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22 Jan 2007 : Column 1598W—continued


Mrs. Dorries: To ask the Secretary of State for Health what the financial position was of each (a) primary care trust and (b) hospital trust in each year since 2000; and if she will make a statement. [117355]

Andy Burnham: Details of the financial position for primary care trusts (PCTs) and national health service trusts for the years 1997-98 to 2004-05 are available in the Library.

Our published quarter two, 2006-07 NHS finance report contains the details of the financial position for NHS Trusts and PCTs at the end of 2005-06, and the latest quarter two forecast out-turn position for 2006-07. Copies are also available in the Library.

The quarter three NHS finance report will be published in February.


22 Jan 2007 : Column 1599W

NHS Maintenance

Mr. Lansley: To ask the Secretary of State for Health what the total estimated cost of backlog maintenance was in the NHS in each financial year since 1997-98. [115001]

Andy Burnham: The information requested is in the table. Investment to reduce backlog maintenance will be prioritised locally based on risk assessment, reconfiguration planning and available resources. The majority of the backlog maintenance relates to low priority work which will be undertaken through ongoing maintenance programmes. Where higher risks are present, work will be undertaken as a priority.

Total backlog maintenance
£ million

1997-98

2,836

1998-99

3,027

1999-2000

3,108

2000-01

3,242

2001-02

3,378

2002-03

3,517

2003-04

3,193

2004-05

3,142

2005-06

3,684


The data is as provided by the national health service and has not been amended centrally. Its accuracy and completeness is the responsibility of the provider organisation.

NHS Operating Framework Podcast

Mr. Lansley: To ask the Secretary of State for Health how many times the podcast made by the NHS chief executive on the importance of the ‘NHS Operating Framework 2007-08’ published on the departmental website on 11 December 2006 has been downloaded; and at what cost the podcast was produced. [113016]

Mr. Ivan Lewis: The webpage containing the podcast made by the national health service chief executive on the importance of the ‘NHS Operating Framework 2007-08’, published on the Department’s website on 11 December 2006, received 6,033 visits between 11 December 2006 and 7 January 2007. It is not possible to know exactly how many of those page visits resulted in a download, as our software is currently unable to measure that.

The production cost was £2,496.32 (excluding VAT).

NHS Trust Directors

John Mann: To ask the Secretary of State for Health what information she has on the (a) socio-economic profile, (b) ethnic origin and (c) gender of NHS trust ex-officio board directors in (i) 2005 and (ii) 2006. [113742]

Ms Rosie Winterton: An assessment of the socio-economic profile, ethnic origin and sex of national health service trust ex-officio board directors has not been undertaken as this information is not collected centrally.


22 Jan 2007 : Column 1600W

John Mann: To ask the Secretary of State for Health how many and what proportion of (a) hospital and (b) primary care trust ex-officio directors are from a (i) business, (ii) accountancy and (iii) NHS background. [113743]

Ms Rosie Winterton: This information is not collected centrally.

NHS Work Force

Mr. Lansley: To ask the Secretary of State for Health whether she plans to offer guarantees of employment in the NHS to students leaving healthcare-related training. [115008]

Ms Rosie Winterton: There are no plans to offer guarantees of employment in the national health service to newly qualified health professionals. The Department has worked closely with NHS employers and published guidance to support local NHS organisations, to help them maximise employment opportunities and to ensure the health and social care services do not lose the skills of displaced staff or new graduates.

NICE Guidance

Mr. Burstow: To ask the Secretary of State for Health what estimate she has made of the savings to the NHS budget that are likely to be made following National Institute for Health and Clinical Excellence guidance on drug treatments since its inception, broken down by individual guidance type; and if she will make a statement. [114639]

Caroline Flint: Each technology appraisal and clinical guideline published by the National Institute for Health and Clinical Excellence (NICE) contains an estimate of the cost and savings to the national health service associated with its implementation. The following table lists the guidance where NICE has estimated a potential saving to the NHS in spending on drug treatments.

