House of Commons Hansard Written Answers for 13 Feb 2006 (pt 76)

13 Feb 2006 : Column 1780W—continued

NHS Capital Building Projects

Chris Ruane: To ask the Secretary of State for Health what the total amount spent on capital building projects in the NHS was in real terms at today's prices in each of the last 30 years. [45572]

Mr. Byrne: The total amount of capital expenditure in the national health service over the last 30 years in 2004–05 prices is shown in the table.
NHS capital expenditure: England 1974–75 to 2004–05

Capital net NHS expenditure (£ billion in 2004–05 prices)

Cash

1974–75 Outturn 1.77

1975–76 Outturn 1.90

1976–77 Outturn 1.83

1977–78 Outturn 1.46

1978–79 Outturn 1.49

1979–80 Outturn 1.43

1980–81 Outturn 1.64

1981–82 Outturn 1.81

1982–83 Outturn 1.77

1983–84 Outturn 1.74

1984–85 Outturn 1.82

1985–86 Outturn 1.83

1986–87 Outturn 1.80

1987–88 Outturn 1.68

1988–89 Outturn 1.57

1989–90 Outturn 1.93

1990–91 Outturn 2.09

1991–92 Outturn 2.11

1992–93 Outturn 2.35

1993–94 Outturn 2.08

1994–95 Outturn 2.40

1995–96 Outturn 2.17

1996–97 Outturn 1.62

1997–98 Outturn 1.28

1998–99 Outturn 0.92

1999–2000 Outturn 1.08

RB stage 1

1999–2000 Outturn 1.02

2000–01 Outturn 1.38

2001–02 Outturn 1.87

2002–03 Outturn 2.21

RB stage 2

2003–04 Outturn 2.50

2004–05 Estimated outturn 3.40

		Capital net NHS expenditure (£ billion in 2004–05 prices)
Cash
1974–75	Outturn	1.77
1975–76	Outturn	1.90
1976–77	Outturn	1.83
1977–78	Outturn	1.46
1978–79	Outturn	1.49
1979–80	Outturn	1.43
1980–81	Outturn	1.64
1981–82	Outturn	1.81
1982–83	Outturn	1.77
1983–84	Outturn	1.74
1984–85	Outturn	1.82
1985–86	Outturn	1.83
1986–87	Outturn	1.80
1987–88	Outturn	1.68
1988–89	Outturn	1.57
1989–90	Outturn	1.93
1990–91	Outturn	2.09
1991–92	Outturn	2.11
1992–93	Outturn	2.35
1993–94	Outturn	2.08
1994–95	Outturn	2.40
1995–96	Outturn	2.17
1996–97	Outturn	1.62
1997–98	Outturn	1.28
1998–99	Outturn	0.92
1999–2000	Outturn	1.08

RB stage 1
1999–2000	Outturn	1.02
2000–01	Outturn	1.38
2001–02	Outturn	1.87
2002–03	Outturn	2.21

RB stage 2
2003–04	Outturn	2.50
2004–05	Estimated outturn	3.40

These figures exclude NHS capital projects funded through the private finance initiative.

13 Feb 2006 : Column 1781W

NHS Data Spine

Mr. Carmichael: To ask the Secretary of State for Health how many individuals have access to the NHS data spine; what safeguards are in place to prevent unlawful access to the spine; what audit arrangements are in place to monitor inappropriate access to the spine; what penalties are available for unlawful use of the spine; and what guidance has been issued on the appropriate course of action if individuals are found to have misused the system. [47577]

Mr. Byrne: The national health service data spine is the technical architecture that underpins the NHS care records service in England (NHS CRS). Eventually all national health service staff involved in patient care will have access to the NHS CRS. The level of access granted will depend on their role. As at 31 January 2006 there were about 181,000 users registered for access.

Access depends on the use of a smartcard with photographic identification and a pass code, which can only be obtained upon verification of identity and through a formal user registration process. This process involves being sponsored by an appropriate user registration sponsor from the organisation in which an individual works and includes determining the level of access that individual will have. Access to a patient's care record is limited to only as much information as is needed for the purpose of the job role being performed in relation to the patient.

