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Measles

Dr. Kumar: To ask the Secretary of State for Health what steps his Department is taking to reduce the incidence of measles in (a) England, (b) the North East, (c) Teesside and (d) Middlesbrough South and East Cleveland constituency. [257540]

Dawn Primarolo: The way to reduce the number of confirmed cases of measles recorded each year is to increase the number of children vaccinated with the measles, mumps and rubella (MMR) vaccine.

In addition to the routine MMR vaccination programme, on 6 August 2008 the Department launched a national MMR vaccine catch-up campaign. The aim of the campaign is to immunise all children between one and 18 years of age who are unvaccinated or only partially vaccinated with MMR vaccine.

To support the campaign the Department has provided extra funding to primary care trusts (PCTs) with PCTs outside London having their funding limits increased by £30,000 and London PCTs’ funding limits increased by £60,000. The Department has also sourced additional supplies of vaccine, provided technical support to general practitioners to help them identify children who have not received the MMR vaccine and provided additional online reports to PCTs to help them monitor the effectiveness of their catch-up programmes. The Department has also sent all general practitioner surgeries new measles leaflets and posters.

The Department has held meetings with both strategic health authorities and PCT immunisation co-ordinators, regional directors of public health and directors of performance to emphasise the importance of reducing measles cases through improving vaccination uptake.

A public relations campaign will be rolled out from March 2009. Key messages will include how serious and infectious measles is and how it's never too late to have the MMR vaccine.

Middlesbrough PCT, Redcar and Cleveland PCT and Stockton-on Tees Teaching PCT are implementing the national MMR vaccine catch-up campaign and have three key strategies:

Meat Hygiene Service: Inspections

Tim Farron: To ask the Secretary of State for Health what the cost of inspections carried out by the Meat Hygiene Service was in each year since 1997. [257671]

Dawn Primarolo: The Meat Hygiene Service (MHS) undertakes not just inspection activities in abattoirs but also programmes for other Government Departments such as the Department for the Environment Food and Rural Affairs (DEFRA) for animal health and welfare purposes. The gross cost of the MHS and the proportion of that cost, including administrative and managerial support costs that relates to inspection, is shown in the following table.

The cost of inspection is estimated at:


24 Feb 2009 : Column 659W

24 Feb 2009 : Column 660W
£ million

1996-97 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08

Gross cost

47.4

55.0

63.1

66.9

64.6

77.7

81.2

82.1

83.7

88.2

91.3

87.1

Of which:

Inspection cost

26.6

31.9

38.9

42.3

38.4

38.7

46.6

46.2

54.1

55.1

56.7

55.1


Mental Health Services

Mr. Lansley: To ask the Secretary of State for Health with reference to the tariff uplift breakdown for 2009-10, published by his Department on 5 February 2009, when he plans to develop a tariff for mental health services. [257643]

Mr. Bradshaw: A programme of work is underway to develop and make available for use national contract 'currencies' for mental health activity by 2010-11. This is in line with the commitment made in High Quality Care for All - NHS Next Stage Review Final Report (Department of Health, June 2008), which has already been placed in the Library.

The currencies being developed will allow national comparison and benchmarking. Once they are in place, they will facilitate an informed decision on whether to introduce a national tariff for mental health services. Therefore, no date has yet been set for the introduction of a tariff for mental health services.

NHS Hospital Foundation Trusts

Mr. Gordon Prentice: To ask the Secretary of State for Health which applications for NHS Hospital Foundation Trust status have been deferred from the initial date for consideration. [257454]

Mr. Bradshaw: The decision to authorise an NHS foundation trust (NHS FT) is made by the Board of Monitor. An authorisation decision may be deferred if the issues preventing a successful application are likely to be resolved or addressed within a reasonable period of time.

I am informed by the chairman of Monitor (the statutory name of which is the independent regulator of NHS FTs) that a total of 19 applications for NHS FT status have been deferred, of which 13 were subsequently authorised, three are currently under assessment, two have withdrawn and one is awaiting reactivation.

Trust Deferred Proposed authorisation date Current Status Subsequent authorisation date, if authorised

Aintree University Hospitals NHS Foundation Trust

Deferred

April 2005

Authorised

August 2006

Birmingham and Solihull Mental Health NHS Foundation Trust

Deferred

June 2007

Authorised

July 2008

Calderdale and Huddersfield NHS Foundation Trust

Deferred

July 2004

Authorised

August 2006

Chelsea and Westminster Hospital NHS Foundation Trust

Deferred

August 2006

Authorised

October 2006

Dartford and Gravesham NHS Trust

Deferred

October 2008

Awaiting reactivation

The Dudley Group of Hospitals NHS Foundation Trust

Deferred

July 2007

Authorised

October 2008

Yeovil District Hospital NHS Foundation Trust

Deferred

April 2005

Authorised

June 2006

Heatherwood and Wexham Park Hospitals NHS Foundation Trust

Deferred

August 2006

Authorised

June 2007

Kings College Hospital NHS Foundation Trust

Deferred

July 2004

Authorised

December 2006

Medway NHS Foundation Trust

Deferred

November 2007

Authorised

April 2008

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Deferred

April 2005

Authorised

June 2006

North Staffs Combined Healthcare NHS Trust

Deferred

May 2006

Withdrawn

Northamptonshire Healthcare NHS Trust

Deferred

November 2007

Under assessment

Portsmouth Hospital NHS Trust

Deferred

July 2007

Withdrawn

The Rotherham NHS Foundation Trust

Deferred

April 2004

Authorised

June 2005

Alder Hey Children’s NHS Foundation Trust

Deferred

August 2007

Authorised

August 2008

Southend University Hospital NHS Foundation Trust

Deferred

January 2005

Authorised

June 2006

West Suffolk Hospitals NHS Trust

Deferred

January 2005

Under assessment


NHS Negligence

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 2 February 2009, Official Report, column 938W, on NHS negligence, how much of the total premium for 2009-10 will be collected (a) from each NHS trust and (b) in respect of each type of claim. [257741]


24 Feb 2009 : Column 661W

Ann Keen: We do not know how much will be collected from individual national health service trusts because the NHS Litigation Authority (NHSLA) is still in the process of calculating actual contributions. Risk management assessments, which can discount an individual member's contribution, are still being carried out. Data on actual amounts collected will be available after 1 April 2009.

In respect of each type of claim, the NHSLA have supplied the following table. This shows the breakdown of the estimated global contribution of £713 million for 2009-10 by the NHSLA's risk categories that claims fall into.

(£)
Risk Category Total contribution

Nursing and other

372,315

Low(1)

5,217,893

Psychiatry/Mental Health

14,350,759

Medium(1)

20,597,730

High(1)

91,888,822

Ambulance

3,258,790

Neurosurgery

10,335043

Neurology

7,775,245

Trauma and orthopaedics

50,727,480

Accident and emergency

45,846,498

General surgery

52,080,154

Anaesthetics

18,032,986

Obstetrics

392,516,185

Total

713,000,000

(1) These cover a range of over 100 specific risk categories

NHS Plus

Mr. Lansley: To ask the Secretary of State for Health which NHS occupational health departments were members of NHS Plus in (a) 2006, (b) 2007 and (c) 2008. [249271]

Ann Keen: There are 112 NHS Plus providers as at the end of 2008 and there were 104 in 2007. A list for both years has been placed in the Library. We do not have the information for 2006.


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