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10 Jul 2003 : Column 1010W—continued
Mental Health
Lynne Jones: To ask the Secretary of State for Health how many people have been detained under each relevant section of the Mental Health Acts in each of the last five years, broken down by ethnic group. [122475]
Ms Rosie Winterton: This particular data is not collected. The most recent data on the ethnicity of those detained under the Mental Health Act is issued by the Mental Health Act Commission in their Biennial Report for 1999–2001.
| Mental Health Act data | Census data | |||
|---|---|---|---|---|
| 1997–98 | 1998–99 | 1999–2000 | 1991 | |
| (n = 33,552) | (n = 35,097) | (n = 40,024) | ||
| Ethnic Group | ||||
| White | 83.3 | 85.0 | 88.2 | 94.5 |
| Black Caribbean | 6.2 | 5.2 | 3.6 | 0.9 |
| Black African | 2.5 | 2.4 | 1.7 | 0.4 |
| Black other | 2.0 | 1.5 | 1.1 | 0.3 |
| Indian | 1.6 | 1.4 | 1.5 | 1.5 |
| Pakistani | 1.0 | 1.4 | 1.2 | 0.9 |
| Bangladeshi | 0.6 | 0.4 | 0.4 | 0.3 |
| Chinese | 0.3 | 0.3 | 0.2 | 0.3 |
| Other Groups | 2.5 | 2.4 | 2.1 | 0.9 |
The Mental Health Act Commission Biennial Report for 2002–2003 will be issued in October 2003 and will contain an updated table.
Mrs. Curtis-Thomas: To ask the Secretary of State for Health how much has been spent on mental health costs in (a) the UK and (b) Sefton in each of the last five years; and what he estimates will be spent on mental health costs in the next (i) five years and (ii) 10 years. [124395]
Ms Rosie Winterton: The table shows expenditure on mental illness by health authorities (HAs) and primary care trusts (PCTs) for England and for the Sefton HA area. Expenditure relates to the commissioning of secondary care services for mental health only.
| Sefton health authority area | England | |
|---|---|---|
| 1997–98 | 11,814 | 2,767,036 |
| 1998–99 | 12,977 | 2,925,934 |
| 1999–2000 | 17,688 | 3,408,660 |
| 2000–01 | (17)75,006 | 3,951,618 |
| 2001–02 | (17)83,492 | 4,561,000 |
(17) Sefton commissioned secure mental health services on behalf of all health authorities in the north-west; hence its exceptional spend in 2000–01 and 2001–02.
Estimated figures for future expenditure are not available. PCTs have been allocated resources for 2003–04 to 2005–06. These allocations are in line with the Planning and Priorities Framework, which in turn, reflects the commitments made in the NHS Plan.
National Care Standards Commission
Mr. Gummer: To ask the Secretary of State for Health what the budget is of the National Care Standards Commission in 2003–04; and what its outturn in budget was in 2002–03. [125166]
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Dr. Ladyman: The revenue budget of the National Care Standards Commission (NCSC) in 2003–04 is £129.949 million. The amount of the capital budget for 2003–04 has not yet been finalised.
The outturn of the NCSC's revenue and capital budgets in 2002–03 were £108.720 million and £7.775 million, respectively.
Needle Exchange Schemes
Mr. Sarwar: To ask the Secretary of State for Health if he will make a statement on needle exchange schemes for drug addicts. [123480]
Miss Melanie Johnson: The United Kingdom adopted harm minimisation strategies in the early 1990s as a preventive measure for HIV/AIDS. Needle exchange schemes were developed as part of the strategy. Over 90 per cent. of primary care trusts in England have needle exchange programmes and over 27 million needles and syringes are exchanged each year.
On international comparisons, we have been very successful in holding down levels of HIV/AIDS within the high-risk group of injecting drug users.
Negligence Claims
Mr. Paul Marsden: To ask the Secretary of State for Health what the cost was of negligence claims against the NHS involving children in each year since 1997. [124897]
Ms Rosie Winterton: Information on the cost of negligence claims involving children is not collected centrally.
