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27 Feb 2006 : Column 483W—continued

Primary Care Trusts

Mr. Jenkin: To ask the Secretary of State for Health what the end-of-year financial status was of each primary care trust (PCT) in Essex and Suffolk in each of
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the last five years; and how many (a) operations and (b) outpatient appointments were cancelled for financial reasons in each PCT in each such year. [52244]

Ms Rosie Winterton [holding answer 16 February 2006]: The year-end financial position of each national health service trust, primary care trust and strategic health authority from 1997–98 to 2004–05 is available in the Library.

Information on the number of operations and outpatient appointments cancelled due to financial reasons is not held centrally.

Private Finance Initiative

Mr. Lansley: To ask the Secretary of State for Health what estimate she has made of the likely change in the unitary charge applicable to the St. Bartholomew's and the London Hospitals NHS Trust private finance initiative project which would result from a delay of one month in reaching a financial conclusion. [52478]

Jane Kennedy: No such estimates have been made by the Department. If any costs are incurred, these will be subject to agreement and negotiation at the time.

Private Sector

Dr. Gibson: To ask the Secretary of State for Health what assessment she has made of the (a) care and (b) safety of patients treated in the private sector as NHS patients. [43480]

Jane Kennedy: Private health care is regulated under the Care Standards Act 2000. Those private health care establishments, including independent hospitals or clinics, that are subject to registration with, and inspection by, the Healthcare Commission under the Care Standards Act are required to comply with the Private and Voluntary Healthcare (England) Regulations 2001 and the National Minimum Standards (NMS) for Independent Health Care published in 2002.

The Healthcare Commission undertakes regular inspections of private health care organisations against this regulatory framework. Establishments are inspected against the requirements of the 2001 regulations and the national minimum standards. Inspections focus on perceived areas of risk in each establishment. Assessment managers prepare written reports setting out requirements, recommendations and areas of concern identified during inspections. These reports, which are published and available on the Healthcare Commission's website include timetables for compliance with any specific requirements.

The Healthcare Commission currently inspects all registered establishments annually. These annual inspections are supplemented by unannounced inspections.

In addition, health care provided for national health service patients, be it by the NHS or for the NHS by a non-NHS establishment, maybe reviewed by the Healthcare Commission under 2003 Act, against the NHS standards—Standards for Better Health"—published by the Secretary of State in July in 2004. As part of its review process, the Healthcare Commission
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ensures that services for NHS patients delivered from outside the NHS are commissioned against these standards, including those covering patient safety.

Those services contracted directly by the Department from non-NHS organisations are commissioned using the framework of the Standards for Better Health" and where appropriate are reviewed against the private and voluntary health care regulations and NMS.

Protection of Children/Adults

Mr. Lansley: To ask the Secretary of State for Health how many individuals referred to her Department for inclusion on the (a) Protection of Children Act 1978 list and (b) Protection of Vulnerable Adults list have not been placed on these lists in each year since the respective lists became operational; and how many of these individuals not included but referred have been convicted of, or cautioned for, a crime listed under Schedule 3 of the Sexual Offences Act 2003. [46656]

Mr. Byrne [holding answer 30 January 2006]: In the period 26 July 2004, when the protection of vulnerable adults (POVA) list was introduced, to 31 December 2005 3,448 individuals have been referred to the POVA list. This includes 326 individuals cross-referred from the protection of children act list. In the same period, 1,474 cases have been closed because they did not meet the criteria for the scheme as set out in the Care Standards Act 2000.

Employers who are required by the Care Standards Act 2000 to make referrals to the POVA list are also required to check against the POVA list before a person takes up employment. Such employers are also required to undertake a Criminal Records Bureau check of the individuals that will reveal details of all convictions, cautions, reprimands and warnings held on the Police National Computer and any local police force information considered relevant. The Department would not therefore expect care providers to employ a person who has committed any offences that are listed in Schedule 3 of the Sexual Offences Act 2003.

All information obtained as a result of a POVA referral, including information about convictions, is retained after cases are closed.


Tim Loughton: To ask the Secretary of State for Health how many young people experiencing a first episode of psychosis in the last three years had access to an early intervention team. [53100]

Ms Rosie Winterton: It is not possible to provide a complete answer to this question as the national data show the caseload at any time but do not distinguish between those who have been on the caseload for three years or who have become cases more recently. People experiencing a first episode of psychosis (FEP) can normally expect to be monitored for three years by an early intervention service. 5,420 young people aged 14 to 35 experiencing FEP were being treated at September 2005.
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Quality Management and Analysis System

Mr. Burstow: To ask the Secretary of State for Health what the prevalence of disease data collected through the quality management and analysis system was for each quarter for which data are available for (a) England, (b) each region and (c) each primary care trust area. [43598]

Jane Kennedy: The information is not available in the form requested.

Information from the quality management and analysis system is published on an annual basis by the NHS Health and Social Care Information Centre (NHS HSCIC). Data for the latest year, 2004–05, at England, strategic health authority and primary care trust level is available on the NHS HSCIC website at

It is expected that information for 2005–06 will be available in the summer of 2006.

