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3 Mar 2009 : Column 1477W—continued
The numbers of planned home births that resulted in a hospital delivery are not collected centrally.
The average daily number of available maternity beds in England was 10,203 in 1999-2000, 9,767 in 2000-01 and 8,441 in 2007-08. This period has seen shorter hospital stays and a growth in maternity day assessment units, where women at high risk can be monitored during the day but are able to return home at night.
Source:
Department of Health form KH03
Maternity Services: Finance
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, and pursuant to the answer of 20 January 2009, Official Report, column 1378W, on maternity services: finance, under what tariff headings the additional funding his Department plans to provide for maternity services in 2009-10 is included. [259304]
Ann Keen: Additional funding for maternity services in 2009-10 is not included in the tariff uplift breakdown for 2009-10, as this is the general uplift applied to all tariff prices. Instead, money has been targeted at maternity services, including a £20 million uplift to the maternity out-patient attendance tariff.
Further information on this funding can be found in paragraphs 20 and 21 of the “Payment by Results Guidance for 2009-10”, which has been placed in the Library.
Medical Records: Data Protection
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many NHS staff have accessed the NHS spine without appropriate authorisation in each of the last three years. [256787]
Mr. Bradshaw: Access to the national health service care record 'spine' is strictly controlled by the use of smartcards, which are only issued on proof of identity and residence. The smartcards contain role-based profiles that restrict access to patient information depending on the role performed.
There are clear processes for NHS trusts to follow in the administration of smartcards and for adherence to information governance standards. However, legal responsibility for the secure handling and managing of patient data rests with individual NHS organisations.
Details of which staff have been authorised by their employing organisation, and which staff have not been so authorised, are therefore held locally, not by the Department. The cost of collecting and maintaining this information centrally would be considerable and disproportionate to the benefit in doing so. However, there is no evidence that inappropriate access currently happens other than very exceptionally.
Mental Health Services
Anne Milton: To ask the Secretary of State for Health how many patients were re-admitted into a mental health hospital in each year since 1997. [260393]
Phil Hope: The information requested is not held centrally.
Mental Health Services: Restraint Techniques
Anne Milton: To ask the Secretary of State for Health how many times restraint was used on a mental health patient in each Strategic Health Authority area in each year since 1997; and on how many such occasions the incident was not logged within 24 hours. [260489]
Phil Hope: The information requested is not held centrally.
NHS Foundation Trusts
Harry Cohen: To ask the Secretary of State for Health which categories of patient services NHS Foundation Trust hospitals have decided to (a) commence and (b) terminate since their inception. [259738]
Mr. Bradshaw: We are informed by the chairman of Monitor (the statutory name of which is the independent regulator of NHS foundation trusts (NHS FTs) that his organisation does not hold a list of all services commenced and terminated by NHS FTs. However, all NHS FTs are required to provide details of the services that have been agreed with their primary care trust (PCT). These are listed as ‘mandatory services’ in the NHS FT’s terms of authorisation.
Any changes to the mandatory services listed in the terms of authorisation including termination of specific services requires approval from Monitor and can be done only once those changes have been agreed between the PCT and the NHS FT.
NHS: Legal Costs
Mr. Ancram: To ask the Secretary of State for Health how much the NHS spent on defending legal proceedings taken against it by private individuals seeking to reverse local decisions on health provision and facilities in 2007-08. [259988]
Ann Keen: The information requested is not held centrally.
NHS: Manpower
Mr. Lansley: To ask the Secretary of State for Health how many (a) nurses and (b) doctors there were in each NHS Trust in each year from 2000 to 2007, with data adjusted to reflect the current configuration of trusts. [259381]
Ann Keen: The information could be provided in the form requested only at a disproportionate cost. An unadjusted table containing the number of doctors and nurses in each national health service trust for the years requested has been placed in the Library.
NHS: Redundancy Pay
Sandra Gidley: To ask the Secretary of State for Health how many senior managers given redundancy payments as part of the last primary care trust reorganisation are working in another part of the NHS. [259948]
Ann Keen: This information is not collected centrally.
