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27 Jan 2004 : Column 328Wcontinued
Sandra Gidley: To ask the Secretary of State for Health what estimate he has made of the number of people assessed as being elderly mentally infirm. [149792]
Dr. Ladyman: Data is not collected on the basis of elderly mentally infirm.
The research quoted in the older people's national service framework estimates that approximately 600,000 people in the United Kingdom have dementia. It is estimated that about five per cent. of people over 65 have dementia, rising to about 20 per cent. in the population over 80. It is also estimated that at any point in time about 10 to 15 per cent. of the population over 65 will have depression.
Although the main mental health problems among older people are dementia and depression, there is also a considerable number of older people with other mental illnesses, such as schizophrenia.
Phil Sawford: To ask the Secretary of State for Health pursuant to his answer of 19 January 2004, Official Report, columns 106970W, on North Staffordshire Hospital NHS Trust, when he expects to receive the results of the audit of the use of negative extrathoracic pressure at the University Hospital of North Staffordshire NHS Trust. [150593]
Dr. Ladyman: The independent follow-up study of continuous negative extrathoracic pressure patients at the University Hospital of North Staffordshire National Health Service Trust is being carried out independently by a research team based at Queens Medical Centre Nottingham University Hospital NHS Trust. This study is expected to be completed by the end of August 2004, but the results will need to be collated before publication.
Mr. Burstow: To ask the Secretary of State for Health how much was borrowed from the NHS Bank by each strategic health authority in the past 12 months; how much was repaid to the NHS Bank by each strategic health authority in the last 12 months; and how much the NHS Bank forecasts it will lend to each strategic health authority in the next 12 months. [150461]
Mr. Hutton: In 200304, the NHS Bank made available £152 million special assistance to the following strategic health authorities. Surrey and Sussex (£40 million), Avon, Gloucestershire and Wiltshire (£70 million), Thames Valley (£25 million), and Kent and Medway (£17 million).
No money was repaid to the NHS Bank by the SHAs in the last 12 months.
Decisions on special assistance for 200405 have not been made.
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Mr. Lansley: To ask the Secretary of State for Health what the relationship is between the NHS Bank and the NHS Financing Facility. [147032]
Mr. Hutton: NHS Bank and the NHS Foundation Trust Financing Facility carry out two separate functions. NHS Bank provides a service, via strategic health authorities, to National Health Service trusts. The purpose of the NHS Bank is to support NHS organisations in maximising the use of resources across the NHS and across years. The NHS Financing Facility provides a service to NHS foundation trusts. The Financing Facility will assess and agree capital loan applications from NHS foundation trusts on behalf of the Secretary of State.
Sarah Teather: To ask the Secretary of State for Health (1) what money has been allocated to NHS local investment finance trust schemes in each year since the scheme was introduced in (a) Brent, (b) London and (c) England; [149959]
Mr. Hutton: The table shows the total of allocations made to primary care trusts to help develop local investment finance trust (LIFT) schemes in the Brent, Harrow and Hillingdon LIFT area, London and England since NHS LIFT was first announced.
Brent, Harrow and Hillingdon | London | England | |
---|---|---|---|
200001 | 0 | 0 | 1,460 |
200102 | 0 | 390 | 800 |
200203 | 60 | 10,765 | 30,127 |
200304 | 4,600 | 25,394 | 105,860 |
Total | 4,660 | 36,549 | 138,247 |
Mr. Burstow: To ask the Secretary of State for Health if he will set out performance indicators and targets set by his Department in each year since May 1997 that concern public health, listing (a) when they were first set, (b) interim milestones or goals, (c) substantive revisions to the content and (d) those that were abandoned, with reasons why they were dropped. [145083]
Miss Melanie Johnson: All of the targets in the Department of Health Public Service Agreements for 1998, 2000 and 2002, including those related to public health, are listed in Chapter 5 of the 2003 Departmental Report, a copy of which is available in the Library.
The Department of Health Priorities and Planning Framework Targets (formerly called National Priorities Guidance), relating to the periods 19992000 to 200102 through to 200306, have all been published and are available in the Library. Many of these relate to public health.
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National Health Service Performance Indicator sets have been published for each year since 1999, initially by the Department and latterly the Commission for Health Improvement. Many of these relate to public health and all are available on the Department of Health's website.
Mr. Hancock: To ask the Secretary of State for Health how many public bodies were operating in the health service in 1997; how many are operating; what plans he has to review their number and purpose; and if he will make a statement. [150212]
Mr. Hutton: The information requested is shown in the table.
My right hon. Friend the Secretary of State announced to the Health Select Committee on 30 October 2003, his intention to review the Department's executive non-departmental public bodies, special health authorities and executive agencies. We want to ensure that the roles of these bodies are in line with current expectations and that the oversight of front-line health and social services is kept to an acceptable minimum. We expect that the review will reach its conclusions by the middle of this year. National health service trusts, strategic health authorities, primary care trusts and advisory and tribunal non-departmental public bodies will not be part of the review. Executive agencies, of which the Department has four, will be included.
1 June 1997 | 1 January 2004 | |
---|---|---|
Executive NDPBs(12) | 7 | 8 |
Advisory NDPBs | 42 | 37 |
Tribunal NDPBs | 3 | 3 |
Health authorities(13) | 100 | n/a |
NHS trusts | 402 | 275 |
Special health authorities | 13 | 22 |
Strategic health authorities(13) | n/a | 28 |
PCTs(14) | n/a | 304 |
Other NHS bodies | 2 | 0 |
Total | 569 | 677 |
(12) NDPBs = non-departmental public bodies
(13) Health authorities were replaced by strategic health authorities from April 2002
(14) PCTs (Primary Care Trusts) were introduced from April 2000, most on 1 April 2002, and cover smaller populations than did health authorities.
Stephen Hesford: To ask the Secretary of State for Health what progress is being made in the performance management of the public health function; and if he will make a statement. [148609]
Miss Melanie Johnson: The Health and Social Care Act 2003 imposes a duty on the national health service to put and keep in place arrangements for monitoring and improving the quality of health care including the promotion and protection of public health. Strategic health authorities have the role of performance managing primary care trusts (PCTs) and NHS hospital trusts, including their public health responsibilities.
The targets in the Priorities and Planning Framework, 200306, published in October 2002, and the performance indicators for PCTs (for example, those for 200304, published by the Commission for
27 Jan 2004 : Column 331W
Health Improvement in December 2003), include several related to public health. 200304 will be the second year for PCT ratings and this represents real progress in the performance management of public health. The Commission for Healthcare Audit and Inspection will take over responsibility for the ratings process from April 2004.
Mr. Burstow: To ask the Secretary of State for Health what arrangements have been made to collect and analyse the annual reports of directors of public health; and what guidance he has given to ensure comparability between reports. [144792]
Miss Melanie Johnson: Strategic health authorities are responsible for agreeing local national health service plans informed by these reports. In 2002 the Department of Health commissioned guidance for directors of public health on the production of their Annual Reports, which was published in 2003 by the Faculty of Public Health. We are in discussion with SHAs about ways of assessing the impact of these reports, in their performance management role.
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