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21 Oct 2004 : Column 927W—continued

Leeds Teaching Hospital Trust

Mr. Mudie: To ask the Secretary of State for Health if he will list the members of the Leeds Teaching Hospital Trust who reside in the Leeds Metropolitan District. [192255]

Miss Melanie Johnson: The NHS Appointments Commission is responsible for the appointment of chairs and non-executive members of National Health Service trusts. The information requested is available from the Commission's Chair, Sir William Wells.

Long-term Care

Mr. Burstow: To ask the Secretary of State for Health if he will estimate the average number of years older people who need long-term care are in receipt of such care. [191482]

Dr. Ladyman: A study conducted by the Personal Social Services Research Unit at the University of Kent in the mid to late 1990s estimated that the average length of stay of older people admitted with local authority support to residential care and nursing homes is around 30 months. We are not aware of any comparable published figures relating to people who receive long term care in their own home.

Mental Health Services

Mrs. Browning: To ask the Secretary of State for Health if he will list the minimum requirements for out-of-hours mental health services to be provided by NHS trusts delivering mental health services; and if he will make a statement. [191756]

Ms Rosie Winterton [holding answer 15 October 2004]: Decisions about the configuration of services to support people out of hours who present with mental health problems in crisis are a local responsibility.

We have issued guidance to strategic health authorities to help them support local services to integrate the components of round-the-clock provision. The components may include crisis resolution teams, duty psychiatric teams, accident and emergency liaison teams and, in some cases, emergency drop-in clinics. It is important that national health service arrangements dovetail with emergency services provided by local authority social services departments.

Under the care programme approach, people with mental health problems should be given a copy of their written care plan which contains information on how they can access services 24 hours a day.

Ministerial Visits

Tim Loughton: To ask the Secretary of State for Health what the (a) cost and (b) purpose was of the recent trip to South Africa by the right hon. Member for Barrow and Furness; what his official itinerary was; and which officials accompanied him. [189419]

Ms Rosie Winterton: My right hon. Friend, the Member for Barrow and Furness (Mr. Hutton), the Minister of State for Health, attended the United Kingdom-South Africa bilateral forum in Cape Town from 25 to 26 August, along with the Foreign Secretary and other Ministers, at the invitation of the Government of South Africa.
 
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The itinerary included bilateral meetings with the South African health minister, to discuss, inter alia, the memorandum of understanding on the reciprocal educational exchange of healthcare concepts and personnel; meetings with the health trade unions and public health experts; and a number of visits to health centres in Cape Town.

My right hon. Friend was accompanied by Sally Warren, his private secretary, Sian Jarvis, the Department's director of communications and Anna Maslin, the Department's international officer for nursing and midwifery. The cost of the four return flights was £13,444; other costs, including accommodation, were paid for by the Government of South Africa.

Since 1999, the Government have published an annual list of all overseas visits undertaken by Cabinet Ministers, costing £500 or more, dating back to 1997. The Government have also published on an annual basis the total cost of all Ministers' visits overseas. Copies of the lists are available in the Library. All ministerial and civil service travel is undertaken in accordance with the rules set out in the Ministerial Code and Travel by Ministers, copies of which are also available in the Library.

Ministers' Private Offices

Mr. Prisk: To ask the Secretary of State for Health how much the Department spent on (a) maintenance, (b) renovation, (c) council tax and (d) running costs of residential properties used by Ministers and officials in each year since 1997. [191405]

Ms Rosie Winterton: The Department and its Executive agencies has no residential properties on its estate.

MRSA

Mr. Goodman: To ask the Secretary of State for Health if he will list the incidence rate of MRSA in hospitals in the Thames Valley Strategic Health Authority area in each year since 2001. [192627]

Ms Rosie Winterton [holding answer 19 October 2004]: The table shows the methicillin-resistant Staphylococcus aureus (MRSA) incidence rate (per 1,000 bed days) for each of the five acute trusts in the Thames Valley Strategic Health Authority for 2000–02, 2002–03 and 2003–04.

MRSA cases per 1,000 bed days(29)
Hospital trust	2001–02	2002–03	2002–03
Buckinghamshire Hospital National Health Service Trust	0.125	0.138	0.159
Heatherwood and Wexham Park Hospitals NHS Trust	0.187	0.132	0.187
Milton Keynes General Hospital NHS Trust	0.076	0.109	0.055
Oxford Radcliffe Hospitals NHS Trust	0.23	0.286	0.302
Royal Berkshire and Battle Hospitals NHS Trust	0.139	0.17	0.147

