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Mr. Carswell: To ask the Secretary of State for Health which medical services were intended to be provided by the new Harwich hospital; when the construction on it began; and what services are now available at the hospital. 
Andy Burnham: This is a matter for the local national health service. However, the NHS East of England strategic health authority (SHA) reports that construction of the hospital was completed on 28 November 2005 and opened to patients on 16 August 2006. The SHA advises that the following services were planned and are available now:
21 beds dedicated to the care of elderly;
minor injuries unit;
rehabilitation unit; and
outpatients and the x-ray service.
Sandra Gidley: To ask the Secretary of State for Health what estimate she has made of redundancy costs of the restructuring of (a) strategic health authorities, (b) ambulance trusts and (c) primary care trusts. 
Andy Burnham: We have estimated that the redundancy costs arising from commissioning a patient led national health service would be in the order of £325 million. These figures are difficult to estimate and will only become firmer as new structures are put into place in the strategic health authorities, primary care trusts and ambulance trusts.
Geraldine Smith: To ask the Secretary of State for Health what estimate she has made of the effect on levels of employment in the NHS in Lancashire and Cumbria of the introduction of clinical assessment, treat and support services. 
Andy Burnham: NHS North West is working with local primary care trusts to assess and manage the impact on acute trusts of introducing clinical assessment, treatment and support services. This includes any possible impact on national health service staff.
Geraldine Smith: To ask the Secretary of State for Health whether she expects the public to be given the opportunity to comment on the involvement of the independent sector as part of the Cumbria/Lancashire clinical assessment, treat and support service public consultation. 
Andy Burnham: The six primary care trusts in Cumbria and Lancashire are currently carrying out public consultation on the details of the local implementation of the clinical assessment, treatment and support (CATS) services in the two counties. The consultation covers the locations of the CATS sites, the impact on the wider health services, how the CATS can fit seamlessly into the pathway from general practitioner referrer through to local hospitals treatment, and whether the clinical specialties proposed (orthopaedics, rheumatology, ear nose and throat, general surgery, urology and gynaecology) are the most appropriate.
Mr. Stewart Jackson: To ask the Secretary of State for Health what the (a) average bed occupancy rate and (b) total number of clinical beds available was in each month since May 2005 at (i) Edith Cavell hospital and (ii) Peterborough district hospital; and if she will make a statement. 
Andy Burnham: Information is not available in the format requested. However, the Peterborough and Stamford Hospital NHS Foundation Trust has 706 beds and the average bed occupancy rate in 2005-06 was 82.6 per cent. This includes all beds in day wards and wards open overnight. The trust does not provide any residential care beds.
Mr. Dai Davies: To ask the Secretary of State for Health how much has been paid in fees to management consultants in the restructuring of the NHS; and what further expenditure on change consultants has been committed. 
Mr. Ivan Lewis: The report entitled Reducing re-offending by ex-prisoners, produced by the Social Exclusion Unit in 2002, noted that the imprisonment of a parent can result in mental health problems for children.
Simon Hughes: To ask the Secretary of State for Health on which date each Minister in her Department visited (a) any part of the Maudsley Hospital and (b) the 24 hour emergency clinic at the Maudsley Hospital in Southwark. 
Mr. Graham Stuart: To ask the Secretary of State for Health how many times Ministers from her Department visited health services in the East Riding of Yorkshire in each of the last 10 years; and if she will make a statement. 
Geraldine Smith: To ask the Secretary of State for Health (1) what estimate she has made of the change in numbers of referrals to rheumatology departments in Morecambe Bay Hospitals Trust following the introduction of clinical assessment, treat and support services; 
Andy Burnham: The six primary care trusts (PCTs) in Cumbria and Lancashire are currently carrying out public consultation on the details of the local implementation of the clinical assessment, treatment and support (CATS) services in the two counties. The consultation covers the locations of the CATS sites, the impact on the wider health services, how the CATS can fit seamlessly into the pathway from general practitioner referrer through to local hospitals treatment, and whether the clinical specialties proposed (orthopaedics, rheumatology, ear nose and throat, general surgery, urology and gynaecology) are the most appropriate. The PCTs are also undertaking a locality impact assessment of the CATS scheme on existing health service providers.
