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13 Oct 2009 : Column 814W—continued

NHS: Finance

Mr. Willis: To ask the Secretary of State for Health how much (a) was spent in (i) 2007-08 and (ii) 2008-09 and (b) is planned to be spent in (A) 2009-10, (B) 2010-11 and (C) 2011-12 on the (1) recruitment processes, (2) better handling of complaints, (3) strengthening clinical governance, (4) information for monitoring, (5) boundary transgressions and special issues in mental health services, (6) revalidation of healthcare professionals, (7) the national clinical advisory group, (8) remediation and rehabilitation, (9) independent adjudication, (10) General Medical Council affiliates, (11) medical training and (12) language testing strand of the safeguarding patients and trust, assurance and safety policy. [287505]

Phil Hope: For 2007 to present, recruitment processes, strengthening clinical governance, information for monitoring, boundary transgressions and special issues in mental health services and remediation and rehabilitation spending are matters for local determination and the information is not held centrally.

For better handling of complaints, the Department collects centrally the number of national health service complaints received, but does not collect data on the costs of handling those complaints.

The last year for which data are available (2007-08), show 87,080 complaints in Hospital and Community Health Services and 45,942 in general practice (including dental).

The approach to revalidation of Health Care professionals is still under development.

The following are amounts spent on preparatory work:

The National Clinical Audit Advisory Group is an advisory body that prioritises spending on national clinical audits. Audits are funded by the Healthcare Quality Improvement Partnership (HQIP), which was established in 2008.

In 2008-09 HQIP received £6.3 million from the Department to support the management, development and promotion of clinical audit. The projected budget for this in 2009-10 is £7.0 million.

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In respect of Independent adjudication the following are amounts spent on preparatory work for establishing the Office of the Health Professions Adjudicator:

For General Medical Council Affiliates, the only expenditure so far is the funding of two pilots in London and Yorkshire and Humberside:

In respect of medical training, there have been no significant costs or expenditure for the Department or the NHS arising from the White Paper recommendations.

For language, testing the policy position is still being clarified in light of European Union directives; therefore, there have been no costs or planned costs.

On future spending, the planned spending for 2010-11 has not yet been agreed and will be considered as part of the standard departmental business planning exercise.

As for 2011-2012, future years are subject to the next spending review, the timetable of which is not yet known.

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Mr. Bone: To ask the Secretary of State for Health what the percentage change in (a) NHS real terms expenditure and (b) finished consultant episodes has been since 1997. [292249]

Mr. Mike O'Brien: From 1997-98 to 2007-08 total real terms expenditure in the national health service increased by 90 per cent. (6 per cent. p.a.) and finished consultant episodes increased by 39 per cent. (3 per cent. p.a.).

NHS: Manpower

Mr. Hepburn: To ask the Secretary of State for Health how many (a) NHS doctors, (b) NHS nurses, (c) NHS dentists and (d) GPs have been employed in (i) Jarrow constituency, (ii) South Tyneside, (iii) the North East and (iv) the UK in each year since 2007. [292075]

Phil Hope: The number of national health service doctors, nurses, general practitioners (GPs) and dentists is given in the following table. The numbers quoted cover England only. Copies of the "NHS Dental Statistics for England: 2008-09" Report and Annex have been placed in the Library.

NHS staff in England, the North East Strategic Health Authority area and each specified organisation and by each specified staff group as at 30 September each specified year
2007 2008

All GPs( 1) Hospital and community health care staff (HCHS) doctors and dentists( 2) Qualified nursing staff( 3) Number of dentists 2007-08 All GPs( 1) (HCHS) doctors and dentists( 2) Qualified nursing staff( 3) Number of dentists 2008-09










O f which

North East Strategic Health Authority area









O f which

Gateshead Health NHS Trust









South Tyneside NHS Foundation Trust









South Tyneside Primary Care Trust









(1) All GPs include GP providers, other GPs, GP registrars and GP retainers.
(2 )Excludes hospital practitioners and clinical assistants in headcount, most of these also work as a GP.
(3 )Includes all HCHS qualified nursing and midwifery staff and GP practice nurses.
The NHS Information Centre Non-Medical Workforce Census. All rights reserved. This work remains the sole and exclusive property of The Information Centre and may only be reproduced where there is explicit reference to the ownership of The Information Centre.

