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2 Apr 2008 : Column 1122W—continued


NHS: Violent Patients

James Brokenshire: To ask the Secretary of State for Health how many people were registered on the violent patient register of each London primary care trust in each of the last three years. [195649]

Ann Keen: There is no legislative provision for the maintenance of a violent patient register. Primary care trusts (PCTs) are required to consult their Local Medical Committee, if there is one, about any proposals they have to establish a specific scheme in their area for dealing with violent patients requiring primary medical services. In setting up local arrangements PCTs might keep lists of the patients to whom these primary medical services arrangements apply but this is not a legislative requirement.


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NHS: Finance

Hugh Bayley: To ask the Secretary of State for Health what surplus or deficit he expects (a) York NHS foundation trust, (b) North Yorkshire and York primary care trust and (c) Yorkshire and the Humber strategic health authority to have at the end of the 2007-08 financial year; and whether he expects North Yorkshire and York primary care trust to have brought its expenditure in the 2007-08 year into balance with its income. [197087]

Ann Keen: The latest published information on year-end forecast outturn is for quarter three, 2007-08.

North Yorkshire and York primary care trust (PCT) forecasted a year-end outturn position of £19 million deficit at quarter three.

Yorkshire and the Humber strategic health authority (SHA) reported a forecast year-end outturn position of £268 million surplus at quarter three.

The Department does not collect quarterly year-end forecast outturns for foundation trusts. Monitor is due to publish quarter three financial data for foundation trusts shortly.

North Yorkshire and York PCT agreed a service modernisation and financial recovery plan with Yorkshire and the Humber SHA in April 2007 that outlined plans to return to financial balance in 2008-09 as well as the measures the PCT intends to take to achieve this.

Norman Lamb: To ask the Secretary of State for Health how funds from NHS underspends in the last five years have been re-allocated; and how he plans to allocate any underspends in the next 12 months. [197922]

Mr. Bradshaw: Surpluses generated by national health service organisations in any year are carried forward, and are available to spend in future years. In each financial year, resource adjustments are applied at strategic health authority (SHA) level equal to the value of the net resource carry forward for the overall SHA economy. SHAs are then responsible for managing the distribution of these adjustments to their individual NHS organisations according to local priorities. From 2007-08, following a change to the resource accounting and budgeting rules, this adjustment excludes under or over spends generated by NHS trusts.

The NHS operating framework for 2008-09 states that the aggregate surplus delivered by SHAs and primary care trusts in 2007-08 will be carried forward to the next financial year.

Mr. Lansley: To ask the Secretary of State for Health which NHS budgets will be amended in the years from 2008-09 to 2010-11 to take into account changes in planned expenditure in those years. [198261]

Mr. Bradshaw: The national heath service budgets for 2008-09 are currently being finalised. The level of NHS budgets for 2009-10 and 2010-11 will be informed by decisions on the composition and growth to primary care trust allocations for these years.


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NHS: Fraud

Norman Lamb: To ask the Secretary of State for Health (1) how many people were (a) found guilty and (b) acquitted of charges relating to fraud against the NHS in each of the last five years; [197945]

(2) how many cases were referred by the NHS Counter Fraud Squad to the Crown Prosecution Service in each of the last five years; [197947]

(3) how many cases were investigated by the NHS Counter Fraud Squad in each of the last five years. [197948]

Ann Keen: The NHS Counter Fraud Service (CFS) pursues a multi track approach in all cases investigated. This includes the option of criminal prosecution. The CFS also seek civil recovery of losses to the national health service and investigation costs as well as a disciplinary sanction before the appropriate regulatory or disciplinary body. Of criminal prosecution cases, 95 per cent. have resulted in a guilty verdict.

The NHS CFS does not refer cases to the Crown Prosecution Service.

Information on investigation cases and prosecution outcomes is shown in the following table.

2002-03 2003-04 2004-05 2005-06 2006-07

Prosecution undertaken and defendant found guilty

51

70

56

68

82

Prosecuted undertaken and defendant acquitted

2

4

4

3

3

Investigations opened

339

429

305

272

409


NHS: Manpower

John Mann: To ask the Secretary of State for Health how many (a) front line and (b) other staff were employed by the NHS in each of the last 10 years. [197335]

Ann Keen: The number of front line staff is not collected centrally as the Department does not identify them as a separate group within the national workforce census staff groups.

