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6 Feb 2006 : Column 979W—continued

Mortality Rates

Andrew Rosindell: To ask the Secretary of State for Health what her policy is on hospitals' publication of mortality rates. [25119]

Jane Kennedy: The Secretary of State supports the publication of information that helps to raise awareness, improve quality and informs patient choice. Where relevant and appropriate, mortality statistics may be published locally, while taking care to safeguard patient confidentiality. Such information should be independently verifiable.

Multiple Sclerosis

Mr. Gray: To ask the Secretary of State for Health (1) how many people with multiple sclerosis are awaiting (a) assessment to determine eligibility for treatment with and (b) prescription for disease modifying therapies following a successful eligibility assessment in each primary care trust; [45941]

(2) what the average waiting time for people with multiple sclerosis between eligibility assessment for treatment using disease modifying therapies, and prescription of the drugs was in each primary care trust in 2004–05; [45942]

(3) how many people with multiple sclerosis are receiving disease modifying therapies in each primary care trust (PCT); and how much prescription of these treatments cost each PCT in the last period for which figures are available. [45943]

Mr. Byrne: The information requested is not held centrally.

Muscular Dystrophy

Anne Milton: To ask the Secretary of State for Health (1) what representations she has received
 
6 Feb 2006 : Column 980W
 
about the provision of electric wheelchairs for people with muscular dystrophy; and if she will make a statement; [46665]

(2) how many people with muscular dystrophy live in (a) Guildford, (b) Waverley and (c) Surrey. [46666]

Mr. Byrne: The Department received a letter on 22 July 2004 regarding the provision of electric wheelchairs for people with muscular dystrophy. I have not received any further representations about this issue.

The information requested is not held centrally.

NHS Contracts (Ofcom Review)

Mr. Pelling: To ask the Secretary of State for Health what progress the Department is making in meeting the Ofcom recommendation for a review of contracts in the NHS for Patientline and Premier. [45484]

Jane Kennedy: I refer the right hon. Member to the ministerial statement made on 19 January 2006, Official Report, column 33WS.

NHS Finance

Mr. Lansley: To ask the Secretary of State for Health further to her statement of 15 November 22005, Official Report, column 849, on NHS finance, if she will publish the analysis from which her statement was derived, with the cost increase between 1999–2000 and 2004–05 broken down by (a) medical secretaries, (b) record keepers, (c) health educators, (d) IT technicians, (e) financial managers, (f) caterers, (g) launderers, (h) cleaners and (i) all other staff; and what proportion of the total NHS budget was spent on administrative staff, as defined in her statement, in (i) 1999–2000 and (ii) 2004–05. [31098]

 
6 Feb 2006 : Column 981W
 

Mr. Byrne: Information on cost increases for the specific staff categories requested is not collected centrally.

The analysis of administration as a proportion of the total national health service budget calculated to 2003–04 is shown in the table.
£000

	1999–2000	2003–04
Administration spend	2,158,000	3,345,000
Total NHS spend	40,201,000	63,001,000
Administration as percentage of NHS spend	5.4	5.3

Administration spend includes administration costs in health authorities and primary care trusts and management costs in NHS trusts ¹ .

NHS Administration Cost figures for 2004–5 are not directly comparable due to a change in collection methods ² .

Sources:

¹ Audited summarisation schedules of health authorities, strategic health authorities, primary care trusts and NHS trusts for 1999–2000 and 2003–04 as appropriate. ² Admin and Clerical figures from Admin and Estates Staffing Costs (cash terms).

	2004–05 (£ million)
Administration spend	3,412
Total NHS spend	69,706
Administration as percentage of NHS spend	4.9

Mr. Lansley: To ask the Secretary of State for Health pursuant to her statement of 15 November 2005,
 
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Official Report, column 849, on NHS finance, if she will provide details on how she calculates administrative costs. [31099]

Mr. Byrne: National health service administration costs were collected centrally from annual accounts returns reported by the NHS. NHS administration cost expenditure was not collected prior to 1996–97 or post 2003–04 in this manner. From 2004–05, NHS administration costs are calculated using administrative and clerical figures from the administration and estates staff costs (cash terms). These figures are not directly comparable.

These figures do not contain NHS foundation trusts (NHSFTs), who report management costs separately to Monitor, the independent regulator for NHSFTs, using the Department's management costs guidance as best practice.

