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Diagnostic and Treatment Centres

Mr. Dobson: To ask the Secretary of State for Health what the cost to the NHS per patient is for each contract placed by the NHS with private sector diagnostic and treatment centres; and against what NHS comparator each was assessed. [220339]

Mr. Hutton [holding answer 7 March 2005]: Wave 1 independent sector treatment centre (ISTC) providers are paid according to the contracted payment mechanism based on a price per procedure. In 2003–04, it is estimated that procedures purchased under the ISTC programme cost on average 9 per cent. more than the national health service equivalent cost, using NHS tariff as the base for the equivalent cost calculation. We are engaged in independent sector procurement to provide choice, contestability and additional capacity to reduce waiting times.

Great North Air Ambulance Service

Mr. Beith: To ask the Secretary of State for Health what discussions his Department has had with the Northumbria Ambulance Trust about the withdrawal of the Great North Air Ambulance Service based at Blyth. [221285]


 
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Miss Melanie Johnson [holding answer 14 March 2005]: The Department has not had any discussion with the Northumbria Ambulance Trust about the withdrawal of the Great North Air Ambulance Service.

Hepatitis

Tim Loughton: To ask the Secretary of State for Health (1) what arrangements are being made to treat the individuals in English prisons who are infected with hepatitis C; [220482]

(2) what measures are in place to identify the number of individuals in English prisons who are infected with hepatitis C. [220484]

Dr. Ladyman [holding answer 10 March 2005]: The Hepatitis C Action Plan for England (June 2004) envisages that prisoners, who are one of the priority groups identified within it, should have equal access to the full range of testing, diagnostic, assessment and treatment services that it specifies.

Information about the number of prisoners with hepatitis C is not collected centrally. Prisons and their national health service partners draw up, and regularly review, prison health delivery plans within which prisoners' health care needs are assessed, prioritised resources allocated and delivery monitored.

Hospital-acquired Infections

Mr. Mark Field: To ask the Secretary of State for Health (1) how many London acute trusts undertake post-discharge surveillance for hospital acquired infections; [221018]

(2) which London acute trusts have separate budgets for infection control; and what those budgets are, broken down by acute trust; [221019]
 
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(3) what the infection control nurses to bed ratio was in acute trusts in London on the latest date for which figures are available. [221021]

Miss Melanie Johnson: This information is not available centrally.

Mr. Beith: To ask the Secretary of State for Health how many cases of hospital-acquired MRSA have been reported at (a) Berwick Infirmary, (b) Alnwick Infirmary, (c) Rothbury Community Hospital and (d) Wansbeck General Hospital in the most recent period for which figures are available. [220373]

Miss Melanie Johnson [holding answer 10 March 2005]: The information is not available in the format requested. The number of reported methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections for Northumbria Healthcare National Health Service Trust from April to September 2004 was 27.

Mr. Gill: To ask the Secretary of State for Health how many cases of MRSA were found in (a) the University Hospitals of Leicester NHS trust and (b) in all hospitals in each year since 1996. [220615]

Miss Melanie Johnson [holding answer 8 March 2005]: Data for methicillin resistant Staphylococcus aureus (MRSA) bacteraemias in national health service acute trusts has only been collected on a mandatory basis since 2001. It is published in six-monthly periods (April to September and October to March). The number reported from the University Hospitals of Leicester NHS trust and for all acute trusts in England is shown in the table.
University Hospitals LeicesterEngland
April to September 2001803,598
October 2001 to March 2002833,651
April to September 2002623,574
October 2002 to March 2003823,799
April to September 2003693,744
October 2003 to March 2004633,940
April to September 2004593,519

The figures for England for April to September 2004 show a 6.3 per cent. reduction compared with the same period for 2003.

IT Projects

Dr. Murrison: To ask the Secretary of State for Health how much Atos Origin has been paid to date for the development and provision of the full choose and book system; and what monthly payment is currently being made to the company. [220863]

Mr. Hutton: Total payments to date to Atos Origin relating to the development, delivery and maintenance of the core choose and book service total £15,699,795.

A fixed monthly payment of £715,075 is made to the company for ongoing maintenance and management services.

Meat Hygiene

David Taylor: To ask the Secretary of State for Health how many meat plants with a Hazard Analysis Critical
 
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Control Point plan have been prosecuted for breaching UK Hygiene Regulations in each year between 2000 and 2004. [219009]

Miss Melanie Johnson: The relevant legislation requires all licensed fresh meat and poultry meat plants in Great Britain and Northern Ireland to have hazard analysis critical control point (HACCP) plans in place. This requirement had to be implemented in large plants by 7 June 2002 in England, Scotland and Wales and by 15 July 2002 in Northern Ireland: and across all small plants by 7 June 2003.

