---

8 May 2008 : Column 1177W—continued

Social Services

Mr. Oaten: To ask the Secretary of State for Health pursuant to the Answer of 28 April 2008, Official Report, columns 154-61W, on social services, what outcomes of assessments for social care needs are included in his Department’s definition of other sequel. [204134]

Mr. Ivan Lewis: The definition of ‘other sequel’ relates to individuals who complete the assessment process but then leave the local authority area, go into hospital or die before a service can be delivered.

South Staffordshire PCT: Finance

Mr. Kidney: To ask the Secretary of State for Health (1) what assessment he has made of the effects of his Department’s methodology for distributing revenue funding to primary care trusts on the funding available to South Staffordshire PCT in each of the last three years;. [201330]

(2) if he will increase the proportion of his Department’s revenue funding to primary care trusts payable to South Staffordshire Primary Care Trust from 2009-10 onwards. [201331]

Ann Keen: Revenue allocations are made to primary care trusts (PCTs) on the basis of the relative needs of their populations. A weighted capitation formula is
8 May 2008 : Column 1178W
used to determine PCTs’ target shares of available resources, to enable them to commission similar levels of health care for populations with similar needs.

South Staffordshire PCT received allocations of £653.7 million in 2006-07 and £716.1 million in 2007-08. These represent a cash increase of £116.5 million or 19.4 per cent. over the two years. All PCTs received an above inflation cash increase of 5.5 per cent. in their 2008-09 allocations. South Staffordshire PCT received £755.3 million, a cash increase of £39.1 million in 2008-09.

The Advisory Committee on Resource Allocation (ACRA) continuously oversees the development of the weighted capitation formula. ACRA is an independent body, made up of NHS managers, academics and GPs.

As part of its work programme to support revenue allocations to PCTs post 2008-09, ACRA has reviewed the main elements of the formula. This work will inform ACRA’s final recommendations to Ministers on potential changes to the funding formula. Ministers plan to make the allocations for 2009-10 and 2010-11 by summer this year based on a new formula. PCTs will be informed of the changes to the formula following the allocations announcement.

Strokes: Health Services

Norman Baker: To ask the Secretary of State for Health what steps he is taking to ensure the NHS provides effective care to people in the first hours following a stroke. [204025]

Ann Keen: The National Stroke Strategy published in December 2007 sets a clear standard to ensure that effective urgent care is in place, including transfer to an acute stroke centre that provides access to scans, thrombolysis where appropriate, and prompt admission to a specialist stroke unit. In addition to the funding that has gone to primary care trusts, £105 million of central funding over three years will support implementation, including to support change in acute and community services, and to raise public awareness. Copies of the strategy are available in the Library.

In the “NHS Operating Framework 2008-09”, and accompanying “vital signs”, stroke is one of the national requirements; all hospitals are expected to improve their performance in treating people with stroke. Copies of these publications are available in the Library.

We have also set up, as part of the Stroke Improvement Programme, a central team to support the development of local stroke care networks. We are asking all local stroke networks to work together to ensure that these services are provided.

Surgery

Sandra Gidley: To ask the Secretary of State for Health how many operations have been cancelled in each of the last five years, broken down by trust. [203081]

Mr. Bradshaw: The information requested is not collected centrally. The Department collects information on the number of operations cancelled at the last minute for non-clinical reasons. Data for 2002-03 to 2007-08 (quarter 1-quarter 3) are shown in the following table.

8 May 2008 : Column 1179W

The Government’s cancelled operations policy introduced in April 2002 provides an incentive for hospitals to avoid cancellations by giving patients the right to move to the hospital of their choice if they are
8 May 2008 : Column 1180W
not treated within 28 days. Since this came into force the number of patients cancelled at the last minute, has fallen from 1.5 per cent. to 1.0 per cent. of elective activity.