An audit trail will be maintained of everyone who has accessed a patient's information. Audits will be carried out to identify suspicious behaviour. Anyone trying to look at patient information contrary to their access rights will trigger an automatic alert. A privacy officer will then take action, including telling the patient where appropriate.

NHS staff have a duty of confidentiality to patients, and a contractual obligation to comply with the NHS Code of Conduct on Confidentiality. Accessing the NHS CRS without a legitimate business reason constitutes a breach of the code, which is a disciplinary offence and could lead to dismissal. Patients' rights are also protected under the Data Protection Act 1998, which provides significant penalties for non-compliance.

As part of a major exercise to prepare the NHS for the arrival of the NHS CRS, NHS Connecting for Health are issuing substantial information to frontline NHS staff about the new service, which includes guidance on information governance.

NHS Debt

Mr. Stephen O'Brien: To ask the Secretary of State for Health what the total NHS debt is in relation to private finance initiative projects. [42669]

Mr. Byrne: Private finance initiative (PFI) unitary payments are just one component of a Trust's total expenditure and the PFI expenditure by all operational schemes in 2005–06 is estimated to be about

13 Feb 2006 : Column 1782W

£215 million, considerably below the deficit shown for the first six months of the year.

Figures for foundation trusts are not included.

NHS Earnings

Chris Ruane: To ask the Secretary of State for Health what the average NHS earnings were in real terms at today's prices for (a) consultants, (b) general practitioners, (c) dentists and (d) nurses employed in the NHS in each of the last 30 years. [45570]

Mr. Byrne: The available information is shown in the following tables. Tables 1 and 2 show the average earnings of consultants and qualified nurses band on national health service earnings survey data uplifted to 2004–05 prices. This data is not available prior to 1998–99 and has been collated biannually since 2000–01. Table 3 shows that intended average net income for general practitioners set by the review body doctors and dentists review for the years since 1974–75 in 2004–05 prices. Table 4 shows the estimated average general dental service (GDS) net income for dentists with a reasonable GDS commitment since 1997–98. Figures are not available on a comparable basis for previous years.

Estimated average earnings in real terms for consultants, qualified nurses and midwives earnings in England.
Table 1: Consultant-estimated average earnings—England

£
Average earnings

Cash terms 2004–05 prices

1998–99 65,600 75,100

1999–2000 69,700 78,300

2000–01 71,900 79,700

2001–02 ⁽⁶¹⁾— ⁽⁶¹⁾—

2002–03 83,700 87,700

2003–04 ⁽⁶¹⁾— ⁽⁶¹⁾—

2004–05 94,700 94,700

£
	Average earnings
	Cash terms	2004–05 prices
1998–99	65,600	75,100
1999–2000	69,700	78,300
2000–01	71,900	79,700
2001–02	⁽⁶¹⁾—	⁽⁶¹⁾—
2002–03	83,700	87,700
2003–04	⁽⁶¹⁾—	⁽⁶¹⁾—
2004–05	94,700	94,700

Table 2: Qualified nurses and midwives-estimated average earnings—England

£
Average earnings

Cash terms 2004–05 prices

1998–99 19,600 22,400

1999–2000 21,400 24,000

2000–01 22,600 25,000

2001–02 ⁽⁶¹⁾— ⁽⁶¹⁾—

2002–03 24,500 25,700

2003–04 ⁽⁶¹⁾— ⁽⁶¹⁾—

2004–05 26,400 26,400

⁽⁶¹⁾ No figures are available for these years.
Notes:
1. The earnings survey is based on a sample of approximately 50 per cent. of NHS trusts, derived.
2. Earnings figures are based on monthly payments in August, multiplied by 12 to give annual equivalent amounts.
3. The earnings survey is conducted on a biennial basis from 2000 onwards, hence no figures are available 2001 or 2003.
4. Earnings figures are rounded to the nearest hundred pounds.
5. 2004 equivalent earnings are calculated using HM Treasury Gross Domestic Product Deflator Index.
Source:
NHS Health and Social Care Information Centre NHS Staff Earnings Survey

