House of Commons Hansard Written Answers for 6 Apr 2005 (pt 27)

6 Apr 2005 : Column 1550W—continued

NHS Finances

Mr. Lansley: To ask the Secretary of State for Health what the level of NHS income from charges was in each year since 1990–91, broken down by income from (a) fees and charges from health authorities, (b) fees

6 Apr 2005 : Column 1551W

and charges from district health authorities, (c) road traffic accident income, (d) fees and charges from NHS trusts, (e) NHS Supplies Authority fees, (f) dental charges, (g) prescription charges, (h) nursing home inspection fees, (i) subsidised dried milk, (j) Medicines Control Agency: licences and inspections, (k) youth treatment service income, (l) NHS Pensions Agency fees, (m) Medical Devices Agency fees, (n) Human Fertilisation and Embryology Authority: licences fees, (o) English National Board for Nursing registration fees and (p) other charges. [222805]

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Mr. Hutton: National health service income figures from fees and charges are shown in the table. The table includes fees and charges to bodies outside the NHS, charges to private and overseas patients and charges to NHS patients.

The only charges to NHS patients are those for dental and prescription charges. The proportion of charges to NHS patients compared with the total fees and charges income has fallen from 54.4 per cent. in 1997–98 to 45.9 per cent. in 2003–04.
Breakdown of NHS income from charges by charge type 1990–91 to 2003–04

£ million
Charges 1990–91 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97

(a) Health authority —fees and charges⁽³⁷⁾ ^, ⁽³⁸⁾ — — — — — — 6.3

(b) District health authorities⁽³⁹⁾^(5507640040) — — — — — 2.3 —

(c) Road traffic accident income⁽⁴¹⁾ — — — — — — —

(d) NHS trusts—fees and charges⁽⁴²⁾ — 5.0 29.8 55.5 110.3 123.4 152.4

(e) NHS supplies authority fees⁽⁴³⁾ — — — — — 50.1 44.1

(f) Dental charges⁽⁴⁴⁾ — — — 367.0 383.3 381.2 383.0

(g) Prescription charges⁽⁴⁴⁾ — — — 265.3 287.2 298.7 295.7

(h) Nursing home inspection fees⁽⁴⁵⁾ ^, ⁽⁴⁶⁾ — — — — — 4.6 5.0

(i) Subsidised dried milk — — — 1.0 1.3 1.6 2.2

(j) Medicines Control Agency—licences and inspections — — — 24.1 25.6 22.4 26.8

(k) Youth treatment service income — — — 4.1 3.5 3.7 3.5

(1) NHS Pensions Agency fees⁽³⁷⁾ — — — — — — —

(m) Medical Devices Agency Fees⁽³⁷⁾ — — — — 1.2 1.5 2.5

(n) Human Fertilisation and Embryology Authority: licence fees — — — 0.8 0.9 1.0 1.5

(o) English National Board for Nursing (ENB): registration fees⁽⁴⁸⁾ ^, ⁽⁴⁹⁾ — — — — — — —

(p) Other⁽⁵¹⁾ 116.2 140.8 157.3 182.0 197.1 211.7 238.2

Total 116.2 145.8 187.1 899.8 1,010.4 1,102.2 1,161.2

Breakdown of NHS income from charges by charge type 1990–91 to 2003–04

£ million
Charges 1997–98 1998–99 1999–2000 2000–01 2001–02 2002–03 2003–04

(a) Health authority —fees and charges⁽³⁷⁾ ^, ⁽³⁸⁾ 67.7 90.1 92.0 113.8 65.8 44.8 29.4

(b) District health authorities⁽³⁹⁾^(5507640040) — — — — — — —

(c) Road traffic accident income⁽⁴¹⁾ — — 30.0 75.8 98.3 105.0 117.6

(d) NHS trusts—fees and charges⁽⁴²⁾ 169.6 216.7 224.2 266.0 268.2 386.1 531.7

(e) NHS supplies authority fees⁽⁴³⁾ 39.1 36.1 20.3 0.4 0.2 0.2 0.8

(f) Dental charges⁽⁴⁴⁾ 388.4 419.6 431.2 453.1 472.1 486.7 483.6

(g) Prescription charges⁽⁴⁴⁾ 320.9 341.3 366.7 386.9 413.1 425.4 428.3

(h) Nursing home inspection fees⁽⁴⁵⁾ ^, ⁽⁴⁶⁾ 4.8 8.8 9.5 9.8 6.2 — —

(i) Subsidised dried milk 2.5 2.6 2.4 2.3 3.0 2.9 —

(j) Medicines Control Agency—licences and inspections 28.1 26.6 29.4 34.1 36.7 41.3 —

