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Primary Care Trusts

Mrs. Dean: To ask the Secretary of State for Health (1) what assessment she has made of the likely impact of the reorganisation of primary care trusts on the commissioning of specialist services, with particular reference to renal services; [29008]

(2) what steps are planned following the reorganisation of primary care trusts to ensure that services which may be under-prioritised by commissioners are effectively provided, with particular reference to renal services. [29009]

Mr. Byrne: A review into commissioning arrangements for specialised services has been set up and asked to report in spring 2006. My right hon. Friend, the Secretary of State, will consider the review group's recommendations at that point. A key objective of the review is to assess the potential impact of national health service system reform on specialised services, including renal services, so as to ensure that proposals keep specialised services commissioning in step with wider NHS reforms and generate consistent arrangements across the country.

Mr. Evans: To ask the Secretary of State for Health how many patients from Ribble Valley were treated by Lancashire primary care trust in Lancashire hospitals in (a) 2003–04 and (b) 2004–05. [33044]

Mr. Byrne [holding answer 29 November 2005]: The available information requested is shown in the table.
Count of finished consultant episodes (FCE) and patients by selected providers of treatment primary care trust responsible for patient in Hyndburn and Ribble Valley and Preston national health service hospitals in England, 2003–04

Provider codeProvider descriptionFCEPatient counts
RXLBlackpool, Fylde and Wyre Hospitals NHS Trust1,249950
RJXCalderstones NHS Trust6(25)
RXREast Lancashire Hospitals NHS Trust32,18717,649
RW5Lancashire Care NHS Trust857631
RXNLancashire Teaching Hospitals NHS Trust36,82022,638
RTXMorecambe Bay Hospitals NHS Trust10994

(25) Due to reasons of confidentiality, figures between one and five have been suppressed.
1. An FCE is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
2. Patient counts are based on the unique patient identifier hospital episodes statistics identification (HESID). This identifier is derived based on patient's date of birth, postcode, sex, local patient identifier and NHS number, using an agreed algorithm. Where data are incomplete, HESID might erroneously link episodes or fail to recognise episodes for the same patient. Care is therefore needed, especially where duplicate records persist in the data. The patient count cannot be summed across a table where patients may have episodes in more than one cell.
3. Figures have not been adjusted for shortfalls in data, that is, the data is ungrossed.
Hospital Episode Statistics (HES), Health and Social Care Information Centre

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Primary Care Trusts (Oxfordshire)

Tony Baldry: To ask the Secretary of State for Health what estimate her Department has made of the likely redundancy costs of (a) reconfiguring primary care trusts (PCT) in Oxfordshire into a single PCT and (b) awarding the contracts to manage such a PCT to the private sector. [20397]

Caroline Flint: In July, we asked strategic health authorities (SHAs) to engage their stakeholders to develop proposals which could then be subject to consultation. The draft proposals from the SHAs were submitted to the Department and have been assessed by an independent external panel against published criteria. The panel has offered its initial comments to Ministers.

These are currently being considered and we will write to SHAs shortly. No decisions on the final configuration of primary care trusts (PCTs) will be taken until after the three-month public consultation exercise, to begin in December. It would not be possible to provide accurate estimates of likely redundancy costs until the final configurations are known.

It is important to note that Thames Valley SHA's proposal to outsource the commissioning function of the newly proposed Oxfordshire PCT will not be considered as part of the consultation process. This is because we want the new PCTs, not the existing organisations, to make decisions on how they handle their responsibilities.

Primary Sclerosing Cholangitis

Mr. Harper: To ask the Secretary of State for Health (1) what assessment she has made of the prevalence of primary sclerosing cholangitis in (a) England and (b) Gloucestershire; [29612]

(2) what steps she is taking to raise awareness amongst health professionals of primary sclerosing cholangitis. [29611]

Mr. Byrne: Estimates on the prevalence of primary sclerosing cholangitis (PSC) in England range between 20 to 90 cases per million of population. No estimates have been made for the prevalence of PSC in Gloucestershire.
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The Department is not responsible for setting curricula for health professional training. However, we do share a commitment with statutory and professional bodies that all health professionals are trained, so that they have the skills and knowledge to deliver a high quality health service to all groups of the population with whom they deal. Post-registration training needs for national health service staff are determined against local NHS priorities, through appraisal processes and training needs analyses informed by local delivery plans and the needs of the service.

Road Traffic Accidents

Kitty Ussher: To ask the Secretary of State for Health what assessment she has made of the relationship between ambulance journey times to hospital intensive care units and survival rates following serious road traffic accidents. [26123]

Mr. Byrne [holding answer 29 November 2005]: Data is not collected centrally on road traffic accidents attended by national health service ambulances and no assessment can be made of the relationship between ambulance journey times and the eventual transfer to hospital intensive care units and survival rates following serious road traffic accidents.

Social Services (Young Adults)

Mr. Neil Turner: To ask the Secretary of State for Health how many younger adult clients per 10,000 younger adults were seen by social services in (a) Inner London local authorities, (b) Outer London local authorities, (c) English metropolitan authorities outside London, (d) Wigan Metropolitan borough council area, (e) Salford city council area, (f) Knowsley metropolitan borough council area, (g) South Tyneside council area, (h) Leeds city council area and (i) Wolverhampton city council area in 2004–05. [29474]

Mr. Byrne: The following table shows the number of adults aged 18 to 64 who were assessed and/or reviewed per 10,000 population by councils with social services responsibilities (CSSRs) in 2003–04 for the areas requested.
Number of adults aged 18–64 who were assessed and/or reviewed per 10,000 population by councils in 2003–04

Councils with social services responsibilitiesNumber of new clients who have been assessed(26) by councils per 10,000 populationExisting clients who have been reviewed(27) by councils per 10,000 population
Inner London
Hammersmith and Fulham7576
Kensington and Chelsea125244
Tower Hamlets46111
City of London95281
Outer London
Barking and Dagenham68137
Richmond upon Thames3977
Waltham Forest8367
Metropolitan districts
Newcastle upon Tyne7980
North Tyneside66151
St. Helens56137
South Tyneside81249

(26) An assessment" is defined as the first assessment for a new client. All subsequent assessments which include a reassessment will be defined as a review.
(27) A review" is an examination of the client's needs for an existing client and must include a (formal) reassessment, irrespective of whether it was a scheduled or unscheduled review.
(28) Data not available.
RAP proforma Al

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