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29 Oct 2008 : Column 1060W—continued
General Practitioners: Pharmacy
Mr. Drew: To ask the Secretary of State for Health (1) how many responses (a) in total and (b) which deal with proposals for dispensing GPs he received to the pharmacy White Paper; [231160]
(2) what recent representations the British Medical Association has made to his Department on dispensing GPs, with particular reference to the proposals in the pharmacy White Paper. [231161]
Phil Hope: The pharmacy White Paper published on 3 April 2008 set out the Government’s programme for taking forward national health service pharmaceutical services. We held a series of well attended national events in May 2008 to hear views on the programme and its implementation, including ideas concerning dispensing doctors. A summary report of these events has been placed in the Library and published on the Department’s website on 27 August at:
In addition, we received a response from the Independent Pharmacy Association and officials have also met various stakeholders, including members of the general practitioners’ committee of the British Medical Association, subsequent to publication to discuss areas in more detail.
We are currently consulting, as promised in the White Paper, on a number of proposals for legislative reform, including dispensing by doctors. That consultation ends on 20 November 2008. This consultation is also supported by national listening events that representatives of the British Medical Association are attending.
Health Services
Mr. Lansley: To ask the Secretary of State for Health how many care episodes related to (a) health visiting, (b) community nursing, (c) district nursing, (d) community psychiatric nursing, (e) community learning disability nursing, (f) specialist care nursing, (g) chiropody services, (h) clinical psychology, (i) occupational therapy, (j) physiotherapy, (k) speech and language therapy and (l) community dental services there were in each year since 1990-91. [229837]
Ann Keen: Information about the number of episodes of care is not collected centrally. Some information about the number of new episodes of care is available for 1990-91 to 1999-2000 in fig. 7.2 of the Departmental Report 2001 and for 1998-99 to 2003-04 in fig. 7.2 of the departmental report 2005. Copies of these reports have already been placed in the Library.
More recent data for community dental services is available, and is set out in the following table:
| Number of episodes of care with initial contact in the year for the specified financial years in England | |
| Number (Thousand) | |
| Source: The NHS Information Centre for health and social care. | |
Information was not collected for 2003-04 and no information is available since 2005-06 due to changes following the introduction of the new dental contractual arrangements on 1 April 2006.
As part of the Department's initiative to reduce the burden of data collection on national health service front-line staff, the activity data returns on community nursing were discontinued from April 2004 and those on cross-sector therapy services from April 2005.
Hospitals: Infectious Diseases
Mr. Hancock: To ask the Secretary of State for Health pursuant to the answer of 1 September 2008, Official Report, column 1713-4W, on hospitals: infectious diseases, if he will take steps to provide more recent figures than those pertaining to 1994-5. [229818]
Ann Keen: I refer the hon. Member to my answer of 21 October 2008, Official Report, column 307W, on hospital infectious diseases which refers to a Public Health Laboratory Service study in 1999(1). The figures in the study are based on a detailed survey of the services and resources needed to treat infections at that time. This major piece of work took several years to complete. The study is still the best estimate of total resource required for each health care acquired infection and current costs can be calculated by applying standard deflators. It will be possible to provide figures for 2007-08 when the relevant deflator is available. When considering cost-per-case, we consider this indicator to be more useful than one that apportions costs across all in-patient episodes.
(1) R. Plowman, N. Graves, M. Griffin, J. A. Roberts, A. V. Swan, B. Cookson, L. Taylor. The socio-economic burden of hospital acquired infection. Public Health Laboratory Service 1999.
Human Papilloma Virus: Vaccination
Anne Milton: To ask the Secretary of State for Health what consultation his Department undertook with (a) the public and (b) sexual health professionals before deciding to award the human papillomavirus contract to Cervavix. [231222]
Dawn Primarolo: The Department did not consult with the public or sexual health professionals regarding the decision to adopt Cervarix rather than Gardasil as the human papillomavirus vaccine for the national programme to protect against cervical cancer. The decision was based on specific criteria that are available in the reply I gave to the hon. Members for Boston and Skegness and Norwich, North on 2 July 2008, Official Report, column 943W.
