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8 Jan 2007 : Column 51W—continued

The populations for Newcastle PCT, after adjusting for cross boundary flows, are shown in table 2.

Table 2
Allocation year Population











NHS Debt

Anne Main: To ask the Secretary of State for Health what progress has been made by turnaround teams in reducing debt within the NHS; what the most recent deficit position is in the NHS; and if she will make a statement. [106445]

8 Jan 2007 : Column 52W

Andy Burnham: We published the national health service finance report for the second quarter of 2006-07 on 9 November, which states that the NHS as a whole is forecasting a £94 million deficit, after the application of a £350 million contingency established by strategic health authorities.

143 NHS organisations were in turnaround at the time of the quarter 2 report. At the end of 2005-06 these 143 organisations reported a combined deficit of £l.l billion in their final accounts. At quarter 2 2006-07, these organisations were forecasting a combined year-end deficit of £835 million, a movement of around £287 million.

NHS Emissions

Tim Loughton: To ask the Secretary of State for Health (1) what steps the NHS is taking to reduce its carbon dioxide emissions; [105638]

(2) what estimate she has made of the amount of greenhouse gas emissions produced by the NHS in each of the last five years. [105639]

Andy Burnham: National health service bodies are legally autonomous and it is for them to take steps to reduce carbon dioxide emissions where local circumstances permit. To help in this process the Department has issued guidance for the NHS, set out in “Encode”, on a range of steps to improve energy and carbon efficiency. The NHS is also subject to mandatory energy and carbon targets, set by the Government in April 2001. These require it to achieve efficiency savings of 15 per cent. energy, or 0.15 million tonnes carbon, from a base year of March 2000 to March 2010.

As the NHS does not have Crown immunity, a number of NHS organisations will need to comply with the requirements of the Greenhouse Gas Emissions Trading Scheme Regulations 2005 which will contribute further to the reduction of carbon dioxide emissions.

The Department is unable to make an estimate of the total amount of greenhouse gas emissions produced by the NHS. Such emissions cover water vapour, carbon dioxide, methane, nitrous oxide, ozone and chlorofluorocarbons (CFCs). The Department's estates returns information collection (ERIC) database only collects information from which to calculate energy, carbon dioxide and equivalent carbon emissions.

NHS Expenditure

Sir Gerald Kaufman: To ask the Secretary of State for Health how much was spent on the national health service in (a) 1996-97 and (b) 2005-06; and what the percentage change was in real terms over that period. [106389]

Ms Rosie Winterton: The average real terms increase in national health service total net expenditure for the period 1996-97 to 2005-06 is 6.3 per cent.

8 Jan 2007 : Column 53W

The real terms increase year on year from 1996-97 to 2005-06 is included in the following table.

NHS Total Expenditure: England -1996-97 to 2005-06
Net NHS Expenditure( 1) (£billion) Percentage increase Percentage real terms increase( 2)

Cash( 3)





















RB Stage 1( 4)



















RB Stage ( 2,5,6)















1. Figures are not consistent over the period (1996-97 to 2005-06), therefore it is difficult to make comparisons across different periods.
2. Figures from 2003-04 include a technical adjustment for trust depreciation.
3. Expenditure pre 1999-00 is on a cash basis.
4. Expenditure figures from 2003-04 to 2005-06 are on a Stage 2 Resource Budgeting basis.
5. Expenditure figures from 1999-00 to 2002-03 are on a Stage 1 Resource Budgeting basis.
6. The Resource Budgeting Stage 2 expenditure figures shown for 2004-05 to 2005-06 are consistent with table 3.4 of the 2006 Departmental Report.
7. Includes a technical adjustment in 2004-05 for provisions of £-1,497 million.
GDP deflator as at 27 September 2006

NHS Finance

Harry Cohen: To ask the Secretary of State for Health whether the projected increases in populations used to determine the revenue allocations to primary care trusts within the Thames Gateway for (a) 2006-07, (b) 2007-08 and (c) thereafter include the entirety of the population increase likely to be accommodated as a result of the increased rate of housebuilding anticipated under the Sustainable Communities Plan; and if she will make a statement. [110267]

Andy Burnham: The 2006-07 and 2007-08 allocations to primary care trusts (PCTs) use population projections published by the Office for National Statistics. Additionally, and in conjunction with the Department for Communities and Local Government (DCLG), the Department included within these allocations a formula adjustment for the growth areas including Thames Gateway to support the Sustainable Communities Plan.

