25 July 2006 : Column 1232W—continued
Mr. Stephen O'Brien:
To ask the Secretary of State for Health in what circumstances (a) primary care trusts and (b) social services departments pay the full cost of the care they commission; and what steps she is taking to ensure this is the case. [83106]
Andy Burnham:
This is dependent on the terms on which commissioners have contracted with providers locally. The payment by results (PbR) system will help
25 July 2006 : Column 1233W
to ensure a fairer and more consistent basis for paying national health service trusts and foundation trusts. Funding is negotiated locally or through national procurement exercises for services outside the scope of PbR, including all NHS services commissioned from independent and voluntary sector providers. In contracting for services outside the scope of PbR the onus is on the provider to reflect the full cost of these in their pricing and recover from the responsible primary care trust or social services department in accordance with the agreed contract terms.
Mr. Hurd:
To ask the Secretary of State for Health how much of the total health service expenditure in (a) Hillingdon and (b) Greater London was spent directly on (i) health care, (ii) administration and (iii) prescriptions in each of the last 10 years. [86477]
Andy Burnham:
The table shows data for 1998-98 to 2004-05, which are the earliest and latest years for which this information is available. Data given are the purchase of health care and expenditure on administration and prescribing costs by primary care trusts (PCTs), health authorities (HAs) and strategic health authorities (SHAs). Hillingdon expenditure is the expenditure by Hillingdon HA for 1998-99 and 1999-2000, by Hillingdon HA and Hillingdon PCT for 2000-01 to 2001-02, and by Hillingdon PCT for 2002-03 to 2004-05. London expenditure is the expenditure by the previous HAs, current and previous PCTs and the previous five SHAs within the London area.
| Expenditure in Hillingdon and London |
| £000 |
| | Purchase of health care | Administration | Prescribing costs |
|
1998-99
| | | |
|
Hillingdon
|
158,465
|
4,272
|
12,526
|
|
London
|
5,207,554
|
124,105
|
288,496
|
| | | | |
|
1999-2000
| | | |
|
Hillingdon
|
178,341
|
2,922
|
20,337
|
|
London
|
5,944,972
|
139,267
|
631,696
|
| | | | |
|
2000-01
| | | |
|
Hillingdon
|
152,255
|
6,256
|
23,308
|
|
London
|
6,592,827
|
128,783
|
675,341
|
| | | | |
25 July 2006 : Column 1234W
|
2001-02
| | | |
|
Hillingdon
|
205,102
|
7,167
|
25,036
|
|
London
|
7,329,212
|
186,883
|
728,603
|
| | | | |
|
2002-03
| | | |
|
Hillingdon
|
209,492
|
n/a
|
26,846
|
|
London
|
8,201,210
|
n/a
|
787,224
|
| | | | |
|
2003-04
| | | |
|
Hillingdon
|
237,232
|
7,993
|
29,342
|
|
London
|
8,749,018
|
342,751
|
861,691
|
| | | | |
|
2004-05
| | | |
|
Hillingdon
|
269,946
|
4,366
|
32,072
|
|
London
|
9,954,274
|
193,796
|
920,187
|
Notes:
1. Prescribing costs—the Prescription Pricing Authority accounted for an element of prescribing costs in 1998-99; it is not possible to include this expenditure. Prescribing costs are also included within the purchase of health care expenditure.
2. Administration—figures relating to administration costs are not available for 2002-03. The method of calculating administration costs was changed for 2004-05.
3. Figures shown for purchase of health care are not the total expenditure, because expenditure accounted for by the Dental Practice Board and Prescription Pricing Authority is 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 London health authorities 1998-99.
Audited London health authority summarisation forms 1999-2000 to 2001-02.
Audited London strategic health authority summarisation forms 2002-03 to 2004-05.
Audited London primary care trust summarisation schedules 2000-01 to 2004-05.
Annual financial returns of London strategic health authorities and primary care trusts 2004-05.
|
Mr. Hurd:
To ask the Secretary of State for Health what the year-end financial position was for (a) Hillingdon Hospital, (b) the Royal Brompton and Harefield NHS Trust and (c) Hillingdon Primary Care Trust in each of the last five financial years. [86480]
Andy Burnham:
The data requested are shown in the table.
| £000 |
| | Final outturn surplus/(deficit) |
| | 2001-02 | 2002-03 | 2003-04 | 2004-05 | 2005-06 |
|
Hillingdon Hospital National Health Service Trust
|
22
|
20
|
(963)
|
23
|
2,212
|
|
Royal Brompton and Harefield NHS Trust
|
50
|
20
|
6
|
(3,217)
|
3,240
|
|
Hillingdon Primary Care Trust
|
4
|
22
|
(672)
|
(13,470)
|
(36,506)
|
NHS Marketing
Mike Wood:
To ask the Secretary of State for Health what assessment her Department has made of (a) the extent of the establishment of marketing departments in the NHS as a consequence of the extension of patient choice and (b) the extent to which NHS providers are asserting their intellectual property rights over specialisms rather than sharing their expertise as a consequence of the new commercial environment. [85974]
25 July 2006 : Column 1235W
Andy Burnham:
The Department has made no assessment of the extent of the establishment of marketing departments in the national health service nor the extent to which NHS providers are asserting their intellectual property rights.