13 Feb 2006 : Column 1783W

£
	Average earnings
	Cash terms	2004–05 prices
1998–99	19,600	22,400
1999–2000	21,400	24,000
2000–01	22,600	25,000
2001–02	⁽⁶¹⁾—	⁽⁶¹⁾—
2002–03	24,500	25,700
2003–04	⁽⁶¹⁾—	⁽⁶¹⁾—
2004–05	26,400	26,400

Table 3: Intended Average Net Income for General Practitioners, 1974–75 to 2003–04, Great Britain

£
IANI

cash terms In 2004–05 prices

1974–75 6,286 41,801

1975–76 8,735 46,320

1976–77 8,963 41,911

1977–78 9,313 38,328

1978–79 12,146 45,034

1979–80 14,284 45,335

1980–81 16,955 45,536

1981–82 17,970 44,067

1982–83 18,990 43,494

1983–84 20,288 44,426

1984–85 21,815 45,395

1985–86 23,212 45,823

1986–87 24,670 47,197

1987–88 26,840 48,640

1988–89 28,800 48,779

1989–90 31,105 49,184

1990–91 33,630 49,318

1991–92 37,512 51,879

1992–93 40,010 53,629

1993–94 40,610 53,078

1994–95 41,890 53,922

1995–96 43,165 54,047

1996–97 44,483 53,797

1997–98 46,031 54,071

1998–99 48,037 55,001

1999–2000 52,606 59,069

2000–01 54,219 60,094

2001–02 56,510 61,123

2002–03 61,618 64,596

2003–04⁽⁶²⁾ 67,040 68,470

⁽⁶²⁾ Forecast figure.
Note:
IANI relates to all principal GPs (full-time and part-time).

£
	IANI
	cash terms	In 2004–05 prices
1974–75	6,286	41,801
1975–76	8,735	46,320
1976–77	8,963	41,911
1977–78	9,313	38,328
1978–79	12,146	45,034
1979–80	14,284	45,335
1980–81	16,955	45,536
1981–82	17,970	44,067
1982–83	18,990	43,494
1983–84	20,288	44,426
1984–85	21,815	45,395
1985–86	23,212	45,823
1986–87	24,670	47,197
1987–88	26,840	48,640
1988–89	28,800	48,779
1989–90	31,105	49,184
1990–91	33,630	49,318
1991–92	37,512	51,879
1992–93	40,010	53,629
1993–94	40,610	53,078
1994–95	41,890	53,922
1995–96	43,165	54,047
1996–97	44,483	53,797
1997–98	46,031	54,071
1998–99	48,037	55,001
1999–2000	52,606	59,069
2000–01	54,219	60,094
2001–02	56,510	61,123
2002–03	61,618	64,596
2003–04⁽⁶²⁾	67,040	68,470

Table 4:—Estimated average general dental service (GDS) net income for dentists with a reasonable GDS commitment⁽⁶³⁾, 1997–98 to 2004–05, England and Wales.

£
Estimated average net income

Financial year Cash terms In 2004–05 prices

1997–98 51,200 60,143

1998–99 54,300 62,172

1999–2000 55,700 62,544

2000–01⁽⁶⁴⁾ ⁽⁶⁵⁾59,200 ⁽⁶⁵⁾65,614

2001–02 60,500 65,439

2002–03 63,300 66,359

2003–04 66,700 68,122

2004–05 70,000 70,000

⁽⁶³⁾ 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.
⁽⁶⁴⁾ Commitment payments started in 2001.
⁽⁶⁵⁾ Figures since 2000–01 use a different methodology to calculate the contribution from other non-fee/capitation payments.
Note:
Figures prior to 1997–98 are not available on a comparable basis.
Source:
DH and HSCIC analysis of Dental Practice Board payments and HMRC tax data

13 Feb 2006 : Column 1784W

£
	Estimated average net income
Financial year	Cash terms	In 2004–05 prices
1997–98	51,200	60,143
1998–99	54,300	62,172
1999–2000	55,700	62,544
2000–01⁽⁶⁴⁾	⁽⁶⁵⁾59,200	⁽⁶⁵⁾65,614
2001–02	60,500	65,439
2002–03	63,300	66,359
2003–04	66,700	68,122
2004–05	70,000	70,000

The income figures cover both estimated fees for treatments and patient capitation as well as other estimated payments such as seniority payments and commitment payments and payments for maternity and sickness.

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