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17 Oct 2005 : Column 782W—continued

Pregnancy (Low-lying Placenta)

Michael Fabricant: To ask the Secretary of State for Health (1) what assessment (a) she and (b) the National Institute for Health and Clinical Excellence have made of the merits of providing pregnant women at risk with a low lying placenta screening for vasa praevia concurrently with their standard ultrasound examination; [16609]

(2) what research her Department has undertaken into the early diagnosis of vasa praevia in (a) all pregnant women and (b) pregnant women with a low-lying placenta; and if she will make a statement; [16610]
 
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(3) if she will meet the Burton Hospital Trust to discuss their procedures for the diagnosis of vasa praevia in pregnant women; [16611]

(4) what discussions she has had with the National Institute for Health and Clinical Excellence with regard to the diagnosis of vasa praevia in pregnant women; and if she will make a statement. [16612]

Mr. Byrne: As vasa praevia is a very rare condition and technically difficult to detect, even for a highly skilled ultrasonographer with the appropriate specialist equipment (a colour Doppler scanner), routine screening of all pregnant women for vasa praevia is not currently advocated by the Royal College of Obstetricians and Gynaecologists. Neither the national screening committee nor the National Institute for Health and Clinical Excellence (NICE) have made any assessments into screening for this condition.

The Department has not undertaken any research into the early diagnosis of vasa praevia.

I currently have no plans to meet the Burton Hospital Trust to discuss their procedures for the diagnosis of vasa praevia in pregnant women. This is an issue for the trust, which should be informed by best medical practice.

The Department has not had any discussions with NICE with regard to the diagnosis of vasa praevia in pregnant women. We have no plans to refer the topic of vasa praevia to NICE at this time.

Prescriptions (Pre-payment Certificates)

Sarah Teather: To ask the Secretary of State for Health how many pre-payment certificates for prescriptions have been issued in London in each of the last 12 months. [16905]

Jane Kennedy: Information on the number of pre-payment certificates (PPCs) issued for London is not separately identifiable. However, the number of PPCs issued for England, by month for each of the last 12 months is shown in the table.
MonthNumber of PPCs
2004October92,845
2004November83,363
2004December73,876
2005January95,978
2005February81,638
2005March125,477
2005April97,265
2005May82,803
2005June96,670
2005July91,852
2005August83,077
2005September86,549

Pressure Sores

Mr. Oaten: To ask the Secretary of State for Health what assessment she has made of progress against the NHS targets of a 5 per cent. reduction in incidence of pressure sores per annum; what figures she has collected on the incidence of pressure sores since instigation of the target; and if she will make a statement. [16567]


 
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Mr. Byrne: I refer the hon. Member to the reply I gave on 10 October 2005, Official Report, column 231W.

Primary Care Trusts

Mr. Spring: To ask the Secretary of State for Health what the financial outturn for each primary care trust in England was in 2004–05; and if she will make a statement. [16583]

Mr. Byrne: The 2004–05 final outturn figures for each primary care trust in England have been placed in the Library. These figures have been taken from the 2004–05 final accounts.

Mr. Hunt: To ask the Secretary of State for Health (1)how many primary care trusts that inherited deficits of (a) £1 million to £1.999 million, (b) £2 million to £2.999 million, (c) £3 million to £3.999 million, (d) £4 million to £4.999 million and (e) over £5 million from their primary care groups have since come out of deficit; and if she will make a statement; [15535]

(2) what deficit each primary care trust in England inherited from its primary care group; and if she will make a statement. [15537]

Mr. Byrne: Information on any deficits inherited by primary care trusts from primary care groups is not collected centrally.

Mr. Hunt: To ask the Secretary of State for Health what the total funding of primary care organisations has been in each year since 2001, broken down by Government office region; and if she will make a statement. [15536]

Mr. Byrne: The information requested has been placed in the Library.

Private Finance Initiative

Mr. Philip Hammond: To ask the Secretary of State for Health pursuant to the answer of 20 June 2005, Official Report, columns 798–800W, on the private finance initiative, what total value of assets and liabilities for each of the listed private finance initiatives and public private partnerships is recorded on the Government Balance Sheet; what proportion of assets and liabilities is listed; what the accounting treatment is for assets and liabilities; and whether it is compatible with (a) generally-accepted accounting practices and (b) international financial reporting standards. [15961]

Mr. Byrne: National health service accountants and their auditors, who are independent, determine the correct accounting treatment of their organisations' private finance initiative (PFI)/public-private partnership deals by applying independently set United Kingdom Generally Accepted Accounting Practice" (UKGAAP).

In particular, accountants are required to apply FRS5, Reporting the Substance of Transactions" and SSAP21, Leases and Hire Purchase Contracts", and are directed to these standards by chapter eight of the NHS capital accounting manual. Their conclusions are checked through the mandatory independent audit of trust and primary care trust (PCT) financial statements.
 
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National accounts, upon which the fiscal rules are judged, follow the same UKGAAP accounting treatment. Where an asset is provided under a contract that is judged as being off-balance sheet (for example, through a PFI contract or operating lease) then the capital value is not included in measures of public spending but the annual payments do score as public expenditure.

International accounting standards are not currently applicable to the UK public sector, though the financial reporting advisory board is keeping this position under review.

