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12 July 2007 : Column 1658W—continued

Bone Diseases: Medical Treatments

John Mann: To ask the Secretary of State for Health (1) pursuant to his answer of 12 June 2007, Official Report, column 990W, on bone diseases: medical treatments, when he expects a final approval determination to be published following the delay in publication of the National Institute for Health and Clinical Excellence’s final guidance for anti-tumour necrosis factor treatment for ankylosing spondylitis; [148497]

(2) whether the National Institute for Health and Clinical Excellence’s assessment of, and guidance on, anti-tumour necrosis factor treatments for ankylosing spondylitis will take into account the Department’s policy of treating patients outside hospital whenever possible. [148498]

Dawn Primarolo: The National Institute for Health and Clinical Excellence (NICE) anticipates publishing final guidance to the national health service on adalimumab, etanercept and infliximab for the treatment of ankylosing spondylitis in October 2007.

In reaching a view on the clinical and cost effectiveness of adalimumab, etanercept and infliximab for the treatment of ankylosing spondylitis, NICE’s Appraisal Committee will consider all relevant information.

Further information is available on NICE’s website at:


12 July 2007 : Column 1659W

Care Homes: Finance

Daniel Kawczynski: To ask the Secretary of State for Health (1) how many beds funded by his Department were provided in social services care homes in (a) England and (b) Shropshire in (i) 1997, (ii) 2000, (iii) 2005 and (iv) 2007; [147705]

(2)how much his Department spent (a) in total and (b) per bed provided on social care home facilities in Shropshire in (i) 2005-06 and (ii) 2006-07; and what spending has been forecast for 2007-08. [147707]

Mr. Ivan Lewis: The Department does not directly fund places in care homes, with the exception of people receiving continuing care, whose care is funded by the national health service. Information on the numbers of people receiving NHS funded continuing care and nursing care in England is only available from 2003 onwards. This is shown in the following tables. Separate figures for Shropshire are not available.

NHS-funded nursing care in England at 31 March
Number

2003

58,751

2004

119,081

2005

125,573

2006

117,939

2007

123,452


C ontinuing care in England at 31 March
Number

2003

17,019

2004

19,723

2005

20,842

2006

25,008

2007

30,975


Care may be funded in a variety of ways. Depending on their financial circumstances, residents may pay for their own care, or be partly or wholly supported by local council social services, or organisations such as charities or previous employers. Local council social services pay for care using funding allocations they receive from the Department for Communities and Local Government.

The following tables show the information for the number of supported residents aged 18 and over funded wholly or in part by local council social services and the gross expenditure for 1997, 2000, and 2005 in England and Shropshire.

N umber of adults supported in residential care in England and Shropshire in 1997, 2000, and 2005
Rounded numbers
1997 2000 2005( 2)

England

241,900

267,500

266,200

Shropshire(1)

2,300

2,500

2,300

Of which:

Shropshire (remaining)

1,600

1,600

Telford and the Wrekin

900

700

(1 )From 2000 onwards, Shropshire council was split into Shropshire and Telford and the Wrekin.
Figures have been provided on a consistent basis for comparison.
(2 )The 2005 information includes clients formerly in receipt of preserved rights and Boyd loophole residents.

12 July 2007 : Column 1660W

Gross current expenditure spend on residential care for adults in England and Shropshire in 1997-98, 2000-01 and 2005-06
£ thousands
1997-98 2000-01 2005-06

England

4,086,300

5,124,500

7,042,900

Shropshire(1)

34,700

41,400

52,800

Of which:

Shropshire (remaining)

27,000

36,700

Telford and the Wrekin

14,400

16,200

(1 )From 2000 onwards, Shropshire council was split into Shropshire and Telford and the Wrekin.
Figures have been provided on a consistent basis for comparison.

The cost per person per week for adults staying in residential care during 2005-06 in Shropshire was £424.

Information for 2006-07 and 2007-08 is not yet available and forecasts are not made.

Information about the numbers of children in care homes is the responsibility of my right hon. Friend, the Secretary of State for Children, Schools and Families.

Departments: European Union

Philip Davies: To ask the Secretary of State for Health how many officials in his Department are (a) involved in assisting European Council negotiations, (b) involved in assisting and advising the European Commission, (c) seconded to the European Commission, (d) involved in monitoring EU decisions, communications, regulations and directives, (e) involved in enforcing compliance with EU decisions, communications, regulations and directives and (f) involved in other work related to the European Council, Commission or Court of Justice. [146095]

Dawn Primarolo: Officials throughout the Department are involved in a full range of European Union business. Those working specifically on EU business in the international division total seven. A breakdown of the figures requested would incur disproportionate cost.

Departments: Missing People

Helen Southworth: To ask the Secretary of State for Health whether (a) he and (b) Ministers or officials from his Department attended the meeting of the National Missing Persons Strategic Oversight Group on 27 June; what steps his Department is taking following the meeting; whether he expects to attend the next meeting; and if he will make a statement. [148111]

Mr. Ivan Lewis: Department officials attended the meeting of the National Missing Persons Strategic Oversight Group (NMPSOG) on 27 June. There were no resulting action points for the Department and officials expect to attend the next meeting.

