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Health Services: Private Sector

Volume 463: debated on Thursday 19 July 2007

To ask the Secretary of State for Health (1) what contracts Milton Keynes primary care trust has with private sector suppliers in 2007-08, broken down by procedure; how many procedures have been contracted for in each case; and at what cost; (150515)

(2) which procedures contracted out by Milton Keynes primary care trust to the private sector are also carried out by Milton Keynes hospital;

(3) what proportion of contracts placed with private contractors by Milton Keynes primary care trust in 2006-07 have been fulfilled, broken down by procedure;

(4) what surgery was referred by Milton Keynes primary care trust to private contractors in each of the last three financial years, broken down by procedure;

(5) to which private contractors Milton Keynes primary care trust contracts out surgical work.

There is one independent sector contract, that was procured centrally through the Department, that delivers services across the Midlands, including Milton Keynes primary care trust (PCT). The treatment centres within the contract are the Reading NHS Treatment Centre, Norton NHS Treatment Centre and Blakelands NHS Treatment Centre. The provider for the contract is Capio. Information on locally procured services from independent sector providers is not held centrally.

The contract for the centres is based on total value rather than procedure numbers as this allows PCTs to vary the case mix, within contracted limits, according to changing local needs. However, the indicative total activity for the contract is 17,852 procedures.

Information held on case mix and patient discharges is shown in following tables.

Case mix

Centre

Case mix

Reading NHS Treatment Centre

General Surgery, Urology, Trauma and Orthopaedics, Gynaecology

Horton NHS Treatment Centre

Trauma and Orthopaedics

Blakelands NHS Treatment Centre

General Surgery, Urology, Trauma and Orthopaedics, Dermatology

Procedure numbers

Financial year

Reading NHS Treatment Centre

Horton NHS Treatment Centre

Blakelands NHS Treatment Centre

2004-05

2005-06

1,147

1,045

2006-07

1,180

446

2,272

Overall utilisation for the independent sector treatment centres programme as at May 31 was 84 per cent. Individual utilisation rates and information detailing numbers of procedures can not be disclosed as this information is considered commercially sensitive in confidence. The Department is currently reviewing what information is made publicly available on phase one contracts, however no decision has yet been taken.