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1 July 2009 : Column 342W—continued

Independent Review of NHS Dental Services in England

Mike Penning: To ask the Secretary of State for Health (1) how much his Department spent on the Independent Review of NHS Dental Services in England; and if he will make a statement; [283107]

(2) what remuneration was provided to members of the review team for the Independent Review of NHS Dental Services in England. [283113]

Ann Keen: The review cost a total of £435,000. This figure remains an estimate as some invoices are still to be finalised.

Remuneration for members of the review team was in the form of payments, where requested, to their employing organisations for their services and support costs. Payments to the employing organisations totalled £200,000.

The following table showing the break down of the costs of the review includes the total payments to review members’ employers. A document containing the information on the review costs has been placed in the Library. It is also available on the Department’s website at:


1 July 2009 : Column 343W
Estimated costs of the independent review of national health service dental services in England

Item Total (£000)

February 2009

Qualitative research

54

February-June 2009

Engagement events

139

December 2008-June 2009

Review team travel and subsistence

22

December 2008-June 2009

Payment to employers for services of review team members and support costs

200

June 2009

Publication and launch costs

20

Total

435

Note:
This is an estimate of the additional costs to the Department in supporting the review, incorporating estimates for some bills, which are yet to be finalised. Final costs for the review will be made available once these are complete.

Mike Penning: To ask the Secretary of State for Health what estimate his Department has made of the cost of running pilot schemes relating to recommendations of the Independent Review of NHS Dental Services in England. [283109]

Ann Keen: It is too early to estimate the extra costs of piloting the review recommendations. Estimating costs will be part of the process of designing the pilots, which is now in development.

Mike Penning: To ask the Secretary of State for Health what his timetable is for pilot schemes relating to recommendations of the Independent Review of NHS Dental Services in England. [283110]

Ann Keen: Piloting of the recommendations made by Professor Jimmy Steele, chair of the independent review of national health service dental services in England, will begin with selected new contracts that are currently being set up with the support of the dental access programme, in autumn of this year. Pilots involving existing contract holders on a voluntary basis will begin next year. The Department expects to run the pilots for at least 12 to 18 months, before evaluating the results and considering further roll out.

“NHS dental Services in England: An independent review led by Professor Jimmy Steele” has already been placed in the Library and is available at:

Intensive Care

Mr. Lansley: To ask the Secretary of State for Health how many episodes of intensive care treatment were provided by the NHS in 2008. [282771]

Mr. Mike O'Brien: Information on the number of episodes of intensive care treatment in England is not available centrally and can be obtained only at disproportionate cost.


1 July 2009 : Column 344W

Lung Cancer: Medical Treatments

Mark Simmonds: To ask the Secretary of State for Health how many acute hospital trusts have fully implemented his Department’s recommendations on the proportion of lung cancer patients who should receive active treatment; and if he will make a statement. [282415]

Ann Keen: The national health service has fully implemented guidance on Improving Outcomes in Lung Cancer, which was published by the Department in 1998.

As I advised the hon. Member in my written reply of 16 June 2009, Official Report, column 226W, the National Institute for Health and Clinical Excellence issued guidelines, in 2005, on the diagnosis and treatment of lung cancer patients.

Lymphoedema: Breast Cancer

Anne Main: To ask the Secretary of State for Health how many NHS patients were treated for lymphoedema in each year since 2004; how many of those patients received treatment after being diagnosed and treated for breast cancer; what plans the NHS has to change methods of collection of data on lymphoedema treatment; and if he will make a statement. [282614]

Ann Keen: This information is not held centrally.

We currently have no plans to change the methods of data collection on lymphoedema treatment.

NHS Trusts: Mental Health

Dr. Kumar: To ask the Secretary of State for Health (1) what (a) funding and (b) facilities his Department has provided to NHS trusts for the treatment of patients with bipolar disorder in the last 12 months; [282905]

(2) how many people have been diagnosed with bi-polar disorder in (a) England, (b) the North East, (c) Teesside and (d) Middlesbrough South and East Cleveland constituency in the last 10 years. [282906]

Phil Hope: Decisions about the funding and provision of local services, including those for bi-polar disorder are for local national health service trusts.

Since 2001-02, real terms investment in adult mental health services increased by 44 per cent. (or £1.7 billion) putting in place the services and staff needed to transform mental health services. The national health service spent £5.53 billion on these services in 2007-08 (£3.844 billion in 2001-02).

Information on the number of people diagnosed with bi-polar disorder in England is not collected centrally.

The following table shows counts of finished consultant episodes for the period 1998-99 to 2007-08 for selected strategic health authorities in the north east and England as a whole for national health service hospitals and national health service commissioned activity in the independent sector where the primary diagnosis was bipolar affective disorder.