NHS Drugs Scheme
Sandra Gidley: To ask the Secretary of State for Health how much money has been saved each year by the national health service as a result of the Selected List of NHS Drugs Scheme. [123454]
Ms Rosie Winterton [holding answer 3 July 2003]: The Selected List Scheme was introduced in 1985 and the savings to the national health service have been estimated at £75 million a year.
Older People
Mr. Burstow: To ask the Secretary of State for Health what assessment he has made of the Single Assessment Process as referred to on page 172 of the National Service Framework for Older People. [124585]
Dr. Ladyman: Detailed guidance on the single assessment process for older people was published in January 2002. Since then, primary care trusts and councils, in consultation with a range of local interests, have been implementing the guidance. All localities reviewed their progress during the summer of 2002 and reported to their strategic health authorities. Where appropriate, information from these reports was shared with the Social Services Inspectorate (further progress reports for 2003 are being finalised).
As part of the routine monitoring of councils' performance, the Social Services Inspectorate pays particular attention to the single assessment progress. In
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January and February 2003, the Department of Health held two implementation conferences for all those leading the implementation of the single assessment process at local level. Final implementation is planned for April 2004.
Organ Donation
Mr. Steen: To ask the Secretary of State for Health what plans he has for the introduction of an opt-out scheme for organ donation in the UK; and what targets have been set to increase the number of people carrying donor cards. [122998]
Ms Rosie Winterton: Government policy on organ donation is one of informed consent, not presumed consent (opt out). The Government have been reviewing the law on the removal, retention and use of human tissues and organs and tissues. A report on the responses on the consultation document 'Human Bodies, Human Choices' was published in April 2003. New legislation will be introduced when parliamentary time allows.
"Saving Lives, Valuing Donors—A Transplant Framework for England", was published on 7 July 2003. It sets out key aims for organ and tissue transplantation over the next 10 years. This framework identifies the part that the Government, individuals, the national health service and other stakeholders can play in:
- Encouraging people to donate organs and tissues
Raising the quality and effectiveness of transplant services
Improving the clinical outcomes and quality of life of people who receive the gift of an organ or tissue
Increasing the supply of viable organs and tissues for transplantation
Accrediting tissue banks to ensure high-quality tissues for transplantation.
Osteoporosis and Related Fractures
Mr. Waterson: To ask the Secretary of State for Health what plans he has to issue calcium and vitamin D free to the institutionalised elderly; and what he estimates the cost would be in a year. [122323]
Dr. Ladyman: Under the National Minimum Standards that apply to care homes for older people, special therapeutic diets should be provided when advised by health care and dietetic staff, including adequate provision of calcium and vitamin D. No estimates of cost have been made.
Patient Advice and Liaison Service
Mr. Burstow: To ask the Secretary of State for Health if he will set out for each NHS trust the (a) status, (b) number of staff and (c) budget of its Patient Advice and Liaison Service. [124402]
Ms Rosie Winterton: A recent mapping exercise completed in January 2003 showed that 98 per cent. of all trusts had a Patient Advice and Liaison Service (PALS) in place. Individual trusts are responsible for
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establishing and resourcing PALS. The Department does not hold details of the number of staff working within individual trust PALS or their budgets.
Private Finance Initiative
Mr. Ivan Henderson: To ask the Secretary of State for Health how many (a) general and (b) community hospitals (i) have been built and (ii) are scheduled to be built under PFI contracts since 1997. [122628]
Mr. Hutton: The NHS Plan committed us to opening over 100 new hospital schemes in total between 2000 and 2010. Currently, there are 114 hospital schemes counting towards the 100 target, of which 104 will be built under the Private Finance Initiative. Of the 104, 32 are now operational, of which 31 are general and one community. A further 17 are under construction, of which 13 are general and four community. Within the 104, there are another five planned community hospitals.
The NHS Plan also set out plans for the modernisation of primary healthcare. 42 national health service local investment finance trust sites are being developed, which will bring in over £1 billion of investment. Much of this investment will provide community hospital services, for example, day case surgery, diagnostic services, oncology and physiotherapy.
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