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Mr. Holloway: To ask the Secretary of State for Health what plans she has to reform the NHS systems of redress for individuals who are dissatisfied with the care they have received from the NHS. 
Jane Kennedy: The NHS Redress Bill, which contains provisions for establishing an NHS Redress Scheme, was introduced in the House of Lords on 12 October 2005.
The NHS Redress Scheme is a completely new approach to the handling of clinical negligence cases. Its aims are three-fold:
to provide a real alternative to litigation for the cases that fall within the scheme, including addressing the delays and legal costs that are part and parcel of the current system,
placing the emphasis on putting things right for patients as a matter of course and providing the explanation, apologies and reassurance that patients tell us they want,
contributing to a culture of learning in the national health service, providing impetus for wider service improvement.
For the first time, the patient is at the heart of the process of responding when things go wrong. An NHS Redress Scheme will ensure a simpler and more effective approach to making things right for patients and ensuring that where there has been clinical negligence, the approach supports proper resolution. To be eligible under the scheme, the incident must arise out of a negligent clinical act or omission in connection with the diagnosis of illness, the care or the treatment of a patient, by a healthcare professional. The liability must arise out of hospital services provided as part of the NHS in England or Wales.
However, we expect all NHS patients to benefit from the more open, transparent approach when things go wrong and the proactive response to learning from mistakes.
The detail of how the scheme will work in practice, including the financial limits, time scales, etc, will be included in secondary legislation, which will be published in draft form for consultation following Royal Assent of the NHS Redress Bill.
Tony Baldry: To ask the Secretary of State for Health what steps she plans to take with regards to the NHS trusts which are in deficit and which have not come forward with proposals to eliminate such deficits before the end of the financial year. 
Mr. Byrne: It is the responsibility of strategic health authorities (SHAs) to deliver overall financial balance for their local health communities, and to ensure that each and every body achieves financial balance.
SHAs can agree a recovery plan, which phases the recovery of deficits over a number of years. This would require other national health service organisations, within the health economy, to underspend over the same
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period. Any such arrangements would have to be subject to the agreement of local providers, commissioners and the managing SHA.
To ask the Secretary of State for Health (1) pursuant to the Answer of 12 September 2005, Official Report, column 2735W, on NHS trusts (final accounts), when the figures for 200405 will be published; 
2 Nov 2005 : Column 1150W
(2) pursuant to her Answer of 12 September 2005, Official Report, column 2735W, on final accounts, what the equivalent figures are for 200405. 
Jane Kennedy: The financial position for all national health service organisations, based on the 200405 audited accounts information, was made available on the Department's website on 19 September 2005.
The cumulative breakeven position for NHS trusts in London for 200405 is shown in the table.
|NHS trusts (England), by strategic health authority (SHA) in London||Break-even cumulative position 200405|
|Barking, Havering and Redbridge Hospital NHS Trust||20|
|Barnet and Chase Farm Hospitals NHS Trust||(19,564)|
|Barnet, Enfield and Haringey Mental Health NHS Trust||(757)|
|Barts and The London NHS Trust||(1,054)|
|Bromley Hospitals NHS Trust||28,754|
|Camden and Islington Mental Health and Social Care Trust||2,447|
|Central and North West London Mental Health NHS Trust||5,392|
|Chelsea and Westminster Healthcare Trust||(164)|
|Ealing Hospital NHS Trust||(375)|
|East London and The City Mental Health NHS Trust||235|
|Epsom and St. Helier University Hospitals NHS Trust||(1,736)|
|Great Ormond St. Hospital for Children NHS Trust||1,771|
|Guy's and St. Thomas' NHS Foundation Trust||7,577|
|Hammersmith Hospitals NHS Trust||(18,384)|
|King's College Hospital NHS Trust||(3,766)|
|Kingston Hospital NHS Trust||481|
|London Ambulance Service NHS Trust||75|
|Mayday Healthcare NHS Trust||(65)|
|Newham University Hospital NHS Trust||282|
|North East London Mental Health NHS Trust||333|
|North Middlesex University Hospital NHS Trust||(5,360)|
|North West London Hospitals NHS Trust||(13,546)|
|Oxleas NHS Trust||1,243|
|Queen Elizabeth Hospital NHS Trust||(8,942)|
|Queen Mary's Sidcup NHS Trust||(6,512)|
|Royal Brompton and Harefield NHS Trust||(3,165)|
|Royal Free Hampstead NHS Trust||(13,148)|
|Royal National Orthopaedic Hospital NHS Trust||(3,769)|
|South London and Maudsley NHS Trust||(339)|
|St. George's Healthcare NHS Trust||(23,596)|
|St. Mary's NHS Trust||(4,570)|
|South West London and St. George's Mental Health NHS Trust||401|
|Tavistock and Portman NHS Trust||54|
|The Hillingdon Hospital NHS Trust||(1,295)|
|The Lewisham Hospital NHS Trust||(6,646)|
|The Whittington Hospital NHS Trust||(1,500)|
|West London Mental Health NHS Trust||(1,353)|
|West Middlesex University Hospital NHS Trust||(4,943)|
|Whipps Cross University Hospital NHS Trust||63|
Mr. Lansley: To ask the Secretary of State for Health whether she plans to commission further research on the cost effectiveness of NHS walk-in-centres. 
Mr. Byrne: Following the independent evaluation of the initial national health service walk-in centres, which was published in 2002, a further independent evaluation of more recent NHS walk-in centre models is now under way by Sheffield and Bristol universities and is expected to be published in 2006.
Mr. Paterson: To ask the Secretary of State for Health (1) what the cost of running the National Institute for Health and Clinical Excellence has been in each of the last five years; 
(2) how many people have been employed by the National Institute for Health and Clinical Excellence in each of the last five years. 
Jane Kennedy: I refer the hon. Member to the replies I gave to the hon. Member for Hammersmith and Fulham (Mr. Hands) on 27 June 2005, Official Report, column 1374W, and on 29 June 2005, Official Report, column 1690W. The National Institute for Health and Clinical Excellence (NICE) is an independent body. Figures on the numbers of staff employed by NICE and its accounts can be found in their annual reports on its website at: www.nice.org.uk.
Mr. Paterson: To ask the Secretary of State for Health what discussions she has had with the National Institute for Health and Clinical Excellence regarding the prescription of Herceptin for the treatment of early stage breast cancer. 
Jane Kennedy: Herceptin for early stage breast cancer was referred to the National Institute for Health and Clinical Excellence (NICE) on 21 July 2005. I have received proposals from NICE for a new more rapid assessment process for single drugs and health technologies. I most recently discussed this issue briefly with the chairman and chief executive of NICE at the Institute's annual accountability review on 13 October.
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