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901W Written Answers 1 DECEMBER 2010 Written Answers 902W Muscular Dystrophy: Yorkshire and Humber Diana Johnson: To ask the Secretary of State for Health if he will meet the Yorkshire and Humber Specialist Commissioning Group to discuss the proposed appointment of a muscular dystrophy care advisor for Hull. [27029] Paul Burstow: The appointment of a muscular dystrophy care adviser in Hull is a matter for the local national health service. My right hon. Friend the Secretary of State currently has no plans to meet the Yorkshire and the Humber Specialised Commissioning Group to discuss this matter. NHS Mr Watson: To ask the Secretary of State for Health what assessment he has made of the likely ability of NHS foundation trusts to meet patient safety targets in each of the next three financial years. [26393] Mr Simon Burns: We are informed by the Chairman of Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) that the safety of patients at NHS foundation trusts is assessed by a number of bodies, principally the Care Quality Commission (CQC). The CQC registers providers of regulated activities, including NHS foundation trusts and monitors their compliance with the essential safety and quality requirements. Where there is evidence of material safety concerns, CQC and Monitor will jointly consider the appropriate action. NHS: Armed Forces Derek Twigg: To ask the Secretary of State for Health how many armed forces reservists employed by the NHS have had requests for leave to undergo operational training refused by NHS trusts in the financial year 2010-11 to date. [26534] Mr Simon Burns: This information is not collected centrally. We do not centrally monitor the number of national health service (NHS) staff serving in the reserve forces. There is an option on the electronic staff record (ESR) to record reserve forces training as a reason for absence, however, entry of these data is not mandatory (although it is recommended as ESR best practice). Last year around 100 NHS organisations recorded reserve forces training as a reason for absence but we cannot be sure of a national figure or how many requests for this type of leave have been refused. NHS: Public Finance Derek Twigg: To ask the Secretary of State for Health what the budget deficit or surplus was for each NHS trust on the latest date for which figures are available. [26499] Mr Simon Burns: The latest figures available on the surplus or deficit positions for each national health service trust are the 2010-11 Quarter 1 forecasts, which were published on the Department’s website on 19 November 2010. These figures can be found by region in annexes 1 to 10 of David Flory’s, ‘The Quarter: quarter 1 2010-11’ at: www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsStatistics/DH_087335 and a copy has been placed in the Library. Nurses: Public Expenditure Derek Twigg: To ask the Secretary of State for Health (1) what estimate he has made of the number of nurses who will leave the NHS in each year of the Comprehensive Spending Review period; [26537] (2) what estimate he has made of the number of nurses to be recruited in each year of the Comprehensive Spending Review period. [26540] Anne Milton: The information requested is not collected by the Department The precise numbers of national health service nurses required over the next five years will not be known until the new organisations that will underpin the new system have been designed in more detail. The Department of Health has consulted on how the new organisations should be designed and is analysing responses. Information on how the new organisations should be designed will be announced in due course. The Government have fulfilled their commitment to give the NHS a real terms increase in funding each year. The demands on the service are rising and to meet these, the NHS must make up to £20 billion of efficiency savings by 2014, by reducing bureaucracy and doing things differently. Savings will be reinvested to support the delivery of quality health care. Social Services: Elderly Catherine McKinnell: To ask the Secretary of State for Health (1) what estimate he has made of the likely percentage reduction in funding for social care for older people in Newcastle upon Tyne as a result of the comprehensive spending review; and if he will make a statement; [26950] (2) what assessment he has made of the likely effect of the outcome of the comprehensive spending review on the quality of social care services provided for older people in Newcastle upon Tyne; and if he will make a statement. [26952] Paul Burstow: The spending review recognised the importance of social care to hundreds of thousands of adults of all ages, backgrounds and identities: supporting their independence and helping them to make full and active contributions to their communities. In recognition of the pressures on the social care system in a challenging local government settlement, the coalition Government have allocated an additional £2 billion by 2014-15 to support the delivery of social care. We have achieved this by: The national health service transferring some funding from the health capital budget to health revenue, to be spent on measures that support social care, which also benefits health. This funding will rise to £1 billion in 2014-15, and will promote improved joint working between the health and social care systems. Further details will be set out in the NHS Operating Framework 2011-12.

