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Health Services: Armed Forces

Mr. Hancock: To ask the Secretary of State for Health what estimate he has made of the potential numbers of (a) serving and (b) veteran services personnel who (i) are eligible for and (ii) have received priority for treatment in the NHS in each of the last three years. [170210]

Mr. Bradshaw: The recent extension of long-standing arrangements for priority treatment for war pensioners to all veterans, for service-related conditions, does not affect the current arrangements for serving military personnel to get accelerated access to the national health service in certain circumstances.

There are about 4.8 million veterans. Most veterans with service-related conditions are already receiving any health care that they need for those conditions, sometimes with priority access as war pensioners. Our view is that the extension of the priority treatment arrangements will be relevant to only a small number of veterans.

Mr. Hancock: To ask the Secretary of State for Health what assessment he has made of the effects on the (a) 10 primary care trusts with the highest concentrations of serving and veteran service personnel and (b) the NHS of the decision to give priority treatment to serving and veteran service personnel. [170213]


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Mr. Bradshaw: Information is not available about which primary care trusts (PCTs) have the highest concentration of veterans. The extension of priority treatment to all veterans will not affect serving military personnel, as their arrangements for accelerated access to the national health service are not changing. As with the current arrangements for priority treatment for war pensioners, decisions about priority treatment for all veterans will be made by the relevant clinicians, and will be subject to clinical need. There should be no significant additional cost: the policy is about prioritisation of future referrals.

Health Services: EC Accession

Mr. Philip Hammond: To ask the Secretary of State for Health what assessment he has made of the effect of migration from A8 countries on health spending per capita in each Government Office region. [167650]

Mr. Bradshaw: Funding is allocated to primary care trusts (PCTs) on the basis of the relative needs of their populations. A weighted capitation formula is used to determine each PCTs’ share of available resources, to enable them to commission similar levels of health services for populations in similar need.

The 2006-07 and 2007-08 revenue allocations are based on 2003 based long-term sub-national population projections published by the Office for National Statistics. Population projections forecast the population from a base year estimate, taking into account ageing and assumptions based on past trends about births, deaths and migration.

The Home Office recently sought information on the effect of migration from A8 countries from each regional Government office for a presentation given by the Minister for Borders and Immigration to the Migration Impacts Forum (MIF). This was based mainly on anecdotal evidence from regional sources but many regions did in fact point to the young demographic and implicit good health of recent arrivals. We will be using future meetings of the MIF to discuss and consider in more detail health issues related to migration.

Health Services: Foreigners

Lynne Jones: To ask the Secretary of State for Health if he will publish the submissions to the 2004 consultation Proposals to Exclude Overseas Visitors from Eligibility to Free NHS Primary Medical Services. [169116]

Mr. Bradshaw: The responses to the 2004 consultation, ‘Proposals to Exclude Overseas Visitors from Eligibility to Free NHS Primary Medical Services’ were both extensive and inconclusive. They highlighted a range of difficult and sensitive issues.

As a result, all these issues are now being considered as part of the joint Department of Health and Home Office review of the rules governing access to the national health service by foreign nationals. The review was announced on 7 March in the Home Office publication, ‘Enforcing the Rules: A new strategy to ensure and enforce compliance with our immigration laws’.


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The review is due to be completed shortly and will then be followed by a full public consultation. The responses to the 2004 consultation are being considered as part of this review, we will publish the responses to the 2004 consultation when the Review of Access to the NHS by foreign nationals goes out to public consultation in spring 2008.

Health Services: Gloucestershire

Mr. Drew: To ask the Secretary of State for Health what discussions Stroud District Council has had with Gloucestershire Primary Care Trust on the proposal to increase primary care provision in the new settlement of Hunts Grove, with particular reference to (a) numbers of GPs and (b) dentistry provision. [171018]

Mr. Bradshaw: It is for primary care trusts (PCTs) in conjunction with other local stakeholders and their strategic health authorities to make assessments of health needs and to commission services accordingly.

Therefore, this is a matter between Stroud district council and Gloucestershire PCT.

My hon. Friend may wish to approach the council or the PCT directly on this matter.

Health Services: NHS Direct

Mr. Lansley: To ask the Secretary of State for Health whether he has plans to integrate the services provided by NHS walk-in centres with NHS Direct. [166447]

Mr. Bradshaw: There are no plans nationally to integrate these services. NHS Direct offers telephone advice and refers callers to NHS walk-in centres and other local services where face-to-face contact is needed.

Health Services: Private Sector

Ben Chapman: To ask the Secretary of State for Health what recent estimate he has made of the levels of expenditure by private companies on primary care premises and polyclinics; and if he will make a statement. [169195]

Mr. Bradshaw: This information is not collected centrally. It is for primary care trusts to agree locally with providers the level of investment into primary care premises.

Health Services: Publicity

Mr. Lansley: To ask the Secretary of State for Health what the cost was of creating his Department's End Waiting, Change Lives brand, broken down by (a) internal and (b) external consultancy costs. [170193]

Mr. Bradshaw: The creative design cost to develop the End Waiting, Changes Lives identity was £96,691.50. The cost includes developing and testing creative routes, refining the chosen route and applying it across materials and account management.

There were no internal consultancy costs.


