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NHS Reconfiguration

Mr. Lansley: To ask the Secretary of State for Health what estimate she has made of the total cost of structural reorganisations to primary care trusts and strategic health authorities as set out in her Department's letter of 28 July on commissioning a patient-led NHS. [36344]

Mr. Byrne: Ministers have given the go-ahead for all 28 strategic health authorities (SHAs) to begin local consultations on boundary changes to SHAs and primary care trusts. Consultations started on 14 December for a period of 14 weeks (until 22 March). No decisions on boundary changes will be taken until these local consultations have been completed and their outcomes considered by Secretary of State. Once boundary changes are agreed and new organisational structures determined, the cost of the structural reorganisation can be calculated.

NHS Settlement

Mike Penning: To ask the Secretary of State for Health how much of the £6.1 billion increase in
 
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Total NHS Settlement for 2004–05 was spent on (a) additional or increased salaries, (b) employers national insurance contributions and (c) additional pension contributions and costs; and if she will make a statement. [24726]

Mr. Byrne: The information requested is shown in the table. We cannot determine what proportion of the £6.1billion was spent on additional pension scheme contributions and costs. From 2003–04 to 2004–05, employer pension scheme contributions rose from £3.588 billion to £3.890 billion, subject to audit.
Staff costs expenditure, by English strategic health authorities, primary care trusts and NHS trusts £000

	2003–04	2004–05	Increase
Salaries and wages	25,432,668	25,501,898	69,230
Social security costs	1,794,765	1,868,389	73,624
Pension costs	1,359,634	2,721,225	1,361,591
Total staff costs	28,587,067	30,091,512	1,504,445

Notes:
1.Figures for NHS foundation trusts are not included in 2004–05 as the Department does not collect data from foundation trusts.
2.Salaries and wages: this is the total gross pay of all full and part-time employees. Social security costs: this is the total employer's national insurance contributions net of statutory maternity pay deductions. Pension costs: this is the employer's pension scheme contributions.
Sources:
Audited summarisation schedules of the NHS trusts 2003–04 and 2004–05
Audited summarisation schedules of the primary care trusts 2003–04 and 2004–05
Audited summarisation forms of the strategic health authorities 2003–04 and 2004–05




 
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Mike Penning: To ask the Secretary of State for Health (1) if she will break down the NHS Settlement for 2005–06 allocated to centrally funded initiatives by main budget heading; and if she will make a statement; [24727]

(2) if she will break down the NHS Settlement for 2005–06 allocated to other programmes (including DH Admin) by main budget heading; and if she will make a statement. [24729]

Mr. Byrne: The information requested is shown in the table.

Disposition of programme funds 2005–06	£ millions
Revenue
Centrally funded initiatives services and special allocations	12,518
Personal social services—centrally financed services	259
Personal social services—grants	1,892
Central health and miscellaneous services	1,135
Family health services non discretionary	1,660
Department of Health administration	249
Total	17,713
Capital
National Health Service programme capital	1,989
Centrally funded capital allocations and spending 2005–06	2,314
Central health and miscellaneous services	11
Personal social services—centrally financed services	3
Personal social services—grants	51
Total	4,368

NHS Staff

Mike Penning: To ask the Secretary of State for Health how many (a) nurses, (b) general practitioners, (c) surgeons, (d) ward support staff and (e) administrative staff were employed in the NHS in each year since 1997; what the total share of the budget attributed to each was in each year; and what the projected figures are for 2006. [32190]

Mr. Byrne: The information requested on staff numbers is shown in the tables.
National health service staff in England by each specified staff group as at 30 September each specified year headcount

	1997	1998	1999	2000	2001	2002	2003	2004
All medical staff within the surgical group of specialties	13,394	13,786	14,189	14,594	15,267	16,035	16,892	18,290
of which:
Consultants	4,094	4,186	4,431	4,640	4,893	5,088	5,389	5,754
All general medical practitioners (excluding retainers)(32)(5508580033)	29,389	29,697	29,987	30,252	30,685	31,182	32,593	34,085
Total qualified nursing staff	318,856	323,457	329,637	335,952	350,381	367,520	386,359	397,515
Qualified nursing, midwifery and health visiting staff	300,467	304,563	310,142	316,752	330,535	346,537	364,692	375,371
General practitioner practice nurses(33)(5508580034)	18,389	18,894	19,495	19,200	19,846	20,983	21,667	22,144
Support to clinical staff	283,871	289,363	296,619	307,225	325,890	344,524	360,666	368,285
Healthcare assistants and support staff	181,049	184,480	189,085	194,000	204,925	210,462	221,904	223,526
Other support to clinical staff	23,772	23,466	23,709	24,847	26,691	33,151	29,755	30,086
Administrative support to clinical staff(35)	79,050	81,417	83,825	88,378	94,274	100,911	109,007	114,673
Administrative staff	92,820	93,772	98,283	102,884	108,863	118,000	127,578	137,557
Central functions	70,647	71,079	73,996	77,628	81,439	85,706	92,257	99,831
Manager and senior manager	22,173	22,693	24,287	25,256	27,424	32,294	35,321	37,726

⁽³²⁾General medical practitioners, excluding retainers, includes contracted GPs, general medical service (GMS) others, personal medical service (PMS) others and GP registrars. Prior to September 2004 this group included GMS unrestricted principals, PMS contracted GPs, PMS salaried GPs, restricted principals, assistants, GP registrars, salaried doctors (Para 52 SFA), PMS other, flexible career Scheme GPs and GP returners.
⁽³³⁾Data as at 1 October 1997–99 and 30 September 2000–04.
⁽³⁴⁾Headcount practice nurse figures are estimated for 1998 and 1999 based on the 1997 full-time equivalent to headcount ratio.
⁽³⁵⁾Administrative support to clinical staff are administrative staff who work closely with clinical staff. They are staff such as medical secretaries, patient services staff and ambulance control staff.