Frontline staff breaks down to comprise professionally qualified clinical staff, support clinical staff and staff in general practitioner’s (GP) practices. Other staff comprises national health service infrastructure support and those staff with unknown qualifications.

The following table shows the numbers of staff within the two categories for each of the last 10 years.


2 Apr 2008 : Column 1125W
NHS Hospital Community Health Services and general practice work force as at 30 September each specified year—England
Full-time equivalent
Frontline( 1) Other( 2) Total

1997

702,271

144,027

846,298

1998

714,172

140,958

855,129

1999

729,982

143,565

873,547

2000

747,917

144,704

892,620

2001

780,616

150,432

931,048

2002

819,855

158,521

978,376

2003

858,855

168,429

1,027,284

2004

892,932

178,530

1,071,462

2005

917,498

186,510

1,104,008

2006

917,197

178,230

1,095,427

2007

912,226

177,209

1,089,436

Change 1997-2007

209,955

33,183

243,138

Annual percentage change 1997-2007

2.7

2.1

2.6

Change 2006-07

-4,970

-1,020

-5,991

Percentage change 2006-07

-1

-1

-0.5

(1) Frontline staff comprises the following staff groups:
Consultants (including Directors of public health);
Registrars;
Other doctors in training;
Other medical and dental staff;
GPs (excluding retainers);
Qualified nursing, midwifery and health visiting staff, including Practice Nurses;
Qualified Allied Health Professions;
Other qualified scientific, therapeutic and technical staff;
Support to clinical staff; and
Other GP practice staff.
(2) Other staff comprises the following staff groups:
Central functions;
Hotel, property and estates;
Manager and senior manager; and
Other non-medical staff or those with unknown classification.
Source:
The Information Centre. All rights reserved

NHS: Radiography

Andrew Rosindell: To ask the Secretary of State for Health how many (a) radiologists and (b) radiographers are employed by the NHS. [196669]

Ann Keen: The latest published workforce census showed there were 3,137 qualified radiology staff
2 Apr 2008 : Column 1126W
working in the national health service in England in September 2007, an increase of 1,130 (56 per cent.) since September 1997.

The latest published workforce census showed there were 15,066 qualified therapeutic and diagnostic radiographers working in the NHS in England in September 2007, an increase of 3,295 (28 per cent.) since September 1997.

Non-British EU Nationals

Chris Huhne: To ask the Secretary of State for Health (1) how many (a) non-British EU nationals and (b) non-EU nationals worked in the East Midlands Strategic Health Authority (i) at the latest date for which figures are available and (ii) in each of the last five years; [197126]

(2) how many (a) non-British EU nationals and (b) non-EU nationals worked for the (i) London, (ii) North East, (iii) North West, (iv) South Central, (v) South East, (vi) South West, (vii) West Midlands, (viii) Yorkshire and the Humber and (ix) East of England Strategic Health Authority (A) at the latest date for which figures are available, and (B) in each of the last five years; [197180]

(3) how many foreign nationals from (a) the European Union and (b) outside the European Union are employed or contracted by the (i) East Midlands, (ii) East of England, (iii) London, (iv) North East, (v) North West, (vi) South Central, (vii) South East, (viii) South West, (ix) West Midlands and (x) Yorkshire and the Humber Strategic Health Authority; and how many were employed or contracted by each in each of the last five years. [197269]

Ann Keen: The nationality of national health service staff is not collected. The NHS Workforce Census does record the country of qualification for medical staff, including general practitioners (GPs). This is not the same as the nationality as it is possible United Kingdom (UK) nationals to qualify outside of the UK and vice versa.

The following table shows country of qualification for medical staff and GPs, this is broken by UK, European Economic Area (EEA) and those qualified elsewhere.

No information is provided for the majority of NHS staff, as country of qualification data for non-medical staff is not collected.


