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25 Jan 2010 : Column 546W—continued


Norman Lamb: To ask the Secretary of State for Health how many officials in his Department earn a salary over £100,000 per annum. [311992]

Phil Hope: There were 71 senior civil servants in the Department who earned a salary of over £100,000 at 1 April 2008. Salary includes base pay and all pay-related allowances. Further details are available in the departmental report 2009, which was published on 11 June 2009.

Departmental Public Expenditure

Norman Lamb: To ask the Secretary of State for Health with reference to page 48 of his Department's Annual Report 2009, if he will provide details of the (a) central strategic health authority allocation, (b) centrally managed funds, (c) research and development, (d) Department for Health administration, (e) technical, (f) other central and (g) contingency dispositions; and how much has not yet been allocated in each case. [311976]

Mr. Mike O'Brien: The requested further detailed information is supplied as follows. It should be noted that due to the timing of publication of the departmental report 2009, the chart on page 48 of the departmental report was constructed based on information from plans at January 2009. By the start of 2009-10 financial year all funding had been allocated.


25 Jan 2010 : Column 547W
Central strategic health authority allocations
Expenditure type Total (£000)

Allocations to Specific Programmes

830,452

Allocations to Services

125,602

Allocations to Hosted Programmes

344,409

Total

1,300,460


The make-up of the £9.7 billion of centrally managed funds is shown in the chart on page 48 of the departmental report (in the linked boxes).

Planned research and development expenditure was set at £900 million.

Department of Health administration are fully set out in figure B.3 of page 233 of the departmental report 2009.

Technical
Budget name Total (£ million)

Trust Debt Remuneration

-1,185

Trust Cost of Capital

1,266

DEL Impairments

50

Total

131


Other central
Budget name Total (£ million)

Directorate-General Managed Budgets

1,686

End-Year Flexibility Funding and Transfers

38

Non-Cash Central Programmes

24

Total

1,748


All contingency funds were allocated by the start of 2009-10.

Departmental Written Questions

Mr. Hoyle: To ask the Secretary of State for Health if he will make it his policy to answer Questions tabled by hon. Members on the operation of (a) NHS foundation trusts and (b) Monitor; and if he will make a statement. [312337]

Mr. Mike O'Brien: Ministers are not in a position to respond to questions or comment about issues relating to operational management within NHS foundation trusts (NHSFTs).

However, as with tabled parliamentary questions, Ministers will continue to provide information to hon. Members or peers on behalf of Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) on issues specifically relating to the regulation of NHSFTs. The same would apply to issues relating to the management of Monitor.

We cannot anticipate every likely avenue of approach that hon. Members might take in raising matters about NHSFTs. In general Ministers will continue to refer hon. Members to the chair of a local NHSFT to respond to questions tabled about its day to day management. We will also continue to direct written parliamentary questions on such matters to the chair of the organisation for answer.

Matters of national policy for the NHS, including its resources, standards and targets, will continue to be the responsibility of Ministers. Ministers will therefore continue to be responsible for responding to written and other
25 Jan 2010 : Column 548W
tabled questions about the provision of NHS services, including provision through NHSFTs where the information is collected centrally.

Eating Disorders: Young People

Norman Lamb: To ask the Secretary of State for Health how many (a) boys and (b) girls aged (i) under 10, (ii) 10, (iii) 11, (iv) 12, (v) 13, (vi) 14, (vii) 15, (viii) 16, (ix) 17 and (x) 18 years old were admitted to hospital for illnesses or conditions relating to eating disorders in the last year for which figures are available. [311998]

Phil Hope: The information is in the following table.

Count of finished admission episodes( 1) where there was a primary diagnosis of eating disorders( 2) by age and sex, 2008-09( 3) , activity in English NHS hospitals and English NHS commissioned activity in the independent sector
Age Male Female

0-9

48

30

10

5

4

11

3

28

12

10

53

13

7

92

14

18

140

15

10

194

16

13

155

17

8

98

18

2

61

(1 ) Finished admission episodes
A finished admission episode (FAE) is the first period of inpatient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
(2 ) Primary diagnosis (eating disorders)
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the hospital episode statistics (HES) data set and provides the main reason why the patient was admitted to hospital.
ICD-10 clinical codes for eating disorders
F50.0 Anorexia nervosa
F50.1 Atypical anorexia nervosa
F50.2 Bulimia nervosa
F50.3 Atypical bulimia nervosa
F50.4 Overeating associated with other psychological disturbances
F50.5 Vomiting associated with other psychological disturbances
F50.8 Other eating disorders
F50.9 Eating disorder, unspecified
F98.2 Feeding disorder of infancy and childhood
F98.3 Pica of infancy and childhood
(3 ) Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England and from some 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. While this brings about improvement over time, some shortcomings remain.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Health Services: Isle of Man

