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NHS: Finance

Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health (1) how much his Department has allocated to central capital budgets in (a) 2009-10 and (b) 2010-11; (219380)

(2) with reference to page 148 of his Department’s Annual Report 2008, if he will provide a similar breakdown of the NHS capital settlement for (a) 2009-10 and (b) 2010-11;

(3) pursuant to the Answer of 24 June 2008, Official Report, columns 197-8W, on departmental public expenditure, how much his Department spent on each of its programme capital budgets for 2007-08; and what programme capital budgets have been planned for (a) 2009-10 and (b) 2010-11.

The amounts allocated against each of the Department’s 2007-08 programme capital budgets are shown in the table.

Other than the amounts (£480 million in 2009-10 and £565 million in 2010-11) announced in “The Operating Framework. For the NHS in England 2008-09” (copies of this publication have already been placed in the Library) for the local capital investment priorities of primary care trusts, capital budgets for 2009-10 and 2010-11 have not yet been set. The Department cannot, therefore, for those years, issue information on central capital budgets, or programme capital budgets, or issue a breakdown in the format of page 148 of Departmental Report 2008.

£000

2007-08

Budget

Allocations issued

Funds unallocated at the year-end

Community Hospitals Programme

75,000

33,591

41,409

Learning Disability—Grants to permit transfer of service users from NHS facilities to tenanted facilities in community

50,000

4,969

45,031

Healthy living centres for offenders

932

0

932

Iris recognition and desk-top analysis to support opium substitution in prisons

4,300

4,295

5

Dental Premises improvement grants

60,000

59,998

2

Choose and Book Capital Incentives

42,825

8,100

34,725

Drugs Misuse Treatment Strategy

64,895

24,067

40,828

Capital resource cover for Wave 1 Independent Sector procurements

48,121

45,978

2,143

Pulmonary Rehab Equipment

1,000

0

1,000

Operational Capital—Adjustments to allocations

3,196

2,519

677

Social Enterprises

2,421

2,421

0

Research and Development Funding agreed and announced

45,000

45,000

0

Screening—a retinopathy screening database pilot

200

200

0

Child and Adolescent Mental Health Services

38,000

37,941

59

Psychiatric Intensive Care Units and ‘places of safety’

88,174

51,906

36,268

High Security Services

60,000

14,511

45,489

Broadmoor re-development

5,000

0

5,000

Coronary Heart Disease—Completing “Heart Centres”

49,731

43,347

6,384

Radiotherapy training

5,000

4,734

266

Genetics

3,617

0

3,617

Workforce—Medical school expansion

9,000

8,007

993

Workforce—Dental school expansion

20,000

20,976

-976

Emergency vehicles and equipment

9,000

678

8,322

Workforce—Radiological academies

3,300

1,760

1,540

Occupational Health Outreach Sites

10,000

9,600

400

Great Ormond Street ‘Phase 2’

30,000

30,000

0

Funds for enabling works for major Private Finance Initiative schemes

144,579

91,199

53,380

Pilot project to evaluate nursing implications of 100 per cent. single rooms

800

800

0

Funds to support improved energy efficiency in national health service buildings

60,000

19,622

40,378

Local Implementation of Connecting for Health

97,174

93,714

3,460

Decontamination

50,800

20,669

30,131

NHS Direct

8,200

8,200

0

End of Life Care

600

0

600

Hazardous Area Response Team Equipment

2,200

0

2,200

Total

1,093,065

688,802

404,263

To ask the Secretary of State for Health when he plans to issue primary care trust allocations for (a) 2009-10 and (b) 2010-11. (219876)

The 2009-10 and 2010-11 primary care trust revenue allocations will be announced in the autumn alongside the NHS Operating Framework for 2009-10.

The total NHS plan expenditure for 2009-10 is £102,642 million. This is as set out in the NHS Departmental Report 2008 (Figure Al).

To ask the Secretary of State for Health if he will place in the Library a copy of the full breakdown of each primary care trust’s expenditure by programme budget category for 2007-08. (221001)

Estimates of primary care trust (PCT) expenditure by programme budgeting category are not scheduled to be collected from PCTs until December 2008 and therefore are not currently available.

To ask the Secretary of State for Health what NHS (a) capital and (b) resource expenditure in (i) cash and (ii) real terms at current prices (A) on end-of-life care was in (1) 2004-05, (2) 2005-06, (3) 2006-07 and (4) 2007-08 and (B) is planned to be in (x) 2008-09 and (y) 2010-11. (221004)

We do not collect information on national health service expenditure on end of life care services centrally.

To support the development of the End of Life Care Strategy, a survey was undertaken on primary care trust expenditure on specialist palliative care services. The results of this survey were published on the Department's website on 16 July.

The End of Life Care Strategy published on 16 July sets out a clear direction for delivering and ensuring access to high quality, responsive services across all settings for all adult patients at the end of life irrespective of who or where they are. As set out in the strategy, we will be investing an additional £286 million in end of life services in the two years up to 2011.

To ask the Secretary of State for Health whether moving away from block grant funding, as referred to in paragraph 24, page 64 of High Quality Care for All, Cm 7432, will entail the creation of a payment-by-results system for community services; and if he will make a statement. (221066)

To ensure services are commissioned and provided on a high quality, cost-effective basis, the national health service is moving increasingly to a contractual structure where the level of funding is linked to the actual performance of providers.

To support the commissioning of community services on a more effective basis, we are working with the NHS to develop effective currencies (units of payment) for these services. Only when these currencies are developed, will we be able to evaluate their robustness and suitability to underpin any national tariff for community services. This staged approach is in line with our proposals in the consultation on the “Options for the Future of PbR 2008-09 to 2010-11”, which has been placed in the Library.

To ask the Secretary of State for Health whether it is his policy that the regional innovation funds held by strategic health authorities, as referred to on page 56 of High Quality Care for All, Cm 7432, will be ring-fenced; whether regional innovation funds will vary between each strategic health authority area; whether funding for the innovation fund will be additional funding from his Department’s central budget; and if he will make a statement. (221112)

The specific purpose of the regional innovation funds are to identify, grow and diffuse tomorrow’s best practice. All local applications for awards will be subject to assessment by an independent expert panel to ensure that the funds awarded are deployed for that purpose. The fund monies will be additional funding from the Department’s central budget, and will be apportioned equally between each of the 10 strategic health authorities.

To ask the Secretary of State for Health whether it is his policy that best practice tariffs, as referred to on page 55 of High Quality Care for All, Cm 7432, should adjust prices (a) up and (b) down vis-a-vis the current equivalent tariff. (221113)

There is no predetermined requirement for best practice tariffs to be either higher or lower than current equivalent tariffs.

To ask the Secretary of State for Health what the estimate annual cost to the public purse the new (a) medical directors, (b) clinical advisory groups and (c) quality observatories will be in each strategic health authority area. (221118)

Implementing the proposals in the final report of the NHS Next Stage Review, “High Quality Care for All”, is core business for the national health service. The NHS budget for England for 2008-09 is £96 billion and will rise to £110 billion by 2010-11. The proposals will be funded from within that settlement.