Patient Choice Schemes
Sandra Gidley: To ask the Secretary of State for Health what proportion of doctors in each health trust have used the choose and book system in each month since the introduction of the scheme. [259940]
Mr. Bradshaw: The Department does not collect the data on the proportion of general practitioners (GPs) using choose and book. The Department does collect data on the number of GP practices using choose and book, which is shown in the document Percentage of GP Practices using Choose and Book monthly by primary care trust, which has been placed in the Library.
Sandra Gidley: To ask the Secretary of State for Health what proportion of appointments have been made using the choose and book system in each health trust in each month since the scheme was introduced. [259941]
Mr. Bradshaw: Data on the percentage of appointments made to consultant-led out-patient appointments following a general practitioner (GP) referral using the Choose and Book system in each primary care trust (PCT) in each month since April 2006 are shown in the document, Percentage of GP referrals to first outpatient appointments made using Choose and Book, monthly by primary care trust, which has been placed in the Library.
Prior to April 2006, the Department did not calculate utilisation at a primary care trust level.
Perinatal Mortality: Research
Anne Milton: To ask the Secretary of State for Health how much his Department has allocated to spending on research into the prevention of stillbirth in (a) 2008-09 and (b) each of the subsequent three years; which research projects are being funded; where these projects are being carried out; and how much is planned to be spent on each project. [260102]
Dawn Primarolo: Estimated expenditure in 2008-09 by the Department’s National Institute for Health Research (NIHR) and its Policy Research Programme (PRP) on research related to stillbirth is £2.2 million.(1) Further details are shown in the following table.
(1) Excludes the cost of the one National Perinatal Epidemiology Unit work stream of which stillbirth research forms a part.
Information in respect of Medical Research Council (MRC) expenditure in this area in 2008-09 is not yet available.
The usual practice of the Department’s NIHR and of the MRC is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. Future levels of expenditure on stillbirth research will be determined by the success of relevant bids for funding.
Prescription Drugs: Costs
Mr. Ancram: To ask the Secretary of State for Health what the cost to the NHS of unused prescribed drugs and medicines was in 2007-08. [259924]
Dawn Primarolo: Research to determine the scale and cost of waste medicines is progressing. The research findings are expected later in 2009 and will inform the development of Government policy for influencing both health professionals and members of the public to reduce the amount of unwanted medicines and provide better value for money for the national health service.
The Department currently supports a range of initiatives including repeat dispensing and medicines use reviews, through the contractual framework for community pharmacy, where pharmacists help patients get the most from their medicines, while at the same time minimising wastage by optimising use.
Prescriptions
Mr. Lansley: To ask the Secretary of State for Health how many FP10 forms have been lost in transit from pharmacists to the Prescriptions Pricing Division of the NHS Business Services Authority in each year since 1997. [255594]
Dawn Primarolo: The NHS Prescription Services of the NHS Business Services Authority are aware of 241 separate instances, from April 1997 to November 2008, where batches of FP10 prescription forms, submitted for reimbursement by pharmacies in England to NHS Prescription Services, were lost, in transit to NHS Prescription Services.
Where forms have been lost or stolen, NHS Prescription Services or pharmacies followed this up with the postal service, courier or the police as appropriate.
On this basis, the number of FP10 forms estimated by NHS Prescription Services as lost or stolen in transit from pharmacists to the NHS Prescription Services are shown in the following table.
| Financial year | Estimated number of FPIO prescribing forms lost or stolen in transit from pharmacies to the NHS Prescription Services (England) (thousand)( 1) | Number of FP10 forms processed for pharmacies in England (thousand) | Number of FP10 forms lost as a % of the total number of FP10s processed for pharmacies in England |
| (1) This figure is based on FP10 forms from pharmacies in England, but which may include FP10 forms written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England (2) Estimated number of FP10 forms processed for pharmacies in England. (3) April to November Source: NHS Prescription Services | |||
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