Previous Section Index Home Page

7 Jan 2008 : Column 111W—continued


Incontinence: Medical Equipment

Mr. Oaten: To ask the Secretary of State for Health whether dispensing contractors will be allowed to contract out a full dispensing service of appliances to other organisations under proposed amendments to the Regulatory Terms of Service of Pharmacy and
7 Jan 2008 : Column 112W
Appliance Contractors in relation to dispensing items listed in Part IX of the Drug Tariff. [176932]

Mr. Ivan Lewis: Annex B of the consultation “Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances—and related services—to Primary Care. Revised Proposals” sets out a number of proposals relating to essential services provided by dispensing appliance contractors and pharmacy contractors.

One of these proposals states that both dispensing appliance and pharmacy contractors should—if they cannot dispense the prescription item—be able to pass a prescription form to another dispensing contractor with the patient’s consent—provided that they do not receive either a gift or a reward from the other dispensing contractor.

This does not preclude dispensing contractors working together in a commercial manner in order to provide a full dispensing service to patients in relation to Part IXA (catheter), Part IXB (incontinence related) or Part IXC (stoma) prescription items.

Independent Sector Procurement Forum

Harry Cohen: To ask the Secretary of State for Health what the role is of the independent sector procurement forum; what funds were allocated to it for 2007-08; who is on the forum; and what remuneration each member receives. [171395]

Mr. Bradshaw: The Independent Sector Procurement Forum will advise the Department on policies and practice in local procurement of clinical services. The forum, the membership of which is still being finalised, will draw on a range of expertise and experience. Forum members will not be paid but will be entitled to claim expenses in line with departmental guidance. Secretariat and any other costs of the forum will be met from existing resources for 2007-08.

Industrial Diseases

John Mann: To ask the Secretary of State for Health what assessment he has made of industrial disease prevalence in determining resource allocation in the NHS. [174655]

Mr. Bradshaw: There is no specific consideration made for industrial disease prevalence in determining resource allocations to primary care trusts (PCTs) but industrial disease will be picked up in the models of utilisation of health care in the additional need element of the formula.

A weighted capitation formula is used to determine PCTs' target shares of available resources, to enable them to commission similar levels of health services for populations in similar need.

The components of the formula are used to weight each PCT's ‘crude’ population according to their relative need (age, and additional need) for health care and the unavoidable geographical differences in the cost of providing health care (market forces factor).


7 Jan 2008 : Column 113W

The additional need element of the formula is intended to reflect the relative need for health care over and above that accounted for by age. The need weighting takes the form of indices from two broad service areas:

The indices are based on models of utilisation of health care and comprise a number of socio-economic and health related variables. There are two different groups of variables included in these models:

For further information on the weighted-capitation formula, please refer to ‘Resource Allocation: Weighted Capitation Formula (Fifth edition)’. A copy is available in the Library, and can also be accessed at:

Information Centre for Health and Social Care

Mr. Lansley: To ask the Secretary of State for Health when he expects the Information Centre for Health and Social Care to commence development of a dataset for urgent and emergency care, as described on page four of his Department’s document Urgent care update: Key areas highlighted by the Direction of Travel consultation and other work; and which (a) organisations and (b) individuals he expects the Information Centre to consult on the matter. [175032]

Mr. Bradshaw: The Information Centre for health and social care (IC) are working towards developing a dataset for urgent and emergency care. The IC will follow their usual processes of wide engagement with relevant professional bodies, and may also include an open consultation period.

Living Wills

David T.C. Davies: To ask the Secretary of State for Health what guidance he has issued to members of the public on living wills; and what plans he has to revise such advice. [175732]

Mr. Ivan Lewis: The Mental Capacity Act 2005 sets out the statutory rules governing advance decisions to refuse treatment, which were sometimes previously known as ‘living wills’. The Government issued the Mental Capacity Act Code of Practice in April 2007, which includes guidance on advance decisions, and a range of information booklets for the public and professionals, which summarise the provisions that relate to advance decisions. The Department has issued information on the transitional provisions for advance decisions to refuse life-sustaining treatment made before the Act came into force. The Code of Practice and other information will be updated as necessary.


7 Jan 2008 : Column 114W

Medical Records

Mr. Lansley: To ask the Secretary of State for Health when the full implementation of the Summary Care Record is expected to take place; and if he will make a statement. [175030]

Mr. Bradshaw: There are no current plans to implement the summary care record (SCR) beyond the existing early adopter programme. The Department is working with both the Summary Care Record Advisory Group and the independent evaluators based at University College London to ensure that all significant learning from the early adopters is taken into account as soon as it is available. The evaluation will draw from extensive fieldwork done to capture the views and experiences of general practitioners, practice managers, nurses, other national health service clinical and management staff, and patients. The results of the evaluation will be incorporated into future deployment plans for the SCR.