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2 Apr 2008 : Column 1128W

2 Apr 2008 : Column 1129W

2 Apr 2008 : Column 1130W
All GP Practitioners (excluding GP registrars and GP retainers) ( 1) and Hospital and Community Health Services: medical and dental staff ( 2) by country of qualification and SHA—England as at 30 September 2006
numbers (headcount)
England North East North West Yorkshire and The Humber East Midlands West Midlands East of England London South east Coast South Central South West Special health authorities and other statutory bodies
Q30 Q31 Q32 Q33 Q34 Q35 Q36 Q37 Q38 Q39

2003

All countries of qualification

106,758

5,941

14,699

11,010

7,614

10,780

9,939

20,665

7,502

8,111

10,336

161

Qualified within the UK

71,597

3,998

9,356

7,324

5,396

6,584

6,323

13,416

4,972

6,041

8,077

110

Qualified within the remainder of the EEA

5,849

335

740

502

328

526

637

1,468

436

398

469

10

Qualified elsewhere in the world

25,549

1,372

3,978

2,759

1,679

3,289

2,702

5,107

1,847

1,415

1,360

41

Unknown country of qualification

3,763

236

625

425

211

381

277

674

247

257

430

0

2004

All countries of qualification

114,474

6,377

15,720

11,616

8,197

11,634

10,415

22,522

8,132

8,539

11,170

152

Qualified within the UK

75,106

4,192

9,811

7,589

5,603

6,901

6,479

14,224

5,272

6,237

8,694

104

Qualified within the remainder of the EEA

6,353

364

775

522

369

533

679

1,715

472

431

482

11

Qualified elsewhere in the world

29,163

1,577

4,475

3,096

2,002

3,828

2,978

5,843

2,128

1,605

1,594

37

Unknown country of qualification

3,852

244

659

409

223

372

279

740

260

266

400

0

2005

All countries of qualification

119,781

6,490

16,391

12,183

8,568

12,158

10,967

23,710

8,500

8,818

11,840

156

Qualified within the UK

77,084

4,215

9,987

7,832

5,690

7,142

6,616

14,716

5,390

6,306

9,087

103

Qualified within the remainder of the EEA

6,897

390

841

550

398

563

765

1,875

494

474

535

12

Qualified elsewhere in the world

31,830

1,643

4,892

3,375

2,254

4,056

3,287

6,367

2,356

1,762

1,797

41

Unknown country of qualification

3,970

242

671

426

226

397

299

752

260

276

421

0

2006

All countries of qualification

123,334

6,757

16,797

12,379

8,789

12,472

11,497

24,224

8,902

9,007

12,202

308

Qualified within the UK

79,212

4,343

10,287

7,928

5,772

7,310

6,853

15,003

5,664

6,446

9,397

209

Qualified within the remainder of the EEA

7,159

427

852

578

410

627

802

1,860

555

481

543

24

Qualified elsewhere in the world

33,054

1,753

5,035

3,469

2,368

4,130

3,563

6,599

2,415

1,831

1,816

75

Unknown country of qualification

3,909

234

623

404

239

405

279

762

268

249

446

0

2007

All countries of qualification

125,154

6,924

16,948

12,961

8,950

12,650

11,630

24,325

8,960

9,107

12,378

321

Qualified within the UK

81,175

4,479

10,467

8,349

5,933

7,436

6,938

15,249

5,835

6,639

9,639

211

Qualified within the remainder of the EEA

7,133

402

867

564

413

655

812

1,823

547

462

558

30

Qualified elsewhere in the world

32,906

1,784

5,012

3,596

2,382

4,143

3,588

6,497

2,293

1,768

1,763

80

Unknown country of qualification

3,940

259

602

452

222

416

292

756

285

238

418

0

(1 )General Medical Practitioners (excluding retainers and registrars) includes GP Providers and GP Others
(2) All dental staff are shown as Unknown within the table. Information about country of qualification is derived from the General Medical Council.
For staff in dental specialties, with a General Dental Council registration, the country of qualification is therefore unknown.
Source:
The Information Centre for health and social care Medical and Dental Workforce Census

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