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23 Oct 2006 : Column 1722W—continued

Services Commissioning

Mr. Baron: To ask the Secretary of State for Health what guidance has been produced for strategic health authorities and primary care trusts in commissioning services through the NHS and Social Care Conditions Model; and if she will make a statement. [92295]

Mr. Ivan Lewis: On 13 July 2006, the Department published “Health Reform in England: update and commissioning framework”. This document and its supporting annexe provided detailed guidance to strategic health authorities and primary care trusts on commissioning. The commissioning framework set out how commissioning will be strengthened through greater clinical and community engagement, better information, a range of new incentives and levers for commissioners, and through developing commissioners’ capacity and capability. It included a

23 Oct 2006 : Column 1723W

particular focus on commissioning for hospital services covered by patient choice and the payment by results tariff.

A second phase of the commissioning framework is currently being developed for publication at the end of the year. This will focus on strengthening commissioning for improved health and wellbeing and the joint commissioning relationship between health and social care. It will particularly emphasise how services for people with long-term conditions should be commissioned and will include a review of social care commissioning.

Specialist Falls Services

Mr. Baron: To ask the Secretary of State for Health which hospitals have a specialist falls service. [92291]

Mr. Ivan Lewis: The information requested is not held centrally. A national audit of falls and bone health
23 Oct 2006 : Column 1724W
services produced by the Royal College of Physicians in January 2006 found that 74 per cent. of trusts in England are part of a co-ordinated, integrated, multi-professional, multi- agency service for falls. The audit also found that 47 per cent. of acute hospitals and 57 per cent. of day hospitals had an operational base for the specialist falls service.

Waiting Lists

Chris Ruane: To ask the Secretary of State for Health (1) how many people on NHS waiting lists there were in each of the last 20 years; [93887]

(2) how many patients waited more than six months for inpatient treatment in each of the last 20 years. [93839]

Andy Burnham: The figures requested are shown in the table.

Inpatient waiting list statistics: England, 1988 to 2006
Total number of patients waiting for admission Number of patients waiting over six months for inpatient admission
Month ending Provider based Commissioner based Provider based Commissioner based

1988

March

876,246

381,226

1989

March

922,676

408,755

1990

March

958,976

400,518

1991

March

948,243

369,541

1992

March

917,717

270,817

1993

March

994,974

272,654

1994

March

1,065,369

303,885

1995

March

1,044,051

241,218

1996

March

1,048,029

1,017,304

208,484

203,235

1997

March

1,158,004

1,131,201

289,574

283,866

1998

March

1,297,662

1,276,965

382,432

377,164

1999

March

1,072,860

1,060,356

279,627

276,752

2000

March

1,037,066

1,024,654

268,275

264,370

2001

March

1,006,727

995,123

245,991

242,953

2002

March

1,035,365

1,021,604

241,684

238,091

2003

March

992,075

975,338

192,452

189,054

2004

March

905,753

890,205

82,071

80,125

2005

March

821,722

808,810

41,416

40,843

2006

March

784,554

771,107

921

206

2006

August

769,461

759,136

827

115

Notes: 1. Before September 1987 waiting list excluded day case patients. 2. Waiting times figures not collected prior to 1987-88. 3. From April 2006, data collected in weeks and figures relate to patients waiting over 26 weeks. 4. Provider based figures include Welsh residents treated in English NHS Trusts. These patients are not subject to English waiting time standards. Source: KH07 provider based return and QF01 commissioner based return.

Wanless Report

Mr. Andrew Turner: To ask the Secretary of State for Health whether she will implement the recommendations of the Wanless Report on “Securing Good Care for Older People” and if she will make a statement. [96450]

Mr. Ivan Lewis: The Department welcomed the publication of “Securing Good Care for Older People”, the King’s Fund review led by Sir Derek Wanless into long-term social care for older people in England.

The report is an important starting point that we need to feed into our work on the 2007 comprehensive spending review. To inform this work we are bringing in external experts. We are delighted that Sir Derek Wanless has agreed to be one of these experts.


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