The Department has set out in the ‘Operating Framework for 2006/07’ the importance of patients and the public having access to reliable information about the services available to them, so that they can exercise informed choice. NHS trusts must decide upon a suitable level of marketing activity which should present accurate and fair information about services and must follow statutory guidelines, such as the advertising standards authority code. The Department will be consulting on a code of practice for marketing services to NHS patients.
The NHS plan commits the NHS to ensuring that new technologies are identified and developed in the interests of NHS patients and society as a whole. The Department published ‘A Framework and Guidance on the Management of Intellectual Property in the NHS’, which became operational on 9 September 2002.
NHS Senior Staff
Mr. Flello:
To ask the Secretary of State for Health how many NHS senior staff have resigned from NHS trusts within North Staffordshire in the last 12 months; and where in the UK they have indicated that they are taking new jobs. [87397]
Caroline Flint:
The information requested is not held centrally.
NHS Trust Turnaround Teams
Andrew George:
To ask the Secretary of State for Health to which NHS trusts turnaround teams were sent during the last 12 months; when the review and audit took place; which company undertook the review and audit; and what the total cost of the review and audit was in each case (a) to the NHS, (b) to the trust and (c) to other contributors. [87447]
Andy Burnham:
My right hon. Friend, the Secretary of State announced the turnaround teams in a written ministerial statement on 1 December 2005, Official Report, column 37WS.
The first stage of this is a baseline assessment, the aim of which is to ensure there is an agreed understanding of the local financial problem and that actions are in hand to address this. The contract for the baseline assessment which took place during December 2005 (phase 1) and February 2006 (phase 2) was awarded to consultants KPMG
The following national health service trusts were assessed by KPMG:
| Organisation | Phase | Ranking |
|
North East
| | |
|
North Tees and Hartlepool NHS Trust
|
1
|
3
|
|
Sedgefield Primary Care Trust (PCT)
|
1
|
3
|
|
South Tees Hospitals NHS Trust
|
1
|
3
|
| | | |
25 July 2006 : Column 1236W
|
North West
| | |
|
Cheshire West PCT
|
1
|
1
|
|
North Cumbria NHS Trust
|
2
|
1
|
|
North Cumbria PCT
|
2
|
1
|
|
Southport and Ormskirk Hospital NHS Trust
|
1
|
2
|
|
East Cheshire NHS Trust
|
1
|
2
|
|
The Mid Cheshire Hospitals NHS Trust
|
1
|
2
|
|
Morecambe Bay NHS Trust
|
2
|
3
|
|
Morecambe Bay PCT
|
2
|
3
|
| | | |
|
Yorkshire and the Humber
| | |
|
Sheffield North PCT
|
1
|
1
|
|
Sheffield South East PCT
|
1
|
1
|
|
Sheffield South West PCT
|
1
|
1
|
|
Sheffield West PCT
|
1
|
1
|
|
Mid Yorkshire Hospitals NHS Trust
|
1
|
1
|
|
Selby and York PCT
|
1
|
1
|
|
Scarborough, Whitby and Ryedale PCT
|
2
|
2
|
|
Yorkshire Wolds and Coast PCT
|
2
|
2
|
|
Barnsley PCT
|
2
|
4
|
| | | |
|
East Midlands
| | |
|
United Lincolnshire Hospitals NHS Trust
|
2
|
1
|
|
High Peak and Dales PCT
|
2
|
2
|
| | | |
|
West Midlands
| | |
|
George Eliot Hospital NHS Trust
|
1