(k) Youth treatment service income 4.5 4.7 4.6 0.1 — — —

(1) NHS Pensions Agency fees⁽³⁷⁾ 2.3 6.2 2.2 1.8 1.6 0.9 0.1

(m) Medical Devices Agency Fees⁽³⁷⁾ 0.2 0.2 0.2 0.3 0.4 0.4 —

(n) Human Fertilisation and Embryology Authority: licence fees 1.3 1.4 1.6 1.2 1.6 2.5 3.5

(o) English National Board for Nursing (ENB): registration fees⁽⁴⁸⁾ ^, ⁽⁴⁹⁾ — 1.6 1.6 1.6 — — —

(p) Other⁽⁵¹⁾ 275.0 296.6 315.3 320.3 347.2 372.8 391.1

Total 1,304.4 1,452.5 1,531.3 1,667.5 1,714.4 1,869.0 1,986.0

⁽³⁷⁾ Figures from 2000–01 include charges for primary care trusts (PCTs).
⁽³⁸⁾ Health authorities were established on 1 April 1996 and strategic health authorities on 1 October 2002.
⁽³⁹⁾ Figures were not collected prior to 1995–96.
⁽⁴⁰⁾ District health authorities ceased to exist after 1 April 1996.
⁽⁴¹⁾ Figures were not collected prior to 1999–2000.
⁽⁴²⁾ Figures from 2001–02 includes charges from PCTs.
⁽⁴³⁾ From 2000–01 NHS Supplies Authority split into NHS Purchasing and Supplies Agency and NHS Logistics. All fees for forward years score against the NHS Logistics.
⁽⁴⁴⁾ Dental and prescription charge income prior to 2001–02 drawn from cash data in appropriation accounts. 2001–02 and subsequent years' data drawn from resource data in Summarised Accounts.
⁽⁴⁵⁾ Figures not collected on a consistent basis prior to 1996–97.
⁽⁴⁶⁾ No income generated prior to 1997–98.
⁽⁴⁷⁾⁽⁴⁸⁾ The Agency was established in September 1994.
⁽⁴⁹⁾ Figures prior to 1998–99 are not available.
⁽⁵⁰⁾ In 2001–02 the Department has directed that no ETR fees should be charged and that ETR fees held in reserve should be utilised to fund the ENB's on-going students record function for the final year of its operation.
⁽⁵¹⁾ From April 2002, the National Care Standards Commission (NCSC) regulated nursing homes; health authorities no longer collect the fee income.
⁽⁵²⁾ "Other" contains mainly charges for private patients and overseas visitors but also special health authority fees and charges.
Notes:
1. Information on fees and charges in (a) to (o) has been provided from the audited accounts of NHS bodies and specified NDPBs.
2. Information in (p) has been provided for NHS trusts, PCTs and special health authorities.
3. Information has not been provided for other non-departmental public bodies as accounts for the period are not readily available.
4. The presentation of fees and charges in accounts is not necessarily consistent between years and therefore direct comparisons may not be relevant.
5. The NHS and a number of listed bodies have been subject to reorganisations over the period under question, therefore figures may only be available for limited years.

6 Apr 2005 : Column 1553W

£ million
Charges	1990–91	1991–92	1992–93	1993–94	1994–95	1995–96	1996–97
(a) Health authority —fees and charges⁽³⁷⁾ ^, ⁽³⁸⁾	—	—	—	—	—	—	6.3
(b) District health authorities⁽³⁹⁾^(5507640040)	—	—	—	—	—	2.3	—
(c) Road traffic accident income⁽⁴¹⁾	—	—	—	—	—	—	—
(d) NHS trusts—fees and charges⁽⁴²⁾	—	5.0	29.8	55.5	110.3	123.4	152.4
(e) NHS supplies authority fees⁽⁴³⁾	—	—	—	—	—	50.1	44.1
(f) Dental charges⁽⁴⁴⁾	—	—	—	367.0	383.3	381.2	383.0
(g) Prescription charges⁽⁴⁴⁾	—	—	—	265.3	287.2	298.7	295.7
(h) Nursing home inspection fees⁽⁴⁵⁾ ^, ⁽⁴⁶⁾	—	—	—	—	—	4.6	5.0
(i) Subsidised dried milk	—	—	—	1.0	1.3	1.6	2.2
(j) Medicines Control Agency—licences and inspections	—	—	—	24.1	25.6	22.4	26.8
(k) Youth treatment service income	—	—	—	4.1	3.5	3.7	3.5
(1) NHS Pensions Agency fees⁽³⁷⁾	—	—	—	—	—	—	—
(m) Medical Devices Agency Fees⁽³⁷⁾	—	—	—	—	1.2	1.5	2.5
(n) Human Fertilisation and Embryology Authority: licence fees	—	—	—	0.8	0.9	1.0	1.5
(o) English National Board for Nursing (ENB): registration fees⁽⁴⁸⁾ ^, ⁽⁴⁹⁾	—	—	—	—	—	—	—
(p) Other⁽⁵¹⁾	116.2	140.8	157.3	182.0	197.1	211.7	238.2
Total	116.2	145.8	187.1	899.8	1,010.4	1,102.2	1,161.2

