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26 Jan 2007 : Column 2139W—continued
Integrated Clinical Assessment and Treatment Services: Manchester
Dr. Iddon: To ask the Secretary of State for Health (1) what consultation there has been on the proposed integrated clinical assessment and treatment services in Greater Manchester with Greater Manchester (a) hon. Members, (b) primary care trusts and (c) residents; [116438]
(2) whether a business case has been published for the integrated clinical assessment and treatment services proposed for Greater Manchester; [116439]
(3) where she expects the integrated clinical assessment and treatment services for Greater Manchester to be established; [116440]
(4) what assessment she has made of the likely effect of the new integrated clinical assessment and treatment services proposed for Greater Manchester on the financial viability of NHS hospital trusts in the conurbation; [116441]
(5) whether NHS hospital trusts will be allowed to compete for integrated clinical assessment and treatment services contracts in Greater Manchester. [116442]
Andy Burnham: The aim of the clinical assessment and treatment services (CATS) being procured from the independent sector in Greater Manchester is to reduce waiting times for patients and offer services closer to their homes.
It is anticipated that CATS in Greater Manchester will be provided by both national health service and independent sector providers. In addition to NHS CATS centres, it is envisaged that a total of six independent sector facilities will be located in areas well served by public transport to provide ease of access for patients. Negotiations are on-going as to their location.
There is no published business case at this stage. There has been a central review of the outline business case which will require final Department and HM Treasury approval.
NHS North West is working with local primary care trusts (PCTs) to assess and manage the impact on acute and foundation trusts in Greater Manchester. Local consultation is also a matter for PCTs and I understand that there have been on-going discussions with the overview and scrutiny committees about the development of CATS services together with a series of workshops with acute trusts in Greater Manchester.
Ann Coffey: To ask the Secretary of State for Health (1) what recent assessment she has made of the financial impact on the acute and foundation trusts in Greater Manchester of the introduction of the integrated clinical assessment treatment centres; [116614]
(2) what recent assessment she has made of the potential financial impact on the acute and foundation trusts in Greater Manchester of the opting-out by any Primary Care Trust from the service provided by the integrated clinical assessment treatment centres. [116615]
Andy Burnham: The Department continues to work with the NHS North West strategic health authority (SHA), which is leading on the procurement of clinical assessment and treatment services from the independent sector. The SHA is working with local primary care trusts to assess and manage the impact on acute and foundation trusts in Greater Manchester.
Ministerial Visits
Anne Main: To ask the Secretary of State for Health whether the Minister of State, Department of Health, the hon. Member for Leigh (Andy Burnham) used a ministerial car at any point in his journey toSt. Albans in December 2006; whether he was accompanied by civil servants; and if she will make a statement. [117415]
Andy Burnham: I did not use a ministerial car at any point on my journey to St. Albans in December 2006 and was not accompanied by any civil servants.
NHS Chiropody Services
Mr. Baron: To ask the Secretary of State for Health (1) what recent assessment she has made of the extent of (a) the effect of changes to the eligibility criteria for access to NHS chiropody services and (b) regional variations in access to NHS chiropody services; [111849]
(2) how many (a) contacts and (b) new contacts there were between NHS chiropodists and patients in each of the last five years; [111850]
(3) what recent progress her Department has made towards establishing high street drop-in centres for chiropody; [111851]
(4) what plans she has to undertake a full review of NHS chiropody services; and if she will make a statement. [111852]
Mr. Ivan Lewis: No central assessment has been carried out or is planned for this service. It is for local national health service trusts in partnership with local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, outlined in the national service frameworks, and to commission services accordingly. This process provides the means for addressing local needs within the health community including the provision of chiropody.
‘Our health, our care, our say’, set out the future direction for healthcare. The implementation will address improved access to allied health professions,
including chiropody. We are establishing pilot sites for the introduction of self-referral to physiotherapy. Lessons learnt from these pilots will be applicable to other therapies and we will be working closely with the professions on this.
