Energy and Climate Change

Electricity: North East

Nicholas Soames: To ask the Secretary of State for Energy and Climate Change what the average cost per kilowatt hour of electricity used by industrial users in the North East was in each year since 1997. [185137]

29 Jan 2014 : Column 574W

Gregory Barker: Data on average industrial electricity costs in the UK for each year from 1997 to 2012 are shown in the following table. Data are not available for individual regions.

 Cost p/kWh

1997

3.69

1998

3.67

1999

3.62

2000

3.47

2001

3.13

2002

2.98

2003

2.87

2004

3.13

2005

4.24

2006

5.51

2007

5.45

2008

6.84

2009

7.27

2010

6.51

2011

6.92

2012

7.34

Energy: Prices

Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the oral answer of 16 January 2014, Official Report, column 985, on energy bills, if he will place in the Library a copy of his Department’s analysis of the major energy companies' changes to prices following the changes to the green levies. [184476]

Michael Fallon: The details of price changes made by the major energy suppliers in relation to the autumn statement can be found on the relevant pages of each major suppliers' website. We are working with Energy UK on getting this information clearly set out on their website.

Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the oral answer of 16 January 2014, Official Report, column 984, on energy prices, what estimate his Department has made of current switching times. [184544]

Michael Fallon: Switching energy supplier is currently expected to take five weeks. Electricity and gas supply licences require suppliers to have a term in their contract providing for transfers to be made within 21-days. This currently takes place after a 14-day cooling-off period.

Ofgem analysis of information provided by the large domestic suppliers for the period Q1 2012 to Q1 2013 found that the proportion of domestic switches taking longer than three weeks after the cooling off period (without a valid reason) was over 20% in electricity and over 80% in gas. Ofgem is currently consulting on modifications to supplier licence conditions to secure a more reliable three-week switch:

https://www.ofgem.gov.uk/publications-and-updates/enforcing-three-week-switching

The oral answer given by the Secretary of State for Energy and Climate Change, my right hon. Friend the Member for Kingston and Surbiton (Mr Davey), on 16 January 2014, Official Report, column 984, on energy

29 Jan 2014 : Column 575W

prices reflects the work being done with the industry to halve the current expected five week switching time by the end of this Parliament.

Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the answer of 16 January 2014, Official Report, column 985, on energy bills, what assessment his Department has made of the consequences for customers on fixed-price deals of changes to green levies. [184573]

Michael Fallon: Following the package of measures announced on 2 December, UK households will receive, on average, around a £50 reduction in their energy bill, compared to what it would have otherwise been. Different suppliers have chosen to apply the savings to their customers in different ways, and we are working with Energy UK to set out clearly what customers will be receiving, depending on the particular tariffs they are on.

Women and Equalities

Equality and Human Rights Commission

Philip Davies: To ask the Minister for Women and Equalities what proportion of staff of the Equality and Human Rights Commission have indicated that they do not wish to declare their status in answer to any of the questions on the Commission's diversity declaration forms in each of the last five years. [184461]

Mr Vaizey: I have been asked to reply on behalf of the Department for Culture, Media and Sport.

The Equality and Human Rights Commission is an independent body and is responsible for its own staff management, including staff declaration forms. I have asked the Commission to write to my hon. Friend with the information requested.

Philip Davies: To ask the Minister for Women and Equalities if she will place in the Library a copy of the materials used by the Equality and Human Rights Commission during its series of conferences on Dignity at Work. [184462]

Mr Vaizey: I have been asked to reply on behalf of the Department for Culture, Media and Sport.

I will arrange for a copy of the material, requested by my hon. Friend, to be placed in the Libraries of both Houses.

Philip Davies: To ask the Minister for Women and Equalities if she will place in the Library a copy of the diversity training materials currently used by the Equality and Human Rights Commission to train its employees. [184464]

Mrs Grant: The Equality and Human Rights Commission uses the Civil Service Learning IT portal to gain access to diversity training materials for its employees. I am therefore unable to place the material requested by my hon. Friend in the Library.

29 Jan 2014 : Column 576W

Philip Davies: To ask the Minister for Women and Equalities if she will place in the Library a copy of the guidance entitled Manage a Diverse Workforce through Organisational Change given to managers at the Equality and Human Rights Commission. [184467]

Mr Vaizey: I have been asked to reply on behalf of the Department for Culture, Media and Sport.

The Equality and Human Rights Commission does not use a document entitled “Manage a Diverse Workforce through Organisational Change”. I am therefore unable to place the material requested by the hon. Member in the Library.

Philip Davies: To ask the Minister for Women and Equalities how many staff currently working at the Equality and Human Rights Commission have not received the Commission's diversity training. [184468]

Mr Vaizey: I have been asked to reply on behalf of the Department for Culture, Media and Sport.

The Equality and Human Rights Commission is an independent body and is responsible for its own staff management, including diversity training. I have asked the Commission to write to the hon. Member with the information requested.

Philip Davies: To ask the Minister for Women and Equalities what grievances have been raised by staff at the Equality and Human Rights Commission in each of the last three years; and what the outcome was in each such case. [184763]

Mr Vaizey: I have been asked to reply on behalf of the Department for Culture, Media and Sport.

The Equality and Human Rights Commission is an independent body and is responsible for its own staff management, including staff grievances. I have asked the Commission to write to the hon. Member with the information requested.

Deputy Prime Minister

Regional Planning and Development

Mr Hollobone: To ask the Deputy Prime Minister if he will arrange for the Minister of State for Cities and the Constitution to meet representatives of Kettering Borough Council, the Northamptonshire Enterprise Partnership and the South East Midlands Local Enterprise Partnership to co-ordinate infrastructure investment associated with a new junction 10A on the A14 at Cranford. [R] [902236]

Greg Clark: I would be delighted to meet as suggested.

