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5 Jan 2010 : Column 271W—continued
| £ million | |||
| Total backlog maintenance by the 10 strategic health authorities | 2006-07 | 2007-08 | 2008-09 |
NHS: Cost Effectiveness
Mr. Watson: To ask the Secretary of State for Health what key efficiency gains are under consideration in the national health service in order to provide resources for front-line services. [308050]
Mr. Mike O'Brien: The national health service locally and regionally is best placed to identify savings based on their circumstances and priorities. However, NHS staff have told us that they need support to make these changes. Drawing on the available evidence and on the ideas and experience of front-line staff, we will back major programmes of work to support commissioners and providers. These programmes will be locally led, but will have national support, and will ensure that innovation is spread rapidly.
As part of these programmes, we are exploring a number of areas under the HM Treasury-led Public Value Programme, including:
commissioning;
tariff;
estates;
long term conditions; and
community services.
We are also working actively with our arms length bodies, NHS organisations and others including HM Treasury and the Shareholder Executive to implement the recommendations of the Operational Efficiency Programme. Rather than initiating new projects, in many areas this builds upon significant progress made by the Department and the NHS in recent years. For example, the establishment of NHS Shared Business Services, which is now delivering shared back office services for over 100 NHS organisations.
NHS: Finance
Mr. Lansley: To ask the Secretary of State for Health with reference to paragraph 6.24, page 103 of the pre-Budget report, Cm 7747, what his Department's plans are for NHS (a) total, (b) resource, (c) capital and (d) near-cash resource expenditure in each year until 2012-13. [307752]
Mr. Mike O'Brien: As set out in paragraph 6.23, page 103 of the pre-Budget report, the Government have not done a spending review at this stage, and therefore, the specific numbers requested in the question are not available.
NHS: Information and Communications Technology
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) whether he plans to renegotiate the National programme for IT contracts for the delivery of the Care Records Service with (a) BT for its delivery of the Spine, (b) CSC for its delivery of iSOFT's Lorenzo and (c) BT for its delivery of Cerner Millennium; [307705]
(2) what components of the National programme for IT will have their budgets ring-fenced from the proposed efficiency saving outlined in the pre-Budget report, Cm 7747. [307708]
Mr. Mike O'Brien: Decisions on where efficiency savings will be found remain to be taken. They will depend partly on the outcome of discussions with suppliers about the potential for reductions to the scope of the systems, and any contractual consequences. We will also look carefully at the savings that can be made from the costs of managing delivery of the programme.
Mr. Stephen O'Brien: To ask the Secretary of State for Health by what date BT is expected to complete the implementation of Cerner Millennium in each of the 12 trusts in its Southern Local Service Provider structure; and how much BT will be paid on completion of this work. [307707]
Mr. Mike O'Brien: BT took over responsibility for the Cerner Millennium system at eight sites in the southern programme for information technology (IT) area, which were previously covered by a contract with Fujitsu Services Ltd, in July 2009. BT has been contracted to upgrade six of the trusts to an enhanced version of Cerner Millennium. BT first needs to transfer these systems from Fujitsu's data centre to its own, and is on schedule to complete this work before the end of March 2010. Timing of completion of the upgrades will depend on the outcome of ongoing discussion between the national health service locally and the company. Discussions are continuing with BT with regard to implementing Cerner Millennium at some further sites in the southern programme for IT area.
The increase in the total lifetime value of the BT local service provider contract consequent on transfer to the company of elements of work in the southern programme area previously covered under contract with Fujitsu, assuming all the requirements are successfully delivered, is £546 million.
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) pursuant to the pre-Budget report, Cm 7747, what discussions his Department has had with (a) HM Treasury and (b) suppliers to the National Programme for IT on changes to the National Programme for IT budgets; and on what dates such meetings took place; [307704]
(2) what discussions he has had with the Chancellor of the Exchequer on the National Programme for IT and the front line of the NHS. [307709]
Mr. Mike O'Brien: Since its inception, the Department has consulted and communicated with its national health service stakeholders, including clinicians, senior NHS managers and information management and technology staff, and the medical professional representative and health regulatory bodies, on a frequent and regular basis about all aspects of the NHS information technology programme. My right hon. Friend the Secretary of State has also often discussed issues relating to the programme in his regular meetings with the Chancellor.
As part of the current Government-wide drive to find efficiency savings and better value for money on major projects, officials are holding ongoing discussions with the Treasury, and with suppliers, about how these might be generated in relation to the national programme.
