| Previous Section | Index | Home Page |
7 Jun 2004 : Column 36W—continued
Departmental Annual Report
Mr. Lansley: To ask the Secretary of State for Health if he will publish an update of the data contained in Figure 7.7 of the 2003 Departmental Annual Report, compiled on the same basis. [171544]
Mr. Hutton [holding answer 10 May 2004]: Traditionally, efficiency in the National Health Service has been measured using the cost weighted efficiency index but changes in the way healthcare is delivered now mean that it gives an increasingly incomplete and misleading picture. Therefore, an update was not published in the 2004 Departmental Report.
The main drawbacks of the cost weighted efficiency index are that it:
fails to count a large amount of NHS activity—for example primary care consultations and procedures, nurse led procedures, Family Health Services prescriptions, NHS Direct calls and walk-in centre visits;
takes no account of quality such as better health outcomes, shorter waiting times,singles sex wards or cleaner hospitals;
classifies activity in only 12 activity types and two of which (inpatients and outpatients) account for 85 per cent, of the cost weights. This limits the ability to measure changes in case-mix; and
perversely records shifts in activity from inpatients to outpatients and from outpatients to primary or community care as inefficiency.
The Office for National Statistics is working with the Department as part of the Atkinson Review of Measurement of Government Outputs to develop new measures of NHS productivity. The updated figures for figure 7.7 of the 2003 Departmental Report are shown in the table.
| Hospital and Community Health Services cost weighted activity | Expenditure adjusted for changes in input unit costs | Real terms growth in expenditure | ||||
|---|---|---|---|---|---|---|
| Year | Index | Growth (%) | Index | Growth (%) | Index | Growth (%) |
| 1991–92 | 100.0 | 100.0 | 100.0 | |||
| 1992–93 | 103.1 | 3.1 | 103.1 | 3.1 | 106.8 | 6.8 |
| 1993–94 | 107.2 | 4.0 | 104.7 | 1.6 | 109.5 | 2.5 |
| 1994–95 | 111.7 | 4.2 | 106.2 | 1 .4 | 112.3 | 2.6 |
| 1995–96 | 116.1 | 4.0 | 108.1 | 1 .8 | 115.3 | 2.6 |
| 1996–97 | 118.0 | 1 .7 | 109.7 | 1 .5 | 116.5 | 1.1 |
| 1997–98 | 120.2 | 1.8 | 112.1 | 2.2 | 117.5 | 0.9 |
| 1998–99 | 122.6 | 2.1 | 115.4 | 3.0 | 122.4 | 4.1 |
| 1999–2000 | 124.0 | 1.1 | 119.7 | 3.7 | 129.6 | 5.9 |
| 2000–01 | 124.7 | 0.6 | 125.1 | 4.5 | 138.0 | 6.5 |
| 2001–02 | 124.8 | 0.1 | 126.5 | 1.1 | 143.0 | 3.6 |
Food Supplements
Bob Spink: To ask the Secretary of State for Health what representations he has received on (a) the Food Supplements Directive and (b) the maximum permitted levels in food supplements; and if he will make a statement. [169747]
Miss Melanie Johnson: In October 2003, I met representatives of the health food industry, at their request, to discuss their concerns over the potential impact of the Food Supplements Directive, particularly relating to the submission of safety dossiers to the European Food Safety Authority (EFSA) and to the future setting of European maximum levels for vitamins and minerals in food supplements.
In addition, I have received letters about the directive from hon. and right hon. Members on behalf of constituents, as well as letters from industry representatives.
Since last October there was a constructive meeting, facilitated by the Food Standards Agency (FSA), between industry representatives and representatives of the EFSA to discuss safety dossiers. In addition, I have recently set out the Government's views on the setting of maximum limits to European Commissioner David Byrne.
I have stated my willingness to meet food supplement industry representatives again. However, I have suggested that before such a meeting it would be useful for industry technical advisers to meet FSA officials to discuss detailed technical issues relating to dossiers and then for the industry to gain experience of submitting
7 Jun 2004 : Column 38W
such dossiers to EFSA. In addition, I have asked that industry submits the information, requested by the FSA on my behalf last July, relating to products containing vitamins and minerals and their sources currently missing from the lists of permitted substances in the directive.
