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25 Jun 2008 : Column 363W—continued
Hospices: Finance
Matthew Taylor: To ask the Secretary of State for Health how much funding has been made available to hospices in (a) Cornwall, (b) each constituency in Cornwall, (c) the south-west and (d) England in each year since 1979. [211013]
Mr. Ivan Lewis: Information on national health service funding to hospices is not collected centrally.
It is for individual primary care trusts (PCTs) to decide the level of funding they allocate to end of life care services, including hospices, based on assessments of local needs and priorities. The level of funding a hospice receives is a matter for negotiation between the local PCT and the hospice.
Hospitals: East of England
Mr. Gummer: To ask the Secretary of State for Health (1) what definition he uses of close geographical proximity; and whether Ipswich Hospital and the Norfolk and Norwich Hospital are in close geographical proximity according to the terms of that definition; [209867]
(2) what definition he uses of sparsely populated area; and whether (a) Norfolk and (b) Suffolk are such areas within the terms of his definition. [209869]
Mr. Ivan Lewis: The Department does not define ‘close geographical proximity’ or ‘sparsely populated area’. These are matters for local national health service organisations to consider, in conjunction with their strategic health authorities and other stakeholders.
The right hon. Member may therefore wish to raise these issues locally with the chief executive of Suffolk Primary Care Trust, or the chief executive of the East of England Strategic Health Authority.
Injuries: Offensive Weapons
Norman Lamb:
To ask the Secretary of State for Health how many persons aged (a) under 16, (b) between 16 and 18 and (c) over 18 were admitted to
hospital with (i) stab wounds and (ii) gunshot wounds in each strategic health authority area in each of the last five years. [210404]
Mr. Bradshaw: Information is collected on the number of finished admission episodes (FAEs) to hospital via accident and emergency (Accident and Emergency). A FAE is the first period of in-patient care under one consultant within one healthcare provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Tables have been placed in the Library which provide a breakdown of relevant data by strategic health authority.
Ipswich Hospital
Mr. Gummer: To ask the Secretary of State for Health what status his Department classifies Ipswich hospital as; and when that status last changed. [209863]
Mr. Ivan Lewis: Ipswich hospital is a national health service trust and was established as such in November 1992, under the National Health Service and Community Care Act of 1990.
Medical Records: Data Protection
Mr. Stephen O'Brien: To ask the Secretary of State for Health who the data controller in respect of information stored on the secondary users database will be. [212184]
Mr. Bradshaw: By reason of the relevant definition at Section 1 of the Data Protection Act 1998, the data controller for information held within the secondary uses service is currently the Secretary of State.
Mr. Stephen O'Brien: To ask the Secretary of State for Health for what reasons he has been designated as data controller in relation to personal data contained in a detailed care record. [212185]
Mr. Bradshaw: Data Controller responsibilities are a matter of fact determined in any particular case in accordance with the relevant definition contained in the Data Protection Act 1998.
In relation to the NHS care records service, the Secretary of State is a data controller for detailed care records in common with national health service organisations, which remain data controllers for information they hold about the patients for whom they provide care.
The Secretary of State has taken on certain responsibilities, for example for ensuring that the network is operated in a secure manner, by virtue of holding the contract for the new systems.
Mr. Stephen O'Brien: To ask the Secretary of State for Health who the data controller will be in respect of information recorded in a patient's (a) summary and (b) detailed care record in cases where the record contains information provided separately by the patient to distinct legal entities which have different independent data controllers. [212186]
Mr. Bradshaw: Data controller responsibilities are a matter of fact determined in any particular case in accordance with the relevant definition contained in the Data Protection Act 1998.
The data controller for the summary care record is currently the Secretary of State. With regard to detailed care records, the Secretary of State is currently a data controller in common with national health service organisations, which remain data controllers for information they hold about the patients for whom they provide care.
Mr. Stephen O'Brien: To ask the Secretary of State for Health if he will bring forward legislative proposals to provide that the Secretary of State shall not be a data controller in relation to personal data processed on a detailed care record. [213315]
Mr. Bradshaw: By reason of the relevant definition at Section 1 of the Data Protection Act 1998, the Secretary of State is already currently a data controller for detailed care records, in common with the national health service organisations which create the records in providing health care to patients.
