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Mr. Lansley: To ask the Secretary of State for Health what the year-end financial deficits of (a) Buckinghamshire Mental Health NHS Trust, (b) East Sussex Hospitals NHS Trust, (c) Medway NHS Trust, (d) Royal United Hospital Bath NHS Trust, (e) Royal West Sussex NHS Trust and (f) Trafford Healthcare NHS Trust were in (i) 200203, (ii) 200304 and (iii) 200405; whether trusts which have failed to achieve breakeven or a surplus in three consecutive financial years are considered by her Department to have failed in their duty laid out in section 10 of the NHS and Community Care Act 1990; what measures are put in place when a trust fails to achieve the duty laid out in section 10 of the 1990 Act; and if she will make a statement. 
|Final accounts surplus/(deficit)|
|Buckinghamshire Mental Health NHS Trust||(916)||(1,689)||(1,049)|
|East Sussex Hospitals NHS Trust||(1,450)||(1,787)||(4,983)|
|Medway NHS Trust||(967)||2,372||(279)|
|Royal United Hospitals Bath NHS Trust||(24,784)||(1,968)||(946)|
|The Royal West Sussex NHS Trust||(1,349)||(3,572)||(15,483)|
|Trafford Healthcare NHS Trust||2||(744)||(3,490)|
In agreement with the Audit Commission and other audit bodies, this has been clarified by the NHS Finance Manual as a requirement to breakeven over a three-year period, starting from first year of deficit. This period can be extended by agreement with the local strategic health authority (SHA) for up to five years.
Furthermore, the accumulated deficit at the end of the financial year must be material for the trust to be deemed to have failed to breakeven in that year. Material has been clarified as meaning greater than 0.5 per cent. of turnover.
Using these criteria, Medway NHS Trust has achieved its breakeven duty in 200304 and 200405. Similarly, Trafford Healthcare NHS Trust achieved its breakeven duty in 200203 and 200304; its three-year breakeven duty period therefore commenced in 200405.
Compliance with the statutory duty to breakeven is inextricably linked to improving financial performance. Various measures are taken to improve this, the most recent being the announcement of the turnaround teams. Details of the turnaround team process, and the organisations covered is available on the Department' website at: www.dh.gov.uk/assetRoot?04/12/71/88/04127188.pdf.
All national health service organisations have minimum standards of quality they must deliver, including meeting targets for maximum waiting times. These are dramatically better than the standards of the NHS in the past and there can be no trade-off between these quality standards and removing deficits.
8 Feb 2006 : Column 1322W
Dr. Kumar: To ask the Secretary of State for Health how many attacks on NHS staff have been recorded in (a) England, (b) the Tees Valley and (c) Middlesbrough South and East Cleveland constituency, in each year since 1997. 
Jane Kennedy: The information requested has not been collated centrally for the period 199799. Data outlining the estimated number of reported violent incidents collected by the Department for 200001, 200102, 200203 for each strategic health authority (SHA), national health service trust and primary care trust (PCT) in England has been placed in the Library.
In April 2003, the NHS security management service (NHS SMS) was created and assumed responsibility for the issue of tackling violence against NHS staff. The NHS SMS has collected data on the number of physical assaults on NHS staff in England for the period 200405. The figure for assaults on staff who work in mental health or learning disabilities was 43,301. For the acute sector the figure was 11,482 and for the ambulance service the figure was 1,329. Figures on physical assaults in the primary care sector are currently being validated and will be released shortly.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 17 January 2006, Official Report, column 1304W, on NHS tariff uplift, what the NHS tariff uplift (a) will be between 200506 and 200607 and (b) was between 200405 and 200506; and if she will provide a breakdown of the major components contributing to uplift between (i) 200506 and 200607 and (ii) 200405 and 200506. 
|200506 (over 200405 baseline)||200607 (over 200506 baseline)|
|£ million||Percentage||£ million||Percentage|
|Increase in pay and prices|
|Non-pay inflation (prices)||209||0.5||253||0.5|
|Clinical negligence costs||135||0.3||141||0.3|
|Secondary care drugs||213||0.5||287||0.6|
|Revenue cost of capital||92||0.2||218||0.4|
|Gross pay and price increase||1,908||4.2||1,926||3.9|
|Net pay and price increase||1,140||2.5||681||1.4|
|Reform and quality|
|Agenda for change||460||1.0||635||1.3|
|NICE appraisals and clinical guidelines||389||0.9||291||0.6|
|Investment in new capital||156||0.3||103||0.2|
|Total reform and quality||1,145||2.5||1,129||2.3|
|Implementation of the national programme for IT||0||0.0||163||0.3|
|Revaluation of NHS estate||115||0.3||0||0.0|
|Total technical adjustments||115||0.3||0||0.0|
Mr. Stephen O'Brien: To ask the Secretary of State for Health which NHS trusts (a) paid and (b) did not pay 95 per cent. of undisputed invoices within contract terms or 30 days where no terms have been agreed in the last period for which figures are available; and what the total value is of those invoices. 
Mrs. Dorries: To ask the Secretary of State for Health what steps the Government are taking to ensure that general practitioners are adequately trained in the (a) diagnosis and (b) treatment of Parkinson's disease; and if she will make a statement. 
Mr. Byrne: Government do not specify the content of the general practitioner (GP) training curriculum. This is the job of the Postgraduate Medical Education and Training Board (PMETB), which is the competent authority for postgraduate medical training in the United Kingdom. PMETB is an independent professional body.
factual medical knowledge sufficient to enable the doctor to perform the duties of a GP; the ability to apply factual medical knowledge to the management of problems presented by patients in general practice;
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