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26 Jan 2009 : Column 241W—continued
Musculoskeletal Disorders
Mr. Lansley: To ask the Secretary of State for Health how many (a) emergency and (b) elective hospital admissions for musculoskeletal conditions were recorded by the Hospital Episodes Statistics database in each year since 1997-98, broken down by age group. [249245]
Mr. Bradshaw: We are unable to provide the information as requested because the classification system of diseases (ICD-10) that is used to categorise the hospital episode statistics does not allow us to accurately collate admission data for people with diseases of the musculoskeletal system alongside people with other conditions that have musculoskeletal symptoms, or musculoskeletal implications.
Mr. Lansley: To ask the Secretary of State for Health how many episodes of care entailed (a) a shoulder replacement, (b) an ankle replacement, (c) an elbow replacement and (d) a scoliosis correction procedure there were in the latest period for which figures are available, broken down by provider organisation. [249259]
Ann Keen: The information requested has been placed in the Library.
Unfortunately we are unable to provide data for ‘a scoliosis correction procedure’ as we cannot identify which procedures this term includes.
Mr. Lansley: To ask the Secretary of State for Health (1) what the (a) mean and (b) median waiting time has been since 1997-98 for an inpatient appointment with a diagnosis of pain associated with musculoskeletal conditions, as recorded in the Hospital Episodes Statistics database, broken down by area of commissioning responsibility; [249260]
(2) how many (a) emergency and (b) elective hospital admissions for pain associated with musculoskeletal conditions there have been in each year since 1997-98, as recorded by the Hospital Episodes Statistics database, broken down by strategic health authority area. [249267]
Mr. Bradshaw: The Department does collect information related to admissions for musculoskeletal conditions. However, these are not classified by their association with pain.
Musculoskeletal Disorders: Finance
Mr. Lansley: To ask the Secretary of State for Health what estimate he has made of the annual cost to the NHS of treating musculoskeletal conditions. [249347]
Ann Keen: Estimates of national health service expenditure on problems of the musculoskeletal system are available from programme budgeting returns, which can be found in the “Department of Health: Departmental Report 2008”, a copy of which has been placed in the Library, and show for the 2006-07 financial year, the latest for which figures are available, estimated NHS expenditure on problems of the musculoskeletal system was £3.5 billion. Musculo skeletal system expenditure which falls under general medical services and personal medical services is not included in this figure.
Musculoskeletal Disorders: Health Services
Mr. Lansley: To ask the Secretary of State for Health what assessment he has made of changes in demand for NHS musculoskeletal services over the next 10 years; what proportion of NHS bed days he estimates will be occupied by people with musculoskeletal problems in each of the next 10 years; and if he will make a statement. [249244]
Ann Keen: The Department has not made any specific assessment of changes in demand for national health service musculoskeletal services over the next ten years nor the proportion of bed days will be occupied by people with musculoskeletal problems. It is the responsibility of primary care trusts in working with providers of services to plan for future demand using all available sources of information. To support primary care trusts in undertaking this work, the 18 weeks programme has developed a range of orthopaedic commissioning pathways on for example Hip Pain, Knee Pain, Shoulder Pain, Chronic Pain Back pain and Carpal Tunnel Syndrome. A further pathway is planned for arthritis and is currently under development.
Musculoskeletal Disorders: Surgery
Mr. Lansley: To ask the Secretary of State for Health how many (a) primary total hip replacements, (b) revision total hip replacements, (c) primary total knee replacements and (d) revision total knee replacements there have been in the NHS in each year since 1997-98; and if he will break down the data by primary care trust area for the latest year for which figures are available. [249257]
Ann Keen: The requested information has been placed in the Library.
Musculoskeletal Disorders: Waiting Lists
Mr. Lansley:
To ask the Secretary of State for Health what proportion of (a) admitted and (b) non-admitted patients were treated within 18 weeks following GP referral in each month since January 2007 in the (i) orthopaedic and (ii) rheumatology specialty, broken down by strategic health authority area; and what the (A) mean and (B) median length of time from referral to treatment was for a patient in the (1)
orthopaedic and (2) rheumatology specialty in each month since January 2007, broken down by strategic health authority area. [249247]
Ann Keen: The data have been placed in the Library.
