House of Commons Hansard Written Answers for 6 Oct 2003 (pt 85)

6 Oct 2003 : Column 1323W—continued

MRSA

Helen Jones: To ask the Secretary of State for Health how many MRSA cases were reported by each acute trust in each year since 1997. [129687]

6 Oct 2003 : Column 1324W

Miss Melanie Johnson: A new national mandatory surveillance system for healthcare associated infection started with reporting of methicillin resistant Staphylococcus aureus (MRSA) blood stream infections (bacteraemias), in April 2001. All acute trusts in England now collect this information and results for the first year of this scheme (April 2001 to March 2002) were published by individual trust in the Communicable Disease Report Weekly on 20 June 2002. They are available at www.phls.co.uk/publications/cdr/PDFfiles/2002/cdr2502.pdf. Information for 2002–03 will be published later this year.

Trust specific data will be published as part of the Chief Medical Officer's longer-term action plan to tackle healthcare associated infections.

Mr. Burstow: To ask the Secretary of State for Health pursuant to the Answer of 1 September 2003, Official Report, columns 943–44W, on MRSA, to the hon. Member for Manchester, Central (Tony Lloyd), when each of the research programmes will report; which other projects are included in the wider programme; and what their completion dates are. [129723]

Miss Melanie Johnson: The current research programmes on methicillin-resistant Staphylococcus aureus (MRSA), giving lead researcher, project title and project end date, are shown in the table.

Lead researcher Project title Project end date

Professor Michael R.W. Brown, Department of Pharmacy and Pharmacology, University of Bath Dormancy, resistance to antimicrobials and environmental survival. March 2006

Dr. Mark H. Wilcox, Department of Microbiology, Leeds University What is the size and nature of the current need for single room isolation in hospital and how does success or failure to isolate patients affect the control of MRSA? May 2005

Dr. Alasdair MacGowan, Department of Medical Microbiology, Southmead Hospital The development and evaluation of a population-based surveillance programme for antimicrobial resistance. June 2006

Dr. Lucinda M.C. Hall, Department of Microbiology, Barts and The London School of Medicine and Dentistry Mechanisms involved in the maintenance of antibiotic resistance. September 2006

Professor Robert J. Pratt, Richard Wells Research Centre, Faculty of Health and Human Sciences, Thames Valley University Collaborative research to reduce the incidence of hospital ward-acquired MRSA colonisation/infection using statistical process control (SPC) feedback and structured diagnosis. February 2006

Dr. Stephanie Dancer, Scottish Centre for Infection and Environmental Health Environmental organisms from hospital wards with differing antibiotic exposure. December 2003

Professor Ian Chopra, Department of Microbiology, University of Leeds Emergence of resistance to linezolid in Staphylococcus aureus and evaluation of combination therapies to suppress resistance. April 2006

Dr. Jennifer A. Roberts, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine Faster testing for MRSA: models to estimate the cost-effectiveness of faster testing of cases admitted for hip and knee replacement. November 2004

Dr. Cliodna A.M. McNulty, PHLS Primary Care Unit, Gloucester Royal Hospital Household face-to-face survey of home held antibiotics and awareness of good antibiotic use. September 2004

Dr. David M. Livermore, ARMRL, Central Public Health Laboratory Does hypermutability underlie the rapid clinical emergence of resistant mutant types that are vanishingly rare in vitro? May 2006

Dr. Andrew C. Hayward, UCL Centre for Infectious Disease Epidemiology Antimicrobial resistance and prescribing (AmRAP): sentinel surveillance using spotter practices—a feasibility study. March 2005

Dr. Andrew C. Hayward, UCL Centre for Infectious Disease Epidemiology Routine national surveillance of antibiotic prescribing for common infections using the GPRD and PACT data. June 2005

Dr. Anthony J. Howard, Department of Medical Microbiology and Public Health Laboratory, University Hospital of Wales Development of cost-effective surveillance for hospital antibiotic resistance and factors that contribute to its occurrence. March 2006

