 198 196 319 355 212 —

Community Care Special Transitional Grant 2,305 2,171 — — — — —

Adult Asylum-Seekers' Accommodation 3,847 5,306 — — — — —

Persons from Abroad Children's Grant 2,835 3,753 — — — — —

Unaccompanied Asylum-Seeking Children's Grant 41 879 2,769 — — — —

Partnership⁽¹⁹⁾ — — 1,755 1,500 — — —

Prevention⁽¹⁹⁾ — — 146 222 — — —

Promoting Independence — — — — 1,979 1,150 —

Carers' — — 137 384 554 696 615

Children's Services — — 755 1,234 3,216 5,286 ⁽¹⁸⁾—

Deferred Payments — — — — 32 64 87

Young People's Substance Misuse Planning — — — — 51 53 ⁽¹⁸⁾—

Building Care Capacity — — — — 422 884 —

Preserved Rights — — — — — 2,907 ⁽¹⁸⁾—

Residential Allowance — — — — — 606 ⁽¹⁸⁾—

Teenage Pregnancy Local Implementation — — — — — 38 ⁽¹⁸⁾—

Performance Fund — — — — — 302 686

Improving Information Management — — — — 17 187 164

Secure Accommodation — — — — — — ⁽¹⁸⁾—

Care Direct — — — — — — —

Access and Systems Capacity — — — — — — 842

National Training Strategy — — — — — — ⁽¹⁸⁾—

Human Resource Development Strategy — — — — — — ⁽¹⁸⁾—

Supplementary Credit Approvals

Mental Health 180 120 218 50 — 186 ⁽¹⁸⁾—

HIV/AIDS 250 250 — 414 300 — ⁽¹⁸⁾—

	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
Grant
AIDS Support	800	770	810	798	547	547	⁽¹⁸⁾—
Drugs and Alcohol Specific Grant	27	33	34	—	—	—	—
Guardians Ad Litem and Reporting Officer Services	29	—	—	—	—	—	—
Mental Health (Adults)	539	539	804	904	1,006	1,013	1,014
Child and Adolescent Mental Health Services	—	—	26	26	82	146	376
Training Support Programme	215	198	196	319	355	212	—
Community Care Special Transitional Grant	2,305	2,171	—	—	—	—	—
Adult Asylum-Seekers' Accommodation	3,847	5,306	—	—	—	—	—
Persons from Abroad Children's Grant	2,835	3,753	—	—	—	—	—
Unaccompanied Asylum-Seeking Children's Grant	41	879	2,769	—	—	—	—
Partnership⁽¹⁹⁾	—	—	1,755	1,500	—	—	—
Prevention⁽¹⁹⁾	—	—	146	222	—	—	—
Promoting Independence	—	—	—	—	1,979	1,150	—
Carers'	—	—	137	384	554	696	615
Children's Services	—	—	755	1,234	3,216	5,286	⁽¹⁸⁾—
Deferred Payments	—	—	—	—	32	64	87
Young People's Substance Misuse Planning	—	—	—	—	51	53	⁽¹⁸⁾—
Building Care Capacity	—	—	—	—	422	884	—
Preserved Rights	—	—	—	—	—	2,907	⁽¹⁸⁾—
Residential Allowance	—	—	—	—	—	606	⁽¹⁸⁾—
Teenage Pregnancy Local Implementation	—	—	—	—	—	38	⁽¹⁸⁾—
Performance Fund	—	—	—	—	—	302	686
Improving Information Management	—	—	—	—	17	187	164
Secure Accommodation	—	—	—	—	—	—	⁽¹⁸⁾—
Care Direct	—	—	—	—	—	—	—
Access and Systems Capacity	—	—	—	—	—	—	842
National Training Strategy	—	—	—	—	—	—	⁽¹⁸⁾—
Human Resource Development Strategy	—	—	—	—	—	—	⁽¹⁸⁾—

Supplementary Credit Approvals
Mental Health	180	120	218	50	—	186	⁽¹⁸⁾—
HIV/AIDS	250	250	—	414	300	—	⁽¹⁸⁾—

⁽¹⁸⁾ TBA—to be announced.

