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12 Mar 2008 : Column 475W—continued
NHS Local Improvement Finance Trust
James Brokenshire: To ask the Secretary of State for Health what the liabilities of each primary care trust are under contracts for the provision of projects funded through local improvement finance trusts; and what recent estimate he has made of the occupancy rates of healthcare facilities provided through local improvement finance trusts. [193437]
Mr. Bradshaw: This information is not collected centrally. As local improvement finance trusts (LIFT) schemes are developed, it is the responsibility for each primary care trust involved to ensure they can manage the resulting liabilities and service occupancy.
All LIFT schemes are underpinned by a strategic service development plan and a business case approval process. These require the primary care trust to demonstrate to their board, and if necessary their strategic health authority, the service and strategic need for the buildings and the affordability of the resulting liabilities.
NHS: ICT
Mr. Bacon: To ask the Secretary of State for Health (1) what elements of the Lorenzo software package are expected to be delivered to trusts after July 2010; [192708]
(2) in how many stages it is expected that the Lorenzo clinical software package will be delivered for use as part of the National Health Service Programme for IT; what the expected date for delivery of each stage is; and what functionality is expected at each stage; [192709]
(3) how many (a) trusts and (b) other users are planned for each of the stages of delivery of the Lorenzo software package under the Penfield scheme by (i) July 2008, (ii) January 2009, (iii) July 2009, (iv) January 2010 and (v) July 2010; [192710]
(4) when it is expected the (a) the first NHS trust and (b) the first 10 trusts will have deployed elements of the Lorenzo software package under the Penfield scheme; [192711]
(5) by what date it is expected that three-quarters of NHS trusts in (a) the North West region, (b) the North East region and (c) the Eastern region will have had their patient administration systems and clinical systems replaced by the Lorenzo clinical software package under the Penfield scheme. [192712]
Mr. Bradshaw: The software underpinning the Lorenzo regional care solution for the North, Midlands and East (NME) programme for information technology (IT) area—previously comprising the North West/West Midlands, North East and Eastern national programme for IT regions—is currently scheduled to be delivered in four stages, or ‘releases’, as follows:
release 1: from June 2008;
release 2: from November 2008;
release 3: from July 2009; and
release 4: from March 2010.
The software for release 1 will initially be made available to three ‘early adopter’ sites. Following a period of live running within these sites, the release will be rolled out progressively across NME trusts. A similar approach is envisaged for subsequent releases. This staged approach is consistent with best practice and the recommendation from the Health Select Committee.
Functionality for release 1, which will be deployed over legacy patient administration systems (PAS), will enable the ordering of tests and reporting of results for pathology and radiology, supported through interfaces to legacy departmental systems. This functionality will also support ordering of a range of other patient-based services such as physiotherapy, occupational therapy and nursing interventions. The release will facilitate the building of a wide range of clinical documentation that will begin to replace the paper-based records, or the multiple clinical applications, which are currently used throughout the national health service.
Release 2 will replace legacy PAS systems by supporting an additional range of key functions both within and across NHS organisations. The release will include referral management, access planning and waiting lists, complex scheduling, out-patient in-patient and day-care case load management, care planning, case note tracking and contract management functionality. Functionality will also be available for those trusts that need to record Mental Health Act administration details and undertake mental health reviews and tribunals.
This release also aims to include the ability to record prescriptions and medications issued to patients on discharge using a formulary-based catalogue which identifies interactions that could arise due to the combination of drugs being prescribed, and other checking functionality to reduce clinical errors. In addition, emergency care functionality should be supported for those organisations looking to replace their current departmental systems.
Release 3 will build on the functionality delivered in release 2 by providing full in-patient prescribing and
medication administration functionality, and maternity and theatre management functionality intended to replace legacy systems. The release will, in addition, provide the capability to schedule multiple resources such as people, rooms and equipment, and also deliver enhanced bed management capability.
Release 4 aims to provide functionality to support general practitioner practices, health screening, integrated care pathways, commissioning, theatre tray management and stock management. It will also provide the ability to link to remote devices to facilitate telemetry, and for working when disconnected from a network.
At present, development plans extend to July 2010. New requirements after July 2010 will need to be specified and supported by an appropriate business case and approval.
It is not possible to provide the details requested of the future number, location and sequencing of longer-term deployments. This is because meeting the needs and priorities of individual trusts which are maintaining normal business operations requires flexibility in the deployment planning and inevitably means that plans will always be subject to potential change. Detailed implementation planning became the responsibility of individual trusts and the chief executives of strategic health authorities from April 2007.
