HC Deb 19 December 2003 vol 416 cc182-4W
Ms Buck

To ask the Secretary of State for Health if he will make a statement on the impact of his Department's policies on the Regent's Park and Kensington, North constituency since 1997. [145417]

Mr. Hutton

Detailed information on the impact of departmental policies nationally is set out in the Department of Health Annual reports. A copy of the most recent report "Department of Health—Government Expenditure Plans 2003/2004" is available in the Library and on the Department's website.

The impact of policies is not examined by constituency and statistics collected centrally by the Department are not collected on a constituency basis.

My hon. Friend's constituency falls within the geographical area covered by Westminster and Kensington and Chelsea Primary Care Trusts (PCT), Chelsea and Westminster National Health Service Trust, St. Mary's NHS Trust and the former Kensington, Chelsea and Westminster Health Authority (HA).

Allocations to Kensington, Chelsea and Westminster HA
Allocation Cash increase Real terms increase
Period £000 £000 Percentage £000 Percentage
1997–98 201,166 8,744 4.54 4,800 2.49
1998–99 212,220 10,976 5.45 5,296 2.63
1999–2000 286,339 22,944 8.71 15,960 6.06
2000–01 321,111 31,368 10.83 23,536 8.12
2001–02 361,234 33,942 10.37 25,131 7.68
2002–03 436,168 45,127 11.68 34,607 8.96

Notes:

1. Figures for 1997–98 and 1998–99 are not comparable to the later figures, as these are for Hospital and Community Health Services (HCHS) only.

2. From 1999–2000 allocations have included HCHS, GMS cash limited and prescribing components (2002–03 saw the addition of HIV/Aids and GMS non cash limited components).

Kensington and Chelsea PCT will receive allocations off £202.06 million in 2003–04, £221.87 million in 2004–05 and £243.04 million in 2005–06. These represent a cash increase of £57.71 million or 31.14 per cent. over the three years, compared to a national average of 30.83 per cent. Kensington and Chelsea PCT will be 15.37 per cent. over target by 2005–06.

Westminster PCT will receive allocations of £263.88 million in 2003–04, £289.44 million in 2004–05 and £316.79 million in 2005–06. These represent a cash increase of £74.58 million or 30.79 per cent. over the three years, compared to a national average of 30.83 per cent. Westminster PCT will be 29.88 per cent. over target by 2005–06.

Kensington, Chelsea and Westminster HA and the trusts within it have also received additional funding for certain policies. This includes: £745,000 for accident and emergency modernisation in 2000–01. Nationally, in 2000–01 recurrent investment of £50 million was available for the improvement of cancer services. For 2001–02, an additional £255 million was available nationally for cancer care. £3.2 million, £599,000 and £905,000 to reduce waiting lists and times in 1998–99, 1999–2000 and 2000–01 respectively. £1.6 million to expand critical care services in 2000–01. £2.4 million and £1.6 million to deal with winter pressures in 1998–99 and 2000–01 respectively. £3.1 million for heart disease services in 2000–01.

I am informed by North West London Strategic Health Authority that in 2002–03, the Westminster and Kensington and Chelsea PCT's overall allocation included the following earmarked funding for certain policies (there has been no earmarked funding in 2003–04): £845,000 for mental health. £675,000 for coronary heart disease. £855,00 for cancer. £625,000 for information management and technology. £94,000 for primary care. £4.785 million for capacity.

One of the public"s principal concerns about the NHS has been waiting times. Waiting list information for St. Mary"s and Chelsea and Westminster NHS Trusts is shown in the tables.

Patients waiting for elective admission: St. Mary's NHS Trust
Month end Total waiting list Patients waiting over nine months Patients waiting over 12 months
March 1997 5,801 539 149
October 2003 3,726 87 0

Source:

Department of Health form KHO7 and Monthly Monitoring.

Waiting times for first consultant out-patient appointment St. Mary's NHS Trust
GP written referrals
Patients seen Patients still waiting
Quarter Total Percentage seen within 13 weeks More than 13 weeks More than 26 weeks
Q4 1996–97 9,903 86 3,871 1,884
Q2 2003–04 10,370 79 1,106 0

Source:

Department of Health form QM08.

Patients waiting for elective admission: Chelsea and Westminster NHS Trust
Month end Total waiting list Patients waiting over nine months Patients waiting over 12 months
March 1997 1,888 67 22
October 2003 3,108 88 0

Source:

Department of Health form KHO7 and Monthly Monitoring.

Waiting times for first consultant out-patient appointment Chelsea and Westminster NHS Trust
GP written referrals
Patients seen Patients still waiting
Quarter Total Percentage seen within 13 weeks More than 13 weeks More than 26 weeks
Q4 1996–97 9,055 93 1,138 310
Q2 2003–04 7,459 83 503 0

Source:

Department of Health form QM08.