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25 Jun 2007 : Column 264W—continued

Midwives: Manpower

Andrew George: To ask the Secretary of State for Health what proportion of the NHS workforce in England was represented by midwives in 2006, expressed in terms of (a) headcount and (b) whole-time equivalent. [144289]

Ms Rosie Winterton: The following table shows the proportion of the national health service work force in England represented by midwives as at September 2006 in terms of both headcount and full-time equivalent.

NHS staff in England as at 30 September 2006
Headcount Percentage of work force Full-time equivalent Percentage of work force

Total employed staff (including GP and practice staff)

1,338,140

100

1,095,163

100

Of which:

Registered midwives

24,469

2

18,862

2

Sources:
1. The Information Centre for health and social care Non-Medical Workforce Census.
2. The Information Centre for health and social care Medical and Dental Workforce Census.
3. The Information Centre for health and social care General and Personal Medical Services Statistics.

MRSA: Conquest Hospital

Gregory Barker: To ask the Secretary of State for Health how many cases of MRSA have been detected at the Conquest hospital in East Sussex; and if she will make a statement. [144772]

Mr. Ivan Lewis: The data is not available as requested. The best available information is from the mandatory methicillin resistant Staphylococcus aureus (MRSA) blood stream infections surveillance that began in April 2001 and covers acute national health service trusts in England rather than individual hospitals.

The Conquest hospital is part of the East Sussex Hospitals NHS Trust and the number of reported MRSA blood stream infections for that trust for the period April 2001 to December 2006 is shown in the following table.

East Sussex hospitals NHS trust
Number of reported blood stream infections (bacteraemia)

April 2001-March 2002

67

April 2002-March 2003

52

April 2003-March 2004

60

April 2004-March 2005

42

April 2005-March 2006

59

April 2006-December 2006

71

Source:
Health Protection Agency

Muscular Dystrophy

Mr. David Anderson: To ask the Secretary of State for Health what facilities and treatment are available for sufferers of Duchenne Muscular Dystrophy. [145497]

Mr. Ivan Lewis: Treatment for Duchenne muscular dystrophy (DMD) is currently aimed at controlling symptoms to maximize the quality of life. This primarily involves physiotherapy and other supportive treatments, including pharmacological interventions, physical activity, surgery and the provision of orthopaedic appliances. Appropriate respiratory support is available as the disease progresses.

The new translational research centre for neuromuscular diseases at University College London is one of six new Medical Research Council funded research centres that will translate scientific discoveries into new drugs, therapies, diagnostic tools, and methods of prevention. This will be the first such centre in the United Kingdom for the study of disabling diseases like DMD and will facilitate the rapid transfer of research knowledge to the clinical environment.

Musculoskeletal Disorders

Mr. Amess: To ask the Secretary of State for Health who within her Department is responsible for championing the implementation of the musculoskeletal services framework. [145847]

Mr. Ivan Lewis: The Department's 18 weeks orthopaedics project team, led by Philippa Robinson, 18 Weeks National Implementation Director, is working to address the particular issues in orthopaedics, and to maximise the benefits of moving care closer to home. Following the publication of the musculoskeletal services framework in July 2006, the 18 week orthopaedic project is working closely with the NHS to support the implementation of the good practice set out in the musculoskeletal services framework.


25 Jun 2007 : Column 265W

Mr. Amess: To ask the Secretary of State for Health how many primary care trusts have established clinical assessment and treatment services as encouraged by the musculoskeletal services framework. [145849]

Mr. Ivan Lewis: This information is not collected centrally.

NHS Blood and Transplant: Birmingham

Mr. Watson: To ask the Secretary of State for Health if she will make a statement on the decision to close the National Blood Service Centre in Birmingham; and what discussions she has held with the (a) Unison and (b) Unite trade unions concerning the decision. [145429]

Caroline Flint: The National Blood Service (NBS) infrastructure is not fully adequate for modern processing and testing requirements. The testing and processing facilities require investment and modernisation which is planned as part of the NHS Blood and Transplant Service Strategy. As part of this, the NBS will consolidate blood processing and testing activity into fewer, modern, more flexible buildings. This is being led with the development of an entirely new site at Filton, Bristol, and this will allow the NBS to meet current and prospective national health service needs, effectively and efficiently.

The proposed changes will not impact upon the service to local hospitals. The centres in Birmingham will continue to provide critical services to local hospitals such as continuing to have a local blood bank to meet hospital orders for blood.

I formally met with representatives of Unison and Amicus in December 2006 to discuss the proposals by the NBS.

NHS Bodies and Premises: Inspections

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 23 March 2007, Official Report, column 1198W, on NHS bodies and premises: inspections, which organisations can conduct inspections of NHS bodies and premises under her authority; and whether her Department maintains a list of all organisations which have the power to inspect NHS bodies and premises. [131878]

Andy Burnham: The Healthcare Commission, in their role as the lead inspectorate for health, co-ordinates other regulatory bodies to promote effective and proportionate inspection and regulation.

The Department does not itself maintain a list of organisations who have the power to inspect national health service bodies and premises.

The Healthcare Inspection Concordat was launched in June 2004 to promote better co-ordinated inspection and minimise the data collection burden on NHS trusts. Twenty of the key inspecting bodies in health, including the Department as an associate signatory, are formally signed up to its principles. The Healthcare Commission has been in discussion with various regulatory bodies about their becoming signatories to the concordat.