Church Commissioners

Bishop of Bath and Wells

Tessa Munt: To ask the right hon. Member for Banbury, representing the Church Commissioners, pursuant to the answer of 23 January 2014, Official

29 Jan 2014 : Column 577W Report

, column 317W on Bishop of Bath and Wells, in relation to the Bishop's living accommodation, what repairs or maintenance were identified in the Church Commissioners Quinquennial Review dated 2013. [185017]

Sir Tony Baldry: The reason for moving the Bishop’s accommodation is to give the Bishop more privacy and it is not to do with the cost of repairs and restoration to the flat. A considerable amount of the Palace at Wells is currently open to the public and little private space is available for the Bishop or his family. The Bishop of Bath and Wells and the Bishop of Taunton will continue to use the Palace on a daily basis as their office and to worship and pray in the chapel.

In addition to our original answer of 23 January 2014, Official Report, column 317W, please find as follows some examples of the types of ongoing work needed on the Palace building and surrounding complex, including the areas used by the Bishops as their private accommodation. Repointing of the palace, internal modernisation and refurbishment, rewiring, stabilisation of the ruins of the great hall, roof repairs, repointing of the chimneys, replacing the boiler, water tanks and pipework, installation of a new heating system, upgrading the electrical supply, and works to the kitchen and bathrooms.

Tessa Munt: To ask the right hon. Member for Banbury, representing the Church Commissioners, pursuant to the answer of 23 January 2014, Official Report, column 316W on Bishop of Bath and Wells, if he will provide full details of every heirloom of the See in relation to the Bishop's Palace at Wells; and if he will publish an inventory of the heirlooms of the Holy See in that Palace. [185018]

Sir Tony Baldry: The last inventory of the Palace was undertaken in 2007. It is not possible to transcribe the inventory due to the disproportionate cost involved and

29 Jan 2014 : Column 578W

the length of the document. The Palace Trust, who manage the public rooms of the Palace, are currently lent the ‘heirlooms’ of the See by the Church Commissioners to display. The Church Commissioners intend that these robes, objects, paintings and furniture will continue to remain at the Palace and will remain on public view.

Tessa Munt: To ask the right hon. Member for Banbury, representing the Church Commissioners, for what reasons the Church Commissioners found the previous Bishop's accommodation at the Bishop's Palace at Wells to be unsuitable for the new Bishop and his wife. [185267]

Sir Tony Baldry: The Commissioners considered that moving the Bishop’s accommodation would give the Bishop more privacy. Their decision did not relate to the cost of repairs and restoration to the flat. A considerable amount of the Palace at Wells is currently open to the public and little private space is available for the Bishop or his family. The Bishop of Bath and Wells and the Bishop of Taunton will continue to use the Palace on a daily basis as their office and worship and pray in the chapel.

Health

Ambulance Services: East of England

Gavin Shuker: To ask the Secretary of State for Health how many patients have been left waiting in ambulances for more than one hour outside each NHS hospital in the East of England in each year since 2010-11. [184739]

Jane Ellison: Information is not available in the format requested. Information about delayed ambulance handovers is collected only over the winter period, as part of national health service acute trusts' daily winter situation reports. The following table shows the number of ambulance handovers delayed for more than one hour at acute trusts in the east of England each winter since 2010-11.

Number of delayed ambulance handovers of over one hour at NHS acute trusts in the east of England region, 2010-11 to 2013-14 for the dates shown
 2010-112011-122012-132013-14
Organisation1 November 2010 to 24 February 20111 November 2011 to 1 March 20126 November 2012 to 28 February 20134 November 2013 to 22 January 2014

West Suffolk NHS Foundation Trust

4

0

98

0

West Hertfordshire Hospitals NHS Trust

231

119

315

96

The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

3

216

203

44

The Princess Alexandra Hospital NHS Trust

20

96

43

63

Southend University Hospital NHS Foundation Trust

15

247

287

105

Peterborough And Stamford Hospitals NHS Foundation Trust

392

11

20

1

Papworth Hospital NHS Foundation Trust

0

0

0

0

Norfolk And Norwich University Hospitals NHS Foundation Trust

185

620

1409

9

Mid Essex Hospital Services NHS Trust

227

352

351

58

Luton And Dunstable University Hospital NHS Foundation Trust

0

18

108

49

James Paget University Hospitals NHS Foundation Trust

0

0

109

1

Ipswich Hospital NHS Trust

0

86

208

45

Hinchingbrooke Health Care NHS Trust

0

0

0

0

29 Jan 2014 : Column 579W

29 Jan 2014 : Column 580W

East And North Hertfordshire NHS Trust

11

36

182

84

Colchester Hospital University NHS Foundation Trust

4

21

162

131

Cambridge University Hospitals NHS Foundation Trust

57

257

36

5

Bedford Hospital NHS Trust

0

0

71

10

Basildon And Thurrock University Hospitals NHS Foundation Trust

62

38

144

2

Source: NHS England, daily winter situation reports

Blood: Regulation

Mr Burrowes: To ask the Secretary of State for Health what progress he has made in his review of regulations involved in the management of supply of blood and blood-derived products; and when the review will be complete. [184530]

Norman Lamb: The blood regulations were considered as part of the Red Tape Challenge and the responses received by the Medicines and Healthcare products Regulatory Agency (MHRA) were in favour of retaining the regulations. European Union blood regulations were overall assessed favourably in the Department's Balance of Competence Review in 2013. Separately, there was a request from the European Commission for suggestions for technical amendments to the blood directives and MHRA consulted with the Department of Health, devolved Administrations and the United Kingdom blood transfusion services. Suggestions were forwarded to the European Commission but the Commission has said that there will be no revisions to the blood directives until 2015 at the earliest.

