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Leukaemia

Mr. Hancock: To ask the Secretary of State for Health how many over 60-year-olds suffering from chronic myeloid leukaemia have received bone marrow transplants in each of the last three years; and if he will make a statement. [41600]

Yvette Cooper: The information is detailed in the table. Bone marrow transplants are usually more suitable for younger patients. A range of other treatments is available for older patients with the disease.

25 Mar 2002 : Column 768W

Finished consultant episodes for patients aged over 60 where the main diagnosis was myeloid leukaemia and a bone marrow graft was performed. NHS Hospitals, England 1998–99 to 2000–01

Number of episodes
1998–99 3
1999–2000 8
2000–01 9

Source: Hospital Episode Statistics (HES), Department of Health


Respiratory Syncytial Virus

Dr. Evan Harris: To ask the Secretary of State for Health how many cases of RSV requiring hospital admission there have been in the last three years for which figures are available, broken down by age. [41477]

Yvette Cooper: Figures for all admissions to NHS hospitals in England for respiratory diseases with a subsidiary classification of respiratory syncytial virus, are shown in the table.

1998–991999–20002000–01
Age
0–4523300182
5–19524
20–64646
65 and over643
Total540310195

Notes:

These figures do not represent the number of patients as a person may be admitted more than once during the year.

Figures in this table have not been adjusted for shortfalls in data (i.e. they are ungrossed)

Source:

Hospital Episode Statistics (HES), Department of Health


Health Authority Debts

Mr. Heald: To ask the Secretary of State for Health if he will list the bad debts and moneys written off by each health authority in each year since 1997. [41711]

Mr. Hutton: Losses due to bad debts and claims abandoned for each English health authority since 1997 are shown in the table.

Losses for health authorities
£000

Health authority area1997–981998–991999–20002000–01
Avon1000
Barking and Havering004612
Barnet1000
Barnsley0000
Bedfordshire0000
Berkshire60100
Bexley and Greenwich179116
Birmingham0000
Bradford2112
Brent and Harrow0000
Bromley0000
Buckinghamshire1010
Bury and Rochdale0000
Calderdale and Kirklees0274
Cambridge and Huntingdon00n/an/a
Cambridgeshiren/an/a06
Camden and Islington0000
Cornwall and Isles of Scilly0003
County Durham and Darlington0000
Coventry03032
Croydon0000
Doncaster0000
Dorset0000
Dudley0230
Ealing, Hammersmith and Hounslow0000
East and North Hertfordshire0000
East Kent0010
East Lancashire0000
East London and the City0130
East Norfolk00n/an/a
East Riding and Hull2000
East Surrey0900
East Sussex, Brighton and Hove2220
Enfield and Haringey152116
Gateshead and South Tyneside9300
Gloucestershire0000
Herefordshire0000
Hillingdon26000
Isle of Wight0000
Kensington, Chelsea and Westminster009541
Kingston and Richmond0000
Lambeth, Southwark and Lewisham205900
Leeds0040
Leicestershire(48)105250
Lincolnshire3800
Liverpool0600
Manchester1100
Merton, Sutton and Wandsworth0002
Morecambe Bay0101
Newcastle and North Tyneside112010
Norfolkn/an/a00
North and East Devon0000
North and Mid Hampshire4027240
North Cheshire0000
North Cumbria0100
North Derbyshire00012
North Essex6100
North Nottinghamshire0000
North Staffordshire4021
North West Anglia00n/an/a
North West Lancashire0000
North Yorkshire0200
Northamptonshire1020
Northumberland1000
Nottingham18500
Oxfordshire1000
Portsmouth and South East Hampshire0000
Redbridge and Waltham Forest1000
Rotherham5021
Salford and Trafford0000
Sandwell0002
Sefton0000
Sheffield2816302
Shropshire00230
Solihull131000
Somerset0102
South and West Devon0000
South Cheshire0000
South Essex0000
South Humber0001
South Lancashire004537
South Staffordshire0204
Southampton and South West Hampshire0111
Southern Derbyshire1070
St. Helens and Knowsley2000
Stockport0000
Suffolk13000
Sunderland0907
Tees0000
Wakefield2000
Walsall2005
Warwickshire0000
West Hertfordshire0000
West Kent0003
West Pennine0053
West Surrey1110
West Sussex00010
Wigan and Bolton0420
Wiltshire13211
Wirral0021
Wolverhampton1000
Worcestershire0022

(48) Although the loss shown for Leicestershire health authority was recorded in 2000–01, it relates to events which occurred between 1992 and 1994 and involved overpayments to a company which went into receivership.

Note:

Data for 2000–01 is the last period available.

Source:

Health authority audited accounts 1997–98 and 1998–99.

