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9 Mar 2009 : Column 150W—continued


9 Mar 2009 : Column 151W

NHS: Negligence

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. [260826]

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.

NHS: Prescriptions

Mr. Jamie Reed: To ask the Secretary of State for Health (1) what steps his Department is taking to prevent the over-prescription of medicines within the NHS; [261088]

(2) what estimate his Department has made of the cost to the NHS of over-prescription of medicines in (a) England and (b) within the geographical area now covered by NHS Cumbria since 1997. [261089]

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. [261090]

Dawn Primarolo: Information for expenditure on drugs by the national health service in England since 1996-97 is provided as follows:


9 Mar 2009 : Column 152W
Drugs bill expenditure, England
Total outturn expenditure (£ million)

Cash terms( 1)

1996-97

4,735

1997-98

5,173

1998-99

5,550

1999-2000

6,202

Resource terms( 1)

2000-01

6,688

2001-02

7,446

2002-03

8,355

2003-04

9,271

2004-05

9,966

2005-06

9,979

2006-07

10,545

2007-08

10,925

(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.
Sources:
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)

2004 (includes all of Morecambe Bay)

113.4

2005 (includes all of Morecambe Bay)

109.7

2006 (includes all of Morecambe Bay)

106.6

2007 (includes all of Morecambe Bay)

89.6

2008 (excluding part of Morecambe Bay)

88.1

(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.
Source:
Prescribing Analysis and CosT tool (PACT) system.

NHS: Standards

Mr. Stephen O'Brien: To ask the Secretary of State for Health how many NHS trusts (a) use patient recorded outcome measures (PROMS) and (b) have purchased PROMS IT systems. [260317]

Mr. Bradshaw: 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
9 Mar 2009 : Column 153W
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.

The Department has no central record of purchases of information technology systems to support PROMs data collections by individual NHS trusts.

Prescriptions: Fees and Charges

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. [260855]

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.

The review is engaging widely with stakeholders to seek the views of patients, the public, patient representative bodies, clinicians and healthcare organisations.

The all party parliamentary group on Sickle Cell and Thalassaemia has provided written evidence to the review.

RU486

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. [261579]

Dawn Primarolo: The information requested is not collected centrally.

Social Services: Elderly

Norman Lamb: To ask the Secretary of State for Health how much each local authority spent on domiciliary care for older people (a) in total and (b) per person in such care in 2008-09. [261493]

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.


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9 Mar 2009 : Column 156W
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) (£)

