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16 Dec 2008 : Column 686W—continued

Mentally Ill: Discrimination

John Bercow: To ask the Secretary of State for Health what funding his Department has allocated to SHiFT in each year to 2011. [240713]

Phil Hope: SHIFT is expected to receive around £600,000 for the remaining two years of the programme and has so far received the following funding:


16 Dec 2008 : Column 687W

Funding (£)

2004-05

1,100,000

2005-06

873,000

2006-07

980,000

2007-08

600,000

2008-09

600,000


John Bercow: To ask the Secretary of State for Health what recent progress has been made by SHiFT in its work to tackle discrimination in (a) employment and (b) the media against people with mental health problems. [240714]

Phil Hope: SHIFT was originally launched in 2004 by National Institute for Mental Health in England (NIMHE) as a five-year programme but has now been extended to run until 2011 to work alongside “Time to Change”, a new £18 million charity sector-led anti-stigma and well-being social marketing campaign. SHIFT's work complements that of “Time to Change” by focusing on two key audiences—employers and the media.

The work in employment is aimed at improving the recruitment and retention of people with mental health problems. For example, SHIFT has distributed to public and private sector employers more than 30,000 copies of the SHIFT Line Managers Resource, giving guidance to managers on handling mental health problems in the workplace.

An independent expert panel, the SHIFT review panel, has been set up to review guidance on mental health and employment and help guide employers through the wealth of existing advice. A website signposts employers to the most appropriate resource. The panel, hosted by the Sainsbury Centre for Mental Health, includes experts from academia, business and the public sector.

The work with the media is aimed at improving media coverage of mental health and in particular challenging the link made between severe mental illness and violence.

Guidance on best practice for reporting mental health has been distributed to more than 10,000 journalists. It focuses on covering violence and suicide.

Training on reporting mental illness and suicide is being delivered to postgraduate students at journalism training colleges and the SHIFT Speakers Bureau, a bank of people willing to talk about their real life experiences of mental illness, has become an essential resource for journalists and a way of ensuring that people’s voices are heard.

National Treatment Agency

Paul Holmes: To ask the Secretary of State for Health (1) what the role and purpose is of the National Treatment Agency; [241686]

(2) how many staff were employed at the National Treatment Agency (a) when it was first launched and (b) on the latest date for which figures are available; [241687]

(3) what the budget was for the National Treatment Agency in (a) its first year of operation and (b) 2007-08. [241690]


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Dawn Primarolo: The National Treatment Agency for Substance Misuse (NTA) is a special health authority within the NHS, established by Government in 2001 to improve the availability, capacity and effectiveness of treatment for drug misuse in England.

The NTA has achieved significant improvements in access to services and is now focusing on improving the quality of treatment in order to maximise the benefit to individuals, families and communities. The NTA also plays an important role in advice and guidance on the quality of and, since April 2008, monitoring access to alcohol treatment.

In 2001-02, the NTA's first year of operation, it received a £2.1 million core grant in aid budget (from the Department) and employed an average number of 27(1) staff.

In 2007-08, the NTA received a £11.59 million core grant in aid budget (from the Department) and employed an average of 173 staff.

Newcastle Upon Tyne Hospitals NHS Foundation Trust: ICT

Mr. Bacon: To ask the Secretary of State for Health whether the Newcastle-upon-Tyne Hospitals NHS Foundation Trust is on schedule to go live with its electronic patient management and care record system. [243190]

Mr. Bradshaw: We understand that Newcastle upon Tyne hospitals NHS foundation trust has no reason to believe that it will not go live with its new patient management and care record system next year as planned. The trust is working closely with its commercial partner, and in collaboration with NHS Connecting for Health, to ensure that all project timescales are met.

NHS Foundation Trusts

Dr. Richard Taylor: To ask the Secretary of State for Health what rights (a) foundation trust members and (b) members of the public have to attend meetings of (i) boards of directors and (ii) boards of governors of their local foundation trust. [243431]

Mr. Bradshaw: The National Health Service Act 2006 requires that the constitution of a national health service foundation trust must provide for meetings of the board of governors to be to open to the public. There is no equivalent provision for meetings of the board of directors. This would be a matter for each trust. Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) has however issued a Code of Governance for National Health Service foundation trusts which advises directors to follow a policy of openness and transparency in their proceedings and decision making, unless this conflicts with a need to protect the wider interests of the public or the trust, including commercial-in-confidence matters.

