House of Commons Hansard Written Answers for 21 Dec 2004 (pt 43)

21 Dec 2004 : Column 1677W—continued

Intermediate Care Accommodation

Jonathan Shaw: To ask the Secretary of State for Health what assessment he has made of the South East Region Social Care Commission's decision to categorise

21 Dec 2004 : Column 1678W

intermediate care accommodation as the same as permanent residential care homes for registration purposes; and if he will make a statement. [204659]

Dr. Ladyman: Establishments that provide accommodation and personal care as defined in Section 3 of the Care Standards Act 2000 must register with the Commission for Social Care Inspection (CSCI). In determining whether or not an establishment falls within the scope of the Act, CSCI must have regard to the Registration Regulations 2001.

Mental Health Facilities (Funding)

Tim Loughton: To ask the Secretary of State for Health how many mental health facilities have (a) closed down and (b) run skeletal services due to cuts in Government funding in 2003–04 or forecast for 2004–05. [203190]

Ms Rosie Winterton: The information requested is not centrally available. In accordance with our policy of shifting the balance of power, supported by other national policy documents, such as the national service framework for mental health, primary care trusts (PCTs), in conjunction with their strategic health authorities and other local stakeholders, are responsible for assessing local health needs, and planning the delivery of their services accordingly. However, between 2001–02 and 2003–04, the Government invested over £300 million extra in mental health services. Furthermore, my right hon. Friend, the Chancellor of the Exchequer announced in his 2002 budget statement the largest sustained increase in funding of any five year period in the history of the national health service. This investment has helped to deliver significant improvements in primary, secondary and community care. Details of these improvements will be set out in a report to be published by the National Director for Mental Health shortly.

National Programme for IT

Dr. Murrison: To ask the Secretary of State for Health if he will make a statement on progress with developing agreements on cryptography for record-sharing within the National Programme for IT. [205503]

Mr. Hutton: Where patient information is to be shared across networks, it will be protected through the deployment of cryptographic security technologies that provide secure encrypted digital communications tunnels. These solutions comply with the latest Cabinet Office e-Government interoperability framework version 6.1.

Dr. Murrison: To ask the Secretary of State for Health if he will make a statement on the incorporation of implied consent into the National Programme for IT in the NHS. [205510]

Mr. Hutton: The national programme for information technology (NPfIT) in the national health

21 Dec 2004 : Column 1679W

service is procuring systems that will, in due course, provide the NHS with the tools to fully implement the NHS confidentiality code of practice. This will enable NHS bodies to capture the express consent or dissent of patients where this is required, and will provide patients with a great deal of control over who can see what clinical information. The confidentiality code of practice, published in November 2003, was endorsed by the Information Commissioner and the General Medical Council. It sets out the interpretation of the requirement for consent to the use and disclosure of confidential health data that has been agreed with these bodies and with the Department's legal advisors. Where health data is used or disclosed solely for care or care related purposes, provided that patients have been informed of these purposes and of their right to object, it is reasonable to imply consent where there is no express dissent. The NPfIT in the NHS is developing a sophisticated anonymisation service, the secondary uses service, to ensure that other, for example, public health, research and managerial, requirements for data can be satisfied without breaching patient confidentiality.

Dr. Murrison: To ask the Secretary of State for Health when the Information Management Security Forum of the National Programme for IT last met; how often it has met since its inception; what its current membership is; and what outcomes it has produced. [205511]

Mr. Hutton: The information security management forum (ISMF) of the national programme for information technology (NPfIT) in the national health service last met on 7 December 2004 and has met a total of 23 times. The membership of the ISMF comprises representatives of the Department of Health, NPfIT, the NHS Information Authority, all providers who deliver services to the NHS under NPfIT contracts, and the National Infrastructure Security Co-ordination Centre. The ISMF has developed, agreed and published a contractor security policy, version 1, additional temporary policy enhancement notices and some related best practice guidelines.

NHS (Ethical Recruitment)

Mr. Baron: To ask the Secretary of State for Health what measures he will take to ensure that nurses and other healthcare professionals who are recruited into the NHS in Wales and Scotland, but who would not be eligible for recruitment directly from their country of origin into the NHS in England under the Code of Practice on Ethical Recruitment, will be prevented from being employed by the NHS in England from December 2005 onwards. [204953]

Mr. Hutton [holding answer 14 December 2004]: All home countries observe the principles contained in the Code of Practice. All recruitment into the national health service in England is underpinned by these principles. Healthcare professionals employed by the NHS in Scotland and Wales may also apply to NHS vacancies in England.

21 Dec 2004 : Column 1680W

NHS Equipment

Mr. Burstow: To ask the Secretary of State for Health whether changes have had to be made to procurement of (a) wheelchairs, (b) trolleys and (c) hospital beds in the NHS because of increased average body weight of patients over the last 30 years. [205018]

Ms Rosie Winterton: Patients have got taller and heavier over the last 30 years, which has resulted in changes being made in the procurement of such hospital equipment.

