§ Mr. Alex CarlileTo ask the Secretary of State for Wales how many NHS trusts in Wales(a) hold public meetings, (b) conduct public consultation exercises, (c) conduct consultation exercises with outside commercial interests, (d) publish a register of members' interests, (e) publish agendas for meetings and (f) publish the minutes of meetings; if he will indicate if this is in each case (i) under a statutory requirement or (ii) on a voluntary basis; and if he will make a statement. [7484]
§ Mr. HagueAll NHS trusts are required to hold public meetings for the presentation of the annual report including audited accounts and otherwise as prescribed under the NHS Trusts (Public Meetings) Regulations 1991. NHS trusts are not required to publish agendas or minutes of meetings.
The code of conduct and accountability for NHS boards issued by my Department in January 1995 states that a register of relevant interests should be made available to the public.
165WInformation on trusts' non-statutory practices is not held centrally but is generally set out in their annual reports, which are held in the Library.
§ Mr. MorganTo ask the Secretary of State for Wales, pursuant to his answer of 5 December,Official Report, column 752–53, on health trusts and authorities spending, if he will list for each health authority what changes have been made to the original revenue cash limits in the setting of the latest notified revenue cash limits. [8458]
§ Mr. HagueWelsh health authorities have received the following changes to their initial revenue cash limits:
£000s Original cash limit Latest notified cash limit North Wales 342,095 373,586 Dyfed Powys 257,493 294,847 Morgannwg 257,808 299,945 Bro Taf 404,360 436,830 Gwent 280,322 304,698
§ Mr. MorganTo ask the Secretary of State for Wales, pursuant to his answer of 5 December,Official Report, columns 752–53, if he will list the estimated outturn for each trust and health authority for the full financial year 1996–97. [8455]
§ Mr. HagueThe latest estimated outturn for each trust and health authority for the financial year 1996–97 is given in the tables. It should be noted that a number of trusts are involved in continuing contractual negotiations with their commissioners which could be expected to improve their end-year position. It should be noted that the position for health authorities relates to cash drawings at 31 March 1997; the position for NHS trusts is the estimated income and expenditure position.
Table 1 Health Authority Estimated outturn £000s Bro Taf 436,830 Dyfed Powys 294,847 Gwent 304,698 Morgannwg 299,945 North Wales 373,586 Total 1,709,906 166W
Table 2: Welsh NHS trust forecast surplus/(deficit) £000s Forecast year-end position Trust monitored quarterly (forecasts as at 30 September 1996) Bridgend 58 Cardiff Community 303 Carmarthen (647) Clwydian 267 Derwen 40 East Glamorgan 244 Glan Clwyd 213 Glan Hafren 253 Gwent Community 217 Gwynedd Community 184 Gwynedd Hospitals 382 Mid Glamorgan Ambulance 30 North Wales Ambulance (99) Rhondda 159 Swansea 108 UHW Dental 91
Table 2: Welsh NHS trust forecast surplus/(deficit) £000s Forecast year-end position UHW 0 Velindre 119 West Wales Ambulance 21 Sub total 1,943 Trusts monitored monthly (forecasts as at 31 October 1996) Ceredigion (480) Glan y Mor 280 Llandough (14) Llanelli 215 Morriston (3,095) Nevill Hall 188 North Glamorgan (415) Pembroke (255) Powys (12) SEWAT (326) Wrexham 174 Sub total (3,600) Total (1,657)
§ Mr. MorganTo ask the Secretary of State for Wales, pursuant to his answer of 5 December,Official Report, columns 752–53, on health trusts and authorities spending, if he will list the principal steps he has asked those trusts in deficit to take to rectify their deficit. [8457]
§ Mr. HagueSound financial management, within the regulations of the trust financial regime, is the responsibility of the trust board. Trusts that have forecast a year-end deficient position, and which do not have sufficient reserves to meet this situation in-year, will be expected to devise a recovery plan. The plan should be formulated in conjunction with the trust's respective commissioners. Trusts are expected to return to a balanced position within an agreed time scale.
