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2 Nov 2005 : Column 1152W—continued

Non-emergency Operations

Harry Cohen: To ask the Secretary of State for Health how many patients in (a) Redbridge, (b) Waltham Forest and (c) England received (i) laser eye surgery, (ii) cataract removal, (iii) bladder keyhole surgery, (iv) coronary artery bypass graft, (v) knee replacement, (vi) hip replacement, (vii) ingrown toenail operations and (viii) varicose vein treatment in the last year for which figures are available; and what the average cost was of each operation to the NHS. [18957]

Mr. Byrne: Data on the costs of national health service hospital services are gathered at healthcare resource group (HRG) level, not at the level of individual procedures. These data are collected as part of the annual reference cost collection.

The table shows the relevant HRG category aligned with the information requested for the following procedures:

All data comes from the 2003–04 reference cost collection.

Information on laser eye surgery" and ingrown toenail operations" is not shown as these costs are not separately identified within the reference cost collection.
Redbridge1Waltham Forest2England


HRG Description




National Average (£)
B13Phakoemulsification Cataract Extraction and Insertion of Lenscataract removal1,5302,491276,004717
B14Non Phakoemulsification Cataract Surgerycataract removal21515,567793
E04Coronary Bypasscoronary artery bypass graft219,2157,131
G13Cholecystectomy >69 or with complications or comorbiditiesbladder keyhole surgery1033111,1092,449
G14Cholecystectomy <70 without complications or comorbiditiesbladder keyhole surgery27911936,4421,723
H04Primary Knee Replacementknee replacement38617846,5855,306
H80Primary Hip Replacement Cementedhip replacement2229036,4674,750
H81Primary Hip Replacement Uncementedhip replacement77366,8524,603
Q11Varicose Vein Proceduresvaricose vein treatment56416143,386967

(51) Barking, Havering and Redbridge Hospitals NHS Trust.
(52) Whipps Cross University Hospitals NHS Trust.
(53) Finished consultant episodes (FCEs) as reported in 2003–04 reference cost collection.


Mr. Lansley: To ask the Secretary of State for Health what representations she has received from (a) NHS bodies and (b) other interested parties regarding the system of making funding available for the provision of return to practice courses; which bodies and parties made such representations; and what the content was of those representations. [18375]

Mr. Byrne: The Department has received a number of representations following the decision to devolve funding.

From 1 April 2004, responsibility for funding the bursaries for nurses returning to work in the national health service was devolved to primary care trusts (PCTs). This gives PCTs the flexibility to determine the appropriate investment for return to practice, working
2 Nov 2005 : Column 1153W
in partnership with strategic health authorities and other local stakeholders. This change coincides with our allocating historic levels of funding to PCTs to ensure the NHS secures the work force necessary to deliver improved services.

For the three-year revenue allocations to cover 2003–04, 2004–05 and 2005–06, PCTs received an average cash increase of 9.22 per cent., 9.55 per cent. and 9.32 per cent. This is an average over the three years of 30.83 per cent. For the recent round of allocations to cover 2006–07 and 2007–08, PCTs received average cash increases of 9.2 per cent. and 9.4 per cent. This is an average over the two years of 19.5 per cent.

Mr. Peter Robinson: To ask the Secretary of State for Health how many (a) nurses and (b) doctors from overseas are working in England following recruitment drives by the Government in their countries, broken down by country. [19561]

Mr. Byrne: We have bilateral agreements or memoranda of understanding with India, Indonesia, Philippines and Spain. We have also recruited doctors from Austria, Germany and Italy.

The number of doctors and nurses registering with the General Medical Council and the Nursing and Midwifery Council respectively since 2001 are shown in the tables.
Number of doctors recruited—including specialist registrars, general practitioners and junior doctors

Year of registration

Number of nurses recruited

Year of registration

These tables relate to registration and therefore do not identify where the individual was employed, in the national health service or independent sector, or even if the individual secured employment in the United Kingdom.

Mr. Hepburn: To ask the Secretary of State for Health how many doctors have been employed in (a) South Tyneside, (b) the North East and (c) England in each year since 1997. [21050]

Mr. Byrne: The number of doctors employed in the national health service in England and the North East is shown in the table. Information is not available centrally for South Tyneside.
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EnglandNorth East

Patient Communication

Mr. Benyon: To ask the Secretary of State for Health what (a) guidelines and (b) procedures her Department has in place to ensure patients who cannot communicate verbally are able to express themselves to staff. [20898]

Mr. Byrne: The Department in partnership with the Disability Rights Commission published You Can Make A Difference", which is available on the Department's website last year at:

This leaflet aims to improve disabled people's experience of hospital services and gives practical suggestions of ways in which national health service staff can meet the needs of disabled service users, including those who cannot communicate verbally.

It is for local authorities and health service providers to determine how best to develop procedures and provide services to meet the needs of individuals.

Patient-led NHS

Tony Baldry: To ask the Secretary of State for Health pursuant to the document Commissioning a Patient-led NHS, what formal consultations are required to be undertaken by the Thames Valley strategic health authority prior to the reconfiguration of primary care trusts. [20405]

Mr. Byrne: Proposals regarding the reconfiguration of primary care trusts were submitted to the Department last week by all 28 strategic health authorities (SHAs), and will shortly be considered by an external panel representing a wide range of stakeholder interests. If the proposals are found to meet the criteria originally specified in Commissioning a Patient-Led NHS", published in July, they will be subject to a full, statutory public consultation. This public consultation will last three months, and will begin in December 2005.

In addition, all SHAs have consulted informally with a wide range of key stakeholder groups in drawing up their initial proposals.

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