The list of the 20 signatories is available at:


25 Jun 2007 : Column 266W

NHS Commissioning

Helen Jones: To ask the Secretary of State for Health pursuant to the commitment by the Minister of State of 20 February 2007, Official Report, column 62WH, in a debate on NHS Commissioning, when the Minister of State will visit the Warrington Campus of the University of Chester. [145377]

Andy Burnham: A visit to the Warrington Campus of the University of Chester has been provisionally arranged for the morning of Friday 20 July.

NHS: Finance

Andrew George: To ask the Secretary of State for Health how much was spent on (a) the NHS, (b) NHS hospital and community health services and (c) NHS maternity services in the 2006-07 financial year. [144288]

Andy Burnham: The information for 2006-07 will not be available until the audited accounts are published in the autumn of 2007.

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 15 June 2007, Official Report, column 1391W, on NHS: finance, which organisation collects data on the number of practices receiving component two of the payment. [145641]

Andy Burnham: Decisions on the payment of component two of the Directed Enhanced Service (DES) are made by primary care trusts (PCTs) following an assessment of whether practices have fulfilled the commitments in their practice-based commissioning plans. It is for PCTs to maintain data on these DES payments.

NHS: Foreign Nationals

David T.C. Davies: To ask the Secretary of State for Health what guidance is issued to local NHS bodies on claiming money from foreign nationals who use NHS services. [145890]

Ms Rosie Winterton: Anyone who is not ordinarily resident in the United Kingdom is subject to the provisions of the National Health Service (Charges to Overseas Visitors) Regulations 1989, as amended. These require NHS bodies providing hospital services to establish whether a patient is ordinarily resident or, if not, exempt from charges under one of the exemption categories set out in the regulations. Anyone who is not exempt should be charged for any hospital treatment provided.

The charging regulations were amended in April 2004. At the same time the Department issued comprehensive revised and updated guidance to NHS trusts on implementation of the amended regulations.

NHS: Greater London

Derek Conway: To ask the Secretary of State for Health how much funding was provided, net of Department of Health penalties and top-slicing
25 Jun 2007 : Column 267W
clawback (a) in total and (b) by head of population to each NHS care trust in London in each of the last five years. [145951]

Andy Burnham: Table 1 shows the final revenue resource limits (RRL) for primary care trusts (PCTs) covered by London strategic health authority (SHA) for the years 2003-04 to 2005-06. For 2006-07, the provisional outturn figure has been used. The RRLs quoted take account of any adjustments made to the
25 Jun 2007 : Column 268W
initial allocations to PCTs, including top-slice and clawback, throughout the year.

Table 2 shows the 2003-04 to 2005-06 allocations per unweighted head for PCTs covered by London SHA. Table 3 shows the 2006-07 to 2007-08 revenue allocations per unweighted head for PCTs covered by London SHA. Actual allocations to PCTs are, however, informed by a weighted-capitation formula and pace of change policy.

Table 1
£000
Revenue Resource Limit Provisional Plan data Forecast Revenue Resource Limit
Primary Care Trust 2003-04 2004-05 2005-06 2006-07 2007-08

Barking and Dagenham

162,183

200,142

219,267

231,066

271,438

Barnet

344,550

398,406

423,457

414,624

437,378

Bexley Care Trust

197,939

229,824

236,325

249,460

267,166

Brent Teaching

320,653

375,069

380,427

402,520

425,557

Bromley

306,466

341,408

370,576

369,444

387,743

Camden

131,260

361,058

303,167

371,387

370,239

City and Hackney Teaching

276,799

333,748

367,398

369,115

401,608

Croydon

324,472

378,024

402,884

415,217

451,697

Ealing

334,341

406,485

440,645

440,512

460,810

Enfield

271,733

306,478

329,195

342,548

363,764

Greenwich Teaching

278,652

306,262

327,241

342,518

368,931

Hammersmith and Fulham

201,593

232,170

245,150

271,912

269,042

Haringey Teaching

270,224

316,190

339,105

344,664

367,448

Harrow

194,385

225,865

233,872

244,626

255,365

Havering

241,083

274,718

301,106

313,845

319,370

Hillingdon

229,600

267,562

284,584

251,222

310,790

Hounslow

241,039

286,088

272,129

286,689

309,262

Islington

248,684

312,179

332,501

340,936

345,180

Kensington and Chelsea

233,571

270,019

282,628

281,189

296,754

Kingston

153,864

184,480

194,951

182,959

208,411

Lambeth

399,056

466,357

500,422

480,365

524,296

Lewisham

299,691

350,836

371,791

398,974

401,438

Newham

301,286

353,753

392,188

415,287

436,144

Redbridge

213,698

250,152

273,607

288,732

317,605

Richmond and Twickenham

173,343

212,777

225,432

216,357

226,249

Southwark

309,150

364,928

402,296

396,937

429,545

Sutton and Merton

378,656

418,299

446,703

443,661

481,466

Tower Hamlets

257,435

315,451

268,13l

352,015

372,537

Waltham Forest

247,358

280,129

301,099

307,015

337,446

Wandsworth

320,641

356,382

363,193

398,889

424,759

Westminster

303,647

344,902

363,958

357,925

385,728

Total

8,336,602

9,722,141

10,385,428

10,522,633

11,225,166

Source:
Audited London PCT summarisation forms
Department of Health financial monitoring returns
Financial plans for 2007-08 as subject to final validation and sign off with the national health service

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