The answer of 20 June 2005, Official Report, columns798–800W, listed schemes of three different types; PFI, NHS local improvement finance trust (LIFT) and independent sector treatment centres (ISTCs), each being a very different type of transaction.

PFI schemes

On the list, five schemes are judged as being on-balance sheet" and will appear on their trusts' balance sheets. Individual NHS trust accounts are not currently consolidated within the Department's resource accounts. NHS trust accounts are, however, brought together in the NHS trust summarised account, which is audited and published by the National Audit Office.
 
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The amounts capitalised are listed in the table. On the opposite side of each trust's balance sheet, there is a corresponding creditor representing amounts expected to be payable in the future.
Commissioning bodySourceCapital value on balance sheet (£000)
Buckinghamshire Hospitals NHS Trust2004–05 accounts44,562
Bromley Hospitals NHS Trust2004–05 accounts114,909
Queen Mary's Hospital Sidcup NHS
Trust
2004–05 accounts4,500
Barnet and Chase Farm Hospitals NHS
Trust
Estimated42,473
Oxleas NHS Trust2004–05 accounts17,612

NHS LIFT schemes

In NHS LIFT schemes, facilities to be made available to the NHS are owned by a local LIFT company and, in accordance with the accounting standards, NHS accountants and their independent auditors treat them as off balance sheet.

The Department does, however, own a small amount of equity in local LIFT companies through PCTs. Amounts of equity listed in PCTs' accounts are listed in the table. In this case, the corresponding creditor is to the general fund.
PCTs owning equityAmount (£000)
Operational NHS LIFT schemes
BarnsleyBarnsley PCT143
Ashton, Leigh and WiganAshton, Leigh and Wigan PCT606
NorfolkNorth Norfolk PCT014
Southern Norfolk PCT014
West Norfolk PCT014
Newcastle and North TyneNewcastle PCT136
North Tyneside PCT097
East LancashireBurnley, Pendle and Rossendale PCT353
Hyndburn and Ribble Valley PCT352
Blackburn and Darwen PCT352
Rowley Regis and Tipton PCT102
Wednesbury and West Bromwich PCT102
Oldbury and Smethwick PCT102
Barking and HaveringBarking and Dagenham PCT202
Havering PCT202
Liverpool and SeftonSouth Sefton PCT044
North Liverpool PCT050
South Liverpool PCT050
Central Liverpool PCT050
NHS LIFT schemes under construction
Camden and IslingtonCamden PCT031
Islington PCT092
Manchester, Salford and TraffordSalford PCT050
South Manchester PCT264
Trafford North PCT088
Birmingham and SolihullEastern Birmingham PCT039
Heart of Birmingham PCT040
North Birmingham PCT039
South Birmingham PCT040
Solihull PCT042
BradfordBradford City PCT112
Airedale PCT112
Bradford South and West PCT112
Cornwall and Isles of ScillyWest of Cornwall PCT001
Central Cornwall PCT041
North and East Cornwall PCT047
HullEast Hull PCT222
West Hull PCT239
Leicester CityLeicester City West PCT136
Eastern Leicester PCT136
North StaffordshireNorth Stoke PCT050
South Stoke PCT087
Staffs Moorlands PCT003
Newcastle-under-Lyme003
Redbridge and Waltham ForestRedbridge PCT210
Waltham Forest PCT210
Barnet, Enfield and HaringeyHaringey PCT007
Enfield PCT001
Barnet PCT000
Brent, Harrow and HillingdonBrent PCT074
Hillingdon PCT074
BristolBristol South and West PCT155
Bristol North PCT155
Bromley, Bexley and GreenwichBromley PCT146
Bexley PCT146
Greenwich PCT170
Colchester and TendringColchester PCT175
Tendring PCT175
Ealing, Hammersmith and HounslowEaling PCT213
Hammersmith and Fulham PCT213
Hounslow PCT212
East Hampshire, Fareham and GosportEast Hampshire PCT091
Fareham and Gosport PCT091
Greater NottinghamGedling PCT186
Nottingham PCT221
Broxtowe and Hucknall PCT283
Rushcliffe PCT001
LeedsLeeds West PCT042
Leeds North West PCT042
Leeds North East PCT042
East Leeds PCT045
South Leeds PCT042
OldhamOldham PCT057
Oxford CityOxford PCT410
PlymouthPlymouth PCT392
Southern DerbyshireDerby Dales and South Derbyshire PCT070
Amber Valley PCT070
Erewash PCT070
Greater Derby PCT070
Central Derby PCT070
St. Helens and KnowsleySt. Helens PCT090
Knowsley PCT090
Halton PCT090
Warrington PCT096
Tees ValleyMiddlesbrough PCT001
Hartlepool PCT001
North Tees PCT123
Durham Dales PCT001
WolverhamptonWolverhampton PCT184
Walsall PCT115

 
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ISTCs

ISTC contracts principally involve the provision of health services to NHS patients, with the capital investment being largely incidental.

The estimated capital costs of the schemes listed in the answer of 20 June sum to around £228 million and are funded by the private sector. Under the relevant accounting standards, these schemes are generally viewed as on-balance sheet. Capital costs will therefore appear as assets on the commissioning authorities' balance sheets, with a corresponding creditor representing amounts that may become due to the private sector.


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