§ Mr. BurstowTo ask the Secretary of State for Health (1) what estimate he has made of(a) the average length of time a nurse will need to spend per person when using the assessment tool for free nursing care and (b) the number of nurses required to complete the assessment by all self-funders by Christmas; [7481]
(2) which organisations his Department consulted in drawing up the assessment tool for implementing free nursing care. [7447]
§ Jacqui Smith:[holding answer 15 October 2001]: The testing of the registered nursing care contribution (RNCC) tool has indicated that, on average, determinations take between 50 minutes and one hour to carry out.
By the end of this month, a total of 800 nurses in England will have undergone training in the use of the tool to enable the planned programme of determinations to be completed by the end of December.
The RNCC was developed with the input from a wide variety of organisations, nurses, as well as social services staff and the independent nursing home sector. National health service and independent sector nurses took part in its evaluation.
§ Mr. BurstowTo ask the Secretary of State for Health (1) if part-funders in nursing homes will be assessed under the free nursing care guidance; when the assessments will1330W the member states. It provides for health care to be given at the expense of the patient's home country, in a wide range of circumstances, including immediately necessary health care for temporary visitors, patients referred specifically for treatment, treatment for state pensioners who have retired to another member state, and for posted workers.
Member states pay each other for such treatments. The table gives the net cost to the United Kingdom (on a resource accounting basis). The figures reflect the fact that with many member states there are more UK pensioners and tourists going to other member states than vice versa.
commence; when they will be concluded; what levels of payment they will be entitled to; and if he will set out for each health authority how many part-funders there are; [7480]
(2) what steps he will take to ensure that self and part-funding residents in nursing homes receive a reduction in their nursing home fee equivalent to the NHS payments for nursing care under the free nursing care assessment. [7388]
§ Jacqui Smith[holding answer 15 October 2001]: Those people who have, prior to 1 October 2001, paid a council towards the cost of their care by a registered nurse (part funders) will be classed as self funders from that date and treated identically. Those people entering nursing homes after 1 October 2001 who would previously have paid a small amount to the council in respect of their care by a registered nurse will no longer need to do so. All self funders currently in a nursing home should have had a determination of their need for the care of a registered nurse carried out by the end of December this year. The actual reductions in the level of payments experienced by this group will vary depending on the level of assessed need and how the council had previously assessed them. Information on the number of people in this group by health authority is not held centrally, but there are thought to be less than 10 per health authority on average in England.
1331WPrimary care trusts and health authorities have been asked to ensure that the contracts that they establish with nursing homes reflect the National Health Service contribution towards individuals' costs of nursing care and the expectation that this will result in a similar reduction in people's care home fees.
