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15 Oct 2008 : Column 1340W—continued
The report includes information on primary dental care expenditure by constituency for 1997-98 to 2005-06 in tables A3 and B3 of annex 3. Table A3 relates to ‘gross’ expenditure and table B3 relates to ‘net’ expenditure. ‘Gross’ expenditure refers to the full cost of the payments recorded; ‘net’ expenditure reflects the cost of these
payments to the NHS after the deduction of income from NHS dental charges paid by patients. Information by PCT and strategic health authority (SHA) is also available in tables A1 and B1.
This information is based on the old contractual arrangements which were in place up to and including 31 March 2006 and is not directly comparable with subsequent expenditure data reflecting the new framework and scope of local commissioning arrangements for primary dental care services introduced from April 2006. Further notes to aid interpretation of the information are shown in the ‘Contents and Notes’ page of annex 3.
PCTs assumed responsibility for the local commissioning of primary dental care on 1 April 2006. Under the new service framework, the Department awards each PCT an annual primary dental service allocation to maintain and develop dental care services. Allocations are net of any income from NHS dental charges paid by patients, which PCTs retain as additional funding for dentistry. PCTs may direct further local NHS resources to dentistry if they consider it appropriate in the light of local needs and priorities. PCTs therefore determine their own local operational budgets taking into account the total resource they intend to commit to dentistry including any expected income from NHS dental charges. The Department’s primary dental service allocations to Bassetlaw PCT since April 2006 is shown in the following table.
| Primary dental care service allocations to Bassetlaw PCT (net of patient charge revenue) | |
| Financial year | Net allocation (£000) |
| Note : Any PCT which hosts an approved training post for a dental vocational trainee will receive a supplementary net funding allocation from its SHA to cover the relevant costs. | |
Data on actual expenditure on primary dental services can be derived from PCT accounts. Expenditure totals for Bassetlaw PCT are set out in the following table. However, accounts data do not separately identify expenditure by constituency area or any other sub-division of a PCT area.
| Expenditure on primary dental care services in Bassetlaw PCT, 2006-07 to 2007-08 | ||
| £000 | ||
| Financial year | ||
| 2006-07 | 2007-08 | |
| Note: PCTs also commission secondary dental services such as specialist hospital dental departments, which they fund from their general NHS budgets, but expenditure on these services is not separately identified in PCT accounts. Source: 2006-07 data from audited summarisation schedules of Bassetlaw PCT. 2007-08 data from audited financial monitoring and accounts forms for Bassetlaw PCT. | ||
Dentistry: Technicians
Mike Penning: To ask the Secretary of State for Health what plans he has to support training and professional development for clinical dental technicians. [224679]
Ann Keen: The General Dental Council is responsible for approving training courses, which lead to the registration of dental care professionals. We believe that a training course for clinical dental technicians needs to be established in England. We were therefore very encouraged to learn that the Postgraduate Dental Dean for south east coast is collaborating the university of Kent to devise a course which should give credit for relevant experience and competencies which some dental technicians have already acquired. We understand the programme will be submitted to the General Dental Council's Education Committee in December and, if it is approved, places will be advertised in the new year.
Diabetes
Keith Vaz: To ask the Secretary of State for Health how many primary care trusts have developed their own diabetes strategy. [225177]
Ann Keen: This information is not centrally collected. Responsibility for implementing the diabetes national service framework rests with the national health service, and it is for primary care trusts to commission services that meet the needs of their local population.
Keith Vaz: To ask the Secretary of State for Health what (a) financial and (b) administrative support the Government has given to campaigns to raise awareness of the risk factors for diabetes. [225178]
Ann Keen: The national health service (NHS) next stage review, ‘High Quality Care for All’, published on 30 June 2008, announced the introduction of the Reduce Your Risk campaign, which will raise awareness of the vascular checks programme and vascular conditions generally, including diabetes. Copies of this publication have already been placed in the Library.
In addition to this, The Change4Life campaign is a forthcoming £75 million social marketing programme that is part of “Healthy Weight, Healthy Lives: A Cross Government Strategy for England” (copies of which have already been placed in the Library). The campaign will support and encourage people to live healthily by helping them to make significant and sustained choices to behaviours around diet and physical activity. This will also help prevent obesity and reduce the risk of developing type 2 diabetes and other cardiovascular diseases.
Through the Section 64 general grant scheme (now known as Third Sector Investment programme), we have given a total of £305,976 in support of three projects that include raising awareness of type 2 diabetes since 2005.
Keith Vaz: To ask the Secretary of State for Health how his Department plans to address the need for improvements in emotional and psychological support for diabetes patients identified in the National Service Framework's Five Years On report. [225180]
Ann Keen:
The Department, in collaboration with Diabetes UK, has established a joint working group to identify what needs to be done to enable the national health service and local care services to meet the
psychological and emotional needs of all people with diabetes to support them to self-care. This will include examining the competencies required to deliver an appropriate service. The group is part of a wider workstream looking at ways that local services can develop support for people with diabetes to self-manage, including care planning, structured education and self-monitoring.
Keith Vaz: To ask the Secretary of State for Health (1) what estimated percentage of hospital beds were occupied by patients with diabetes in each primary care trust at the latest date for which information is available; [225181]
(2) how many people have been admitted to hospital in diabetes-related emergencies in the last 12 months. [225182]
Ann Keen: Information on the estimated percentage of hospital beds occupied by patients with diabetes in each primary care trust is not available in the format requested. The recent report ‘Improving Emergency and Inpatient Care for People with Diabetes’ estimates that around 10 per cent. of all hospital beds in the United Kingdom are occupied by people with diabetes.
The following table shows the number of people admitted to hospital in diabetes-related emergencies in 2006-07, the latest year for which figures are available:
| Total emergency admissions to hospital in England in which a patient had a primary diagnosis of diabetes related condition in 2006-07 | |
| Total emergency admissions | |
| (1) Finished admissions episodes (FAE): a FAE is the first period of inpatient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. | |
Keith Vaz: To ask the Secretary of State for Health (1) how many diabetes patients (a) are receiving, (b) have received and (c) have not received structured education for diabetes through DESMOND programmes in each primary care trust; [225186]
(2) how many diabetes patients (a) are receiving, (b) have received and (c) have not received structured education for diabetes through DAFNE programmes in each primary care trust. [225187]
Ann Keen: This information is not available in the format requested. The DAFNE centre reports, to date, that 8,698 people in England have become DAFNE graduates. The following table breaks this down by centre.
| Number of DAFNE graduated per centre | |
| Centre | Number of patients graduated |
The DESMOND central office reports that the programme has been delivered to over 20,000 people in the United Kingdom and Ireland. A figure for England is not available.
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