8 May 2008 : Column 1181W

8 May 2008 : Column 1182W

8 May 2008 : Column 1183W

8 May 2008 : Column 1184W

8 May 2008 : Column 1185W

8 May 2008 : Column 1186W

8 May 2008 : Column 1187W

8 May 2008 : Column 1188W

8 May 2008 : Column 1189W

8 May 2008 : Column 1190W

Cancelled operations for non clinical reasons, NHS organisations in England, 2002-03 to 2007-08
		Number of last minute cancellations for non clinical reasons
OrgID	Name	2002-03	2003-04	2004-05	2005-06	2006-07	2007-08 Q1 to Q3
	England	67,254	66,303	68,569	60,803	52,005	40,579
REM	Aintree Hospitals NHS Trust	326	295	306	273	246	179
RCF	Airedale NHS Trust	94	105	105	96	132	76
RTK	Ashford and St. Peter’s Hospitals NHS Trust	137	301	419	432	426	377
RF4	Barking, Havering and Redbridge Hospitals NHS Trust	2,168	2,147	2,426	1,566	906	424
RVL	Barnet and Chase Farm Hospitals NHS Trust	1,346	404	399	279	294	179
RFF	Barnsley Hospital NHS Foundation Trust	143	88	148	138	171	210
RNJ	Barts and The London NHS Trust	928	593	502	506	531	298
RDD	Basildon and Thurrock University Hospitals NHS Foundation Trust	212	266	286	278	169	200
RC1	Bedford Hospital NHS Trust	152	180	201	190	208	170
RQ3	Birmingham Children’s Hospital NHS Trust	202	229	330	309	234	164
RLU	Birmingham Women’s Health Care NHS Trust	21	34	24	43	48	43
RMB	Blackburn, Hyndburn and Ribble Valley Health Care NHS Trust	349	n/a	n/a	n/a	n/a	n/a
RXL	Blackpool, Fylde and Wyre Hospitals NHS Trust	671	763	576	428	279	285
RMC	Bolton Hospitals NHS Trust	134	187	244	319	238	233
RAE	Bradford Teaching Hospitals NHS Foundation Trust	320	432	447	530	439	267
RXH	Brighton and Sussex University Hospitals NHS Trust	1,062	912	578	440	255	189
RG3	Bromley Hospitals NHS Trust	324	425	289	214	181	143
RXQ	Buckinghamshire Hospitals NHS Trust	n/a	382	375	442	325	238
REU	Burnley Health Care NHS Trust	333	n/a	n/a	n/a	n/a	n/a
5DQ	Burntwood, Lichfield and Tamworth PCT	5	16	0	14	0	n/a
RJF	Burton Hospitals NHS Trust	260	246	247	249	126	108
RWY	Calderdale and Huddersfield NHS Trust	153	295	386	362	374	153
RGT	Cambridge University Hospitals NHS Foundation Trust	645	769	1,090	507	460	339
RW3	Central Manchester and Manchester Children’s University Hospitals NHS Trust	547	748	968	1,062	1,149	800
5JC	Charnwood and North West Leicestershire PCT	8	6	32	21	45	n/a
RQM	Chelsea and Westminster Healthcare NHS Trust	185	151	180	115	103	76
RFS	Chesterfield Royal Hospital NHS Foundation Trust	188	191	233	213	152	141
RBV	Christie Hospital NHS Trust	18	43	16	6	8	7
RLN	City Hospitals Sunderland NHS Foundation Trust	348	252	208	227	328	249
RJR	Countess of Chester Hospital NHS Foundation Trust	308	216	206	247	228	215
RXP	County Durham and Darlington Acute Hospitals NHS Trust	0	483	474	488	423	324
RN7	Dartford and Gravesham NHS Trust	201	100	92	102	99	79
RTG	Derby Hospitals NHS Foundation Trust	259	411	348	281	199	83
5N6	Derbyshire County PCT	n/a	n/a	n/a	n/a	1	10
