NHS Trusts (Hansard, 28 October 1993)

§ Mr. Pike
To ask the Secretary of State for Health what information she has in respect of the number of representations in respect of the recent NHS trusts approved; and how many representations in each consultation were considered(a) to favour trust status, (b) to oppose trust status and (c) to be neutral.

§ Mr. Sackville
As with all national health service bodies, my right hon. Friend the Secretary of State has available very wide-ranging information about all key aspects of the running of the NHS trusts in question.
759W
A breakdown of the results of consultation is shown in the table.

Supportive Opposed Neutral

South Western RHA

Plymouth Hospitals 15 7 8

South East Thames RHA

The Medway 3 7 17

North Kent Healthcare 4 8 21

Queen Victoria Hospital 987 6 106

Kent Ambulance 7 2 22

South Kent Community Healthcare 0 0 7

South East London Mental Health 6 1 6

Dartford and Gravesham 5 3 7

East Anglian RHA

Norwich Community Health Partnership 29 60 7

Norfolk Mental Health Care 12 49 4

North East Thames RHA

Haringey Health Care 9 5 10

New Possibilities 16 1 11

Mid Essex Community and Mental Health 10 1 7

West Midlands RHA

Hereford Hospitals 6 1 9

The George Eliot Hospital 39 9 6

Northern Birmingham Community Health 11 0 14

Robert Jones and Agnes Hunt Orthopaedic and District Hospital 15 7 9

Royal Shrewsbury Hospitals 7 8 10

South Warwickshire Mental Health Services 8 2 3

The Royal Wolverhampton Hospitals 11 2 6

Worcester Royal Infirmary 21 3 6

Hereford and Worcester Ambulance Service 15 2 7

Warwickshire Ambulance Service 28 11 2

Shropshire Community Health Service 16 6 11

North Staffordshire Combined Healthcare 17 3 6

South Birmingham Community Health 8 6 21

Solihull Healthcare 6 0 11

City Hospitals 8 6 22

Birmingham Women's Health Care 7 6 17

Birmingham Heartlands Hospital 48 0 11

Oxford RHA

Kettering General Hospital 8 9 13

Rockingham Forest 6 9 15

Northampton Community Healthcare 4 8 11

Northampton General Hospital 8 12 27

Oxfordshire Community Health 10 6 38

Oxford Mental Healthcare 9 7 34

Oxfordshire Ambulance 4 6 14

Churchill John Radcliffe 15 14 29

Stoke Mandeville Hospital 12 4 19

North West Thames RHA

Riverside Community Health Care 6 — 3

760W

Supportive Opposed Neutral

Northern RHA

Bishop Auckland Hospitals 6 8 6

Carlisle Hospitals 13 8 6

Cheviot and Wansbeck 13 7 4

City Hospitals Sunderland 10 12 4

Darlington Memorial Hospital 4 9 8

North Durham Acute Hospitals 10 13 9

Community Health Care, North Durham 9 11 6

North Lakeland Healthcare 5 7 5

Hartlepool and Peterlee Hospitals 3 8 4

Hartlepool Community Care 2 8 3

North Tyneside Health Care 11 8 5

Northumberland Community Health 9 5 5

Priority Healthcare Wearside 10 35 6

South Durham Health 6 18 5

Trent RHA

Derbyshire Ambulance Service 10 7 6

The King's Mill Centre for Health Care Services 12 6 9

Leicestershire Ambulance and Paramedic Service 18 7 4

Leicestershire Mental Health Service 13 6 10

Lincoln District Healthcare 19 5 17

Lincoln Hospitals 15 4 14

Louth and District Healthcare 6 7 10

Community Health Care Service (North Derbyshire) 9 8 11

Nottingham Healthcare 16 7 13

Pilgrim Health 18 3 14

Community Health Sheffield 17 17 7

Derbyshire Royal Infirmary 9 7 13

Yorkshire RHA

Dewsbury Health Care 3 2 4

East Yorkshire Community Healthcare 16 0 8

Hull and Holderness Community Health 18 2 7

North Western RHA

CommuniCare 10 5 16

Blackburn, Hyndburn and Ribble Valley Health Care 10 6 15

Blackpool, Wyre and Fylde Community Health Services 11 9 15

Community Healthcare Bolton 8 11 18

Bolton Hospitals 10 23 23

Bury Health Care 37 12 20

Greater Manchester Ambulance Service 9 16 20

Lancashire Ambulance Service 17 11 20

North Manchester Healthcare 16 8 15

Guild Community Healthcare 12 4 6

Preston Acute Hospitals 12 5 16

Mental Health Services of Salford 9 4 9

761W

Supportive Opposed Neutral

Sal ford Community Health Care 11 5 11

Stockport Healthcare 12 14 22

Stockport Acute Services 14 14 12

Tameside and Glossop Acute Services 11 5 14

Tameside and Glossop Community and Priority Services 11 5 21

Blackpool Victoria Hospital 14 13 15

Mersey RHA

West Cheshire 9 2 14

Wirral Community Healthcare 11 3 9

Wessex RHA

East Wiltshire Health Care 6 3 3

Portsmouth Health Care 8 1 6

Salisbury Health Care 11 1 6

Swindon and Marlborough 6 2 5

Winchester and Eastleigh Healthcare 4 1 11

South West Thames RHA

Chichester Priority Care Services 6 2 6

North Downs Community Health 8 3 7

Kingston and District Community 5 1 6

Worthing and Southlands Hospitals 14 6 9

Wandsworth Community Health 7 2 6

§ Mr. Betts
To ask the Secretary of State for Health how many trusts have been established; what is their total budget; and what percentage of the NHS total expenditure this accounts for.

