Previous Section Index Home Page

17 Dec 2008 : Column 914W—continued


NHS: Finance

Mr. Lansley: To ask the Secretary of State for Health pursuant to his written ministerial statement of 8 December 2008, Official Report, column 30WS, on the NHS Operating Framework, what weighting is given to age in each year’s allocations to primary care trusts. [243769]

Mr. Bradshaw: Revenue allocations to primary care trusts (PCTs) in 2009-10 and 2010-11 have been informed by the new weighted capitation formula recommended by the independent Advisory Committee on Resource Allocation. The weighted capitation formula is used to determine PCTs’ target allocations, and gives older people a much higher weighting than those in their twenties and thirties.

Around 30 per cent. of the variation in target allocations per head between PCTs is estimated to be due to differences in the ages of PCTs’ populations. Actual allocations to PCTs depend also on pace of change policy; how quickly PCTs are brought closer towards their target allocations through the distribution of additional funding. Due to pace of change policy, it is not possible to estimate how much variation in actual allocations between PCTs is due to age.

Mr. Lansley: To ask the Secretary of State for Health pursuant to his Written Ministerial Statement of 8 December 2008, Official Report, column 30WS, on the NHS Operating Framework, if he will provide a breakdown by financial year of the £800 million drawdown of the NHS surplus; and by what mechanism the drawdown will take place. [243770]


17 Dec 2008 : Column 915W

Mr. Bradshaw: The aggregate surplus delivered in 2008-09 by strategic health authorities (SHAs) and primary care trusts (PCTs) will be carried forward into 2009-10. This surplus will start to be deployed in a planned and managed way and will probably total some £800 million over the two financial years, 2009-10 and 2010-11.

The mechanism that will be used to deploy the surplus is through each SHA area determining and agreeing with the Department the level of accumulated surplus deployment required for 2009-10 and 2010-11 based on their local planning requirements.

Mr. Lansley: To ask the Secretary of State for Health for what reasons primary care trusts are not receiving an increase in their resource budgets equivalent to the increases in his Department’s resource budgets for (a) 2008-09, (b) 2009-10 and (c) 2010-11. [243836]

Mr. Bradshaw: The additional resources that primary care trusts (PCTs) received in 2008-09 were not limited to the 5.5 per cent. uplift in revenue allocations. In addition, the Department allocated a further £1.7 billion of central budgets direct to PCTs thereby increasing the proportion of the total NHS revenue budget that is allocated direct to PCTs.

In 2009-10 the Department will hold an unallocated sum for contingencies, on a non-recurrent basis. These will be released over the year, over and above the 5.5 per cent. allocations growth. Decisions on 2010-11 central contingencies will be made as part of the planning process for 2010-11.

Mr. Lansley: To ask the Secretary of State for Health what percentage of his Department’s revenue budget has been allocated to primary care trusts for each year from 1996-97 to 2010-11. [243838]

Mr. Bradshaw: The requested statistics are shown in the following table.

NHS revenue expenditure (£ billion)( 1,2,3,4,5) Revenue allocations including additional funding announced alongside allocations (£ billion)( 6) Percentage of NHS revenue in PCT control at time of allocations announcement

1996-97

31.656

22.714

71.8

1997-98

33.575

23.843

71.0

1998-99

35.801

24.951

69.7

1999-2000

39.293

31.328

79.7

2000-01

42.686

34.429

80.7

2001-02

47.289

37.220

78.7

2002-03

51.935

41.270

79.5

2003-04

61.865

45.313

73.2

2004-05

66.873

49.673

74.3

2005-06

74.168

54.307

73.2

2006-07

78.468

64.644

82.4

2007-08

86.344

70.689

81.9

2008-09

92.475

75.880

82.1

2009-10

98.263

80.031

81.4

2010-11

104.603

84.432

80.7

(1 )Changes to accounting treatment mean that figures are not consistent over the period, therefore it is difficult to make comparisons
(2) Expenditure before 1999-2000 is on a cash basis.
(3) Expenditure figures from 1999-00 to 2002-03 are on a Stage 1 Resource Budgeting basis
(4) Expenditure figures from 2003-04 are on a Stage 2 Resource Budgeting basis.
(5) 2002-03 to 2006-07 figures are outturn (the actual year end position), 2007-08 figures are estimated outturn, and 2008-09 to 2010-11 is plan.
(6) The additional funding announced alongside allocations might include central budgets or other special allocations which determine PCT initial resource limits.

