House of Commons Hansard Written Answers for 1 Nov 2004 (pt 37)

1 Nov 2004 : Column 137W—continued

Gender Dysphoria

Lynne Jones: To ask the Secretary of State for Health pursuant to his answer of 20 October 2004, Official Report, column 791W, on gender dysphoria, if he will make it his policy to collect centrally the average waiting times for a first appointment at each gender identity clinic for people suffering from gender dysphoria. [194032]

Ms Rosie Winterton: The Department collects data on waiting times by consultant-led specialty. We have no plans to collect data by sub-specialty.

1 Nov 2004 : Column 138W

Health Services (York)

Hugh Bayley: To ask the Secretary of State for Health how many full-time equivalent jobs (a) his Department and (b) its executive agencies had in (i) Yorkshire and the Humber and (ii) the City of York in (A) 1997 and (B) the latest year for which figures are available. [191849]

Ms Rosie Winterton: The information available is shown in the table. We do not hold any specific information about the number of posts in the City of York as our data are collected by Government region.

April

Elsewhere in Yorkshire and Humberside 1997 1998 1999 2000 2001 2002 2003 2004

COREDH ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 929.5 896 918.2 868.3

Medicines Control Agency (MCA) ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 0 5.2 4.2 ⁽²⁷⁾—

Medical Devices Agency (MDA) ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 0 0 0 5.7

NHS Estates ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 93.4 107.5 97.2 108.9

NHS Pensions Agency ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 0 0 0 0

NHS Purchasing and Supply Agency ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— ⁽²⁶⁾— 43.5 52.7 57.5 58.3

Departmental total 1,035 961 1,127 1,040 1,066.4 1,061.4 1,077.1 1,041.2

⁽²⁶⁾ No data held.
⁽²⁷⁾ As one below MCA and MDA.

	April
Elsewhere in Yorkshire and Humberside	1997	1998	1999	2000	2001	2002	2003	2004
COREDH	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	929.5	896	918.2	868.3
Medicines Control Agency (MCA)	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	0	5.2	4.2	⁽²⁷⁾—
Medical Devices Agency (MDA)	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	0	0	0	5.7
NHS Estates	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	93.4	107.5	97.2	108.9
NHS Pensions Agency	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	0	0	0	0
NHS Purchasing and Supply Agency	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	⁽²⁶⁾—	43.5	52.7	57.5	58.3
Departmental total	1,035	961	1,127	1,040	1,066.4	1,061.4	1,077.1	1,041.2

Hospital Infections

Mr. Lansley: To ask the Secretary of State for Health if he will list the trusts which require consultation as a mandatory step between infection control teams and contract tendering procedures for (a) new build projects, (b) cleaning, (c) laundry services and (d) catering services. [193458]

Miss Melanie Johnson: The information requested is not available.

All national health service trusts are required to appoint a director of infection prevention and control to take an active role in ensuring infection control issues are taken into account when decisions are being made on the provision of these services.

NHS Estates guidance recommends the involvement of the infection control team at all stages of the planning, design and construction of buildings, and the provision of non-clinical support services, to address infection control risks.

Hospital Trusts

Mr. Hoyle: To ask the Secretary of State for Health what procedures are in place to ensure that evidence given by a hospital trust is accurate; and what action he can take against hospital trusts who submit inaccurate and misleading information. [192288]

Miss Melanie Johnson: We expect all national health service trusts to act with probity and integrity in their conduct. In this, NHS trusts are performance managed by strategic health authorities.

The Code of Conduct for NHS managers was issued in October 2002 under the National Health Service Act 1977 and the National Health Service and Community Care Act 1990. The code is set out as a series of principles that NHS managers will observe. This includes the principle that a manager:

" . . . will be honest and act with integrity and probity at all times. I will not make, permit or knowingly allow to be made, any untrue or misleading statement relating to my own duties or the functions of my employer."

Medical Students (Bursaries)

Mr. Drew: To ask the Secretary of State for Health why final year medical students have not yet received notification of their bursary awards. [194359]

Mr. Hutton [holding answer 28 October 2004]: Students are usually notified at the time a final decision on their award is made. Currently, the NHS Pensions Agency grants unit has finalised the awards for 3,474 new medical and dental students. Due to constraints within the existing computer system, students whose academic year began before 1 September 2004 have not yet received notification, although payment has been made where appropriate. Action is in hand to improve the system.

Mental Health Services

Mrs. Iris Robinson: To ask the Secretary of State for Health what public spending on mental health services was per head of population in England in each of the last five years. [194074]

Ms Rosie Winterton: Information on expenditure by the national health service on mental health services per head of population in England in each of the last five years is shown in table 1, which employs the hospital and community health service deflator. Table 2 provides the same information in cash terms. The data exclude social care spend on people with mental health problems, and expenditure concerning people treated in primary care for whom a specific diagnosis has not been reached. The figures therefore underestimate the total mental health expenditure.