Estimated potential annual savings in drug spend, England
NICE guidance topic £ million

Technology appraisal

Proton pump inhibitors

45

Pioglitazone for type two diabetes

12

Capecitabine and tegafur with uracil for metastatic colorectal cancer

16

Capecitabine for locally advance breast cancer

1.2

Glitazones for type two diabetes (review)

16

Rheumatoid arthritis—anakinra

0.07

Atopic dermatitis (eczema)—topical steroids

31

Clinical guideline

Post-traumatic stress disorder

10.8

Depression in adults

10

Depression in children and adolescents

1.98

Tuberculosis

0.13

Obesity

13.9

Total

158.08


22 Jan 2007 : Column 1601W

North Yorkshire Funding

Hugh Bayley: To ask the Secretary of State for Health what allocations the Government made to health authorities up to 2002-03 and primary care trusts since then in North Yorkshire in each year since 1996-97 (a) in cash terms and (b) at constant prices; and what allocations are planned to the new North Yorkshire Primary Care Trust in each of the next five years. [115451]

Mr. Ivan Lewis: The information requested is set out in the tables. Table 1 shows allocations in cash terms and in 2006-07 constant prices to North Yorkshire Health Authority (HA) between 1996-97 and 2002-03. Table 2 shows allocations in cash terms and in 2006-07
22 Jan 2007 : Column 1602W
constant prices to primary care trusts (PCTs) in North Yorkshire between 2003-04 and 2007-08.

The Department has not yet planned allocations to PCTs beyond 2007-08.

Table 1: Revenue allocations to North Yorkshire (HA)
Allocation Real terms allocation in 2006-07 prices

1996-97

291,504

371,722

1997-98

303,427

375,990

1998-99

318,712

385,142

1999-2000

434,879

515,108

2000-01

474,576

554,334

2001-02

512,685

584,960

2002-03

566,781

627,278


Table 2: Revenue allocations to PCTs in North Yorkshire
Craven, Harrogate and Rural District Hambleton and Richmondshire Scarborough, Whitby and Ryedale Selby and York
Allocation Real terms allocation in 2006-07 prices Allocation Real terms allocation in 2006-07 prices Allocation Real terms allocation in 2006-07 prices Allocation Real terms allocation in 2006-07 prices

2003-04

166,668

179,131

91,187

98,006

138,792

149,170

216,207

232,374

2004-05

181,585

189,935

99,349

103,917

152,118

159,113

235,557

246,389

2005-06

197,111

202,399

107,843

110,736

166,123

170,580

255,791

262,654

2006-07

235,518

235,518

129,360

129,360

198,010

198,010

307,131

307,131

2007-08

254,740

248,029

139,918

136,232

216,805

211,094

335,917

327,068


Pacesetters Project

Mr. Hayes: To ask the Secretary of State for Health what the cost to her Department was of the Pacesetters project; and what programmes operated over the last 12 months. [115722]

Andy Burnham: £1,783,000 is allocated to the Pacesetters Programme in 2006-07.

The Pacesetters Programme is a collaboration between the Department and up to five strategic health authorities (SHAs) and three trusts in each of their areas. The aim is to effect lasting and transformational change in the way in which equality and diversity is addressed in the commissioning and delivery of health services. To date, considerable work has focused on laying firm foundations. This has involved both the Department and the SHAs in making appointments to the programme, compiling baseline data, running learning workshops, engaging with local stakeholders and communities (some of whom are hard to reach), and undertaking other essential background pieces of work. As a result the SHAs and participating trusts have been able to select the change ideas that they will work on in the coming years. In addition, the programme has been successfully launched in one SHA area and further launches are planned for the coming months.

PCT Funding

Andrew Rosindell: To ask the Secretary of State for Health how her Department determines the level of funding to be allocated to each primary care trust. [115575]

Andy Burnham: Funding is allocated to primary care trusts (PCTs) on the basis of the relative needs of their populations. A weighted capitation formula is used to determine each PCTs’ target share of available resources, to enable them to commission similar levels of health services for populations in similar need.

The components of the formula are used to weight each PCT’s crude population according to their relative need (age, and additional need) for healthcare and the unavoidable geographical differences in the cost of providing healthcare (market forces factor).

The weighted capitation formula is used to set targets, which then inform allocations. The formula does not determine allocations. Actual allocations reflect decisions on the speed at which PCTs are brought nearer to target through the distribution of extra funds (pace of change policy). Pace of change policy is decided by Ministers for each allocations round.

For the latest allocations round, covering the period 2006-07 and 2007-08, it has been decided to move PCTs more quickly towards their fair share of funds. In 2003-04, the most under-target PCT was 22 per cent. under target. However, moving to reach target allocations in one three-year set of allocations was not possible. The 2006-08 revenue allocations move PCTs more quickly towards their target shares and by the end of 2007-08, no PCT will be more than 3.5 per cent. below its fair share.


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