Foundation Trusts
Mr. Dobson: To ask the Secretary of State for Health if he will list the hospitals in the first wave of foundation trusts, giving for each (a) the number of patients treated in the last year for which figures are available, (b) the local resident population, (c) the number of patient electors in the recent election of governors, (d) the number of local resident electors and (e) the number of (i) patient electors and (ii) local residents who voted in the recent election of governors. [175844]
Mr. Hutton [holding answer 26 May 2004]: Information concerning the number of patients treated by hospitals of the first wave of national health service foundation trusts who were authorised on 1 April 2004 should be obtained from the individual organisations. The hospitals concerned are:
Basildon and Thurrock General Hospital NHS Trust
Bradford Hospitals NHS Trust
Countess of Chester NHS Trust
Doncaster and Bassetlaw Hospitals NHS Trust
Homerton University Hospital NHS Trust
Moorfields Eye Hospital NHS Trust
Peterborough Hospitals NHS Trust
Royal Devon and Exeter Healthcare NHS Trust
Stockport NHS Trust
The Royal Marsden NHS Trust
Royal Devon and Exeter Healthcare NHS Trust
Stockport NHS Trust
The Royal Marsden NHS Trust
Information concerning the number of patients treated by hospitals in the first wave of NHS foundation trusts who are looking to authorisation from 1 July 2004 has been placed in the Library.
Figures for the local resident population of the first wave of NHS foundation trusts are not collected centrally due to the nature of the commissioning of healthcare. The information provided could be duplicated for other local NHS trusts and would therefore be inaccurate.
Information on elections to the board of governors of NHS foundation trusts is a matter for the Office of the Independent Regulator of NHS foundation trusts. The Chairman will write to the hon. Member and a copy of his reply will be placed in the Library.
GP Surgeries
Mr. Burstow: To ask the Secretary of State for Health what the maintenance backlog to reach estate code condition B was in (a) England, (b) each region and (c) each strategic health authority in each year since 1997. [167425]
Mr. Hutton:
I refer the hon. Member to the reply I gave on 9 February 2004, Official Report, columns 1205–06W.
7 Jun 2004 : Column 39W
Health Service Premises
Mr. Hoyle: To ask the Secretary of State for Health how many general practitioners' surgeries have been (a) modernised and (b) removed to other premises in (i) Chorley and (ii) Lancashire since 1997. [172074]
7 Jun 2004 : Column 40W
Miss Melanie Johnson: The information requested is shown in the table. Information is only available from 2000–01.
| 2000–01 | 2001–02 total | 2002–03 total | Q3 2003–04 year to date total | |||||
|---|---|---|---|---|---|---|---|---|
| Premises refurbished and replaced | Number of premises replaced | Number of premises refurbished | Number of premises replaced | Number of premises refurbished | Number of premises replaced | Number of premises refurbished | Number of premises replaced | Number of premises refurbished |
| East Lancashire Health Authority (HA) | 2 | 3 | 0 | 5 | — | — | — | — |
| North West Lancashire HA | 1 | 2 | 1 | 4 | — | — | — | — |
| South Lancashire HA | 1 | 3 | 2 | 4 | — | — | — | — |
| Chorley and South Ribble Primary Care Trust (PCT) | — | — | — | — | 0 | 4 | 0 | 0 |
| Blackburn and Darwin PCT | — | — | — | — | 0 | 0 | 1 | 2 |
| Blackpool PCT | — | — | — | — | 1 | 1 | 1 | 0 |
| Burnley, Pendle and Rossendale PCT | — | — | — | — | 0 | 0 | 1 | 3 |
| Fylde PCT | — | — | — | — | 0 | 0 | 0 | 2 |
| Hyndburn and Ribble Valley PCT | — | — | — | — | 0 | 0 | 0 | 0 |
| Preston PCT | — | — | — | — | 0 | 1 | 0 | 1 |
| West Lancashire PCT | — | — | — | — | 0 | 0 | 0 | 0 |
| Wyre PCT | — | — | — | — | 0 | 1 | 0 | 0 |
| Total | 4 | 8 | 3 | 13 | 1 | 7 | 3 | 8 |
Source:
Department of Health LDPR Quarterly Returns
| Next Section | Index | Home Page |