17 Dec 2008 : Column 916W

NHS: ICT

Mr. Bacon: To ask the Secretary of State for Health (1) what discussions he has had with (a) his counterpart in the Government of Singapore and (b) Singaporean health care institutions on the Lorenzo software product; and if he will make a statement; [243187]

(2) what plans his Department has to study the effectiveness of the use of the Lorenzo software product by Singhealth; and if he will make a statement. [243189]

Mr. Bradshaw: None. However, a number of telephone calls have been conducted between NHS Connecting for Health officials and Singhealth for the purposes of gathering background information about experience in Singapore. The Department currently has no plans to conduct a detailed review of the experience of the Lorenzo product at Singhealth.

Mr. Bacon: To ask the Secretary of State for Health what discussions he has had with (a) his counterpart in the Government of the United Arab Emirates (UAE) and (b) health care institutions in the UAE on the deployment of Cerner electronic patient management and care record systems; and if he will make a statement. [243188]

Mr. Bradshaw: None.

NHS: Pay

Mr. Gray: To ask the Secretary of State for Health what the change in real terms was in (a) nurses' and (b) NHS ancillary staff pay in each of the last five years; and if he will make a statement. [243781]

Ann Keen: The increase in real terms in nurses pay and ancillary staff pay for each of the last five years is set out in the following table.

Nurses Ancillary staff

Increase in average earnings (percentage) Real terms increase (percentage) Increase in average earnings (percentage) Real terms increase (percentage)

2004-05

5.10

2.32

8.70

5.82

2005-06

3.90

1.81

6.60

4.46

2006-07

3.90

1.18

6.60

3.81

2007-08

4.00

0.91

6.70

3.53

2008-09

5.30

1.99

5.30

1.99


NHS: Payments

Mr. Oaten: To ask the Secretary of State for Health what assessment he has made of the performance of NHS bodies in making payments to suppliers within 10 days of receiving an invoice; and if he will make a statement. [244583]

Mr. Bradshaw: We do not currently collect such performance data because no specific requirement has yet been placed on national health service bodies to meet a 10 day target.

However, David Nicholson, NHS Chief Executive, wrote to all NHS Trust Chief Executives on 21 October asking them to examine and review existing payment practices and payment performance and to move as
17 Dec 2008 : Column 917W
closely as possible to the 10-day payment commitment that has been set for Government Departments wherever practical. Bill Moyes, Executive Chair, Monitor, has written similarly to all foundation trusts.

NHS prompt payment performance against the 30 day payment target is reported in annual accounts. The 2007-08 accounts for NHS Trusts recorded an 83 per cent. achievement against the 30 day payment target for non-NHS payments.

NHS: Per Capita Costs

Mr. Clappison: To ask the Secretary of State for Health how much was spent per head of population by each primary care trust in 2007-08, ranked from the highest to lowest. [243963]

Mr. Bradshaw: The information is shown in the following table.