Barnsley

13,800

2,025

Birmingham

59,800

3,954

Bolton

18,700

3,620

Bradford

31,800

3,691

Bury

9,000

3,161

Calderdale

13,100

3,484

Coventry

29,200

9,862

Doncaster

16,700

4,892

Dudley

19,300

2,341

Gateshead

19,400

3,576

Kirklees

23,500

2,511

Knowsley

10,300

3,449

Leeds

45,900

4,086

Liverpool

58,100

6,515

Manchester

34,300

4,817

Newcastle upon Tyne

21,300

3,976

North Tyneside

12,700

2,528

Oldham

19,100

6,604

Rochdale

11,800

2,857

Rotherham

21,000

5,077

Salford

14,700

2,560

Sandwell

23,500

3,466

Sefton

17,600

2,929

Sheffield

41,200

3,777

Solihull

12,100

2,300

South Tyneside

13,000

3,443

St. Helens

16,200

3,163

Stockport

13,000

2,694

Sunderland

18,200

2,616

Tameside

12,500

2,581

Trafford

11,300

2,158

Wakefield

20,600

3,989

Walsall

19,200

4,655

Wigan

14,000

2,831

Wirral

18,200

3,086

Wolverhampton

18,900

4,045

Bedfordshire

18,000

2,781

Buckinghamshire

25,800

3,291

Cambridgeshire

36,400

3,659

Cheshire

42,400

3,754

Cornwall

26,200

1,396

Cumbria

31,200

2,956

Derbyshire

51,700

2,701

Devon

33,000

2,162

Dorset

25,600

3,972

Durham

36,700

3,501

East Sussex

32,700

3,111

Essex

85,800

3,358

Gloucestershire

26,900

2,024

Hampshire

56,800

1,010

Hertfordshire

53,200

3,081

Isles of Scilly

100

1,679

Kent

76,800

2,730

Lancashire

74,900

3,776

Leicestershire

39,500

3,562

Lincolnshire

35,400

2,295

Norfolk

44,800

2,515

North Yorkshire

34,200

2,177

Northamptonshire

24,700

2,537

Northumberland

24,000

2,373

Nottinghamshire

40,200

2,751

Oxfordshire

31,500

2,606

Shropshire

12,900

1,866

Somerset

24,700

1,654

Staffordshire

51,400

3,209

Suffolk

34,800

2,528

Surrey

40,400

2,936

Warwickshire

36,700

3,934

West Sussex

42,400

2,926

Wiltshire

19,200

2,059

Worcestershire

33,200

2,866

Bath and North East Somerset UA

6,700

2,152

Blackburn with Darwen UA

7,500

3,982

Blackpool UA

9,600

3,561

Bournemouth UA

11,500

2,810

Bracknell Forest UA

4,600

2,219

Brighton and Hove UA

17,600

3,010

Bristol UA

25,900

3,264

Darlington UA

4,400

2,184

Derby UA

12,300

2,057

East Riding of Yorkshire UA

11,300

1,237

Halton UA

7,500

2,426

Hartlepool UA

6,300

2,339

Herefordshire UA

8,800

2,634

Isle of Wight UA

10,400

2,547

Kingston upon Hull UA

11,400

1,899

Leicester UA

18,100

4,683

Luton UA

11,300

5,345

Medway Towns UA

14,900

2,729

Middlesbrough UA

7,200

2,075

Milton Keynes UA

10,100

2,884

North East Lincolnshire UA

10,600

2,572

North Lincolnshire UA

9,600

3,241

North Somerset UA

11,500

3,252

Nottingham UA

16,500

3,685

Peterborough UA

8,100

2,645

Plymouth UA

11,900

2,454

Poole UA

9,900

2,242

Portsmouth UA

9,800

2,288

Reading UA

9,100

3,486

Redcar and Cleveland UA

9,600

3,064

Rutland UA

1,200

1,432

Slough UA

5,900

3,545

South Gloucestershire UA

12,000

2,243

Southampton UA

15,300

2,999

Southend-on-Sea UA

10,100

2,860

Stockton-on-Tees UA

7,400

1,647

Stoke-on-Trent UA

14,600

2,834

Swindon UA

8,500

2,505

Telford and the Wrekin UA

7,600

2,113

Thurrock UA

7,400

3,093

Torbay UA

8,200

2,113

Warrington UA

10,900

2,353

West Berkshire UA

8,600

3,319

Windsor and Maidenhead UA

7,500

2,858

Wokingham UA

6,100

3,640

York UA

9,500

2,564

Camden

21,900

6,119

City of London

1,300

8,694

Greenwich

15,000

4,746

Hackney

22,700

9,384

Hammersmith and Fulham

14,500

5,799

Islington

19,600

7,339

Kensington and Chelsea

10,400

3,549

Lambeth

15,900

3,725

Lewisham

18,400

6,871

Southwark

17,100

5,345

Tower Hamlets

19,400

6,363

Wandsworth

19,200

5,464

Westminster

17,400

5,353

Barking and Dagenham

19,000

5,611

Barnet

24,900

6,666

Bexley

11,900

1,865

Brent

18,200

4,783

Bromley

16,700

2,744

Croydon

17,100

3,617

Ealing

15,300

3,028

Enfield

22,400

4,267

Haringey

18,700

6,084

Harrow

11,000

3,508

Havering

14,900

2,955

Hillingdon

15,100

4,168

Hounslow

13,100

3,883

Kingston upon Thames

8,500

3,828

Merton

13,100

4,863

Newham

16,100

5,538

Red bridge

14,500

2,476

Richmond upon Thames

12,800

4,438

Sutton

10,900

2,581

Waltham Forest

10,600

4,090

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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