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To ask the Secretary of State for Health how many midwives were working in the National
Health Service in (a) England and (b) Portsmouth in (i) each year between 1997 and 2001 and (ii) 2003 expressed as both (A) headcount and (B) full-time equivalent. 
|NHS hospital and community health services: qualified midwifery staff in England, the south central strategic health authority area and Portsmouth Hospitals NHS Trust as at 30 September each specified year|
1. Full time equivalent figures are rounded to the nearest whole number.
2. Data Quality
Workforce statistics are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data. Processing methods and procedures are continually being updated to improve data quality. Where this happens any impact on figures already published will be assessed but unless this is significant at national level they will not be changed. Where there is impact only at detailed or local level this will be footnoted in relevant analyses.
The NHS Information Centre for health and social care Non-Medical Workforce Census.
Mark Simmonds: To ask the Secretary of State for Health what (a) capital, (b) revenue and (c) other funding his Department has given to the NHS Pharmacy Education and Development Committee since its inception. 
Mr. Bradshaw: The 2008-09 National Health Service Operating Framework clearly states that in 2008-09, strategic health authorities (SHAs) may determine and agree locally with their primary care trusts (PCTs) arrangements for the transfer and lodging of resources with the SHA, provided this is within the limit of the overall SHA planned surplus. SHAs will be accountable for the management of this flexibility.
Mr. Lansley: To ask the Secretary of State for Health what guidance his Department has issued to strategic health authorities on the repayment of funds top-sliced from primary care trusts in the last two years. 
Mr. Bradshaw: In the Operating Framework for 2007-08 (which has already been placed in the Library) the Department stated that contributions from primary care trusts (PCTs) required to deliver the financial plans within their economy must be subject to locally agreed transparent rules, clearly covering the purpose of the reserves and the timescale over which each organisation would recover its contribution.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the Answer of 3 November 2008, Official Report, column 87W, on NHS finance, whether NHS organisations that generated a surplus in 2007-08 are permitted to count this towards the surplus they are expected to generate in 2008-09. 
Mr. Bradshaw: The Department has made clear in the 2008-09 Operating Framework that the surplus delivered by strategic health authorities and primary care trusts in 2007-08 will be carried forward to 2008-09. As a result, this surplus relating to the 2007-08 financial year is included within the financial position reported in 2008-09.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the Answer of 3 November 2008, Official Report, column 87W, on NHS finance, whether his Department expects that the 2007-08 surplus will be spent by the end of 2008-09. 
Mr. Bradshaw: We made it clear in the Operating Framework 2008-09 for that surpluses generated in 2007-08 will be carried forward to 2008-09, and that the national health service should plan for a surplus at least equivalent to the surplus achieved in 2007-08.
As reported in the 2008-09 quarter 1 edition of The Quarter, the NHS (excluding Foundation Trusts) was forecasting an overall surplus of £1.75 billion. This forecast enables the full deployment of baseline and additional resources for 2008-09, and continues with our strategy for flexibility to respond to fluctuations in demand, while maintaining sufficient funds for investment in new services.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the Answer of 3 November 2008, Official Report, columns 88-89W, on NHS finance, whether any restrictions are placed on NHS organisations as to how they spend surpluses which are carried over into the next financial year. 
Mr. Bradshaw: We made clear in the Operating Framework 2008-09 that surpluses generated in 2007-08 will be carried forward to 2008-09, and that the national health service should plan for a surplus at least equivalent to the surplus achieved in 2007-08.
The Operating Framework for 2008-09 clearly states that strategic health authorities have the flexibility to determine within their economies, the level of contingency necessary to ensure delivery of their financial plans, and where this contingency is best held.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the Answer of 3 June 2008, Official Report, columns 909-10W, on NHS: personal records, how many of the incidents recorded in the table took place on 25 December in each year. 
Ann Keen: The number of incidents reported to the National Reporting and Learning System relating to nutritional care, which occurred on 25 December during 2005, 2006 and 2007 are shown in the following table:
|Number of incidents|
Mr. Lansley: To ask the Secretary of State for Health with reference to page 9 of his Department's consultation document on Guidance on NHS patients who wish to pay for additional private care, which relevant national audits he expects clinicians to contribute to. 
"The Department of Health should take a lead on commissioning a national audit of demand for unfunded drugs and on the outcome of treatments, working closely with professional organisations and NHS managers."
On 4 November, my right hon. Friend the Secretary of State accepted this recommendation, and asked Professor Richards to lead this piece of work. The reference in the consultation document to "relevant national audits" is therefore a reference to the outcome of this work.
Mr. Bradshaw: This information is not collected centrally. It is the responsibility of local national health service organisations to plan and manage their demand for agency staff in the context of local business and work force planning. Many NHS organisations use the NHS Purchasing and Supplies Agency (PASA), Agency Framework Agreements to contract some of their agency staff as the PASA uses the NHSs buying power to negotiate lower pay rates with agencies.
Dawn Primarolo: The National Institute for Health and Clinical Excellence (NICE) has produced Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children, available at
It is up to primary care trusts as local commissioners and providers of services to determine the most appropriate methods to deliver health care to their populations, based on clinical need and effectiveness, and following medical advice.
The care and treatment of individual patients who undergo surgery remains a matter for their clinical team who will base the treatment on the most appropriate clinical evidence, and the wishes of the patient.
Ann Keen: The Organ Donation Taskforce has today published its report The potential impact of an opt out system for organ donation in the UK. I refer the hon. Member to the written ministerial statement on the report issued today.
Anne Main: To ask the Secretary of State for Health what reports he has received on the late payment of bills by primary care trusts (PCTs); and what representations his Department has received from (a) cleaning contractors and (b) hospital food contractors on the late payment of bills by PCTs. 
Mr. Bradshaw: The Department routinely collects data from the national health service on the payment of bills. The latest data available for quarter 1 of 2008-09 is as follows, shows the number of NHS and non-NHS bills that were paid by each primary care trust.
NHS trusts and primary care trusts are required to comply with the Confederation of British Industrys Better Payment Practice Code target of paying 95 per cent. of undisputed invoices within contract terms of 30 days where no terms have been agreed.
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