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|Nurses||Hospital doctors and dentists|
|Cash terms (percentage)||Real terms( 1)( ) (percentage)||Cash terms (percentage)||Real terms( 1)( ) (percentage)|
|(1) Using gross domestic product deflator as at 29 March 2006|
(2) Staged: 2.8 per cent. from 1 April 1997 balance from 1 December 1997
(3) Staged: 2 per cent. from 1 April 1997 balance from 1 December 1997
(4) Staged: 2 per cent. from 1 April 1998 balance from 1 December 1998
(5) Staged: 1 per cent. from 1 April 2006 balance from 1 November 2006
Lynne Jones: To ask the Secretary of State for Health how many (a) professional and (b) non-professional child and adolescent mental health staff are in post in each primary care trust area; and how many were in post in each relevant health area per 100,000 population in each of the previous 10 years. 
Ms Rosie Winterton: The information requested is not held at primary care trust level and it is not possible to separate all of the information requested because of the way the non-medical work force census is collected.
National health service hospital and community health services: non-medical staff in England by each specified area of work by strategic health authority (SHA) area as at 30 September each specified year;
Hospital and community health services: medical staff working within the child and adolescent psychiatry specialty by SHA; and
NHS staff in England by each specified mental health staff group per 100,000 population as at 30 September each specified year.
The NHS has benefited from the one per cent., increase in terms of available resources many times over compared to these costs. Allocations to health authorities in 2002-03 were £41.5 billion in 2004-05. Allocations to primary care trusts had increased to £49.3 billion.
Mr. Stephen O'Brien: To ask the Secretary of State for Health what assessment she has made of the effect of the new NHS contracts and pay deals on (a) encouraging qualified doctors and nurses (i) to stay in and (ii) to return to the NHS and (b) attempts to create a more flexible workforce with greater scope for team working and fewer barriers between different staff groups. 
Ms Rosie Winterton: For qualified doctors, there has been a fall in the three-month vacancy rate for medical and dental consultants: from 4.7 per cent. in 2003 compared to 4.4 per cent. in 2004 and 3.3 per cent. in 2005. For nurses, there has been a fall in the vacancy rate from 2.9 per cent. in 2003 compared to 2.6 per cent. in 2004 and 1.9 per cent. in 2005.
NHS employers are gathering a variety of evidence that demonstrates how national health service organisations are using the new pay systems to deliver a more flexible workforce. Some of this is already accessible on the NHS employers website. This will also feed into the integrated service improvement programme, led by strategic health authorities.
Mr. Lansley: To ask the Secretary of State for Health what percentage of their budgets each (a) NHS trust, (b) health authority, (c) primary care trust and (d) strategic health authority spent on administration in each year since 1997-98. 
Andy Burnham: Administration expenditure may vary considerably between organisations owing to the variability of the individual items which are included. In particular, health authorities included adjustments to their capital charges, which may produce negative expenditure in some cases. Administration expenditure is not therefore comparable directly between years and between organisations. However the available information has been placed in the Library.
Andy Burnham: The following table shows the net year end financial position by primary care trusts (PCTs), national health service trusts and strategic health authorities (SHAs) for years 2002-03 to 2004-05, and the provisional outturn for 2005-06.
|Final outturn 2002-03||Final outturn 2003-04||Final outturn 2004-05||Provisional outturn 2005-06|
|(1) Excludes foundation trusts|
NHS and local authority social services have a duty to work in partnership to provide services which meet the health and social care needs of their local population. The NHS has a legal responsibility to provide healthcare and nursing care which social services cannot provide.
It is essential that the NHS and social services work together locally, in collaboration with other partners, and with individuals and their representatives, to deliver services in a joined-up way, tailored (wherever possible) to the needs of the individual. For example, local area agreements have proved valuable in improving the efficiency and targeting of resources, developing new ways of working and agreeing a joint approach with a range of local partners to address local issues.
Lyn Brown: To ask the Secretary of State for Health if she will assess the financial effects on primary care trusts of the obligation to contribute portions of their budget for 2006-07 to a risk pool. 
Andy Burnham: The new strategic health authorities (SHAs) will take the lead locally in developing and implementing a service and financial strategy for managing the financial position within their locality. This will include creating local reserves to deal with local problems.
It is for SHAs locally to determine the level of contribution to reserves and the application of those reserves. The level determined will reflect local financial circumstances, but the underlying principle will be fairness. Money will not be lost to those communities, because funding will be returned to primary care trusts normally over the allocations cycle.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 21 March 2006, Official Report, column 273W, on NHS finance, (1) what the 2005-06 month 12 forecast year-end financial position was for each of the 28 previous strategic health authority (SHA) areas in total, inclusive of all constituent trusts; and what percentage of the cumulative turnover in the SHA area this represents in each case; 
(2) what the 2004-05 audited year-end financial position was of each of the previous 28 strategic health authority (SHA) areas in total, inclusive of all constituent trusts; and what percentage of the cumulative SHA-area turnover this represents in each case. 
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