Medical Records: Lost Property
Norman Lamb: To ask the Secretary of State for Health how many patient records were lost in each strategic health authority area in each of the last five years. [210418]
Mr. Bradshaw: While the Department provides comprehensive guidance on expected practice, the security of patient records is a local responsibility with local accountability. Information about the numbers of patient records that have been lost is not collected centrally and could be obtained only at disproportionate cost.
The Department issued guidance to the local national health service and other health bodies in February 2008 clarifying when details of incidents involving actual or potential data losses should be reported to strategic health authorities (SHAs). The SHAs are now required to publish details of reported incidents each quarter on their websites.
Mental Health Services
Lynne Jones: To ask the Secretary of State for Health how much expenditure there was on Tier 4 and Tier 5 services for people with personality disorders in each of the last five years; and if he will make a statement on the implementation of Policy Implementation Guidance for the Development of Services for People with Personality Disorder, NIMHE 2003. [209036]
Mr. Ivan Lewis: The overall expenditure by the national health service on tier 4 personality disorder services in 2005-06, the year for which the most recent data are available, was approximately £9.6 million. Information is not available on expenditure by the independent sector.
In 2006-07, £8.45 million went into primary care trust (PCT) baselines in respect of tier 4 personality disorder services and those funds were fully spent on the services involved through service level agreements with commissioners.
From 2007-08 (when baseline allocations were £9.14 million), many PCTs have elected to commission services for people with severe personality disorders on a cost-per-case basis (i.e. individual placements). There is therefore no information on the actual level of expenditure.
Over the 2005-08 period, tier 5 NHS medium secure and community forensic services received £25.31 million. During this period, capital spending was £23.56 million. This revenue was devolved to local PCT and specialised commissioners for 2008-09.
Following commitments in the 1997 election manifesto, the Government have implemented a range of initiatives to improve services to those with a personality disorder. Two distinct but linked programmes have resulted from new investment: Managing Dangerous Offenders with a severe Personality Disorder and Personality Disorder - No Longer a Diagnosis of Exclusion.
These offer new interventions for the spectrum of patients in the population who pose a risk of harm either to themselves or to others as a result of their personality disorder. The effectiveness of our initiatives to improving services for the often hidden and excluded members of every local community will be significantly improved by the growing number of new and often innovative services for those with a personality disorder. The programmes also demonstrate a commitment to greater coherence and collaborative working between both Government agencies and public and independent services in the field.
Norman Lamb: To ask the Secretary of State for Health what assessment he has made of the (a) levels of implementation and (b) effectiveness of National Institute for Health and Clinical Excellence guidelines for the treatment of (i) antenatal and post-natal mental health, (ii) anxiety, (iii) bipolar disorder, (iv) dementia, (v) depression, (vi) depression in children and young people, (vii) drug misuse: opioid detoxification, (viii) drug misuse: psychological interventions, (ix) eating disorders, (x) obsessive compulsive disorder, (xi) post-traumatic stress disorder, (xii) schizophrenia, (xiii) self-harm and (xiv) violent behaviour. [212220]
Mr. Ivan Lewis: An assessment of this nature has not been made. Compliance with clinical guidelines published by the National Institute for Health and Clinical Excellence (NICE) forms part of the developmental standards for the national health service and NHS organisations are expected to move towards their full implementation.
Mike Penning: To ask the Secretary of State for Health (1) how much was allocated by his Department for mental health in-reach teams in England for (a) 2004 and (b) 2007; [212214]
(2) what the reasons are for variations in regional allocations of funding per capita spending on mental health in-reach teams in prison facilities. [212215]
Mr. Ivan Lewis: The total amount allocated specifically to primary care trusts for national health service mental health in-reach services in prisons was £9.4 million in 2003-04. Since 2005-06, expenditure has been around £20 million each year.
