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17 Jan 2005 : Column 801W—continued

Digital Hearing Aids

Simon Hughes: To ask the Secretary of State for Health how many people in (a) North Southwark and Bermondsey, (b) Camberwell and Peckham and (c) Dulwich and West Norwood are on waiting lists for digital hearing aids; and if he will make a statement. [207900]

Dr. Ladyman: This information is not held centrally.

Doctors

Mr. Jim Cunningham: To ask the Secretary of State for Health what methods his Department uses to monitor the performance of doctors. [204840]

Mr. Hutton: Doctors' performance is a matter for their employer to regulate under contract of service.

We have introduced systems of clinical governance, clinical audit and appraisal into the national health service all of which are designed to enable NHS trusts and primary care trusts to scrutinise evidence of an individual doctor's practice.

Free Nursing Care

Mr. Burstow: To ask the Secretary of State for Health what he estimates the average cost per resident will be of free nursing care for older people from 1 April. [208131]

Dr. Ladyman: The total budget for national health service funded nursing care for 2005–06 is £584 million, which amounts to an estimated average of £87 per person, per week.

GPs (Southwark, North and Bermondsey)

Simon Hughes: To ask the Secretary of State for Health how many patients there were for each general practitioner in Southwark, North and Bermondsey on the most recent recorded date; and if he will make a statement. [207901]

Dr. Ladyman: The information requested is shown in the table.
 
17 Jan 2005 : Column 802W
 

Average list size of unrestricted principals and equivalents (UPEs)(22) by PCT in London as at 30 September 2003
Number (headcount)

UPEsPatients of UPEsAverage list size
England28,56852,713,7801,845
London4,1348,357,7832,022
of which:
Q07South East London8801,706,0311,939
TAKBexley Care Trust110220,7482,007
5A7Bromley PCT167316,8191,897
5A8Greenwich PCT108253,1562,344
5LDLambeth PCT189353,9621,873
5LFLewisham PCT149279,8221,878
5LESouthwark PCT157281,5241,793


(22) UPEs include general medical service (GMS) unrestricted principals, personal medical service (PMS) contracted general practitioners and PMS salaried GPs.
Note:
Patient data has been revised from previously published figures
Source:
Department of Health QMS and PMS statistics.



Health Services (Hendon)

Mr. Dismore: To ask the Secretary of State for Health how many general practitioners were practising in Hendon at 31 December (a) 2004 and (b) 1997; and if he will make a statement. [207948]

Dr. Ladyman: The information on general practitioner numbers held by primary care trust (PCT) is shown in the table.
All practitioners (excluding retainers, registrars and locums)(23) for North Central London Strategic Health Authority (SHA) and Barnet PCT
numbers (headcount)

19972001December 2003June 2004
Q05North Central London SHA744751800806
5A9Barnet PCT(24)202211230


(23) All practitioners (excluding registrars, retainers and locums) include general medical service (QMS) unrestricted principals, personal medical service (PMS) contracted GPs, PMS salaried GPs, restricted principals, assistants, salaried doctors (Para 52 SFA), PMS others, flexible career scheme GPs and GP returners.
(24) Not applicable.
Note:
Data as at 30 September 2001–03, 31 December 2003 and 30 June 2004.
Source:
Department of Health GMS and PMS statistics.



Hospital Improvements

Mr. Dismore: To ask the Secretary of State for Health what plans he has to modernise and improve buildings and services at (a) Northwick Park Hospital and (b) the Royal National Orthopaedic Hospital, Stanmore. [207945]

Dr. Ladyman: My right hon. Friend, the Secretary of State approved the strategic outline case (SOC) for the redevelopment of Northwick Park Hospital and St. Mark's Hospital in North Brent on 27 July 2004, as a Private Finance Initiative (PFI) development. The capital value of the scheme is £300 million. The scheme is expected to go out to the Official Journal of the European Union and tender for bidders in early 2006.
 
17 Jan 2005 : Column 803W
 

The Secretary of State approved the SOC for the redevelopment of the Royal National Orthopaedic Hospital on 27 July 2004, as a PFI development. The capital value of the scheme is £121 million. The scheme is expected to go out to Official Journal of the EU and tender for bidders in mid-2005.