RP5	Doncaster and Bassetlaw Hospitals NHS Foundation Trust	480	583	482	398	355	305
5QM	Dorset PCT	n/a	n/a	n/a	n/a	4	4
RNA	Dudley Group of Hospitals NHS Trust	204	241	226	321	329	301
RC3	Ealing Hospital NHS Trust	267	206	140	142	124	160
RWH	East and North Hertfordshire NHS Trust	266	557	505	856	682	579
RJN	East Cheshire NHS Trust	166	133	115	97	90	97
RVV	East Kent Hospitals NHS Trust	663	438	269	299	282	203
RXR	East Lancashire Hospitals NHS Trust	0	657	589	469	335	347
RA4	East Somerset NHS Trust	146	100	224	87	66	86
RXC	East Sussex Hospitals NHS Trust	302	375	632	491	141	130
RVR	Epsom and St. Helier NHS Trust	353	698	608	281	270	347
5ER	Erewash PCT	4	11	7	9	3	n/a
RDE	Essex Rivers Healthcare NHS Trust	741	815	800	439	172	222
RDU	Frimley Park Hospital NHS Foundation Trust	297	149	310	177	183	183
RR7	Gateshead Health NHS Foundation Trust	141	158	189	144	87	72
RLT	George Eliot Hospital NHS Trust	146	160	196	184	178	162
RTE	Gloucestershire Hospitals NHS Foundation Trust	555	440	468	434	361	343
RJH	Good Hope Hospital NHS Trust	781	761	465	565	581	n/a
RP4	Great Ormond Street Hospital for Children NHS Trust	290	143	119	146	115	87
RJ1	Guy’s and St. Thomas’ NHS Foundation Trust	554	450	739	884	866	675
RQN	Hammersmith Hospitals NHS Trust	504	390	688	625	614	n/a
5QC	Hampshire PCT	n/a	n/a	n/a	n/a	10	8
RCD	Harrogate and District NHS Foundation Trust	36	23	55	107	46	57
RR1	Heart of England NHS Foundation Trust	290	417	197	249	160	409
RD7	Heatherwood and Wexham Park Hospitals NHS Trust	374	548	520	509	416	338
RLQ	Hereford Hospitals NHS Trust	401	168	388	255	247	187
RQQ	Hinchingbrooke Health Care NHS Trust	179	180	168	138	133	109
5JA	Hinckley and Bosworth PCT	21	21	10	48	4	0
RQX	Homerton University Hospital NHS Foundation Trust	52	68	24	45	50	75
RWA	Hull and East Yorkshire Hospitals NHS Trust	877	867	1,045	825	788	729
RYJ	Imperial College NHS Trust	n/a	n/a	n/a	n/a	n/a	589
RGQ	Ipswich Hospital NHS Trust	417	488	533	384	355	238
5CW	Isle of Wight Healthcare NHS Trust	31	172	167	123	77	n/a
5QT	Isle of Wight NHS PCT	n/a	n/a	n/a	n/a	52	112
RGP	James Paget Healthcare NHS Trust	176	258	267	226	140	135
RNQ	Kettering General Hospital NHS Trust	478	494	454	327	177	137
RJZ	King’s College Hospital NHS Trust	318	180	227	209	153	113
RAX	Kingston Hospital NHS Trust	140	223	168	182	116	139
RXN	Lancashire Teaching Hospitals NHS Foundation Trust	389	440	406	460	504	356
RR8	Leeds Teaching Hospitals NHS Trust	942	783	1,019	1,349	938	851
5PA	Leicestershire County and Rutland PCT	n/a	n/a	n/a	n/a	72	48
REP	Liverpool Women’s Hospital NHS Foundation Trust	89	51	46	57	35	23
RC9	Luton and Dunstable Hospital NHS Trust	208	171	169	173	186	94
RWF	Maidstone and Tunbridge Wells NHS Trust	402	522	551	931	1,194	596
RJ6	Mayday Healthcare NHS Trust	549	678	226	129	50	21
RPA	Medway NHS Trust	111	148	140	149	74	87
5EH	Melton, Rutland and Harborough PCT	6	0	17	35	25	n/a
RQ8	Mid Essex Hospital Services NHS Trust	419	470	447	370	257	359
