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12 Jun 2007 : Column 999W—continued


Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 16 May 2007, Official Report, column 792W, on NHS: databases, how often each set of data required for collection at an other frequency is required to be supplied. [139581]

Andy Burnham: The available information is given in the following table.


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Code (where available) Collection title Source Frequency

SITREP

Sitreps weekly and daily

National health service trust (NHST)

Daily counts and weekly summary

Healthcare Commission Assessment of Existing Targets

Primary care trust (PCT)

Daily counts and weekly summary

National Renal Dataset

NHST

Ongoing collection based on extraction from clinical records

SABS

Safety Alert Broadcast System

NHST, strategic health authority (SHA)

When a safety alert occurs

HCAI

Surveillance of healthcare associated infections

NHST

Ongoing online data entry

National Joint Registry

NHST

As required following hip and knee operations

Fire Incidents and Unwanted Fire Signal Data

NHST

When an incident occurs

Non-medical Device Defects and Failures Reporting System

NHST

When a defect or failure occurs

Adults and Older People: Mental Health Data Collections—Streamlining

PCT

Ongoing online data entry

Weekly Access (inc PTLs)

NHST

Weekly

MHMDS

Mental Health Minimum Dataset (MHMDS)

NHST

Quarterly

National Cancer Dataset Waiting times subset

NHST

Quarterly

LDPR-P and PDPR-C

Local Delivery Plans Return

NHST

Quarterly

NHS Stop Smoking Services Quarterly Monitoring Return

PCT, SHA

Quarterly

Mandatory Enhanced Surveillance System (MESS) renal surveillance voluntary data

NHST

Quarterly

KC65

Colposcopy clinics, referrals, treatments and outcomes

NHST

Quarterly

Quarterly Inpatient waiting times return (Stock) (day case admissions) Commissioner and Provider

NHST, PCT, SHA

Quarterly

Quarterly Outpatient waiting times return (Stock) Commissioner and Provider

NHST, PCT, SHA

Quarterly

Quarterly In-patient waiting times return (Stock) (ordinary admissions)—Commissioner and Provider

NHST

Quarterly

Quarterly Inpatient Activity (Flow)—Commissioner and Provider

NHST, PCT, SHA

Quarterly

Quarterly Outpatient Flow return—Provider

NHST

Quarterly

Monitoring Revisions to new GP Contract— FIMS(FHS)4 and PFR1A-D data collection from PCTs 2006-07

PCT

Quarterly

Radiotherapy Contract Data Set (RT CDS)

NHST

Quarterly

FIS(FHS) 2

General Dental Services

NHST, PCT, SHA

Quarterly

Integrated Drug Treatment System for prisons Clinical Activity

NHST

Quarterly

Prison Healthcare Performance Monitoring: Star Ratings

PCT

Quarterly

PCT06

PCT Capital Expenditure

NHST, PCT, SHA

Quarterly

COVER

Childhood Immunisation Data

NHST, PCT

Quarterly

QMAE

Quarterly Monitoring of Accident and Emergency

NHST, PCT

Quarterly

Junior Doctors’ Hours

NHST, PCT

Biannual

Monitoring PPF Cancer Targets (T10 and T1l)

SHA

Biannual

National Programme for IT—Baseline NHS Tracker

NHST, SHA

Biannual

NHS staff engagement and attitudes towards the NHS

NHST

Biannual

KH03a

Open and Staffed Adult Critical Care Beds

NHST

Biannual

National Capabilities Survey

NHST, PCT, SHA

Biennial

Earnings Survey

PCT

Biennial


NHS: Drugs

Norman Lamb: To ask the Secretary of State for Health whether the infrastructure payment for services proposed in her Department’s consultation, “Arrangements for the remuneration of services relating to appliances within Part IX of the Drug Tariff”, is proposed to apply to dispensing appliance contractors differently dependent on their output; and if she will make a statement. [140411]

Caroline Flint: In reviewing the arrangements under Part IX of the Drug Tariff, it has always been one of the Department’s stated objectives to ensure fair
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remuneration of valued services provided by the pharmacy and appliance contractors.

In the consultation document entitled “Arrangements for the remuneration of services relating to appliances within Part IX of the Drug Tariff”, it was proposed that dispensing appliance contractors would receive a banded infrastructure payment depending on the volume of prescription items dispensed in one particular month. The purpose of this payment is to cover elements of service that are less volume-related compared to dispensing, such as operating within a clinical governance framework, requirements relating to dispensing repeatable prescriptions and provision of clinical information.

Views were sought on this proposal and the consultation closed on 2 April 2007. The Department is still evaluating the responses and it is not anticipated that the overall review will be completed until the end of the year.

Mr. Sheerman: To ask the Secretary of State for Health (1) what plans she has to trial the drug PTC124; [140823]

(2) what plans she has for fast tracking new drugs and therapies for Duchenne muscular dystrophy. [140824]

Mr. Ivan Lewis: PTC124 is a drug currently undergoing clinical trials in the United States for the treatment of Duchenne muscular dystrophy. PTC Therapeutics, the company behind this drug, has not currently organised clinical trials in the United Kingdom.

We have no specific plans to fast track new drugs or therapies for the treatment of Duchenne muscular dystrophy. The Medicines and Healthcare products Regulatory Agency has not received an application to licence PTC124.

