Public expenditure on health and personal social services 1998 : memorandum received from the Department of Health containing replies to a written questionnaire from the Committee / Health Committee.

  • Great Britain. Parliament. House of Commons. Health Committee.
Date:
1998
Catalogue details

Licence: Open Government Licence

Credit: Public expenditure on health and personal social services 1998 : memorandum received from the Department of Health containing replies to a written questionnaire from the Committee / Health Committee. Source: Wellcome Collection.

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    Can the Department provide a table showing for each health authority allocations for resident populations for 1997-98 (cash) and 1998-99 (cash and at 1997-98 prices)? (p 58) 4.6 Developments in HCHS Allocations (formerly B3) Can the Department update the Committee on recent developments in the allocation of HCHS resources and provide the timetable for any planned changes? (p 62) 4.7 Steering Group on HCHS Capital—CPAG (formerly B4) Can the Department notify the Committee of progress with the current review of the capital allocation system? (p 62) 4.8 Long-Term Capital Projects and PFI (formerly C4) 4.8a Would the Department provide a table showing all publicly funded capital projects with a total cost above £10 million which are under construction during 1998-99. Could this also show the original and current estimated completion dates along with a percentage figure for any additional time overrun/saving. Likewise, the original total cost and current estimated out-turn cost should be provided along with a percentage cost performance figure. (p 64) Would the Department provide a commentary on cases where there are significant discrepancies between original estimates of completion dates and/or expenditures and current estimates? (p 64) 4.8b Would the Department provide details of PFI projects with a capital value of £10 million or over approved since 1992, including their current status. (p 66) 4.8c Could the Department provide tables showing the planned and actual annual contribution to capital from PFI, and the forecast level of investment generated by schemes over £10 million plus an aggregate of those below £10 million, between 1996—97 and 2000-01? (p 67) 4.8d Could the Department provide a table showing the increases to the capital cost of schemes since the last expenditure questionnaire and provide a commentary on changes of more than 10 per cent? (p 72) 4.8e Could the Department provide data on the revenue consequences of schemes which have reached financial close and represent long-term contractual commitment over the next 25 years? Could the Department provide an update of the Departmental Report table showing the source and applications of HCHS capital, giving the out-turn position for 1997-98? (p 72) 4.8f Would the Department provide a breakdown of the net present value calculations upon which decisions about the private finance option are based? Would the Department indicate the sensitivity of these estimates to assumptions on factors such as risk, rate of interest, length of contract? (p 76) 4.8g¢ Where benefits of the PFI option are indicated, for some schemes it appears that like-with-like comparisons are not being made. How is the “comparable” public sector option arrived at? (p 79) 4.8h What information does the Department have about the amount of money raised each year by Leagues of Friends, or similar groups, for capital spend in the NHS? (p 79) 4.9 FHS Expenditure on Prescribing (formerly D2) The Committee would like to receive information on total FHS expenditure on prescribing for each year from 1991-92 to 1997-98, on the average expenditure per capita, on the total number of items prescribed and average number per capita, and the average cost per prescription. The Committee would also like to receive this information, for appropriate years, by non-fundholders and fundholders. Any commentary which the Department would wish to append would be welcome, including an assessment of progress in meeting its stated target of restraining “the growth in the drugs bill to sustainable and affordable limits”? What information will the Department hold on prescribing expenditure data for Primary Care Groups and Trusts? What level of reserve funds does the Department intend to hold so that where Primary Care Groups and Trusts go over their prescribing budgets their GPs will be able to continue to prescribe drugs to their patients? (pp 85-86) 4.10 Allocations to National Specialist Services (formerly B5) What was the total allocation in 1996-97 and 1997-98 to each of the supra regional services and what is the planned allocation for 1998-99; and what significant changes have their been in the overall pattern of expenditure? (p 87)