Medical Records: Databases

Jeremy Wright: To ask the Secretary of State for Health which categories of NHS staff working outside GP surgeries will have direct access to information in detailed care records created by clinicians working in a GP surgery; and which of those staff categories will be authorised to override patients' wishes expressed through sealed envelope software. [169022]

Mr. Bradshaw: Individuals from outside the general practitioner's practice will only be able to access a patient's detailed care record, where they are working within a local health community where patient records are managed through a shared detailed record system and where they have a smartcard and role profile that enables access to patient records and also have a legitimate relationship with the patient—for example, because they are providing healthcare or treatment in a different setting, or they have express consent from the patient for other reasons, such as clinical research, or there is a statutory basis or court order supporting disclosure.

Patients may also request that a flag within the system be set to prevent information being accessed by anyone outside of the practice without their express consent other than where there is a legal requirement to do so, or an overriding public interest such as serious crime.

A patient's wishes regarding a sealed envelope can only be overridden exceptionally by staff who have been specifically granted the ability to do so by their employing organisations as part of their assigned role profile. When they do override a seal they must record whether their action is justified by express patient consent, a legal requirement, or an overriding public interest, and this will subsequently be checked by the employing body.

Mental Health Services: Greater London

Lynne Featherstone: To ask the Secretary of State for Health what the Health Commission star rating is for each London mental health trust; and if he will make a statement. [176001]


7 Jan 2008 : Column 115W

Mr. Ivan Lewis: The star rating system is no longer used by the Healthcare Commission. The rating system is now shown through scores of ‘weak’, ‘fair’, ‘good’
7 Jan 2008 : Column 116W
and ‘excellent’. The information requested can be found in the following table:

2006-07
Name of Trust Use of Resources Quality of Services

Barnet, Enfield and Haringey Mental Health Trust

Fair

Good

Camden and Islington Mental Health Trust

Good

Excellent

Central and North West London Mental Health Trust

Good

Excellent

East London and The City Mental Health Trust

Good

Excellent

North East London Mental Health Trust

Fair

Good

Oxleas NHS Foundation Trust

Excellent

Good

South London and Maudesly NHS Foundation Trust

Excellent

Good

South West London and St. George's Mental Health Trust

Fair

Fair

Tavistock and Portman NHS Foundation Trust

Good

Excellent

West London Mental Health NHS Trust

Good

Excellent


Lynne Featherstone: To ask the Secretary of State for Health how many people have been detained involuntarily for treatment under the Mental Health Act in each London mental health trust in each of the last five years; and if he will make a statement. [176029]

Mr. Ivan Lewis: The information requested has been placed in the Library.

Lynne Featherstone: To ask the Secretary of State for Health what the average waiting time was for talk therapies in each London mental health trust in the latest period for which figures are available; and if he will make a statement. [176030]

Mr. Ivan Lewis: Information relating to average waiting times for talking therapies is not held centrally. However, this can be obtained directly from the national health service trusts concerned.

Currently, there are no national waiting times targets for access to psychological therapies in primary care. Waiting times standards are being developed which will be tested in the new Pathfinder Sites for improving access to psychological therapies in 2007-08. These sites will test out proposed standards including appropriate access times for different stages of treatment as detailed in the National Institute for Health and Clinical Excellence Guidelines.

Lynne Featherstone: To ask the Secretary of State for Health what the average waiting time was for a first appointment with a mental health professional following referral by a GP in the last five years, broken down by London mental health trust; and if he will make a statement. [176031]

Mr. Ivan Lewis: The information is not available in the format requested. Waiting times can only be calculated back to 2005 as prior to this, data were only collected for waits over 13 weeks. The available information has been set out in the tables.

Waiting time data are collected for consultant led out-patient appointments, but recently more work is being done by multi-disciplinary teams. Therefore waiting lists have fallen for mental health specialties. Furthermore, as numbers are small, data for average waits cannot be calculated for all trusts.

Furthermore, in-patient psychiatric activity has fallen over time as we have established more than 700 new mental health teams providing community based care as an alternative to acute in-patient care.


7 Jan 2008 : Column 117W

7 Jan 2008 : Column 118W
Out-patient waiting list statistics for mental health specialties for London provider trusts
Not yet seen at the end of the month who are still waiting
Time period—month ending Name Total over 13 week out-patient waiters not seen after 1( st) out-patient appointment for mental health specialties Not seen 13<17 weeks Not seen 17<21 weeks Not seen 21+ weeks Not seen 21<26 weeks Not seen 26+ weeks

March 2003

Hillingdon Hospital NHS Trust

8

5

3

0

0

0

March 2003

North East London Mental Health NHS Trust

15

10

5

0

0

0

March 2003

West London Mental Health NHS Trust

9

5

4

0

0

0

March 2003

Tavistock and Portman NHS Foundation Trust

3

2

1

0

0

0

March 2003

South West London and St. George’s NHS Trust

10

4

5

1

1

0

March 2003

Barnet, Enfield and Haringey Mental Health NHS Trust

32

17

15

0

0

0

March 2003

University College London Hospitals NHS Foundation Trust

2

2

0

0

0

0

March 2003

Central and North West London NHS Foundation Trust

4

4

0

0

0

0

March 2003

South London and Maudsley NHS Foundation Trust

81

33

47

1

0

1

March 2003

East London and The City Mental Health NHS Trust

18

13

5

0

0

0

March 2003

Camden and Islington Mental Health and Social Care Trust

5

5

0

0

0

0


Next Section Index Home Page