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6 Jun 2007 : Column 582W—continued



6 Jun 2007 : Column 583W
Table 3 : SHA total planned investment and investment per head of weighted working age adult population in England 2003-04
SHA Total investment (£000) Overall investment per head (£)

South East London

217,402

170

North West London

245,403

155

South West London

138,815

154

North Central London

170,792

151

Essex

125,046

144

Surrey and Sussex

178,506

140

Avon, Gloucestershire and Wiltshire

152,490

133

South West Peninsula

107,813

132

Norfolk, Suffolk and Cambridgeshire

142,268

127

Leicestershire, Northamptonshire and Rutland

114,758

127

Bedfordshire and Hertfordshire

115,988

126

Northumberland, Tyne and Wear

124,717

123

West Midlands South

108,531

123

Hampshire and Isle of Wight

113,134

120

Somerset and Dorset

68,195

119

Thames Valley

139,097

119

West Yorkshire

170,642

117

Cumbria and Lancashire

141,391

115

Shropshire and Staffordshire

94,026

108

Birmingham and The Black Country

192,721

108

County Durham and Tees Valley

87,130

107

Kent and Medway

94,945

106

Greater Manchester

185,402

106

Cheshire and Merseyside

203,623

106

North East London

154,353

101

South Yorkshire

87,210

99

North and East Yorkshire and North Lincolnshire

88,348

98

Trent

147,746

97

Total investment and average investment per head

3,910,506

122

Source:
Mental Health Strategies, 2003-04 National Survey of Investment in Mental Health Services

Mental Health: Cannabis

Mr. Lansley: To ask the Secretary of State for Health how many hospital admissions on mental health grounds resulting from the use of cannabis there were in each year since 1997. [131912]

Ms Rosie Winterton: This information is shown in the following table. It corrects data about mental health-related hospital admissions resulting from cannabis use, given to the hon. Member in the written answer on 30 January 2006, Official Report, column 176W. I have written to the hon. Member to explain the earlier error.

Finished admission episodes in the national health service in England 1996-97 to 2005-06, for patients with a primary diagnosis of a mental or behavioural disorder due to the use of cannabis: combined male and female; all ages; all strategic health authorities
Cannabis

1996-97

510

1997-98

506

1998-99

625

1999-2000

600

2000-01

581

2001-02

674

2002-03

704

2003-04

890

2004-05

869

2005-06

946

Note:
A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. The primary diagnosis is the main reason why the patient was in hospital. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. The data refer to all patients with a primary diagnosis of a mental or behavioural disorder due to cannabis use and whose care was led by a consultant registered under any speciality.
Source:
Hospital Episode Statistics (HES), The Information Centre for health and social care.

6 Jun 2007 : Column 584W

Midwives

Miss McIntosh: To ask the Secretary of State for Health if she will undertake a consultation on the change of status of insurance cover for independent midwives. [134415]

Ms Rosie Winterton: The Department’s review “The regulation of non-medical healthcare professions” made reference to the fact that professional indemnity cover is becoming a condition of registration for all professions. The introduction of compulsory professional indemnity cover for midwives will require secondary legislation. A three-month public consultation will form part of that legislative process. No date for this has yet been set.

Mothers: Home Help

Mr. Francois: To ask the Secretary of State for Health what progress her Department has made with providing nursing support to mothers of children under the age of two years as referred to in the report of the Spending Review 2004. [140009]

Mr. Ivan Lewis: Support from midwives, health visitors and other health professionals is provided to families through the Child Health Promotion Programme, the universal child health service aimed at preventing ill health and promoting health and well- being. The core service is set out in standard 1 of the national service framework for children, young people and maternity services. However, all families are different and some need more support than others. Health visitors and their teams who deliver the child health promotion programme will make sure that the most at risk children have more support.

We are also testing an intensive nurse-led home visiting programme for the most at risk families. The Nurse Family Partnership Programme has been developed over 30 years in the United States where it has achieved impressive reductions in accidental and non-accidental injuries. We are testing this approach in 10 sites across England where specially trained health visitors and midwives are delivering the programme to first-time young parents.

NHS

Mr. Lansley: To ask the Secretary of State for Health if she will place in the Library a copy of her presentation to the Cabinet on the NHS of 19 April 2007, referred to by the Prime Minister in his speech to the Trimdon Labour Club of 20 April 2007. [135750]

Mr. Ivan Lewis: The Secretary of State for Health did not make a presentation to Cabinet on 19 April, she gave an oral update.

A version of a previous presentation to Cabinet was made publicly available and a copy has been placed in the Library.

NHS Direct

Mr. Watson: To ask the Secretary of State for Health when she last met the Chief Executive of NHS Direct NHS Trust to discuss the efficiency of the organisation. [140195]


6 Jun 2007 : Column 585W

Andy Burnham: Senior officials at the Department meet the Chief Executive of NHS Direct on a quarterly basis to discuss performance. I meet the Chair of NHS Direct on a quarterly basis.

NHS: Civil Proceedings

Grant Shapps: To ask the Secretary of State for Health how much has been spent on litigation by the NHS in each of the last five years; and if she will make a statement. [139013]


6 Jun 2007 : Column 586W

Andy Burnham: The Department does not collect information centrally on individual national health service organisations expenditure on litigation, which should be recorded within their financial accounts. However, the NHS Litigation Authority (NHSLA), records expenditure on claims made against any of the three clinical and two non-clinical negligence schemes. The NHSLA is responsible for this information, which they make available in Factsheet 2 on their website at:

The following table sets out the information for the past five years.

Payments made by NHSLA in respect of negligence claims against the NHS
£000
2001-02 2002-03 2003-04 2004-05 2005-06

Clinical negligence scheme for trusts (CNST)

(1)201,869

175,277

293,384

329,412

384,390

Existing liabilities scheme

343,242

269,345

128,071

169,414

168,203

Ex-regional health authorities scheme

3,832

1,562

1,059

4,068

7,716

Total

548,943

446,184

422,514

502,894

560,309

(1)119,000

Liabilities to third parties scheme

3,112

14,480

7,395

21,280

26,692

Property expenses scheme (PES)

1,931

6,866

2,735

3,839

4,586

Total

5,043

21,346

10,130

25,119

31,278

Grand total

553,986

467,530

432,644

528,013

591,587

(1)119,000

(1) £119,000 in 2001-02 reflects the amounts reimbursed to trusts as part of the call-in and included within CNST payments.
Note:
Expenditure relates to paid and accrued but excludes reserves.

Until the call-in of CNST claims by NHSLA in April 2002, member organisations paid part of the cost of claims made under CNST. Excesses are still payable on the non-clinical schemes (LTPS and PES). The cost of these excesses, being carried by individual NHS organisations, is not included in the NHSLA’s figures. As part of the call-in process it reimbursed the above-excess costs already incurred by member trusts on these claims. Thus the apparent bulges in these years do not reflect an increase in overall claims expenditure, but rather one-off reimbursements of expenditure already incurred (and accounted for) by member trusts.


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