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Health Services: Reform

David Taylor: To ask the Secretary of State for Health when the next Government Professional Health Reform Implementation Programme National Advisory Conference will take place; and what steps he is taking to ensure the representation of the public and patients. [169177]

Mr. Bradshaw: The Council for Healthcare Regulatory Excellence has been asked to host the next meeting of the National Advisory Group, which was proposed in ‘Trust, Assurance and Safety’, in spring 2008. A precise date and time has yet to be arranged. The Council has been asked to ensure that at least 50, of an estimated 500, places are available to patient and the public representatives.

David Taylor: To ask the Secretary of State for Health whether the final reports to Ministers from the chairpersons of each of the seven Government Professional Health Reform Implementation Programme work streams are required to reflect a consensus position of all chairpersons. [169186]

Mr. Bradshaw: Chairpersons of each of the seven national working groups will not be required to reflect a consensus position of all chairpersons of the seven working groups. Each chairperson has been selected for their personal expertise in a particular area and the recommendations which they make will be considered in their totality by Ministers.


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David Taylor: To ask the Secretary of State for Health what responses his Department has received as a result of the work of each of the seven Government Professional Health Reform Implementation Programme work streams; and what the dates were of those responses. [169187]

Mr. Bradshaw: As yet none of the working groups have reported, although we expect the Enhancing Confidence in Healthcare Professional Regulators chair to submit the report from his working group to the Department by the end of November.

David Taylor: To ask the Secretary of State for Health which representatives of which public and patient organisations attended each of the seven Government Professional Health Reform Implementation Programme work streams; when each was invited to participate; how many of these meetings each attended; what estimate he has made of the period of time between the receipt of papers for meetings and the dates of those meetings; and whether patient and public representatives have been given opportunities to make formal presentations at those meetings. [169188]

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

Patient and public representatives have been asked to contribute to working groups on an equal basis to other working group members.


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Working group meetings and patient and public representation
Working group Sub-group Meeting dates Papers circulated on Patient and public representatives Date invited Number of meetings attended

Enhancing Confidence in the Professional Regulators

6 November 2007

2 November 2007

Ms Margaret Goose, Chair of the Royal College of Physicians of London, Patient and Carer Involvement Steering Group

17 August 2007

Two of Three

12 October 2007

9 October 2007

21 September 2007

19 September 2007

Health for Health Professionals

13 August 2007

7 August 2007

Mr. Anthony Halperin, Acting Chair, Patients Association

6 August 2007

Two of Two

19 November 2007

15 November 2007

Ms Frances Blunden, Principal Policy Adviser, Which?

24 July 2007

One of Two

Dr. Patricia Willkie, Patient/public representative, Academy of Medical Royal Colleges

24 July 2007

One of Two

Medical Revalidation and Education

23 July 2007

20 July 2007

Ms Judy Wilson, Independent Consultant

June 2007

Three of Three

8 October 2007

3 October 2007

19 November 2007

16 November 2007

Non-Medical Revalidation

23 July 2007

19 July 2007

Ms Kate Webb, Principal Policy Adviser, Which?

17 July 2007

Two of Two

1 November 2007

26 October 2007

Ms Judy Wilson, Independent Consultant

16 October 2007

One of One

Tackling Concerns Locally

19 July 2007

16 July 2007

Ms Ann Alexander, Patients Association Trustee

2 July 2007

Delegate sent to Two of Two meetings

27 September 2007

24 September 2007

Mr. Peter Walsh, Action Against Medical Accidents

Two of Two

Tackling Concerns Locally, GMC Affiliates Sub-group

14 November 2007

8 November 2007

Peter Walsh, Action Against Medical Accidents

23 October 2007

One of One

Ann Alexander, Patients Association

23 October 2007

Zero of One

Frances Blunden, Principal Policy Adviser, Which?

23 October 2007

One of One

Celia Davies, Visiting Professor LSE

23 October 2007

One of One

Patricia Wilkie, Academy of Medical Royal Colleges Patient Liaison Group

23 October 2007

Zero of One

Tackling Concerns Locally, Responsible Officer Sub-group

16 October 2007

11 October 2007

Jonathan Coe (Witness)

7 September 2007

Zero of Two

14 November 2007

8 November 2007

Tackling Concerns Locally, Performers List Sub-group

18 July 2007

This sub-group agreed to publish meeting papers on a dedicated internet-based workspace rather than circulate them by email

18 July 2007

No Public, patient involvement (PPI) Representative

No PPI Representative

24 September 2007

24 September 2007

23 October 2007

23 October 2007

20 November 2007

20 November 2007

Tackling Concerns Locally, Raising Concerns and Managing Information Sub-group

7 December 2007 (planned)

Group has yet to meet

Peter Walsh (Action Against Medical Accidents)

13 November 2007

n/a

Tackling Concerns Locally, Clinical Governance Sub-group

10 December 2007 (planned)

Group has yet to meet

Patient

15 November 2007

n/a

Tackling Concerns Locally, Death Certification Sub-group

To be confirmed (TBC)

Group has yet to meet

TBC

Invitations have not yet been sent

Group has yet to meet

Extending Professional Regulation

21 November 2007

14 November 2007

Professor Celia Davies (nominated by Which)

24 October

One of One

Dr. Ron Walton (Vale of Glamorgan Community Health Council)

24 October

One of One

Tackling Concerns Nationally

TBA

n/a

TBC

Invitations have not yet been sent

Group has yet to meet


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