Lead researcher	Project title	Project end date
Professor Michael R.W. Brown, Department of Pharmacy and Pharmacology, University of Bath	Dormancy, resistance to antimicrobials and environmental survival.	March 2006
Dr. Mark H. Wilcox, Department of Microbiology, Leeds University	What is the size and nature of the current need for single room isolation in hospital and how does success or failure to isolate patients affect the control of MRSA?	May 2005
Dr. Alasdair MacGowan, Department of Medical Microbiology, Southmead Hospital	The development and evaluation of a population-based surveillance programme for antimicrobial resistance.	June 2006
Dr. Lucinda M.C. Hall, Department of Microbiology, Barts and The London School of Medicine and Dentistry	Mechanisms involved in the maintenance of antibiotic resistance.	September 2006
Professor Robert J. Pratt, Richard Wells Research Centre, Faculty of Health and Human Sciences, Thames Valley University	Collaborative research to reduce the incidence of hospital ward-acquired MRSA colonisation/infection using statistical process control (SPC) feedback and structured diagnosis.	February 2006
Dr. Stephanie Dancer, Scottish Centre for Infection and Environmental Health	Environmental organisms from hospital wards with differing antibiotic exposure.	December 2003
Professor Ian Chopra, Department of Microbiology, University of Leeds	Emergence of resistance to linezolid in Staphylococcus aureus and evaluation of combination therapies to suppress resistance.	April 2006
Dr. Jennifer A. Roberts, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine	Faster testing for MRSA: models to estimate the cost-effectiveness of faster testing of cases admitted for hip and knee replacement.	November 2004
Dr. Cliodna A.M. McNulty, PHLS Primary Care Unit, Gloucester Royal Hospital	Household face-to-face survey of home held antibiotics and awareness of good antibiotic use.	September 2004
Dr. David M. Livermore, ARMRL, Central Public Health Laboratory	Does hypermutability underlie the rapid clinical emergence of resistant mutant types that are vanishingly rare in vitro?	May 2006
Dr. Andrew C. Hayward, UCL Centre for Infectious Disease Epidemiology	Antimicrobial resistance and prescribing (AmRAP): sentinel surveillance using spotter practices—a feasibility study.	March 2005
Dr. Andrew C. Hayward, UCL Centre for Infectious Disease Epidemiology	Routine national surveillance of antibiotic prescribing for common infections using the GPRD and PACT data.	June 2005
Dr. Anthony J. Howard, Department of Medical Microbiology and Public Health Laboratory, University Hospital of Wales	Development of cost-effective surveillance for hospital antibiotic resistance and factors that contribute to its occurrence.	March 2006

NHS Advertisement Costs

Mr. Paterson: To ask the Secretary of State for Health how much the NHS spent on (a) advertising and (b) advertising for personnel in each of the last five years. [130226]

Mr. Hutton: Expenditure for the last five years spent on national health service advertising is listed as follows. Advertising for personnel is included in these figures and not available separately.

Advertising costs in the NHS 1997–98 to 2001–02£

1997–98 1998–99 1999–2000 2000–01 2001–02

NHS trusts 45,717,794 59,545,526 64,666,951 91,733,138 101,541,324

Health authorities 3,092,494 3,878,354 5,038,724 8,942,782 7,633,702

Primary care trusts — — — 1,279,262 9,970,446

Total 48,810,288 63,423,880 69,705,675 101,955,182 119,145,472

	1997–98	1998–99	1999–2000	2000–01	2001–02
NHS trusts	45,717,794	59,545,526	64,666,951	91,733,138	101,541,324
Health authorities	3,092,494	3,878,354	5,038,724	8,942,782	7,633,702
Primary care trusts	—	—	—	1,279,262	9,970,446
Total	48,810,288	63,423,880	69,705,675	101,955,182	119,145,472

6 Oct 2003 : Column 1325W

Mr. Paterson: To ask the Secretary of State for Health how many advertisements were placed to recruit extra midwives to avoid closing the Oswestry maternity unit; and what the cost of the advertisements was. [130227]

Dr. Ladyman: Over the last two years there have been three national advertisements in the nursing press. These have cost a total of about £1,900.