903W Written Answers 1 DECEMBER 2010 Written Answers 904W Additional grant funding, rising to £1 billion by 2014-15, will be made available for social care. This funding will be allocated in addition to the Department’s existing social care grants, which will rise in line with inflation. Total grant funding from the Department for social care will reach £2.4 billion by 2014-15. In order to support local flexibility and to reduce administrative burdens, this funding will go to authorities through the revenue support grant. This means that, with an ambitious programme of efficiency, there is enough funding available both to protect people’s access to care and deliver new approaches to improve quality and outcomes. A key priority for the Government is a radical devolution of power away from central Government, freeing local government from central control and empowering local people to take an active role in services. Decisions on spending at a local level must be considered in the context of local priorities, which are crafted by local authorities in response to the needs and wishes of the people they serve. Spending on social care will therefore be a decision for the relevant local authority, and it is not possible to provide a central estimate. South London Healthcare NHS Trust Mr Evennett: To ask the Secretary of State for Health what recent assessment he has made of the financial performance of South London Healthcare NHS Trust. [26268] Mr Simon Burns: The Department has identified six trusts as financially challenged, including South London Healthcare NHS Trust. The Department will continue to work with London strategic health authority to ensure that, during 2010-11, South London Healthcare NHS Trust has plans in place to return to financial balance, whilst at the same time maintaining and improving services to patients. Surgery: Waiting Lists Derek Twigg: To ask the Secretary of State for Health what estimate he has made of the average waiting time for elective surgery by the end of the comprehensive spending review period. [26528] Mr Simon Burns: Clinical priority will remain the main determinant of when patients should be treated. Patients should not experience undue delay at any stage of their treatment and would not expect a return to long waiting times for operations. The national health service (NHS) will be accountable locally to the public it serves and provide information to patients which will drive choice and competition in the NHS. Tuberculosis: Greater London Number of tuberculosis cases reported in the London borough of Bexley, 2007-09 Number of cases 2007 27 2008 23 2009 17 Source: Health Protection Agency University Hospitals Coventry and Warwickshire NHS Trust Mark Pawsey: To ask the Secretary of State for Health what his estimate is of the proportion of the running costs of University Hospital Coventry and Warwickshire (a) which was paid to the private finance initiative provider in each year from 2005-06 to 2009-10 and (b) will be paid to that provider in 2010-11 and 2011-12. [26153] Mr Simon Burns: The information is not available in the format requested. However, data for the proportion of total revenue expenditure by University Hospitals Coventry and Warwickshire NHS Trust in respect of its private finance initiative (PFI) scheme, is set out in the following table. Figures for 2005-06 and 2006-07 are not comparable with later years as the PFI hospital did not fully open until part way through 2006-07. Data are not held centrally for 2010-11 or 2011-12. University Hospitals Coventry and Warwickshire NHS Trust— proportion of total revenue expenditure relating to PFI Percentage of total revenue expenditure relating to PFI 2005-06 4.3 2006-07 12.7 2007-08 14.6 2008-09 14.6 2009-10 1 14.3 1 2009-10 accounts were compiled under International Finance Reporting Standards under which PFI costs in the audited summarisation schedules of trusts are split between capital repayments and revenue expenditure elements, which does not make a precise like for like comparison with earlier years in this table possible. However, an estimate of the PFI unitary payment for 2009-10 is held centrally by the Department as well as the audited outturn revenue expenditure figure for the trust for this year and the percentage figure for this year is calculated using these two figures. Notes: 1. The source of the data is the audited summarisation schedules of the trust for 2005-06 to 2009-10. 2. The percentages provided represent the net revenue expenditure in respect of PFI schemes as a proportion of total revenue expenditure. 3. 2005-06 to 2008-09 figures compiled under UK Generally Accepted Accounting Practice. Young People: Autism Mr Evennett: To ask the Secretary of State for Health how many cases of tuberculosis have been diagnosed in the London Borough of Bexley in each of the last three years. [26267] Anne Milton: The information requested is shown in the following table. Jessica Lee: To ask the Secretary of State for Health whether his Department issues guidance on referring young people with autism who receive support from child and adolescent mental health services and do not fulfil the criteria for adult mental health teams to appropriate support from other services on reaching adulthood. [26443]

