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15 May 2007 : Column 727W—continued


Miss McIntosh: To ask the Secretary of State for Health how many midwives were (a) trained and (b) recruited in each of the last three years; and what recent estimate she has made of the average distance travelled by an expectant mother to access (i) a midwife-led maternity unit and (ii) a consultant-led maternity hospital. [134414]

Ms Rosie Winterton: The table shows the number of students who entered training to be a midwife in the last three years.

The Department does not collect centrally information on how many of these were recruited into the national health service.

The average distance of a woman from a midwife led maternity unit is 10 (9.93) miles and the average distance of a woman from a consultant led hospital is five (4.75) miles.

NHS midwifery training places commissioned 2003-06
2003-04 2004-05 2005-06

















Quarterly Monitoring Returns

Modernising Medical Services: Resignations

Mr. Laws: To ask the Secretary of State for Health on what date the head of Modernising Medical Services resigned; and if she will place a copy of his resignation letter and her response in the Library. [134108]

Ms Rosie Winterton: Professor Alan Crockard tendered his resignation as National Director for Modernising Medical Careers on 29 March 2007.

It is not intended to place a copy of the letter in the Library.

Multiple Sclerosis: Medical Treatments

Mr. Hepburn: To ask the Secretary of State for Health how many multiple sclerosis specialist nurses worked in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. [135313]

15 May 2007 : Column 728W

Ms Rosie Winterton: This information is not collected centrally. Multiple sclerosis specialist nurses are not separately identifiable in the work force census from the rest of the nursing work force.

NHS Resource Accounting and Budgeting Regime

Mr. Lansley: To ask the Secretary of State for Health pursuant to her statement of 28 March 2007, Official Report, columns 96-98WS, on the NHS resource accounting and budgeting regime, for what reason the £450 million contingency reserve is being allocated to strategic health authorities (SHAs) in line with the resource allocation formula; how each SHA’s share is calculated in relation to the resource allocation formula; and what each SHA’s contribution to the £450 million contingency reserve has been. [131847]

Andy Burnham: The Department was clear that strategic health authorities (SHAs) should take a pragmatic and sensible approach to managing the finances in 2006-07, including the identification of a contingency.

The contingency is not new money provided by the Department. The package of NHS central programme budget funding was identified for SHAs as a single amount from which SHAs in agreement with local stakeholders developed plans on how best to deploy this funding. This allowed SHAs to set aside £450 million as a contingency.

The £450 million contingency was distributed to SHAs pro-rata to revenue allocation targets. The SHA level targets were calculated by aggregating the 2006-07 closing revenue allocation targets for each SHA’s constituent primary care trusts. This is in line with other revenue allocations that are made using the fair funding formula that directs funding to towards those areas with the greatest need. This approach was agreed with SHAs.

NHS: Consultants

Helen Jones: To ask the Secretary of State for Health how much was paid to consultants in fees and expenses by (a) her Department and (b) the NHS in each year since 1997. [136983]

Andy Burnham: The Department does not collect information in such a way to identify the fees and expenses paid to consultants. Information on the fees and expenses of consultants in the national health service trusts is not collected centrally.

NHS: Contracts

Mr. Lansley: To ask the Secretary of State for Health what she expects the estimated change in costs to the NHS to be of implementing the new General Medical Services contract in each of the years to 2011-12. [135772]

Andy Burnham: The change in spend on primary medical care services, since the introduction of the new general medical services (GMS) contract in 2003-04, is shown in the following table.

15 May 2007 : Column 729W
Financial year Total spend (£ billion) Change in costs (£ billion) Percentage

2002-03 (pre-nGMS baseline)
















2006-07 (estimated)




Estimates for 2007-08 onwards are not available.

NHS: Equal Pay

Alistair Burt: To ask the Secretary of State for Health what financial provision she has made to fulfil the terms of the Equal Pay Act 1970 in the individual budgets of (a) primary care trusts and (b) NHS trusts in the Eastern Region (i) in 2006-07 and (ii) in subsequent years. [127635]

Ms Rosie Winterton: There are around 120 equal pay claims outstanding against national health service organisations in the NHS East of England area. It is not possible to estimate what, if any, additional cost will arise from these claims as there are a number of significant legal issues which need to be resolved before liability can be assessed.

NHS: Finance

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 26 March 2007, Official Report, column 1369W, on NHS: finance, what discussions gave rise to the confirmation with officials from the Welsh Assembly Government referred to in
15 May 2007 : Column 730W
the answer of 18 December 2006, Official Report, column 1720W, on NHS expenditure; and when these discussions took place. [131971]

Andy Burnham: National health services expenditure data and population estimates for Wales were provided directly by the National Assembly for Wales.

This work was commissioned by Department in July 2006. Discussions were limited to agreeing time scales, and as noted in the previous answer (answer of 18 December 2006, Official Report, column 1720W), improving consistency by excluding expenditure on departmental administration.

However, detailed methodological discussions did not take place as Department has no authority over the work of Devolved Assemblies.

Mr. Laws: To ask the Secretary of State for Health what NHS expenditure in England was as a percentage of gross domestic product in each year since 1992; and what estimates she has made of NHS expenditure in England as a percentage of gross domestic product in each of the next 10 years. [134113]

Andy Burnham: The Department does not report on national health service expenditure in England as a percentage of gross domestic product.