NHS Capital Expenditure

Mr. Hepburn: To ask the Secretary of State for Health how much capital expenditure has been made by the NHS in (a) the North East and (b) the UK in (i) 1996, (ii) 2000 and (iii) (projected for) 2003. [130738]

Mr. Hutton: The table shows capital expenditure in England and in the North East. Expenditure figures for Wales, Scotland and Northern Ireland are the responsibility of the devolved Administrations. The table shows information for England.

Capital expenditure in England and the North East⁽⁸⁹⁾—1996–97, 2000–01 and 2003–04£ millions

1996–97 (outturn) 2000–01 (outturn) 2003–04⁽⁹³⁾ (plan)

North East 44⁽⁹⁰⁾^,⁽⁹¹⁾ 174⁽⁹¹⁾^,⁽⁹²⁾ n/a⁽⁹³⁾

England⁽⁹⁴⁾^,⁽⁹⁵⁾ 1,341 1,246 2,892

	1996–97 (outturn)	2000–01 (outturn)	2003–04⁽⁹³⁾ (plan)


North East	44⁽⁹⁰⁾^,⁽⁹¹⁾	174⁽⁹¹⁾^,⁽⁹²⁾	n/a⁽⁹³⁾
England⁽⁹⁴⁾^,⁽⁹⁵⁾	1,341	1,246	2,892

Notes:

⁽⁸⁹⁾ Assumed to be the area now covered by Northumberland, Tyne and Wear Strategic Health Authority and County Durham and Tees Valley Strategic Health Authority.

⁽⁹⁰⁾ Source: 1996–97 Audited Accounts for Health Authorities and the Summarisation Schedules for NHS trusts 1996–97.

⁽⁹¹⁾ Figures include health authority, primary care trust and NHS trust fixed assets (tangible and intangible).

⁽⁹²⁾ Source: 2000–01 Audited Accounts for Health Authorities and the Summarisation Schedules for NHS trusts for 2000–01.

⁽⁹³⁾ A comparable figure for 2003–04 is not available.

⁽⁹⁴⁾ Figure for 1996–97 is on a cash basis.

Figure for 2000–01 is on a stage 1 Resource Budgeting basis.

Figure for 2003–04 is on a stage 2 Resource Budgeting basis.

⁽⁹⁵⁾ Due to the move to Resource Accounting and Budgeting (April 2001) figures for England are not comparable across the three years.

6 Oct 2003 : Column 1326W

NHS Counter-fraud Team

Chris Grayling: To ask the Secretary of State for Health how many investigations of irregularities are underway in the NHS by the NHS Counter-Fraud Team. [130392]

Mr. Hutton: The counter fraud and security management service currently has 443 investigations under way relating to alleged fraud in the national health service.

NHS Direct

Chris Grayling: To ask the Secretary of State for Health if he will list the locations of NHS Direct sites. [127641]

Ms Rosie Winterton: The location and geographical coverage of the 22 NHS Direct sites are laid out in the table.

NHS Direct site Organisational model Geographical coverage

Anglia Planet—Camdoc (Cambridgeshire). Satellites (2)—Sdoc (Suffolk) and Medicom (Norfolk) Cambridgeshire, Norfolk and Suffolk

Avon, Gloucester and Wiltshire Single call centre—Bristol Avon, Gloucester and Wiltshire

Bedfordshire and Hertfordshire Single call centre—Bedfordshire Bedfordshire and Hertfordshire

Birmingham, Black Country and Solihull Hub—Dudley. Spokes (1 daytime, 2 out of hours)—(virtual call centres) 9am-5pm—Neptune Health Park, Tipton; out of hours—Walsall, and Selly Oak Birmingham West Midlands

