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15 Mar 2006 : Column 2317W—continued
Carers
Mr. Jenkins: To ask the Secretary of State for Health what estimate she has made of the number of people in (a) Staffordshire and (b) the Tamworth constituency who are (a) paid and (b) unpaid carers for relatives. [58098]
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Ms Rosie Winterton:
The information requested on paid carers is not held centrally. The number of unpaid carers as identified in the 2001 census in Staffordshire and Tamworth are available on the Office for National Statistics website at: www.statistics.gov.uk/census2001/profiles/rank/rank_health.asp
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Chlamydia
Dr. Stoate: To ask the Secretary of State for Health (1) how many (a) people and (b) men were tested for Chlamydia by each local National Chlamydia Screening programme area in (i) 2004–05 and (ii) 2003–04; [50681]
(2) what assessment she has made of the extent to which the National Chlamydia Screening programme successfully targets men. [50682]
Caroline Flint: The information requested is shown in the table.
The national chlamydia screening programme provides opportunistic screening for genital chlamydia infection and is offered to all sexually active women and men aged between 16 and 24-years-old attending a variety of health and non health care settings in England.
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We have rolled out the screening programme successfully to 25 per cent. of primary care trusts and we expect to see screening begin in most areas in April 2006. This is well ahead of the 2007 target.
The number of programme areas, screening venues and screening tests have increased over time. By the end of the second year, 26 programme areas were in operation and screening occurred in 21 different settings, comprising 872 different venues. Men accounted for 12 per cent. of the total screened. However, provisional data suggest that to December 2005 this figure has increased to 17 per cent.
Men have been screened in a variety of non-traditional settings including universities, military bases, prisons, youth offending institutions, work places, pharmacies, the voluntary sector and postal kits as well as through e-mail. Screening has also taken place in traditional health care settings such as general practice, contraceptive and young people's clinics.
Notes:
1. LSL is Lambeth, Southwark and Lewisham
2. The national chlamydia screening programme has currently been rolled out to 26 programme areas (10 areas came on board between April 2003 and March 2004)
Colon Cancer
Mr. Clappison: To ask the Secretary of State for Health pursuant to the Answer of 15 February 2006, Official Report, column 2110W, on colon cancer, when the bowel screening programme as described in paragraph 4.64 of the Health White Paper, 'Our Health, Our Care, Our Say', will be fully operational; what the timetable is for the implementation of this programme from April 2006; what proportion of the population aged 58 to 69 years will have a test made available to them; what plans she has to extend the programme to people aged 50 to 58 years; and how many screening centres are to be established to support the programme. [56552]
Ms Rosie Winterton: The Government have stated their commitment to a national bowel cancer screening programme. On 30 January 2006, the new Health White Paper, 'Our health, our care, our say: a new direction for community services' reaffirmed that the programme will be rolled out from April 2006. Departmental budgets for 2006–07 are currently under consideration by Ministers, and resolution is expected by the end of March 2006.
Coronary Heart Disease
Mr. Hancock:
To ask the Secretary of State for Health what her strategy is for (a) implementing and
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(b) monitoring chapter eight of the National Service Framework for Coronary Heart Disease; and if she will make a statement. [55534]
Ms Rosie Winterton: Responsibility for implementing chapter eight of the Coronary Heart Disease National Service Framework (CHD NSF) lies with local national health service service commissioners and providers. Shifting the Balance of Power" has seen money, control and responsibility pass to local health services so that the communities they serve have greater influence over the way local resources are spent and the way local services are run. This will allow greater scope for locally determined targets and priorities to be matched to local needs. The Department is working with local service providers, commissioners and other key stakeholders to support the NHS in implementing chapter eight.
For successful delivery, there will need to be effective health commissioning through local delivery planning processes, monitored and accountable through primary care trusts and strategic health authorities.
Dentistry
Hugh Bayley: To ask the Secretary of State for Health what the average remuneration per full-time equivalent NHS general dental practitioner in York and Selby was in (a) cash and (b) real terms (i) in each of the last five years and (ii) at the latest date for which figures are available. [56658]
Ms Rosie Winterton: Average remuneration per full-time equivalent national health service general dental practitioner in the York and Selby Primary Care Trust area alone is not identifiable from data available centrally.
All estimated average annual net incomes, between the financial years 1999–2000 and 2004–05, of general dental service (GDS) dentists with a reasonable commitment to the GDS are shown in the table.
(9) 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.