1 July 2009 : Column 345W
Counts of finished consultant episodes (FCEs) where primary diagnosis was bipolar affective disorder (ICD-10 Code= F31): Activity in English national health service hospitals and English national health service commissioned activity in the independent sector. Data years 1998-99 to 2007-08

Selected strategic health authorities England

1998-99(1)

865

12,767

1999-2000(1)

675

12,980

2000-01(1)

652

12,996

2001-02(1)

842

13,727

2002-03(1)

617

14,422

2003-04(1)

844

13,839

2004-05(1)

765

14,179

2005-06(1)

658

12,993

2006-07(2)

860

12,871

2007-08(2)

324

12,716

Notes:
Finished Consultant Episode (FCE)
A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one health care provider, FCEs are counted against the year in which they end. The figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
Selected strategic health authorities (SHAs)
(1) Counts for SHAs include patients whose SHA of residence was Northumberland, Tyne and Wear Strategic HA and County Durham and Tees Valley Strategic HA for each year between 1998-99 and 2005-06.
(2) Counts for SHAs include patients whose SHA of residence was North East Strategic HA for each year between 2006-07 and 2007-08.
Primary care trust (PCT)/SHA data quality
PCT and SHA data was added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner (GP) practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
Data quality
Hospital Episode Statistics (HES) are compiled from data sent by more than 300 national health service trusts and PCTs in England. Data are also received from a number of independent sector organisations for activity commissioned by the English national health service. The National Health Service Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the national health service have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in national health service practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Source:
Hospital Episode Statistics (HES), The National Health Service Information Centre for health and social care


1 July 2009 : Column 346W

NHS: Death Rates

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 11 May 2009, Official Report, column 628W, on NHS: death rates, what the names are of the trusts concerned in each of the 85 alerts. [282939]

Mr. Mike O'Brien: The Care Quality Commission, which took over from the Healthcare Commission on 1 April 2009, has informed us that they intend to publish information on alerts, including the names of the trusts involved, once the case is closed. A case is closed once the alert has been reviewed and concluded upon and any necessary action plan is in place. 75 out of the 85 alerts are closed and the Care Quality Commission will publish this information within the next few weeks.

NHS: Finance

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 15 June 2009, Official Report, column 494, on NHS debts, what the amount is of each loan provided by his Department to NHS trusts; what interest rate is payable on each; and what the expected redemption date is of each. [283204]

Mr. Mike O'Brien: The Department makes loans for capital investment and for working capital to national health service trusts. Details of originating loan amount, associated interest rate and expected redemption date for each outstanding loans are given in the following table.


1 July 2009 : Column 347W

1 July 2009 : Column 348W
Loan value, interest rate and expected redemption date on current loans to NHS trusts from the Department of Health
NHS t rust name Original loan value (£000) National loan fund rate( 1) (percentage) Expected full settlement date( 2)

