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12 Nov 2008 : Column 1199W—continued

Mr. Bradshaw: All the national programme for information technology local service provider (LSP), and national application service provider (NASP), contracts include provisions appropriate to contracts of their size and complexity to address foreseeable development,
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delivery and service issues, including terms that permit the issue of a breach of contract notification under defined conditions.

In the case of the Fujitsu LSP contract, 41 breach of contract notices were issued, which ultimately resulted in the termination of the contract on 28 May 2008.

None of the remaining LSP and NASP providers, including BT, have been issued with formal breach of contract notices. However, as part of the normal contractual processes, a number of so-called ‘contractor event of default’ notices have been issued, reflecting operational matters identified during the normal course of contract delivery that need to be addressed. All the matters identified have been addressed using the existing contractual remedies.

Peter Bottomley: To ask the Secretary of State for Health which hospital trusts are using the NHS IT system Cerner; which version of the system each trust is using; when each trust installed the system initially; what the effect of adverse variance to budget has been for each trust in each quarter since installation; and what costs have been incurred by each trust as part of the implementation to date, with particular reference to the costs of (a) activity shortfalls attributable to the system not supporting the trust in managing the patient pathway leading to clinic and admission slots not being used, (b) data entry difficulties attributable to the system supplied being different from the training system or to the lack of operating or procedure manuals, (c) additional staff required for rectification or to maintain normal activity levels and (d) issues causing reductions in clinical efficiency. [234405]

Mr. Bradshaw: Information requested on deployments, through the national programme for information technology, of the Cerner Millennium system in acute national health service trusts is in the following table.

Acute trust Software version Technical go-live (TGL)( 1)

Winchester and Eastleigh Healthcare NHS trust


9 February 2007

Surrey and Sussex Healthcare NHS trust


19 April 2007

Weston Area Health NHS trust


29 July 2006

Taunton and Somerset NHS Foundation trust


14 December 2007

Nuffield Orthopaedic Centre NHS trust


20 December 2005

Milton Keynes General Hospital NHS trust


23 February 2007

Buckinghamshire Hospitals NHS trust


25 September 2006

Worthing and Southlands Hospitals NHS trust


28 September 2007

Barnet and Chase Farm Hospitals NHS Trust


21 July 2007

Queen Mary’s Sidcup NHS Trust


28 October 2007

Barts and The London NHS trust


6 April 2008

Royal Free Hampstead NHS trust


15 June 2008

(1) TGL refers to when the system was first technically enabled and available for use, prior to ‘business go-live’ (BGL), when systems begin to be used for live transactions. There may be a delay between TGL and BGL, for example to allow time for users to be trained or to allow other dependent deployments to proceed.
Comprehensive information of the kind requested about the financial and resource impact, if any, resulting from implementation of the Cerner system is not held centrally, and could be obtained only at disproportionate cost.

12 Nov 2008 : Column 1201W

NHS: Negligence

Mr. Scott: To ask the Secretary of State for Health how much has been paid out in legal costs in connection with medical negligence compensation cases by each London-based hospital trust in each of the last three years for which figures are available. [234043]

Ann Keen: The document, “London Hospital Trusts' legal costs for clinical negligence between 2005 and 2008”, has been placed in the Library and contains the information requested. The data covers legal costs associated with payments under the National Health Service Litigation Authority's (NHSLA) Clinical Negligence Scheme for Trusts and Existing Liabilities Scheme. Claims information can be found in the NHSLA's published factsheets, available on their website at:

NHS: Sick Leave

Mr. Stephen O'Brien: To ask the Secretary of State for Health what the average length of sickness leave per employee was at (a) the NHS Blood and Transplant Authority, (b) NHS Professionals, (c) the Commission for Social Care Inspection, (d) the General Social Care Council, (e) the Healthcare Commission, (f) the Appointments Commission, (g) the Mental Health Act Commission, (h) the Social Care Institute for Excellence, (i) the Hepatitis Advisory Group, (j) the AIDS Expert Advisory Group and (k) the Healthcare Regulatory Council in the most recent period for which information is available. [233297]

Mr. Bradshaw: The information is as follows:

Arm’s length bodies

Days per employee

(a) NHS Blood and Transplant


(b) NHS Professionals


(c) Commission for Social Care Inspection


(d) General Social Care Council


(e) Healthcare Commission


(f) Appointments Commission


(g) Mental Health Act Commission


(k) Council for Healthcare Regulatory Excellence



Advisory non-departmental public bodies


Keith Vaz: To ask the Secretary of State for Health what the rate of obesity was at the latest date for which information is available. [235022]

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Dawn Primarolo: The latest information on adult obesity prevalence is available from the Health Survey for England 2006 “Latest trends: Adult trend tables 2006”, published on 31 January 2008 for adults aged 16 and over. The information can be found on table 4. This publication has already been placed in the Library.