Regional variations in funding occur because of the different numbers and types of prisons situated in each
area. For example, large city male prisons need greater per capita mental health investment because they contain higher levels of prisoners with acute mental health problems.
NHS: Fuels
Norman Baker: To ask the Secretary of State for Health what discussions his Department had with primary care trusts on the continued provision of fuel to NHS workers (a) prior to and (b) during the recent strike by tanker drivers. [213463]
Mr. Bradshaw: The arrangements for accessing fuel for national health service workers are handled at the local level. The Department encourages all NHS organisations to establish contingency plans in line with business continuity management advice and guidance, of which the sourcing of fuel is one element. It is the responsibility of primary care trusts to put in place local arrangements to enable them to meet their responsibilities as Category 1 and 2 responders under the terms of the Civil Contingencies Act 2004.
The Government have also established emergency provisions, as a part of the National Emergency Plan—Fuel, which can be invoked should the essential services be unable to obtain fuel.
The Department liaised regularly across the NHS during the recent tanker drivers’ strike to ensure that local contingency plans were being implemented effectively to respond to the crisis.
NHS: ICT
Mr. Stephen O'Brien: To ask the Secretary of State for Health when he plans to publish the outcomes of the health informatics review. [212209]
Mr. Bradshaw: We plan to publish the outcomes of the review shortly.
NHS: Reorganisation
Lynne Jones: To ask the Secretary of State for Health with reference to Lord Darzi's interim report, what assessment his review made of (a) the need for (i) general practitioner-led health centres and (ii) new general practitioner practices in each primary care trust and (b) the priority which primary care trusts should give to (A) additional expenditure on new services and (B) other assessed needs; and if he will make a statement. [211097]
Mr. Bradshaw: As part of the NHS Next Stage review interim report and the comprehensive spending review process, we identified the need to secure additional resources for primary care trusts to:
make progress in improving the health and care to the population with the greatest need and poorest services;
to continue to improve access for patients to see a general practitioner at more convenient times; and
to provide greater choice for patients in accessing primary medical care services.
This new provision will also provide opportunities for primary care trusts (PCTs) to locally commission services that better enable tackling underlying causes of ill health, ensuring a greater focus on prevention, health promotion and integration of local services.
It is for PCTs to develop the detailed service specification it requires locally based on local needs and circumstances and to commission this service through an open, fair and transparent process.
Mr. Lansley: To ask the Secretary of State for Health what the dates are of the meetings he has had with the Prime Minister to discuss the NHS Reform Bill contained in the draft legislative programme for 2008-09. [212612]
Mr. Bradshaw: My right hon. Friend the Secretary of State has regular meetings and discussions with ministerial colleagues and others on a wide range of subjects.
NHS: Standards
Mr. Stephen O'Brien: To ask the Secretary of State for Health in what ways the Healthcare Commission supplements NHS trusts' self-assessments against core standard c15b; what sources of information the Healthcare Commission uses in such assessments; and if he will make a statement. [212198]
Mr. Bradshaw: The Healthcare Commission supplements its self-assessments with feedback from local stakeholders. These include patient and public involvement forums, local authority overview and scrutiny committees, strategic health authorities and, in the case of national health service foundation trusts, boards of governors. They also use information from other regulatory bodies, NHS patient and staff surveys, and previous Healthcare Commission studies to cross-check NHS trusts declarations of performance.
In addition, to validate the self-declaration process the Healthcare Commission inspect a sample of NHS trusts. The inspection guide for c15b is published on the Healthcare Commission's website.
Nursing and Midwifery Council
Mr. Dai Davies: To ask the Secretary of State for Health what steps he plans to take in response to the report of the Council for Healthcare Regulatory Excellence on the performance of the Nursing and Midwifery Council. [213080]
Mr. Bradshaw: The Department is accelerating the process of moving towards a newly constituted council via reforms in the Nursing and Midwifery (Amendment) Order 2008, which will deliver a new, wholly appointed Council by the new year. This piece of legislation has already been endorsed by Parliament. In future, all Council members will be appointed rather than elected.
The Department will also be passing on our concerns to the Privy Council, to consider whether any action on their part is appropriate.
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