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12 Jan 2009 : Column 163W—continued

Mental Health Services: Finance

Lynne Jones: To ask the Secretary of State for Health what funding has been made available to primary care trusts to assist them in fulfilling their statutory obligation to commission independent mental health advocates for people who have been detained under the Mental Health Act; and how that funding has been calculated. [245945]

Phil Hope: Primary care trusts’ (PCTs) new statutory duty to commission independent mental health advocate services has been reflected in PCT baseline allocations for 2009-10 and 2010-11. PCT allocations reflect the outcome of the comprehensive spending review, which takes account of a range of baseline and policy pressures, including the Mental Health Act. It will be a matter for local determination how PCTs meet their statutory duty, using their available resources.

Mitochondrial Damage

Mr. Hancock: To ask the Secretary of State for Health what recent research his Department has conducted or evaluated on the relationship between mitochondrial damage and (a) the use of certain medications such as anti-inflammatories, anaesthetics, angina medications, antibiotics, anti-depressants, statins, mood-stabiliser lithium and (b) chemotherapy. [244738]

Dawn Primarolo: None.

The Medical Research Council (MRC) is one of the main agencies through which the Government supports medical and clinical research. The MRC is an independent body that receives its grant-in-aid from the Department for Innovation, Universities and Skills.

The MRC is not currently funding research directly relating to the relationship between mitochondrial damage and the use of these medications or chemotherapy. However, the MRC does support a portfolio of more basic research on the effects of mitochondrial damage including support for the MRC Mitochondrial Dysfunction
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Group at the MRC Dunn Human Nutrition Unit in Cambridge. Information about the group’s research can be found at:

In addition, the Department’s National Institute for Health Research and the MRC have recently agreed funding for the MRC Centre for Translational Research in Neuromuscular Disease Mitochondrial Disease Patient Cohort (UK) led by Professor Douglass Turnbull at Newcastle university. The development of this cohort will facilitate large-scale interventional trials of drugs and novel treatments such as sequential resistance-endurance exercise. The cohort will also provide the opportunity to assess various prevention strategies including those for cardiomyopathy, stroke-like episodes, migraine and epilepsy.

National Capabilities Survey

Mr. Lansley: To ask the Secretary of State for Health with reference to the answer of 9 January 2008, Official Report, column 596W, on influenza, to which private sector organisations the National Capabilities Survey is sent. [245503]

Dawn Primarolo: The National Capabilities Survey is sent to Category 1 and 2 organisations (as defined by the Civil Contingencies Act), Government Departments and several independent health care providers in England and Wales. From the Independent Healthcare Sector, 35 organisations were asked to respond to the survey.

National Institute for Health Research Senior Investigators

John Bercow: To ask the Secretary of State for Health whether the first cohort of National Institute for Health Research Senior Investigators has been appointed. [245768]

Dawn Primarolo: National Institute for Health Research senior investigators are selected in open competition by an international panel of judges. The first cohort of 100 investigators took up post in April this year. A directory is available at:

Their appointments are for three to five years.

National Strategy for Dementia Care

Mr. Maude: To ask the Secretary of State for Health when his Department plans to publish the National Strategy for Dementia Care. [245696]

Phil Hope: We will publish the National Dementia Strategy early in 2009, which will be a major landmark in improving services for people with dementia and their carers.

NHS Direct: Contracts

Mr. Lansley: To ask the Secretary of State for Health what the names are of all suppliers with which the NHS Direct NHS Trust holds contracts. [245626]


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Mr. Bradshaw: This information is contained in the list of NHS Direct suppliers which has been placed in the Library.

NHS Direct has contracts with those suppliers listed providing various goods and services and these include the following:

NHS Foundation Trusts

John Bercow: To ask the Secretary of State for Health what percentage of NHS (a) acute and (b) mental health trusts have become NHS foundation trusts. [245743]

Mr. Bradshaw: There are 225 acute and mental health trusts that are eligible to become NHS foundation trusts. The following table gives the information requested.

NHS foundation trusts NHS trusts Total Percentage of NHS foundation trusts

Acute

82

87

169

48.5

Mental health

31

25

56

55.4

Total

113

112

225

50.2


NHS Foundation Trusts: Governing Bodies

Mr. Henderson: To ask the Secretary of State for Health whether his Department plans to extend membership of NHS foundation hospital trusts' boards to members of the public; and whether a timescale has been produced for this policy. [244177]

Mr. Bradshaw: The constitution of both the board of governors and board of directors of a NHS Foundation Trust is set out in National Health Service Act 2006 schedule 7 sub 7, and sub 15 respectively.

Requirements for the board of governors include that more than half must be elected by the members, and at least three members must be elected by the staff constituency. One member must be appointed by a primary care trust for which the FT provides services, and at least one member of the board must be appointed by a local authority. If any of the FT’s hospitals includes a medical or dental scheme provided by a university, at least one of the board of governors must be appointed by that university. An organisation specified in the constitution as a partnership organisation may appoint a member of the board of governors also.

