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10 Mar 2006 : Column 1825W—continued

NHS Finance Data

Mr. Burstow: To ask the Secretary of State for Health if she will compile and publish a detailed analysis of how the increased investment in the NHS has been spent in each year of the current comprehensive spending review period. [35366]

Mr. Byrne: Analysis of where additional money has been spent is published each year in the Chief Executive's Report to the national health service. This can be found on the Department's website at www.dh.gov.uk/assetRoot/04/12/77/04124377.pdf. It breaks down the additional spend into input categories of:

pay;

new staff, activity and drugs;

capital and training; and

cost pressures.

The table shows the spend against these categories for the years 2001–02 to 2004–05.

	Additional revenue (£ billion)	Pay (%)	New staff, activity and drugs (%)	Capital and training (%)	Cost pressures (%)
2004–05	5.8	30	48	17	5
2003–04	5.9	31	45	18	6
2002–03	5.2	32	42	19	7
2001–02	5	38	36	16	10

 
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NHS Financial Deficits

Mr. Stewart Jackson: To ask the Secretary of State for Health what assessment she has made of the potential effect on local health service provision of attempts to minimise the 2005–06 financial deficit in the (a) Greater Peterborough Primary Care Partnership, (b) Peterborough and Stamford Hospitals NHS Foundation Trust and (c) Cambridgeshire and Peterborough Mental Health Partnership NHS Trust. [55262]

Ms Rosie Winterton: The Norfolk, Suffolk and Cambridgeshire Strategic Health Authority is working with national health service organisations providing services in Peterborough and Cambridgeshire to ensure that financial challenges are met while maintaining high quality services for patients.

NHS Pay

Mr. Lansley: To ask the Secretary of State for Health what the total expenditure on pay of (a) nurses, (b) doctors and (c) staff in the NHS has been in each financial year since 1997–98 in (i) real and (ii) cash terms. [51893]

Mr. Byrne: The information requested is shown in the tables.
Salaries and wages—England 1997–1988 to 2003–04Cash Terms £000

	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
Total	16,098,947	17,081,105	18,708,226	20,531,877	23,211,678	25,911,832	28,560,118
Medics	2,848,029	3,121,513	3,464,313	3,896,492	4,473,252	5,038,098	6,022,780
Nurses	6,415,043	6,709,865	7,330,272	7,902,411	8,825,373	9,642,764	10,371,446
Others	6,835,874	7,249,727	7,913,642	8,732,974	9,913,053	11,230,970	12,165,891
Salaries and Wages	16,098,947	17,081,105	18,708,226	20,531,877	23,211,678	25,911,832	28,560,118

Real terms 2003–04 prices £000

	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
GDP	85.131	87.339	89.058	90.224	92.453	95.39	97.912
Total	18,515,935	19,148,893	20,568,167	22,281,401	24,582,240	26,596,910	28,560,118
Medics	3,275,613	3,499,394	3,808,729	4,228,513	4,737,380	5,171,299	6,022,780
Nurses	7,378,155	7,522,142	8,059,035	8,575,776	9,346,478	9,897,707	10,371,446
Others	7,862,167	8,127,358	8,700,403	9,477,112	10,498,381	11,527,904	2,165,891
Salaries and Wages	18,515,935	19,148,893	20,568,167	22,281,401	24,582,240	26,596,910	28,560,118

Source:
Annual financial returns of health authorities and national health service trusts, 1997–98, 1998–99, 1999–2000.
Annual financial returns of health authorities and primary care trusts 2000–01, 2001–02,2002–03, 2003–04.
Gross domestic product—Dated 23 December 2005

NHS Staff

Dr. Cable: To ask the Secretary of State for Health (1) how much was spent on temporary NHS (a) staff, (b) doctors and (c) nurses, in each (i) strategic health authority and (ii) Government office region in the last 12 months for which figures are available, broken down by specialism; [53565]
 
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(2) how many temporary NHS (a) staff, (b) doctors and (c) nurses there were in each (i) strategic health authority and (ii) government office region in the last 12 months for which figures are available, broken down by specialism. [53568]

Mr. Byrne: I refer the hon. Member to the reply I gave the right hon. Member for Horsham (Mr. Maude) on Monday 9 January 2006, Official Report, column 171–73W.

Information relating to the numbers of temporary staff is not collected centrally.

Chris Ruane: To ask the Secretary of State for Health how many (a) consultants, (b) doctors, (c) nurses and (d) dentists from Lesotho were working in the health service in each of the last 20 years; and if she will make a statement. [56199]

Ms Rosie Winterton: Information is not available centrally on the country of origin of National Health Service staff. The General Medical Council, General Dental Council and Nursing and Midwifery Council, hold information on the country of qualification of each person on their respective registers but not the country of origin.

Optometrists

Mr. Pelling: To ask the Secretary of State for Health what plans she has to extend the role of optometrists in primary eye care. [48690]

Ms Rosie Winterton: The current review of general ophthalmic services is looking at potential ways of increasing work done in primary care and providing more integrated services and greater choice for patients.

The eye care services steering group was established in December 2002 to develop proposals for the modernisation of national health service eye care services.

We are currently piloting model care pathways developed by the group for glaucoma, age related macular degeneration and low vision. Learning from the pilots and their developing evidence base will be shared with the NHS to support wider implementation and the findings will also inform the review of general ophthalmic services.

Oxygen Deliveries

Dr. Murrison: To ask the Secretary of State for Health what assessment she has made of the introduction of the new integrated home oxygen delivery service; what agencies in her Department are responsible for the service; and what penalties may be applied to the companies contracted to supply the service for not meeting the required service standards. [55653]

Jane Kennedy: There have been difficulties in the first weeks since we began the six-month transition programme to implement the new integrated service on 1 February 2006. We have taken action to deal with these issues.

This is a locally managed national health service service and primary care trusts have responsibility for performance management of these contracts. There are
 
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financial and other penalties for not meeting the required service standards, including termination of the contract.

Parliamentary Questions

Julia Goldsworthy: To ask the Secretary of State for Health when she will answer Questions (a) 31444 and (b) 31445 tabled on 21 November 2005 by the hon. Member for Falmouth and Camborne, on dentists. [47191]

Ms Rosie Winterton: Answers were given on 8 February 2006, Official Report, column 1306W, and on 2 March 2006, Official Report, column 910W.

Patient Care (Peterborough)

Mr. Stewart Jackson: To ask the Secretary of State for Health (1) what assessment she has made of the availability of drugs for patients with moderately severe to severe Alzheimer's disease in Peterborough; [54816]

(2) what treatments recommended by the National Institute for Health and Clinical Excellence the Greater Peterborough Primary Care Partnership does not (a) fund and (b) offer to patients. [54856]

Ms Rosie Winterton: Clinicians are responsible for determining which treatments need to be prescribed for individual patients and primary care trusts are responsible for deciding whether individual treatments should be approved for funding.

Where the National Institute of Health and Clinical Excellence (NICE) has carried out a technology appraisal, the national health service has three months to put in place funding so that any clinician wishing to follow NICE guidance can do so.

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