Departments: Public Bodies

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 19 June 2007, Official Report, columns 1630-4W, on Departments: public bodies, what the (a) whole-time equivalent numbers and (b) budget were for NHS Supply Chain in each year since its inception. [148835]


12 July 2007 : Column 1661W

Mr. Ivan Lewis: Information relating to NHS Supply Chain was not provided separately in the answer of 19 June 2007 as it is not an arm’s length body in its own right. NHS Supply Chain was created on 1 October 2006 and is a contract managed by NHS Business Services Authority.

As of end June 2007, NHS Supply Chain employed 1,592 whole-time equivalent members of staff.

The budget is commercially sensitive information and is not for public disclosure, as agreed by the contract established with the Department.

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 19 June 2007, Official Report, columns 1630-4W, on Departments: public bodies, whether the figures included consultants; and how many consultants were employed by each arm’s length body in each year. [148836]

Mr. Ivan Lewis: The answer of 19 June 2007 related to staff employed by the Department’s arm’s length bodies.

Details relating to consultants contracted by the Department’s arm’s length bodies are not held centrally and could be obtained only at disproportionate cost.

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 19 June 2007, Official Report, columns 1630-34W, on Departments: public bodies, whether NHS Direct, for the purposes of the answer, has been subsumed into Connecting for Health. [148837]

Mr. Ivan Lewis: The answer of 19 June 2007, Official Report, columns 1630-34W, provided the (a) budget and (b) staffing numbers for the Department’s arm’s length bodies for each year they were available. The information for NHS Direct was provided for 2003-04, 2004-05, 2005-06 and 2006-07. NHS Direct became an NHS Trust on 1 April 2007 and ceased to be an arm’s length body so no information was provided for 2007-08.


12 July 2007 : Column 1662W

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 19 June 2007, Official Report, columns 1630-4W, on Departments: public bodies, who administered the budget originally allocated to the NHS Modernisation Agency after 2004-05; and what that budget was in each year since 2005-06. [148838]

Mr. Ivan Lewis: For 2005-06, £135.692 million was distributed by the Department to the strategic health authorities to distribute across the national health service.

In 2006-07, £115.192 million and in 2007-08 £87.336 million were distributed to the NHS by the department as part of the NHS funding bundle.

The NHS Institute for Innovation and Improvement also received funding from the money that had previously been allocated to the NHS Modernisation Agency.

Departments: Public Expenditure

Mr. Hoban: To ask the Secretary of State for Health if he will place in the Library a copy of the final submission setting out his Department's financial needs for the period covered by the 2002 spending review that his Department made to HM Treasury as part of the spending review process before a final settlement was agreed. [146529]

Mr. Bradshaw: It is the Government's view that publishing spending review papers would be prejudicial to the conduct of public affairs.

Health Services: Hertfordshire

Mr. Heald: To ask the Secretary of State for Health how many (a) health visitors, (b) nursery nurses, (c) support workers and (d) midwives there were in Hertfordshire in each year since 2001. [148703]

Mr. Ivan Lewis: The following table shows the number of nursing, midwifery and health visiting and support staff in Hertfordshire as at 30 September for each year specified.


12 July 2007 : Column 1663W

12 July 2007 : Column 1664W
H eadcount
2001 2002 2003( 1) 2004 2005( 2) 2006

Total nursing, midwifery and health visiting staff and support staff

6,077

5,911

6,344

7,656

6,716

6,105

Qualified nursing, midwifery and health visiting staff

4,668

4,478

4,670

5,503

5,020

4,729

Nurse Consultant

0

5

9

1

2

2

Modern Matron

n/a

n/a

n/a

n/a

37

39

Manager

33

27

49

59

53

46

Registered nurse—Children

43

41

41

47

51

40

Registered midwife

380

350

324

362

371

381

Health visitor

228

259

249

252

284

239

District nurse 1(st) level

250

313

264

278

105

80

District nurse 2(nd) level

64

10

12

31

9

1

Qualified School Nurse

0

0

15

0

4

4

Other 1(st) level

3,285

3,292

3,583

4,355

3,990

3,863

Other 2(nd) level

385

144

124

118

114

34

Unspecified qualified nursing

0

37

0

0

0

0

Support to clinical staff

1,409

1,433

1,674

2,153

1,696

1,376

Nursery nurse

22

35

35

48

75

45

Nursing assistant/auxiliary

1,387

1,363

1,639

2,105

1,621

1,331

Unqualified nurses with unknown classification

0

35

0

0

0

0

n/a = not applicable
(1) In 2004 East and North Hertfordshire NHS Trust reported a large increase in the use of bank staff.
(2) More accurate validation processes in 2006 have resulted in the identification and removal of 9,858 duplicate non-medical staff records out of the total workforce figure of 1.3 million in 2006. Earlier years’ figures could not be accurately validated in this way and so will be slightly inflated. The level of inflation in earlier years’ figures is estimated to be less than 1 per cent. of total across all non-medical staff groups for headcount figures. This should be taken into consideration when analysing trends over time.
Note:
Hertfordshire has been defined as consisting of East and North Hertfordshire PCT, West Hertfordshire PCT, East and North Hertfordshire NHS Trust and West Hertfordshire Hospital Trust and based on boundaries at 1 October 2006.
Source:
The Information Centre for health and social care 2006 non-medical workforce census.

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