Previous Section Index Home Page

7 Jan 2008 : Column 121W—continued

Mental Health Services: Suffolk

Mr. Spring: To ask the Secretary of State for Health how many dedicated beds were available for mental health patients in Suffolk in each year since 1997. [175235]

Mr. Ivan Lewis: Information is not available prior to 2005-06. Due to trust mergers and demergers, data are not comparable. The number of beds available at Suffolk Mental Health Partnership NHS Trust in 2005-06 was 205 and in 2006-07 it was 258.

The reduction in mental health bed numbers reflects the increasing provision by the national health service in England of treatment for patients with mental health conditions in primary care and community settings, without the need for hospital admissions.

Mental Health Services: Young People

John Battle: To ask the Secretary of State for Health how many under 18-year-olds were admitted to adult mental health wards in each year since 1997; and if he will make a statement. [174759]

7 Jan 2008 : Column 122W

Mr. Ivan Lewis: Information is not available in either the format or time frame requested. However, the number of bed days on adult psychiatric wards of patients aged 16 or 17 and those children under 16 is in the following table for the two years for which figures are available.

2005-06 2006-07

Patients aged under 16



Patients age 16 or 17



Due to the statistical basis for collecting this information changing between the two years, the figures are not directly comparable.

The Mental Health Act 2007 contains a provision (section 31) that ensures that patients aged under 18 are treated in an environment in hospital, which is suitable having regard to their age (subject to their needs). The NHS operating framework which was published recently also reinforces this commitment.

The Government have made a commitment to commence this provision in England by April 2010. Capital funding of £31 million has been provided in 2007-08 for 17 projects specifically designed to help eliminate the inappropriate use of adult psychiatric wards for children and young people.

Midwives: Higher Education

Mr. Hancock: To ask the Secretary of State for Health how many midwifery academics there were in each year since 1997. [172148]

Ann Keen: Information on the number of midwifery academics in each year since 1997 is not held by this Department. The Department for Innovation, Universities and Skills holds data from the Higher Education Statistics Agency on the number of academic staff.

NHS Treatment Centres: Private Sector

Harry Cohen: To ask the Secretary of State for Health what assessment he has made of the performance of Independent Sector Treatment Centres (ISTCs); what mechanisms are in place to monitor the undertaking of operations paid for by primary care trusts; how many complaints he has received of ISTCs not carrying out paid for operations; and if he will make a statement. [171396]

Mr. Bradshaw: Around 839,000 national health service patients have been treated through the various independent sector treatment centre (ISTC) programmes to date.

The utilisation of ISTC contracts (the levels of update of services provided) is monitored by the Central Contracts Monitoring Unit of the Department’s Commercial Directorate.

The Department works with sponsors and providers to ensure optimum utilisation of the contracts through the total contract period. This includes changing the case-mix to respond to local needs, and working with providers and primary care trusts to recover previous under-utilised activity where possible.

7 Jan 2008 : Column 123W

The Department does not routinely collect information on the number of complaints made in respect of ISTCs. However, the Department, the NHS and providers meet quarterly for a Joint Service Review to discuss a range of operational issues and to ensure that the services offered deliver a high-quality effective service to the NHS patients that they serve.

NHS: EU Emissions Trading Scheme

Jon Trickett: To ask the Secretary of State for Health what estimate he has made of the total cost incurred by hospital trusts in relation to the EU Emissions Trading Scheme. [175984]

Mr. Ivan Lewis: The information requested is not collected centrally.


Mr. Stephen O'Brien: To ask the Secretary of State for Health what data are being recorded under the RiO patient care records system. [172896]

Mr. Bradshaw: RiO is an information system designed for use across the community health sector. Data are recorded to support the key functions of providing secure access to patients' care records, to allocate, share and reassign cases, to record treatments, and to book appointments. As well as recording clinical information it provides clinical and administrative functionality to support care professionals, working in teams, with features such as diary, referral and caseload management, progress notes and care plans. Child health functionality includes the scheduling, recording and outcome of immunisations, health reviews and development checks, registration of birth details, screening tests and special needs.

RiO is the strategic community health information solution for London. Its features and functionality will continue to be developed with the input of national health service staff in London.

Mr. Stephen O'Brien: To ask the Secretary of State for Health how much (a) capital and (b) revenue expenditure there has been on the National Programme for IT and Connecting for Health in each year since the programme began; and how much (i) capital and (ii) revenue spending has been budgeted for each remaining year of the programme. [172897]

Mr. Bradshaw: The Department's NHS Connecting for Health Agency is responsible both for ensuring delivery of the information technology (IT) systems under the national programme for IT (NPfIT), and for
7 Jan 2008 : Column 124W
maintaining the critical business systems previously provided to the national health service by the former NHS Information Authority. Information covering all the agency's responsibilities is in the tables.