Departmental Responsibilities

Luciana Berger: To ask the Secretary of State for Health how many meetings Ministers and officials in his Department have had with (a) food, (b) soft drink and (c) alcohol companies since May 2010. [185053]

Jane Ellison: Details of all ministerial meetings with external parties are published quarterly in arrears on the Department's website. The latest publication can be found on the Department's website at:

www.gov.uk/government/publications/ministerial-gifts-hospitality-travel-and-external-meetings-2012-to-2013?utm_source=twitterfeed&utm_medium=twitter

Officials in the food and alcohol policy teams meet with food, soft drinks and drinks industry representatives on a regular basis in the course of their usual activities, primarily through the Responsibility Deal. Available records indicate that since May 2010 there have been 359 meetings with food companies, 19 meetings with soft drinks companies and 65 meetings with alcohol companies.

Luciana Berger: To ask the Secretary of State for Health how many meetings (a) Ministers and (b) officials in his Department had with (i) the World Sugar Research Organisation, (ii) Sugar Nutrition UK and (iii) British Sugar since May 2010. [185054]

Jane Ellison: Details of all ministerial meetings with external parties are published quarterly in arrears on the Department's website. The latest publication can be found on the Department's website:

www.gov.uk/government/publications/ministerial-gifts-hospitality-travel-and-external-meetings-2012-to-2013?utm_source=twitterfeed&.utm_medium=twitter

Available records indicate that officials have met with Sugar Nutrition UK, formerly The Sugar Bureau, on five occasions since May 2010 about diet and nutrition matters. Available records indicate that officials have held no meetings with the World Sugar Research Organisation or with British Sugar since May 2010.

Luciana Berger: To ask the Secretary of State for Health if he will publish a full list of all the (a) food and drink and (b) alcohol companies that Ministers or officials in his Department have met since May 2010. [185055]

Jane Ellison: Details of all ministerial meetings with external parties are published quarterly in arrears on the Department's website. The latest publication can be found on the Department's website at:

www.gov.uk/government/publications/ministerial-gifts-hospitality-travel-and-external-meetings-2012-to-2013?utm_source=twitterfeed&.utm_medium=twitter

Officials in the food, drink and alcohol policy teams meet with food and drinks companies on a regular basis, primarily with regard to the Public Health Responsibility Deal.

A list of the food, drink and alcohol companies that officials in the Department have met on an individual basis since May 2010, based on available records is as follows:

Food and Drink companies

3663 Food Service

AB World Foods Limited

ALDI Einkauf GmbH and Compagnie, oHG,

Alliance Boots GmbH

Allied Bakeries

Amadeus

Aramark Corporation

Apetito (UK) Ltd

Asda Stores Ltd

Bar and Restaurant Foods Ltd

BaxterStorey Ltd

Bernard Matthews Ltd

29 Jan 2014 : Column 581W

Booker Ltd

Brake Bros Ltd

Burger King Corporation

Caffé Nero Ltd

Camden Food Co

Catering Services House of Commons

CH&Co Catering Ltd

Coca-Cola Great Britain and Ireland

Compass Group PLC

Costa Coffee

Danone UK Ltd

DC Leisure Management Limited

Domino's Pizza Group Ltd

Elior UK Group

Ferrero UK Ltd

First Milk Limited

Fonterra Co-operative Group Limited

Fuller, Smith and Turner PLC

General Mills (UK) Ltd

GlaxoSmithKline PLC

Good Food Co Dunkleys Ltd

Gourmet Burger Kitchen

Greencore Group PLC

Greene King PLC

Greggs PLC

H. J. Heinz Company

Harbour and Jones Ltd

Iceland Foods Ltd

Intercontinental Hotels Group PLC

Intersnack Ltd

J Sainsbury PLC

Jamie Oliver Ltd

JD Weatherspoon PLC

JLM Global Foods Ltd

Kellogg Company

Kentucky Fried Chicken (UK and Ireland)

Kerry Group PLC

Kettle Foods Ltd.

Kraft Foods UK Ltd

Kudos Blends Ltd

Leatherhead Food International Ltd

Lidl Stiftung and Co. KG

Marks and Spencer PLC

Mars UK Ltd

McCain Foods (GB) Ltd

McDonald's Restaurants Ltd

Merisant Company

Mitchells and Butlers PLC

MITIE Catering Services Limited

Mondélez International, Inc

Nando's

Nestle UK Ltd

PepsiCo UK and Ireland

Pizza Hut (UK) Limited

Ponti's Group Ltd

Prezzo PLC

Quorn Foods

Restaurant Group PLC

Sodexo UK and Ireland

29 Jan 2014 : Column 582W

Starbucks Coffee Company

Stateside Foods Ltd

Subway International

Tesco PLC

The Co-operative Group Ltd

The Naturally Naughty Cake .Co

Tragus Ltd

Unilever UK and Ireland

United Biscuits (UK) Ltd

Vacherin Limited

Victoria Foods Ltd

W. Jordan (Cereals) Ltd

Waitrose Ltd

Warburtons

Weetabix Ltd

Whitbread PLC

Wm Morrison Supermarkets PLC

Young's Sea Food Ltd

Yum! Brands, Inc.