Mr. Lansley: To ask the Secretary of State for Health what the total (a) strategic health authority, (b) NHS trust and (c) primary care trust revenue expenditure was in each year since 1997; how much was accounted for by (i) salaries and wages, (ii) supplies and services-general, (iii) supplies and services-clinical, (iv) establishment expenses, (v) premises and fixed plant, (vi) cost of use of capital assets, (vii) purchase of health care from non-NHS bodies, (viii) external contract staff and (ix) all other major cost areas in each year; and what assessment she has made of how these expenditure streams may develop in the years until 2010. [36434]

Mr. Byrne: The requested information from 1997–98 to 2004–05 is shown in the table. Information is not available up to 2010.
National health service expenditure 1997 to 2005 £000

	1997–98	1998–99	1999–2000	2000–01
Strategic health authorities (SHAs)
Salaries and wages	409,346	428,343	519,520	596,121
Supplies and services-general	2,508	2,560	3,254	2,841
Supplies and services-clinical	7,197	11,375	15,270	13,030
Establishment expenses	57,972	60,787	63,511	76,313
Premises and fixed plant	83,458	88,981	88,683	120,205
Cost of use of capital assets	119,520	74,077	139,756	-41,176
Purchase of health care from non-NHS bodies	985,746	1,108,472	1,166,413	1,328,208
External contract staff and consultancy	24,838	28,537	35,056	42,097
Other expenditure	319,989	586,681	1,222,185	1,447,268
Total revenue expenditure	2,010,574	2,389,813	3,253,648	3,584,907
Primary care trusts (PCTs)
Salaries and wages	—	—	—	121,682
Supplies and services-general	—	—	—	3,792
Supplies and services-clinical	—	—	—	45,183
Establishment expenses	—	—	—	11,994
Premises and fixed plant	—	—	—	13,137
Cost of use of capital assets	—	—	—	5,112
Purchase of health care from non-NHS bodies	—	—	—	33,742
External contract staff and consultancy	—	—	—	916
Other expenditure	—	—	—	22,775
Total revenue expenditure	—	—	—	258,333
NHS trusts
Salaries and wages	15,689,601	16,652,762	18,188,706	19,811,609
Supplies and services-general	631,812	703,501	752,143	796,346
Supplies and services-clinical	2,841,335	3,145,624	3,418,190	3,826,004
Establishment expenses	811,493	843,828	892,723	990,416
Premises and fixed plant	1,476,264	1,468,014	1,460,136	1,646,767
Cost of use of capital assets	945,639	998,614	2,301,450	1,160,915
Purchase of health care from non-NHS bodies	122,436	121,954	134,784	187,190
External contract staff and consultancy	110,722	93,072	93,304	105,853
Other expenditure	689,014	1,330,337	1,808,515	1,632,415
Total revenue expenditure	23,318,316	25,357,706	29,049,951	30,157,515

 
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	2001–02	2002–03	2003–04	2004–05
Strategic health authorities (SHAs)
Salaries and wages	603,852	178,475	161,000	203,494
Supplies and services-general	6,900	1,782	582	696
Supplies and services-clinical	20,421	1,298	1,050	909
Establishment expenses	83,313	21,866	20,604	23,863
Premises and fixed plant	114,419	43,186	31,970	30,471
Cost of use of capital assets	-36,230	4,003	5,193	2,766
Purchase of health care from non-NHS bodies	1,136,793	27,234	3,329	0
External contract staff and consultancy	66,855	19,648	17,278	15,620
Other expenditure	1,497,339	2,908,293	3,255,278	3,446,986
Total revenue expenditure	3,493,662	3,205,785	3,496,284	3,724,805
Primary care trusts (PCTs)
Salaries and wages	1,487,000	4,365,127	4,845,299	5,750,413
Supplies and services-general	51,895	157,033	146,496	124,285
Supplies and services-clinical	143,798	348,936	357,501	325,803
Establishment expenses	115,116	348,622	407,454	425,876
Premises and fixed plant	105,079	354,216	392,468	397,066
Cost of use of capital assets	82,767	216,755	231,932	252,550
Purchase of health care from non-NHS bodies	409,936	1,184,372	2,903,763	3,353,036
External contract staff and consultancy	16,090	59,154	53,101	55,925
Other expenditure	251,268	2,043,987	764,705	630,036
Total revenue expenditure	2,662,949	9,078,202	10,102,719	11,314,990
NHS trusts
Salaries and wages	21,120,826	21,368,230	23,553,819	24,020,430
Supplies and services-general	814,984	785,673	832,940	661,264
Supplies and services-clinical	4,141,182	4,463,604	4,966,667	3,911,597
Establishment expenses	996,554	926,965	978,122	868,706
Premises and fixed plant	1,644,660	1,534,385	1,553,125	1,433,187
Cost of use of capital assets	1,171,855	1,320,214	1,379,788	1,321,260
Purchase of health care from non-NHS bodies	246,239	338,172	408,800	312,988
External contract staff and consultancy	125,948	149,438	157,425	135,150
Other expenditure	810,494	1,065,124	997,102	754,939
Total revenue expenditure	31,072,742	31,951,805	34,827,788	33,419,521

Notes:
1. Data from financial returns. Although data is not audited, it is reconciled to figures in the audited accounts.
2. 2004–05 NHS trust figures do not contain NHS foundation trusts.
3. 2004–05 data is still subject to amendment, although significant changes are unlikely.
4. 2004–05 financial returns data has been used to answer parliamentary questions.