Colin Challen: To ask the Secretary of State for Health what the outcome was of his recent discussions with a delegation from the Isle of Man Government on reciprocal health arrangements; and if he will make a statement. [313048]


25 Jan 2010 : Column 549W

Gillian Merron: My right hon. Friend the Secretary of State had a positive meeting with a delegation from the Isle of Man on 19 January 2010. The meeting helped reaffirm the strength of the ties with the Isle of Man and provided a useful insight into how the termination of the reciprocal agreement was perceived there. It was confirmed to the Chief Minister that the agreement will come to an end on 31 March 2010. Both Governments have committed to review the situation for any possible negative consequences or unforeseen impacts. It was also agreed to work in close partnership with the Isle of Man Government to ensure the practical effects of the termination are communicated clearly to all those affected.

Hospitals: Admissions

Norman Lamb: To ask the Secretary of State for Health how many and what proportion of (a) all patients and (b) patients aged (i) under 16 years old, (ii) between 16 and 74 years old and (iii) over 74 years old required emergency readmission within 28 days of emergency admission to hospital in each of the last three years. [311991]

Mr. Mike O'Brien: The available information, based on information provided by the National Centre for Health Outcomes Development (NCHOD), is in the following table. Information for 2008-09 is not yet available.

Emergency readmissions within 28 days of previous in-patient stay

2005-06 2006-07 2007-08

Number of emergency readmissions( 1)

Patients of:

Under 16 years

72,333

72,843

77,631

16-74 years

292,729

301,982

309,589

75 years and over

152,279

154,044

159,134

All patients

517,341

528,869

546,354

Emergency readmissions as a percentage of all hospital inpatient admissions( 2)

Patients of:

Under 16 years

9.38

9.53

10.00

16-74 years

9.01

9.25

9.38

75 years and over

13.90

13.90

14.08

All patients

10.11

10.30

10.50

Emergency readmissions as a percentage of all hospital inpatient admissions, adjusted for changes in case-mix( 2,3)

Patients of:

Under 16 years

9.17

9.34

9.74

16-74 years

8.88

9.20

9.50

75 years and over

13.73

13.91

14.21

All patients

9.95

10.22

10.53

(1) Emergency readmissions are defined as emergency admissions occurring within 0-27 days of discharge from a previous hospital inpatient stay, excluding obstetrics, mental health and cancer.
(2) Number of emergency readmissions as a percentage of the total number of hospital inpatient admissions for the same financial year, excluding obstetrics, mental health and cancer.
(3) Adjusted to a 2003-04 baseline for variations (within each age group) in age, sex, method of admission and diagnosis/procedure.
Source:
National summary of data from the 'Compendium of clinical and health indicators', NCHOD October

25 Jan 2010 : Column 550W

Mr. Godsiff: To ask the Secretary of State for Health what estimate he has made of the number of people aged 60 years and over in (a) England and (b) Birmingham, Sparkbrook and Small Heath constituency who had at least one emergency readmission to hospital in the last two years for which figures are available. [312197]

Mr. Mike O'Brien: The information available, based on information provided by the National Centre for Health Outcomes Development, is set out in the following table. Information on the number of people who have experienced at least one emergency readmission (as opposed to the total number of emergency readmissions), and information for the precise geographical area or age group requested, is not available and could not be obtained at proportionate cost.

Emergency readmissions to hospital within 28 days of discharge from hospital (excluding cancer, maternity and mental health patients)
Persons 16 to 74 years Persons 75+ years

FY 2006-07 FY 2007-08 FY 2006-07 FY 2007-08

England

301,982

309,589

154,044

159,134

Birmingham Metropolitan District Council

7,469

8,121

3,252

3,502

Source:
National Centre for Health Outcomes Development Compendium of clinical and health indicators (available at www.nchod.nhs.uk), derived from Hospital Episodes Statistics.

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