Intermediate Care Services

Mr. Burstow: To ask the Secretary of State for Health what plans his Department has to extend the provision of intermediate care services; and if he will make a statement. [208130]

Dr. Ladyman: The NHS Plan announced a significant investment in a major programme to promote independence for older people by developing a wide range of services delivered in partnership with the national health service, social services, the independent sector and the voluntary sector. The programme has resulted in considerable growth in service provision over the 1999–2000 baseline, including:

Parliamentary Questions

Sir Paul Beresford: To ask the Secretary of State for Health when he will reply to the questions tabled by the hon. Member for Mole Valley on 21 December 2004, ref. (a) 206687, (b) 206688 and (c) 206887. [208366]

Ms Rosie Winterton: I replied to the hon. Member on Thursday 13 January.

Pesticide/Cancer Link

Norman Baker: To ask the Secretary of State for Health if he will make a statement on links between exposure to pesticides and the incidence of prostate cancer, with particular reference to the work of the Advisory Committee on Carcinogenicity. [208370]

Miss Melanie Johnson: I refer the hon. Member to the reply given to my hon. Friend the Member for Blaenau Gwent (Llew Smith) on 12 January 2005, Official Report, column 531W.

Prescription Charges

Lynne Jones: To ask the Secretary of State for Health if he will assess the impact of the fairer charging guidance on people with disabilities and older people whose income is just above the guaranteed minimum income level of income support plus 25 per cent. [208241]

Dr. Ladyman: We plan in due course to assess the impact of guidance on 'Fairer charging policies for home care'.

Smallpox Vaccine

Patrick Mercer: To ask the Secretary of State for Health pursuant to the answer of 11 November 2004,
 
17 Jan 2005 : Column 804W
 
Official Report, column 872W, when the Government expects to have enough undiluted doses of smallpox vaccine to cover the entire population. [205881]

Mr. Hutton: We currently have sufficient vaccine to mount a mass vaccination campaign for the United Kingdom population if required to do so. This would involve use of current stocks of both old and new vaccines, which are unlicensed. We have an on-going contract for the supply of licensed vaccine, which will provide sufficient undiluted doses of new vaccine for the entire UK population. Preparations for submission of a licence application for the vaccine are in progress and the vaccine will be supplied after completion of the necessary clinical trials and the granting of a licence.

Southwark Primary Care Trust

Simon Hughes: To ask the Secretary of State for Health what targeted funding hospitals in the Southwark Primary Care Trust area have received for the provision of acute stroke care; and if he will make a statement. [207895]

Dr. Ladyman: In line with our policy of shifting the balance of power, it is for local commissioners and providers to decide how services, including acute stoke care, are funded to meet local needs based upon their knowledge of local priorities.

Simon Hughes: To ask the Secretary of State for Health (1) how many nursing vacancies there are in the Southwark Primary Care Trust area; [207905]

(2) how many nurses are employed in each hospital in the Southwark Primary Care Trust area; and if he will make a statement. [207906]

Dr. Ladyman: The table shows the rate and number of nursing vacancies, and the number of nursing staff in post for England as a whole, South East London Strategic Health Authority (SHA) and Southwark Primary Care Trust (PCT).
NHS three month vacancies, for qualified nursing, midwifery and health visiting staff: three month vacancy rates, numbers and staff in post

3 month vacancy rate-percentage3 month vacancy numberStaff in post (whole-time equivalent)Staff in post (headcount)
March 2004
September 2003
England2.67,508291,925364,692
of which:
South East London
SHA
7.381111,02413,930
of which:
Southwark PCT16.348287346




Notes:
1. Three month vacancy information is as at 31 March 2004.
2. Three month vacancies are vacancies which trusts are actively trying to fill, which had lasted for three months or more (whole time equivalents).
3. Three month vacancy rates are three month vacancies expressed as a percentage of three month vacancies plus staff in post.
4. Percentages are rounded to one decimal place.
5. Staff in post data is from the non-medical workforce census.
Sources:
Department of Health vacancies survey.
Department of Health non-medical workforce census.




 
17 Jan 2005 : Column 805W
 

Simon Hughes: To ask the Secretary of State for Health what recent assessment he has made of bed blocking in hospitals located in the Southwark Primary Care Trust area; and if he will make a statement. [207907]

Dr. Ladyman: Figures for the second quarter of 2003–04 show the total number of patients delayed in an acute hospital bed on any one day, within the Southwark Primary Care Trust area, is eight. This represents a reduction of 75 per cent., compared with the same time last year.