Alcohol companies

ABinBev

Accolade Wine

Bacardi Brown Foreman

Beam Inc

Beverage Brands Ltd

Bibendum Wine Ltd

C&C Group PLC

Carlsberg Group

Constellation wines

Diageo

Fuller, Smith and Turner PLC

Greene King PLC

Heineken UK

Molson Coors

Pernod Ricard

Sab Miller PLC

Diabetes

Luciana Berger: To ask the Secretary of State for Health what latest assessment he has made of the annual cost of type one and type two diabetes to the NHS. [185057]

Jane Ellison: In January 2014, NHS England published the ‘Action for Diabetes’ report.

The report states that diabetes is estimated to have cost the United Kingdom £9.8 billion in health costs in 2010-11. This consists of £1 billion and £8.8 billion for Type 1 and Type 2 diabetes respectively.

A copy of the report has been placed in the Library.

Doctors: Working Hours

Mr Jim Cunningham: To ask the Secretary of State for Health pursuant to the answer of 16 January 2014, Official Report, column 676W, on junior doctors, what steps he is taking to ensure that junior doctors do not under-record their working hours. [185150]

Dr Poulter: National health service trusts, as employers, are responsible for ensuring that service rotas are designed and staffed appropriately and are in accordance with

29 Jan 2014 : Column 583W

the working time regulations. Failure to comply may result in trusts being held to account either by an employment tribunal or through the Health and Safety Executive.

NHS Employers provides guidance and support to NHS employers on all aspects of United Kingdom employment legislation relating to NHS staff, and the Department sets the broad framework within which NHS Employers operate. Where concerns of non-compliance are raised, NHS Employers will liaise with those involved and explore further.

Individuals must also take personal responsibility to ensure that they record their working time in accordance with their contract.

Eyesight: Surgery

Mr Jamie Reed: To ask the Secretary of State for Health how many patients have presented at NHS services due to complications following commercial laser eye treatment in the last three years. [185045]

Dr Poulter: This information is not collected centrally.

Mr Jamie Reed: To ask the Secretary of State for Health what steps his Department takes to ensure that patients are made aware of all risks attributed to (a) laser eye treatments and (b) other procedures undertaken by private and commercial providers. [185046]

Dr Poulter: A number of steps have been taken to ensure patients are made aware of the risks of laser eye treatment and other procedures undertaken by private and commercial providers.

Information for the public on laser eye surgery, including information about risks associated with the procedure, has been published through NHS Choices.

29 Jan 2014 : Column 584W

The Royal College of Ophthalmologists published a Patients' Guide to Excimer Laser Refractive Surgery in July 2011. It sets out that patients should have the opportunity to discuss the risks and benefits of each procedure.

The National Institute for Health and Clinical Excellence published Interventional Procedure Guidance in March 2006, on the use of photorefractive (laser) eye surgery for the correction of refractive error.

The General Medical Council published ‘Good Medical Practice’ on 12 November 2006. This guidance describes what is expected of all doctors in the national health service, private and commercial sector, registered with the General Medical Council. It includes guidance on communicating the risks involved with treatment and that doctors must be satisfied that they have the consent or other valid authority before they provide treatment.

All providers of regulated activities under the Health and Social Care Act 2008 must be registered with the Care Quality Commission and meet the requirements of safety and quality.

Registered providers are required to discuss the risks and benefits involved in any particular course of care or treatment.

Health Services: Greater London

Sadiq Khan: To ask the Secretary of State for Health what the total spending by his Department per head of population was in each London borough in each of the last five years. [184659]

Dr Poulter: This information is not available in the format requested as figures are not collected for expenditure by borough. However, funding figures are available for primary care trusts (PCTs).

The total expenditure per head of population for all London PCTs, in each of the last five years is shown in the following table. Information on the current financial year is not yet available.