⁽¹⁹⁾ The partnership and prevention grants combined in 2001–02 and became the promoting independence grant.

Note:

PFI credit approvals of #4.3 million were also issued to Westminster in 1999–2000.

18 Dec 2002 : Column 881W

Royal Borough of Kensington and Chelsea#000

1997–98 1998–99 1999–2000 2000–01 2001–02 2002–03 2003–04

Grant

AIDS Support 890 760 780 816 592 563 ⁽²⁰⁾—

Drugs and Alcohol Specific Grant — 33 644 — — — —

Guardians Ad Litem and Reporting Officer Services 21 — — — — — —

Mental Health 515 515 693 760 830 835 836

Child and Adolescent Mental Health Services — — 20 20 61 107 332

Training Support Programme 163 161 162 204 195 180 ⁽²⁰⁾—

Community Care Special Transitional Grant 1,509 1,414 — — — — —

Adult Asylum-Seekers' Accommodation 2,326 4,604 — — — — —

Persons from Abroad Children's Grant 1,277 1,550 — — — — —

Unaccompanied Asylum-Seeking Children's Grant 152 647 1,496 — — — —

Partnership⁽²¹⁾ — — 1,162 1,002 — — —

Prevention⁽²¹⁾ — — 103 157 — — —

Promoting Independence — — — — 1,324 793 —

Carers' — — 95 270 393 496 480

Children's Services — — 560 916 2,390 3,871 ⁽²⁰⁾—

Deferred Payments — — — — 26 53 71

Young People's Substance Misuse Planning — — — — 37 38 ⁽²⁰⁾—

Building Care Capacity — — — — 265 563 —

Preserved Rights — — — — — 1,701 ⁽²⁰⁾—

Residential Allowance — — — — — 388 —

Teenage Pregnancy Local Implementation — — — — — 37 ⁽²⁰⁾—

Performance Fund — — — — — 201 541

Improving Information Management — — — — 17 167 139

Secure Accommodation — — — — — — ⁽²⁰⁾—

Care Direct — — — — — — —

Access and Systems Capacity — — — — — — 600

National Training Strategy — — — — — — ⁽²⁰⁾—

Human Resources Development Strategy — — — — — — ⁽²⁰⁾—

Supplementary Credit Approvals

Mental Health 115 62 300 — 350 89 ⁽²⁰⁾—

HIV/AIDS 200 20 — — — — ⁽²⁰⁾—

	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
Grant
AIDS Support	890	760	780	816	592	563	⁽²⁰⁾—
Drugs and Alcohol Specific Grant	—	33	644	—	—	—	—
Guardians Ad Litem and Reporting Officer Services	21	—	—	—	—	—	—
Mental Health	515	515	693	760	830	835	836
Child and Adolescent Mental Health Services	—	—	20	20	61	107	332
Training Support Programme	163	161	162	204	195	180	⁽²⁰⁾—
Community Care Special Transitional Grant	1,509	1,414	—	—	—	—	—
Adult Asylum-Seekers' Accommodation	2,326	4,604	—	—	—	—	—
Persons from Abroad Children's Grant	1,277	1,550	—	—	—	—	—
Unaccompanied Asylum-Seeking Children's Grant	152	647	1,496	—	—	—	—
Partnership⁽²¹⁾	—	—	1,162	1,002	—	—	—
Prevention⁽²¹⁾	—	—	103	157	—	—	—
Promoting Independence	—	—	—	—	1,324	793	—
Carers'	—	—	95	270	393	496	480
Children's Services	—	—	560	916	2,390	3,871	⁽²⁰⁾—
Deferred Payments	—	—	—	—	26	53	71
Young People's Substance Misuse Planning	—	—	—	—	37	38	⁽²⁰⁾—
Building Care Capacity	—	—	—	—	265	563	—
Preserved Rights	—	—	—	—	—	1,701	⁽²⁰⁾—
Residential Allowance	—	—	—	—	—	388	—
Teenage Pregnancy Local Implementation	—	—	—	—	—	37	⁽²⁰⁾—
Performance Fund	—	—	—	—	—	201	541
Improving Information Management	—	—	—	—	17	167	139
Secure Accommodation	—	—	—	—	—	—	⁽²⁰⁾—
Care Direct	—	—	—	—	—	—	—
Access and Systems Capacity	—	—	—	—	—	—	600
National Training Strategy	—	—	—	—	—	—	⁽²⁰⁾—
Human Resources Development Strategy	—	—	—	—	—	—	⁽²⁰⁾—

Supplementary Credit Approvals
Mental Health	115	62	300	—	350	89	⁽²⁰⁾—
HIV/AIDS	200	20	—	—	—	—	⁽²⁰⁾—

⁽²⁰⁾ TBA to be announced.

