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10 Sep 2008 : Column 1912W—continued

NHS: Finance

Norman Lamb: To ask the Secretary of State for Health how much has been (a) allocated and (b) spent on (i) general medical services, (ii) personal medical services and (iii) alternative provider medical services contracts in (A) cash and (B) real terms in current prices in each of the last five years. [223460]

Mr. Bradshaw: Allocations to primary care trusts for primary medical care services do not identify funding separately for general medical services, personal medical services and alternative provider medical services. The table shows actual spend in cash and at this year’s prices for each of these contracting routes since 2004-05, the year that the new general practitioner (GP) contract was introduced and the first year for which this information is available.

Primary medical care services spend
£000
General medical services Personal medical services Alternative provider medical services
Financial year Cash Real terms Cash Real terms Cash Real terms

2004-05

3,180,086

3,536,892

2,769,671

3,080,428

59,459

66,130

2005-06

3,484,327

3,793,735

3,063,145

3,335,152

134,205

146,122

2006-07

3,527,927

3,739,603

3,113,131

3,299,919

153,114

162,301

2007-08

3,536,231

3,642,318

3,204,626

3,300,765

148,666

153,126


Separate to these arrangements primary care trusts who have been identified as having the poorest primary medical care provision, and who are taking part in a local procurement to commission new GP practices, will also receive additional funding in 2008- 09 and subsequent years to secure this additional GP capacity.

NHS: Re-organisation

Mr. Lansley: To ask the Secretary of State for Health (1) if he will place in the Library a copy of each submission to his Department’s national review Our NHS Our Future; [219370]

(2) what the (a) commissioning and development costs, (b) publishing and printing costs, (c) distribution costs and (d) media costs were for (i) Lord Darzi’s national review of the NHS in England and (ii) each of his regional reviews; [219371]

(3) how many staff in each pay band in his Department worked solely on Lord Darzi’s review of the NHS in England; [219372]

(4) how much was spent on consultative events in each region as part of Lord Darzi’s review of the NHS in England. [219374]

Mr. Bradshaw: The National Health Service Next Stage Review has been a year-long process, led by more than 2,000 clinicians and engaging with approximately 60,000 patients, public and staff. An analysis of the views and opinions gathered in this engagement process is available on the Review’s website:

A final figure for the cost of the Review is not yet available. However, the costs to date to the Department of conducting the review itself is approximately £3.5 million.

The NHS Next Stage Review is core business for all civil servants in the Department.

The estimated costs of consultation undertaken by strategic health authorities (SHAs) as part of the nationwide NHS Next Stage Review is not held centrally.


10 Sep 2008 : Column 1913W

NHS: Sick Leave

Jenny Willott: To ask the Secretary of State for Health what the average length of single periods of sick leave taken by NHS employees was in each of the last five years; and if he will make a statement. [215978]

Mr. Bradshaw: This information is not held centrally.

NHS: Video Conferencing

Mike Penning: To ask the Secretary of State for Health what guidance his Department provides on the (a) procurement and (b) use of video-conferencing technology for the delivery of healthcare in the NHS. [223184]

Mr. Bradshaw: The NHS Purchasing and Supply Agency (PASA) has a framework for the provision of voice, video and data products and services which includes the procurement of video-conferencing services. This framework is available to all NHS trusts in England providing for the supply, design, project management, maintenance and installation of video conferencing equipment for point-to-point or point-to-multipoint communication services.


10 Sep 2008 : Column 1914W

There are 16 suppliers providing these services and NHS PASA provides procurement advice and expertise.

Implementation and the potential application of the technologies, especially in clinical areas is determined by trusts based on local needs.

Mike Penning: To ask the Secretary of State for Health whether he plans to enable the N3 network for video conferencing. [223186]

Mr. Bradshaw: The N3 network is already enabled to support video conferencing.

