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Miss McIntosh: To ask the Secretary of State for Health (1) what assessment she has made of the impact of the modernising medical careers training structure on (a) junior and (b) middle-ranking doctors; 
Mr. Byrne: The launch of the foundation programme as the first phase of modernising medical careers (MMC) in August this year saw some senior house officer (SHO) posts converted to SHO equivalent foundation year two posts but this conversion did not affect the overall number of posts available for doctors working at the SHO level.
The MMC proposals for specialist training have yet to be agreed in detail. The proposals would see the gradual phasing out of the SHO grade to be replaced by structured programmes of training leading to the award of a certificate of completion of training.
Current SHOs will not be disadvantaged in the new training system and MMC will be working closely with the Postgraduate Medical Education and Training Board and Medical Royal Colleges to ensure that all are treated fairly.
In the September 2004 census, the number of medically qualified SHOs and equivalents was 20,094 in England. This was an increase of 1,882 (10 per cent.) from the previous year and an increase of 5,514 (38 per cent.) since 1997. The census is a count of doctors on particular salary scales or their equivalents, not a count of doctors with a particular job description. These figures therefore include trust doctors, clinical fellows and other such posts.
Tim Farron: To ask the Secretary of State for Health how many eligible students who applied for NHS bursaries for their courses had not received their bursary by (a) the first week and (b) the first month of their course in 200506. 
Mr. Byrne: I am informed by the NHS Pensions Agency who are responsible for the NHS student grants unit that it is not possible to pay bursaries within one week of the start of their course. The other information requested is not available but I refer the hon. Member to the reply I gave to the hon. Member for Northavon (Steve Webb) today.
Mr. Laws: To ask the Secretary of State for Health how long on average an individual waited when claiming an NHS bursary from the point of application to the point of receiving the allowance in 200405. 
Mr. Byrne: I am informed by the NHS Pensions Agency that for new students in the academic year 200405, the average waiting time from claiming a national health service bursary to payment was 53 days.
Mr. Byrne: The NHS student grants unit is part of the NHS Pensions Agency. The NHS Pensions Agency employs 67 staff (65.71 whole-time equivalent) to deal with applications from national health service bursaries.
In addition, private sector investment through the private finance initiative in national health service facilities is estimated to have reached £4 billion to date. Of the 139 hospital schemes authorised to go-ahead, 56 are complete with 32 under construction. The estimated total value of schemes authorised to proceed is over £19 billion.
|Capital net NHS expenditure|
|Percentage increase||Percentage real terms increase(50)|
|Resource budgeting stage 1(52)|
|Resource budgeting stage 2(53)(5508520054)|
Mr. Lansley: To ask the Secretary of State for Health what spending on the NHS in England has been in (a) real terms and (b) nominal terms in each year since 1990; and what estimate she has made of expenditure on the NHS in England in each year until 200708. 
|A. Net NHS expenditure real in 200405 Prices(55)||B. Net NHS expenditure nominal(55)|
|Resource Budgeting Stage 1(57)|
|Resource Budgeting Stage 2(58)(5508520059)|
Mr. Lansley: To ask the Secretary of State for Health what criteria she uses to determine when she intervenes in individual funding decisions taken by (a) primary care trusts and (b) other NHS bodies; and what steps she is taking to ensure NHS organisations are informed of these criteria. 
Mr. Byrne: Revenue allocations are made directly to primary care trusts (PCTs) and it is for PCTs to determine how to use the funding allocated to them to commission services to meet the health care needs of their local populations.
The Secretary of State would only intervene in funding decisions made at a local level in very exceptional circumstances. There are no pre-determined
12 Dec 2005 : Column 1813W
criteria for intervention; rather it is a matter of judgment and full consideration of the issues in any given situation.
Mr. Burstow: To ask the Secretary of State for Health if she will place in the Library the most recent month's forecast of financial position for each NHS organisation submitted to the Department by each strategic health authority. 
Mr. Byrne: The 200506 forecast financial position at month six for all national health service organisations was announced on 1 December and copies placed in the Library. This information is also available on the Department's website at: www.dh.gov.uk/PublicationsAndStatistics/FreedomOfInformation/ClassesOfInformation/fs/en
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 7 November 2005, Official Report, column 266W, on NHS finance, whether it is her intention that control totals for each strategic health authority are set so that the net sum of control totals nationally is 0; and from which budgets deficits are met when all the control totals set across England add up to a sum of less than 0. 
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