⁽²¹⁾ The partnership and prevention grants combined in 2001–02 and became the promoting independence grant.

18 Dec 2002 : Column 883W

Homeless People

Mr. Paul Marsden: To ask the Secretary of State for Health what proportion of homeless people are addicted to (a) alcohol and (b) drugs. [87204]

Mrs. Roche: I have been asked to reply.

In 1998, the Social Exclusion Unit's report into rough sleeping stated that 20 per cent. of rough sleepers were misusing drugs. In July 2002, research by the charity Crisis found that 83 per cent. of single homeless people were drug users. Figures for people misusing alcohol were at around 30 to 50 per cent. in the SEU report, and recent anecdotal evidence suggests that this figure is still around the same.

On 4 December 2002, the Home Office's Drug Strategy Directorate and the Office of the Deputy Prime Minister's Homelessness Directorate published new guidance entitled XDrug Services for Homeless People: a Good Practice Handbook", which is aimed at addressing these figures through mainstream and specialised drug services.

Mr. Paul Marsden: To ask the Secretary of State for Health what steps the Homelessness Directorate is taking to improve the health care of homeless ple. [87435]

Mrs. Roche: I have been asked to reply.

The Homelessness Directorate's report, XMore than a Roof", set out a new approach to tackling homelessness, focused on the problems that homeless people face in the places where they live. It identified addressing health needs as critical in helping homeless people, as well as preventing homelessness.

In the Cross-Cutting Review on health inequalities, which the Government published on 20 November 2002, inequalities faced by vulnerable groups, including homeless people, were identified as a top-line priority. As part of Government's response to this through measures to improve access to health services for vulnerable groups and others, the Government have put in place more than 1,300 Personal Medical Service Pilots and 42 NHS Walk-in Centres. Local authorities are expected to work with a range of organisations to deliver their homelessness strategies, including primary care trusts on appropriate health services.

In addition, all local housing authorities are now required, under the Homelessness Act 2002, to conduct a review of homelessness in their district and to adopt a strategy, by July 2003, which must include plans for ensuring that accommodation and support are available for homeless people. As made clear in the statutory Homelessness Code of Guidance for local authorities, published jointly by the Office of the Deputy Prime Minister and the Department of Health, the Office of the Deputy Prime Minister expects local housing authorities to work with a range of organisations to deliver the aims of the homelessness strategy and ensure that all the support needs of homeless people are taken into account. This includes working with primary care trusts (PCTs), to deliver appropriate health services to this client group.

18 Dec 2002 : Column 884W

Mr. Paul Marsden: To ask the Secretary of State for Health what training general practitioners receive in relation to the health needs of homeless people. [87436]

Mr. Hutton: Government do not specify the content of the general practitioner training curriculum. This is the job of the joint committee on postgraduate training for general practice (JCPTGP), which is the competent authority for general practice training in the United Kingdom. The JCPTGP is an independent professional body, and it is required by section 9(3) of the Vocational Training Regulations 1997 to determine and publish the curriculum to be followed by a GP registrar, a trainee GP.

The Regulations do specify seven competencies which must be tested, and which the curriculum must therefore teach:

factual medical knowledge sufficient to enable the doctor to perform the duties of a GP;

the ability to apply factual medical knowledge to the management of problems presented by patients in general practice;

effective communication, both orally and in writing;

the ability to consult satisfactorily with general practice patients;

the ability to review and critically analyse the practitioner's own working practices and to manage any necessary changes appropriately;

clinical skills; and

the ability to synthesise all the above competencies and apply them appropriately in a general practice setting.

GPs are expected therefore to learn in training the skills needed to deal with all their patients.

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