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12 July 2007 : Column 1668W—continued

Mentally Ill: HM Prison Armley

John Battle: To ask the Secretary of State for Health what proportion of prisoners currently in HM Prison Armley has been diagnosed as having (a) mental health, (b) alcohol-related and (c) drug-related problems; and if he will make a statement. [148647]

Mr. Ivan Lewis: The information requested is not held centrally. A survey, “Psychiatric morbidity among prisoners in England and Wales (Office for National Statistics, 1998)” showed that 90 per cent. of prisoners have at least one significant mental health problem, including personality disorder, psychosis, neurosis, alcohol misuse and drug dependence. A copy is available in the Library.

Mental health services for prisoners have been a key part of the government’s recent reforms of health services for prisoners. The Department is now investing £20 million a year in national health service mental health in-reach services for prisoners. These are community mental health teams working within prisons and are now available in 102 prisons, with some 360 extra staff employed. Every prison in England and Wales has access to these services. Information on how many prisoners receive these services is not collected centrally.

Methylamphetamine

Dr. Kumar: To ask the Secretary of State for Health (1) what recent steps he has taken to prevent the sale of over-the-counter medicines for the manufacture of methylamphetamine; and what assessment he has made of whether the classification of medicines containing ephedrine and pseudoephedrine as pharmacy available plays a role in the illegal manufacture of methylamphetamine; [148031]

(2) what assessment he has made of the prevalence of the use of over-the-counter medicines to manufacture methylamphetamine. [148033]

Dawn Primarolo: The manufacture of methylamphetamine in the United Kingdom is believed to be at a low level currently, but is thought to be increasing. The reclassification of methylamphetamine to Class A under the Misuse of Drugs Act on 18 January 2007 is now enabling the collection and analysis of more specific data on methylamphetamine use in the UK. However no formal assessment has yet been made of the prevalence of the use of over the counter medicines to manufacture methylamphetamine.


12 July 2007 : Column 1669W

On 7 March 2007, the Medicines and Healthcare products Regulatory Agency started a public consultation exercise on proposals to restrict the availability of medicines containing pseudoephedrine and ephedrine by a change to legal status from pharmacy to prescription only, together with a restriction in pack size. This followed advice from the Commission on Human Medicines that non-statutory measures, such as rigorous supervision of pharmacy sales of single packs, were not sufficient alone to protect public health. The consultation exercise ended on 29 June 2007 and the results are currently being evaluated. Part of that evaluation includes the effect of action to introduce restrictions on supply including reclassification, taken in other countries, on the role of these medicines in the manufacture of methylamphetamine.

NHS: Drugs

Mr. Lansley: To ask the Secretary of State for Health what the (a) total NHS expenditure on medicines and (b) NHS spending per head on medicines has been in
12 July 2007 : Column 1670W
each year since 1997-98 (i) for England and (ii) broken down by strategic health authority area. [149489]

Dawn Primarolo: The following tables give total national health service expenditure on medicines since 1997-98 and is broken down by (a) primary care and (b) the hospital and community health service (HCHS).

Primary care medicines expenditure is the total actual cost of drugs and appliances prescribed by general practitioners/nurses within England plus any central budget expenditure or locally authorised payments.

HCHS expenditure on drugs includes medical gases.

The Department does not publish the drugs bill on a per capita basis. The per capita figures have been derived from Office of National Statistics mid-year total population estimates for England, and do not take into account age related demand for drugs.

A times-series breakdown by strategic health authority (SHA) area is not available as this data are not collated by SHA centrally.

Cash terms
Total outturn (£ million) Per capita (£) Of which: primary (£ million) Per capita (£) Of which: HCHS (£ million) Per capita (£)

1997-98

5,173

106.3

4,085

83.9

1,088

22.4

1998-99

5,550

113.7

4,339

88.9

1,211

24.8

1999-2000

6,202

126.5

4,833

98.6

1,369

27.9


Resource terms (from 2000-01)
£
Total outturn (£ million) Per capita (£) Of which: primary (£ million) Per capita (£) Of which: HCHS (£ million) Per capita (£)

2000-01

6,688

135.8

5,158

104.8

1,530

31.1

2001-02

7,447

150.6

5,707

115.4

1,740

35.2

2002-03

8,355

168.3

6,342

127.7

2,013

40.5

2003-04

9,271

186.0

6,960

139.6

2,311

46.4

2004-05

9,965

198.9

7,370

147.1

2,595

51.8

2005-06

9,979

197.9

7,215

143.1

2,764

54.8

Notes:
1. Figures are net which include pharmaceutical price regulation scheme (PPRS) receipt savings.
2. The total drugs spend include drugs expenditure in primary care and the HCHS. The primary care expenditure reflects amounts paid to pharmacy and appliance contractors and amounts authorised for dispending doctors and personal administration in England. HCHS expenditure includes drugs and medical gases.
3. From 2000-01 figures are in resource terms, prior to this figures are in cash terms. Cash figures relate to February to January prescribing due to delay in prescription processing and payment calculations. Resource figures represent the actual cost between April to March.
Sources:
Prescription pricing division of the NHS Business Services Authority, England and Department of Health Finance Division.

NHS: Finance

Mr. Hoban: To ask the Secretary of State for Health what records are being held by his Department on the discussions with HM Treasury on changes to the resource accounting and budgeting system announced in March 2007. [147123]

Mr. Bradshaw: The Department holds a range of records on the discussions between the Department and HM Treasury on the changes to the resource accounting and budgeting rules for national health service trusts announced on 28 March 2007.

