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Medical device related adverse incident reports are not submitted via the Yellow Card system. The MHRA operates a separate, voluntary reporting system for all medical device users. The numbers of such reports received from patients and health care professionals in the United Kingdom is given in table 2.
|Year received by MHRA||Total number of adverse incident reports||Total number of adverse incident reports submitted directly by patients/members of the public||Total number of adverse incident reports submitted directly by health care professionals|
1. Patients are included under the heading Patients/Members of the Public.
2. The first full year in which reports from patients/members of the public were identified separately was 2006. Therefore for the years 1997 to 2005, this has been identified as Not applicable.
3. MHRA records for 1979-99 contain the total number of adverse incident reports received and the percentage for each recorded report source. The figures for reports received from health care professionals for these years have been calculated using those percentages.
Phil Hope: We recognise that there are links between poor mental health and difficult economic circumstances and, in the current climate, it is understandable that people might worry more about their finances. Mental health services in England are now better prepared than ever before to provide help for these people.
Since 2001-02, real terms investment in adult mental health services increased by 44 per cent. (or £1.7 billion) putting in place the services and staff needed to transform mental health services. The national health service spent £5.53 billion on these services in 2007-08 (£3.844 billion in 2001-02).
We now have 64 per cent. more consultant psychiatrists, 71 per cent. more clinical psychologists and 21 per cent. more mental health nurses than we had in 1997, providing better care and support for people with mental health problems. (Full-time equivalent)
Because of the National Service Framework and increased funding, we now have over 740 new community mental health teams offering home treatment, early intervention, or intensive support for people who might otherwise have been admitted to hospital.
Further, we are investing significantly in the Improving Access to Psychological Therapies (IAPT) programme with annual funding rising to £173 million in the third year (2010-11), to train 3,600 extra therapists and treat 900,000 more people in those three years.
This programme is relieving distress and transforming lives by offering effective intervention and treatment choice to people with depression and anxiety disorders and improving the collection, recording and measuring of patients health outcomes, producing data that allow further research.
Mr. Harper: To ask the Secretary of State for Health how the NHS will demonstrate progress in planning and developing the levels of service quality described in the National Service Framework for Long-term Neurological Conditions following the end of the planning period; how this demonstration of progress will be published; and what further consultation there will be on progress on the delivery of key national service frameworks objectives. 
Ann Keen: The National Service Framework (NSF) for Long-term Conditions, published in March 2005, focuses on improving services for people with neurological conditions across England. Since publication of the NSF, the Department has co-ordinated a range of activity to help local health and social care organisations take forward implementation of the NSF. This includes:
working with key national health service, social care, voluntary and independent sector stakeholders, as well as service users and carers, to identify and address key issues in neurological services and the stakeholders role in implementation;
ensuring that other key delivery programmes, most especially the White Paper Our Health, Our Say and the long-term conditions strategy help deliver key NSF objectives; and
work with the Care Services Improvement Partnership to promote implementation of the NSF through a co-ordinated work programme, including regional workshops, a web-based getting started pack and self-assessment tool for services.
The NSF is for implementation over 10 years and local bodies can set their own pace of change within this period, according to local priorities. However, the Planning Framework makes clear that the NHS and local authorities will need to demonstrate that they are making progress in planning and developing the levels of service quality described in the NSF over the course of the three year planning period (2005-08).
For the first time, in 2008-09, the Healthcare Commissions Annual Healthcheck will cover primary care trust (PCT) roles both as providers and commissioners
in two separate parts of the overall assessment. Assessment of PCTs as providers will include their compliance with health care and quality standards, and ongoing clinical quality investigations as appropriate. Looking at PCTs as commissioners, the Healthcare Commission will identify whether PCTs are achieving core standards and their performance against national priorities such as National Institute for Health and Clinical Excellence guidance and NSFs in their commissioning functions.
Miss McIntosh: To ask the Secretary of State for Health how many people in (a) North Yorkshire and York Primary Care Trust and (b) England have made calls to NHS Direct in each year since 2001; and what the estimated cost of the service was in each year. 
Mr. Bradshaw: The information on calls made to NHS Direct from North Yorkshire and York Primary Care Trust and England is not available in the format requested. Such information as is available is in the following tables.
|Calls answered by NHS Direct that originated in North Yorkshire and York PCT||Calls answered by NHS Direct nationally|
This data is only available from 2003 onwards.
|Total costs of core service (£000)|
|(1 )From 2006-07 the cost of providing the core service (0845 telephone service, NHS Direct online and digital TV services) includes the cost of providing access via the internet and digital TV. The figures in table 1 do not include contacts via the web or digital TV service.|
This data is only available from 2004-05 onwards.
Mr. Lansley: To ask the Secretary of State for Health what (a) net NHS expenditure, (b) net NHS expenditure per head and (c) net NHS expenditure as a proportion of GDP was in England in each year from 1997-98 to 2007-08. 
Mr. Bradshaw: The statistics requested are given in the following table. It should be noted that expenditure as a percentage of gross domestic product (GDP) and expenditure per head are calculated using HM Treasury published information (see notes to table). UK figures are supplied for expenditure as a proportion of GDP as GDP is published on a UK basis.
|Net NHS expenditure, Net NHS expenditure/head and expenditure as a percentage of GDP|
|Net NHS expenditure( 1, 2, 3, 4, 5, 6, 7) (£ billion)||Net NHS expenditure/head( 8)||UK public health expenditure as a percentage of GDP( 9) (%)|
(1) Expenditure pre 1999-2000 is on a cash basis.
(2) Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis.
(3) Expenditure figures from 2003-04 to 2010-11 are on a Stage 2 Resource Budgeting basis.
(4) Figures are not consistent over the period, therefore it is difficult to make comparisons across different periods.
(5) Figures from 2003-04 include a technical adjustment for trust depreciation.
(6) Expenditure excludes NHS (Annually Managed Expenditure).
(7) Total Expenditure is calculated as the sum of revenue and capital expenditure net of non-trust depreciation and impairments. This is in line with HMT Guidance Expenditure per head.
(8) Expenditure/head calculated as reported in evidence to the Public Expenditure Inquiry 2008; this uses the Health Expenditure as defined under the HM Treasury's Total Expenditure on Services (TES aggregate). This definition allows comparison on the same basis between England and the Devolved Administrations. The TES definition of Health Expenditure for England includes most Department of Health revenue resource near cash (excludes certain items e.g. grants to local authorities) plus local authority spending on health plus DIUS' Medical Research Council spending plus National Lottery spending on health.
Expenditure as percentage of GDP
(9 )Expenditure as a percentage of GDP is calculated using HM Treasury data published in Public Expenditure Statistical Analyses.
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