There are no plans to extend the membership of boards and therefore no timescale.


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NHS Trusts: Billing

Mr. Greg Knight: To ask the Secretary of State for Health which health trusts have not met the 10 day invoice payment target to small and medium-sized enterprises. [246105]

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 2008 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.

NHS Trusts: Finance

Mr. Stephen O'Brien: To ask the Secretary of State for Health which trusts’ financial balances are most at risk from being reported under international financial reporting standards; and what the balance in question is in each case. [246841]

Mr. Bradshaw: National health service organisations will be required to prepare their statutory accounts in accordance with international financial reporting standards (IFRS) for the first time for the 2009-10 financial year.

The 2009-10 operating framework requires NHS organisations to submit their final IFRS compliant financial plans for 2009-10 in March 2009. As such the detailed financial impact of moving to IFRS is not currently available.

NHS Trusts: Leasehold

Mr. Stephen O'Brien: To ask the Secretary of State for Health which NHS trusts have (a) leases and (b) private finance initiative undertakings; and what the value of such leases and initiatives are in each case. [246555]

Mr. Bradshaw: The information in respect of the private finance initiative (PFI) schemes has been placed in the Library. This shows the capital value of each PFI scheme which has reached financial close as well as all the annual and total payments from revenue sources to the private sector under the life of the contract.

Information on operating and finance leases for both national health service trusts and primary care trusts has also been placed in the Library with appropriate explanatory notes. These are recorded separately by NHS bodies as they have different accounting effects. Under current standard United Kingdom accounting practice, the entity assessed to enjoy the risks and rewards of ownership, irrespective of legal title, will recognise the leased asset in its balance sheet. Where an
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NHS body is the lessee in a finance lease, the asset will appear in that body's balance sheet; as a lessee in an operating lease no asset is recorded (i.e. it is off balance sheet).

NHS: Accountancy

Mr. Stephen O'Brien: To ask the Secretary of State for Health what assessment he has made of the effect of the use of international financial reporting standards on the budgets of (a) the NHS and (b) foundation trusts. [246556]

Mr. Bradshaw: National health service organisations will be required to prepare their statutory accounts in accordance with international financial reporting standards (IFRS) for the first time for the 2009-10 financial year.

The 2009-10 operating framework requires NHS organisations to submit their final IFRS compliant financial plans for 2009-10 in March 2009. As such, the detailed financial impact of moving to IFRS is not currently available.

2008-09 NHS accounts will continue to be prepared and published under current accounting guidance.

Accounting information in respect of NHS foundation trusts is not collected by the Department, but is available from the independent regulator, Monitor.

Mr. Stephen O'Brien: To ask the Secretary of State for Health if he will list the projected surplus or deficit for NHS trusts (a) against current accounting standards and (b) against international financial reporting standards in (i) 2008-09 and (ii) 2009-10. [246557]

Mr. Bradshaw: National health service organisations will be required to prepare their statutory accounts in accordance with international financial reporting standards (IFRS) for the first time for the 2009-10 financial year.

2008-09 NHS accounts will be prepared under current accounting guidance. At the end of quarter 2 of 2008-09, the NHS (excluding foundation trusts) is forecasting an overall surplus of £1.73 billion.

The 2009-10 operating framework requires NHS organisations to submit their final IFRS compliant financial plans for 2009-10 in March 2009. As such projected outturns are not currently available.

NHS: Data Protection

Mr. Lansley: To ask the Secretary of State for Health what steps he has taken, or intends to take, to ensure
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that incomplete or invalidated data returns from NHS bodies shared across Government for internal purposes are not used publicly. [246687]

Mr. Bradshaw: The Government attach the highest importance to Departments maintaining the integrity of official statistics and to upholding the rules relating to their publication.

The Cabinet Secretary is working with the Permanent Secretaries of the Departments concerned, including my own, to understand what happened in the case of last month’s release of statistics on knife crime. It would be inappropriate to comment further at this stage.

NHS: Finance

Dr. Desmond Turner: To ask the Secretary of State for Health whether local NHS trusts will be allowed to retain any surpluses made this financial year to spend on local health services in future years. [245076]

Mr. Bradshaw: Any surplus made by a national health service trust in the 2008-09 financial year is retained within their accounts as part of their cumulative income and expenditure reserve.

The surpluses generated and held locally, are giving NHS organisations much more flexibility to be even more responsive to patient needs, giving clinicians and managers the necessary headroom to better plan for new services and to manage risk.

Dr. Desmond Turner: To ask the Secretary of State for Health how much local NHS trusts spent on training in each of the last five years for which records are available. [245077]

Ann Keen: Information about local NHS trusts spend on training is not collected centrally.

Mr. Lansley: To ask the Secretary of State for Health what spending on the NHS in England has been in (a) real terms and (b) nominal terms in each year since 1990; and what estimate he has made of expenditure on the NHS in (i) real terms and (ii) nominal terms in England in each year until 2010-11. [245625]

Mr. Bradshaw: The requested information is given in the following table.


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