NHS: ICT

Mr. Lancaster: To ask the Secretary of State for Health how has been spent on IT systems in the NHS since 1997. [138616]

Caroline Flint: The information is not available in the form requested.

Such information as is available derives from revenue expenditure reported each year since 2002-03 through a national survey of information technology investment; and from capital expenditure, including software licences, identified in national health service accounts, and as reported by foundation trusts. The figures do not include expenditure by special health authorities or central expenditure funded by the Department.

Summary figures for the latest year for which information is available (2005-06) is contained in the reply given to the hon. Member for South Cambridgeshire (Mr. Lansley) on 5 March 2007, Official Report, columns 1693-94W.

Detailed information for 2005-06, including summary information for years since 2002-03, is available on the Department's NHS Connecting for Health agency website at www.connectingforhealth .nhs.uk/resources/funding and has been placed in the Library.


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Anne Milton: To ask the Secretary of State for Health what the cost of implementing the NHS IT programme has been in (a) Surrey Primary Care Trust and (b) England; what assessment her Department has made of the effectiveness of the implementation of the NHS IT programme; and if she will make a statement. [138993]

Caroline Flint: Expenditure under the contracts let for the core components of the national programme for information technology in the national health service in England, as at 31 March 2007, was £1,001.5 million.

Information about local NHS spending by primary care trusts (PCTs), NHS trusts and other NHS organisations on the national programme for information technology, to complement the investment from central funding, is not collected centrally. However, any such spending is very significantly outweighed by the savings accrued locally from participation in the programme. Most notably, some £4.5 billion has been saved by central rather than local procurement, a figure confirmed by independent industry analysts. In addition, savings have been achieved in the prices paid by the NHS for information technology goods and services due to the central buying power of NHS Connecting for Health, as well as in NHS staff time saved through using the programme's systems and services. For example, the National Audit Office have acknowledged savings of £860 million achieved through centrally negotiated enterprise wide arrangements.

In addition, PCTs have been specifically reimbursed for funds spent on upgrading existing general practitioner practice systems to make them choose and book compliant, and funding support has also been made available to support NHS trusts deploying a choose and book compliant patient administration system.

The successes of the national programme are visible every day of the week in hospitals, general practices and pharmacies across the NHS, and the benefits are being experienced by doctors, nurses and, most importantly, by patients. On any typical day the national programme currently enables some 120,000 prescriptions to be transmitted electronically, reducing errors and inefficiencies; 17,000 choose and book electronic bookings to be made, putting patients in charge of their care and reducing significantly the numbers not attending out-patient appointments; almost one-and-a-half million queries to be processed on the patient demographic system, ensuring receipt of around three-quarters of a million letters a year that would otherwise be posted to the wrong address and enabling patient information to be handled more efficiently; over a hundred thousand NHSMail users, each of whom has an e-mail address for life, to send one million secure e-mails, one-third of which contain confidential patient information; five new secure broadband connections to be installed; and some 30,000 general practitioners (GPs) to use the quality management analysis system (QMAS) to deliver better care to patients under the new GP contract.

Mr. Stephen O'Brien: To ask the Secretary of State for Health if she will make available the gateway reviews undertaken by the Office of Government Commerce on the national programme for IT. [139004]

Caroline Flint: I have no plans to do so.


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Mr. Stephen O'Brien: To ask the Secretary of State for Health what action she has taken in response to each of the recommendations of Section 9 of the National Audit Office report on the national programme for IT in the NHS. [139005]

Caroline Flint: Where the National Audit Office recommendations called for specific or new action to be taken by the Department, its NHS Connecting for Health agency, or by national health service bodies, action plans have been put in place. Progress towards the various deliverables is being routinely monitored against their respective timescales, some of which have already been achieved.

In relation to individual recommendations, a national programme catalogue has been created and made available to all NHS organisations and staff. The purpose of the catalogue is to demonstrate how the NHS Connecting for Health products currently available support wider NHS policies and initiatives by detailing their functionality and the benefits they can deliver to patients, clinicians and organisations. Regular updates will ensure its continuing relevance and value. Work is ongoing with suppliers and the NHS to agree engineering-based timetables for delivery and to ensure that these timetables take NHS requirements into account. Governance arrangements are in place to consider any changes which impact upon local service providers in order to ensure that suppliers can achieve what is planned.

The national programme communications strategy has been reviewed and updated. Ways of working with strategic health authority (SHA) communications leads have been agreed and implemented. A plan of key milestones for delivery of the programme is being developed for communication with NHS organisations and staff.

NHS Connecting for Health continues its strong management of suppliers and their performance.

The first annual benefits report, for 2006-07, will be produced in autumn 2007 to coincide with the publication of planning materials for NHS organisations. Future annual benefits reports will be produced in partnership with the strategic health authorities.

The annual survey of NHS information management and technology expenditure is being complemented by studies of the impact of national programme deployments on local NHS IT expenditure.

Post-implementation reviews are being carried out to identify and quantify the service and efficiency improvements of new IT systems. The Department and NHS Connecting for Health, in partnership with the SHAs, are supporting a series of benefits demonstrators at local sites that will evaluate experiences and compile evidence of benefits achieved.

Analysis of current areas for improvement is taking place in order to produce evidence-based development plans to create sustainable capability in the NHS. A range of projects, and training and development elements, are being grouped together under a capability and capacity work stream, and the education, training and development work stream is being strengthened.


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