Information about chiropody contacts is available in the NHS chiropody services summary information. The following table is taken from that information. The collection of these data was discontinued in 2005. Data about face-to-face contacts were discontinued in 2000. Information continues to be collected centrally for reference costing purposes. However, this is not separately identifiable.
| NHS chiropody services summary information (KT23) | ||
| Number (thousand) | ||
| Initial contacts( 1) | First contacts( 2) | |
| (1) New episodes of care. (2) Different persons seen in the year. | ||
Pay Settlements
Mr. Lansley: To ask the Secretary of State for Health how the assumption of 2.5 per cent. for pay settlement and drift used to inform the pay, price and reform uplift to the tariff in 2007-08 was taken into account in determining the 1.7 per cent. increase in the tariff for pay; what definitions of pay settlement and drift she is using; and if she will make a statement. [114995]
Andy Burnham: The tariff uplift is based on the estimated increase in the cost of services within the hospital and community health service (HCHS) sector. The 2.5 per cent. increase in pay settlement and drift translates into a 1.7 per cent. increase in HCHS costs because pay represents around two-thirds of total HCHS costs.
Pay settlement is the level of pay increase awarded following the recommendation by pay review bodies. Pay drift is the increase in paybill beyond increases due to workforce growth, pay settlement and staff on-costs. For example, a decrease in workforce growth or improved staff retention may lead to pay drift due to a change in the distribution of staff between different incremental points on the pay scale.
Rats
Dr. Kumar: To ask the Secretary of State for Health what estimate she has made of how many injuries and illnesses were caused by rats in each of the last five years. [117453]
Caroline Flint: Injuries data are collected by the Department on the number of hospital admissions for injuries caused by rat bites. These data do not include individuals who did not attend hospital or patients who attended accident and emergency departments but were not admitted. Information is not available on whether the person was bitten in the United Kingdom (UK) or abroad, or bitten by a wild or captive rat.
The figures for the last five years for England are shown in the table.
| Admissions | |
Leptospirosis is the main disease in humans caused by rats in the UK. Figures for laboratory confirmed cases of leptospirosis in the UK are shown in the table.
| Scotland | England and Wales | Northern Ireland | |
| n/a = Not available. Source: Zoonoses Report 2005 | |||
Information on leptospirosis prevention and treatment is available on the Health Protection Agency website at:
www.hpa.org.uk/infections/topics_az/zoonoses/leptospirosis/menu.htm
Dr. Kumar: To ask the Secretary of State for Health what research the Department has commissioned into the potential health hazards caused by rats. [117454]
Caroline Flint: The Department has not commissioned any research into the potential health hazards caused by rats as these are already well known.
Social Services: Gravesham
Mr. Holloway: To ask the Secretary of State for Health how much was allocated by central Government to local government for social services in Gravesham local authority area in the most recent year for which figures are available. [117306]
Mr. Ivan Lewis: The provision of social services in the Gravesham area is the responsibility of Kent county council. Funding for local authorities’ social service responsibilities are paid through formula grant (revenue support grant and national non-domestic rates) and specific grant. Formula grant is unhypothecated provision and decisions on the use of that grant are for local authorities to make, bearing in mind their statutory responsibilities and the wishes of their electorate. Under the provisional local government finance settlement 2007-08, Kent county council receives a formula grant of £228.685 million, which is an increase of 2.7 per cent. on a like for like basis. In addition, Kent will receive the following revenue grants for adult social care amounting to £42.591 million:
| £ million | |
|
Mental Capacity Act and the independent mental capacity advocate |
Tuberculosis
Mr. Scott: To ask the Secretary of State for Health how many non-British patients were treated in London hospitals for tuberculosis in the last three years for which figures are available. [117236]
Caroline Flint: Data on the number of people treated for tuberculosis (TB) in London hospitals by place of treatment is not available centrally.
Details of the number of TB case reports for non-British patients in the London region are provided in the following table. This accounts for the amount of non-British TB case reports, and not the amount of non-British patients that received treatment.
| Number | |
| Source: Health Protection Agency enhanced tuberculosis surveillance (ETS) by London region (non-United Kingdom-born). Data as at 23 January 2007. | |
Weight Statistics
Dr. Kumar: To ask the Secretary of State for Health what estimate she has made of the number of people classified as (a) overweight, (b) obese and (c) underweight in each English region in each of the last five years. [117494]
Caroline Flint: The main source of data on the prevalence of overweight and obesity among children and adults is the Health Survey for England. The information is not available in the format requested. The most recent data on obesity prevalence by Government Office Region is collected in the Health Survey for England 2003. However, due to variation in sample sizes in each year, it is not possible to provide data to this level of detail in all years.
The table sets out the data on the prevalence of underweight, desirable, overweight and obese adults by Government Office Region and gender in Health Survey for England 2003.
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