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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 years allocations to primary care trusts. 
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. 
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 Departments resource budgets for (a) 2008-09, (b) 2009-10 and (c) 2010-11. 
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.
|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|
|(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.
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; 
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. 
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. 
|Increase in average earnings (percentage)||Real terms increase (percentage)||Increase in average earnings (percentage)||Real terms increase (percentage)|
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. 
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
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.
|Primary care trust||Spend per head of population (£)|
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.
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