§ Mr. Paul MarsdenTo ask the Secretary of State for Health what assessment he has made of progress in creating a world class mental health service, as envisaged in the Wanless Report. [117575]
§ Jacqui SmithGood progress is being made in creating a world class mental health service, as envisaged in the Wanless Report. Early targets, set in the mental health national service framework and the NHS Plan, have been met and progress is also being made towards the remainder, including a range of specialised teams and services; new staff and new ways of working. However, we are still in the early stages of a programme of work that will take some time to realise in full.
§ Mr. BlizzardTo ask the Secretary of State for Health how he will implement the proposals in the NHS document, Developing Services for carers and families of people with mental illness; and what funding he will make available for this. [115905]
§ Jacqui SmithImplementation of the document Developing Services for Carers and Families of people with mental illness is the responsibility of commissioners and providers of health and social care mental health services. Primary care trusts also have a vital role to play in identifying and supporting carers of people with mental health problems.
The NHS Plan published in July 2000 provided for extra annual investment of over £300 million by 2003–04 to support plans for modernisation and additional resources are delivered within general allocation; funds which are not ring-fenced. This arrangement, consistent with the principles set out in Shifting the Balance of Power, permits resources to be more closely matched to the needs of local people, and enables primary care trusts to take full account of strengths or gaps in local services. Strategic health authorities performance manage PCTs for their responsibilities in this regard, consistent with national guidance and the objectives set out in their local delivery plans.
The National Institute for Mental Health in England (NIMHE), including its development centres, are supporting local services and communities to implement this guidance. To help to this, NIMHE will help to share positive practice and support liaison at a national level.
§ Mrs. Curtis-ThomasTo ask the Secretary of State for Health how many children under 18 are being treated by adult mental health services in the Mersey Care NHS Trust area. [116287]
§ Jacqui SmithOn 30 May 2003,31 children under 18 were being cared for by adult mental health services in the Mersey Care National Health Service Trust area.
§ Mrs. HumbleTo ask the Secretary of State for Health what level of funding per capita is being spent by(a) Blackpool Primary Care Trust and (b) Wyre Primary Care Trust on child and adolescent mental health services in 2003–04; and what the average spending per capita is of primary care trusts in England. [116449]
677W
§ Jacqui SmithThe first set of financial returns for Blackpool and Wyre Primary Care Trusts will be for 2002–03, which are not yet available. The child and adolescent psychiatry services offered by Blackpool and Wyre PCTs in 2002–03, were in 2001–02 offered by Blackpool, Wyre and Fylde Community national health service trust.
Information on expenditure by Blackpool. Wyre and Fylde Community NHS Trust, is shown in the tables:
Attribution Data Set adjusted 1998 based mid 2001 population projections
Number Total population 50,180,601 Population (0–14-year olds) 10,042,683 North West Lancashire (0–14-year olds) 88,069
Child and adolescent psychiatry £ Primary care trusts
NHS trusts Total Expenditure—2001–02 6,981,200 184,985,938 191,967,138 Expenditure per capita (full population)
0.14 3.69 3.83 Expenditure per capita (0–14-year olds)
0.70 18.42 19.12
Blackpool, Wyre and Fylde community trust £ Expenditure—2001–02 1,329,639 Expenditure per capita (full population) 0.03 Expenditure per capita (0–14-year olds—) 0.13 Expenditure per capita (0–14 year olds— North West Lancashire health authority)
15.10
Mental health (including child and adolescent psychiatry) £ Primary care trusts
NHS trusts Total Expenditure—2001–02 188,058,474 4,387,360,642 4,575,419,116 Expenditure per capita (full population)
3.75 87.43 91.18 Note:
A different set of population projections have been used in order to supply a population split for North West Lancashire Health Authority. Children have been classified as up to 14 years old.
Source:
Health Authority Revenue Resource Limits Exposition Book, 2001–2002. The Department of Health.
§ Mrs. HumbleTo ask the Secretary of State for Health what level of funding per capita is being spent by(a) Blackpool Primary Care Trust and (b) Wyre Primary Care Trust on services for adults with mental health problems in the current financial year; and what the average spending per capita is of primary care trusts in England [116450]
678W
§ Jacqui SmithThe first set of financial returns for Blackpool and Wyre Primary Care Trusts will be for 2002–03, which are not yet available. The adult mental health services offered by Blackpool and Wyre PCTs in 2002–03, were in 2001–02 provided by the Blackpool Wyre and Fylde Community national health service trust.
Information on the expenditure by the Blackpool, Wyre and Fylde Community NHS trust is shown in the table.
Attribution data set adjusted 1998 based mid 2001 population projections
Number Total population 50,180,601 Population—Adults (over 14-years old) 40,137,917 North West Lancashire health authority adults 374,174
Mental health services £ Primary care trusts
NHS trusts Total Expenditure—2001–02 188,058,474 4,387,360,642 4,575,419,116 Expenditure per capita (full population)
3.75 87.43 91.18 Expenditure per capita (adults)
4.69 109.31 113.99
Blackpool, Wyre and Fylde Community Trust—2001–02 £ Expenditure—mental health adult services 20,974,938 Expenditure per capita (full population) 0.42 Expenditure per capita (0–14-year olds) 0.52 Expenditure per capita (adults—North West Lancashire health authority)
56.06 Source:
Health Authority Revenue Resource Limits Exposition Book,
2001–2002. The Department of Health.
§ Mrs. HumbleTo ask the Secretary of State for Health what the level of spending on child and adolescent mental health services was in(a) 1996–97 and (b) 2002–03.[116451]
§ Jacqui SmithThe tables, based on returns from trusts, show expenditure for 1996–97 and 2001–02 on child and adolescent psychiatry for in-patients, out-patients and day care patients. Comparable expenditure for 2002–03 will be available this September in provisional form a nd the fully validated figures in February 2004.
Other data now available from the new national child and adolescent mental health service mapping exercise, details of which can be found at www.dur.ac.uk/service.mapping/CAMH/, shows expenditure for 2002–03 on specialist child and adolescent mental health services at tiers 2–4 of £241,289,112. 679W
Child and adolescent psychiatry expenditure—England 1996–97 and 2001–02
£ In-patients expenditure
Out- patients
expenditure
Day care expenditure
Total expenditure
1996–971 NHS Trust 45,357,584 58,825,911 13,358,981 117,542,476 2001–022,3 NHS Trust 60,385,645 105,272,276 19,328,017 184,985,938 Primary Care Trust 1,114,767 5,866,433 0 6,981,200 Total 61,500,412 111,138,709 19,328,017 191,967,138 Sources: 1Annual financial returns for NHS Trusts 2 Annual financial returns for NHS Trusts 3 Annual financial returns for Primary Care Trusts
§ Mr. SteenTo ask the Secretary of State for Health why schizophrenia patients on anti-psychotic medication are required to pay prescription charges. [116933]
§ Mr. LammyPrescription charges are not payable by schizophrenia patients who are aged under 16 or 60 or over, who are (or their partner is) receiving income support or income based jobseekers allowance, or who are named on a national health service tax credit exemption certificate. Other patients on a low income may receive help under the NHS low income scheme.
By using a prescription prepayment certificate, no one who has to pay need pay more than £32.90 for four months, or £90.40 for 12 months, for all NHS medication they are prescribed.