§ Baroness Cumberlegeasked Her Majesty's Government:
What savings were made in NHS spending as a result of market testing in the last financial year for which data are available.
§ The Minister of State, Department of Health (Baroness Jay of Paddington)No reliable information on savings arising from market testing is available.
§ Baroness Cumberlegeasked Her Majesty's Government:
What NHS services are (a) market tested and (b) what proportion of these services are now with outside contractors.
105WA
§ Baroness Jay of PaddingtonOver 80 individual services as shown in the following list have been market tested in the National Health Service in England—although in many cases only one or two trusts have market tested a particular service. On the basis of information supplied by health authorities and trusts to the NHS Executive market testing database on the outcome of market testing exercises since 1992, just over 50 per cent. of contracts by value have been awarded to the commercial sector where market testing has taken place.
HOTEL AND NON-CLINICAL SUPPORT—Accommodation, Car Parks, Catering, Courier, Creche, Domestic, Environmental Health Management, Facilities Management, Gardening, General Patient Services, Hotel Services, Laundry/Linen, Pest Control, Portering, Security, Supplies, Switchboard/Reception, Transport, Waste Disposal, Interpreter.
ADMIN, INFORMATION AND FINANCIAL—Advertising and Recruitment, Agency Staffing, Audit, Banking, Clerical and Secretarial, Computer, Consultants, Financial, Human Resources, Insurance, Legal, Management Services, Micro-filming.
CLINICAL AND CLINICAL SUPPORT—Anaesthetics, Bio-Engineering, Chiropody, Clinical Coding, Continuing Care for the Elderly, Central Sterile Supply Department, Hospital Sterilizing and Disinfecting Unit, Dental, Clinical Genetics, Haematology, Infection Control, In-Vitro Fertilisation Services, Lithotripsy, Medical Physics, Mobility Provisions, Medical Photography, Nuclear Medicine, Ophthalmology, Magnetic Resonance Imaging, Occupational Health, Orthotics, Occupational Therapy, Oxygen Therapy Units, Prosthetics, Pathology, Pharmacy, Physiotherapy, Patient Appliances, Radiology, Speech Therapy, Termination of Pregnancy, Perfusionists, Mobile Cardiac Catheterisation.
BUILDING AND ENGINEERING—Building and Engineering, Design, Electrical, Energy Management, Estates Management, Fire Systems, Flooring, Repairs and maintenance, Gas Supply, Glazing, Lighting, Painting, Water Services.
BUILDING AND EQUIPMENT/SYSTEMS MAINTENANCE—Building, Building and Engineering, Estates, Equipment/Systems.
TRAINING—Education, Fire, Staff.
Notes:
1. There is no standard definition of services or list of services within the NHS and those listed above relate to Units' interpretation.
2. Service headings such as "Hotel Services" and "Facilities Management" include a wide and varying range of individual services e.g. catering, portering, security car parking. Again there is no set pattern of which services make up Hotel Services etc., but relates to individual Provider Units' interpretation.