£
PCTPCT name2012-132011-122010-112009-102008-09

5C2

Barking and Dagenham PCT

1,994

1,969

2,123

2,070

1,738

5A9

Barnet PCT

1,770

1,742

1,780

1,717

1,434

TAK

Bexley Care Trust

1,711

1,622

1,617

1,518

1,362

5K5

Brent Teaching PCT

2,102

2,060

1,872

1,775

1,531

5A7

Bromley PCT

1,676

1,619

1,643

1,569

1,423

5K7

Camden PCT

2,100

2,087

2,091

2,099

1,740

5C3

City and Hackney Teaching PCT

2,375

2,271

2,374

2,277

1,884

5K9

Croydon PCT

1,811

1,866

1,761

1,658

1,432

5HX

Ealing PCT

1,876

1,802

1,842

1,829

1,643

SC1

Enfield PCT

1,858

1,850

1,849

1,728

1,506

5A8

Greenwich Teaching PCT

2,118

2,067

1,978

1,902

1,712

5H1

Hammersmith and Fulham PCT

2,224

2,203

2,088

2,006

1,590

5C9

Haringey Teaching PCT

2,047

2,008

2,050

1,959

1,729

5K6

Harrow PCT

1,700

1,720

1,783

1,635

1,424

5A4

Havering PCT

1,796

1,742

1,757

1,640

1,474

5AT

Hillingdon PCT

1,723

1,618

1,678

1,585

1,392

5HY

Hounslow PCT

1,838

1,818

1,-859

1,752

1,534

5K8

Islington PCT

2,649

2,456

2,410

2,299

2,038

5LA

Kensington and Chelsea PCT

1,943

1,893

1,834

1,993

1,537

5A5

Kingston PCT

1,485

1,465

1,490

1,414

1,256

5LD

Lambeth PCT

2,279

2,217

2,248

2,172

1,956

29 Jan 2014 : Column 585W

29 Jan 2014 : Column 586W

5LF

Lewisham PCT

2,066

2,041

2,045

1,971

1,791

5C5

Newham PCT

2,425

2,353

2,225

2,126

1,809

5NA

Redbridge PCT

1,645

1,610

1,652

1,613

1,436

5M6

Richmond and Twickenham PCT

1,527

1,474

1,593

1,577

1,413

5LE

Southwark PCT

1,994

1,969

2,029

1,981

1,822

5M7

Sutton and Merton PCT

1,640

1,603

1,639

1,591

1,417

5C4

Tower Hamlets PCT

2,510

2,264

2,315

2,450

1,995

5NC

Waltham Forest PCT

1,941

1,918

1,923

1,797

1,628

5LG

Wandsworth PCT

1,940

1,874

1,974

1,949

1,645

5LC

Westminster PCT

2,172

2,134

'2,044

2,067

1,611

Heart Diseases

Jim Shannon: To ask the Secretary of State for Health what action he is taking to diagnose earlier heart problems among people suffering with dizzy spells. [184474]

Jane Ellison: If a patient is experiencing dizzy spells, there may be a number of possible underlying causes, including heart problems such as an atrial fibrillation (AF), which is the most common type of sustained heart rhythm disturbance.

The Cardiovascular Disease Outcomes Strategy, published in March 2013, recognised that there were issues around the detection and management of AF. To tackle this, NHS Improving Quality, the new NHS improvement body, is encouraging general practitioners to detect and manage AF as part of its work to deliver the strategy. This includes promoting the use of the of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) tool to improve the detection and management of stroke risk in atrial fibrillation.

In addition to this, in 2006 the National Institute for Health and Care Excellence (NICE) published a guideline to support clinicians on the diagnosis and management of AF in emergency, primary, post-operative and secondary care. NICE is planning to publish an updated version of the guideline in June 2014.

Hepatitis

Mr Virendra Sharma: To ask the Secretary of State for Health if he will increase the level of resources available for the treatment of hepatitis C; and what assessment his Department has made of the effect of such treatment on end-stage liver disease and liver cancer. [184403]

Jane Ellison: The level of resources devoted to different treatments is a matter for local NHS services, taking into account local population needs.

We recognise that effective treatments—when coupled with effective prevention measures—are important to reduce the incidence of hepatitis C, and that by tackling hepatitis C, we will be able to reduce preventable mortality from liver disease and cancer.

Public Health England is currently undertaking modelling work to assess the impact of increasing treatment on averting the future burden of hepatitis C related end stage liver disease.

Hip Replacements

Simon Hart: To ask the Secretary of State for Health how many people in England had hip replacements carried out on the NHS in 2012 and 2013. [184600]

Jane Ellison: This information cannot be provided in the format requested. In the following table, we have provided information concerning the number of finished consultant episodes (FCEs) in the national health service with a main or secondary procedure of hip replacement for the years 2011-12 and 2012-13.

 FCEs

2011-12

104,434

2012-13

105,499

Notes: 1. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. 2. A FCE is a continuous period of admitted patient care under one consultant within one healthcare 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. 3. Note that more procedures are carried out than episodes with a main or secondary procedure.

Simon Hart: To ask the Secretary of State for Health what the average cost to the NHS of a hip replacement in England was in 2012 and 2013. [184601]

Jane Ellison: The Department collects reference costs annually from national health service trusts and NHS foundation trusts in England. In reference costs, diagnostic and procedure codes are grouped into healthcare resource groups (HRGs). HRGs are standard groupings of clinically similar treatments which use similar levels of healthcare resource, and may be distinguished as either diagnosis driven (where there are no major procedure codes in the patient record) or procedure driven.

There are several hip procedure HRGs within the collection. The costs of hip replacements are not collected separately. The following table shows the costs of hip procedures in England as reported in the 2011-12 and 2012-13 reference costs and the total average cost for all these HRGs.

29 Jan 2014 : Column 587W

29 Jan 2014 : Column 588W

Currency codeCurrency description2011-122012-13
  ActivityUnit cost (£)ActivityUnit cost (£)

HB11A

Major Hip Procedures for Non-Trauma, Category 2, with Major CC

1,338

11,736

1,580

11,870

HB11B

Major Hip Procedures for Non-Trauma, Category 2, with Intermediate CC

1,620

6,643

2,242

6,799

HB11C

Major Hip Procedures for Non-Trauma, Category 2, without CC

7,938

6,412

7,168

6,276

HB12A

Major Hip Procedures for Non-Trauma, Category 1, with Major CC

3,257

8,830

4,182

8,713

HB12B

Major Hip Procedures for Non-Trauma, Category 1, with Intermediate CC

6,651

6,583

8,109

6,544

HB12C

Major Hip Procedures for Non-Trauma, Category 1, without CC

35,328

5,958

31,600

5,915

HB13Z

Intermediate Hip Procedures for Non-Trauma, Category 2

2,590

4,492

2,288

5,316

HB14B

Intermediate Hip Procedures for Non-Trauma, Category 1, with CC

2,052

4,834

2,403

4,931

HB14C

Intermediate Hip Procedures for Non-Trauma, Category 1, without CC

8,912

2,453

8,322

2,266

HA11A

Major Hip Procedures for Trauma, Category 2, with Major CC

718

13,600

723

13,279

HA11B

Major Hip Procedures for Trauma, Category 2, with Intermediate CC

194

8,297

297

8,818

HA11C

Major Hip Procedures for Trauma, Category 2, without CC

823

7,477

874

7,535

HA12B

Major Hip Procedures for Trauma, Category 1, with CC

15,767

8,087

18,630

7,940

HA12C

Major Hip Procedures for Trauma, Category 1, without CC

14,479

6,317

11,075

6,025

HA13A

Intermediate Hip Procedures for Trauma, with Major CC

9,305

8,233

10,386

7,935

HA13B

Intermediate Hip Procedures for Trauma, with Intermediate CC

4,180

6,101

5,647

6,328

HA13C

Intermediate Hip Procedures for Trauma, without CC

13,802

5,603

11,216

5,258

 