£ million
Actual expenditure Forecast outturn
2004-05 2005-06 2006-07 2007-08











£ million
Planned expenditure
2008-09 2009-10 2010-11









1. All sums exclude capital charges.
2. The amounts include the original costs of NPfIT contracts, which have not changed, but also include new and additional requirements that have been added, supported by separate business cases and funding, as reported by the National Audit Office.
3. With the exception of planned revenue expenditure in 2008-09, figures for 2008-09 to 2010-11 are those used to inform the comprehensive spending review and are subject to revision in light of the evolving IT needs of the NHS.
4. Budgets for years beyond 2010-11 are dependent on the outcome of future spending reviews.

Peter Bottomley: To ask the Secretary of State for Health which hospital trusts have installed Cerner's Millennium system; on what date it was installed; which hospital trusts are expected to install the system and when; what the name is of the senior clinician on each hospital IT board; which Minister is responsible for the system roll out; what representations he has received from clinicians in hospitals using the system on their experience of using it; if he will ask a chief medical officer to consult clinicians using the system in (a) Kent, (b) Sussex, (c) Cheshire and (d) Buckinghamshire; and if he will update the figures provided previously in the answer of 23 July 2007, Official Report, columns 823-4W. [173426]

Mr. Bradshaw: Cerner is the chosen subcontractor of two of the local service providers (LSPs) under the national programme for information technology (NPfIT) for the provision of health care IT systems, Fujitsu in the south of England and BT in London.

Nine health communities have to date gone live with the Cerner Millennium system provided through the national programme. Each health community typically comprises an acute national health service trust and the associated primary care trust sites in its area. Details are provided in the following table.

7 Jan 2008 : Column 125W

7 Jan 2008 : Column 126W
Trust Total users Peak users Average users Go live date

Buckinghamshire Hospitals NHS Trust




25 September 2006

Milton Keynes General Hospital NHS Trust




24 February 2007

Nuffield Orthopaedic Centre NHS Trust




22 December 2005

Surrey and Sussex Healthcare NHS Trust




20 April 2007

Weston Area Health NHS Trust




29 July 2006

Winchester and Eastleigh Healthcare NHS Trust




10 February 2007

Worthing and Southlands Hospitals




29 September 2007

Barnet and Chase Farm NHS Trust




24 July 2007

Queen Mary's Sidcup NHS Trust




29 October 2007





In addition two London NHS hospital trusts, the Homerton University Hospital NHS Foundation Trust, and Newham University Hospital Trust, had initiated procurements of the Millennium system before the national programme.

To date, some 2.7 million patient records have been entered in the systems currently in use.

Four further trusts are currently expected to go live with the existing release (release 0) of the Millennium system by the early part of 2008. These are Taunton and Somerset NHS Trust in 2007, and the Royal United Hospital Bath NHS Trust, the Royal West Sussex Hospital Trust, and Barts and the London NHS Trust in 2008. Thereafter, release 1 of the system will form the basis for other implementations across both LSP areas in 2008-09 and beyond. Specific go-live dates in each strategic health authority area will be determined by local agreement with the NHS bodies concerned.

All matters to do with the national programme fall within my portfolio of departmental responsibilities as the Minister of State.

Details of clinical representation on bodies responsible for overseeing local implementation of NPfIT systems are not held centrally.

While Ministers have not received any direct representations, we are aware that users in the early deployments expressed some concerns about the system's management and statutory reporting functionality, and some of its usability features, for example the number of key strokes required for certain functions. Action has been taken to address these concerns and to enhance these areas. This is making a positive impact. Many users who have become familiar with Millennium over time have expressed satisfaction with the system.

From the inception of the IT programme relevant and experienced clinicians have contributed to the effective identification of requirements, design and testing of all systems wherever across the NHS these are being delivered. This continues to be the case. NHS Connecting for Health has appointed a chief clinical officer to lead the clinical engagement and clinical contribution to the programme.

NHS: Inflation

Mr. Stephen O'Brien: To ask the Secretary of State for Health what the rate of (a) inflation and (b) wage inflation was in the NHS in each year since 1995. [164592]

Mr. Bradshaw: The following table reports, from 1995-96 to 2005-06, Hospital and Community Health Service (HCHS) wage inflation and total national health service inflation.

HCHS Pay Inflation Total NHS Inflation


































Notes: 1. Wage inflation is measured using the HCHS pay cost index, which is a measure of the average paybill per head of those employed within the HCHS. 2. The total NHS inflation index is no longer available from 2004-05 as it relies on the General Medical Service (GMS)/Personal Medical Service data series, which has discontinued since the introduction of the new GMS contract in 2004-05.

Next Section Index Home Page