NHS: ICT

Mr. Bacon: To ask the Secretary of State for Health what information his Department holds on when a complete version of Lorenzo Release 2 will undergo tests in the UK. [243191]


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Mr. Bradshaw: We anticipate that the main build of Lorenzo release 2.0, containing care management functionality, will be available for ongoing testing in the United Kingdom by the end of December 2008.

Mr. Bacon: To ask the Secretary of State for Health how many users of the Lorenzo system there are at the (a) Morecambe Bay Hospitals NHS Trust, (b) Bradford Teaching Hospitals NHS Foundation Trust and (c) South Birmingham Primary Care Trust; and what the average number of concurrent users of the Lorenzo product was at each of those trusts in the last month for which figures are available. [243193]

Mr. Bradshaw: At Morecambe Bay hospitals NHS trust there is currently limited clinical usage in a single ward, with 10 system users. At South Birmingham primary care trust, the system is being used by the podiatry team, involving 14 users. Bradford teaching hospitals NHS foundation are preparing to go live in the new year and there are therefore no live system users at present.

Information on the number of concurrent users is not held centrally.

Mr. Bacon: To ask the Secretary of State for Health on what dates (a) Department of Health officials received a demonstration of the Lorenzo software product and (b) local service provider contracts were signed under the National Programme for IT in the NHS for the Lorenzo software product; and what the planned delivery date for the Lorenzo software product was when those contracts were signed. [243434]

Mr. Bradshaw: Lorenzo release 1.0 and components of release 2.0 were first demonstrated to NHS Connecting for Health officials in India during 2007, followed by a number of demonstrations to NHS clinicians, officials and to some Public Accounts Committee members in the UK in 2008. More general demonstrations of the software have been provided since September 2008 to national health service staff.

The original relevant local service provider contracts signed in 2003 did not refer specifically to the Lorenzo product by name but to an integrated care service. A later contract reset on 8 January 2007 covered a two-release strategy for Lorenzo with the following release key milestones:

A four-release strategy has now been adopted.


16 Dec 2008 : Column 690W

NHS: Repairs and Maintenance

Mr. Lansley: To ask the Secretary of State for Health (1) what the size of the (a) high risk, (b) significant risk, (c) moderate risk and (d) low risk maintenance backlog was in each NHS trust in England in each year since 1997-98; [243834]

(2) what (a) plans and (b) targets his Department has on reducing the maintenance backlog in the NHS; and how much is planned to be spent on reducing the backlog in the next three years. [243835]

Mr. Bradshaw: The information is not available in the format requested.

Levels of backlog maintenance categorised by risk were not collected prior to 2004-05. The information relating to 2004-05 onwards has been placed in the Library.

The Department collects data on backlog maintenance annually from national health service trusts through its estates return information collection (ERIC). These data have not been amended centrally and therefore their accuracy is the responsibility of the contributing NHS organisations.

NHS organisations are locally responsible for the provision and maintenance of their facilities. This includes planning and investment to reduce backlog maintenance.

Obesity

Mr. Burstow: To ask the Secretary of State for Health how many finished consultant episodes there were for (a) paediatric and (b) adolescent obesity treatment in (i) England and (ii) each strategic health authority in each year since 1997. [241051]

Dawn Primarolo: Data are available between 1997-98 and 2006-07. This information has been placed in the Library.

Mr. Burstow: To ask the Secretary of State for Health how many surgical procedures to treat obesity were carried out on the NHS in (a) England, (b) each region and (c) each strategic health authority area in each year since 1997. [241052]

Dawn Primarolo: Data on finished consultant episodes (FCEs) with a primary diagnosis of obesity as well as a main procedure of bariatric surgery are provided in the following table. Data are available between 1997-98 to 2006-07.


