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15 May 2008 : Column 1677W—continued
Health Services: Greater London
Harry Cohen: To ask the Secretary of State for Health how much capital allocation to the London NHS was returned to the Exchequer in each of the last 10 years; and what the main reasons were for each instance of underspend. [205332]
Mr. Bradshaw: Underspends against capital allocations generated by the national health service are not returned to the Exchequer. They are carried forward and made available to spend in future years. Explanations for the underspends are not collected centrally.
Clive Efford: To ask the Secretary of State for Health (1) what funding was provided for health services in the London boroughs of (a) Greenwich, (b) Bromley, (c) Lewisham and (d) Bexley in each of the last five financial years; what such funding is planned for each of those boroughs in (i) 2008-09, (ii) 2009-10 and (iii) 2010-11; and if he will make a statement; [205337]
(2) what the change in funding for health services in the London boroughs of (a) Greenwich, (b) Bromley, (c) Lewisham and (d) Bexley was over the period 2003-04 to 2007-08. [205338]
Mr. Bradshaw: The Department makes revenue allocations to primary care trusts (PCTs) rather than to boroughs.
The revenue allocations made to Greenwich Teaching PCT, Bromley PCT, Lewisham PCT, and Bexley care trust for the years 2003-04 to 2008-09 and the cash increases from 2003-04 to 2008-09 for each PCT are set out in the following tables.
The aim is to announce the 2009-10 and 2010-11 PCT revenue allocations by the summer.
| £000 | ||||||
| Allocation | ||||||
| 2003-04 | 2004-05 | 2005-06 | 2006-07 | 2007-08 | 2008-09 | |
| Cash increases to allocation from 2003-04 to 2008-09 (£000) | |
| Notes: 1. Comparisons between allocations rounds cannot be made because of changes to funding included in revenue allocations. 2. In 2008-09, all PCTs received an above-inflation cash increase of 5.5 per cent. Sources: 1. Primary Care Trust Unified Allocations 2003-04 to 2005-06. 2. Primary Care Trust Unified Allocations 2006-07 to 2007-08. 3. Primary Care Trust Revenue Allocations 2008-09. | |
Incontinence: Medical Equipment
David Taylor: To ask the Secretary of State for Health (1) what timetable he has set for publication of the outcomes of the review of Part IX of the Drug Tariff for the provision of stoma and incontinence appliances and related services to primary care; and if he will make a statement; [205631]
(2) what consideration has been given to section 1.2.5.3 of the National Institute for Health and Clinical Excellence's clinical guideline 40, on urinary incontinence, in the review into Part IX of the Drug Tariff for the provision of stoma and incontinence appliances and related services to primary care; and if he will make a statement. [205632]
Dawn Primarolo: The review is ongoing. A further consultation will be published shortly—together with an Impact Assessment and Equality Impact Assessment—and will be open for 12 weeks.
Section 1.2.5.3 of the National Institute for Health and Clinical Excellence's clinical guideline number 40 on urinary incontinence states that intermittent urinary (IU) catheterisation should be used for women with urinary retention who can be taught to self-catheterise or who have a carer to perform the technique.
The review of arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances and related services in primary care is looking at the reimbursement for IU catheters. However, decisions relating to what item shall be prescribed will continue to be a matter for the prescriber to decide in consultation with the patient, having taken the guidelines fully into account.
Medical Records: Databases
Damian Green: To ask the Secretary of State for Health how many people to date have elected not to have their medical records put on the NHS spine. [203777]
Mr. Bradshaw: The only clinical information on the national health service care record spine is in summary care records. Up to 30 April 2008, 614,052 registered patients over the age of 16 in the summary care record early-adopter primary care trust (PCT) areas had been sent a personalised information pack to inform them of the changes that are taking place, the choices that they have and how those choices can be exercised. Of these, 4,986 (0.81 per cent.) have indicated to their general practitioner or to the PCT their wish not to have a summary care record.
Damian Green: To ask the Secretary of State for Health whether patients may elect not to have their records included on the NHS Secondary Uses Service database; and if he will make a statement. [203787]
Mr. Bradshaw: The Secondary Uses Service (SUS) database is the repository of person and care event data relating to the treatment of patients in the national health service. It is used for management and clinical quality and safety purposes other than direct patient care. These secondary uses include healthcare planning, commissioning, public health, clinical audit, benchmarking, performance improvement, research and clinical governance.