Recruitment of Bailiffs

Stephen Williams: To ask the Secretary of State for Health, how much (a) her Department and (b) NHS trusts have spent on fees for bailiffs recruited to collect payments for anti-viral drugs from people residing in the UK who have been refused asylum or overstayed their visa; and how much has been collected by bailiffs. [47559]

Ms Rosie Winterton: It is the responsibility of national health service trusts to decide how to go about pursuing overseas visitors' debt and to ensure that whatever measures are taken are reasonable, based on the individual circumstances of each case. Successive Governments have not required the NHS to provide statistics on the number of overseas visitors seen, nor the costs of providing treatment, including the costs of recovering debts. It is therefore not possible to provide the information requested.

Respite Care

Sandra Gidley: To ask the Secretary of State for Health (1) what form the entitlement to respite care proposed in the Health and Social Care White Paper will take; [51338]

(2) what steps she plans to take to establish short-term home-based respite support for carers; and what the entitlement to such support will be. [51339]

Mr. Byrne: In our White Paper, Our health, our care, our say", we commit ourselves to a new deal for carers. We will work with councils to ensure that short-term, home based respite support is established for carers in crisis or emergency situations.

Royal Shrewsbury Hospital

Daniel Kawczynski: To ask the Secretary of State for Health if she will increase the settlement for the Royal Shrewsbury Hospital for the 2006–07 financial year. [50092]

Ms Rosie Winterton: The Department does not allocate funding to national health service trusts. NHS trusts as providers of services receive the bulk of their revenue funding from commissioning by primary care
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trusts. NHS trusts also receive revenue funding from the Department for medical staff education services and for research and development. In addition, trusts can charge staff, visitors, or patients, for services such as catering or provision of private patient facilities.

Shropshire County Primary Care Trust (PCT) will receive an allocation of £331.2 million for 2006–07. This represents a cash increase of £27.7 million, or 9.1 per cent.

Telford and Wrekin PCT will receive an allocation of £187.6 million for 2006–07. This represents a cash increase of £19.5 million, or 11.6 per cent.

It is for PCTs in partnership with strategic health authorities and other local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services.

Daniel Kawczynski: To ask the Secretary of State for Health what steps she is taking to help the Royal Shrewsbury Hospital tackle MRSA infections. [50093]

Ms Rosie Winterton: Shrewsbury and Telford Hospitals National Health Service Trust is a member of the MRSA performance improvement network, set up following a national conference in January 2005. This is a group of trusts that works together, with Department's support, to share best practices in reducing the risk of methicillin-resistant Staphylococcus aureus (MRSA).

The trust is also signed up to the delivery programme Saving Lives" was launched by the Chief Nursing Officer and the Chief Medical Officer in June 2005. This provides an evidence-based and practical work
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programme for reduction of risk of MRSA and other healthcare associated infections focused on five key clinical interventions.

Daniel Kawczynski: To ask the Secretary of State for Health how many babies were born in Royal Shrewsbury hospital in (a) 1999 and (b) 2005. [51272]

John Healey: I have been asked to reply.

The information requested falls within the responsibility of the national statistician who has been asked to reply.

Letter from Karen Dunnell, dated 27 February 2006:

Daniel Kawczynski: To ask the Secretary of State for Health whether she has plans to increase the number of posts for trainee nurses at the Royal Shrewsbury Hospital. [51273]

Ms Rosie Winterton: The Shrewsbury and Telford Hospitals National Health Service Trust has no plans at present to increase the number of trainee nurse posts at the Royal Shrewsbury Hospital.

Daniel Kawczynski: To ask the Secretary of State for Health how many patients with lung cancer were treated at the Royal Shrewsbury hospital in (a) 2000 and (b) 2005. [51274]

Ms Rosie Winterton: The information requested is shown in the table.
All diagnoses count of finished consultant episodes and patients with a diagnosis of malignant neoplasm of bronchus and lung,national health service hospitals, England, 1999–2000, 2000–01 and 2004–05

Selected providers of treatmentFinished consultant episodesPatient countsFinished consultant episodesPatient countsFinished consultant episodesPatient counts
The Princess Royal Hospital NHS Trust1528217495n/an/a
Royal Shrewsbury Hospitals NHS Trust370159403171n/an/a
Total Finished Consultant Episodes522577n/an/a
Total Unique Patient Counts230254n/an/a
Shrewsbury And Telford Hospitals NHS Trustn/an/an/an/a972278

Finished consultant episode (FCE)
An FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
All diagnoses count of episodes
These figures represent a count of all FCE's where the diagnosis was mentioned in any of the 14 (seven prior to 2002–03) diagnosis fields in a hospital episode statistics (HES) record.
Diagnosis (primary diagnosis)
The primary diagnosis is the first of up to 14 (seven prior to 2002–03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
Secondary diagnoses
As well as the primary diagnosis, there are up to 13 (six prior to 2002–03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
Patient counts
Patient counts are based on the unique patient identifier HES identification (HESID). This identifier is derived based on patient's date of birth, postcode, sex, local patient identifier and NHS number, using an agreed algorithm. Where data are incomplete, HESID might erroneously link episodes or fail to recognise episodes for the same patient. Care is therefore needed, especially where duplicate records persist in the data. The patient count cannot be summed across a table where patients may have episodes in more than one cell.
Ungrossed data
Figures have not been adjusted for shortfalls in data, that is the data is ungrossed.
Hospital episode statistics, NHS Health and Social Care Information Centre.

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