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Non-medical Staff (Gloucestershire)

Mr. Laurence Robertson: To ask the Secretary of State for Health how many administrative and managerial staff have been employed by (a) each of the primary care trusts in Gloucestershire and (b) the Hospital Trust in Gloucestershire in each year of their existence; what the cost has been of that employment; and if she will make a statement. [74261]

Mr. Ivan Lewis: The following tables show the amount of administrative and managerial staff employed at all primary care trusts (PCTs) and hospital trusts in Gloucestershire.

Number
PCT name	Cheltenham and Tewkesbury	Cotswold and Vale	West Gloucestershire
2001-02	n/a	n/a	n/a
2002-03	90	253	209
2003-04	108	284	254
2004-05	144	298	250

Primary care trust staff costs: administrative and managers
£000
PCT name	Cheltenham and Tewkesbury	Cotswold and Vale	West Gloucestershire
2001-02
Administrative	n/a	n/a	n/a
Managers	n/a	n/a	n/a
2002-03
Administrative	775	3,512	3,190
Managers	1,100	2,025	991
2003-04
Administrative	940	3,565	2,295
Managers	1,541	2,314	1,937
2004-05
Administrative	1,450	4,074	2,684
Managers	2,318	3,077	2,608

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25 July 2006 : Column 1240W

National health service trust staff numbers: administration and estates
Number
NHS trust name	East Gloucestershire	Gloucestershire Hospitals	Gloucestershire Royal	Severn
1998-99	578	n/a	458	349
1999-2000	602	n/a	470	344
2000-01	652	n/a	484	355
2001-02	700	n/a	510	376
2002-03	n/a	992	n/a	n/a
2003-04	n/a	1,054	n/a	n/a
2004-05	n/a	1,051	n/a	n/a

NHS trust staff costs: administrative and managers
£000
NHS trust name	East Gloucestershire	Gloucestershire Hospitals	Gloucestershire Royal	Severn
1998-99
Administrative	7,472	n/a	9,413	4,586
Managers	2,059	n/a	1,535	1,739
1999-2000
Administrative	8,069	n/a	9,395	4,679
Managers	2,289	n/a	1,654	1,796
2000-01
Administrative	8,850	n/a	10,055	4,724
Managers	2,593	n/a	1,926	2,039
2001-02
Administrative	9,999	n/a	10,905	5,175
Managers	2,934	n/a	2,056	2,200
2002-03
Administrative	n/a	17,920	n/a	n/a
Managers	n/a	5,330	n/a	n/a
2003-04
Administrative	n/a	19,317	n/a	n/a
Managers	n/a	5,935	n/a	n/a
2004-05
Administrative	n/a	5,546	n/a	n/a
Managers	n/a	1,734	n/a	n/a

North West Ambulance Service NHS Trust

Tim Farron: To ask the Secretary of State for Health how many (a) stroke and (b) heart attack patients have died on the way to hospital in a North West ambulance service NHS trust ambulance in each of the last five years; and how long the journey was in (i) miles and (ii) minutes on each occasion. [89040]

Ms Rosie Winterton: The information requested is not held centrally.

Obesity

John Hemming: To ask the Secretary of State for Health which primary care trusts are not providing medical treatment to patients with a body mass index in excess of 30; and if she will make a statement. [81113]

Caroline Flint: The Department does not collect this information.

Osteoporosis

Laura Moffatt: To ask the Secretary of State for Health what research she has evaluated on (a) the effectiveness of measures to identify patients at risk of osteoporosis and (b) the treatment of osteoporosis by primary care organisations; and if she will make a statement. [81622]

Andy Burnham: None. The Department has not commissioned research in this area, nor are we aware that any such research has been undertaken.

Steve Webb: To ask the Secretary of State for Health what estimate she has made of the cost implications of the implementation of the new National Institute for Health and Clinical Excellence guidance for the prevention of osteoporatic fractures. [89071]

Mr. Ivan Lewis: We have commissioned the National Institute for Health and Clinical Excellence (NICE) to produce a guideline on the

25 July 2006 : Column 1241W

“assessment of fracture risk and the prevention of osteoporotic fractures in individuals at high risk”.

That work is ongoing. NICE guidelines include a costing report and costing template to provide an implementation tool to estimate the financial impact to the national health service of implementing their clinical guidelines.

Outsourcing

Colin Burgon: To ask the Secretary of State for Health what work her Department has undertaken (a) to develop a process for primary care trusts, NHS trusts and foundation trusts to assess best value when outsourcing service provision and (b) to develop criteria for trusts to evaluate work that has been outsourced. [85280]

Ms Rosie Winterton: On 13 July, the Department published Health reform in England: update and commissioning framework, which outlines the role of primary care trusts (PCTs) in commissioning services. The framework makes clear that, where provision is either unavailable or failing to meet required standards, PCTs will be encouraged to use open tendering as a way of ensuring innovation, quality, value and choice for patients.

As set out in the White Paper, “Our health, our care, our say”, where PCTs provide services they will need to put in place clear governance procedures for commissioning decisions. These procedures will include independent scrutiny by strategic health authorities and should be transparent to all potential contractors and staff.

Contracts will be the key accountability mechanism between commissioners and providers of national health service services. The Department is consulting on whether to develop a national model contract that commissioners could use as a basis for managing providers’ performance, and on the criteria that the model contract might contain.

Overview and Scrutiny Committees

Mr. Harper: To ask the Secretary of State for Health what plans she has to change the powers of local authority overview and scrutiny committees; and if she will make a statement. [84857]

Ms Rosie Winterton: There are no plans to change the statutory powers of overview and scrutiny committees. “A stronger local voice” sets out Government’s plans for the future of patient and public involvement, which includes encouraging overview and scrutiny committees to focus on how health and social services are commissioned.

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