In Vitro Fertilisation: Finance
Mr. Crabb: To ask the Secretary of State for Health how many strategic health authorities in England provide no more than one cycle of IVF treatment per patient. [230425]
Dawn Primarolo: In a survey carried out by the Department in autumn 2007, all primary care trusts (PCTs) in the South East Coast and South Central strategic health authorities (SHAs) reported a maximum provision of one cycle of in vitro fertilisation (IVF). PCTs across other SHAs reported providing one or more cycles. From April 2009 the East of England SHA will move to three cycles of IVF in line with the fertility guideline produced by the National Institute for Health and Clinical Excellence. A copy of this has been placed in the Library.
Junior Doctors: Training
Mr. Drew: To ask the Secretary of State for Health what length and type of training trainee and junior doctors undertake at each medical school on the dispensing of medicines; and if he will make a statement. [231159]
Ann Keen: The training of doctors in medical school is the responsibility of the General Medical Council, which has the statutory responsibility to determine the extent and knowledge and skill required for the granting of primary medical qualifications in the UK.
The content and standard of postgraduate medical training is the responsibility of the postgraduate medical education and training board, which is the competent authority for postgraduate medical training in the UK.
Maternity Services: Expenditure
Mr. Hancock: To ask the Secretary of State for Health how much was spent on NHS maternity services in each region of England in each financial year from 1997-98 to 2001-02. [231292]
Ann Keen: Information on maternity services expenditure is not available by region prior to 2001-02. However, the following tables show the expenditure for maternity services in England for the years 1997-98 to 2000-01 and the expenditure by strategic health authority (SHA) in 2001-02.
| £000 | |
| Expenditure by SHA 2001-02 | |
| SHA | £000 |
| Source: Data are from audited health authority summarisation forms for all years and from primary care trust audited summarisation forms for 2000-01 and 2001-02. | |
Medical Treatments
Mr. Burstow: To ask the Secretary of State for Health what discussions his Department has had with the National Institute for Health and Clinical Excellence on changes to its working practices following judgements in recent judicial review cases. [230450]
Dawn Primarolo: The details of the National Institute for Health and Clinical Excellence's (NICE's) working practices are a matter for the Institute. Departmental officials regularly meet with NICE to discuss matters affecting its future business, but have not met to discuss working practices in the light of judicial reviews.
NHS: Finance
Mr. Lansley: To ask the Secretary of State for Health with reference to page 35 of his Department's resource accounts for 2007-08, if he will place in the Library a list of each of the 442 significant control issues, stating in which NHS trust each occurred. [229971]
Mr. Bradshaw: The list of 442 significant control issues reported by national health service trusts and primary care trusts in their statements of internal control for 2007-08, and referred to in the Department's resource accounts for 2007-08, has been placed in the Library.
NHS: Managers
Mr. Scott: To ask the Secretary of State for Health what information he holds on (a) the number of senior managers who left the NHS with redundancy payments and who have subsequently returned to direct or indirect employment by the NHS and (b) the value of redundancy payments paid in such cases. [230991]
Ann Keen: This information is not collected centrally.
Nurses: Manpower
Paul Holmes: To ask the Secretary of State for Health how many nurses per 100,000 residents there were in (a) Chesterfield, (b) Derbyshire and (c) England in each year since 1997. [230635]
Ann Keen: The average number of practice nurses per 100,000 population in (b) Derbyshire and (c) England in each year since 1997 is shown in the tables along with the number of nurses employed in hospitals and the community in England in each year since 1997.
The number of practice nurses per 100,000 population for (a) Chesterfield and the number of hospital and community nurses per 100,000 population for Chesterfield and Derbyshire are not available.
Although primary care trusts (PCTs) serve a defined geographical area, hospital trusts are not defined in this way. Consequently it is not possible to give a figure for the number of nurses per 100,000 population, as it would only include those employed directly by the PCT and would be incomplete.
| All practice nurses per 100,000 population for selected organisations in England, as at 1997-2007 | ||||||||||||
| N umber (headcount) | ||||||||||||
| 1997( 1) | 1998( 1) | 1999( 1) | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | ||
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