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Maternity Services

Mr. Amess: To ask the Secretary of State for Health what recent representations he has received from the Royal College of Midwives on maternity services. [322252]

Ann Keen: No such recent representations have been received from the Royal College of Midwives (RCM). Ministers, the Chief Nursing Officer and other officials meet regularly with the RCM to discuss matters of mutual interest. I last met with Professor Cathy Warwick, general secretary of the RCM, on 20 January 2010.

Medical Records: Children

Mr. Stephen O'Brien: To ask the Secretary of State for Health whether parents may opt out of the summary care record system on behalf of their children. [322229]

Mr. Mike O'Brien: Current policy permits parents of children who are not yet competent to decide for themselves to request that their children are not provided with a summary care record. The decision about whether or not to create a summary care record for a child is made by the child's general practitioner, informed by the parent's wishes, acting in the best interests of the child. A small number of children have not been provided with a summary care record following parental requests.

The policy is presently being reviewed in the context of the safeguarding children agenda, in consultation with the Department for Children, Schools and Families and the National Information Governance Board.

Mid Staffordshire NHS Foundation Trust

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 9 March 2010, Official Report, column 193W, on NHS foundation trusts, what assessment his Department made of mortality rates at Mid Staffordshire General Hospitals NHS Trust when it assessed the Trust's application for foundation status. [322368]

Mr. Mike O'Brien: The Department's consideration of applications for foundation trust status is about reviewing an organisation's readiness for proceeding to the final stage of assessment. This final stage of applying to become a foundation trust is a detailed assessment undertaken by the independent regulator of foundation trusts in accordance with the relevant legislation.

When the Department considered the application from Mid Staffordshire General Hospitals NHS Trust (now Mid Staffordshire NHS Foundation Trust) for foundation trust status, assurance was gained on the quality of care being provided via analysis of the trusts performance against key national standards. This included assessment against accident and emergency and hospital waiting time standards as well as the consideration of methicillin-resistant Staphylococcus aureus and Clostridium difficile rates at the organisation. The Department's review did not include an explicit review of hospital standardised mortality rates.

The Department's assessment processes have since evolved and now include an explicit consideration of hospital standardised mortality rates, alongside other care quality indicators such as patient surveys and safety indicators. Since April 2009 the Department's assessment has also included the consideration of each application by the NHS Medical Director, whose support is required prior to an application being able to proceed to Monitor for assessment to foundation trust status. The NHS Medical Director considers a range of quality related intelligence, including hospital standardised mortality rates, in forming their view on each trust.

NHS: Finance

Mr. Hepburn: To ask the Secretary of State for Health how much NHS funding has been allocated to (a) South Tyneside, (b) the North East and (c) England in each year since 1997. [321583]

Mr. Mike O'Brien: Revenue allocations were first made to primary care trusts (PCTs) in 2003-04. Before that, revenue allocations were made to health authorities (HAs).

Table 1 shows revenue allocations to Gateshead and South Tyneside HA, the total revenue allocations made to HAs covered by North East strategic health authority (SHA), and England total, from 1996-97 to 2002-03.


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15 Mar 2010 : Column 644W
Table 1: Revenue allocations to health authorities (HAs) 1996-97 to 2002-03
£ million
HA revenue allocations

1996-97 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03

Gateshead and South Tyneside HA

170.9

178.4

187.6

255.5

278.2

300.8

332.5

North East SHA

1,178.2

1,226.7

1,294.0

1,768.8

1,936.3

2,102.3

2,321.1

England

20,886.0

21,816.4

22,895.3

31,192.9

34,234.9

37,157.4

41,468.5

Note: Revenue allocations are not always comparable between years because of changes to baseline funding. Source: Financial Planning and Allocations Division, Department of Health.

Table 2 shows PCT revenue allocations from 2003-04 to 2010-11 made to Gateshead PCT and South Tyneside PCT (both formed from Gateshead and South Tyneside HA), the total revenue allocations made to PCTs covered by the North East SHA and England total.

Table 2: Revenue allocations to primary care trusts (PCTs) 2003-04 to 2010-11
£ million
PCT revenue allocations

2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Gateshead PCT

202.6

222.2

242.7

286.7

313.3

330.4

357.2

376.6

South Tyneside PCT

158.3

173.8

190.0

223.0

243.8

257.1

279.3

294.0

North East SHA

2,516.1

2,756.9

3,009.6

3,588.1

3,920.7

4,134.8

4,452.9

4,694.6

England

45,027.2

49,328.2

53,925.0

64,309.6

70,354.7

74,197.5

80,030.7

84,432.4

Note: Revenue allocations are not always comparable between years because of changes to baseline funding. For example allocations from 2006-07 include primary medical services funding. Source: Financial Planning and Allocations Division, Department of Health.

