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12 Sept 2005 : Column 2707W—continued
Doctors
Mr. Lansley: To ask the Secretary of State for Health if she will make a statement on the impact of changes introduced under Modernising Medical Careers" on the availability of doctors' training posts. [12634]
Mr. Byrne:
Under Modernising Medical Careers", new foundation programmes will be introduced from August this year. There has been no impact on the number of foundation year 1, pre-registration house officer places available, which continue to rise as the number of medical graduates in the United Kingdom
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rises. We remain committed to providing enough training places to deliver the high quality services patients need and expect.
Doctors/Dentists (Remuneration)
Mr. Lansley: To ask the Secretary of State for Health what steps she has taken to address recommendation 2.65 in the Review Body on Doctors' and Dentists' remuneration, Cmd 6463, published in February, on the provision of additional funding for primary care trusts to meet increased costs arising from the impact on community hospitals of the new General Medical Services contract. [7457]
Mr. Byrne: Earlier this year, the Department accepted recommendations made by the NHS Confederation in its report, Pay and Terms and Conditions for Non-Consultant Career Grade Doctors and Doctors Working in Community Hospitals", that local commissioners should determine the most appropriate model for contracting for services in community hospitals, and should negotiate the level of remuneration locally. The action necessary to respond to the review body's recommendation will be decided once more information is available.
Domicilary Care
Mr. Burstow: To ask the Secretary of State for Health pursuant to her answer of 11 July 2005, Official Report, column 721W, on domicilary care, how many of those agencies registered were registered with conditions attached; and what the most common conditions were. [12244]
Mr. Byrne: The conditions for registration of a domiciliary care agency are set out in The Commission for Social Care Inspection (Fees and Frequency of Inspections) Regulations 2004 and the Domiciliary Care Agencies Regulations 2002.
In addition, section 12 (b) of the Care Standards Act 2000 states that an application for registration must give any other information which the registration authority reasonably requires the applicant to give.
I understand from the Chair of the Commission for Social Care Inspection (CSCI) that this information is not currently held centrally. However, CSCI's area offices have access to this information locally.
Drug Treatment Rehabilitation (Devon/Cornwall)
Mr. Streeter: To ask the Secretary of State for Health (1) what steps her Department is taking to ensure that there are adequate places available for patients needing (a) residential and (b) in-patient specialist drug treatment rehabilitation in Devon and Cornwall; [14574]
(2) what estimate she has made of how many additional (a) residential and (b) inpatient specialist drug treatment rehabilitation places are needed to meet demand in Devon and Cornwall. [14576]
Caroline Flint:
The Department has not made a formal assessment of the number of additional residential and in-patient specialist places needed to meet demand in Devon and Cornwall. However, the National Treatment Agency (NTA) has recently undertaken a national
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needs assessment for tier four services—residential rehabilitation and in-patient treatment—and a summary of the report was published in June 2004.
It is the responsibility of primary care trusts, working with local drug action teams, to ensure that the provision of drug rehabilitation services meets the needs of the local community.
Following the NTA's national needs assessment, local needs assessments templates are currently being developed by the NTA, with the final local needs assessments being completed in 2006.
I understand that drug and alcohol action teams in the South West Peninsula have formed a partnership to take forward work on the local needs assessment for in-patient services. A working group has been established to plan the next steps and develop locally existing services.
In 2005–06, the Department will be making available, through the pooled drug treatment budget allocations, £2,635,000 for Devon and £2,388,000 for Cornwall. These are increases of 12.10 per cent. and 18.09 per cent. respectively.
Mr. Streeter: To ask the Secretary of State for Health what the average waiting time is for patients wanting to gain access to (a) residential and (b) in-patient specialist drug treatment in Devon and Cornwall. [14575]
Caroline Flint: Information on waiting times for drug rehabilitation places is published by the National Treatment Agency on a quarterly basis. In March 2005, the average waiting times for residential rehabilitation and in-patient treatment in Devon and Cornwall were as shown in the table.
| Drug and alcohol action team (DAAT) | Waiting time for in-patient treatment | Waiting time for residential rehabilitation |
|---|---|---|
| Devon | 3.4 | (196)n/a |
| Cornwall | (197)n/a | 2.5 |
| Torbay | 16.5 | 3.0 |
| Plymouth | 7.0 | 1.0 |
n/a = not available.
(196)The report of not available for Devon residential rehabilitation is due to the fact that no placements were made in quarter four of 2004–05 with Devon DAAT.
(197)In-patient treatment in Cornwall is reported as not available because there is no patient provision in Cornwall. All clients are referred out-of-county.
Mr. Streeter: To ask the Secretary of State for Health how many (a) residential and (b) in-patient specialist drug treatment rehabilitation places are available in Devon and Cornwall. [14577]
Caroline Flint: Information on the number of residential and in-patient specialist drug treatment rehabilitation places is as follows.