(10) Commitment payments started in 2001.
(11) Figures since 2000–01 use a different methodology to calculate the contribution from other non- fee/capitation payments.
Note:
Figures converted into real terms using GDP deflator at market prices. Department of Health and NHS Health and Social Care Information Centre analysis of Dental Practice Board payments and HMRC tax data.
Source:
Department of Health and NHS Health and Social Care Information Centre analysis of Dental Practice Board payments and HMRC tax data.
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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.
Hugh Bayley: To ask the Secretary of State for Health how much was spent on NHS general dental services in York and Selby in (a) cash and (b) real terms in each of the last five years. [56659]
Ms Rosie Winterton: Primary dental care services are mainly provided by dentists working within the general dental service (CDS), or personal dental service (PDS) pilots. The CDS is currently a non discretionary service funded from a national budget where expenditure is mainly determined by the volume of national health service work that dentists choose to undertake, rather than by local budget allocations assigned to individual primary care trusts (PCTs). Data on the level of expenditure within the area of the York and Selby PCT, drawn from payments data obtained from the Dental Practice Board, is shown in the tables.
The level of expenditure on community dental services is decided at local level by PCTs.
(12) Gross GDS payments include adult fees (including item of service and continuing care payments), child fees (including item of service and capitation payments), commitment payments and point of treatment check payment training (in 2001 only), seniority payments, maternity/paternity/adoptive leave payments, long term sick leave payments, continuing professional development allowances including travel hours, reimbursement of business rates, vocational training grants, vocational trainee salaries and national insurance contribution costs, clinical audit convenors, clinical audit payments, clinical audit secretarial support and travel expenses. Employer's superannuation costs are excluded.
(13) PDS payment data are included for 2004–05 only and relate to baseline payments or the agreed regular monthly payments made to PDS practices. Reliable PDS data at practice level are not available prior to 2004–05.
(14) Payments are assigned to PCT area on the basis of practice postcode data.
(15) Net payments represent the balance of payments due after taking account of NHS dental charge income collected from patients by dental practices.
(16) Figures have been converted into real terms using 2004–05 gross domestic product deflators, that is, 2004–05 = 100.
(17) Gross GDS payments include adult fees (including item of service and continuing care payments), child fees (including item of service and capitation payments), commitment payments and point of treatment check payment training (in 2001 only), seniority payments, maternity/paternity/adoptive leave payments, long term sick leave payments, continuing professional development allowances including travel hours, reimbursement of business rates, vocational training grants, vocational trainee salaries and national insurance contribution costs, clinical audit convenors, clinical audit payments, clinical audit secretarial support and travel expenses. Employer's superannuation costs are excluded.
(18) PDS payment data are included for 2004–05 only and relates to baseline payments or the agreed regular monthly payments made to PDS practices. Reliable PDS data at practice level are not available prior to 2004–05.
(19) Payments are assigned to PCT area on the basis of practice postcode data.
(20) Net payments represent the balance of payments due after taking account of NHS dental charge income collected from patients by dental practices.
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Hugh Bayley: To ask the Secretary of State for Health how many full-time equivalent NHS general dental practitioners there are in York; and how many there were in each of the previous five years. [56660]
Ms Rosie Winterton: I refer my hon. Friend to the reply given on Wednesday 8 March 2006, Official Report, column 1613W.
Mr. Ellwood: To ask the Secretary of State for Health how many NHS dentists, excluding principals, assistants and trainees, worked for the Bournemouth primary care trust in each year since 1997. [57123]
Ms Rosie Winterton: Dentists consist of principals, assistants and trainees. The number of national health service dentists within Bournemouth teaching primary care trust (PCT) as at September each year is shown in the table.
| Number | |
|---|---|
| 1997 | 64 |
| 1998 | 73 |
| 1999 | 75 |
| 2000 | 73 |
| 2001 | 72 |
| 2002 | 76 |
| 2003 | 71 |
| 2004 | 70 |
| 2005 | 74 |
Notes:
1. Data includes all notifications of dentists joining or leaving the CDS or PDS, received by the Dental Practice Board, up to 19 October 2005. Figures for the numbers of dentists at specified dates may vary depending upon the notification period, for example, data with a later notification period will include more recent notifications of dentists joining or leaving the GDS or PDS.
2. Dentists consist of principals, assistants and trainees. Prison contracts have been excluded from the data.
3. The postcode of the dental practice was used to allocate dentists to specific geographic areas. PCT areas have been defined using the Office for National Statistics all fields postcode directory.