NHS: Procurement

Anne Milton: To ask the Secretary of State for Health for what reasons primary care trusts in the East of England have been instructed to suspend procurement; and when they will be allowed to restart procurement. [321545]

Mr. Mike O'Brien: All primary care trusts (PCTs) including those in the East of England are required to review their plans for future provision of community services under a new assurance and approval process, as set out in guidance published 5 February.(1) A copy has already been placed in the Library.

Patients: Safety

Norman Lamb: To ask the Secretary of State for Health how many deaths resulted from each type of patient safety incident in each year between 1997 and 2005. [321763]

Ann Keen: The following table provides the number of patient safety incidents associated with the death of a patient that were submitted to the National Patient Safety Agency's Reporting and Learning System each year for the period from the 1 April 2005 to 31 March 2006, broken down by type of incident.

The National Patient Safety Agency was set up in 2001. The Reporting and Learning System was piloted in 2002-03 but not all national health service trusts were reporting before the end of 2004. Information about the number of patient safety incidents associated with death in 2004 is not included because of the low number of incidents submitted to the Reporting and Learning System prior to that date and the unreliability of the information available.

Reported incidents that occurred between 1 April 2005 and 31 March 2006
Incident type Number /percentage

Deaths

2,275

All incident types

596,138

Percentage of incident types reported as deaths

0.4

Source: National Patient Safety Agency.

Reported incidents that occurred between 1 April 2005 and 31 March 2006, broken down by incident type
Incident type Number

Access, admission, transfer, discharge (including missing patient)

111

Clinical assessment (including diagnosis, scans, tests, assessments)

109

Consent, communication, confidentiality

50

Disruptive, aggressive behaviour

12

Documentation (including records, identification)

11

Infection Control Incident

18

Implementation of care and ongoing monitoring/review

55

Infrastructure (including staffing, facilities, environment)

38

Medical device/equipment

32

Medication

37

Patient abuse (by staff/third party)

5

Patient accident

100

Self-harming behaviour

419

Treatment, procedure

237

Other

1,041

Total

2,275


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York Hospital: Manpower

Hugh Bayley: To ask the Secretary of State for Health how many whole time equivalent (a) medical consultants, (b) other doctors, (c) nurses and midwives and (d) other health professionals were employed at York Hospital in 1997, excluding posts subsequently transferred to York Primary Care Trust; and how many were employed in each category on the most recent date for which figures are available. [322107]


15 Mar 2010 : Column 646W

Ann Keen: The data are not available in the format requested. The following table shows national health service staff at the York Hospitals NHS Trust by main staff group as at 30 September each specified year. The figures quoted for 1997 include posts that subsequently transferred to Selby and York Primary Care Trust (PCT), as these cannot be separately identified.

NHS staff at York Hospitals NHS Trust (full time equivalent)

1997 2008

All hospital and community health services (HCHS) medical and dental consultants

102

157

of which medical consultant

97

152

All HCHS other medical and dental staff

159

217

of which medical other

153

208

All non-medical staff

3,399

3,232

Professionally qualified clinical staff

1,771

1,513

Qualified nursing, midwifery and health visiting staff

1,362

1,030

Qualified scientific, therapeutic and technical staff

409

483

Qualified Allied Health Professions

228

231

Qualified Healthcare Scientists

n/a

138

Other Qualified Scientific, therapeutic and technical (ST and T) staff

181

114

Support to clinical staff

1,021

885

Support to doctors and nursing staff

915

670

Support to ST and T staff

105

215

NHS infrastructure support

602

834

Central functions

166

307

Hotel, property and estates

344

457

Managers and senior managers

92

70

Other staff or those with unknown classification

6

0

n/a = Not applicable. Figures for healthcare scientists were not separately identifiable until 2003.
Notes:
1. Full-time equivalent figures are rounded to the nearest whole number.
2. Data Quality
Workforce statistics are compiled from data sent by more than 300 NHS trusts and PCTs in England. 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. Processing methods and procedures are continually being updated to improve data quality. Where this happens any impact on figures already published will be assessed but unless this is significant at national level they will not be changed. Where there is impact only at detailed or local level this will be footnoted in relevant analyses.
Sources:
The NHS Information Centre for health and social care Non-Medical Workforce Census
The NHS Information Centre for health and social care Medical and Dental Workforce Census

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