Figures have been provided on a commissioner basis, as this is the basis against which the national referral to treatment targets are being measured. Figures on mean waiting times have not been calculated as the distribution of waits in the final time band is not known.
NHS Litigation Authority
Mr. Stephen O'Brien: To ask the Secretary of State for Health what the gross value of the provisions held by the NHS Litigation Authority was for each category for which provisions were made in each of the last 10 years. [249799]
Ann Keen: The information requested in the following table and was provided by the NHS Litigation Authority (NHSLA).
| Provisions recorded by the NHSLA by year and by scheme | ||||||
| £ million | ||||||
| Ex-Regional Health Authorities Scheme | Existing Liabilities Scheme | Clinical Negligence Scheme for Trusts | Property Expenses Scheme | Liabilities to Third Parties Scheme | Total | |
NHS Treatment Centres
Bob Russell: To ask the Secretary of State for Health which primary care trusts have awarded contracts to private companies to operate walk-in centres; and which company has been awarded the contract in each case. [250574]
Mr. Bradshaw: With regard to which primary care trusts (PCTs) may have locally commissioned private sector companies to operate national health service (NHS) commuter walk-in centres (CWICs), this information is not held centrally.
The Department holds information about six NHS CWiCs procured as part of the centrally funded independent sector treatment centre (ISTC) programme.
These centres are operated by the following providers:
| Centre location | Provider | Opened |
NHS: Billing
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 12 January 2009, Official Report, column 169W, on NHS: finance, what proportion of undisputed invoices for goods and services (a) were paid and (b) were not paid by NHS trusts within contract terms or within 10 days where no terms had been agreed since 31 October 2008. [249806]
Mr. Bradshaw: National health service prompt payments to suppliers’ performance information, is collected on a quarterly and on an annual basis against a 30 day target.
The latest information available is for the period 1 April 2008 to 30 September 2008. For this period NHS trusts recorded an 84.5 per cent. achievement against the 30 day payment target for non-NHS payments leaving 15.5 per cent. outside of the target. This compares to an achievement over the first two quarters of 2007-08 of 82.6 per cent., an improvement over the whole year.
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.
However we do not currently collect performance data of total NHS bills paid within 10 days because no specific requirement has yet been placed on NHS bodies to meet this target.
NHS: Buildings
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer to the hon. Member for Sutton and Cheam (Mr. Burstow) of 10 December 2008, Official Report, column 164W, what the (a) actual and (b) risk-adjusted backlog maintenance was for each NHS trust in 2007-08. [249845]
Mr. Bradshaw: The information requested has been placed in the Library.
Public capital expenditure in the national health service has risen every year since 1999-2000 and will rise from £4.7 billion in 2008-09 to a record peak of £5.6 billion in 2009-10; at the same time 76 hospital schemes funded under the Private Finance Initiative have opened worth £5.3 billion. These record levels of capital investment in the national health service estate have resulted in a quarter of the estate occupied by NHS trusts being replaced since 1997, and the proportion of the estate that predates the establishment of the NHS itself has fallen from 50 per cent. in 1997-98 to less than 20 per cent. in 2007-08.
NHS organisations are responsible for the provision and maintenance of facilities to support the delivery of high quality clinical services. Therefore, the NHS will locally prioritise investment to reduce backlog maintenance based on risk assessment, reconfiguration planning and available resources. The majority of backlog maintenance relates to low priority work, which trusts will undertake through maintenance programmes. Where higher risks are present, work will be undertaken as a priority. While levels of backlog maintenance vary across the NHS, it is estimated that around 75 per cent. of the total costs to eradicate backlog maintenance is concentrated in 20 per cent. of organisations.
The Department collects data on backlog maintenance and risk adjusted backlog maintenance annually from NHS trusts through its Estates Returns Information Collection (ERIC). The data provided are not amended centrally and the responsibility for its accuracy lies with the contributing NHS organisations.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer to the hon. Member for Sutton and Cheam (Mr. Burstow) of 10 December 2008, Official Report, column 164W, on NHS: buildings, when he plans to publish backlog data for 2008-09. [250913]
Mr. Bradshaw: The Department collects data on backlog maintenance annually from national health service trusts through its Estates Returns Information Collection (ERIC). The data are published at the end of October each year on the Health Estates Facilities Statistics website. The 2008-09 data will be available by the end of October 2009.
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