NHS: Pay

John Mann: To ask the Secretary of State for Health which health authorities do not pay a salary to their board members. [291979]

Ann Keen: This information is not collected centrally.

There are nationally agreed rates for the remuneration of board members of the 10 strategic health authorities. The authorities' boards are made up of non-executive board members, who receive remuneration at set rates agreed by the Department, and executive members who are paid under the Department's Pay Framework for Very Senior Managers.

The Pay Framework for Very Senior Managers also applies to the executive board members of special health authorities, primary care trusts and ambulance trusts, issued by the Department. A copy has been placed in the Library.

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NHS: Pensions

Mr. Philip Hammond: To ask the Secretary of State for Health with reference to paragraph C.76, page 242 of Budget 2009, if he will place in the Library a copy of the actuarial advice he received on the NHS pension scheme; and if he will make a statement. [289103]

Phil Hope: The net expenditure projections for the NHS Pension Scheme, used to build up the financial statement and the Budget report, reflect assumptions set by NHS Pensions after taking into account comments from their actuarial advisers, the Government Actuary's Department. The actuarial assumptions for the scheme can be found in the latest full actuarial valuation of the scheme which was published in December 2007. A copy of the valuation has been placed in the Library.

Prescriptions: Fees and Charges

Tom Brake: To ask the Secretary of State for Health what estimate he has made of (a) the percentage of prescriptions dispensed which have incurred charges and (b) the amount paid in prescription charges in each of the last 12 months. [291576]

Mr. Mike O'Brien: NHS Prescription Services (NHSPS) are responsible for the reimbursement and remuneration of dispensing contractors in England on behalf of the Department. The NHSPS captures information from prescription items submitted by dispensing contractors for reimbursement and remuneration purposes.

The following table provides an estimate of prescription charges for items written in the United Kingdom and dispensed in the community in England, during the latest available 12 month period, August 2008 to July 2009.

Percentage of prescription items where prescription charges were paid at the point of dispensing( 1) Total prescription charges paid (£000)( 2,3)

August 2008



September 2008



October 2008



November 2008



December 2008



January 2009



February 2009



March 2009



April 2009



May 2009



June 2009



July 2009






(1) This excludes items dispensed against pre payment certificates (PPCs) as it is not possible to extract this information from other items dispensed where a patient is exempt from the prescription charge.
(2) Total income from prescriptions dispensed with a charge at the point of dispensing and from PPC sales. Refunds against both of these sources of income have been subtracted from the reported total income.
(3) The 'total prescription charges paid' is an estimate as prescription charge refunds included in the calculation of this total may relate to a previous month to that in which the prescription charge was paid. NHSPS payment information captured at the time of processing is not amended as a result of the refund process.
PD1 report available on the NHS Prescriptions Services website at:
and NHS Help With Health Costs Pre-payment Certificate database.

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Primary Care Trusts

John Mann: To ask the Secretary of State for Health what recent discussions he has had on mergers of primary care trusts. [292377]

Mr. Mike O'Brien: There have been no recent discussions. Proposals for the reconfiguration of services are a matter for the national health service locally, working in conjunction with clinicians, patients and other stakeholders.

Social Services

Mr. Harper: To ask the Secretary of State for Health what plans he has for a public consultation on the proposals in the Shaping the Future of Care Together Green Paper to use attendance allowance and other disability benefits to fund social care; and if he will make a statement. [292101]

Phil Hope: We are currently consulting on all of the options considered within the Green Paper, in our Big Care Debate. The Green Paper consultation will run until 13 November this year. More information about the Big Care Debate is available on our dedicated website at:

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