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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
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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
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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.
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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.
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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







Difference 1997–2003
Total specified organisations10,69410,70210,83210,46711,50212,17512,3481,654
5CCBlackburn with Darwen PCT(40)(40)(40)(40)236251313(40)
5DDMorecambe Bay PCT(40)(40)(40)(40)9839901,033(40)
5F2Chorley and South Ribble PCT(40)(40)(40)(40)295333402(40)
5F3West Lancashire PCT(40)(40)(40)(40)202205212(40)
5G7Hyndburn And Ribble Valley PCT(40)(40)(40)(40)52402387(40)
5G8Burnley, Pendle And Rossendale PCT(40)(40)(40)(40)123497506(40)
5HDPreston PCT(40)(40)(40)(40)50263302(40)
5HEFylde PCT(40)(40)(40)(40)28142154(40)
5HFWyre PCT(40)(40)(40)(40)45224229(40)
5HPBlackpool PCT(40)(40)(40)(40)64284313(40)
Q13Cumbria and Lancashire SHA(40)(40)(40)(40)(40)(40)1(40)
QClSouth Lancashire HA655135(40)(40)(40)
QCXEast Lancashire HA681466(40)(40)(40)
QCYNorth West Lancashire HA7761020(40)(40)(40)
RE3South Cumbria Community and Mental
Health NHS Trust
RESWestmorland Hospital NHS Trust247(40)(40)(40)(40)(40)(40)(40)
REUBurnley Healthcare NHS Trust1,3821,3691,3581,3641,4131,080(40)(40)
REVLancaster Acute Hospitals NHS Trust638(40)(40)(40)(40)(40)(40)(40)
REWLancaster Priority Services NHS Trust614(40)(40)(40)(40)(40)(40)(40)
RJPSouthport and Formby Community Health
Service NHS Trust
RJUChorley and South Ribble NHS Trust701746775772603(40)(40)(40)
RJVWest Lancashire NHS Trust510504(40)(40)(40)(40)(40)(40)
RJXCalderstones Hospital NHS Trust363293250262276275289–74
RM8Furness Hospitals NHS Trust500(40)(40)(40)(40)(40)(40)(40)
RMBBlackburn, Hyndbum and Ribbla Valley
Health Care
RMDLancashire Ambulance Service NHS Trust(40)(40)(40)3572105121(40)
RMECommunicare NHS Trust472483509522387(40)(40)(40)
RMFPreston Acute Hospitals NHS Trust1,2721,2341,2641,2561,330(40)(40)(40)
RMGGuild Community Healthcare NHS Trust394436464446455(40)(40)(40)
RMLBlackpool Wyre And Fylde Community
Health Services
RMRBlackpool Victoria9119399689731,140(40)(40)(40)
RTXMorecambe Bay Hospitals NHS Trust(40)1,4711,5401,4411,5291,5491,519(40)
RTYBay Community NHS Trust(40)813808835(40)(40)(40)(40)
RVTNorth Sefton and West Lancashire
Community NHS Trust
RW5Lancashire Care NHS Trust(40)(40)(40)(40)(40)1,0021,021(40)
RXLBlackpool, Fylde And Wyre Hospitals NHS
RXNLancashire Teaching Hospitals NHS Trust(40)(40)(40)(40)(40)1,9151,928(40)
RXREast 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.
Department of Health general and personal medical services statistics.
Department of Health non-medical workforce census.

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