The National Treatment Agency's (NTA) online directory of residential services shows 195 beds in nine residential services in Devon, including Plymouth and Torbay. The 195 beds for rehabilitation services that are quoted refer to beds within the national health service, private or voluntary sectors. It is important to note that if a service chooses not to register with the NTA online
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directory, their beds will not be included in this figure. The directory does not show services listed in the directory based in Cornwall. The NTA regional team is working with Cornwall Drug Action Team to improve drug and alcohol action teams' reporting on residential rehabilitation services.
The NTA advises that the number of in-patient specialist drug treatment rehabilitation places in Devon and Cornwall are as follows:
Cornwall has no dedicated in-patient beds for substance misuse and all in-patient provision for drug misuse is provided out-of-county.
DVT
Mr. Ian Austin: To ask the Secretary of State for Health what estimate she has made of the number of patients who suffered deep vein thrombosis (DVT) as a result of being fitted with a plaster cast in each of the last five years; and what discussion she has had with the National Institute for Health and Clinical Excellence on advice about DVT for people fitted with plaster casts. [12622]
Jane Kennedy: No estimate has been made of the number of patients who suffered deep vein thrombosis as result of being fitted with a plaster cast in each of the last five years.
A National Institute for Health and Clinical Excellence (NICE) clinical guideline on the prevention of venous thromboembolism in patients undergoing orthopaedic surgery and other high risk surgical procedures is due to be published by May 2007.
I refer my hon. Friend to the Government's response to the Health Committee Report on the Prevention of Venous Thromboembolism in Hospitalised Patients. Copies are available in the Library.
E111 Form
Mr. Don Foster: To ask the Secretary of State for Health if she will require airlines flying to EU countries to notify their customers of the changes to the E111 form through (a) their websites and (b) other means; and if she will make a statement. [10189]
Ms Rosie Winterton: A partnership company has been employed to work with a number of key stakeholders, including airlines, to promote the changes to the E111. Promotional material has been sent to all stakeholders, which they are able to use to inform customers of the changes. Further work is being done with key stakeholders to help them inform their customers of the changes to the E111.
Mr. Wallace: To ask the Secretary of State for Health which health conditions and treatments are covered by the E111 scheme. [14590]
Ms Rosie Winterton:
Ellls cover all treatment which becomes medically necessary during a temporary visit to another European Union member state or Switzerland. Treatments are provided on the same basis as to host states' own insured persons.
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Mr. Wallace: To ask the Secretary of State for Health how much funding her Department has received under the E111 scheme since 1995, broken down by (a) year and (b) country. [14595]
Ms Rosie Winterton: The table shows, in resource terms, the estimated costs of treatment provided by the national health service to persons insured in other european economic area (EEA) member states under the terms of Regulations (EEC) 1408/71 and 574/72, and which the United Kingdom has reclaimed from the states concerned. These are claims made under Article93 of Regulation 574/72. This includes treatment provided to temporary visitors with form E111, which constitutes the majority of the costs shown.
(198)Claims against United Kingdom are made in national currency and converted into sterling by using the quarterly mean exchange rates published by the European Commission.
(199)Waiver—means that the UK and the other member state concerned have each agreed to bear the costs of treatment of each other's insured people.
Notes:
1.Figures are based on latest available information and used for resource accounting and budgeting purpose.
2.Figures are in thousands and rounded to the nearest thousand.
Mr. Wallace: To ask the Secretary of State for Health how much funding her Department has paid under the E111 scheme to overseas governments since 1995, broken down by year and country. [14597]
Ms Rosie Winterton:
The table shows, in resource terms, the estimated cost of treatment provided to United Kingdom residents by other european economic area (EEA) member states under the terms of Regulations (EEC) 1408/71 and 574/72. Actual treatment costs under Article 93 of Regulation 574/72 apply both to medically necessary care (E111) and to patients referred specifically for treatment (E112) as well as to some other categories of persons covered. Member states are not required to distinguish by specific E forms in making cost reimbursement claims, but the majority of the costs shown in the table relate to the E111 scheme.
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(200)Claims against the UK are made in national currency and converted in to sterling by using the quarterly mean exchange rates published by the European Commission.
(201)Waiver—means that the UK and the other member state concerned have each agreed to bear the costs of treatment each other's insured people.
Notes:
1.Figures are based on latest available information and used for resource accounting and budgeting purpose.
2.Figures are in thousands and rounded to the nearest thousand.
Mr. Wallace: To ask the Secretary of State for Health how much each NHS trust has spent on treating overseas nationals under the E111 scheme in each year since 1995. [14600]
Ms Rosie Winterton: The information requested is not available.
Mr. Don Foster: To ask the Secretary of State for Health what estimate her Department has made of the number of British citizens who possess E111 forms issued after 19 August 2004; and if she will make a statement. [13886]
Ms Rosie Winterton: Between 19 August 2004 and 30 June 2005, approximately 10.3 million El11s were issued to United Kingdom residents.
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