Southampton University Hospitals NHS Trust

3,000

4.85

15 March 2018

Queen Elizabeth Hospital Kings Lynn NHS Trust

3,480

4.86

15 September 2015

Rob Jones and a Hunt Orthopaedic NHS Trust

500

4.85

15 September 2017

North East Ambulance Service NHS Trust

700

4.88

15 March 2015

Southampton University Hospitals NHS Trust

7,500

4.19

15 March 2018

Oxford Radcliffe Hospital NHS Trust

6,141

4.19

15 March 2018

West Hertfordshire NHS Trust

13,500

5.40

15 March 2018

West Hertfordshire NHS Trust

13,500

5.40

15 March 2018

Buckinghamshire Hospitals NHS Trust

7,000

4.88

15 September 2013

South Central Ambulance Service NHS Trust

3,454

4.88

15 September 2013

Southampton University Hospitals NHS Trust

8,000

4.85

15 September 2018

Great Western Ambulance Service NHS Trust

2,460

2.82

15 March 2014

East Sussex Hospitals NHS Trust

1,500

3.48

15 March 2019

South Central Ambulance Service NHS Trust

3,551

3.48

15 March 2019

Hull and East Yorkshire Hospitals NHS Trust

12,300

3.65

15 March 2029

Hereford Hospitals NHS Trust

800

2.69

15 March 2019

Oxford Radcliffe Hospital NHS Trust

7,900

2.69

15 March 2019

Plymouth Hospitals NHS Trust

7,000

2.69

15 March 2019

North Cumbria Acute Hospital NHS Trust

400

5.10

15 March 2022

Scarborough and North East Yorks NHS Trust

765

5.20

15 March 2012

St George Healthcare NHS Trust

250

5.20

15 March 2012

Western Sussex NHS Trust

1,063

5.15

15 March 2015

North Cumbria Acute Hospital NHS Trust

400

4.34

15 March 2022

Scarborough and North East Yorks NHS Trust

764

3.98

15 March 2012

St George Healthcare NHS Trust

4,550

3.98

15 March 2012

Barnet and Chase Farm NHS Trust

1,782

3.97

15 March 2011

Western Sussex NHS Trust

1,063

4.07

15 March 2015

Brighton and Sussex University Hospitals NHS Trust

4,888

4.01

15 March 2013

Royal Cornwall Hospitals NHS Trust

2,597

1.16

15 March 2011

Western Area NHS Trust

800

. 1.40

15 March 2012

East Cheshire NHS Trust

7,000

5.50

15 March 2010

Trafford Healthcare NHS Trust

1,700

5.50

15 March 2010

North Cumbria Acute Hospitals NHS Trust

12,000

5.20

15 March 2022

University Hospitals of Morecambe Bay NHS Trust

6,500

5.50

15 March 2010

Scarborough and North East Yorks NHS Trust

7,646

5.45

15 March 2012

Hull and East Yorkshire Hospitals NHS Trust

10,896

5.45

15 March 2012

South Warwickshire General Hospitals NHS Trust

18,500

5.35

15 March 2015

Rob Jones and a Hunt Orthopaedic NHS Trust

3,400

5.50

15 March 2010

Hereford Hospitals NHS Trust

3,279

5.50

15 March 2010

George Eliot Hospital NHS Trust

6,800

5.45

15 March 2012

Worcestershire Acute Hospitals NHS Trust

25,000

5.45

15 March 2012

Shrewsbury and Telford Hospital NHS Trust

12,299

5.50

15 March 2010

Queen Elizabeth Hospital Kings Lynn NHS Trust

6,300

5.50

15 March 2010

Ipswich Hospital NHS Trust

23,400

5.35

15 March 2014

West Suffolk Hospitals NHS Trust

1,950

5.50

15 March 2010

Mid Essex Hospital Services NHS Trust

23,400

5.45

15 March 2012

Princess Alexandra Hospital NHS Trust

13,650

5.45

15 March 2012

West Hertfordshire Hospitals NHS Trust

11,200

5.45

15 March 2012

East and North Hertfordshire NHS Trust

7,800

5.45

15 March 2012

North Middlesex University Hospital NHS Trust

15,000

5.45

15 March 2012

Whipps Cross University Hospital NHS Trust

26,294

5.30

15 March 2016

Mayday Healthcare NHS Trust

11,000

5.50

15 March 2010

St George's Healthcare NHS Trust

34,000

5.45

15 March 2012

North West London Hospitals NHS Trust

23,830

5.45

15 March 2012

Barnet and Chase Farm Hospitals NHS Trust

17,500

5.45

15 March 2011

Epsom and St Helier University Hospitals NHS Trust

14,000

5.50

15 March 2010

Western Sussex NHS Trust

17,005

5.35

15 March 2015

Western Sussex NHS Trust

23,000

5.20

15 March 2021

Ashford and St Peter's Hospitals NHS Trust

14,700

5.40

15 March 2013

Surrey and Sussex Healthcare NHS Trust

56,000

4.95

15 March 2032

East Sussex Hospitals NHS Trust

4,000

5.45

15 March 2011

Brighton and Sussex University Hospitals NHS Trust

29,322

5.40

15 March 2013

Southampton University Hospitals NHS Trust

25,000

5.45

15 March 2011

Winchester and Eastleigh Healthcare NHS Trust

5,000

5.45

15 March 2011

Oxford Radcliffe Hospital NHS Trust

19,986

5.40

15 March 2013

Royal United Hospital Bath NHS Trust

38,000

5.05

15 March 2027

North Bristol NHS Trust

52,000

5.05

15 March 2027

Avon and Wiltshire Mental Health Partnership NHS Trust

5,000

5.45

15 March 2012

Trafford Healthcare NHS Trust

3,000

4.19

15 March 2018

Mid Yorkshire Hospitals NHS Trust

31,400

5.29

15 March 2011

University Hospitals of Coventry and Warwickshire NHS Trust

16,000

5.31

15 March 2013

Royal Wolverhampton Hospitals NHS Trust

5,500

5.31

15 March 2013

Weston Area Health Authority

14,300

5.32

15 March 2015

Royal Cornwall Hospitals NHS Trust

46,125

5.32

15 March 2015

West Middlesex University NHS Trust

17,000

5.31

15 March 2013

West Suffolk Hospitals NHS Trust

5,000

4.69

15 September 2013

Barnet and Chase Farm Hospitals NHS Trust

2,000

0.82

15 September 2009

East Cheshire NHS Trust

2,533

2.39

15 March 2017

(1) Fixed for term
(2) Redemption date

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