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Count of FCEs with a primary diagnosis of obesity* and a main procedure of bariatric surgery** broken down by strategic health authority of residence for 1997-98 to 2006-07
Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

Strategic health authority 2006-07 2005-06 2004-05 2003-04 2002-03 2001-02 2000-01 1999-2000 1998-99 1997-98

England Total

1,890

998

711

451

334

279

250

193

187

143

Q01

Norfolk, Suffolk and Cambridgeshire Strategic Health Authority

39

24

12

9

6

7

2

3

6

Q02

Bedfordshire and Hertfordshire Strategic Health Authority

28

17

9

6

8

7

2

3

2

Q03

Essex Strategic Health Authority

11

13

7

5

3

5

4

0

1

Q04

North West London Strategic Health Authority

68

44

11

13

5

5

3

1

1

Q05

North Central London Strategic Health Authority

29

15

11

5

2

3

5

0

2

Q06

North East London Strategic Health Authority

24

9

4

3

1

2

1

1

0

Q07

South East London Strategic Health Authority

30

23

18

11

13

18

11

4

3

Q08

South West London Strategic Health Authority

33

20

11

11

5

7

7

2

3

Q09

Northumberland, Tyne and Wear Strategic Health Authority

43

28

19

11

9

8

8

9

7

Q10

County Durham and Tees Valley Strategic Health Authority

17

13

5

5

7

6

3

4

2

Q11

North and East Yorkshire and Northern Lincolnshire Strategic Health Authority

135

60

37

20

19

8

15

12

4

Q12

West Yorkshire Strategic Health Authority

57

51

62

40

38

56

42

30

30

Q13

Cumbria and Lancashire Strategic Health Authority

11

18

17

11

14

9

14

7

7

Q14

Greater Manchester Strategic Health Authority

20

21

15

9

4

9

5

7

6

Q15

Cheshire and Merseyside Strategic Health Authority

8

33

32

41

36

24

7

17

8

Q16

Thames Valley Strategic Health Authority

12

9

6

9

6

7

4

0

0

Q17

Hampshire and Isle of Wight Strategic Health Authority

2

4

3

0

1

0

3

4

2

Q18

Kent and Medway Strategic Health Authority

12

17

5

5

9

4

3

2

2

Q19

Surrey and Sussex Strategic Health Authority

33

20

14

11

13

9

6

5

0

Q20

Avon, Gloucestershire and Wiltshire Strategic Health Authority

57

19

12

1

3

0

3

3

4

Q21

South West Peninsula Strategic Health Authority

33

22

12

12

24

7

12

6

5

Q22

Dorset and Somerset Strategic Health Authority

31

13

4

3

1

4

2

1

0

Q23

South Yorkshire Strategic Health Authority

107

88

59

40

23

18

15

17

23

Q24

Trent Strategic Health Authority

82

41

19

21

14

14

5

7

10

Q25

Leicestershire, Northamptonshire and Rutland Strategic Health Authority

19

33

11

8

2

4

0

4

3

Q26

Shropshire and Staffordshire Strategic Health Authority

23

21

18

11

3

3

3

11

3

Q27

Birmingham and the Black Country Strategic Health Authority

25

20

12

10

7

3

6

25

7

Q28

West Midlands South Strategic Health Authority

8

15

6

3

2

3

2

2

2

Q30

North East Strategic Health Authority

106

Q31

North West Strategic Health Authority

76

Q32

Yorkshire and the Humber Strategic Health Authority

435

Q33

East Midlands Strategic Health Authority

205

Q34

West Midlands Strategic Health Authority

240

Q35

East of England Strategic Health Authority

86

Q36

London Strategic Health Authority

292

Q37

South East Coast Strategic Health Authority

138

Q38

South Central Strategic Health Authority

110

Q39

South West Strategic Health Authority

202

U

England—not otherwise specified

0

1

0

0

0

1

0

0

0

0

Other, foreign and unknown Strategic Health Authorities

12

6

21

29

12

10

8

6

10

7

Notes:
Finished Consultant Episode (FCE)
1. A FCE is defined as a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which the FCE finishes. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
*Primary diagnosis
2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.
E66—Obesity.
Number of episodes in which the patient had a (named) primary diagnosis
3. These figures represent the number of episodes where the diagnosis was recorded in the primary diagnosis field in a HES record.
**Main procedure
4. The main procedure is the first recorded procedure or intervention in the HES data set and is usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, e.g. time waited, but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedure.
Data Quality
5. HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. 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 via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
6. HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Ungrossed Data
7. Figures have not been adjusted for shortfalls in the data, i.e. the data are ungrossed.
Primary Care Trust (PCT)/Strategic Health Authority (SHA) data quality
8. PCT and SHA data was added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

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