East Midlands Single call centre—Nottingham Leicestershire, Lincolnshire, Derbyshire and Nottinghamshire

Essex Single call centre—Essex Essex, London borough of Barking and Havering

Greater Manchester, Cheshire and Wirral Planet—Bolton (Ladybridge Hall). Satellite—Manchester Royal Infirmary, Landsmark House—Bolton, Cheshire, Chester and Nantwich Cheshire

Hampshire and Isle of Wight Single call centre—Hampshire Hampshire and Isle of Wight

Kent, Surrey and Sussex Hub—Surrey. Spoke—Chatham Surrey, Kent and Sussex

Midlandshires Single call centre—Stafford Staffordshire, Shropshire, Herefordshire, Warwickshire and Worcester

North and Central London Single call centre—St Charles' Hospital, London Barnet, Barking and Havering, Enfield and Haringey, Kensington, Chelsea and Westminster

North East Single call centre—Newcastle Northumberland, Tyne and Wear

North East London Single call centre—Ilford East London and City, Redbridge and Waltham Forest

North West Coast Hub—Preston (call handling, health information and nursing). Spokes (8)—Mersey (Old Swan, Southport and St. Helen's); Lancashire (Chorley, Blackburn and Blackpool); and Cumbria (Carlisle and Kendal) Lancashire, Merseyside and Cumbria

South East London Single call centre—Dulwich Lambeth, Southwark and Lewisham

South West London Single call centre—Croydon Croydon, Kingston and Richmond, Merton, Sutton and Wandsworth

South Yorkshire and Humber Call centre—Sheffield. Call centre—Doncaster South Yorkshire, North Lincolnshire, North East Lincolnshire

Tees, East and North Yorkshire Hub—East Yorkshire (York). Spokes (3)—Middlesbrough, Hull and York East Riding, Cleveland and North Yorkshire

Thames Valley and Northamptonshire Hub—Thames Valley and Northamptonshire. No spoke as yet Northamptonshire, Buckinghamshire, Oxfordshire and Berkshire

West Country Hub—Exeter. Spokes (4)—Truro, Plymouth, Taunton (Somerset), St Leonard's (Dorset) Cornwall, Devon, Dorset and Somerset

West London Single call centre—Middlesex Hillingdon, Brent and Harrow, Ealing, Hammersmith and Hounslow

West Yorkshire Single call centre—Wakefield Calderdale and Kirklees, Leeds Bradford, Wakefield and North Yorkshire

