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Dept of Health

Answer

Mr. Hunter: To ask the Secretary of State for Health (1) what funds his Department has made available for GP development schemes in each year since 1997-98; [208178] (2) what funds his Department proposes to make available for GP development schemes in (a) 2004-05, (b) 2005-06 and (c) 2006-07. [208179] Mr. Hutton: The information requested on general practitioner premises developments is shown in the tables. Table 1 shows spend from primary care trusts audited accounts for the period 1997-98 to 2003-04, the last year for which this information is available. Table 2 shows the premises element of the primary medical services allocations in 2004-05 and 2005-06, allocations for 2006-07 have yet to be confirmed. Table 3 shows enabling (start-up) funds allocated for the local improvement finance trust (LIFT) initiatives. Table 1: General medical service (QMS) premises expenditure (1997-98 to 2003-04)--discretionary and non-discretionary reported spend though statement of fees and allowances reported expenditure (old contract QMS only) £ million _________________________________________________________________________________________________. Spend on QMS premises 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 (England) 1996-97 to 2002-03 Non discretionary (non cash-limited) Notional rents 68.2 75.9 85.6 93.6 87.4 87.7 85.6 Actual rent 18.2 24.7 28.2 18.6 17.3 21 23.5 Actual rent--*health 18.1 20.7 19.8 37.5 36.1 34.3 38.3 centres (including lease and licence payments only) Rates/water/sewage 56.9 63.6 68.1 71.8 72.5 59.3 50 *Health centre 7.1 8.1 7.1 5.7 6.3 4.3 5.4 rates/water/sewage On-going rental on vacated -- 0.1 4.0 0.0 0 0.7 0.1 premises, SFA para 55 Non discretionary premises 168.5 193.1 212.8 227.2 219.6 207.3 202.9 total Discretionary (cash-limited) Cost--rents and local 96.3 98.2 88.9 85.6 65.1 56.1 43.2 authority economic rents Improvement grants 20.3 22.2 16.9 16,9 14.2 13.5 17.5 Improvement grants *(for 7.1 5.6 2.9 4.5 3.6 5.1 7.9 health centres) Grants to surrender leases -- 0.2 0.0 0.0 0 0.3 0.3 on poor premises under SFA para 55 Discretionary premises 123.7 126.2 108.7 107.0 82.9 75.0 68.9 total _________________________________________________________________________________________________. Notes: (i) Non discretionary: -non cash-limited. Please note that from 1997-98, actual rents were split to additionally show introduction of health centre rents incurred. Health centre rates were created in 1997-98 to identify costs incurred. (ii) Discretionary -cash limited. Again with the introduction of monitoring health centre spend from 1997-98--Improvement grants have been split to separately identify health centre spend. (iii) Please note that 2002-03 and 2003-04 information is based on final HFR/PFR discretionary and non-discretionary summarised accounts outturn. (iv) Data from 1996 onwards is based on health authority (HA) returns. For 2002-03, data is split between 28 strategic health authority (SHA) quarter 1-2 reporting and 303 primary care trust (PCT) quarter 3 and 4 combined returns, owing to PCTs not having non- discretionary banking rights up until September 2003. (v) Data on personal medical service (PMS) premises spend is not collected centrally. (vi) Decreases in all premises spend in 2002-03 and fluctuations in 2003-04 are due to the impact on GP transfers from QMS to PMS and increased waves 1-4b PMS pilots going live. (vi) Decreases in all premises spend in 2002-03 and fluctuations in 2003-04 are due to the impact on GP transfers from QMS to PMS and increased waves 1-4b PMS pilots going live. (vii) Please note that all figures up to 2001-01 are cash based. Due to changes in Government accounting regulations, figures for 2002-03 onwards are now be resource based. (viii) Data on premises spend under new QMS contract arrangements is not currently available. Table 2: Premises allocations under the new primary care contracting arrangements £ million _________________________________________________________________________________________________. Premises element of primary Growth funding allocated to a Additional investment medical services allocations to lead PCT in each SHA area PCTs 2004-05 329.399 15 42 2005-06 368.613 83 66 2006-07 To be confirmed To be confirmed Not applicable _________________________________________________________________________________________________. Table 3: Allocated enabling funds for LIFT initiatives _________________________________________________________________________________________________. Funding (£ million) 1997-98 0 1998-99 0 1999-2000 0 2000-01 1.460 2001-02 0.350 2002-03 27.737 2003-04 105.313 2004-05 43.001 2005-06 Not yet decided 2006-07 Not yet decided _________________________________________________________________________________________________.

Secondary information

Type

Written question

Reference

430 c746-8W; 208178;208179

Session

2004-05

Subjects

Capital investment General practitioners Primary care GP surgeries

Contains statistics

Yes

Link

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