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9 Sep 2009 : Column 1991W—continued

NHS: Finance

Sandra Gidley: To ask the Secretary of State for Health what methodology his Department will use to assess the outcome of its individual budget pilots. [288889]

Mr. Mike O'Brien: I refer the hon. Member to the response given on 15 July 2009, Official Report, column 537W.

The Department has specified what the evaluation of the pilots should look at, rather than prescribing a particular methodology. Researchers have been invited to submit proposals explaining how they would meet that specification. This is the Department's normal approach. We are currently working to select an evaluation team and we hope to have one in place shortly.

The evaluation will cover five main areas: the effect on people's health and wellbeing, behavioural change by both individuals and national health service staff, financial outcomes, effects on the wider NHS, and how personal health budgets are delivered.

NHS: Per Capita Costs

Mr. Bone: To ask the Secretary of State for Health what estimate he has made of the cost of the NHS in (a) cash and (b) real terms per (i) family, (ii) household and (iii) person in England in each year since 1990. [290772]

Mr. Mike O'Brien: The following table shows national health service expenditure per head in England since 1990. The Department does not routinely collect or collate data on a family or household basis so this further information has not been supplied. However, indicative estimates could be derived from expenditure per head figures.

Total net NHS expenditure per head for England 1990-91 to 2008-09

9 Sep 2009 : Column 1992W

		Net NHS spend per head nominal (£)	Net NHS spend per head real (2008-09 prices) (£)
1990-91	outturn	468	756
1991-92	outturn	530	808
1992-93	outturn	583	863
1993-94	outturn	602	867
1994-95	outturn	634	900
1995-96	outturn	661	912
1996-97	outturn	680	904
1997-98	outturn	712	923
1998-99	outturn	740	939
1999-2000	outturn	810	1,008
2000-01	outturn	890	1,093
2001-02	outturn	980	1,178
2002-03	outturn	1,082	1,259
2003-04	outturn	1,218	1,379
2004-05	outturn	1,353	1,490
2005-06	outturn	1,451	1,569
2006-07	outturn	1,513	1,589
2007-08	outturn	1,626	1,662
2008-09	plan	1,774	1,774
Notes: 1. Gross Domestic Product deflator 30 June 2009. Expenditure figures 1990-91 to 1997-98. 2. Expenditure figures are on a cash basis. 3. Calculation derived from ONS Population mid-estimates. Expenditure figures 1998-99 to 2002-03. 4. Expenditure in 1998-99 is on a cash basis. 5. Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis. 6. Per head figures are rounded to the nearest £10. Source: Expenditure figures for England - Department of Health, England. Expenditure figures 2002-03 to 2008-09 7. Health Expenditure is defined under the HM Treasury's Total Expenditure on Services (TES aggregate). This definition allows comparison on the same basis between England and the Devolved Administrations. The TES definition of Health Expenditure for England includes most Department of Health resource near cash (excludes certain items e.g. grants to local authorities) plus local authority spending, Medical Research Council spending plus National Lottery spending on health. 8. Near cash can be defined as transactions that have an impact on cash flow in the short term, e.g. pay and pension costs on goods and services, or cash payments for the release of provisions. Source: HM Treasury Public Expenditure Statistical Analyses 2009 Tables 9.11 and 9.15 9. Figures are not consistent over the period therefore it is difficult to make comparisons across different periods 10. Figures may not be consistent with those published elsewhere due to updated sources.

Prescriptions: Fees and Charges

Mr. Dhanda: To ask the Secretary of State for Health what recent representations he has received on the exemption from prescription charges for sufferers of coeliac disease. [290855]

Mr. Mike O'Brien: In the period 1 January 2009 to 1 September 2009, the Department received six written representations concerning the exemption of individuals with coeliac disease from prescription charges.

SunSmart

Mr. Bruce George: To ask the Secretary of State for Health if he will require the SunSmart campaign to use the funds allocated to it from the public purse to increase its level of activity in schools. [290676]

Mr. Mike O'Brien: SunSmart, the national skin cancer prevention and sun protection campaign, is run by Cancer Research UK on behalf of the UK Health Departments. Schools have always been an important target audience for the campaign. All schools have been encouraged to develop their own sun protection policies with guidelines available from the SunSmart website at:

www.sunsmart.org.uk

which provides schools and parents with the opportunity to ask for further information around skin cancer and sun protection issues. The campaign also provides resources for schools which align with the national curriculum.