Mr. Nicholas Brown: To ask the Secretary of State for Health what the gross deficit was of each NHS individual accounting unit in the latest year for which figures are available, broken down by decile. [135902]

Andy Burnham: The information is as follows:

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NHS organisation 2006-07 forecast outturn month 9 (£000) 2006-07 month 9 cumulative gross deficit (£000) Decile marker Comments

Hillingdon PCT



Norfolk PCT



Cumbria PCT




Cumulative deficit totals 10 per cent. of total NHS gross deficit

Cambridgeshire PCT



Queen Elizabeth Hospital NHS Trust



North Yorkshire and York PCT



Leicestershire County and Rutland PCT




Cumulative deficit totals 20 per cent. of total NHS gross deficit

Suffolk PCT



Whipps Cross University Hospital NHS Trust



Hinchingbrooke Health Care NHS Trust



Royal Cornwall Hospitals NHS Trust




Cumulative deficit totals 30 per cent. of total NHS gross deficit

Surrey PCT



North West London Hospitals NHS Trust



West Herefordshire PCT



East and North Herefordshire PCT



Wiltshire PCT



Kingston PCT




Cumulative deficit totals 40 per cent. of total NHS gross deficit

Mid Essex PCT



East Sussex Downs and Weald PCT



Nottingham University Hospitals NHS Trust



Brent Teaching PCT



Ipswich Hospital NHS Trust



Barking, Havering and Redbridge Hospital NHS



Buckingham PCT




Cumulative deficit totals 50 per cent. of total NHS gross deficit

Surrey and Sussex Healthcare NHS Trust



Worcestershire PCT



Pennine Acute Hospitals NHS Trust



United Lincolnshire Hospitals NHS Trust



Sheffield PCT



Mid Yorkshire Hospitals NHS Trust



West Kent PCT



Hull and East Yorkshire Hospitals NHS Trust



Bromley Hospitals NHS Trust




Cumulative deficit totals 60 per cent. of total NHS gross deficit

Sutton And Merton PCT



East Kent Hospitals NHS Trust



North Somerset PCT



The Lewisham Hospital NHS Trust



West Hertfordshire Hospitals NHS Trust



West Suffolk Hospitals NHS Trust



Leeds Teaching Hospitals NHS Trust



Queen Elizabeth Hospital Kings Lynn NHS Trust



Leicester City PCT



South Warwickshire General Hospitals NHS Trust



West Sussex Teaching PCT



Coventry Teaching PCT




Cumulative deficit totals 70 per cent. of total NHS gross deficit

Devon PCT



Hounslow PCT



Northamptonshire Teaching PCT



North Cheshire Hospitals NHS Trust



Bexley Care PCT



Stoke on Trent Teaching PCT



Barnet and Chase Farm Hospitals NHS Trust



Oxford Radcliffe Hospital NHS Trust



North Lincolnshire PCT



Warwickshire PCT



Milton Keynes PCT



East Riding of Yorkshire PCT



South Staffordshire PCT



Northumberland Care PCT




Cumulative deficit totals 80 per cent. of total NHS gross deficit

East and North Hertfordshire NHS Trust



Bedfordshire PCT



Northern Devon Healthcare NHS Trust



Weston Area Health NHS Trust



Enfield PCT



Epsom and St. Helier University Hospitals NHS Trust



Scarborough and NE Yorks NHS Trust



Lewisham PCT



Sandwell PCT



University Hospitals Of Morecambe Bay NHS Trust



Brighton and Sussex University Hospitals NHS Trust



Worthing and Southlands Hospitals NHS Trust



East Cheshire NHS Trust



North Staffordshire PCT



Yorkshire and The Humber Regional Ambulance Service



Havering PCT



St. George’s Healthcare NHS Trust



Queen Mary’s Sidcup NHS Trust



Great Yarmouth and Waveney Teaching PCT



Kirklees PCT




Cumulative deficit totals 90 per cent. of total NHS gross deficit

Berkshire East Teaching PCT



Maidstone and Tunbridge Wells NHS Trust



North East Essex PCT



Trafford Healthcare NHS Trust



Barnsley PCT



Southport and Ormskirk Hospital NHS Trust



West Middlesex University NHS Trust



Berkshire West PCT



Newham PCT



Gloucestershire PCT



Oxfordshire PCT



Buckinghamshire Hospitals NHS Trust



Shropshire County PCT



Croydon PCT



Birmingham East and North PCT



Barnet PCT



South Gloucestershire PCT



East Sussex Hospitals NHS Trust



Worcestershire MH Partnership NHS Trust



Southwark PCT



Waltham Forest PCT



Manchester Health and Social Care NHS Trust



Brighton and Hove City PCT



Newham University Hospital NHS Trust



Royal Surrey County Hospital NHS Trust



Islington PCT



Shrewsbury and Telford Hospital NHS Trust



Cornwall and Isle of Scilly PCT



York Hospitals NHS Trust



Mayday Healthcare NHS Trust



Richmond and Twickenham PCT



Rob Jones and A Hunt Orthopaedic NHS Trust



Great Western Ambulance Service NHS Trust



Princess Alexandra Hospital NHS Trust



Warrington PCT



West Essex PCT



Camden PCT



Gloucestershire Partnership NHS Trust



Dartford and Gravesham NHS Trust



The Mid Cheshire Hospitals NHS Trust



Stockport PCT



Solihull Care Trust PCT



Ealing PCT



Westminster PCT



Greenwich Teaching PCT



Southampton University Hospital NHS Trust



Oxfordshire and Buckinghamshire MH Partnership



Norfolk and Norwich University Hospital NHS Trust



George Eliot Hospital NHS Trust



Kensington and Chelsea PCT



Good Hope Hospital NHS Trust



Bath and North East Somerset PCT



South Staffordshire Healthcare NHS Trust




Cumulative deficit totals 100 per cent. of total NHS gross deficit

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