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13 Dec 2006 : Column 1183W—continued
Primary Care Trusts
Mr. Lansley: To ask the Secretary of State for Health what the enhanced service floor was for 2005-06, broken down by primary care trust (PCT); what she expects it to be in 2006-07, broken down by PCT; and what steps she will take to ensure that PCTs do not invest in enhanced services at a level below the enhanced service floor. [106103]
Ms Rosie Winterton: Information detailing the enhanced service floors for 2005-06 and 2006-07 broken down by primary care trust has been placed in the Library.
The enhanced services floor (ESF) is not a statutory requirement on PCTs but Ministers have made a commitment that a minimum level of expenditure for each PCT would be spent on enhanced services in a given financial year.
Where PCTs may not be achieving expected levels of expenditure to meet their ESF, they should discuss the position with their local medical committee (LMC). Any local disputes regarding enhanced service investment in the new GMS contract should, if all local routes have been exhausted, be referred by strategic health authorities and LMCs to the national health service employers/general practitioners council (GPC) implementation co-ordination group (ICG).
Processed Food: Salt and Sodium Levels
Bob Spink: To ask the Secretary of State for Health what representations (a) her Department and (b) the Food Standards Agency has received on the Food Standards Agency's recommendations on salt and sodium levels in processed food. [107712]
Caroline Flint: The Food Standards Agency received 75 responses from a wide range of stakeholders to its consultation on the voluntary salt reduction targets, which took place in 2005. These representations can be viewed on the FSA's website at www.food.gov.uk.
Since publication of the targets in March 2006, the FSA and the Department have received a small number of letters from interested parties on the targets/work in this area.
Revenue Allocations
Mr. Lansley: To ask the Secretary of State for Health what the revenue allocations per unweighted head would be to each primary care trust in England in 2006-07 if additional need was given (a) zero-weighting and (b) half its current weighting in the hospital and community health services component of the weighted capitation formula. [106123]
Andy Burnham: The information for each primary care trust (PCT) their 2006-07 weighted capitation targets per unweighted head with 100 per cent. weighted,50 per cent. weighted and 0 per cent. weighted additional need in the hospital and community health services (HCHS) component of the weighted capitation formula has been placed in the Library.
It is impossible to say with certainty what the equivalent 2006-07 revenue allocations would have been with different formulas. Actual allocations are determined by a pace of change policy which is based on a judgement about the appropriate level of increase for all PCTs and the level of increase for under target PCTs to move them closer to their weighted capitation target. A different pace of change policy may have been applied with a different set of distances from targets.
Sir Robert Peel Hospital
Mr. Jenkins: To ask the Secretary of State for Health how many (a) operations have been carried out and (b) outpatients were treated at Sir Robert Peel Hospital in each of the last ten years. [107634]
Caroline Flint: The information requested is not held centrally.
Mr. Jenkins: To ask the Secretary of State for Health (1) what the budget was at Sir Robert Peel Hospital in each of the last ten years; [107635]
(2) what the budget was at Good Hope hospital in each of the last 10 years in (a) cash and (b) real terms. [107637]
Caroline Flint:
The information requested is not available in the format required. However, the total income and net operating costs for the Sir Robert Peel
hospital and the Good Hope hospital are shown in the following table.
| £000 | ||||||
| Sir Robert Peel Hospital | Good Hope Hospital | |||||
| Total | Good Hope hospital NHS trust | |||||
| South Staffordshire healthcare NHS trust | Burntwood, Lichfield and Tamworth primary care trust | Cash terms | Real terms | Cash terms | Real terms | |
| Notes: South Staffordshire healthcare NHS trust only came into existence on 1 April 2001, as a result of merging the First Community NHS trust, the Foundation NHS trust and the Premier Health NHS trust. Figures shown before 2001-02 are combined for these three trusts. Source: Audited summarisation schedules of the South Staffordshire healthcare NHS trust and its predecessor trusts 1998-99 to 2005-06. Audited summarisation schedules of the Good Hope hospital NHS Trust 1998-99 to 2005-06. Audited summarisation schedules of the Burntwood, Lichfield and Tamworth primary care trust 2001-02 to 2005-06. Treasury GDP Deflator used to provide the real terms figures, with 2005-06 as the baseline. | ||||||
Social Marketing
Stephen Hesford: To ask the Secretary of State for Health what her current guidelines are on the use of social marketing in the NHS. [103747]
Caroline Flint: The national social marketing strategy is currently in development. A social marketing framework will be finalised in early 2007.
Spine Computer System
Lynne Featherstone: To ask the Secretary of State for Health what action can be taken against patients who (a) object to having and (b) refuse to have their records stored on the NHS care records on the Spine computer system; and if she will make a statement. [101012]
Caroline Flint: Holding summary care records on the spine will deliver very significant benefits for safety and the efficient management of national health services. Patients whose record was not held on the spine, and who might need to be treated in the absence of knowledge of existing conditions, earlier treatments, and medications, would not receive the same quality of care as others.
Patients who are concerned about their records being shared by other clinicians involved in their care will be able to choose to have the clinical information in their spine record flagged so that no-one can see it without their express permission.