 
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Information on expenditure cannot be provided in the format requested. The percentage of total NHS expenditure in England between 1997–98 and 2004–05 for the categories of staff available is shown in the table.
 
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Figures for 2004–05 remain provisional and expenditure by NHS foundation trusts cannot be included; hence the decreases shown.
Total (England) expenditure by staff categories, shown as a percentage of total NHS expenditure^{(36)(5508580037)}

Percentage
	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04	2004–05
Nursing midwifery and health visiting staff	19.1	19.1	19.1	19.0	19.1	18.9	17.3	16.1
Medical staff	8.5	8.8	8.9	9.2	9.4	9.8	10.1	9.5
Healthcare assistants and other support staff	2.8	2.7	2.6	2.5	2.4	2.3	2.1	1.9
Administration and estates staff	8.6	8.5	8.4	8.4	8.5	8.7	8.3	8.3
General practitioners	7.8	7.6	8.4	8.3	7.8	7.5	7.3	8.5

⁽³⁶⁾Data used is in each case the combined expenditure of NHS trusts, health authorities/strategic health authorities, and primary care trusts, where applicable.
⁽³⁷⁾All staff expenditure data, other than for general practitioners, relates to both NHS and non-NHS staff.
Sources:
Audited health authority summarisation schedules 2000–01 and 2001–02.
Audited strategic health authority summarisation schedules 2002–03 and 2003–04.
Audited primary care trust summarisation schedules 2000–01 to 2003–04.
Annual financial returns of the health authorities 1997–98 to 2001–02.
Annual financial returns of the strategic health authorities 2002–03 to 2004–05.
Annual financial returns of the primary care trusts 2000–01 to 2004–05.
Annual financial returns of the NHS trusts 1997–98 to 2004–05.

Future projections depend on the recommendations of pay review bodies which have yet to be made.

Mike Penning: To ask the Secretary of State for Health what the average income from the NHS of (a) a general practitioner, (b) a junior doctor and (c) a nurse was in each year since 1997. [33739]

Mr. Hayes: To ask the Secretary of State for Health what the average income from the NHS was for a (a) general practitioner, (b) dentist, (c) junior doctor and (d) nurse in each year since 1997. [34360]

Mr. Byrne: Figures based on information for general practitioners (GPs) in Great Britain are shown in table1.
Table 1: Average income of GPs 1996–97 to 2003–04

Financial year	Intended average net remuneration (IANR)(£)
1996–97	44,483
1997–98	46,031
1998–99	48,037
1999–2000	52,606
2000–01	54,219
2001–02	56,510
2002–03	61,618
2003–04(38)	67,040

⁽³⁸⁾The IANR equivalent figure for 2003–04 is a forecast agreed by the technical steering committee (TSC), which is a United Kingdom wide committee incorporating representatives from all UK health departments, the NHS Confederation and the British Medical Association.

The estimated average annual net incomes, between 1997–98 and 2004–05, of general dental service (GDS) dentists with a reasonable commitment to the GDS are shown in table 2.
Table 2: Estimated average GDS net income for dentists with a reasonable GDS commitment⁽³⁹⁾, 1997–98 to 2004–05, England and Wales

Financial year	Estimated average net income (£)
1997–98	51,200
1998–99	54,300
1999–2000	55,700
2000–01(40)	(41)59,200
2001–02	60,500
2002–03	63,300
2003–04	66,700
2004–05	70,000

⁽³⁹⁾Dentists with a reasonable commitment to the GDS are defined as dentists with GDS earnings equivalent to at least £40,000 in 1993–94 in fees for treatments and patient capitation. This equivalent is calculated each year by adjusting figures to take into account the effect of fee increases. The equivalent figure for 2004–05 is £59,100.
⁽⁴⁰⁾Commitment payments started in 2001.
⁽⁴¹⁾Figures since 2000–01 use a different methodology to calculate the contribution from other non-fee/capitation payments.
Source:
Department of Health and Health and Social Care Information Centre analysis of Dental Practice Board payments and HMRC tax data.

Figures for junior doctors and nurses are available from 1998 to 2004 as these are the years when the NHS Staff Earnings survey was undertaken.
Average estimated total earnings for doctors in training and their equivalents and qualified nurses and midwives—England £

	Estimated annualised average total earnings
	Doctors in training and their equivalents	Qualified nurses and midwives
1998	31,200	19,600
1999	33,600	21,400
2000	35,000	22,600
2002	44,100	24,500
2004	47,900	26,400

Notes:
1.The NHS Earnings Survey is based on a sample of payroll data from approximately 50 per cent. of NHS trusts.
2.Averages are calculated by dividing total payments by total full time equivalents.
3.Figures are rounded to the nearest £100.
4.Doctors in training and their equivalents. This staff group includes house officers, senior house officers and the registrar group. This staff group contains a number of staff who while working at this level do not hold educationally approved training posts.
Source:
Department of Health's August NHS Staff Earnings Survey (1998 to 2002) and NHS Health and Social Care Information Centre August 2004 NHS Staff Earnings survey.




 
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