§ Mr. MorganTo ask the Secretary of State for Wales, pursuant to his answer of 5 December,Official Report, columns 752–53, on health trusts and authorities spending, if he will list the equivalent figures for each health authority and trust at (a) the end of the first quarter for 1996–97, (b) the end of the first quarter 1995–96 and (c) the end of the second quarter 1996–97. [8459]
§ Mr. HagueThe further information requested is provided in the following table:
167W
Table 1 £000 Health authority (a) as at 30 June 1996 (b) as at 30 June 19951 (c) as at 30 September 19962 Bro Taf 112,064 Dyfed Powys 68,727 Gwent 72,785 Morgannwg 72,094 North Wales 89,764 Total 415,434 1 There are no equivalent figures for cash expenditure at the end of the first quarter of 1995–96 since the responsibilities of the five health authorities were shared between the eight district health authorities and eight family health services authorities. 2 The second quarter figures for 1996–97 for health authorities were given in my answer of 5 December.
Table 2 £000s NHS trust (a) As at 30 June 1996 (b) As at 30 June 1995 (c) As at 30 September 1996 Bridgend (210) (216) Cardiff Community 73 (29) Carmarthen 73 3 Ceredigion 36 867 Clwydian 444 35 Derwen 165 25 East Glamorgan (12) 1,275 Glan y Mor (3) 2n/a Glan Clwyd 107 104 Glan Hafren (1,107) 997 GwentCommunity 43 (85) Gwynedd Community 588 548 Gwynedd Hospitals 241 59 Llandough 31 (66) Llanelli (88) (261) Mid. Glamorgan Ambulance 24 (139) Morriston (853) 73 Nevill Hall 51 100 North Glam 164 2n/a North Wales Ambulance 255 305 Pembroke 17 89 Powys 0 82 Rhondda (53) (52) Swansea 5 (13) SEWAT (196) (56) UHW Dental 55 346 UHW 633 (1,930) Velindre 120 29 West Wales 168W
Staff in post(whole-time equivalent numbers) at 30 September Doctors2 Nursing and Midwifery staff Organisation1 1990 1992 1994 1995 1990 1992 1994 1995 Clwyd Clwydian Community Care NHS trust n/a n/a 61 59 n/a n/a 1,523 1,415 Glan Clwyd Hospital NHS trust n/a n/a 160 170 n/a n/a 881 893 North Wales Ambulance NHS trust5 n/a n/a n/a n/a n/a n/a n/a n/a Wrexham Maclor Hospital NHS trust n/a n/a 141 146 n/a n/a 861 887 District health authority/family health service authority 312 331 8 7 3,174 3,347 84 65 Total 312 331 369 381 3,174 3,347 3,349 3,260 Dyfed Carmarthen and District NHS trust n/a n/a 98 101 n/a n/a 585 582 Ceredigion and Mid Wales NHS trust n/a n/a 50 53 n/a n/a 415 398 Derwen NHS trust n/a n/a 29 25 n/a n/a 483 457 Llanelli Dinefwr NHS trust n/a n/a 64 67 n/a n/a 533 530 Pembrokeshire NHS trust6 79 87 94 96 677 747 725 701 District health authority/family health service authority 223 224 8 7 2,043 2,052 7 5 Total 302 311 342 348 2,720 2,799 2,748 2,673 Gwent Glan Hafren NHS trust n/a n/a 237 254 n/a n/a 1,464 1,427 Gwent Community NHS trust n/a n/a 66 66 n/a n/a 1,250 1,216 Nevill Hall and District NHS trust n/a n/a 99 107 n/a n/a 728 735 District health authority/family health service authority 362 391 7 7 4,014 3,864 66 14 Total 362 391 409 433 4,014 3,864 3,508 3,392 Gweynedd Gwynedd Community NHS trust n/a n/a 41 39 n/a n/a 1,111 1,109 Gwynedd Hospital NHS trust n/a n/a 164 183 n/a n/a 857 859 District health authority/family health service authority 175 193 4 7 1,912 1,968 36 26 Total 175 193 209 229 1,912 1,968 2,004 1,995
£000s NHS trust (a) As at 30 June 1996 (b) As at 30 June 1995 (c) As at 30 September 1996 Ambulance 197 27 Wrexham (146) 326 Total 654 2,443 (c)1 The second quarter figures for 1996–97 for trusts were given in my answer of 5 December. 2 Glan y Mor and North Glamorgan attained trust status on 1 April 1996.