RJD	Mid Staffordshire General Hospitals NHS Trust	596	331	241	235	353	401
RXF	Mid Yorkshire Hospitals NHS Trust	1,408	1,322	1,405	1,095	756	624
RD8	Milton Keynes General Hospital NHS Trust	423	285	295	270	231	167
RP6	Moorfields Eye Hospital NHS Foundation Trust	74	74	62	292	151	233
RTX	Morecambe Bay Hospitals NHS Trust	400	388	309	462	358	244
5A1	New Forest PCT	17	7	20	8	10	n/a
5DK	Newbury and Community PCT	14	39	37	9	n/a	n/a
RNH	Newham University Hospital NHS Trust	226	156	118	79	146	108
RM1	Norfolk and Norwich University Hospital NHS Trust	662	569	492	327	332	241
RVJ	North Bristol NHS Trust	462	1,413	1,748	1,406	705	542
RWW	North Cheshire Hospitals NHS Trust	278	364	838	503	247	216
RNL	North Cumbria Acute Hospitals NHS Trust	848	335	427	538	647	357
5CD	North Dorset PCT	11	4	12	3	n/a	n/a
RR9	North Durham Health Care NHS Trust	259	n/a	n/a	n/a	n/a	n/a
RN5	North Hampshire Hospitals NHS Trust	97	133	148	104	71	55
RAP	North Middlesex University Hospital NHS Trust	152	111	106	66	68	57
RVW	North Tees and Hartlepool NHS Trust	215	270	288	274	286	248
RV8	North West London Hospitals NHS Trust	617	433	542	480	457	255
RNS	Northampton General Hospital NHS Trust	1,397	903	1,000	780	888	557
RBZ	Northern Devon Healthcare NHS Trust	95	97	168	163	119	61
RJL	Northern Lincolnshire and Goole Hospitals NHS Trust	270	427	457	449	398	283
RTF	Northumbria Health Care NHS Trust	132	123	133	211	133	128
RCS	Nottingham City Hospital NHS Trust	778	406	320	378	n/a	n/a
RX1	Nottingham University Hospitals NHS Trust	n/a	n/a	n/a	n/a	1,181	868
RBF	Nuffield Orthopaedic Centre NHS Trust	130	142	174	118	74	48
RTH	Oxford Radcliffe Hospitals NHS Trust	1,411	847	992	1,131	896	476
RGM	Papworth Hospital NHS Foundation Trust	185	166	159	154	167	137
RW6	Pennine Acute Hospitals NHS Trust	1,228	1,393	1,404	1,170	1,123	931
RGN	Peterborough and Stamford NHS Foundation Trust	253	187	270	298	262	236
RK9	Plymouth Hospitals NHS Trust	1,001	1,061	1,143	969	745	931
RD3	Poole Hospital NHS Trust	726	419	255	146	146	97
RHU	Portsmouth Hospitals NHS Trust	466	368	289	333	328	245
RG2	Queen Elizabeth Hospital NHS Trust	171	87	46	45	58	56
RGZ	Queen Mary’s Sidcup NHS Trust	199	75	91	52	78	104
RPC	Queen Victoria Hospital NHS Foundation Trust	78	41	62	47	31	34
RX1	Queen’s Medical Centre, Nottingham University Hospital NHS Trust	408	664	614	543	n/a	n/a
RL1	Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust	35	49	67	62	91	93
RHW	Royal Berkshire and Battle Hospitals NHS Trust	288	216	141	63	118	65
RDZ	Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust	241	299	243	205	121	86
RT3	Royal Brompton and Harefield NHS Trust	244	190	183	233	177	203
REF	Royal Cornwall Hospitals NHS Trust	501	387	303	311	274	210
RH8	Royal Devon and Exeter NHS Foundation Trust	735	445	372	491	499	378
RAL	Royal Free Hampstead NHS Trust	341	285	306	460	268	162
RQ6	Royal Liverpool and Broadgreen University Hospitals NHS Trust	487	462	356	405	399	278
