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10 Mar 2009 : Column 390W—continued
Social Services: Elderly
Norman Lamb: To ask the Secretary of State for Health what proportion of total net expenditure by local authorities was spent on (a) residential and nursing home places for older people and (b) domiciliary care for older people in each of the last 10 years. [261492]
Phil Hope: Data on expenditure by councils with adult social services responsibilities (CASSRs) on residential and nursing home places and domiciliary care for older people (aged 65 and over) are collected and published by the NHS Information Centre for health and social care. The publication, “Personal Social Services Expenditure and Unit Costs: England 2007-08”, is available on the Information Centre website at
and a copy has been placed in the Library.
Information on net current expenditure by CASSRs on residential and nursing home places and domiciliary
care for adults aged 65 and over between 1998-99 and 2007-08 in cash and real terms is shown in the following tables.
Information on total net expenditure by local authorities is the responsibility of the Department for Communities and Local Government.
| Table 1: Net current expenditure by CASSRs on adults aged 65 and over between 1998-99 and 2007-08 in cash terms, England | ||||||||||
| £ million | ||||||||||
| 1998-99 | 1999-00 | 2000-01 | 2001-02 | 2002-03 | 2003-04 | 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| Notes: 1. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return. 2. Data from 2003-04 onwards include expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure. 3. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return. | ||||||||||
| Table 2 : Net current expenditure by CASSRs on adults aged 65 and over between 1998-99 and 2007-08 in real terms, England | ||||||||||
| £ million | ||||||||||
| 1998-99 | 1999-00 | 2000-01 | 2001-02 | 2002-03 | 2003-04 | 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| Notes: 1. Converted from cash terms using the gross domestic product deflator. 2. From the 2000-01 financial year, the data was collected on a different basis when the PSS EX1 replaced the R03 return. 3. Data from 2003-04 onwards include expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure. 4. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return. Notes to all tables: Net current expenditure excludes income from client contributions and income items which count as expenditure from elsewhere in the public sector, such as contributions from primary care trusts. Residential and nursing care includes traditional residential and nursing care homes as well as supported and other accommodation. Supported and other accommodation includes other forms of registered accommodation where clients receive an element of both board and personal care, unstaffed (group) homes and adult placements/fostering. 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. The information provided is derived from data collected annually on social services expenditure from CASSRs on the form PSS EX1. This collection has been the responsibility of the Information Centre since April 2005. Prior to this date, data was collected by the Department of Health. From the 2000-01 financial year, the PSS EX1 replaced both the Chartered Institute of Public Finance and Accountancy Actuals return, which was discontinued after 1999-2000, and the detailed analysis previously collected by the Office of the Deputy Prime Minister on the R03 expenditure return (this was reduced to a summary return with effect from 2000-01). | ||||||||||
Southampton General Hospital: Surgery
Sandra Gidley: To ask the Secretary of State for Health how many operations were (a) contracted to be carried out by and (b) carried out under contract with (i) Southampton Primary Care Trust (PCT) and (ii) Hampshire PCT at Southampton General Hospital in each month of the last three years. [261414]
Mr. Bradshaw: The Department does not collect data on the number of operations carried out by individual trusts.
Surgery
Jo Swinson: To ask the Secretary of State for Health (1) what assessment he has made of the merits of giving all surgical patients the opportunity to donate for research purposes tissue which would otherwise be incinerated; [262715]
(2) what steps his Department has taken to increase donations by surgical patients of human tissue for research purposes. [262718]
Dawn Primarolo: The Human Tissue Act 2004 allows for the storage and use of human tissue, with the appropriate consent, for a number of health-related purposes including research. The Act applies to England, Wales and Northern Ireland.
The Act also allows tissue removed from a living person to be used without consent for research which has been ethically approved by a research ethics authority, providing the researcher will not be able to identify the person from whom the material has come.
The Human Tissue Authority (HTA) issues codes of practice setting out good practice in seeking consent for activities within its remit, including storage and use of tissue for research purposes. The HTA has recently consulted on a new code of practice on research. It is
for NHS trusts and research establishments to develop local arrangements within the regulatory framework set out by the HTA.
The HTA launched in February 2009 a review of how recent human tissue legislation has impacted on the research community, and how it has been implemented by the HTA. Further details can be found on the HTA's website at:
Trade Unions
Mr. Maude: To ask the Secretary of State for Health which trade unions are recognised in his Department. [262089]
Mr. Bradshaw: The Department (and its agencies) recognise the Public and Commercial Services Union, Prospect and First Division Association for the purposes of individual representation for union members and for the purpose of collective bargaining.
Tranquillisers
Jim Dobbin: To ask the Secretary of State for Health from which advisory committees he obtains scientific advice on the use of tranquillisers. [261389]
Dawn Primarolo: Scientific advice on the use of tranquilisers is received from the Commission on Human Medicines.
Jim Dobbin: To ask the Secretary of State for Health how many (a) prescriptions and (b) in-patient prescriptions were issued for (i) each benzodiazepine and (ii) each zed drug tranquilliser in 2008. [261390]
Dawn Primarolo: Information on the number of prescription items dispensed in the community in England for Benzodiazepines and “z” drugs is provided in the following table.
Information on the number of inpatient prescriptions is not held centrally in the format requested.
Transplant Surgery
Mr. Stephen O'Brien: To ask the Secretary of State for Health what percentage of organ transplants to transplantees resident (a) in and (b) outside the UK were successful at (i) three months and (ii) one year in the last 10 years, broken down by organ; how many transplantees resident (A) in and (B) outside the UK have received transplants in the last 10 years subsequently died, broken down by cause of death; and how many transplants undertaken on each category of person in the last 10 years were unsuccessful. [261676]
Ann Keen [holding answer 6 March 2009]: The information requested has been placed in the Library.
Vulnerable Adults: Protection
Tom Levitt: To ask the Secretary of State for Health what steps he plans to take to enforce a multi-agency approach to safeguarding vulnerable adults, with particular reference to those who are both deaf and blind. [261504]
Phil Hope: A revision of the key guidance, “No Secrets: Guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse”, is currently under way. As part of this, a large public consultation took place between 16 October 2008 and 31 January 2009. A copy of the consultation document has been placed in the Library.
The consultation document asked a large number of questions about how we need to change and develop the “No Secrets” guidance, to strengthen and improve existing safeguarding arrangements for all vulnerable adults, including whether new legislation is needed. The review is also considering how to improve prevention of abuse, and how to assist all people including those who are blind or deaf in making decisions about risks and choice in their lives.
The consultation on safeguarding adults has elicited a huge amount of information, from both service users and professionals which is being considered very carefully by Ministers.
Tom Levitt: To ask the Secretary of State for Health what steps he plans to take to ensure that carers do not exert undue influence on vulnerable adults purchasing their care using personal budgets or direct payments. [261514]
Phil Hope: It is for professionals in developing support plans with users and carers to balance the needs of both. In doing so they need to ensure that an assessment of risk is undertaken and that the support plan reflects that in a proportionate manner as stated in the “Independence, choice and risk: a guide to best practice in supported decision” (May 2007).
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