Average cost of a hip procedure in England

 

6,357

 

6,382

Simon Hart: To ask the Secretary of State for Health what the average NHS waiting time for hip replacements was in England in each of the last four years. [184602]

Jane Ellison: The information is shown in the following table:

Count of finished admission episodes (FAEs)1 and mean and median time waited2 for FAEs with a main operative procedure3 of hip replacement for the years 2009-10 to 2012-13
 Count of FAEsMean time waited (days)Median time waited (days)

2009-10

59,662

86

77

2010-11

61,666

86

80

2011-12

65,183

90

83

2012-13

65,350

86

78

1 A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the period. 2 Time waited (days) statistics from Hospital Episode Statistics (HES) for all patients between decision to admit and admission to hospital within a given period. 3 Main procedure is the first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre - activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

Medical Records: Databases

Mr Andrew Smith: To ask the Secretary of State for Health how many unique visitors there have been to the care.data page of the NHS Choices website since that page was launched. [184471]

Dr Poulter: There have been 46,560 visits to the care.data page of the NHS Choices website since its launch in August 2013.

Mr Godsiff: To ask the Secretary of State for Health if he will estimate the amount of GPs time spent complying with care.data requirements; and what assessment he has made of the effect of such an obligation on patient waiting times. [184515]

Dr Poulter: General practitioners, as data controllers, have legal responsibilities under the Data Protection Act 1998 for ensuring that patients are aware of how their information is used and shared. This is not a new requirement and it does not relate solely to the care.data programme.

Mr Godsiff: To ask the Secretary of State for Health what penalties will be incurred by GPs who (a) refuse to take part in care.data and (b) decide to opt-out all their patients from care.data. [184516]

Dr Poulter: There are no agreed plans to penalise general practitioners (GPs).

NHS England and the Health and Social Care Information Centre will work with the British Medical Association, the Royal College of General Practitioners, the Information Commissioner's Office and with the Care Quality Commission to review and work with GP practices who have a high proportion of patients who opt-out of care.data.

Mr Godsiff: To ask the Secretary of State for Health when he expects to produce an estimate of the cost of care.data. [184517]

29 Jan 2014 : Column 589W

Dr Poulter: The Health and Social Care Information Centre is in the process of agreeing the scope of the care.data programme and the associated funding required with NHS England (as the lead commissioner) and with other members of the Informatics Services Commissioning Group.

Mr Godsiff: To ask the Secretary of State for Health for what reasons he decided against making patient data extracted under care.data anonymous at source. [184603]

Dr Poulter: A key aim of the care.data programme is to link information from all of the settings in which patients receive care in order to provide a joined-up picture of the care being delivered. Given the diverse range of information systems used in primary, secondary, tertiary, community and social care, the Health and Social Care Information Centre considers that the use of pseudonymisation-at-source could, at this time, limit its ability to effectively link data from across care settings.

Mr Godsiff: To ask the Secretary of State for Health whether it will be possible for patients to sue GPs for releasing their personal information under the care.data scheme. [184607]

Dr Poulter: As data controllers, general practitioners (GPs) must meet fair processing obligations under the Data Protection Act 1998 (DPA), including an obligation to ensure that patients are aware of how their personal confidential data are shared and their right to object. The NHS England leaflet drop campaign will explain how the national health service uses patient data and what patients should do if they have any concerns or if they wish to object.

GPs are responsible for the personal data that they hold and could face civil action if they breached patient confidentiality or they could be fined by the Information Commissioner if their action breached data protection law. However, GPs are required by law to provide data to the Health and Social Care Information Centre (HSCIC) for care.data and provided that a GP releases no more data than that which is requested by the HSCIC, there would be no grounds on which to take action against the GP.

Mr Godsiff: To ask the Secretary of State for Health whether data entered under care.data will undergo pseudonymisation. [184684]

Dr Poulter: The Health and Social Care Information Centre makes information available in three formats, each protected by a different suite of privacy safeguards:

non-identifiable data (aggregated or completely anonymised data) are published openly after removing all identifiers and removing details of any rare conditions or combinations of characteristics;

potentially identifiable data (pseudonymised data) are made available under legal contract to approved analysts for purposes that will benefit patient care; and

identifiable information (personal confidential data) are made available to named individuals only where there is a legal basis for doing so, such as a public health emergency.

Mr Godsiff: To ask the Secretary of State for Health what systems are currently in place at the Health and Social Care Information Centre to inform the public on the personal data it holds. [184747]

29 Jan 2014 : Column 590W

Dr Poulter: The Health and Social Care Information Centre has a public website which lists the data sets it collects from across health and social care. In addition, every household in England is receiving a leaflet called “Better information means better care” that explains how information is used and also signposts to the public website.