1 Nov 2004 : Column 139W

Table 1

Gross expenditure (volume terms) 1998–99 1999–2000 2000–01 2001–02 2002–03

Mental illness day patient (DP) (£ million) 377 372 369 330 344

Mental health in-patient (IP) (£ million) 2,157 2,319 2,507 2,532 2,689

Mental health out-patient (OP) (£ million) 396 419 447 507 655

Community mental illness (Ml) nursing (£ million) 687 760 843 839 911

Total mental health (MH) (£ million) 3,617 3,870 4,166 4,208 4,598

Total hospital and community health services (HCHS) (£ million) 30,226 31,351 32,773 33,128 35,087

Population (number) 49,586,455 49,730,320 49,871,203 50,008,548 50,142,274

MH proportion (percentage) 11.97 12.34 12.71 12.70 13.11

MH expenditure per head of population (£ million) 72.94 77.82 83.54 84.15 91.71

Notes:
1. The figures are taken from the expenditure per head of population (EPHoP) analysis of healthcare spend. EPHoP measures activity from inpatients, outpatients and community based patients against expenditure taken from the hospital and community health service programme budget.
2. The programme budget is compiled using NHS accounts: a combination of finance returns from strategic health authorities, NHS trusts, primary care trusts and the strategic health authority summarisation schedules.
3. Activity data from a range of sources, for example hospital episode statistics, Körner community returns, the Living in Britain survey, etc. are used to distribute the expenditure figures for each sector (i.e. mental health, acute services, etc.) proportionally across the whole population.
4. Using the combination of expenditure and activity figures, the treatment cost is for each person within each age group and for each type of activity is calculated.

Table 2

Gross expenditure (cash terms) 1998–99 1999–2000 2000–01 2001–02 2002–03

Mental illness DP (£ million) 318 328 338 318 344

Mental health IP (£ million) 1,819 2,044 2,303 2,444 2,689

Mental health OP (£ million) 334 370 411 490 655

Community Ml nursing (£ million) 580 670 775 810 911

Total MH (£ million) 3,051 3,411 3,826 4,062 4,598

Total HCHS (£ million) 25,494 27,633 30,099 31,977 35,087

Population (number) 49,586,455 49,730,320 49,871,203 50,008,548 50,142,274

MH proportion (percentage) 11.97 12.34 12.71 12.70 13.11

MH expenditure per head of population (£ million) 61.52 68.59 76.73 81.23 91.71

Notes:
1. The figures are taken from the expenditure per head of population (EPHoP) analysis of healthcare spend. EPHoP measures activity from inpatients, outpatients and community based patients against expenditure taken from the hospital and community health service programme budget.
2. The programme budget is compiled using NHS accounts: a combination of finance returns from strategic health authorities, NHS trusts, primary care trusts and the strategic health authority summarisation schedules.
3. Activity data from a range of sources, for example hospital episode statistics, Körner community returns, the Living in Britain survey, etc. are used to distribute the expenditure figures for each sector (i.e. mental health, acute services, etc.) proportionally across the whole population.
4. Using the combination of expenditure and activity figures, the treatment cost is for each person within each age group and for each type of activity is calculated.

Gross expenditure (volume terms)	1998–99	1999–2000	2000–01	2001–02	2002–03
Mental illness day patient (DP) (£ million)	377	372	369	330	344
Mental health in-patient (IP) (£ million)	2,157	2,319	2,507	2,532	2,689
Mental health out-patient (OP) (£ million)	396	419	447	507	655
Community mental illness (Ml) nursing (£ million)	687	760	843	839	911
Total mental health (MH) (£ million)	3,617	3,870	4,166	4,208	4,598
Total hospital and community health services (HCHS) (£ million)	30,226	31,351	32,773	33,128	35,087
Population (number)	49,586,455	49,730,320	49,871,203	50,008,548	50,142,274
MH proportion (percentage)	11.97	12.34	12.71	12.70	13.11
MH expenditure per head of population (£ million)	72.94	77.82	83.54	84.15	91.71

Gross expenditure (cash terms)	1998–99	1999–2000	2000–01	2001–02	2002–03
Mental illness DP (£ million)	318	328	338	318	344
Mental health IP (£ million)	1,819	2,044	2,303	2,444	2,689
Mental health OP (£ million)	334	370	411	490	655
Community Ml nursing (£ million)	580	670	775	810	911
Total MH (£ million)	3,051	3,411	3,826	4,062	4,598
Total HCHS (£ million)	25,494	27,633	30,099	31,977	35,087
Population (number)	49,586,455	49,730,320	49,871,203	50,008,548	50,142,274
MH proportion (percentage)	11.97	12.34	12.71	12.70	13.11
MH expenditure per head of population (£ million)	61.52	68.59	76.73	81.23	91.71

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