NHS Direct site	Organisational model	Geographical coverage
Anglia	Planet—Camdoc (Cambridgeshire). Satellites (2)—Sdoc (Suffolk) and Medicom (Norfolk)	Cambridgeshire, Norfolk and Suffolk
Avon, Gloucester and Wiltshire	Single call centre—Bristol	Avon, Gloucester and Wiltshire
Bedfordshire and Hertfordshire	Single call centre—Bedfordshire	Bedfordshire and Hertfordshire
Birmingham, Black Country and Solihull	Hub—Dudley. Spokes (1 daytime, 2 out of hours)—(virtual call centres) 9am-5pm—Neptune Health Park, Tipton; out of hours—Walsall, and Selly Oak Birmingham	West Midlands
East Midlands	Single call centre—Nottingham	Leicestershire, Lincolnshire, Derbyshire and Nottinghamshire
Essex	Single call centre—Essex	Essex, London borough of Barking and Havering
Greater Manchester, Cheshire and Wirral	Planet—Bolton (Ladybridge Hall). Satellite—Manchester Royal Infirmary, Landsmark House—Bolton, Cheshire, Chester and Nantwich	Cheshire
Hampshire and Isle of Wight	Single call centre—Hampshire	Hampshire and Isle of Wight
Kent, Surrey and Sussex	Hub—Surrey. Spoke—Chatham	Surrey, Kent and Sussex
Midlandshires	Single call centre—Stafford	Staffordshire, Shropshire, Herefordshire, Warwickshire and Worcester
North and Central London	Single call centre—St Charles' Hospital, London	Barnet, Barking and Havering, Enfield and Haringey, Kensington, Chelsea and Westminster
North East	Single call centre—Newcastle	Northumberland, Tyne and Wear
North East London	Single call centre—Ilford	East London and City, Redbridge and Waltham Forest
North West Coast	Hub—Preston (call handling, health information and nursing). Spokes (8)—Mersey (Old Swan, Southport and St. Helen's); Lancashire (Chorley, Blackburn and Blackpool); and Cumbria (Carlisle and Kendal)	Lancashire, Merseyside and Cumbria
South East London	Single call centre—Dulwich	Lambeth, Southwark and Lewisham
South West London	Single call centre—Croydon	Croydon, Kingston and Richmond, Merton, Sutton and Wandsworth
South Yorkshire and Humber	Call centre—Sheffield. Call centre—Doncaster	South Yorkshire, North Lincolnshire, North East Lincolnshire
Tees, East and North Yorkshire	Hub—East Yorkshire (York). Spokes (3)—Middlesbrough, Hull and York	East Riding, Cleveland and North Yorkshire
Thames Valley and Northamptonshire	Hub—Thames Valley and Northamptonshire. No spoke as yet	Northamptonshire, Buckinghamshire, Oxfordshire and Berkshire
West Country	Hub—Exeter. Spokes (4)—Truro, Plymouth, Taunton (Somerset), St Leonard's (Dorset)	Cornwall, Devon, Dorset and Somerset
West London	Single call centre—Middlesex	Hillingdon, Brent and Harrow, Ealing, Hammersmith and Hounslow
West Yorkshire	Single call centre—Wakefield	Calderdale and Kirklees, Leeds Bradford, Wakefield and North Yorkshire

Notes:

1. Hub and Spoke—A spoke is a small call centre environment (approximately up to 10 seats) which relies on technology sited at a remotely connected site. The management team and technology is located at the main "Hub" site.

2. Planet and Satellites—A satellite is a small call centre environment (approximately up to 10 seats) which relies on technology sited at a remotely connected site. The management team and technology is located at the main "Planet" site.

3. Call Centre—A call centre is a structured environment specifically set up to manage incoming/outgoing calls from a single location.

6 Oct 2003 : Column 1327W

Mr. Amess: To ask the Secretary of State for Health how many calls NHS Direct has received in each year since 1998. [130372]

Ms Rosie Winterton: The table shows how many calls have been made to NHS Direct since its launch in March 1998.

Financial Year Total calls handled Accumulative total calls

1998–99 110,000 110,000

1999–2000 1,650,000 1,760,000

2000–01 3,420,000 5,180,000

2001–02 5,213,062 10,393,062

2002–03 6,318,844 16,711,906

2003 to 31 August 2004 2,173,005 18,884,911

Financial Year	Total calls handled	Accumulative total calls
1998–99	110,000	110,000
1999–2000	1,650,000	1,760,000
2000–01	3,420,000	5,180,000
2001–02	5,213,062	10,393,062
2002–03	6,318,844	16,711,906
2003 to 31 August 2004	2,173,005	18,884,911

Dr. Fox: To ask the Secretary of State for Health what the most recent vacancy rates were for staff at each NHS Direct site. [131035]

Ms Rosie Winterton: Information collected centrally on the most recent vacancy rates for call handlers and nurses at each NHS Direct site is shown in the tables.