§ Mr. Sackville
The total number of first, second and third wave national health service trusts operational in England in 1993–94 is 292. Trusts do not have specific budgets but obtain much of their income by contracting for patient services. Total forecast income for NHS trusts in 1993–94 is £13.5 billion, representing 44 per cent. of total NHS gross expenditure.

§ Mr. Betts
To ask the Secretary of State for Health (1) how many health service trusts have provided business plans; and how many of these have been made available to the public or to hon. Members;
(2) what plans she has to give hon. Members a statutory right to have access to the business plans of the health service trusts which serve their constituency; and what existing guidelines there are about making such plans available to (a) hon. Members and (b) the public.

§ Dr. Mawhinney
National health service trusts are required to provide the NHS Management Executive with a three-year business plan every year and have done so. They are also expected to make a summary business plan available to the public, including hon. Members, by 31 March each year. The arrangements for making plans available to the public are for individual trusts to determine and no central record of their issue is maintained. There are no plans to give hon. Members statutory rights to access the business plans.
762W

§ Mr. Betts
To ask the Secretary of State for Health to whom health service trusts are accountable for their business plans and expenditure outturns; and what plans she has to improve that accountability.

§ Dr. Mawhinney
National health service trusts are accountable to the NHS Management Executive for both their business plans and their expenditure outturn. These accountability arrangements are effective and we have no current plans to make any changes.

§ Mr. Milburn
To ask the Secretary of State for Health how many NHS staff members serve as(a) non-executive directors and (b) chairs on trust boards in each region.

§ Dr. Mawhinney
The regulations governing membership of national health service trust boards disqualify NHS employees from serving as chairmen or non-executive directors of NHS trusts, except that a designated teaching trust will have a non-executive director drawn from a university, who may be an employee of a health service body.

§ Mr. Milburn
To ask the Secretary of State for Health, pursuant to her answer of 27 July,Official Report, column 826, if she will provide a list of fourth-wave trusts which received grants, indicating the value of the grant, by district health authority.

§ Mr. Sackville
The successful fourth wave national health service trust applicants are listed by regional and district health authority. Unless otherwise stated, allocations totalling £254,000 will have been made in respect of these applicants. These additional moneys have been made available to cover the following: public consultation, conveyancing and expenditure during the trust's "shadow period".
Successful 4th wave NHS Trust applicants listed by regional and district health authority.

	Supportive	Opposed	Neutral
South Western RHA
Plymouth Hospitals	15	7	8
South East Thames RHA
The Medway	3	7	17
North Kent Healthcare	4	8	21
Queen Victoria Hospital	987	6	106
Kent Ambulance	7	2	22
South Kent Community Healthcare	0	0	7
South East London Mental Health	6	1	6
Dartford and Gravesham	5	3	7
East Anglian RHA
Norwich Community Health Partnership	29	60	7
Norfolk Mental Health Care	12	49	4
North East Thames RHA
Haringey Health Care	9	5	10
New Possibilities	16	1	11
Mid Essex Community and Mental Health	10	1	7
West Midlands RHA
Hereford Hospitals	6	1	9
The George Eliot Hospital	39	9	6
Northern Birmingham Community Health	11	0	14
Robert Jones and Agnes Hunt Orthopaedic and District Hospital	15	7	9
Royal Shrewsbury Hospitals	7	8	10
South Warwickshire Mental Health Services	8	2	3
The Royal Wolverhampton Hospitals	11	2	6
Worcester Royal Infirmary	21	3	6
Hereford and Worcester Ambulance Service	15	2	7
Warwickshire Ambulance Service	28	11	2
Shropshire Community Health Service	16	6	11
North Staffordshire Combined Healthcare	17	3	6
South Birmingham Community Health	8	6	21
Solihull Healthcare	6	0	11
City Hospitals	8	6	22
Birmingham Women's Health Care	7	6	17
Birmingham Heartlands Hospital	48	0	11
Oxford RHA
Kettering General Hospital	8	9	13
Rockingham Forest	6	9	15
Northampton Community Healthcare	4	8	11
Northampton General Hospital	8	12	27
Oxfordshire Community Health	10	6	38
Oxford Mental Healthcare	9	7	34
Oxfordshire Ambulance	4	6	14
Churchill John Radcliffe	15	14	29
Stoke Mandeville Hospital	12	4	19
North West Thames RHA
Riverside Community Health Care	6	—	3