Mr. Hoban: To ask the Secretary of State for Health what discussions he has had with the Chancellor of the Exchequer on changes to the resource accounting and budgeting system. [147204]

Mr. Bradshaw: The Secretary of State has regular meetings with the Chancellor of the Exchequer at which a range of issues are discussed.

Mr. Lansley: To ask the Secretary of State for Health when he expects to receive the detailed report relating to the final sign-off on the financial plans of NHS organisations in 2007-08 referred to on page 28 of his Department's NHS financial performance quarter four, published on 6 June 2007; if he will publish the detailed report; and if he make a statement. [147534]


12 July 2007 : Column 1671W

Mr. Bradshaw: The Department is currently completing its risk assessment of the 2007-08 financial plans submitted by all national health service organisations. Information relating to these plans will be published in due course.

Mr. Lansley: To ask the Secretary of State for Health what the capital budget was of each (a) NHS trust and (b) primary care trust in 2006-07; and what the actual capital expenditure was in 2006-07 of each. [147576]

Mr. Bradshaw: The information requested, based on 2006-07 unaudited draft national health service accounts, has been placed in the Library.

Mr. Lansley: To ask the Secretary of State for Health what estimate he has made of the likely level of top-slicing in 2007-08 of primary care trust revenue allocations in each strategic health authority area. [147577]

Mr. Bradshaw: The Department is currently completing its risk assessment of the 2007-08 financial plans submitted by all national health service organisations. Information relating to these plans will be published in due course.

We made clear in the 2007-08 NHS operating framework that strategic health authorities (SHAs) should not generally require the level of contribution to their reserves from primary care trust (PCT)
12 July 2007 : Column 1672W
allocations as was the case in 2006-07, because of the return of the NHS to overall financial balance by the end of the last financial year.

Where continuing contributions from PCT allocations are required by SHAs in 2007-08, they must be subject to transparent rules clearly covering the purpose of the reserves and the timescale over which each organisation can expect to recover its contribution. SHAs have been asked to ensure that financial plans for 2007-08 for individual organisations have been prepared on this basis.

Mr. Lansley: To ask the Secretary of State for Health what the 2006-07 in-year financial position was of each (a) strategic health authority, (b) NHS trust and (c) primary care trust. [147579]

Mr. Bradshaw: A table providing the information requested has been placed in the Library.

NHS: Manpower

Mr. Chaytor: To ask the Secretary of State for Health how many (a) nurses, (b) doctors and (c) full-time equivalent (i) doctors and (ii) nurses were working in the NHS in each of the last 10 years. [147448]

Mr. Bradshaw: The information requested is shown in the table.


12 July 2007 : Column 1673W

12 July 2007 : Column 1674W
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

All doctors (excluding retainers)

Headcount

86,584

89,619

91,837

93,981

96,319

99,169

103,350

108,993

117,036

122,345

125,612

Full-time equivalent (FTE)

81,783

84,758

86,594

88,371

90,248

92,495

96,999

102,037

109,224

114,251

119,096

General practitioners (GPs, excluding retainers)( 1)( , )( 2)

Headcount

29,116

29,389

29,697

29,987

30,252

30,685

31,182

32,593

34,085

35,302

35,369

FTE

27,550

27,660

27,848

28,033

28,154

28,439

28,740

29,777

30,762

31,683

33,121

HCHS medical and dental staff (excluding locums)

Headcount

64,213

66,836

68,458

70,000

71,688

73,846

77,031

80,851

86,996

90,630

93,320

FTE

54,233

57,099

58,746

60,338

62,094

64,055

68,260

72,260

78,462

82,568

85,975

Of which:

Consultants (including directors of public health)

Headcount

20,402

21,474

22,324

23,321

24,401

25,782

27,070

28,750

30,650

31,993

32,874

FTE

18,603

19,661

20,432

21,410

22,186

23,064

24,756

26,341

28,141

29,613

30,619

Total qualified nursing staff( 3, 4)

Headcount

319,151

318,856

323,457

329,637

335,952

350,381

367,520

386,359

397,515

404,161

398,335

FTE

257,891

256,093

257,597

261,340

266,987

277,334

291,285

304,892

315,440

321,537

322,062

Qualified nursing, midwifery and health visiting staff

Headcount

301,253

300,467

304,563

310,142

316,752

330,535

346,537

364,692

375,371

381,257

374,538

FTE

248,070

246,011

247,238

250,651

256,276

266,171

279,287

291,925

301,877

307,744

307,447

GP practice nurses( 1)( , )( 3)( , )( 4)

Headcount

17,898

18,389

18,894

19,495

19,200

19,846

20,983

21,667

22,144

22,904

23,797

FTE

9,821

10,082

10,359

10,689

10,711

11,163

11,998

12,967

13,563

13,793

14,616

(1) GP data as at 1 October 1995-99 and 30 September 2000-06.
(2) GP FTE data for 1996 to 2005 has been estimated using the results from the 1992-93 GMP Workload Survey. For 2006, FTE has been collected and therefore may not be fully comparable with previous years.
(3) Nursing and midwifery figures exclude students on training courses leading to a first qualification as a nurse or midwife.
(4) Headcount practice nurse figures are estimated for 1998 and 1999 based on the 1997 FTE to headcount ratio.
Notes:
1. All doctors (excluding GP retainers) also excludes hospital practitioners and clinical assistants, most of whom are GPs working part-time in hospitals.
2. More accurate validation this year means that in 2006, 9,858 duplicate records were identified and removed from the non-medical census. The impact of duplicates on FTE has been minimal with the removal of 507.

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