Health authority audited summarisation forms 1999–2000 and 2000–01.


25 Mar 2002 : Column 771W

Mental Health

Mr. Heald: To ask the Secretary of State for Health what recent assessment he has made of the risk of abuse of elderly people with mental health problems in different care environments. [41710]

Jacqui Smith: Older people with mental health problems are as potentially susceptible to abuse as any other group of vulnerable adults. The Department takes the protection of vulnerable adults extremely seriously and is determined to stamp out abuse wherever it occurs. We are actively seeking to tackle the problem through a variety of initiatives. These include the launch of guidance titled 'No Secrets' and the planned implementation of the Protection of Vulnerable Adults list.

Mr. Heald: To ask the Secretary of State for Health how much funding has been allocated to the treatment of (a) psychosis and (b) other mental health problems in adults in financial year 2001–02. [45942]

Jacqui Smith: The majority of funding for the treatment of psychosis and other mental health problems is allocated as part of health authority allocations and

25 Mar 2002 : Column 772W

separate figures on allocations for psychosis or other mental health problems are not available.

Mr. Heald: To ask the Secretary of State for Health what the (a) amount and (b) proportion of mental health expenditure has been on child and adolescent services in financial year 2001–02; and if he will make a statement on his assessment of the adequacy of the (i) amount and (ii) proportion of expenditure devoted to child and adolescent services. [45941]

Jacqui Smith: This information requested is not readily available. However our estimate for likely mental health expenditure in 2001–02 and the proportion spent on child and adolescent services is shown in the table, with the personal social services (PSS) expenditure particularly difficult to estimate.

We recognise that much still needs to be done to improve child and adolescent mental health. The work currently ongoing on the child and adolescent mental health module of the Children's National Service Framework will do much to inform our future expenditure.

Estimated mental health expenditure 2001–02

HCHS(49) PSS(50) Total
£ millionPer cent.£ millionPer cent.£ millionPer cent.
CAMHS28982692055811
Adult MH3,17187678513,84977
Elderly19453762857012
Total3,6541001,3231004,977100

(49) Hospital and community health services (HCHS) costs exclude the costs of primary care and drugs.

(50) Personal social services (PSS) costs include children's social services (CSS) costs where appropriate.


Mr. Heald: To ask the Secretary of State for Health how much was spent on mental health in each health authority as a percentage of total expenditure in each year since 1997. [41707]

Jacqui Smith: Figures showing how much was spent on mental health in each health authority as a percentage of total expenditure in each year since 1997–98 are shown in the table.

The figures in the answer are not comparable to those provided previously on a national basis, which cannot be analysed by health authority. The total expenditure used in this answer includes all the expenditure accounted for by the health authority whereas previous answers have provided spend on mental health as a proportion of total Health and Community Health Service expenditure. This excluded expenditure on primary care and authority administration.

Expenditure on mental illness by health authorities and primary care trusts as a percentage of total expenditure in each health authority area

