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PCT Professional Executive Committees

Mr. Lansley: To ask the Secretary of State for Health which staff groups are represented on the professional executive committees of primary care trusts; whether she expects this composition to change following the reorganisation of primary care trusts; and if she will make a statement. [31012]

Mr. Byrne: The membership of the professional executive committees (PECs) of primary care trusts (PCTs) is as follows:

There are currently no plans to change the composition of PECs. No decisions on the reorganisation of PCTs will be taken until a full three month consultation has been completed.

Premature Babies

John Mann: To ask the Secretary of State for Health whether an assessment of the impact of post traumatic stress and time off work for parents whose premature babies have contracted bronchiolitis or chronic lung disease has been made; and if she will make a statement. [30156]

Mr. Byrne: No assessment has been made by the Department into the impact of post-traumatic stress disorder (PTSD) and work absence on the parents of premature babies who have contracted bronchiolitis or any of the respiratory illnesses associated with the respiratory syncytial virus.

National health service organisations were given guidance on the management of PTSD in adults and children in primary and secondary care by the National Institute for Health and Clinical Excellence (NICE) in March 2005. Local NHS organisations should review
 
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their existing clinical guidelines, care pathways and protocols in the treatment and management of PTSD in the light of this guidance, and revise them accordingly.

The NICE guidance is available on its website at www.nice.org.uk/CG026NICEguideline. This guideline should be used in conjunction with the national service framework for mental health, which is available on the Department's website at www.dh.gov.uk/assetRoot/04/07/72/09/04077209.pdf.

Primary Care Trusts

Mr. Gordon Prentice: To ask the Secretary of State for Health whether it remains her policy to require primary care trusts to divest themselves of their provider status by 2008; and if she will make a statement. [24824]

Mr. Byrne: Any move away from direct provision of service will be a decision for the national health service locally, within the framework to be set out in the forthcoming White Paper and after local consultation with a range of stakeholders including staff. We will support primary care trust (PCTs) who want to make such a change, but we will not instruct PCTs to do it, nor will we impose any timetable. What matters is securing the best services for patients locally, which is what the White Paper will focus on.

Frank Dobson: To ask the Secretary of State for Health whether her Department has withdrawn the July advice to primary care trusts to divest themselves of the staff who provide services to patients. [25614]

Mr. Byrne [holding answer 7 November 2005]: I refer my hon. Friend to the reply I gave my hon. Friend, the Member for Pendle (Mr. Prentice), today.

Mr. Lansley: To ask the Secretary of State for Health if she will make a statement on her policy on the (a) commissioning and (b) provider roles of primary care trusts. [26296]

Mr. Byrne: Any move away from direct provision of services by primary care trusts (PCTs) will be a decision for the local national health service within the framework set out in the forthcoming White Paper and after local consultation, including staff.

We will support PCTs who want to do that, but we will not instruct PCTs to do it, nor will we impose any timetable. What matters is getting the best services for each community—and that is what the White Paper will focus on.

Private Patients

Chris Huhne: To ask the Secretary of State for Health (1) what the total revenue derived from private patients in the NHS was in each of the last 10 years; [31347]

(2) what the total cost of providing private patients with care in NHS hospitals has been in each of the last 10 years. [31348]

Mr. Byrne: The Department does not collect information on the cost of providing private patients with care in national health service hospitals. Income from private patients treated in NHS hospitals are shown in the following table:
 
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£000

Total income from private patients treated in the national health service
1995–96207,448
1996–97235,733
1997–98273,232
1998–99290,840
1999–2000304,826
2000–01316,660
2001–02341,763
2002–03369,073
2003–04386,481
2004–05316,081




Sources:
Audited NHS trust summarisation schedules 1995–96 to 2004–05
Audited primary care trust summarisation schedules 2000–01 to 2004–05
2004–05 figures do not include income for NHS Foundation Trusts



Public Engagement Contracts

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 12 July 2005, Official Report, column 991W, on public engagement contracts, what the value is of the contract tendered to run the consultation exercise Your Health, Your Care, Your Say"; how many and which companies bid for the contract; and on what date it was decided to award the contract to Opinion Leader Research. [18127]

Mr. Byrne: The current value of contract with Opinion Leader Research (OLR) for the Your Health, Your Care, Your Say" consultation is £952,104. Three companies responded to the tender, ICM Research, Market and Opinion Research International (MORI) and OLR. The contract was awarded 25 July 2005.

Public Service Agreements

Mr. Philip Hammond: To ask the Secretary of State for Health how she has defined a personalised care plan for the purposes of measuring the achievement of 2004 public service agreement target number 4. [29806]

Mr. Byrne: A key aim of public service agreement target number 4 is to improve health outcomes for people with long term conditions by offering a personalised care plan for those people with the most complex conditions. The initial focus for achievement of the target has been on the recruitment and training of the case managers who will be responsible for drawing up and agreeing care plans with patients. Further work on defining the care plan and how this should be measured is in progress and the outcome will be shared with the national health service early in 2006.

Quality and Outcomes Framework

David Taylor: To ask the Secretary of State for Health what assessment her Department has made of the impact that the quality and outcomes framework has had on the treatment of conditions which are not covered by quality and outcomes framework clinical indicators, with particular reference to osteoporosis. [29387]

Mr. Byrne [holding answer 17 November 2005]: The Department has commissioned the National Primary Care Research and Development Centre at the University of Manchester to undertake an evaluation of
 
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the impact of the quality and outcomes framework (QOF) on quality of patient care. The study covers three clinical conditions: asthma, angina and type two diabetes, which are all covered by the QOF. However, the range of indicators against which quality of care will be assessed includes some that are outside the QOF; it does not include osteoporosis. This study will be able to assess the extent to which QOF and non-QOF elements of clinical management of these conditions are provided in general practice.

Student Nurses

Daniel Kawczynski: To ask the Secretary of State for Health what steps she is taking to speed up the distribution of NHS bursaries for student nurses. [25440]

Mr. Byrne: I refer the hon. Member to the answer I gave the hon. Member for Billericay (Mr. Baron) on 6 December 2005, Official Report, column 1233W.


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