Patients: Fees and Charges

Mr. Lansley: To ask the Secretary of State for Health with reference to Table 9a of his Department’s Memorandum to the Health Select Committee, entitled Public Expenditure on Health and Personal Social Services 2006, published in November 2006, what the equivalent figures on patient charges are for (a) 2006-07 and (b) 2007-08, broken down by type of charge. [223359]

Mr. Bradshaw: Latest information on NHS Income from Charges is given in table 1. 2007-08 NHS Accounts Data is not yet available.


10 Sep 2008 : Column 1915W

10 Sep 2008 : Column 1916W
Table 1: Breakdown of NHS income from charges by charge type for period 1996-97 to 2004-05
£ million
Charges 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08

Health Authority—fees and charges

67.7

90.1

92.0

113.8

65.8

3.5

4.7

6.4

11.9

12.4

—

Road traffic accident income

—

—

30.0

75.8

98.3

105.0

105.6

117.5

121.5

128.2

—

NHS Trusts—fees and charges

169.6

216.7

224.2

266.0

268.2

126.3

136.8

228.1

230.9

306.2

—

NHS Trusts—private patients

273.2

290.8

304.8

316.6

540 8

366.7

383.9

349.0

364.7

379.6

—

NHS Trusts—Local Authorities

—

—

—

—

—

259.8

394.9

516.4

683.3

690.0

—

PCTs

—

—

—

1.5

24.5

61.6

72.2

105.1

105.5

104.4

—

PCTs—Local Authorities

—

—

—

—

—

295.4

404.1

592.7

605.1

688.0

—

NHS Supplies Authority fees

39.1

36.1

20.3

0.4

0.2

0.2

0.8

1.0

—

—

—

Dental charges

388.4

419.6

431.2

453.1

472.1

486.7

483.6

425.9

409.8

479.5

—

Prescription charges

320.9

341.3

366.7

386.9

413.1

423.0

428.3

424.6

426.9

433.5

—

Nursing home inspection fees

4.8

8.8

9.5

9.8

6.2

—

—

—

—

—

—

Subsidised dried milk

2.5

2.6

2.4

2.3

3.0

2.9

2.1

2.0

—

—

—

Medicines Control Agency—licences and inspections

28.1

26.6

29.4

34.1

36.7

41.3

—

—

—

—

—

Youth Treatment Service Income

4.5

4.7

4.6

0.1

—

—

—

—

—

—

—

NHS Pensions Agency fees

2.3

6.2

2.2

1.8

1.6

0.9

0.5

0.6

—

—

—

Medical Devices Agency Fees

0.2

0.2

0.2

0.3

0.4

0.4

—

—

—

—

—

Human Fertilisation and Embryology Authority: licence fees

1.3

1.4

1.6

1.2

1.6

2.5

3.5

4.1

4.2

4.5

5.4

English National Board for Nursing (ENB): registration fees

—

1.6

1.6

1.6

—

—

—

—

—

—

—

Medicines and Healthcare Regulatory Agency

—

—

—

—

—

—

52.4

57.7

53.1

70.1

82.4

Total

1,302.6

1,446.7

1,520.7

1,665.3

1,732.5

2,176.2

2,473.4

2,831.0

3,017.0

3,296.4

—

Notes:
1. The table has been restated to include NHS trusts private patients, NHS trust income from local authorities and primary care trust (PCT) income separately.
2. Health authorities were established on 1 April 1996 and strategic health authorities on 1 October 2002.
3. PCTs were established from 1 April 2000.
4. Figures from 2004-05 have been uprated (by expenditure) to estimate income to NHS foundation trusts.
5. Income from local authorities was separately identified for the first time in 2002-03.
6. From 2000-01 NHS Supplies Authority split into NHS Purchasing and Supplies Agency and NHS Logistics. All fees for forward years score against the NHS Logistics.
7. Dental and prescription charge income prior to 2001-02 drawn from cash data in appropriation accounts. 2001-02 and subsequent years’ data drawn from resource data in summarised accounts.
8. From April 2002 the National Care Standards Commission regulated nursing homes.
9. Medicines and Healthcare Regulatory Agency formed in 2003-04—brings together work of Medical Device Agency and Medicines Control Agency.
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