Mr. Quentin Davies: To ask the Secretary of State for Health what proportion of the incremental funding available to the NHS since 1997 has been spent on (a) higher wages, (b) shorter working hours, (c) administrative costs including contractors, consultants and external legal expenses and (d) incremental medical services provided to patients. [42187]

Mr. Byrne: The table gives details of the attribution of additional resources spent across the national health service since 1997.
 
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	Cash accounting increase 1997–98 to 2000–01	Stage two resource accounting increase 2000–01 to 2004–05
Real increase in total NHS DEL(43) (£ billion)	7.6	20.0
Apportionment of Increase:
Staff and pay(44)(45) (Percentage)	47	53
Of which:
Higher wages (Percentage)	33	29
Additional staff (Percentage)	13	23
Drugs (Percentage)	17	13
Others(46) (Percentage)	36	34

⁽⁴³⁾ Figures calculated in 2004–05 prices by applying Gross Domestic Product deflator.
⁽⁴⁴⁾ From 2003–04 onwards, the Departmental Expenditure Limit (DEL) for the Department was increased by a switch from the exchequers annually managed expenditure spending to cover the increased costs of pensions. An addition of £1.6 billion was made to the NHS DEL to cover these costs from 2003–04 onwards. While this change affected the overall level of NHS Expenditure, they did not increase or decrease the spending power of the NHS. It is cost neutral. For purpose of comparability, the extra expenditure has been stripped out of pay and included in others.
⁽⁴⁵⁾ Pay has been estimated by combining NHS Accounts information, accounts data for foundation trusts from Monitor, and general medical practice data based on latest information on the new general practitioner contract. Increases in staff are based on census returns, the proportion of extra funds to new staff and pay is based annual comparison of growth in pay bill with growth in NHS staff numbers (weighted by pay).
⁽⁴⁶⁾ Examples of other incremental expenditure include: buildings, equipment, training, research and development, supplies of services.
Note:
This analysis may not be directly comparable to previously published analyses due to revisions to forecasts, estimates and GDP deflators.



 
6 Feb 2006 : Column 985W
 

Mr. Meacher: To ask the Secretary of State for Health what the (a) surpluses and (b) deficits have been of each of the (i) trust and (ii) foundation hospitals in each of the last three years. [43055]

Mr. Byrne: The information on the financial positions of strategic health authorities, primary care trusts and national health service trusts for 1997–98 to 2004–05 is available in the Library.

The forecast outturn position for 2005–06, as submitted by NHS organisations at the mid-year point (month six), is also available in the Library and in addition, is available on the Department's website at: www.dh.gov.uk/PublicationsAndStatistics/FreedomOf Information/ClassesOfInformation/fs/en.

With reference to NHS foundation trusts (NHS FTs), I am advised by the Chairman of Monitor that the Review and Consolidated Accounts of NHS FTs 2004–05 were laid before Parliament on 22 November 2005. These set out the financial performance of each of the 25 NHS FTs in operation during the 2004–05 financial year, the first year in which NHS FTs operated.

I am further advised, that Monitor published its half-yearly update on the performance of NHS FTs on 16 December 2005. Both the review for 2004–05 and the half-yearly update is available on Monitor's website at: www.monitor-nhsft.gov.uk.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 11 January 2006, Official Report, column 732W, on NHS finance, if she will list the 63 NHS organisations which are forecasting the most significant deficits; and what the (a) latest in-year deficit and (b) forecast year-end deficit is in each case. [44242]

Mr. Byrne: The national health service organisations that are forecasting significant deficits at month six of 2005–06 were subject to the first phase of the turnaround teams' baseline assessment. A report on the work of the turnaround teams, which lists these organisations, is available on the Department's website at: www.dh.gov.uk/assetRoot/04/12/71/88/04127188.pdf.
 
6 Feb 2006 : Column 986W
 

The forecast outturn position for 2005–06, as submitted by NHS organisations at the mid-year point (month six), is a net deficit of around £620 million. The 2005–06 month six forecast outturn position for individual NHS organisations (strategic health authorities, primary care trusts and NHS trusts) is also available on the Department's website, and can be accessed at: www.dh.gov.uk/PublicationsAndStatistics/FreedomOfInformation/ClassesOfInformation/fs/en

Copies of this information are available in the Library.

Lynne Featherstone: To ask the Secretary of State for Health what steps the Government are taking to deal with the NHS trusts that are unable to contain their financial deficits; and if she will make a statement. [44418]

Mr. Byrne: It is the responsibility of strategic health authorities (SHAs) to deliver overall financial balance for their local health communities, and to ensure each and every body achieves financial balance. SHAs determine the support needed for their organisations to achieve this objective.

To help restore financial balance in the national health service, in December 2005, turnaround teams were appointed. The turnaround teams will work with SHAs, individual primary care trusts and NHS trusts. Their focus will be on organisations that are forecasting the largest deficits for the current financial year.

Turnaround teams will help to ensure NHS organisations deliver efficiency and quality improvement needed to achieve financial balance and better care for patients.

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