Simon Hughes: To ask the Secretary of State for Health how many general practitioners there were in the Southwark Primary Care Trust area in (a) 2001–02, (b) 2002–03 and (c) 2003–04; and if he will make a statement. [207908]

Dr. Ladyman: The information requested is shown in the table.
All practitioners (excluding registrars, retainers and locums)(25) for Southwark Primary Care Trust, 2001-June 2004

5LENumbers (headcount)
Southwark PCT
2001145
2002142
2003159
June 2004170


(25) All practitioners (excluding registrars, retainers and locums) include general medical service (GMS) unrestricted principals, personal medical service (PMS) contracted GPs, PMS salaried GPs, restricted principals, assistants, salaried doctors (Para 52 SFA), PMS others, flexible career scheme GPs and GP returners.
Data as at 30 September 2001–03 and 30 June 2004.
Source:
Department of Health GMS and PMS statistics.



Simon Hughes: To ask the Secretary of State for Health how many patients in the Southwark primary care trust area waited more than (a) three months, (b) six months, (c) nine months, (d) 12 months, (e) 15 months, (f) 18 months and (g) 24 months for (i) heart operations, (ii) cancer treatment and (iii) hip replacements in each year since 2000–01; and if he will make a statement. [207909]

Dr. Ladyman: The information requested is shown in the following tables.
Count of finished in-year admissions from waiting list and booked cases combined for heart operations. Heart operations defined as OPCS4=K01-K71 in primary operative procedure field. PCT of Residence=5LE (Southwark PCT) NHS hospitals England 2000–01 to 2003–04

Finished in-year admissions
Time waited2000–012001–022002–032003–04
0 to three months348443344496
more than three to six months12910393116
more than six to nine months46291924
more than nine to 12 months2615712
more than 12 to 15 months*87*
more than 15 to 18 months10**
more than 18 to 24 months**
more than 24 months**
Not known11177329




Notes:
1. Due to reasons of confidentiality, figures between one and five have been suppressed and replaced with *.
2. A finished in-year admission is the first period of in-patient care under one consultant within one healthcare provider, excluding admissions beginning before 1 April at the start of the data year. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
3. The main operation is the first recorded operation in the hospital episode statistics (HES) data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for "all operations count of episodes" give a more complete count of episodes with an operation.
4. The primary diagnosis is the first of up to 14 (seven prior to 2002–03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
5. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
6. Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
Source:
HES, Department of Health.




 
17 Jan 2005 : Column 806W
 

Count of finished in-year admissions from waiting list and booked cases combined for cancer treatment. Cancer treatment defined as ICD-10= COO-D48 in primary diagnosis and OPCS4=AOO-X59 in primary operative procedure field. PCT of Residence=5LE (Southwark PCT) NHS hospitals England 2000–01 to 2003–04

Finished in-year admissions
Time waited2000–012001–022002–032003–04
0 to three months1,1171,042901847
more than three to six months147165166175
more than six to nine months69534162
more than nine to 12 months32225433
more than 12 to 15 months628309
more than 15 to 18 months2433**
more than 18 to 24 months77*
more than 24 months***
Not known3588114496




Notes:
1. Due to reasons of confidentiality, figures between one and five have been suppressed and replaced with *.
2. A finished in-year admission is the first period of in-patient care under one consultant within one healthcare provider, excluding admissions beginning before 1 April at the start of the data year. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
3. The main operation is the first recorded operation in the hospital episode statistics (HES) data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for "all operations count of episodes" give a more complete count of episodes with an operation.
4. The primary diagnosis is the first of up to 14 (seven prior to 2002–03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
5. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
6. Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
Source:
HES, Department of Health.




 
17 Jan 2005 : Column 807W
 

Count of finished in-year admissions from waiting list and booked cases combined for hip replacements. Hip replacements defined as OPCS4=W37-W39 and W46-W48 in primary operative procedure field. PCT of Residence=5LE (Southwark PCT) NHS hospitals England 2000–01 to 2003–04

Finished in-year admissions
Time waited2000–012001–022002–032003–04
0 to three months23241530
more than three to six months14152023
more than six to nine months16161816
more than nine to 12 months14142630
more than 12–15 months811188
more than 15–18 months7176*
more than 18–24 months*6**
more than 24 months****
Not known**19*




Notes:
1. Due to reasons of confidentiality, figures between one and five have been suppressed and replaced with *.
2. A finished in-year admission is the first period of in-patient care under one consultant within one healthcare provider, excluding admissions beginning before 1 April at the start of the data year. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
3. The main operation is the first recorded operation in the hospital episode statistics (HES) data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for "all operations count of episodes" give a more complete count of episodes with an operation.
4. The primary diagnosis is the first of up to 14 (seven prior to 2002–03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
5. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
6. Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
Source:
HES, Department of Health.




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