Nutrition: Health Services
Mr. Stephen O'Brien: To ask the Secretary of State for Health what the average cost was of treating a patient for a disorder of nutrition as an (a) in-patient and (b) out-patient in each year since 2004-05. [189473]
Mr. Bradshaw: The average cost of treating a patient for a disorder of nutrition as an in-patient in each year since 2004-05 is provided in the following table. The information is not available in the format requested for out-patients.
| Average cost of treating an inpatient( 1) for a disorder of nutrition from reference costs | |||
| £ | |||
| Total cost | Actual FCEs( 2) | Average unit cost | |
| (1) Inpatient episodes include elective, non-elective and day cases. (2) FCE is finished consultant episode. (3) Data for 2004-05 and 2005-06 were collected based on Healthcare Resource Group (HRG) version 3.5. (4) Data for 2006-07 were collected based on HRG version 4. (5) The figures above show a decrease in the average unit cost in 2006-07 compared to previous years. This is due to an increase in the number of recorded day cases in 2006-07, resulting in a lower average cost. | |||
Palliative Care
Mark Simmonds: To ask the Secretary of State for Health what data is used by commissioners to determine accurately the need for specialist palliative and neurological care in (a) Boston and Skegness, (b) Lincolnshire and (c) England. [193317]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Lincolnshire Teaching PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient. The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the “National Service Framework for Long-term (Neurological) Conditions” outlines commissioners’ information requirements and a series of local and national actions designed to meet those needs. A copy of the framework is available in the Library.
Palliative Care: Chorley
Mr. Hoyle: To ask the Secretary of State for Health whether the National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been fully implemented in Chorley. [192426]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Central Lancashire PCT, within the national health service to commission services for their resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).
Information on the rate of progress locally can be obtained through the North West SHA.
Mr. Hoyle: To ask the Secretary of State for Health what data are used by commissioners in Chorley to determine the need for specialist palliative and neurological care. [192427]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Central Lancashire PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the “National Service Framework for Long-term (Neurological) Conditions” outlines commissioners’ information requirements and a series
of local and national actions designed to meet those needs. A copy of this document is available in the Library.
Palliative Care: Eastbourne
Mr. Waterson: To ask the Secretary of State for Health whether the National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been fully implemented in Eastbourne. [192020]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including East Sussex Downs and Weald PCT, within the national health service to commission services for their resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).
Information on the rate of progress locally can be obtained through the South East Coast SHA.
Palliative Care: Lancashire
Mr. Borrow: To ask the Secretary of State for Health what data are used by commissioners to determine the need for specialist, palliative care and neurological care in South Ribble; and whether the National Institute for Health and Clinical Excellence’s guidance on supportive and palliative care has been fully implemented in South Ribble. [192811]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Central Lancashire PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the “National Service Framework for Long-term (Neurological) Conditions” outlines commissioners’ information requirements and a series of local and national actions designed to meet those needs. A copy of the framework is available in the Library.
Palliative Care: Norwich
Dr. Gibson: To ask the Secretary of State for Health whether the National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been implemented in Norwich North. [191923]
Mr. Ivan Lewis:
It is for individual primary care trusts (PCTs), including Norfolk PCT, within the national health service to commission services for their
resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).
Information on the rate of progress locally can be obtained through the East of England SHA.
Dr. Gibson: To ask the Secretary of State for Health what data are used by commissioners to determine the level of need for specialist palliative and neurological care in Norwich North. [191924]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Norfolk PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the ‘National Service Framework for Long-term (Neurological) Conditions’ outlines commissioners' information requirements and a series of local and national actions designed to meet those needs. A copy of the framework is available in the Library.
Palliative Care: Peterborough
Mr. Stewart Jackson: To ask the Secretary of State for Health whether the National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been fully implemented in Peterborough. [192129]
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Peterborough PCT, within the national health service to commission services for their resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).
Information on the rate of progress locally can be obtained through the East of England SHA.
Mr. Stewart Jackson: To ask the Secretary of State for Health what data are used by commissioners to determine the need for specialist palliative and neurological care in Peterborough. [192130]
Mr. Ivan Lewis:
It is for individual primary care trusts (PCTs), including Peterborough PCT, within the national health service to commission services for their
resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the ‘National Service Framework for Long-term (Neurological) Conditions’ outlines commissioners' information requirements and a series of local and national actions designed to meet those needs. A copy of this document is available in the Library.
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