|
1
|
|
South Warwickshire NHS Trust
|
2
|
1
|
|
Shrewsbury and Telford Hospital NHS Trust
|
1
|
1
|
|
University Hospital of North Staffordshire NHS Trust
|
1
|
1
|
|
Royal Wolverhampton Hospital NHS Trust
|
1
|
2
|
|
Sandwell and West Birmingham Hospitals NHS Trust
|
1
|
2
|
|
North Stoke PCT
|
1
|
2
|
|
Good Hope Hospital NHS Trust
|
1
|
3
|
| | | |
|
East of England
| | |
|
Cambridge City PCT
|
1
|
2
|
|
South Cambridgeshire PCT
|
1
|
2
|
|
Colchester PCT
|
2
|
2
|
|
Queen Elizabeth Hospital Kings Lynn NHS Trust
|
1
|
2
|
|
East and North Hertfordshire NHS Trust
|
1
|
2
|
|
West Hertfordshire Hospitals NHS Trust
|
1
|
2
|
|
North Norfolk PCT
|
2
|
3
|
|
Waveney PCT
|
2
|
3
|
|
Broadlands PCT
|
1
|
3
|
|
Southern Norfolk PCT
|
1
|
3
|
|
Suffolk West PCT
|
1
|
3
|
|
Ipswich PCT
|
1
|
3
|
|
West Suffolk Hospitals NHS Trust
|
1
|
3
|
|
Essex Rivers NHS Trust
|
2
|
3
|
|
Princess Alex Harlow NHS Trust
|
2
|
3
|
|
Suffolk Coastal PCT
|
1
|
3
|
|
Bedford Hospitals NHS Trust
|
1
|
3
|
|
Bedfordshire Heartlands PCT
|
1
|
3
|
|
Witham, Braintree and Halstead Care PCT
|
1
|
3
|
|
Chelmsford PCT
|
1
|
3
|
|
Tendring PCT
|
2
|
4
|
| | | |
25 July 2006 : Column 1237W
|
London
| | |
|
Mayday Hospital NHS Trust
|
2
|
1
|
|
Barnet and Chase Farm Hospitals NHS Trust
|
1
|
1
|
|
Hammersmith Hospitals NHS Trust
|
1
|
1
|
|
Hillingdon PCT
|
1
|
1
|
|
St. George’s Healthcare NHS Trust
|
1
|
2
|
|
North West London Hospitals NHS Trust
|
1
|
2
|
|
North Middlesex University Hospital NHS Trust
|
1
|
2
|
|
Royal Free NHS Trust
|
2
|
2
|
|
Hounslow PCT
|
1
|
2
|
|
Kensington and Chelsea PCT
|
1
|
2
|
|
West Middlesex University NHS Trust
|
1
|
2
|
|
Queen Mary’s Sidcup NHS Trust
|
1
|
2
|
|
Bexley PCT
|
2
|
2
|
|
Kingston PCT
|
2
|
2
|
|
The Lewisham Hospital NHS Trust
|
1
|
3
|
|
Queen Elizabeth Hospital NHS Trust
|
1
|
3
|
|
Wandsworth PCT
|
1
|
3
|
|
Lewisham PCT
|
2
|
3
|
|
Bromley Hospitals NHS Trust
|
1
|
4
|
|
Bromley PCT
|
2
|
4
|
| | | |
|
South East Coast
| | |
|
Brighton and Sussex University Hospitals NHS Trust
|
1
|
1
|
|
Surrey and Sussex Healthcare NHS Trust
|
1
|
1
|
|
The Royal West Sussex NHS Trust
|
1
|
1
|
|
Maidstone and Tunbridge Wells NHS Trust
|
2
|
2
|
|
Maidstone Weald PCT
|
2
|
2
|
|
South West Kent PCT
|
2
|
2
|
|
Guildford and Waverley PCT
|
2
|
2
|
|
East Elmbridge and Mid Surrey PCT
|
2
|
2
|
|
Ashford and St. Peters NHS Trust
|
2
|
3
|
| | | |
|
South Central
| | |
|
Blackwater Valley and Hart PCT
|
1
|
2
|
|
East Hampshire PCT
|
1
|
2
|
|
Fareham and Gosport PCT
|
1
|
2
|
|
Southampton University Hospitals NHS Trust
|
1
|
2
|
|
Oxford Radcliffe Hospital NHS Trust
|
1
|
2
|
|
North Hampshire PCT
|
2
|
3
|
|
New Forest PCT
|
1
|
3
|
|
Isle of Wight NHS Trust
|
2
|
3
|
|
Isle of Wight PCT
|
2
|
3
|
|
North Hampshire Hospitals NHS Trust
|
1
|
4
|
| | | |
|
South West
| | |
|
Kennet and North Wiltshire PCT
|
1
|
1
|
|
West Wiltshire PCT
|
1
|
1
|
|
Weston Area Health NHS Trust
|
2
|
1
|
|
Royal Cornwall Hospitals NHS Trust
|
2
|
1
|
25 July 2006 : Column 1238W
|
Dacorum PCT
|
2
|
1
|
|
Cotswold and Vale PCT
|
1
|
2
|
|
North Somerset PCT
|
2
|
2
|
|
North Devon Healthcare NHS Trust
|
1
|
3
|
|
Royal United Hospital Bath NHS Trust
|
2
|
3
|
|
South Wiltshire PCT
|
1
|
3
|