£ million
Charges	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
(a) Health authority —fees and charges⁽³⁷⁾ ^, ⁽³⁸⁾	67.7	90.1	92.0	113.8	65.8	44.8	29.4
(b) District health authorities⁽³⁹⁾^(5507640040)	—	—	—	—	—	—	—
(c) Road traffic accident income⁽⁴¹⁾	—	—	30.0	75.8	98.3	105.0	117.6
(d) NHS trusts—fees and charges⁽⁴²⁾	169.6	216.7	224.2	266.0	268.2	386.1	531.7
(e) NHS supplies authority fees⁽⁴³⁾	39.1	36.1	20.3	0.4	0.2	0.2	0.8
(f) Dental charges⁽⁴⁴⁾	388.4	419.6	431.2	453.1	472.1	486.7	483.6
(g) Prescription charges⁽⁴⁴⁾	320.9	341.3	366.7	386.9	413.1	425.4	428.3
(h) Nursing home inspection fees⁽⁴⁵⁾ ^, ⁽⁴⁶⁾	4.8	8.8	9.5	9.8	6.2	—	—
(i) Subsidised dried milk	2.5	2.6	2.4	2.3	3.0	2.9	—
(j) Medicines Control Agency—licences and inspections	28.1	26.6	29.4	34.1	36.7	41.3	—
(k) Youth treatment service income	4.5	4.7	4.6	0.1	—	—	—
(1) NHS Pensions Agency fees⁽³⁷⁾	2.3	6.2	2.2	1.8	1.6	0.9	0.1
(m) Medical Devices Agency Fees⁽³⁷⁾	0.2	0.2	0.2	0.3	0.4	0.4	—
(n) Human Fertilisation and Embryology Authority: licence fees	1.3	1.4	1.6	1.2	1.6	2.5	3.5
(o) English National Board for Nursing (ENB): registration fees⁽⁴⁸⁾ ^, ⁽⁴⁹⁾	—	1.6	1.6	1.6	—	—	—
(p) Other⁽⁵¹⁾	275.0	296.6	315.3	320.3	347.2	372.8	391.1
Total	1,304.4	1,452.5	1,531.3	1,667.5	1,714.4	1,869.0	1,986.0

NICE Representations

Mr. Gill: To ask the Secretary of State for Health what representations he has received from the National Institute for Clinical Excellence about the provision of (a) Reminyl, (b) Aricept, (c) Exelon and (d) Ebixa treatments by the NHS. [224824]

Ms Rosie Winterton: Ministers have not received any representations from the National Institute for Health and Clinical Excellence (NICE) about these drugs. The Department has, along with other stakeholders, commented on NICE'S recent draft technology appraisal of these drugs. The Department's response was published on 22 March and is available on the Department website (www.dh.gov.uk) and in the Library.

Nurses (Hampshire)

Sandra Gidley: To ask the Secretary of State for Health how many nurses were employed in Hampshire in each of the past 10 years. [224730]

Ms Rosie Winterton: The information requested is shown in the table.
NHS hospital and community health services: qualified nursing, midwifery and health visiting staff within Hampshire and Isle of Wight strategic health authority area for respective years

Headcount
Hampshire and Isle of Wight strategic health authority total Qualified nursing, midwifery and health visiting staff General practitioner practice nurses

1995 9,734 8,977 757

1996 9,663 8,929 734

1997 9,653 8,914 739

1998⁽⁵³⁾ 10,052 9,350 702

1999⁽⁵³⁾ 10,417 9,719 698

2000 10,727 9,903 824

2001 11,393 10,571 822

2002 11,658 10,791 867

2003 13,431 12,564 867

2004 12,603 11,738 865

⁽⁵³⁾ Headcount practice nurse figures are estimated for these years.
Note:
Practice nurse data as at 1 October 1994 to 1999 and 30 September 2000 to 2004
Source:
Department of Health Non-Medical Workforce Census
Department of Health General and Personal Medical Services Statistics

Headcount
	Hampshire and Isle of Wight strategic health authority total	Qualified nursing, midwifery and health visiting staff	General practitioner practice nurses
1995	9,734	8,977	757
1996	9,663	8,929	734
1997	9,653	8,914	739
1998⁽⁵³⁾	10,052	9,350	702
1999⁽⁵³⁾	10,417	9,719	698
2000	10,727	9,903	824
2001	11,393	10,571	822
2002	11,658	10,791	867
2003	13,431	12,564	867
2004	12,603	11,738	865

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