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Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 24 February 2009, Official Report, column 661W, on NHS negligence, if he will publish the breakdown of the global contribution in each year since 1997 on the same basis as the estimated figures for 2009-10 given in the Answer. 
Ann Keen: The NHS Litigation Authority (NHSLA) does not have this information for years prior to 2009-10 and to obtain it would be at disproportionate cost. The NHSLA only has data for 2009-10 because they asked actuaries to provide a more detailed analysis once the initial estimate showed an increase on the previous year.
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.
A number of primary care trusts (PCTs) in the North West have participated in a regional medicines waste campaign. However, Cumbria PCT has developed its own campaign working with local stakeholders and media. In terms of media coverage, the PCT recently published an article in its in-house magazine promoting the issue, and advising readers on ways to minimise medicine wastage (featured in December 2008 issue). The PCT is also conducting a returned medicine audit to establish what medicines are returned to community pharmacies and why. Linked to the nationally commissioned research, the university of York is helping analyse the results for Cumbria PCT and the findings are expected later this year.
Mr. Jamie Reed: To ask the Secretary of State for Health how much the NHS has spent on drugs of all types in each year since 1997 in (a) England and (b) the geographical area now covered by NHS Cumbria. 
|Drugs bill expenditure, England|
|Total outturn expenditure (£ million)|
|(1) From 2000-01 figures are in resource terms and represent the cost of prescriptions prescribed in the period April to March. Figures prior to 2000-01 are in cash terms and represent reimbursement payments made from April to March for prescriptions prescribed in February to January.|
1. Prescription Services Division, the NHS Business Services Authority, England.
2. Department of Health Finance Division; Foundation Trust year-end accounts.
Primary care trust (PCT) level data on prescriptions dispensed in the community are only held for the latest 60 months. The following table provides net ingredient cost (NIC) figures for prescriptions prescribed in the Cumbria area and dispensed in the community in the United Kingdom, 2004 to 2008.
|Cumbria PCT area( 1) , all prescribing( 2)|
|NIC (£ million)|
|(1) Cumbria PCT came into existence in October 2006 and was formed by the merger of Carlisle and District PCT, Eden Valley PCT, West Cumbria PCT and the South Lakeland part of Morecambe Bay PCT.|
The figures provided for 2004 and 2005 are the sum of Carlisle and District PCT, Eden Valley PCT, West Cumbria PCT and Morecambe Bay PCT. The figures for 2006 and 2007 are the combination of the figures for these PCTs plus the figures for Cumbria PCT (prescriptions are valid for six months and prescriptions for the PCTs which were abolished in 2006 continued to be dispensed in 2007 although the numbers were small). As only part of Morecambe Bay went into Cumbria PCT it is not possible to provide exact figures over this time period for the area currently covered by Cumbria PCT.
The figures for 2008 are for Cumbria PCT.
(2) The figures include prescribing of all medicines, including drugs, appliances, dressings and devices.
Prescribing Analysis and CosT tool (PACT) system.
From 1 April 2009 all providers of national health service-funded care who are subject to the terms of the standard NHS contract for acute services are obliged to invite patients undergoing hip
and knee replacements, groin hernia and varicose vein surgeries to complete patient reported outcome measures (PROMs) questionnaires. The Department is aware of a number of examples where providers are involved currently in local PROMs data collection exercises although there is no central register of these activities.
Ms Abbott: To ask the Secretary of State for Health if he will consider the merits of exempting patients with sickle cell disease and thalassaemia from prescription charges from April 2009; and if he will make a statement. 
Dawn Primarolo: We have asked the president of the Royal College of Physicians (Professor Ian Gilmore) to carry out a review of prescription charges that will consider how to implement the commitment to exempt patients with long-term conditions from prescription charges. The review is due to make its recommendations to ministers in summer 2009.
Mr. Amess: To ask the Secretary of State for Health how many women in each age group and region taking mifepristone required further treatment because the womb was not completely emptied of its contents or it failed to end the pregnancy in each of the last five years for which figures are available, broken down by length of gestation of the pregnancy. 
Phil Hope: We are informed by the Information Centre for health and social care that information on expenditure by local authorities on domiciliary care for 2008-09 will not be available until later in 2009. Gross expenditure and the average annual gross total cost per person for domiciliary care for 2007-08 by councils with adult social services responsibilities (CASSRs) is shown in the following table.
|Total amounts spent on domiciliary care( 1 ) and the average annual cost of domiciliary care for older people (aged 65 and over) for each local authority in 2007-08|
|CASSR||Gross current expenditure on domiciliary care (£000)||Average annual gross total cost per person receiving domiciliary care( 2) (£)|
|UA = Unitary authority.|
(1) Domiciliary care has been defined as services helping the client to live at home, including direct payments, home care, day care, equipment and adaptations, meals and other non residential services. It also includes expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure.
(2) The total number of clients receiving domiciliary care has been taken from provisional RAP data and the cost per person is therefore provisional.
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