17 Dec 2008 : Column 918W

17 Dec 2008 : Column 919W
Primary care trust Spend per head of population (£)

Islington PCT

1,992

Tower Hamlets PCT

1,921

Halton and St. Helens PCT

1,890

Southwark PCT

1,881

Lambeth PCT

1,859

Knowsley PCT

1,858

Liverpool PCT

1,835

Stoke on Trent PCT

1,827

Salford PCT

1,826

Camden PCT

1,815

Middlesbrough PCT

1,806

Manchester PCT

1,797

Blackpool PCT

1,772

City and Hackney Teaching PCT

1,752

Lewisham PCT

1,736

Newcastle PCT

1,708

South Tyneside PCT

1,691

Newham PCT

1,672

Gateshead PCT

1,666

Wakefield District PCT

1,664

Heart of Birmingham Teaching PCT

1,652

Sunderland Teaching PCT

1,645

Haringey Teaching PCT

1,642

Hartlepool PCT

1,635

Sefton PCT

1,625

Wirral PCT

1,625

Redcar and Cleveland PCT

1,614

South Birmingham PCT

1,608

Walsall Teaching PCT

1,606

Wandsworth PCT

1,597

Hastings and Rother PCT

1,594

Hammersmith and Fulham PCT

1,594

Sandwell PCT

1,589

North Tyneside PCT

1,589

Blackburn with Darwen PCT

1,585

Nottingham City PCT

1,581

Heywood, Middleton and Rochdale PCT

1,578

Portsmouth City Teaching PCT

1,577

Oldham PCT

1,574

Hull Teaching PCT

1,567

County Durham PCT

1,564

Doncaster PCT

1,561

Brent Teaching PCT

1,561

Greenwich Teaching PCT

1,557

Darlington PCT

1,554

Tameside and Glossop PCT

1,549

East Lancashire Teaching PCT

1,548

Sheffield PCT

1,546

Barnsley PCT

1,546

Northumberland Care PCT

1,545

Torbay Care PCT

1,544

Bristol PCT

1,543

Westminster PCT

1,541

Wolverhampton City PCT

1,537

Ealing PCT

1,529

Isle of Wight NHS PCT

1,525

Brighton and Hove City PCT

1,518

Bradford and Airedale Teaching PCT

1,510

Peterborough PCT

1,506

Barking and Dagenham PCT

1,505

Ashton, Leigh and Wigan PCT

1,498

Plymouth Teaching PCT

1,497

Rotherham PCT

1,497

Leeds PCT

1,494

Leicester City PCT

1,488

Birmingham East and North PCT

1,486

Waltham Forest PCT

1,484

Bolton PCT

1,477

Central Lancashire PCT

1,473

North Lancashire Teaching PCT

1,468

Southampton City PCT

1,465

Coventry Teaching PCT

1,464

North East Lincolnshire Care Trust Plus

1,456

North Tees PCT

1,453

Hounslow PCT

1,451

Cumbria PCT

1,445

Great Yarmouth and Waveney PCT

1,440

Enfield PCT

1,440

West Essex PCT

1,436

North Lincolnshire PCT

1,435

Derby City PCT

1,429

Kensington and Chelsea PCT

1,429

Calderdale PCT

1,426

Cornwall and Isles of Scilly PCT

1,417

Dudley PCT

1,414

Bury PCT

1,413

Trafford PCT

1,410

Devon PCT

1,410

Stockport PCT

1,408

Western Cheshire PCT

1,405

Eastern and Coastal Kent PCT

1,400

Bournemouth and Poole PCT

1,398

Derbyshire County PCT

1,392

North Staffordshire PCT

1,388

Havering PCT

1,384

North Somerset PCT

1,382

Nottinghamshire County Teaching PCT

1,378

West Sussex PCT

1,376

Bassetlaw PCT

1,373

Dorset PCT

1,372

Kirklees PCT

1,369

Warrington PCT

1,367

East Sussex Downs and Weald PCT

1,364

Shropshire County PCT

1,360

Barnet PCT

1,359

Sutton and Merton PCT

1,351

Herefordshire PCT

1,347

South East Essex PCT

1,346

Harrow PCT

1,344

Lincolnshire Teaching PCT

1,344

Redbridge PCT

1,343

Somerset PCT

1,338

North East Essex PCT

1,330

Croydon PCT

1,329

Hillingdon PCT

1,326

Swindon PCT

1,322

Bexley NHS Care Trust PCT

1,321

Norfolk PCT

1,320

Telford and Wrekin PCT

1,318

Luton PCT

1,317

Warwickshire PCT

1,315

Central and Eastern Cheshire PCT

1,312

Solihull NHS Care Trust PCT

1,311

Bromley PCT

1,309

East Riding of Yorkshire PCT

1,305

Worcestershire PCT

1,301

South Staffordshire PCT

1,301

Surrey PCT

1,299

Gloucestershire PCT

1,298

North Yorkshire and York PCT

1,297

Richmond and Twickenham PCT

1,294

South West Essex PCT

1,290

Northamptonshire Teaching PCT

1,277

Bath and North East Somerset PCT

1,271

Medway PCT

1,264

West Kent PCT

1,256

South Gloucestershire PCT

1,255

Oxfordshire PCT

1,254

Berkshire East PCT

1,233

Suffolk PCT

1,232

Milton Keynes PCT

1,228

West Hertfordshire PCT

1,215

Kingston PCT

1,214

Leicestershire County and Rutland PCT

1,214

Berkshire West PCT

1,205

Hampshire PCT

1,204

Wiltshire PCT

1,200

Cambridgeshire PCT

1,200

Buckinghamshire PCT

1,198

East and North Hertfordshire PCT

1,183

Bedfordshire PCT

1,168

Mid Essex PCT

1,166

Notes:
1. Spend is based on the net operating costs reported in primary care trusts’ (PCTs’) audited summarisation schedules. This does not include all expenditure as the majority of pharmaceutical services expenditure is accounted for by the NHS Business Services Authority rather than by PCTs.
2. The unweighted population figure used to calculate spend per head is the PCT responsible population using the Office for National Statistics (ONS) 2007 population projection, adjusted using GP practice lists.

Next Section Index Home Page