The National Health Service Purchasing & Supply Agency (NHS PASA) has a national framework agreement (NFA) for wheeled mobility products, which includes a range of equipment from paediatric buggies to barriatric wheelchairs with user weight limits of up to 50 stone. Weight limits vary according to specific models and their intended use.

Over the past three years, the trend has been for the main wheelchair manufacturers to increase the weight limits on their basic equipment to a minimum of 18 stone.

NHS PASA does not have a NFA in place for patient trolleys. Procurement of these products is carried out at trust level.

NHS PASA has a NFA in place for hospital beds. The specification for beds stipulates that the bed must hold a minimum of 170kg (approximately 27 stone), because the "Kingsfund" bed, standard hospital bed, is still in use. The old "Kingsfund" bed had a safe working load of 28 stone which was the NHS industry standard. However due to increases in patient weight, the majority of suppliers on the agreement now offer beds with a 42 stone safe working load as standard. Barriatric beds are used for clinically obese patients who need beds with a wider width.

NHS Local Improvement Finance Trust Programmes

Mr. Patrick Hall: To ask the Secretary of State for Health whether the full rental or lease costs of new facilities delivered by NHS local improvement finance trust programmes in the growth areas identified under the sustainable communities policy will be met from the day the particular facility is opened. [205491]

Mr. Hutton: It is for primary care trusts, in partnership with strategic health authorities and other local stakeholders, to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services.

Nurses (Lancashire)

Mr. Pike: To ask the Secretary of State for Health how many nurses there are in (a) Burnley and (b) Lancashire; and how many there were in 1997. [204340]

Miss Melanie Johnson: The information requested is shown in the table.

21 Dec 2004 : Column 1681W

NHS hospital and community health services: Qualified nursing, midwifery and health visiting staff including practice nurses in each specified organisation as at 30 September1 each specified year Headcount

1997
1998
1999
2000
2001
2002
2003 Difference 1997–2003

Total specified organisations 10,694 10,702 10,832 10,467 11,502 12,175 12,348 1,654

5CC Blackburn with Darwen PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 236 251 313 ⁽⁴⁰⁾—

5DD Morecambe Bay PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 983 990 1,033 ⁽⁴⁰⁾—

5F2 Chorley and South Ribble PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 295 333 402 ⁽⁴⁰⁾—

5F3 West Lancashire PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 202 205 212 ⁽⁴⁰⁾—

5G7 Hyndburn And Ribble Valley PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 52 402 387 ⁽⁴⁰⁾—

5G8 Burnley, Pendle And Rossendale PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 123 497 506 ⁽⁴⁰⁾—

5HD Preston PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 50 263 302 ⁽⁴⁰⁾—

5HE Fylde PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 28 142 154 ⁽⁴⁰⁾—

5HF Wyre PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 45 224 229 ⁽⁴⁰⁾—

5HP Blackpool PCT ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 64 284 313 ⁽⁴⁰⁾—

Q13 Cumbria and Lancashire SHA ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 1 ⁽⁴⁰⁾—

QCl South Lancashire HA 6 5 5 13 5 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

QCX East Lancashire HA 6 8 14 6 6 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

QCY North West Lancashire HA 7 7 6 10 20 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RE3 South Cumbria Community and Mental
Health NHS Trust 304 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RES Westmorland Hospital NHS Trust 247 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

REU Burnley Healthcare NHS Trust 1,382 1,369 1,358 1,364 1,413 1,080 ⁽⁴⁰⁾— ⁽⁴⁰⁾—

REV Lancaster Acute Hospitals NHS Trust 638 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

REW Lancaster Priority Services NHS Trust 614 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RJP Southport and Formby Community Health
Service NHS Trust 262 255 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RJU Chorley and South Ribble NHS Trust 701 746 775 772 603 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RJV West Lancashire NHS Trust 510 504 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RJX Calderstones Hospital NHS Trust 363 293 250 262 276 275 289 –74

RM8 Furness Hospitals NHS Trust 500 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RMB Blackburn, Hyndbum and Ribbla Valley
Health Care 1,260 1,274 1,547 1,189 1,206 1,161 ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RMD Lancashire Ambulance Service NHS Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 35 72 105 121 ⁽⁴⁰⁾—

RME Communicare NHS Trust 472 483 509 522 387 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RMF Preston Acute Hospitals NHS Trust 1,272 1,234 1,264 1,256 1,330 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RMG Guild Community Healthcare NHS Trust 394 436 464 446 455 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RML Blackpool Wyre And Fylde Community
Health Services 845 865 871 868 910 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RMR Blackpool Victoria 911 939 968 973 1,140 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RTX Morecambe Bay Hospitals NHS Trust ⁽⁴⁰⁾— 1,471 1,540 1,441 1,529 1,549 1,519 ⁽⁴⁰⁾—