⁽²⁹⁾ Numbers of MRSA bacteraemia (blood stream infections) collected by the Health Protection Agency Communicable Disease Surveillance Centre for the Department of Health. Mandatory surveillance data have been collected since April 2001. The latest data (for the year 2003–04 were published in July 2004). More details are available at http://www.dh.gov.uk/Publications AndStatistics/Publications/PublicationsStatistics/Publications StatisticsArticle/fs/en?CONTENT ID = 4085951&chk = HBt2QD


 
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NHS Spending (Somerset)

Mr. Laws: To ask the Secretary of State for Health what his estimate is of (a) total NHS spending and (b) total NHS capital spending in (i) Somerset and (ii) South Somerset in each year from 1990–91 to 2004–05, in real terms; and if he will make a statement. [192130]

Ms Rosie Winterton: It is not possible to give data in the format requested throughout the period, because the areas, specifically South Somerset, requested do not correspond to existing national health service body areas. It is also not possible to give comparable information prior to 1996–97.

Figures in the tables for earlier years are given for expenditure by the Somerset health authority (HA), and primary care trusts and NHS trusts (for capital expenditure only) within that HA area. However, for 2002–03 and 2003–04 it is only possible to give figures for NHS bodies within the current Dorset and Somerset strategic health authority area and therefore the data is not strictly comparable.
Table 1: Total expenditure, at 2003–04 prices,by health authority area £000

	Somerset health authority area	Dorset and Somerset strategic health authority area
1996–97	330,803	n/a
1997–98	321,176	n/a
1998–99	331,998	n/a
1999–2000	363,481	n/a
2000–01	414,692	n/a
2001–02	508,640	n/a
2002–03	n/a	993,383
2003–04	n/a	1,055,589

Notes:
1. Expenditure is taken from audited health authority summarisation forms and primary care trust summarisation schedules which are prepared on a resource basis and therefore differ from cash allocations in the year. The expenditure is the total expenditure by the relevant health authorities, and the commissioner costs of the primary care trusts. Figures are given in cash terms.
2. Allocations per weighted head of population provide a much more reliable measure to identify differences between funding of health authorities and primary care trusts.
3. The figures do not represent the total NHS spend as some elements are not accounted for at the health authority or primary care trust level e.g. the majority of general dental services expenditure is not included in the individual health authority accounts or primary care trust summarisation schedules and is separately accounted for by the Dental Practice Board. An element of pharmaceutical services expenditure is accounted for by the Prescription Pricing Authority and not by health authorities or primary care trusts.
4. Figures for 2000–01 and 2001–02 have been prepared using gross expenditure figures. This is to ensure consistency between years. Figures for 2002–03 and 2003–04 based on strategic health authority areas have been adjusted to eliminate expenditure which would be double counted where an authority acts as a lead in commissioning healthcare or other services.
5. In many health authorities there are factors which distort the expenditure per head.
These include:
the health authority acting in a lead capacity to commission healthcare or fund training on behalf of other health bodies; and
asset revaluations in NHS Trusts being funded through health authorities or primary care trusts.
For these reasons expenditure per head cannot be compared reliably between health authorities or between different years.
6. All 2003–04 data is provisional.
Sources:
Audited accounts of the health authority 1996–97 to 1997–98
Audited summarisation forms of the health authority 1998–99 to 2001–02.
Audited summarisation forms of the strategic health authority 2002–03 to 2003–04
Audited summarisation schedules of primary care trusts within the health authority and strategic health authority area 2000–01 to 2003–04.



 
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Table 2: Capital expenditure, at 2003–04 prices, by health authority area, incorporating expenditure by NHS bodies within that area £000

	Health authorities	Primary care trusts	NHS trusts	Total
Somerset health authority area
1996–97	140		4,718	4,858
1997–98	1.5		5,441	5,456
1998–99	83		6,692	6,775
1999–2000	17		6,689	6,706
2000–01	39		12,972	13,011
2001–02	44	22,608	10,240	32,892
Dorset and Somerset strategic health authority area
2002–03	173	14,400	31,491	46,064
2003–04	48	8,407	36,821	45,276

Notes:
1. Capital spending has been taken to include health authority, primary care trust and NHS trust expenditure on fixed assets within the relevant year.
2. The figures in the table do not include Private Finance Initiative (PR) expenditure where PR costs are revenue expenditure in the books of NHS bodies.
3. All 2003–04 data is provisional.
Sources:
Audited accounts of the health authority 1996–97 to 1997–98
Audited summarisation forms of the health authority 1998–99 to 2001–02.
Audited summarisation forms of the strategic health authority 2002–03 to 2003–04
Audited summarisation schedules of primary care trusts within the health authority and strategic health authority area 2000–01 to 2003–04.
Audited summarisation schedules of NHS Trusts within the health authority and the strategic health authority area 1996–97 to 2003–04. (for capital expenditure only)

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