4. Figures have been provided by the NHS Health and Social Care Information Centre. The data source is the Dental Practice Board and the figures are based on the numbers of dentists with open GDS or PDS contracts.
5. A dentist with a GDS or PDS contract may provide as little or as much NHS treatment as he or she chooses or has agreed with the PCT. The Dental Practice Board has no information concerning the amount of time dedicated to NHS work by individual dentists.
6. Data on dentists that work only in private practice are not held centrally.
Source:
Dental Practice Board
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Geraldine Smith: To ask the Secretary of State for Health what the average salary of an NHS dentist was in the last year for which figures are available. [44655]
Ms Rosie Winterton: Most dentists who provide national health service primary dental care services are not paid on a salaried basis, but through a system of NHS fees and other payments that go towards the costs of running a dental practice as well as the dentist's net income.
The historical estimates of average earnings and expenses for dentists are calculated by the NHS Health and Social Care Information Centre, based on data on gross fees and payments from the Dental Practice Board (DPB) and data from HM Revenue and Customs on expenses.
DPB payment data show that on average, a dentist with a reasonable NHS commitment in 2004–05 in the general dental services (GDS) received gross GDS income of about £154,350. Dentists with a reasonable commitment are defined as those with gross fee earnings of £59,100 or more. These averages covered some 7,640 GDS principal dentists who worked throughout the year 2004–05.
HM Revenue and Customs information from dentists' tax returns show that the average ratio of expenses to gross earnings for a highly committed NHS dentist is around 52 per cent. (2003–04 tax year). The same source gives average net income of a highly committed NHS dentist from all sources as £78,600 in the tax year 2003–04. This information is taken from the tax returns of 392 CDS principal dentists who were in non-associate business arrangements for whom the tax year ended between January and March 2004.
Based on the data from these sources, the Department estimates that a highly committed NHS dentist earns an average income of around £80,000 in 2005–06.
Bob Spink: To ask the Secretary of State for Health how many representations she has received on the proposed changes to the NHS dental contract. [54784]
Ms Rosie Winterton: The Department does not keep data on the precise number of representations received on a specific issue. However, we have received a number of letters, e-mails and telephone calls from stakeholder organisations and from individual dentists about the new contractual arrangements.
We published the draft contract regulations in August 2005 specifically to invite comment and a number of organisations and individual dentists took this opportunity to put forward their views.
Mr. Davey: To ask the Secretary of State for Health what recent representations she has received on the new NHS dentistry contract; and if she will make a statement. [55846]
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Ms Rosie Winterton: The Department has received a number of representations from stakeholder organisations and from individual dentists about the new contractual arrangements.
The British Dental Association (BDA) has made recent representations about the contractual requirement for dentists to carry out an agreed number of (weighted) courses of treatment or units of dental activity, in return for their guaranteed annual contract value.
The Department has indicated to the BDA that we regard the new contracts as offering a good deal for dentists. They will have a guaranteed annual contract value based on their current national health service earnings, which give an average net income of £80,000 per year for a committed NHS dentist, for at least 5 per cent. fewer (weighted) courses of treatment compared with the current general dental services system. The Department has expressed concern that the BDA appears to be overlooking the evidence of the personal dental services pilots, which have shown that abolishing the fee-per-item remuneration system, also supports dentists in carrying out simple courses of treatment, with more time available for preventative work.
Miss McIntosh: To ask the Secretary of State for Health how many dentists have signed up to the new NHS dentistry contract in North Yorkshire. [57415]
Ms Rosie Winterton: The information is not available centrally. The new dental contract will be introduced on 1 April 2006.
David Davis: To ask the Secretary of State for Health how many NHS dentists there have been in Haltemprice and Howden constituency in each of the last 10 years. [57860]
Ms Rosie Winterton: The information requested is shown in the table.
Notes:
1. Data include all notifications of dentists joining or leaving the GDS or PDS, received by the Dental Practice Board, up to 19 October 2005. Figures for the numbers of dentists at specified dates may vary depending upon the notification period, e.g. data with a later notification period will include more recent notifications of dentists joining or leaving the GDS or PDS.
2. Dentists consist of principals, assistants and trainees. Prison contracts have been excluded from the data.
3. The postcode of the dental practice was used to allocate dentists to specific geographic areas. Constituency areas have been defined using the Office for National Statistics all fields postcode directory.
Source:
Dental Practice Board
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