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25 Jan 2008 : Column 2293W—continued

English Language

Damian Green: To ask the Secretary of State for Health how much his Department has spent on English language classes for staff in the last year for which figures are available. [177484]

Mr. Bradshaw: We do not hold central records of expenditure on English language classes. A survey to gather relevant information would involve disproportionate costs. Informally, we believe that a survey would identify very little or no expenditure on such classes.

General Practitioners

Mr. Hoban: To ask the Secretary of State for Health what measures his Department uses to monitor patients’ access to out-of-hours general practitioner services. [180337]

Mr. Bradshaw: We do not collect this information centrally. Primary care trusts have a responsibility to ensure they provide, or secure provision of a high quality, sustainable service that meets the needs of their local population.

All out-of-hours services must be delivered to the national quality requirements, ensuring patients have access to consistently high quality and responsive care, regardless of where they live. Providers must deliver services that meet the quality requirements, as a contractual obligation. The requirements stipulate that:


25 Jan 2008 : Column 2294W

Health Professions: Barnet

Mr. Dismore: To ask the Secretary of State for Health how many (a) hospital doctors, (b) nurses, (c) GPs, (d) GP practice nurses, (e) nurse practitioners, (f) modern matrons, (g) community matrons and (h) NHS managers there were in Barnet in (i) 1997 and (ii) 2006-07; and if he will make a statement. [177908]

Mr. Bradshaw: The information requested is held at national health service trust level only.

The table shows the data held for Barnet and Chase Farm Hospitals NHS Trust, Barnet primary care trust and the Royal Free Hampstead NHS trust, which serve the Barnet area, and the former Barnet health authority. 1997 data is available only for the Royal Free Hampstead NHS trust, and Barnet health authority. Latest available data is for 2006.

Over 1.33 million people were employed in the NHS in England as at September 2006. Between September 1997 and 2006 the total number of NHS staff increased by over 280,000 (27 per cent.); the number of doctors and hospital dentists employed in the NHS in England increased by 35,993 (40 per cent.) to 125,612; the number of nurses employed in the NHS in England increased by 79,479 (25 per cent.) to 398,335; and the total number of qualified scientific, therapeutic and technical staff employed in the NHS in England increased by 38,200 (40 per cent.) to 134,498.

We are now moving away from year-on-year growth in the NHS workforce to more of a steady state where there is a closer match between demand and supply. The focus now is strengthening frontline capacity through increases in productivity and skill mix. In some cases, productivity gains may mean that fewer staff are needed to deliver the same service outcomes.


25 Jan 2008 : Column 2295W
All qualified nursing, midwifery and health visiting staff, medical and dental staff( 1) , general practitioners (GPs) (excluding retainers and registrars)( 2) and practice nurses in each specified organisation as at 30 September each specified year
Number (headcount)
1997 2006

Barnet and Chase Farm Hospitals NHS trust specified staff total

(3)

2,366

All doctors

(3)

585

O f which :

Medical and dental staff(2)

(3)

585

GPs (excluding retainers and registrars)(2)

(3)

(3)

Qualified nursing, midwifery and health visiting staff

(3)

1,692

O f which :

Practice nurses

(3)

(3)

Modern matron

(3)

11

Community matron

(3)

0

Administrative managers

(3)

89

Barnet health authority*

GPs (excluding retainers and registrars)(2)

195

n/a

Practice nurses

135

n/a

Barnet PCT specified staff total

(3)

711

All doctors

(3)

246

O f which :

Medical and dental staff(1)

(3)

28

GPs (excluding retainers and registrars)(2)

(3)

218

Qualified nursing, midwifery and health visiting staff

(3)

389

O f which :

Practice nurses

(3)

133

Modern matron

(3)

3

Community matron

(3)

0

Administrative managers

76

Royal Free Hampstead NHS trust

1,965

2,877

All doctors

462

737

O f which :

Medical and dental staff(1)

462

737

GPs (excluding retainers and registrars)(2)

(3)

(3)

Qualified nursing, midwifery and health visiting staff

1,402

2,035

O f which :

Practice nurses

(3)

(3)

Modern matron

(3)

10

Community matron

(3)

0

Administrative managers

101

105

(1) Excludes medical hospital practitioners and medical clinical assistants, most of whom are GPs working part time in hospitals. (2 )General medical practitioners (excluding retainers and registrars) includes GP Providers and GP Others. (3 )Data not available. The numbers of modern matrons were not collected until 2005, and community matrons were not collected until 2006. Note: 1. Due to a high number of organisation mergers in the Barnet area it is impossible to accurately map figures from predecessor to current trust organisation structures to provide data for 1997. The Royal Free Hampstead NHS trust has remained consistent, so figures are included. *The exception is GPs and their staff recorded in the former Barnet health authority in 1997 which is consistent with the current Barnet PCT. In 1997 there were 195 GPs (excluding retainers and registrars) and 135 Practice Nurses in Barnet Health Authority. 2. GP Census does not display nurse practitioners as a separate work area. Source: The Information Centre for health and social care Non-Medical Workforce Census. The Information Centre for health and social care Medical and Dental Workforce Census. The Information Centre for health and social care General and Personal Medical Services Statistics.

