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Health Care Demand (London)

Mr. Dismore: To ask the Secretary of State for Health what estimate she has made of projected population growth in each London strategic health authority area; what assessment she has made of the likely additional demands placed on the NHS as a result is expected to be; what resources she estimates will be needed to meet the projected increased demand; and if she will make a statement. [7065]

Jane Kennedy: The projected population growth for primary care trusts (PCTs) in each London strategic health authority (SHA) area is shown in the table.

Population projections, produced by the Office of National Statistics (ONS), were used to inform the latest round of revenue allocations to PCTs for 2006–07 and 2007–08. In addition, as population projections do not take account of changes in Government policy, such as the growth area initiative, the 2006–08 allocations include a growth area adjustment for PCTs in the Office of the Deputy Prime Minister (ODPM) growth areas. This adjustment is based on the additional increase in population, over and above ONS population projections, which is due to the growth area initiative.

PCT allocations reflect the demands of a growing population because the population figures used as the basis of PCT target allocations include the expected growth in population.
2006 population projection plus growth area population2007 population projection plus growth area population
North Central London SHA
Haringey Teaching(93)LSCP235,198235,281
North East London SHA
Barking and Dagenham(94)TG171,478173,322
City and Hackney Teaching(93)LSCP233,273235,556
Tower Hamlets(94)TG215,902218,725
Waltham Forest(93)LSCP228,998229,531
North West London SHA
Brent Teaching271,401270,065
Hammersmith and Fulham175,179176,139
Kensington and Chelsea205,709211,514
South East London SHA
Bexley Care Trust(94)TG210,530211,522
Greenwich Teaching(94)TG241,019243,389
South West London SHA
Richmond and Twickenham188,266190,768
Sutton and Merton366,747369,030

(93)LSCP: London, Stansted, Cambridge and Peterborough
(94)TG: Thames Gateway

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Mr. Dismore: To ask the Secretary of State for Health what estimate she has made of the demands made by the transient population in London in the health service; and if she will make a statement. [7066]

Jane Kennedy: The funding of health care for English registered patients receiving health care in London remains with the primary care trust (PCT) where they are registered. The arrangements in place for the funding and reimbursement of the costs of treating patients away from their home are available on the Department's website at:

Under these arrangements, the treating trust invoices the patient's responsible PCT. We reimburse trusts for providing care for charge exempt overseas patients, and other overseas visitors that are not charge exempt should be charged by the trust.

Health Services Administration (Birmingham)

John Hemming: To ask the Secretary of State for Health what bodies for administering health services covering the Birmingham area have been (a) created and (b) abolished since 1985. [1837]

Ms Rosie Winterton: In 1985, the Birmingham area was served by the Central Birmingham, East Birmingham, West Birmingham, South Birmingham and North Birmingham district health authorities (DHAs). In addition, Birmingham was also served by
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the Birmingham family practitioner committee (FPC) until 1990 when FPCs were superseded by family health services authorities (FHSAs). The Birmingham FHSA was formed in 1990 and was subsequently abolished in 1995 following the merger of FHSAs with health authorities.

The Central Birmingham DHA was abolished in 1991. However, the East Birmingham, West Birmingham, South Birmingham and North Birmingham DHAs remained in existence until 1994 when the North and South Birmingham DHAs were formed. These two health authorities were merged in April 1996 to form the Birmingham Health Authority.

Primary care trusts (PCTs) were established in 2002 and took over the role of the former HAs, which were abolished with effect from 31 March 2002. Since that date the following PCTs have been responsible for commissioning health services for residents in the Birmingham area; Eastern Birmingham PCT, Heart of Birmingham Teaching PCT, North Birmingham PCT and South Birmingham PCT.

The West Midlands Regional Health Authority (RHA) was also in existence in 1985 until 31 March 1996 when the roles and functions of RHAs were transferred to the regional offices of the Department. The Regional Offices were subsequently abolished on 31 March 2003, prior to which strategic health authorities (SHA) had been set up on 1 April 2002. The Birmingham and the Black Country SHA is the local headquarters of the national health service for the Birmingham and surrounding areas.
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Healthcare and Social Care Commissions

Mr. Burstow: To ask the Secretary of State for Health what changes to primary legislation are required to allow for the merging of the Healthcare and Social Care Commissions. [8243]

Jane Kennedy: The Healthcare Commission and Commission for Social Care Inspection were established by part two of the Health and Social Care (Community Health and Standards) Act 2003.

Merging the two organisations would require either an amendment or a replacement of this legislation and other consequential amendments, for example, to the Care Standards Act 2000.

Hot Weather-related Conditions

Steve Webb: To ask the Secretary of State for Health pursuant to her answer of 14 June 2005, Official Report, column 306W, on hot weather-related conditions, how many hospital admissions in England were given a hot weather-related primary diagnosis, including sunburn, in each year since 1980, broken down by age. [6562]

Caroline Flint: The information requested is shown in the following tables.
Count of discharges based on 10 per cent. samples from hospital inpatient enquiry (HIPE) data for the years 1980–85, ICD-9 primary diagnosis codes—692.7, 992


HIPE is based on a 10 per cent, sample of all hospital admissions. Age-specific data is not available for the years 1989–2004.

Count of all finished admission episodes (FAEs), and FAEs admitted via accident and emergency (ADMIMETH = 21, 28) where primary diagnosis is hot weather related illness including sunburn, split by age group 0 to 14, 15 to 64 and 65+. National health service hospitals in England 1989–90 to 2003–04

All finished admissions
Finished admissions admitted via A and E
Data yearTotal0 to 1415 to 6465+UnknownTotal0 to 1415 to 6465+Unknown

Please be aware that there is a difference in diagnosis coding before 1995–96 as the ICD-10 diagnosis codes came into effect in that year. Therefore, the data between the two periods is not normalised exactly. ICD-10 primary diagnosis codes (1995–96 to 2003–04)=L55, L590, L740, T67, X30 X32, ICD-9 primary diagnosis codes (1989–90 to 1994–95)=692.7, 992.

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