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17 May 2006 : Column 1108W—continued
Multiple Sclerosis
Mr. Gordon Prentice: To ask the Secretary of State for Health what recent discussions she has had with her counterparts in other EU member states on the efficacy, cost and availability of treatments for multiple sclerosis; and if she will make a statement. [70926]
Mr. Ivan Lewis: We have had no recent discussions with my counterparts in other European Union member states on the efficacy, cost and availability of treatments for multiple sclerosis.
Myalgic Encephalomyelitis
Anne Milton: To ask the Secretary of State for Health if she will take steps to ensure the allocation of ring-fenced funds for specialist services for myalgic (a) encephalomyelitis and (b) encephalopathy should primary care trusts seek to reduce provision. [70869]
Mr. Ivan Lewis: In January 2004 funding of£8.5 million was announced for specialist services for those living with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). This funding, £2.5 million for 2004-05, and £6 million for 2005-06, was specifically intended to cover the costs of setting-up services where none already existed. At the end of this period funding for these centres will be from primary care trust general allocations. It is the responsibility of local health bodies to meet the health and social care needs of their local population.
The national service framework for long-term conditions (NSF) sets out a clear vision of how health and social care organisations can improve the quality, consistency and responsiveness of their services and help improve the lives of people with neurological conditions, including CFS/ME. National health service organisations are expected to demonstrate that they are making progress towards achieving the level of service quality described in the NSF.
The Healthcare Commission and the Commission for Social Care Inspection may undertake performance reviews to assess progress on local implementation of the NSF.
NHS Deficits
Anne Milton: To ask the Secretary of State for Health what estimate she has made of the year-end gross NHS deficit for 2005-06. [70008]
Andy Burnham: For 2005-06 month six, the national health service as a whole is forecasting a gross deficit of around £948 million. Some NHS organisations have generated surpluses of around £325 million. Therefore, the NHS at 2005-06 month six is forecasting a net deficit of around £620 million.
NHS Finance
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what assessment she has made of the International Monetary Fund’s warning of a £50 billion gap in NHS finances; and if she will make a statement; [63922]
(2) what estimate she has made of healthcare spending between 2007 and 2050; what assessment she has made of the International Monetary Fund’s estimate that healthcare spending could rise by up to six percentage points of gross domestic product over this period; and if she will make a statement. [63931]
Andy Burnham: The Government’s latest long-term fiscal projections are contained in the 2005 long-term public finance report, published alongside the pre-Budget report in December 2005. On the basis of the projections presented in the report, healthcare spending is projected to increase from around 8.2 per cent. of gross domestic product in 2007 to around 9.7 per cent. in 2050. The actual level of public long-term health spending is however a matter for future budgets and spending reviews.
NHS Finance
Mr. Stephen O'Brien: To ask the Secretary of State for Health what the budgets are for each (a) primary care trust, (b) NHS trust and (c) other NHS organisation in 2006-07. [63943]
Andy Burnham: Primary care trusts (PCTs) receive most of their budget through revenue allocations. PCTs also receive operational capital funding.
Revenue budgets for national health service trusts are agreed locally with PCTs. NHS trusts and care trusts also receive operational capital funding for building and equipment purchases.
Strategic health authorities (SHAs) receive strategic capital allocations for major capital developments, and capital will be allocated to PCTs and NHS trusts at the discretion of the SHA. Allocations for 2006-07 have been placed in the Library.
Central budgets for 2006-07, including SHA running costs budgets, have been agreed at board level within the Department. The detail of individual budgets will be confirmed shortly.
Mr. Lansley: To ask the Secretary of State for Health which strategic health authorities have authorised the top-slicing of primary care trust allocations in the (a) 2006-07 and (b) 2007-08 financial years; what proportion of primary care trust allocations are being
withheld in each case; and under what legislation strategic health authorities have the authority to top-slice primary care trust allocations. [66003]
Andy Burnham: The plans for the creation of local reserves at strategic health authority level was set out in “The NHS in England: The operating framework for 2006-07” published by the Department on 26 January 2006 which is available in the Library and on the Department’s website at: www.dh.gov.uk/assetRoot/04/12/73/15/04127315.pdf
The level of reserve transferred from primary care trusts to be held at strategic health authorities will be agreed by the Department as part of the national health service financial planning process for 2006-07.
Transfers of funding will be made by the Department on the basis of these agreed plans under section 97 of the NHS Act 1977 as amended.
Mr. Hepburn: To ask the Secretary of State for Health (1) what the total public expenditure per head of population on the (a) capital and (b) running costs of the national health service was in (i) London and (ii) each of the English regions in each of the last 10 years; [67322]
(2) what the total public expenditure per head of population on the (a) capital and (b) running costs of the national health service was in the metropolitan areas of (i) Greater Manchester, (ii) West Yorkshire, (iii) South Yorkshire, (iv) West Midlands, (v) Merseyside and (vi) Tyne and Wear in each of the last 10 years. [67325]
Andy Burnham: Expenditure per head of population from 1997-98 to 2004-05 by strategic health authority (SHA) area and for England is shown in the tables. Capital expenditure is taken as the total expenditure on purchased additions of fixed assets in each year by national health service bodies. Running costs are the total expenditure by health authorities, SHAs and primary care trusts.
| Table 2. Total expenditure per head by unweighted population for strategic health authority areas (£) | ||||||||
| 1997-98 | 1998-99 | 1999-2000 | 2000-01 | 2001-02 | 2002-03 | 2003-04 | 2004-05 | |
| Notes to Table 2: Total expenditure is the expenditure by health authorities, strategic health authorities and primary care trusts in England, shown by current strategic health authority area. Expenditure on general dental services and pharmaceutical services accounted for by the Dental Practice Board and Prescription Pricing Authority, respectively, are excluded. This expenditure cannot be included within figures for individual health bodies as they are not included in commissioner accounts. Sources: Audited annual accounts of the health authorities 1997-98 to 1998-99 Audited health authority summarisation forms 1999-2000 to 2001-02 Audited SHA summarisation forms 2002-03 to 2004-05 Audited primary care trust summarisation schedules 2000-01 to 2004-05 |
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