No action can or should be taken against patients who object to having their records stored on the spine. But some records need to be kept on the spine for all NHS patients and this is not a matter on which patients will be offered choice. However, this does not apply to all records and patients do have a qualified legal right under section 10 of the Data Protection Act 1998 to have objections considered. The Department will shortly be consulting on how best to give effect to this right in relation to the spine and other new IT systems and applications.
Sprycel: Dasatinib
Dr. Gibson: To ask the Secretary of State for Health whether she intends to refer Sprycel (Dasatinib) to the National Institute for Health and Clinical Excellence for a health technology appraisal. [108507]
Andy Burnham: We currently have no plans to refer Sprycel (Dasatinib) to the National Institute for Health and Clinical Excellence for a health technology appraisal.
Suicide and Homicide: Mental Illness Inquiry
Tim Loughton: To ask the Secretary of State for Health (1) which sources were used to compile Avoidable Deaths: Five Year Report of the National Confidential Inquiry into suicide and homicide by people with mental illness; [105297]
(2) who the (a) authors of and (b) contributors to Avoidable Deaths: Five Year Report of the National Confidential Inquiry into suicide and homicide by people with mental illness were; [105298]
(3) what the terms of reference were for Avoidable Deaths: Five Year Report of the National Confidential Inquiry into suicide and homicide by people with mental illness; [105301]
(4) why Avoidable Deaths: Five Year Report of the National Confidential Inquiry into suicide and homicide by people with mental illness investigated (a) suicides occurring between April 2000 and December 2004 and (b) homicide cases occurring between April 1999 and December 2003; and if she will make a statement; [105302]
(5) who in her Department determined the terms of reference for Avoidable Deaths: Five Year Report of the National Confidential Inquiry into suicide and homicide by people with mental illness. [105306]
Ms Rosie Winterton: “Avoidable Deaths”, the five year report from the National Confidential Inquiry Into Suicide and Homicide by People With Mental Illness (NCI) is a product of the Centre for Suicide Prevention at the university of Manchester. The centre has been commissioned by the National Patient Safety Agency to investigate suicides, homicides and sudden unexplained deaths in mental health services and make recommendations on how they might be prevented. The Department’s involvement is limited to representation on the NCI steering committee.
The NCI issues its major reports in a five year cycle, with the time periods for each report continuing from the previous report. The report is written by the NCI team, currently headed by the director, Professor Louis Appleby, and the assistant directors Professor Jenny Shaw and Dr. Nav Kapur, head of homicide research and head of suicide research respectively.
The data on all homicides is collected from the Home Office Homicide Index (HI). Where available, psychiatric reports prepared for the trial are obtained. Information on previous offences is collected from the National Crime Operations Faculty. Case details are submitted to mental health services in each individual’s district of residence and adjacent districts to identify those with a history of using mental health services, including those with a lifetime contact. These individuals become inquiry cases and those cases with recent service contact (within 12 months of the offence) are analysed as the main sample.
Information on inquiry cases is obtained from a questionnaire sent to the consultant psychiatrist within the applicable clinical team. For all homicide convictions, data are collected on methods and victims from the HI, including data on diminished responsibility and hospital orders. Data on mental illness at the time of offence comes from psychiatric reports prepared for the Crown Prosecution Service, including details of mental health, drug and alcohol use at the time of the offence. The questionnaire also provides data covering demographic details, clinical history, details of the homicide, details of in-patient/community care received, details of final contact with services, events leading to the homicide and respondents’ views on prevention.
Due to delays inherent in the notification procedures, homicide data were not complete for 2004, the final year of the study. Data on homicides in this report therefore cover the period April 1999 to December 2003, where they are more complete. Data on suicides are more complete for 2004, hence the report covers the period April 2000 to December 2004.
Tuberculosis
Mr. Dunne: To ask the Secretary of State for Health how many patients in England and Wales were diagnosed with tuberculosis in each year from 2001 to 2006, broken down by (a) primary care trust and (b) strategic health authority. [106304]
Caroline Flint: Annual data for primary care trusts (PCTs) from 2001 to 2003 existing in England in this period have been provided in a table that has been placed in the Library.
The information requested from 2001 to 2005 for eight of 10 strategic health authorities (SHAs) is provided in the following table.
| Tuberculosis case reports by SHA in England, 2001-05 | |||||
| Number | |||||
| SHA | 2001 | 2002 | 2003 | 2004 | 2005 |
| Notes: i. Annual data for 2006 will not be available until 2007 ii. HPA regions are fully co-terminous with the Government Office regions, and are also co-terminous with SHAs, with the exception of the HPA South East region which covers both NHS South Central and NHS South East Coast SHAs. Aggregated data for NHS South Central and NHS South East Coast SHAs are available from the HPA website at: www.hpa.org.uk/infections/topics_az/tb/epidemiology/tablel5.htm iii. Wales does not have SHAs. iv. Aggregated data for Wales are available on the HPA website at: www.hpa.org.uk/infections/topics_az/tb/epidemiology/tablel5.htm Source: Health Protection Agency (HPA) enhanced tuberculosis surveillance regional data. | |||||
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