Health Services: Thames Gateway

Dr. Stoate: To ask the Secretary of State for Health what administrative arrangements have been put in place at departmental level to co-ordinate the delivery of new health care facilities and resources in the Thames Gateway growth area to meet the demands of new house building within the region. [174219]


25 Jan 2008 : Column 2296W

Mr. Bradshaw: The Thames Gateway Cross Government Board, comprising several officials from a number of Government Departments, including the Department, is responsible for the co-ordination of central Government investment in the Thames Gateway growth area, including the provision of health services.

Incontinence

Greg Mulholland: To ask the Secretary of State for Health whether he intends to make it his policy to consult further before making any final decision upon the details and impact of any revised option for the proposed changes to Part IX of the Drug Tariff when he considers the responses to the consultation Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances—and related services—to Primary Care. [181987]

Mr. Ivan Lewis: The latest consultation closed on 28 December 2008. Ministers have agreed that the Department can meet with industry and other relevant parties to discuss the best way to conclude this review.

No further decisions have been made.

Meat Products: Origin Marking

Tim Farron: To ask the Secretary of State for Health pursuant to the answer of 10 December 2007, Official Report, columns 710-11W, on pork, what minimum level of substantial change is required in order to permit the country in which a pork product was processed to be described as the country of origin on its labelling. [181992]

Mr. Ivan Lewis: There is no definition of place of ‘last substantial transformation/change’ in European Union law. However, the Food Standards Agency suggests in its “Guidance on Country of Origin Labelling” that, for example, the transformation of pork into bacon, ham or pies should be regarded as a treatment or process resulting in a substantial change, while simply slicing, cutting and/or packing meat does not amount to such a change.

Mental Health Services: Greater London

Mr. Boris Johnson: To ask the Secretary of State for Health what the budget was for each mental health primary care trust within Greater London in each year since 1997. [178457]

Mr. Ivan Lewis [holding answer 14 January 2008]: The information is not available in the format requested. There are no mental health primary care trusts (PCTs). Furthermore, the Department does not hold information on the budgets of PCTs. However, the following tables shows the net operating costs, which relates to the size of the PCT, of all London PCTs and the spend on secondary mental illness from 2000-01 to 2006-07.


25 Jan 2008 : Column 2297W

25 Jan 2008 : Column 2298W
£000
2000-01 2001-02 2002-03 2003-04
London PCT Net Operating costs Spend on secondary mental illness Net Operating costs Spend on secondary mental illness Net Operating costs Spend on secondary mental illness Net Operating costs Spend on secondary mental illness

Barking and Dagenham PCT

110,618

14,862

146,269

15,408

170,823

23,158

Barnet PCT

249,700

25,809

327,960

28,788

358,235

33,562

Bexley PCT/Care Trust

62,248

4,476

141,028

13,748

190,708

23,122

209,679

20,636

Brent Teaching PCT

297,936

35,832

337,737

39,823

Bromley PCT

214,671

22,692

283,730

28,016

317,805

28,502

Camden PCT

325,834

52,007

314,241

59,411

Chingford, Wanstead and Woodford PCT

91,622

12,275

108,227

13,753

City and Hackney Teaching PCT

188,409

38,125

256,962

43,875

295,976

44,907

Croydon PCT

310,484

31,874

330,656

33,316

Ealing PCT

322,152

89,702

357,416

40,438

Enfield PCT

192,252

21,117

245,943

32,280

281,614

34,892

Greenwich Teaching PCT

195,183

28,125

261,854

48,841

281,191

35,983

Hammersmith and Fulham PCT

208,876

31,172

222,992

28,066

Haringey Teaching PCT

192,093

31,657

255,480

32,656

280,934

76,146

Harrow PCT

184,884

17,592

202,870

22,112

Havering PCT

162,056

19,792

213,658

21,160

251,412

24,534

Hillingdon PCT

173,211

0

189,563

16,073

220,908

20,118

243,802

23,758

Hounslow PCT

222,958

21,514

254,520

22,789

Islington PCT

258,769

51,429

261,761

53,522

Kensington and Chelsea PCT

217,367

31,435

245,191

30,175

Kingston PCT

103,160

11,073

148,481

18,273

160,794

18,459

Lambeth PCT

351,925

72,408

403,207

73,061

Lewisham PCT

284,012

50,618

307,559

53,722

Nelson and West Merton PCT

93,633

0

103,387

11,264

Newham PCT

215,444

22,500

281,592

36,012

312,981

37,503

Redbridge PCT

134,036

20,228

159,537

18,385

227,233

30,083

Richmond and Twickenham PCT

161,896

19,683

184,296

18,459

Southwark PCT

295,368

50,784

315,022

51,359

Sutton and Merton PCT

343,166

37,367

384,936

38,249

Teddington, Twickenham and Hamptons PCT

57,637

7,622

Tower Hamlets PCT

177,331

21,136

246,660

28,864

276,118

28,243

Waltham Forest PCT

257,849

29,153

Walthamstow, Leyton and Leytonstone PCT

138,664

19,100

172,676

20,644

Wandsworth PCT

301,074

37,545

331,813

39,685

Westminster PCT

315,490

91,507

315,363

44,862


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