The total number of licensed fresh and poultry meat plants prosecuted under United Kingdom meat hygiene legislation with a HACCP plan in place at the time the offence occurred since this statutory requirement came into force is shown in the table.
Great BritainNorthern Ireland
200200
200320
2004(8)01


(8) The figure for 2004 is provisional as a number of investigations into offences reported in 2004 have yet to be concluded.


NHS Expenditure

Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 1 February 2005, Official Report, column 888W, on NHS expenditure, what information on NHS regional and strategic health authority budgets since 1997 has been validated. [215994]

Mr. Hutton [holding answer 10 February 2005]: Expenditure on administration, and total expenditure, by national health service region, at 2003–04 prices (in thousands of pounds), between 1997–98 and 2000–01, is shown in the following tables.
£000

1997–98
1998–99
RegionAdministrationTotal expenditureAdministrationTotal expenditure
Northern and
Yorkshire
263,6804,530,991269,9204,818,392
Trent224,3563,606,348226,7733,808,438
West Midlands235,2563,697,458239,2863,896,059
North West297,8174,753,555286,1005,080,647
Eastern199,3773,422,432192,7843,611,134
London412,8015,803,466457,0716,204,313
South East342,1305,604,306321,6405,838,039
South West174,5123,290,983185,7563,409,326

£000

1999–2000
2000–01
RegionAdministrationTotal expenditureAdministrationTotal expenditure
Northern and
Yorkshire
273,9355,462,085283,3225,766,407
Trent219,7014,318,500228,0824,532,084
West Midlands240,3904,335,469249,8654,550,790
North West281,4105,809,534300,8626,312,317
Eastern241,1664,101,533235,3654,380,406
London474,2267,118,785451,2017,705,034
South East337,8156,703,755363,9887,095,852
South West192,1713,888,130202,2184,372,124









 
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Expenditure on administration, and total expenditure, by strategic health authority (SHA) area, at 2003–04 prices (in thousands of pounds) for 2001–02, is shown in the following table.
£000

2001–02
SHA areaAdministrationTotal expenditure
Avon, Gloucestershire and Wiltshire102,1951,959,135
Bedfordshire and Hertfordshire77,1371,674,582
Birmingham and the Black Country128,4042,534,182
Cheshire and Merseyside107,9592,453,646
County Durham and Tees Valley56,2381,149,103
Cumbria and Lancashire113,1332,084,557
Dorset and Somerset57,3781,436,201
Essex75,7321,347,326
Greater Manchester156,2732,605,624
Hampshire and Isle of Wight73,4301,706,428
Kent and Medway80,3021,373,794
Leicestershire, Northants and Rutland54,8601,253,267
Norfolk, Suffolk and Cambridgeshire119,1781,939,973
North and East Yorkshire and North
Lincolnshire
65,5941,458,122
North Central London101,8041,441,377
North East London94,7721,686,092
North West London128,2552,085,940
Northumberland, Tyne and Wear71,2921,497,303
Shropshire and Staffordshire59,3221,453,177
South East London107,1931,736,797
South West London66,9741,336,071
South West Peninsula64,6591,433,649
South Yorkshire84,9161,415,297
Surrey and Sussex126,1082,485,046
Thames Valley109,7791,805,204
Trent168,1082,617,750
West Midlands South69,0471,367,553
West Yorkshire104,1732,039,883




Notes:
1. Figures for 2002–03 are not available.
2. Figures for 2003–04 are currently being validated.
3. NHS regions no longer existed from 2001–02. Figures quoted are based on nominal strategic health authority area, even though SHAs did not come into being until the following year.
4. Total expenditure is taken from audited health authority accounts 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.
5. Total NHS expenditure cannot be identified by regional or health authority area because 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. The majority of pharmaceutical services expenditure is accounted for by the Prescription Pricing Authority and not by health authorities or primary care trusts.
6. All figures are based on returns submitted by individual NHS organisations. These returns are signed off by the directors of finance of the NHS organisations and audited by auditors appointed by the Audit Commission.
Sources:
Audited accounts of the health authorities 1997–98 to1998–99.
Audited summarisation forms of the health authorities 1999–2000 to 2000–01.
Audited summarisation schedules of the primary care trusts 2000–01, 2001–02.
Audited summarisation schedules of the NHS trusts 1997–98 to 2001–02.
Her Majesty's Treasury gross domestic product deflator.




 
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