The latest information on obesity prevalence among children aged 2-15 in 2006 is available from the Health Survey for England 2006 “Latest trends: Children trend tables 2006”, published on 31 January 2008. The information can be found on table 4. This publication has already been placed in the Library.

Further information on children's obesity prevalence is available for those in school year reception (aged four to five) and year six (aged 10-11) from the National Child Measurement Programme: 2006-07 (NCMP). The NCMP provides the most comprehensive data on obesity among children aged four to five and 10-11 years, in England. This information is available in the National Child Measurement Programme: 2006-07 school year, headline results, published on 21 February 2008. The prevalence of obese children can be found in Table 1 (page 3). This publication has already been placed in the Library.

Primary Care Trusts

Anne Main: To ask the Secretary of State for Health what steps he has taken to ensure primary care trusts (PCTs) pay their bills to pharmacists on time; what representations his Department has received from pharmacists on the late payment of bills by PCTs; and what estimate his Department has made of the average amount of time taken by PCTs to pay bills from pharmacists. [234656]

Dawn Primarolo: For essential and advanced pharmaceutical services, the Department ensures that pharmacy contractors are paid by the Prescription Pricing Division of the NHS Business Services Authority, to a published timetable. This centralised administrative payment function utilises both primary care trust (PCT) and central funds.

Payment for local enhanced pharmaceutical services is set by the commissioning PCT. Local arrangements determine the time scale for payment.

The Department has received no formal representations on the late payment of bills by PCTs or made any estimate of the average amount of time taken by PCTs to pay, directly, bills from pharmacists.

Primary Health Care

Mr. Hancock: To ask the Secretary of State for Health what plans he has to reform the management of primary care. [232662]

Mr. Bradshaw: The management of individual primary care services is the responsibility of the respective general practitioner practices, subject to contracts they hold with primary care trusts.

The “NHS Next Stage Review: Our vision for primary and community care”, published in July this year, set the strategy for primary and community care over the next 10 years. As part of this vision, we are working with the national health service to support them in
12 Nov 2008 : Column 1203W
improving the commissioning of primary care services in order to ensure that high-quality care is a consistent part of everyone’s experience.

Prostate Cancer: Hertfordshire

Mike Penning: To ask the Secretary of State for Health how many people received treatment for prostate cancer in (a) Hemel Hempstead and (b) West Hertfordshire Hospital Trust in each of the last 10 years. [231097]

Ann Keen: The information requested is not held centrally.

Royal Cornwall Hospital: Standards

Andrew George: To ask the Secretary of State for Health what the evidential basis was for the remarks made by the Minister of State for Health Services on patient outcomes at the Royal Cornwall hospital during his interview broadcast on BBC Radio Cornwall on 14 October. [230215]

Ann Keen: A review undertaken by two of the country's leading surgeons for Upper GI cancer, Professor Mike Griffin and Bill Allum, said that

Copies of the review can be found at:

A copy has also been placed in the Library.

They also found that the mortality for oesophagectomy at the Royal Cornwall Hospital NHS Trust over the last four and a half years is 12.5 per cent. These results represent the same results as those quoted for units before centralisation took place. However in those Networks with centralised surgical services the most recent 2006-07 data records on hospital mortality is 4.9 per cent. and this is considered to be the current standard.

The data reported to the South West Cancer Registry from hospital episode statistics for the period January 2003 to March 2006 are as follows.

Number of procedures Deaths before 31 days One year mortality (deaths)

Number Percentage Number Percentage

Plymouth Hospital NHS Trust






Royal Devon and Exeter NHS Foundation Trust






Royal Cornwall Hospital NHS Trust






South West Strategic Health Authority






12 Nov 2008 : Column 1204W

Sexually Transmitted Diseases: Screening

Anne Milton: To ask the Secretary of State for Health how many sexual health test screens were carried out in (a) 1997 and (b) 2008. [234982]

Dawn Primarolo: Data on sexual health screens are not available for 1997 as the sexual health screen codes have only been collected since 2003.

The number of sexual health screens undertaken in genito-urinary medicine (GUM) clinics in England, by gender; for the years 2003 and 2007, (the latest date for which figures are available) are shown in the following table.

Number of sexual health screens

2003 2007










1. The data available from the KC60 statutory returns are for sexual health screens conducted in GUM clinics only. Sexual health screens conducted in other clinical settings, such as General Practice, are not recorded in the KC60 dataset.
2. The data available from the KC60 statutory returns are the number of sexual health screens performed, not the number of patients screened.
3. Data are by area of GUM clinic and not patients’ area of residence.
4. The information provided has been adjusted for missing clinic data.
Health Protection Agency, KC60 returns

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