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|Capital net NHS expenditure (£ billion in 200405 prices)|
|RB stage 1|
|RB stage 2|
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. 
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.
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 200506 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.
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. 
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 200405 prices. This data is not available prior to 199899 and has been collated biannually since 200001. Table 3 shows that intended average net income for general practitioners set by the review body doctors and dentists review for the years since 197475 in 200405 prices. Table 4 shows the estimated average general dental service (GDS) net income for dentists with a reasonable GDS commitment since 199798. Figures are not available on a comparable basis for previous years.
|Cash terms||200405 prices|
|Cash terms||200405 prices|
|cash terms||In 200405 prices|
|Estimated average net income|
|Financial year||Cash terms||In 200405 prices|
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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