Information provided through SUS will be anonymised or pseudonymised to remove information that could be used to identify individuals but still allow cases to be tracked and linked, for example for research. Patients do not have an automatic right not to have information about them held within SUS. We safeguard the confidentiality of information about patients, while also supporting and facilitating the use of information for the purposes for which SUS exists, subject to safeguards.
Although patients have no automatic right, the Data Protection Act 1998 provides a right to have requests to stop information being held within SUS considered, subject to being able to demonstrate that processing is causing the patient significant damage or distress.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the Answer of 26th March 2008, Official Report, column 206W, on medical records: databases, what estimate he has made of (a) the number of alerts a single Caldicott Guardian will be able to monitor and (b) the likely number of alerts per day. [205574]
Mr. Bradshaw: I refer the hon. Member to the answer given to him on 13 May 2008, Official Report, columns 1547-48W.
Mentally Ill: Suicide
Mr. Harper: To ask the Secretary of State for Health what estimate he has made of the (a) number and (b) proportion of people who have committed suicide in each of the last five years who had been treated for mental health problems. [189867]
Mr. Ivan Lewis: The number of mental health service users in England who committed suicide and the proportion of total suicides which this represents, in the five most recent years for which data are available, is shown in the following table.
The data collection methodology for total suicides also records deaths caused by undetermined intent and the total includes these deaths. At the time of responding, the data for 2005 were 93 per cent. completed and final figures, when available, are expected to be higher than those shown in the following table.
| Number of mental health service users in England who committed suicide and the proportion of total suicides which this represents, 2001 - 05 | |||
| Number of service users in year who committed suicide | Total number of suicides and deaths by undetermined intent in year | Percentage of people who had previously been in touch with mental health services | |
| Source: The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. | |||
Information on suicides by people in contact with mental health services is collected by the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH). NCISH is funded by the National Patient Safety Agency to ensure that everyone involved in mental health learns and implements lessons from the factors associated with serious mental illness. The Department has been, and remains, committed to taking appropriate action in response to the Inquiry's findings.
NHS: Finance
Mr. Lansley: To ask the Secretary of State for Health with reference to page 131 of his Department’s 2007 Annual Report, what the (a) £1 billion NHS central capital budget and (b) £2.3 billion for other NHS central revenue budgets was spent on in 2007-08. [205196]
Mr. Bradshaw: Actual spend figures for 2007-08 are not available at this date.
The following are planned central capital and revenue budget programmes exceeding £100 million that make up the vast majority of the total reported on page 131 of the 2007 “Departmental Report”, in descending order.
| £ billion | |
| Note: The residual £0.3 billion is made up of a large number of small budgets. | |
Suboxone
Mr. Evans: To ask the Secretary of State for Health whether he plans to extend the availability of Suboxone in the treatment of drug addicts. [205809]
Dawn Primarolo: Suboxone is the brand name for a preparation of buprenorphine and naloxone, which is used as a substitution therapy for patients dependent on opioids.
Suboxone is available for use on the national health service. The decision to use Suboxone is a clinical one and is taken following consultation with the patient about their clinical needs and priorities. Advice on prescribing of Suboxone is included within the joint Department of Health and National Treatment Agency for Substance Misuse publication, “Drug Misuse and Dependence: UK Guidelines on Clinical Management”, published in September 2007.
Due to the additional ingredient of naloxone in Suboxone the Department received a number of inquiries about whether the instalment dispensing regulations in place for buprenorphine and certain other medicines applied to Suboxone. In August 2007 the Department issued advice confirming that the prescribing of Suboxone for instalment dispensing by pharmacists is provided for under General Medical Services regulations.
Scotland
Statutory Instruments
Mr. Hoban: To ask the Secretary of State for Scotland how many statutory instruments have been (a) made and (b) revoked by Ministers in his Department since 1997. [204761]
David Cairns: The Scotland Office has responsibility for overseeing a programme of secondary legislation to manage the devolution settlement and elections in Scotland. Since 1 July 1999, when the Office was created, 128 statutory instruments relating to the devolution settlement and elections in Scotland have been taken forward. Of the 128 statutory instruments:
109 of these were made under the Scotland Act 1998
one under the Public Expenditure and Receipts Act 1968
18 Orders under various enactments in relation to the management of elections in Scotland
Information relating to the revocation of statutory instruments is obtainable only at disproportionate cost.
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