HC Deb 07 November 2001 vol 374 cc282-3W
Mr. Berry

To ask the Secretary of State for Health (1) what recent guidance he has issued in relation to(a) the recognition of acquired brain injury and (b) the planning of rehabilitation services for those with acquired brain injury; [11670]

(2) what plans he has to implement a national education and training programme for NHS staff on the rehabilitation and treatment of individuals with acquired brain injury; [11668]

(3) what plans he has to undertake a review of the provision of brain injury rehabilitation services within the United Kingdom. [11669]

Jacqui Smith

We have issued no recent guidance on either the recognition of acquired brain injury or the planning of rehabilitation services for those with acquired brain injury.

However, the national service framework (NSF) for long term conditions was announced in February 2001 by my right hon. Friend the Secretary of State and will have a particular focus on the needs of people with neurological disease and brain and spinal injury. In addition, it is also likely to set general standards of care for people with other long-term conditions or chronic illness that are not already covered by other NSFs. The Health Committee report on head injury rehabilitation will be brought to the attention of the group developing the NSF.

We have also asked the National Institute for Clinical Excellence (NICE) to produce a clinical guideline for the initial assessment, management and first referral of patients with head injury. NICE will start work on the guidelines in November 2001.

Provision of brain injury services in Scotland, Wales and Northern Ireland are matters for the devolved Assemblies.

Mr. Berry

To ask the Secretary of State for Health what plans he has to introduce a national funding mechanism for the provision of brain injury vocational rehabilitation services. [11671]

Jacqui Smith

We allocate funding to health authorities on the basis of the relative needs of their populations. A weighted capitation formula is used to determine each health authority's fair share target of available resources, to enable them to commission similar levels of health services for populations in similar need. There are no plans to change this system.

It is for health authorities, in partnership with primary care groups/trusts and other local stakeholders, to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services.

Getting people back to functional independence following illness or injury is a high priority for the national health service. This year, with the Department for Work and Pensions, we are planning job retention and rehabilitation pilots to test the best ways of helping people with prolonged illness or disability to remain in their jobs. £12 million has been allocated to fund the pilots.