Meningitis: Vaccination

Mr Jim Cunningham: To ask the Secretary of State for Health (1) when he expects the Joint Committee on Vaccination and Immunisation to conclude deliberations on the MenB vaccine; [185151]

(2) what plans he has to introduce a MenB vaccine; [185152]

(3) if he will introduce the MenB vaccine for children and adolescents. [185153]

Jane Ellison: I refer the hon. Member to the written answer I gave the hon. Member for Belfast East (Naomi Long) on 22 January 2014, Official Report, column 234W.

NHS: Finance

Mr Jeremy Browne: To ask the Secretary of State for Health what the level of Government spending on the National Health Service was in current prices in each year since 1984. [184419]

Dr Poulter: The following table shows the total national health service expenditure from 1983-84 to 2013-14.

NHS total expenditure: England—1983-84 to 2013-14
£ million
 DataNHS Expenditure1,22013-14 prices3

Cash4

   

1983-84

Outturn

12,494

31,142

1984-85

Outturn

13,407

31,820

1985-86

Outturn

14,176

31,925

1986-87

Outturn

15,173

33,248

1987-88

Outturn

16,668

34,641

1988-89

Outturn

18,420

35,966

1989-90

Outturn

19,855

36,288

1990-91

Outturn

22,326

38,100

1991-92

Outturn

25,353

40,759

1992-93

Outturn

27,968

44,104

1993-94

Outturn

28,942

44,773

1994-95

Outturn

30,590

46,745

1995-96

Outturn

31,985

47,683

1996-97

Outturn

32,997

47,864

1997-98

Outturn

34,664

49,388

1998-99

Outturn

36,608

51,180

1999-2000

Outturn

39,881

54,679

    

Resource Budgeting Stage l5

   

1999-2000

Outturn

40,201

55,118

2000-01

Outturn

43,932

59,808

2001-02

Outturn

49,021

64,969

2002-03

Outturn

54,042

69,997

    

29 Jan 2014 : Column 591W

Resource Budgeting Stage 26

   

2002-03

Outturn

58,542

75,825

2003-04

Outturn

64,173

81,539

2004-05

Outturn

69,049

85,376

2005-06

Outturn

75,822

92,072

2006-07

Outturn

80,561

95,094

2007-08

Outturn

89,401

102,938

2008-09

Outturn

94,017

105,281

2009-10

Outturn

101,881

111,041

    

Resource Budgeting—Aligned7

   

2009-10

Outturn

98,417

107,266

2010-11

Outturn

100,418

106,661

2011-12

Outturn

102,844

106,753

2012-13

Outturn

105,221

107,326

2013-14

Plan

109,955

109,955

1 Expenditure figures are not consistent over the period (1983-84 to 2013-14) and this should be noted when making comparisons between years. 2 Expenditure excludes NHS (Annually Managed Expenditure). 3 GDP as at 20 January 2013. 4 Expenditure pre 1999-2000 is on a cash basis. 5 Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 resource budgeting basis. 6 Expenditure figures from 2003-04 to 2009-10 are on a Stage 2 resource budgeting basis. 7 Expenditure figures from 2009-10 to 2013-14 are on an aligned basis following the Government’s Clear Line of Sight programme.

NHS: Foreign Workers

Andrew Percy: To ask the Secretary of State for Health what steps he is taking to ensure that professionals recruited from non-English-speaking countries to work in the NHS speak proficient English. [184584]

Dr Poulter: Overseas doctors make a valuable contribution to the national health service. However, it is vital that all doctors practising in the United Kingdom have the necessary language skills to help ensure patient safety and quality of care;

All health care professionals from outside the European Union are required to demonstrate their ability to communicate in English before they are registered with the appropriate regulatory body.

For EU professionals, the Department recently consulted on proposals to enable the General Medical Council to carry out proportionate language checks and we expect to have these powers in place by the summer. Officials are also working with all health care regulators to ensure that they have the powers they need to carry out proportionate language checks within the parameters of EU law.

In addition, individual NHS organisations are responsible for ensuring that the people they employ have the required knowledge and skills, including language competency, for the posts for which they are applying.

29 Jan 2014 : Column 592W

Nursing and Midwifery Council

John Healey: To ask the Secretary of State for Health when he will implement the proposals of the Mid Staffordshire NHS Foundation Trust Public Inquiry relating to the Nursing and Midwifery Council; and if he will bring forward legislative proposals to enable the Nursing and Midwifery Council to review its decisions. [184421]

Dr Poulter: On 19 November 2013, the Government published ‘Hard Truths: the journey to putting patients first’ (Cm 8777) in response to the Mid Staffordshire Public Inquiry, which is available in the Library. This document provides individual responses to each of the Inquiry's 290 recommendations, including those relevant to the Nursing and Midwifery Council (NMC), with implementation timescales where known.

Work is also under way on an order under section 60 of the Health Act 1999 to amend the Nursing and Midwifery Order 2001 and also on associated amendments to the NMC’s rules. Amendments under consideration include introducing a power for the NMC to review ‘no case to answer’ decisions made in fitness-to-practise proceedings.

Pay

Chris Bryant: To ask the Secretary of State for Health (a) how many and (b) what proportion of staff employed by (i) his Department, (ii) agencies of his Department and (iii) contractors of his Department are paid less than the rate defined by the Living Wage Foundation as a living wage. [184447]

Dr Poulter: The Department currently does not employ any civil servants or engage agency workers or contractors on less than the local living wage as defined by the Living Wage Foundation.

The Department's Executive Agencies have provided the information in the following table.

Executive agencyNumber paid less than living wageProportion of staff paid less than living wage (percentage)

Medicines and Healthcare products Regulatory Agency

0

Public Health England

32

0.6

Social Services: Greater London

Sadiq Khan: To ask the Secretary of State for Health what the total ring-fenced spending on social care was in each London borough in each of the last five years. [184668]

Norman Lamb: Most central Government funding for adult social care is not ring-fenced enabling local authorities to make their own decisions about spending according to local priorities.

