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17 Jul 2003 : Column 634W—continued

Clinical Instruments

Mr. Amess: To ask the Secretary of State for Health if he will hold an inquiry into the use of single use instruments for tonsillectomies. [126490]

Mr. Hutton: In March 2002, the Department of Health and the British Association of Otorhinolaryngologists—Head and Neck Surgeons (BAO-HNS) carried out a comprehensive review of tonsil and adenoid surgery across the country. This followed advice from the Department that, in the interest of the safety of patients, surgeons should not use single use instruments for tonsil and adenoid surgery. The review found that many National Health Service trusts did not collect the data at the time of the operation and that therefore much of it was unreliable.

To get better information the Department is providing £250,000 to fund the Royal College of Surgeons and the BAO-HNS to carry out a national audit of tonsil and adenoid surgery. As this audit is ongoing, I do not believe that an inquiry is required, but I will keep this under consideration.

Commission for Patient and Public Involvement in Health

Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 10 July, Official Report, column 1002W, on the Commission for Patient and Public Involvement in Health, what the non staff costs
 
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are in (a) 2003–04 and (b) 2004–05; and what the value of contract for supporting patients forum is for each primary care trust. [126324]

Ms Rosie Winterton: The Commission for Patient and Public Involvement in Health's (CPPIH) budget was discussed at its board meeting on 29 May. The board paper is available at its website at www.cppih.org. It includes a breakdown of staff and non-staff costs for 2003–04. Information relating to the budget breakdown for 2004–05 is not yet available.

Contracts for supporting patients' forums have not yet been awarded—more information about individual local network providers will be available from the CPPIH in September.

Consultation Documents

John Barrett: To ask the Secretary of State for Health if he will list the consultation documents issued by his Department in each of the last four years; what the cost was of producing each of these; how many documents were issued in each consultation; and how many responses were received in each consultation. [124569]

Ms Rosie Winterton: The Government recommends that policy development should be done in close consultation with stakeholders. Formal consultation documents are one part only of this process, which includes:

It is standard practice for departments to evaluate the policy development process, including the use of consultation. The specific information requested is not collated on a central basis and could be provided only at disproportionate cost.

However, a list of consultation exercises run by the Department of Health since May 2001 is available at www.doh.gov.uk/consultations/.

Contraception Pill

Mrs. Curtis-Thomas: To ask the Secretary of State for Health how many women have taken an emergency contraception pill in the last year. [124105]

Miss Melanie Johnson: Based on results from the Office of National Statistics Omnibus Survey in 2001–02, it is   estimated that approximately 900,000 women in England used hormonal emergency contraception at least once in the previous year.

Delayed Discharges

Mr. Burstow: To ask the Secretary of State for Health what cushion funding is included in the delayed discharge grant for each local authority for 2003–04. [126839]


 
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Dr. Ladyman: All local authorities have been allocated their full share of the £50 million Delayed Discharges Grant. 10 local authorities have received top-up funding totalling £0.8 million in addition to their allocations under the Delayed Discharges Grant 2003–04, so that the total grant is £50.8 million. This means that all local authorities should receive more in grant than they are liable to pay in reimbursement charges, if the level of delayed discharges reduces from the situation recorded in March 2003.

The extra councils and their individual top-up allocations are shown in the table.
Top-up allocations
£ million

Local authorityExtra funding
Hampshire0.280
Surrey0.119
Reading0.102
Darlington0.096
Brighton and Hove0.089
Bracknell Forest0.048
Lambeth0.031
Hillingdon0.022
West Berkshire0.011
Sutton0.001
Total0.800

Mr. Amess: To ask the Secretary of State for Health if he will make a statement on delayed discharges. [126489]

Dr. Ladyman: The latest figures on delayed discharge (March 2003), which are available in the Library, show that there were approximately 3,000 patients aged over 75 years experiencing delayed discharge from hospital on any one day in March 2003, compared with 5,673 over 75s in September 2001. This figure has almost halved since the Government made extra funding available to councils to tackle delayed discharges.

Departmental Policies (Pendle)

Mr. Gordon Prentice: To ask the Secretary of State for Health what policies (a) initiated and (b) managed by his Department since 2001 have had an impact on Pendle; and if he will make a statement. [124095]

Miss Melanie Johnson: Detailed information on the impact of the Department's policies nationally is set out in the Department of Health Annual reports. A copy of the most recent report "The Government's Expenditure Plans, Departmental Report 2003, Department of Health" is available in the Library and on the Department of Health's website at www.doh.gov.uk/dohreport/report2003/Chapt1.pdf

My hon. Friend's constituency falls within the geographical area covered by Burnley Health Care National Health Service Trust and the Burnley, Pendle and Rossendale Primary Care Trust (PCT).

Burnley, Pendle and Rossendale PCT general allocations on behalf of its resident population since 2001 is set out in the table. Prior to the establishment of the PCT in April 2002, Pendle was encompassed within the East Lancashire Health Authority.
 
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Allocations since 2001 covering Pendle

Health Authority/Primary Care TrustYearUnified allocations (£000)Cash increase (£000)Cash increase (percentage)Real terms increase (£000)Real terms increase (percentage)
East Lancashire HA2001–02416,73834,5219.0324,3576.37
East Lancashire HA2002–03461,13240,6789.7429,4967.06
Burnley, Pendle and Rossendale PCT2003–04241,26420,0809.0814,7716.68
Burnley, Pendle and Rossendale PCT2004–05264,96323,6999.8216,8577.14
Burnley, Pendle and Rossendale PCT2005–06289,57424,6119.2916,7446.62

A snapshot of how the Department's policies have impacted on Pendle can be seen as follows. This is by no means a comprehensive list.

This was awarded to Burnley General Hospital as part of the national A&E Modernisation programme. The modernisation work (completed in June 2000) has helped to improve patient flow, improve paediatric services and increase privacy and dignity, and the telemedicine link has reduced waiting times through speedier first line treatment.

The investment is to support additional consultant psychiatrists, low secure provision, additional prescribing of atypical anti-psychotic drugs and complex packages of care in the independent sector, whilst ensuring the implementation of the national service framework (NSF) for mental health.

The Burnley, Pendle and Rossendale PCT is developing a scheme that will enable advance access in primary care, allowing patients to gain access to primary care professionals on the same day.

It is envisaged that over the next three years development will be under way to provide new primary care facilities that are fit to deliver health and social care in innovative ways that meet the needs of the local community.

The milestones for improved services for strokes, falls and intermediate care are expected to be met by April 2004

The trust received a computed tomography (CT) scanner in October 2001 and they have also been awarded an mirror resonance imaging (MRI) scanner from the New Opportunities Fund Coronary Heart Disease programme, which is expected to be delivered in the very near future.

Current waiting list information for Burnley Health Care NHS Trust is shown in the tables.
 
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Waiting times for first consultant out-patient appointment: Burnley Health Care NHS Trust

GP written referralsQuarter—Q4 2002–03
Patients seen
Total9,894
Percentage seen within 13 weeks70
Patients still waiting
More than 13 weeks876
More than 26 weeks0




Source:
Department of Health form QM08




Patients waiting for elective admission: Burnley Health Care NHS Trust

Month end—May 2003
Total waiting list4,595
Patients waiting over nine months392
Patients waiting over 12 months0




Source:
Department of Health form KH07




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