RBS	Royal Liverpool Childrens NHS Trust	91	66	102	111	83	75
RAN	Royal National Orthopaedic Hospital NHS Trust	151	154	97	144	167	119
RRJ	Royal Orthopaedic Hospital NHS Trust	38	52	32	33	52	30
RLZ	Royal Shrewsbury Hospitals NHS Trust	298	115	n/a	n/a	n/a	n/a
RA2	Royal Surrey County Hospital NHS Trust	225	209	230	208	216	134
RD1	Royal United Hospital Bath NHS Trust	419	482	613	592	397	242
RPR	Royal West Sussex NHS Trust	176	232	176	209	170	81
RM3	Salford Royal Hospitals NHS Trust	429	730	660	371	163	126
RNZ	Salisbury Health Care NHS Trust	519	294	340	470	525	255
RXK	Sandwell and West Birmingham Hospitals NHS Trust	859	626	702	706	536	401
RCC	Scarborough and North East Yorkshire Health Care NHS Trust	219	302	406	460	265	244
RCU	Sheffield Children’s NHS Trust	18	24	62	64	62	75
RHQ	Sheffield Teaching Hospitals NHS Foundation Trust	594	628	658	753	625	814
RK5	Sherwood Forest Hospitals NHS Trust	328	269	252	268	242	154
RXW	Shrewsbury and Telford Hospital NHS Trust	0	249	478	139	73	311
5M2	Shropshire County PCT	0	3	0	4	0	0
5D1	Solihull PCT	0	4	0	0	0	0
5QL	Somerset PCT	n/a	n/a	n/a	n/a	6	0
5FN	South and East Dorset PCT	18	9	7	13	3	0
5M1	South Birmingham PCT	0	0	0	14	0	0
RH2	South Buckinghamshire NHS Trust	18	0	0	0	0	n/a
RA9	South Devon Health Care NHS Trust	431	488	352	265	258	204
RTA	South Durham Health Care NHS Trust	160	n/a	n/a	n/a	n/a	n/a
RM2	South Manchester University Hospitals NHS Trust	971	743	725	609	501	326
5PK	South Staffordshire PCT	n/a	n/a	n/a	n/a	0	4
RTR	South Tees Hospitals NHS Trust	682	837	480	412	529	341
RE9	South Tyneside NHS Foundation Trust	85	34	29	18	22	47
RJC	South Warwickshire General Hospitals NHS Trust	146	213	270	139	54	68
5FP	South West Dorset PCT	15	12	9	0	0	n/a
5MT	South Worcestershire PCT	3	23	0	9	17	n/a
RHM	Southampton University Hospitals NHS Trust	713	1,047	889	895	706	621
RAJ	Southend Hospital NHS Trust	509	691	1,007	869	472	321
RVY	Southport and Ormskirk Hospital NHS Trust	62	61	73	89	137	70
RJ7	St. George’s Healthcare NHS Trust	354	765	1,065	753	666	418
RBN	St. Helens and Knowsley Hospitals NHS Trust	171	126	192	159	193	218
RJ5	St. Mary’s NHS Trust	97	365	367	303	192	n/a
RWJ	Stockport NHS Foundation Trust	187	231	252	237	291	214
RNT	Stoke Mandeville Hospital NHS Trust	583	n/a	n/a	n/a	n/a	n/a
RTP	Surrey and Sussex Healthcare NHS Trust	505	407	708	268	272	215
5LT	Sussex Downs and Weald PCT	0	4	0	0	0	n/a
RN3	Swindon and Marlborough NHS Trust	145	178	128	167	89	55
RMP	Tameside and Glossop Acute Services NHS Trust	498	103	87	61	38	43
RBA	Taunton and Somerset NHS Trust	69	263	395	434	271	181
5AH	Tendring PCT	8	0	0	0	0	n/a
RBQ	The Cardiothoracic Centre—Liverpool NHS Trust	59	161	289	289	128	68
RAS	The Hillingdon Hospital NHS Trust	360	247	137	150	103	75
RJ2	The Lewisham Hospital NHS Trust	42	199	187	136	165	134
RBT	The Mid Cheshire Hospitals NHS Trust	428	287	361	284	297	202