In spring 2009, a SunSmart competition aimed at raising awareness of SunSmart's sun protection messages ran across primary schools in England.

9 Sep 2009 : Column 1993W

Swine Flu

Mr. Pelling: To ask the Secretary of State for Health (1) how many of those with a virologically-confirmed case of H1N1 infection reported between 17 and 30 June 2009 inclusive were hospitalised as a result of the infection; and how many of those were aged (a) under 10, (b) between 10 and 19, (c) between 20 and 29, (d) between 30 and 39, (e) between 40 and 49, (f) between 50 and 59 and (g) over 59 years of age; and for how many of those hospitalised no age was recorded; [290812]

(2) how many (a) male, imported, (b) female, imported, (c) male, indigenous, (d) female, indigenous and (e) other new cases of H1N1 were virologically confirmed in England, Wales and Northern Ireland between 17 June and 30 June 2009 inclusive; how many in each category related to patients (i) aged under 10, (ii) between (A) 10 and 19, (B) 20 and 29, (C) 30 and 39, (D) 40 and 49, (E) 50 and 59 and (F) 60 years or more and (iii) for whom no age is recorded; in respect of how many cases in each category the Health Protection Agency (HPA) has recorded (1) the date of onset of symptoms, (2) the date of swab sample for diagnosis and (3) the date of the H1N1 case report; and in how many such cases in each category the start date of antiviral prophylaxis or other treatment is also known to the HPA; [290813]

(3) how many of the confirmed cases of H1N1 infection in England and Wales reported by 16 June
9 Sep 2009 : Column 1994W
2009 were hospitalised; and how many such patients were (a) aged (i) under 10, (ii) between 10 and 19, (iii) between 20 and 29, (iv) between 30 and 39, (v) between 40 and 49, (vi) between 50 and 59 and (vii) over 59 years old and (b) of unknown age. [290814]

Mr. Mike O'Brien: The available information is given in the following tables.

Not all of the data requested are available. Detailed information was collected on the first few hundred cases to provide information on the virus, it was not possible for the Health Protection Agency to continue to collect that level of detailed information as the number of cases increased.

Number of hospitalised virologically-confirmed pandemic influenza A(H 1N1 v) 2009 cases between 17-30 June 2009 reported to Health Protection Agency (HPA) Centre for Infections (CfI)( 1)
Age group -years	Number
0-9	32
10-19	15
20-29	13
30-39	5
40-49	9
50-59	2
60+	3
Unknown age	1
Total	80
(1) These are the cases reported to HPA CfI between 17-30 June 2009 from England. No cases were reported for the period from Wales and Northern Ireland.

9 Sep 2009 : Column 1995W

9 Sep 2009 : Column 1996W

Imported and indigenous virologically-confirmed pandemic influenza A(HlNlv) 2009 cases known to the Health Protection Agency between 17 June and 30 June 2009 by age
		Age group-years
Probable route of transmission	Gender	0-9	10-19	20-29	30-39	40-49	50-59	60+	Age not known	Grand total
Imported	Female	4	10	30	7	6	8	3	0	68
	Male	5	8	35	10	12	4	4	0	78
	Unknown gender	0	0	1	0	0	0	0	1	2
Imported total		9	18	66	17	18	12	7	1	148
Indigenous	Female	355	482	328	124	88	56	21	21	1,475
	Male	393	568	316	74	52	31	13	17	1,464
	Unknown gender	276	311	104	60	35	13	4	38	841
Indigenous total		1,024	1,361	748	258	175	100	38	76	3,780
Unknown route of transmission	Female	42	38	24	9	12	6	3	4	138
	Male	44	60	22	6	10	8	2	3	155
	Unknown gender	42	51	24	11	9	1	1	50	189
Unknown route of transmission total		128	149	70	26	31	15	6	57	482
Grand total		1,161	1,528	884	301	224	127	51	134	4,410
Date of onset known		578	885	640	161	131	79	12	20	2,528
Date of onset not known		583	643	244	140	93	48	1	114	1,882
Grand total		1,161	1,528	884	301	224	127	13	134	4,410
Notes: 1. The 4,410 reports summarised in the table relate to the FluZone 'disaggregate' data set for England held at the HPA CfI and analysed on 30 June 2009. 2. Data on the date the sample was taken and on the date of commencement of antiviral prophylaxis or treatment are not available in the FluZone disaggregate dataset.

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