NHS: Manpower
Norman Lamb: To ask the Secretary of State for Health how many full-time equivalent (a) managers and (b) senior managers were in post in each NHS trust in each of the last five years. [308029]
Ann Keen: A table giving the number of managers and senior managers in post in each, trust in each of the last five years has been placed in the Library.
North East: Neuromuscular Services
Mr. David Anderson: To ask the Secretary of State for Health (1) whether he has had discussions with the North East Specialised Commissioning Group on a review of neuromuscular services in that region; [307507]
(2) if he will take steps to ensure that vulnerable patients with muscular dystrophy in the North East have access to NHS-funded muscular dystrophy care advisers. [307508]
Ann Keen: No discussions have been held with the North East Specialised Commissioning Group (NESCG) on a review of neuromuscular services in that region.
It is the responsibility of the NESCG to ensure the provision of services for neuromuscular dystrophy patients in that region, including access to national health service funded muscular dystrophy care advisers.
Obesity: Surgery
Mark Pritchard: To ask the Secretary of State for Health how many non-UK citizens received gastric band surgery in hospitals and clinics in England and Wales in 2008. [306110]
Gillian Merron: The information is not available in the form requested. The NHS Information Centre does not collect information relating to activities in Wales, nor is information recorded on patients who are non-UK citizens. However, information is collected on a patients' place of residence.
Data for 2008-09 show that there were four finished consultant episodes for non-UK resident patients who received gastric band surgery in hospitals and clinics in England.
Note:
The NHS Information Centre do not collect data relating to Wales. Data is provided relating to activities in English NHS hospitals and English NHS commissioned activity in the independent sector.
Hospital Episodes Statistics (HES)
Record details on residence (i.e. where the patient is living) rather than citizenship. Non-UK residence does not imply non-UK citizenship, for example, a UK citizen might be resident in France.
Finished Consultant Episode (FCE)
A 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.
Number of episodes with a (named) main or secondary procedure
The figure represents the number of episodes where the procedure (or intervention) was recorded in any of the 24 operative procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one operative procedure field of the record. More procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a 'cataract operation' would tend to have at least two procedures-removal of the faulty lens and the fitting of a new one-counted in a single episode.
OPCS 4.4 codes
The OPCS 4.4 codes used for gastric band surgery are:
G30.3-Partitioning of stomach using band (Insertion of a gastric band)
G38.7-Removal of gastric band (Removal of a gastric band)
The code G30.8 (Other specified plastic operations on stomach-Adjustment of gastric band) has not been included owing to the fact that though the code may include the adjustment of a gastric band, it is not limited to that procedure.
Data quality
HES are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS 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.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
Out of Area Treatment: Wales
Bill Wiggin: To ask the Secretary of State for Health how many patients from Wales received treatment at Hereford Hospitals NHS Trust in each of the last five years; what the cost of such treatment was in each year; and if he will make a statement. [307284]
Mr. Mike O'Brien: Information on the number of patients from Wales who received treatment at Hereford Hospitals NHS Trust in each of the last five years is not held centrally.
Treatment is measured as a count of finished consultant episodes (FCEs)(1). The number of FCEs at the trust where the strategic health authority (SHA) of residence was Wales(2) in each of the last five years is shown in the following table.
(1) Finished consultant episodes (FCE). A FCE is 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. 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.
(2) SHA/primary care trust (PCT) of residence. The SHA or PCT containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment.
Source:
Hospital Episode Statistics, The NHS Information Centre for health and social care
| Number of FCEs where the SHA of residence was Wales | |
Information on the cost of treatment of patients from Wales at Hereford Hospitals NHS Trust is not held centrally.
Smoking
Mr. Lancaster: To ask the Secretary of State for Health what percentage of people (a) under the age of 18 years old, (b) between 18 and 24 years old and (c) over the age of 24 years smoked in England in each year since 2000. [308085]
Gillian Merron: The information is not available in the requested format.
The percentage of children aged 11 to 15 who are regular smokers (smoke at least one cigarette a week) and occasional smokers (smoke less than one cigarette a week) is available in Table 2.1 of the publication 'Smoking, drinking and drug use among young people in England, 2008'. Data are available from 2000 to 2008. This publication has already been placed in the Library and is available on the following link:
The percentage of adults aged 16 and over in England, who are current smokers is presented in Table 2.1 of 'Statistics on Smoking, England 2009'. Data are available for each year between 2000 and 2007 for the following age breakdowns: aged 16-19, 20-24, 25-34, 35-49, 50-59 and 60 and above. This publication has already been placed in the Library and is available at the following link:
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