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24 Mar 2005 : Column 1070W—continued
Procurement
Mr. Patrick Hall: To ask the Secretary of State for Health what his assessment is of the progress to date of the Procure 21 procurement process. [223131]
Mr. Hutton: The national health service ProCure21" programme was set up by the Department to drive forward Government policy as set out in Achieving Excellence in Construction (1999)". Through ProCure21", the NHS is delivering facilities:
The programme was rolled out nationally in September 2003. Progress to date is shown in the table.
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| Number | Value | |
|---|---|---|
| Schemes registered | 238 | £2.4 billion |
| Schemes on site | 49 | £475 million |
| Schemes completed | 26 | £90 million |
The National Audit Office report, Improving Public Services through better construction", was published on 15 March 2005. Sir John Bourn concluded that there has been considerable improvement in completing projects to time and cost and that real savings were being delivered by those Departments which had adopted partnering and collaborative approaches to construction. NHS ProCure21" was highlighted as a model of best practice.
Renal Services
Mr. Lansley: To ask the Secretary of State for Health how many paediatric patients have received renal replacement therapy for kidney failure in each year since 1997. [222800]
Ms Rosie Winterton: Latest figures are from the UK Renal Survey for 2002, which shows there were 710 patients receiving renal replacement therapy for kidney failure from paediatric services in England. Comparable historical data are not available. However, the British Association for Paediatric Nephrology report that in the United Kingdom there were 508 patients under 15 years old in 1999, 516 in 2001 and 534 in 2002.
Mr. Lansley: To ask the Secretary of State for Health how many people aged (a) under 26 years, (b) 26–50 years, (c) 51–60 years, (d) 61–70 years and (e) 71 years and over have received kidney dialysis in each year since 1997. [222801]
Ms Rosie Winterton: Data from the last two national surveys of renal services commissioned by the Department show that in 2002 there were 16,394 adults receiving kidney dialysis in England compared with 13,405 in 1998. Detailed and specific information on people receiving kidney dialysis broken down into age groups is not yet available. However, the 2002 survey showed that 27 per cent. of adult patients on renal replacement therapy (dialysis and transplantation) were aged 18–44, 39 per cent. were aged 45–64 and 34 per cent. were aged 65 or older. The survey also shows that half of all new patients are over 65 years when they start renal replacement therapy.
Mr. Lansley: To ask the Secretary of State for Health (1) what central capital funding is being made available to support the expansion of kidney dialysis services; [222802]
(2) how many (a) main renal units and (b) satellite renal units for dialysis there are in England; how many of these have been established since 1997; and what steps he is taking to improve patient access to renal services. [222817]
Ms Rosie Winterton:
£60 million has been made available in the period 2000–01 to 2005–06 for capital investment to support the expansion of renal dialysis services. Data from the last two national surveys of renal services commissioned by the Department show
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that in 1998 there were 52 main renal units in England and 73 satellite units. In 2002, there were 52 main renal units, and the number of satellite units had risen to 101. This does not reflect the full increase in capacity, as additional facilities were also put into existing units; the total number of haemodialysis stations in England rose from 1,890 in 1998 to 2,582 in 2002. Satellite units can be sited to make services available closer to where people live.
Mr. Lansley: To ask the Secretary of State for Health what discussions he has had with the Healthcare Commission on how it intends to audit the implementation of the quality requirements contained within the National Service Framework for Renal Services. [222803]
Ms Rosie Winterton: It is the role of the independent Healthcare Commission to review the provision of health care, including renal services, using criteria that they develop and that the Secretary of State approves. The commission has recently completed a public consultation on their approach to the assessment of health care, and will publish their new approach shortly. In addition, the commission has responsibility for development of the national clinical audit programme, and the development of national clinical audit around renal services fits within that programme of work.
Mr. Lansley: To ask the Secretary of State for Health how many kidney transplant surgeons there have been in the NHS in each year since 1997. [222815]
Mr. Hutton: Information on the number of kidney transplant surgeons is not collected centrally.
Mr. Lansley: To ask the Secretary of State for Health how many patients are waiting for a kidney transplant; and what estimate he has made of the number of patients who have died while waiting for a kidney transplant in each of the last five years. [222816]
Ms Rosie Winterton: The information requested is shown in the tables.
| Status | Kidney | Kidney/pancreas | Total |
|---|---|---|---|
| Active | 5,356 | 96 | 5,452 |
| Suspended | 1,448 | 30 | 1,478 |
| Total | 6,804 | 126 | 6,930 |
(52) As at 13 March 2005
| Total | |
|---|---|
| 2000 | 295 |
| 2001 | 230 |
| 2002 | 270 |
| 2003 | 269 |
| 2004 | 259 |
Note:
These figures may change slightly (especially 2004) as new data is reported
24 Mar 2005 : Column 1073W
Mr. Lansley: To ask the Secretary of State for Health how many kidney transplants have been carried out by the NHS in each year since 1997. [222818]
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Ms Rosie Winterton: The number of kidney transplants carried out by the national health service in each year since 1997 is shown in the table.
(53) Primarily with pancreas.
Royal Shrewsbury Hospital
Mr. Paul Marsden: To ask the Secretary of State for Health if he will list items of equipment at the Royal Shrewsbury hospital which have (a) broken down and (b) required repair since 2001. [223334]
Dr. Ladyman: This information is not collected centrally.
Social Care Work Force
Paul Flynn: To ask the Secretary of State for Health what guidance is offered to (a) public and (b) private sector service providers on the inclusion of knowledge and skills in relation to nutrition and malnutrition in the core training of the social care work force at bands two and three of agenda for change. [223963]
Mr. Hutton: It is the responsibility of social care service providers to ensure that they employ suitably qualified, competent and experienced staff. National occupational standards set out the skills, knowledge and values required and are used as benchmarks for national vocational qualifications. Joint health and social care national occupational standards contain specific standards on meeting nutritional needs.
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