The national health service also transfers funding to local authorities for use on social care with a health benefit. The use of this funding has to be agreed between councils and their local NHS partners.

29 Jan 2014 : Column 593W

The figures in the following tables show how much each of the London boroughs spent on social care in the last five years per head as well as overall spend. These include funding transferred from the NHS.

 Per capita expenditure on social care1 (£)
London boroughs2008-092009-102010-112011-122012-132

Barking and Dagenham

346

321

307

288

277

Barnet

324

329

327

308

290

Bexley

261

255

256

246

233

Brent

324

272

276

243

250

Bromley

265

272

298

282

261

Camden

422

430

449

441

427

City of London

745

771

827

997

644

Croydon

322

326

310

307

291

Ealing

292

327

305

296

263

Enfield

293

336

320

330

349

Greenwich

299

340

321

294

271

Hackney

343

433

414

387

352

Hammersmith and Fulham

310

307

325

329

324

Haringey

335

337

330

330

322

Harrow

272

279

273

265

Havering

271

281

284

258

240

Hillingdon

272

323

297

278

289

29 Jan 2014 : Column 594W

Hounslow

294

282

318

268

254

Islington

437

436

404

378

339

Kensington and Chelsea

437

436

404

378

339

Kingston-upon-Thames

287

309

297

303

287

Lambeth

461

461

456

410

369

Lewisham

362

355

370

373

368

Merton

268

274

268

300

253

Newham

309

316

299

279

251

Redbridge

267

266

261

259

255

Richmond upon Thames

330

339

334

323

303

Southwark

406

406

398

364

368

Sutton

334

347

348

316

284

Tower Hamlets

376

392

388

383

359

Waltham Forest

285

315

314

293

273

Wandsworth

352

352

358

342

321

Westminster

445

484

477

387

448

1 Note that this is per head net current expenditure data adjusted for NHS and Learning Disabilities transfers. 2 Does not include £100 million winter pressure transfer for 2012-13
 Total expenditure on social care in London boroughs by year1 (£)
London boroughs2008-092009-102010-112011-122012-132

Barking and Dagenham

59,666,749

56,924,492

56,171,000

53,929,011

52,741,926

Barnet

110,053,976

113,854,016

115,019,398

110,200,845

105,410,281

Bexley

59,229,479

58,240,053

59,022,925

57,170,972

54,652,489

Brent

94,361,588

81,154,308

84,208,000

75,762,503

78,598,095

Bromley

80,669,350

83,521,998

91,826,000

87,455,412

82,072,614

Camden

88,698,508

91,545,695

96,464,000

96,976,904

96,121,977

City of London

5,537,000

5,761,000

6,067,000

7,392,111

4,894,969

Croydon

112,564,965

114,844,523

110,978,000

111,824,035

107,174,038

Ealing

94,671,616

107,943,129

101,747,109

100,394,098

89,701,255

Enfield

87,249,483

101,412,180

98,440,236

103,662,818

110,698,618

Greenwich

71,675,164

82,791,593

80,100,237

75,239,562

70,385,175

Hackney

79,144,186

102,455,744

99,975,308

95,602,370

88,817,467

Hammersmith and Fulham

38,045,959

37,937,572

40,587,654

41,366,699

40,765,326

Haringey

81,999,411

84,106,514

83,425,693

84,355,632

83,248,860

Harrow

63,508,261

66,237,730

65,690,206

64,234,952

Havering

62,773,715

65,766,411

67,133,079

61,491,533

57,568,118

Hillingdon

71,069,849

85,886,489

80,046,000

76,494,097

81,540,948

Hounslow

69,892,443

68,553,729

79,144,000

68,300,779

65,720,951

Islington

83,967,529

85,670,040

80,935,890

77,909,340

71,513,884

Kensington and Chelsea

83,967,529

85,670,040

80,935,890

77,909,340

71,513,884

Kingston-upon-Thames

44,847,989

48,600,477

47,167,097

48,571,817

47,043,073

Lambeth

133,422,578

135,623,519

135,589,000

124,905,007

114,581,698

Lewisham

96,378,320

95,878,746

100,898,000

103,210,094

103,606,228

Merton

52,588,085

54,302,118

53,306,543

60,223,216

51,209,696

Newham

85,388,857

90,585,664

89,577,911

86,549,886

78,906,573

Red bridge

70,994,576

71,949,148

71,930,000

72,970,589

72,494,263

Richmond upon Thames

60,311,960

62,459,284

62,189,733

60,659,880

57,268,097

Southwark

112,582,663

114,175,028

113,026,619

105,124,795

108,163,886

Sutton

61,995,684

65,228,117

65,794,000

60,425,453

55,062,305

Tower Hamlets

87,082,599

94,173,497

96,544,436

97,925,280

94,342,489

Waltham Forest

68,924,443

78,072,953

79,732,546

76,207,274

71,740,680

29 Jan 2014 : Column 595W

29 Jan 2014 : Column 596W

Wandsworth

103,590,080

105,317,613

108,395,033

105,355,615

99,091,154

Westminster

97,328,854

105,094,445

103,503,882

85,059,472

100,371,182

Total London

2,510,675,189

2,699,008,396

2,706,119,949

2,616,316,646

2,531,257,150

1 Note that this is per head net current expenditure data adjusted for NHS and Learning Disabilities transfers. 2 Does not include £100 million winter pressure transfer for 2012-13