Funded establishment against staff in post for the period of August 2003 (whole time equivalent)

Nurses Funded establishment Staff in post Shortfall (+) Surplus (-)

Anglia 42 38.8 3.2

Avon 50 46.9 3.1

Beds and Herts 50 43.6 6.4

Birmingham, Black Country and Solihull 50 47.9 2.1

East Midlands 74 67.4 6.6

Essex 52 48.0 4

Manchester, Cheshire and Wirral 80 82.8 -2.8

Hampshire 55 54.5 0.5

KSS 72 62.2 9.8

Midlandshires 58 57.7 0.3

NC London 33 23.1 9.9

North East 60 55.7 4.3

NE London 25 22.4 2.6

NW Coast 70 69.3 0.7

SE London 37 26.4 10.6

SW London 31 23.9 7.1

South Yorkshire and South Humber 42 43.6 -1.6

Tees, East and North Yorkshire 36 33.5 2.5

Thames Valley 54 45.8 8.2

West Country 64.98 61.3 3.68

West London 41 40.0 1

West Yorkshire 60 54.2 5.8

Nurses	Funded establishment	Staff in post	Shortfall (+) Surplus (-)
Anglia	42	38.8	3.2
Avon	50	46.9	3.1
Beds and Herts	50	43.6	6.4
Birmingham, Black Country and Solihull	50	47.9	2.1
East Midlands	74	67.4	6.6
Essex	52	48.0	4
Manchester, Cheshire and Wirral	80	82.8	-2.8
Hampshire	55	54.5	0.5
KSS	72	62.2	9.8
Midlandshires	58	57.7	0.3
NC London	33	23.1	9.9
North East	60	55.7	4.3
NE London	25	22.4	2.6
NW Coast	70	69.3	0.7
SE London	37	26.4	10.6
SW London	31	23.9	7.1
South Yorkshire and South Humber	42	43.6	-1.6
Tees, East and North Yorkshire	36	33.5	2.5
Thames Valley	54	45.8	8.2
West Country	64.98	61.3	3.68
West London	41	40.0	1
West Yorkshire	60	54.2	5.8

6 Oct 2003 : Column 1328W

Funded establishment against staff in post for the period of August 2003 (whole time equivalent)

Call Handlers Funded establishment Staff in post Shortfall (+) Surplus (-)

Anglia 15.22 15.22 0

Avon 33 30.41 2.59

Beds and Herts 24 25.17 -1.17

Birmingham, Black Country and Solihull 25 26.79 -1.79

East Midlands 40 32.72 7.28

Essex 27 24 3

Hampshire 20 14.6 5.4

KSS 30 25.94 4.06

Manchester, Cheshire and Wirral 40 37.88 2.12

Midlandshires 32 32.72 -0.72

NC London 16 14.94 1.06

North East 31 27.12 3.88

NE London 18 16.5 1.5

NW Coast 35 22.1 12.9

SE London 22 23.25 -1.25

SW London 15 12.3 2.7

South Yorkshire and South Humber 29 26.6 2.4

Tees East and North Yorkshire 17 16.05 0.95

Thames Valley 18 19.88 -1.88

West Country 30 27.55 2.45

West London 27 21.6 5.4

West Yorkshire 30 26.6 3.4

Call Handlers	Funded establishment	Staff in post	Shortfall (+) Surplus (-)
Anglia	15.22	15.22	0
Avon	33	30.41	2.59
Beds and Herts	24	25.17	-1.17
Birmingham, Black Country and Solihull	25	26.79	-1.79
East Midlands	40	32.72	7.28
Essex	27	24	3
Hampshire	20	14.6	5.4
KSS	30	25.94	4.06
Manchester, Cheshire and Wirral	40	37.88	2.12
Midlandshires	32	32.72	-0.72
NC London	16	14.94	1.06
North East	31	27.12	3.88
NE London	18	16.5	1.5
NW Coast	35	22.1	12.9
SE London	22	23.25	-1.25
SW London	15	12.3	2.7
South Yorkshire and South Humber	29	26.6	2.4
Tees East and North Yorkshire	17	16.05	0.95
Thames Valley	18	19.88	-1.88
West Country	30	27.55	2.45
West London	27	21.6	5.4
West Yorkshire	30	26.6	3.4

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