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AIDS: Survivors

Earl Baldwin of Bewdley asked Her Majesty's Government:

How many people diagnosed as suffering from AIDS have survived for 3, 4, 5, 6, 7, 8, 9, and 10 years or more respectively; and what proportion of patients in each category have been constant long-term takers of anti-viral drugs.

Baroness Jay of Paddington: 13,632 United Kingdom adult AIDS cases diagnosed by 31 December 1996 had been reported to the Public Health Laboratory Service Communicable Disease Surveillance Centre by 31 March 1997 and from data available on 30 June 1997 the number of AIDS cases surviving three years or more was:

Years survived after AIDS diagnosis	Number of cases	Number not known to be dead on 31 December 1996
3 or more	1,610	931
4 or more	763	410
5 or more	366	125
6 or more	186	55
7 or more	107	24
8 or more	58	13
9 or more	27	7
10 or more	12	6

AIDS cases statistics are subject to under-reporting and reporting delays and can change over time.

The choice of treatment regimens for HIV and AIDS patients is a matter for discussion between the patient and clinician. Records of individual's treatments are confidential and it is therefore not possible to answer the second part of the question.

NHS: Patient and Administration Costs

Lord Lucas asked Her Majesty's Government:

With reference to the statement in the Labour Party manifesto that "a greater proportion of every pound spent will go on patient care not bureaucracy", what proportion is presently spent on patient care; and what the job titles are of those all or part of whose salaries are allocated to (a) patient care and (b) administration.

7 Jul 1997 : Column WA64

Baroness Jay of Paddington: The National Health Service Executive has agreed measures of NHS management costs in trusts, health authorities and general practitioner fundholding practices.

The proportions of NHS expenditure estimated to have been spent on health authority and trust management costs and general practitioner fundholding management allowances in England, Scotland and Wales in 1996-97 are shown in the table.

Table: NHS management costs in 1996-97

Estimated outturn figures for 1996-97
Country	NHS management costs(1) £ million	NHS net current expenditure(2) £ million	NHS management as a proportion of total
England	1,831	31,357	5.8%
Scotland	209	3,831	5.5%
Wales	118	1,605	7.4%
Great Britain	2,158	36,793	5.9%

Outturn figures for 1995-96, the latest year available
	HPSS management costs(3) in 1995-96 £ million	HPSS expenditure(4) in 1995-96 £ million	HPSS management costs as a proportion of total
Northern Ireland	90	1,366	6.6%

Notes:

(1) NHS management costs are composed of HA and trust management costs and GPFH management allowances.

(2) Figures for NHS net current expenditure do not include any departmental administration costs. Departmental administration includes non-NHS departmental expenditure on, for example, social care policy and ministerial and parliamentary support.

(3) Northern Ireland's HPSS (health and personal social services) management costs are composed of:

--HPSS boards' management costs as set out in note 5.1 of their 1995-96 summarised accounts;

--HPSS trusts' management costs as per the trust M2 definition;

--GPFH management allowances.

(4) The Northern Ireland 1995-96 HPSS expenditure figure is taken from the HPSS boards' summarised accounts.

Health and personal social services (HPSS) are provided in Northern Ireland under an integrated structure. NHS management costs are not separately identifiable from the total HPSS management costs incurred by health and social services and trusts in Northern Ireland. The figures for Northern Ireland given in the table are therefore not directly comparable with those for the other home countries.

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