RTD	The Newcastle Upon Tyne Hospitals NHS Trust	1,014	837	816	742	525	422
RQW	The Princess Alexandra Hospital NHS Trust	323	262	213	311	293	232
RKF	The Princess Royal Hospital NHS Trust	55	29	n/a	n/a	n/a	n/a
RCX	The Queen Elizabeth Hospital King’s Lynn NHS Trust	284	308	295	236	191	135
RFR	The Rotherham NHS Foundation Trust	138	159	192	194	220	262
RPY	The Royal Marsden NHS Foundation Trust	68	83	141	72	79	59
RL4	The Royal Wolverhampton Hospitals NHS Trust	172	401	484	280	158	121
RKE	The Whittington Hospital NHS Trust	134	87	102	122	111	115
RM4	Trafford Healthcare NHS Trust	271	242	297	342	255	100
RA7	United Bristol Healthcare NHS Trust	1,244	697	567	535	513	611
RWD	United Lincolnshire Hospitals NHS Trust	758	793	919	885	856	542
RRV	University College London Hospitals NHS Foundation Trust	157	272	483	547	605	458
RRK	University Hospital Birmingham NHS Foundation Trust	168	163	99	69	76	72
RJE	University Hospital of North Staffordshire NHS Trust	1,038	886	1,379	849	592	446
RKB	University Hospitals Coventry and Warwickshire NHS Trust	624	581	274	128	284	156
RWE	University Hospitals of Leicester NHS Trust	1,053	1,042	895	534	401	442
RBK	Walsall Hospitals NHS Trust	106	82	134	183	182	133
RET	Walton Centre For Neurology and Neurosurgery NHS Trust	97	161	213	115	125	91
RBD	West Dorset General Hospitals NHS Trust	390	378	332	408	288	143
RWG	West Hertfordshire Hospitals NHS Trust	244	815	666	621	929	790
RFW	West Middlesex University Hospital NHS Trust	105	116	52	69	28	92
RGR	West Suffolk Hospitals NHS Trust	194	425	585	275	225	170
RA3	Weston Area Health NHS Trust	219	178	127	113	93	46
RGC	Whipps Cross University Hospital NHS Trust	332	389	494	312	261	120
RN1	Winchester and Eastleigh Healthcare NHS Trust	376	712	490	293	356	206
RBL	Wirral Hospital NHS Trust	148	112	53	58	73	76
5PL	Worcestershire PCT	n/a	n/a	n/a	n/a	0	9
RWP	Worcestershire Acute Hospitals NHS Trust	856	1,073	943	656	389	293
RPL	Worthing and Southlands Hospitals NHS Trust	91	139	284	306	314	249
RRF	Wrightington, Wigan and Leigh NHS Trust	391	308	250	249	245	234
RCB	York Hospitals NHS Trust	150	162	187	121	86	81
Notes: 1. The table shows the organisations as they existed, at the time of each collection. 2. A last minute cancellation is one that occurs on the day the patient was due to arrive, after they have arrived in hospital or on the day of their operation. 3. Some common non-clinical reasons for cancellations by the hospital include: ward beds unavailable; surgeon unavailable; emergency case needing theatre; theatre list over-ran; equipment failure; admin error; anaesthetist unavailable; theatre staff unavailable; and critical care bed unavailable. 4. An operation which is rescheduled to a time within 24 hours of the original scheduled operation should be recorded as a postponement and not as a cancellation. The QMCO collection does not record the number of postponements. Source: Department of Health dataset QMCO

---