903W<br />

Written Answers<br />

1 DECEMBER 2010<br />

Written Answers<br />

904W<br />

Additional grant funding, rising to £1 billion by 2014-15, will<br />

be made available for social care. This funding will be allocated in<br />

addition to the Department’s existing social care grants, which<br />

will rise in line with inflation. Total grant funding from the<br />

Department for social care will reach £2.4 billion by 2014-15. In<br />

order to support local flexibility and to reduce administrative<br />

burdens, this funding will go to authorities through the revenue<br />

support grant.<br />

This means that, with an ambitious programme of<br />

efficiency, t<strong>here</strong> is enough funding available both to<br />

protect people’s access to care and deliver new approaches<br />

to improve quality and outcomes.<br />

A key priority for the Government is a radical devolution<br />

of power away from central Government, freeing local<br />

government from central control and empowering local<br />

people to take an active role in services. Decisions on<br />

spending at a local level must be considered in the<br />

context of local priorities, which are crafted by local<br />

authorities in response to the needs and wishes of the<br />

people they serve. Spending on social care will t<strong>here</strong>fore<br />

be a decision for the relevant local authority, and it is<br />

not possible to provide a central estimate.<br />

South London Healthcare NHS Trust<br />

Mr Evennett: To ask the Secretary of State for Health<br />

what recent assessment he has made of the financial<br />

performance of South London Healthcare NHS Trust.<br />

[26268]<br />

Mr Simon Burns: The Department has identified six<br />

trusts as financially challenged, including South London<br />

Healthcare NHS Trust. The Department will continue<br />

to work with London strategic health authority to<br />

ensure that, during 2010-11, South London Healthcare<br />

NHS Trust has plans in place to return to financial<br />

balance, whilst at the same time maintaining and improving<br />

services to patients.<br />

Surgery: Waiting Lists<br />

Derek Twigg: To ask the Secretary of State for Health<br />

what estimate he has made of the average waiting time<br />

for elective surgery by the end of the comprehensive<br />

spending review period. [26528]<br />

Mr Simon Burns: Clinical priority will remain the<br />

main determinant of when patients should be treated.<br />

Patients should not experience undue delay at any stage<br />

of their treatment and would not expect a return to long<br />

waiting times for operations.<br />

The national health service (NHS) will be accountable<br />

locally to the public it serves and provide information to<br />

patients which will drive choice and competition in the<br />

NHS.<br />

Tuberculosis: Greater London<br />

Number of tuberculosis cases reported in the London borough of<br />

Bexley, 2007-09<br />

Number of cases<br />

2007 27<br />

2008 23<br />

2009 17<br />

Source:<br />

Health Protection Agency<br />

University Hospitals Coventry and Warwickshire NHS<br />

Trust<br />

Mark Pawsey: To ask the Secretary of State for<br />

Health what his estimate is of the proportion of the<br />

running costs of University Hospital Coventry and<br />

Warwickshire (a) which was paid to the private finance<br />

initiative provider in each year from 2005-06 to 2009-10<br />

and (b) will be paid to that provider in 2010-11 and<br />

2011-12. [26153]<br />

Mr Simon Burns: The information is not available in<br />

the format requested. However, data for the proportion<br />

of total revenue expenditure by University Hospitals<br />

Coventry and Warwickshire NHS Trust in respect of its<br />

private finance initiative (PFI) scheme, is set out in the<br />

following table.<br />

Figures for 2005-06 and 2006-07 are not comparable<br />

with later years as the PFI hospital did not fully open<br />

until part way through 2006-07.<br />

Data are not held centrally for 2010-11 or 2011-12.<br />

University Hospitals Coventry and Warwickshire NHS Trust—<br />

proportion of total revenue expenditure relating to PFI<br />

Percentage of total revenue<br />

expenditure relating to PFI<br />

2005-06 4.3<br />

2006-07 12.7<br />

2007-08 14.6<br />

2008-09 14.6<br />

2009-10 1 14.3<br />

1<br />

2009-10 accounts were compiled under International Finance Reporting<br />

Standards under which PFI costs in the audited summarisation<br />

schedules of trusts are split between capital repayments and revenue<br />

expenditure elements, which does not make a precise like for like<br />

comparison with earlier years in this table possible. However, an<br />

estimate of the PFI unitary payment for 2009-10 is held centrally by<br />

the Department as well as the audited outturn revenue expenditure<br />

figure for the trust for this year and the percentage figure for this year<br />

is calculated using these two figures.<br />

Notes:<br />

1. The source of the data is the audited summarisation schedules of<br />

the trust for 2005-06 to 2009-10.<br />

2. The percentages provided represent the net revenue expenditure in<br />

respect of PFI schemes as a proportion of total revenue expenditure.<br />

3. 2005-06 to 2008-09 figures compiled under UK Generally Accepted<br />

Accounting Practice.<br />

Young People: Autism<br />

Mr Evennett: To ask the Secretary of State for Health<br />

how many cases of tuberculosis have been diagnosed in<br />

the London Borough of Bexley in each of the last three<br />

years. [26267]<br />

Anne Milton: The information requested is shown in<br />

the following table.<br />

Jessica Lee: To ask the Secretary of State for Health<br />

whether his Department issues guidance on referring<br />

young people with autism who receive support from<br />

child and adolescent mental health services and do not<br />

fulfil the criteria for adult mental health teams to<br />

appropriate support from other services on reaching<br />

adulthood. [26443]

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