§ Mr. DrewTo ask the Secretary of State for Health if he will make a statement on progress towards the payment of individuals eligible for free nursing help since the change in procedures. [8555]
§ Jacqui SmithPrimary care trusts and health authorities have begun the process of arranging payments to nursing homes in respect of residents who fund the full cost of their nursing care themselves from 1 October. Determinations of individual nursing need are being
1332W
Finished consultant episodes: quarterly data by area of residence, ordinary admission/day case split, for patients aged over 75 NHS Hospitals England 1999–2000 Quarter 1 Quarter 2 Quarter 3 Quarter 4 Ordinary admission Day case Ordinary admission Daycase Ordinary admission Day case Ordinary admission Day case Northern & Yorkshire Regional QDD Bradford HA 4,041 946 3,852 1,154 4,305 1,044 4,253 1,236 QDE County Durham HA 4,968 1,278 5,012 1,366 5,492 1,423 6,186 1,603 QDF East Riding HA 5,539 1,298 5,640 1,317 5,772 1,361 6,068 1,602 QDG Gateshead & South Tyneside HA 3,506 1,207 3.693 1,241 4,265 1,202 4,306 1,284 QDH Leeds HA 7,546 1,420 7,559 1,600 8,338 1,604 8,415 1,569 QDJ Newcastle & North Tyneside HA 4,674 1,467 4,868 1,547 5,214 1,629 5,447 1,810 QDK North Cumbria HA 3,017 722 2,991 715 3,424 811 3,725 884 QDM Northumberland HA 3,002 875 3,098 1,057 3,330 1,010 3,336 1,178 QDN Sunderland HA 2,041 995 2,000 821 2,631 971 2,982 1,002 QDP Tees HA 4,753 1,043 5,053 1,175 5,611 1,254 5,344 1,434 QDQ Wakefield HA 2,416 639 2,317 638 2,540 639 2,553 770 QDR North Yorkshire HA 6,427 1,868 6,484 2,138 7,113 2,158 6,868 2,308 QDT Calderdale & Kirklees HA 4,815 1,177 5,063 1,285 5,329 1,326 5,582 1,478 Trent Regional Office QCG Barnsley HA 3,044 449 3,001 498 3,210 514 3,294 527 QCH North Derbyshire HA 3,407 899 3,347 941 3,705 878 3,995 1,127 QCJ South Derbyshire HA 5,536 1,454 5,820 1,568 6,261 1,489 6,438 1,577 QCK Doncaster HA 2,695 797 2,840 908 2,740 997 3,144 1,191 QCL Leicestershire HA 9,057 2,058 9,463 2,235 9,715 2,293 9,452 2,375 QCM Lincolnshire HA 6,522 1,417 6,710 1,626 7,256 1,617 7,279 1,709 QCN North Nottinghamshire HA 3,944 769 3,879 821 4,718 810 4,965 846 QCP Nottingham HA 6,649 1,286 7,015 1,352 7,786 1,405 8,002 1,425 QCQ Rotherham HA 1,883 370 1,836 511 2,006 529 2,105 575 QCR Sheffield HA 5,331 1,150 5,318 1,292 5,874 1,464 5,986 1,647 QDL South Humber HA 2,441 626 2,486 720 2,612 736 2,630 878 West Midlands Regional Office QD9 Birmingham HA 8,317 1,966 8,280 2,176 9,134 2,150 9,419 2,362 QEA Coventry HA 2,655 621 2,702 659 3,001 767 2,920 814 QEC Dudley HA 1,969 854 2,048 836 2,237 860 2,046 857 QED Herefordshire HA 1,426 419 1,311 369 1,483 538 1,474 542 QEE Sandwell HA 2,206 719 2,391 792 2,735 745 2,793 861 QEF Shropshire HA 3,166 983 3,280 1,029 3,465 1,069 3,534 1,180 QEG Solihull HA 1,289 478 1,463 502 1,624 494 1,610 549 QEH North Staffordshire HA 3,845 1,535 4,029 1,540 4,064 1,526 4,050 1,584 QEJ South Staffordshire HA 4,276 1,637 4,357 1,563 4,707 1,541 4,691 1,606 QEK Walsall HA 2,019 419 2,007 468 2,421 448 2,561 560 QEL Warwickshire HA 4,240 1,115 4,109 1,147 4,697 1,158 4,592 1,226 QEM Wolverhampton HA 1,778 410 1,957 458 2,359 508 2,590 656 QEN Worcestershire HA 4,010 1,166 3,861 1,187 4,106 1,249 4,025 1,368 North West Regional Office QC 1 South Lancashire HA 2,802 1,087 2,838 990 2,872 1,103 2,880 1,091 QC2 Liverpool HA 5,470 1,177 5,571 1,176 6,158 1,150 6,362 1,216 QC3 Manchester HA 3,411 1,304 3,516 1,486 3,737 1,469 3,583 1,583 QC4 Morecambe Bay HA 2,873 1,189 2,834 1,402 3,092 1,275 3,109 1,378 carried out by National Health Service registered nurses now, a programme that should be completed by the end of December 2001.