Mr. Lansley: To ask the Secretary of State for Health how much land there is on the NHS estate, broken down by NHS trust; and how much was sold to developers in each year since 1997, broken down by trust. 
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 22 January 2007, Official Report, column 1599W, on NHS maintenance costs, if she will provide a breakdown of the cost of backlog maintenance in 2005-06 by NHS organisation. 
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.
The new NHS Contract for acute hospital services was published in December 2006 and will be used in most national health service contractual agreements for 2007-08. The expectation is that the introduction of a standard set of documentation will bring greater transparency in both planning and performance against contracts during the course of the year.
Mr. Evennett: To ask the Secretary of State for Health what representations she has received on service changes to (a) speech and language therapy, (b) incontinence pads, (c) district nursing, (d) family planning, (e) podiatry, (f) pharmacy services and (g) chiropody services provided by Bexley Care Trust. 
Mr. Jamie Reed: To ask the Secretary of State for Health (1) when her Department first held discussions with Netcare on the provision of clinical assessment, treatment and support services centres in Cumbria; 
Andy Burnham: Phase two of the independent sector treatment centre programme was announced in May 2005 and any company was free to register an expression of interest, and complete the pre-qualifying questionnaire, which was issued in late August 2005. From these submissions, a short list of potential bidders was drawn up for each scheme. Bids were submitted and subsequently preferred bidders were appointed. In each case, bidders were invited to negotiate and meet specific criteria including clinical services, finance, workforce, information management and technology, and contract management.
Netcare was selected as preferred bidder for the Cumbria and Lancashire clinical assessment, treatment and support service (CATS) scheme in August 2006. Locations of the CATS centres are still to be finalised and this is the subject of ongoing public consultation
by primary care trusts (PCTs) in the North West. The services provided through the CATS scheme will be paid for by PCTs from their revenue allocations at national health service tariff or at costs equivalent to the NHS costs for such services.
Mr. Neil Turner: To ask the Secretary of State for Health what the financial position is of each (a) hospital trust and (b) foundation trust; what percentage of the market forces factor (MFF) was applied to income for tariff payments in each case; and what the value above the mean was that each trust gained as income as a result of the application of the MFF. 
Andy Burnham: The published quarter two 2006-07 national health service finance report contains details of the financial position for NHS trusts at the end of 2005-06, and the latest quarter two forecast out-turn position for 2006-07. Copies are available in the Library.
Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) is responsible for overseeing NHS foundation trusts, which includes monitoring their financial position. Monitor published their latest report outlining the year to date performance of the NHS foundation trusts sector on 12 December (NHS Foundation Trusts: Report for six-month period to 30 September 2006). Copies are available on its website at:
These payments reimburse trusts and foundation trusts for the unavoidable cost differences in providing services in different localities which are not included in the national tariff. For first wave NHS foundation trusts and early implementers of payment by results these payments covered elective, non-elective, outpatient and accident and emergency activity. For all other providers the payments in 2005-06 covered elective activity only.
However, we have delivered on the commitment set out in the NHS Cancer Plan to provide an extra £50 million per annum for specialist palliative care by 2004. This additional funding is now recurrent in Primary Care Trust baseline allocations.
Mr. Stewart Jackson: To ask the Secretary of State for Health what the take up is of the choose and book system amongst primary care practices in each primary care trust in the East of England in the period for which figures have most recently been collected; and if she will make a statement. 
|Uptake of choose and book amongst general practitioner (GP) practices in each primary care trust (PCT) in the East of England|
|PCT name||Total GP practices( 1)||GP practices using choose and book( 2)|
|(1) Total referring GP practices, as reported by the PCT in March 2006.|
(2) GP practices for which at least one live booking has been made through choose and book in the period 1 December 2006 to 29 January 2007.
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