8 Jan 2007 : Column 54W

For the adjustment, DCLG provided variant population projections which forecast until 2016 the population resulting from additional homes over and above regional planning guidance in the growth areas. The growth area adjustment incorporates the relevant part of these variant population projections for 2006-07 and 2007-08.

The Advisory Committee on Resource Allocation (ACRA) is reviewing the population base for allocations to PCTs after 2007-08 as part of its current work programme.

NHS Financial Performance

Steve Webb: To ask the Secretary of State for Health pursuant to her Department's publication of the NHS Financial Performance, quarter two, 2006-07, if she will list the organisations referred to in paragraph 1.4 (iv) as forecasting deficits in (a) quarter one and (b) quarter two; and what the size of the forecast deficit is for each organisation. [110182]

Andy Burnham: The information requested has been placed in the Library.

NHS Head of IT

Dr. Cable: To ask the Secretary of State for Health how much the head of IT for the NHS (a) was paid, (b) received as a bonus and (c) received in pension contributions in each of the last five years for which data are available; and if she will make a statement. [103314]

Mr. Ivan Lewis: The Director-General of NHS IT Programme, Mr. Granger, was appointed to his current role on 7 October 2002 on a salary of £250,000. He accepted a very substantial reduction in pay and allowances on joining the Department. His contract provides for an annual increase in salary in line with the revalorisation of senior civil service pay ranges or RPI. While he has no contractual entitlement to performance pay, discretionary bonus payments of around 5 per cent. have been paid in his full years of service. The figures for combined salary and bonuses for earlier years were, since his appointment, as shown below:

Amount (£)











Information about pension arrangements for civil servants can be found on the following website:

NHS Operating Framework

Mr. Lansley: To ask the Secretary of State for Health when she expects to publish the NHS Operating Framework for 2007-08. [106140]

8 Jan 2007 : Column 55W

Andy Burnham: The NHS in England: the operating framework for 2007-08 was published on 11 December 2006 which is available in the Library.

NHS Reconfiguration

Mr. Waterson: To ask the Secretary of State for Health what steps she is taking to ensure effective public consultation is undertaken on changes to the configuration of NHS services. [104453]

Andy Burnham: There is a well-established process for conducting consultations on reconfigurations, which is encouraged and supported by the Department. The Department has issued guidance, “Strengthening Accountability”, published in February 2003, that offers policy and practice guidance for national health service organisations on involving patients and the public. Primarily there is a duty to consult and involve patients and the public conferred on NHS organisations by section 11 of the Health and Social Care Act 2001. Further information about policy and guidance published by the Department on consultations can be found at:

NHS Redundancies

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 11 December 2006, Official Report, column 858W, on NHS redundancies, when she expects to publish the NHS financial performance report for the third quarter of the 2006-07 financial year. [109665]

Andy Burnham: We expect to publish the national health service financial performance report for the third quarter of 2006-07, in February 2007.

NHS Trusts

Harry Cohen: To ask the Secretary of State for Health what (a) efficiency and (b) productivity indicators she uses to assess standards of (i) care and (ii) value for money of NHS trusts' performance. [106161]

Andy Burnham: The Healthcare Commission and the Audit Commission have the statutory responsibility for assessing the performance of national health service trusts. The results of this work is published in the annual health check which covers both quality of care and value for money.

The NHS Institute of Innovation and Improvement now publishes the ‘Better Care, Better Value Indicators’ which supports the work of NHS trusts in improving their efficiency and productivity.


Dr. Gibson: To ask the Secretary of State for Health what guidance is given to primary care trusts on making available to patients drug treatments which are licensed but are not yet a part of the National Institute for Health and Clinical Excellence’s work programme. [108508]

8 Jan 2007 : Column 56W

Andy Burnham: In 1999 the Department issued health service circular 1999/176, which asks national health service bodies to continue with local arrangements for the managed introduction of new technologies where guidance from the National Institute for Health and Clinical Excellence has not yet been issued. The Department issued an updated version of this guidance on 14 December 2006 and copies have been placed in the Library.

Non-elective Admissions

Mr. Lansley: To ask the Secretary of State for Health when she will publish the predictive risk indicators for non-elective admissions. [102033]

Andy Burnham: There is no information held on predictive risk indicators for non-elective admissions.

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