Health authority area1997–981998–991999–20002000–01
England9.248.999.109.63
QD8Avon8.867.998.627.99
QAPBarking and Havering9.9310.309.2010.55
QAQBarnet8.659.9910.898.26
QCGBarnsley8.148.227.127.02
QA6Bedfordshire8.167.737.877.66
QA7Berkshire7.948.538.619.32
QAABexley and Greenwich5.7610.1410.7311.36
QD9Birmingham9.118.379.5110.59
QDDBradford8.558.197.698.41
QARBrent and Harrow12.1111.9610.259.22
QACBromley9.998.307.768.92
QA8Buckinghamshire8.368.144.259.52
QCTBury and Rochdale6.246.286.667.34
QDTCalderdale and Kirklees8.197.6211.0812.23
QA9Cambridge and Huntingdon10.379.86n/an/a
QERCambridgeshiren/an/a8.419.57
QATCamden and Islington16.2015.0115.2114.49
QDVCornwall and Isles Of Scilly8.488.877.118.65
QDECounty Durham9.308.468.379.30
QEACoventry9.348.197.989.39
QADCroydon9.2810.209.529.55
QCKDoncaster7.656.547.588.94
QDWDorset7.537.148.007.67
QECDudley8.508.157.798.18
QAVEaling, Hammersmith and Hounslow13.6812.5412.3712.58
QEPEast and North Hertfordshire8.968.868.378.48
QAEEast Kent7.618.987.147.11
QCXEast Lancashire8.208.188.008.69
QAWEast London and The City12.4311.2010.9212.11
QCAEast Norfolk9.478.09n/an/a
QDFEast Riding6.556.355.557.07
QAKEast Surrey11.9111.1910.6810.45
QAMEast Sussex, Brighton and Hove9.478.257.838.64
QA4Enfield and Haringey13.3710.9811.6313.30
QDGGateshead and South Tyneside10.7410.6910.369.93
QDYGloucestershire7.397.838.198.77
QEDHerefordshire6.996.887.145.53
QA2Hillingdon7.326.455.658.70
QD4Isle Of Wight7.897.337.527.97
QA3Kensington, Chelsea and Westminster16.6016.0414.6712.49
QAGKingston and Richmond10.208.8211.8211.53
QAHLambeth, Southwark and Lewisham17.5417.0916.8218.38
QDHLeeds8.987.728.879.69
QCLLeicestershire9.329.869.8910.17
QCMLincolnshire7.435.547.526.98
QC2Liverpool10.3710.539.409.42
QC3Manchester11.1710.8910.049.58
QAJMerton, Sutton and Wandsworth11.2511.1610.2711.27
QC4Morecambe Bay11.259.107.656.63
QDJNewcastle and North Tyneside8.558.147.498.41
QETNorfolkn/an/a10.0910.13
QDXNorth and East Devon8.017.888.428.32
QD1North and Mid Hampshire8.298.669.258.83
QCVNorth Cheshire12.0212.2510.808.87
QDKNorth Cumbria8.839.548.829.95
QCHNorth Derbyshire7.957.798.275.68
QAXNorth Essex8.668.649.668.80
QCNNorth Nottinghamshire6.656.136.476.82
QEHNorth Staffordshire9.827.798.277.70
QCDNorth West Anglia9.028.92n/an/a
QCYNorth West Lancashire9.389.389.8710.47
QDRNorth Yorkshire8.268.407.509.13
QCCNorthamptonshire8.799.1010.0911.46
QDMNorthumberland9.118.437.979.50
QCPNottingham11.2610.069.7810.42
QCEOxfordshire9.249.229.3411.35
QD2Portsmouth and South East Hampshire11.3410.079.9610.49
QA5Redbridge and Waltham Forest12.0811.9611.6610.51
QCQRotherham7.007.107.637.03
QC6Salford and Trafford9.478.678.768.75
QEESandwell6.987.147.867.96
QC7Sefton6.596.607.8524.13
QCRSheffield7.687.578.018.30
QEFShropshire8.048.027.637.35
QEGSolihull5.715.097.877.74
QD5Somerset8.408.638.638.40
QD6South and West Devon7.308.669.108.91
QCWSouth Cheshire9.889.6310.879.77
QCJSouth Derbyshire7.828.059.8210.54
QAYSouth Essex9.959.9510.3211.37
QDLSouth Humber5.215.416.106.39
QC1South Lancashire5.566.677.237.22
QEJSouth Staffordshire7.036.956.948.55
QD3Southampton and South West Hampshire9.439.349.689.02
QC5St. Helens and Knowsley8.298.898.328.52
QC8Stockport7.217.316.717.40
QCFSuffolk10.089.749.4710.75
QDNSunderland10.649.649.629.12
QDPTees8.157.937.2811.58
QDQWakefield7.627.699.268.95
QEKWalsall7.036.567.097.57
QELWarwickshire7.437.477.608.17
QEQWest Hertfordshire8.208.089.329.42
QAFWest Kent7.998.318.108.43
QC9West Pennine9.399.157.778.27
QALWest Surrey9.849.269.6510.27
QANWest Sussex9.548.929.389.70
QDAWigan and Bolton8.187.838.448.79
QD7Wiltshire8.798.308.077.29
QDCWirral5.775.856.106.95
QEMWolverhampton6.527.107.958.22
QENWorcestershire4.295.018.858.03

Source:

1. Health authority annual accounts 1997–98 and 1998–99.

Health authority audited summarisation forms 1999–2000 and 2000–01.

Primary care trust audited summarisation schedules 2000–01.

2. Cambridge and Huntingdon, East Norfolk and North West Anglia merged on 1 April 1999 to form Cambridgeshire and Norfolk health authorities.

3. 2000–01 is the latest year for which figures are available.


25 Mar 2002 : Column 775W

Mr. Heald: To ask the Secretary of State for Health how many patients with learning disabilities have been detained under the Mental Health Act 1983 in each year since 1997. [41708]

Jacqui Smith: The information is not collected in the form requested.

Mr. Heald: To ask the Secretary of State for Health which health authorities have put out to tender the (a) arrangement and (b) provision of mental health services. [41699]

Jacqui Smith: Following 'Shifting the Balance of Power' primary care trusts will secure delivery of the majority of services, including mental health services, to meet their population needs. Their local health improvement plan will indicate the extent of that clinical need and services will be commissioned from a range of appropriate providers accordingly.


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