RTY Bay Community NHS Trust ⁽⁴⁰⁾— 813 808 835 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RVT North Sefton and West Lancashire
Community NHS Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— 453 475 72 ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾—

RW5 Lancashire Care NHS Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 1,002 1,021 ⁽⁴⁰⁾—

RXL Blackpool, Fylde And Wyre Hospitals NHS
Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 1,497 1,475 ⁽⁴⁰⁾—

RXN Lancashire Teaching Hospitals NHS Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 1,915 1,928 ⁽⁴⁰⁾—

RXR East Lancashire Hospitals NHS Trust ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— ⁽⁴⁰⁾— 2,143 ⁽⁴⁰⁾—

⁽³⁹⁾ Data as at 30 September each year except practice nurse data as at 1 October 1997–99.
⁽⁴⁰⁾ Not applicable.
Source:
Department of Health general and personal medical services statistics.
Department of Health non-medical workforce census.

		1997	1998	1999	2000	2001	2002	2003	Difference 1997–2003
	Total specified organisations	10,694	10,702	10,832	10,467	11,502	12,175	12,348	1,654
5CC	Blackburn with Darwen PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	236	251	313	⁽⁴⁰⁾—
5DD	Morecambe Bay PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	983	990	1,033	⁽⁴⁰⁾—
5F2	Chorley and South Ribble PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	295	333	402	⁽⁴⁰⁾—
5F3	West Lancashire PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	202	205	212	⁽⁴⁰⁾—
5G7	Hyndburn And Ribble Valley PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	52	402	387	⁽⁴⁰⁾—
5G8	Burnley, Pendle And Rossendale PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	123	497	506	⁽⁴⁰⁾—
5HD	Preston PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	50	263	302	⁽⁴⁰⁾—
5HE	Fylde PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	28	142	154	⁽⁴⁰⁾—
5HF	Wyre PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	45	224	229	⁽⁴⁰⁾—
5HP	Blackpool PCT	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	64	284	313	⁽⁴⁰⁾—
Q13	Cumbria and Lancashire SHA	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	1	⁽⁴⁰⁾—
QCl	South Lancashire HA	6	5	5	13	5	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
QCX	East Lancashire HA	6	8	14	6	6	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
QCY	North West Lancashire HA	7	7	6	10	20	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RE3	South Cumbria Community and Mental Health NHS Trust	304	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RES	Westmorland Hospital NHS Trust	247	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
REU	Burnley Healthcare NHS Trust	1,382	1,369	1,358	1,364	1,413	1,080	⁽⁴⁰⁾—	⁽⁴⁰⁾—
REV	Lancaster Acute Hospitals NHS Trust	638	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
REW	Lancaster Priority Services NHS Trust	614	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RJP	Southport and Formby Community Health Service NHS Trust	262	255	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RJU	Chorley and South Ribble NHS Trust	701	746	775	772	603	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RJV	West Lancashire NHS Trust	510	504	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RJX	Calderstones Hospital NHS Trust	363	293	250	262	276	275	289	–74
RM8	Furness Hospitals NHS Trust	500	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RMB	Blackburn, Hyndbum and Ribbla Valley Health Care	1,260	1,274	1,547	1,189	1,206	1,161	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RMD	Lancashire Ambulance Service NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	35	72	105	121	⁽⁴⁰⁾—
RME	Communicare NHS Trust	472	483	509	522	387	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RMF	Preston Acute Hospitals NHS Trust	1,272	1,234	1,264	1,256	1,330	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RMG	Guild Community Healthcare NHS Trust	394	436	464	446	455	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RML	Blackpool Wyre And Fylde Community Health Services	845	865	871	868	910	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RMR	Blackpool Victoria	911	939	968	973	1,140	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RTX	Morecambe Bay Hospitals NHS Trust	⁽⁴⁰⁾—	1,471	1,540	1,441	1,529	1,549	1,519	⁽⁴⁰⁾—
RTY	Bay Community NHS Trust	⁽⁴⁰⁾—	813	808	835	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RVT	North Sefton and West Lancashire Community NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	453	475	72	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—
RW5	Lancashire Care NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	1,002	1,021	⁽⁴⁰⁾—
RXL	Blackpool, Fylde And Wyre Hospitals NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	1,497	1,475	⁽⁴⁰⁾—
RXN	Lancashire Teaching Hospitals NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	1,915	1,928	⁽⁴⁰⁾—
RXR	East Lancashire Hospitals NHS Trust	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	⁽⁴⁰⁾—	2,143	⁽⁴⁰⁾—

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