Written Answers to Questions
The following answers were received between Monday 12 and Friday 16 February 2007
Constitutional Affairs
Fraud Cases
[holding answer 24 January 2007]: I have been asked to reply.
A Crown court judge with extensive experience in serious fraud trials participated in a seminar on this subject that was chaired by the Attorney-General in January 2005, as did several members of the senior judiciary; and members of the Council of HM Circuit Judges discussed the issue with the Office for Criminal Justice Reform at a special meeting in April 2005.
Trade and Industry
Construction
I have been asked to reply.
The assessment of the skills needs of a sector is one of the key roles of sector skills councils (SSC). ConstructionSkills, the SSC for the construction sector, launched the construction skills network in 2005 to draw upon the knowledge and experience of construction companies, construction clients, education and training providers, Government and Regional Agencies across the UK.
The construction skills network has achieved a consensus as to the future skills and training needs of the industry. ConstructionSkills is working with Government and a range of partners to ensure those needs can be met.
The latest Construction Skills Network report, covering the period up to 2010, is available on the ConstructionSkills website. The report provides a regional view of skills needs across all construction occupations. It will be updated later this year.
Culture, Media and Sport
Departmental Fixed Assets
The lessees to whom the buildings were sold are:
30 Park Street—Mr. J. R. Edwards and Mrs. G. C. E. Edwards;
31 Park Street—Mr. H. F. Ledwidge and Mrs. J. Ledwidge;
32 Park Street—Ms J. M. Reyburn.
Departments: Furniture
The Department for Culture, Media and Sport has had no items of furniture reported either lost or stolen during the period year 2001 to date. Any records hitherto held for years 1997 to 2000 are now no longer available.
English Heritage: Public Appointments
We are about to launch a further competition to appoint a new chair of English Heritage. It will be an open competition, and the process will comply with the Nolan principles and the Office of the Commissioner for Public Appointment’s Code of Practice. After advertising in the national press, a selection panel will shortlist and interview candidates and make recommendations to Ministers. I expect the process to be completed by the summer.
Gaming Clubs: Greater Manchester
At 0900 on 30 January 2007.
On 15 January 2007 James Froomberg attended a dinner hosted by British Waterways in his capacity as commercial director of that company. Sir Howard Bernstein, chief executive officer of Manchester city council was one of a number of guests. Mr. Froomberg notified the Casino Advisory Panel in advance of this engagement. The panel concluded that, as it had already made its decisions regarding the recommended casino locations at meetings on 8 and 15 November, and because its report was already in the process of being printed, Mr. Froomberg would not be placed in a position where he could be inappropriately influenced. Mr. Froomberg did not disclose the panel's decisions at the engagement.
Local Authorities: Standards
The 10 Public Library Service Standards (PLSSs) that the 149 library authorities in England are assessed against are:
Percentage household within: Authority type 1 mile 2 miles Sparse authorities— 2 miles Inner London 100 — — Outer London 99 — — Metropolitan 95 100 — Unitary 88 100 72 County — 85 72
PLSS 2—Aggregate scheduled opening hours per 1,000 population for all libraries—128 hours
PLSS 3—Percentage of static libraries (as defined by CIPFA) providing access to electronic information resources connected to the internet—100 per cent.
PLSS 4—Total number of electronic workstations with access to the internet and the libraries catalogue (available for public use through both static and mobile libraries, and other service outlets (as defined in PLSS1)) available to users per 10,000 population—6
PLSS 5—Requests
i. Percentage of requests for books met within 7 days
ii. Percentage of requests for books met within 15 days
iii. Percentage of requests for books met within 30 days
Targets:
50 per cent. within 7 days; 70 per cent. within 15 days; 85 per cent. within 30 days
PLSS 6—Number of library visits per 1,000 population
Targets:
7,650 in inner London boroughs (or 6,800 enhanced population) 8,600 in outer London boroughs
6,000 in metropolitan districts
6,300 in unitary authorities
6,600 in county councils
PLSS 7—percentage of library users 16 and over who view their library service as:
i. very good
ii. good
iii. adequate
iv. poor
v. very poor
94 per cent. of respondents rate the library service as ‘very good’ or ‘good’.
PLSS 8—percentage of library users under 16 who view their library service as:
i. good
ii. adequate
iii. bad
90 per cent. of respondents rate the library service as ‘good’.
PLSS 9—Annual items added through purchase per 1,000 population—216 additions per 1,000 population.
PLSS 10—Time taken to replenish the lending stock on open access or available on loan—6.7 years.
The PLSSs form part of the library indicator suite within the Comprehensive Performance Assessment’s (CPA’s) Culture Block. For the purposes of CPA, thresholds have been set for each of the standards based on the overall performance of the 149 authorities against them.
London Olympics
The Olympic Board, which I co-chair, provides strong and effective governance and oversight of preparations for the 2012 Olympic Games and Paralympic Games. It meets regularly to review progress across the programme.
After London won the right to host the games in July 2005, I initiated a thorough and ongoing review of costs on which I reported to the Culture, Media and Sport Select Committee on 21 November 2006. This work is continuing.
Furthermore, to ensure that costs are kept under rigorous scrutiny and review and that the timescales of the programme are met, the Olympic Delivery Authority, which is responsible for delivering the infrastructure and venues for the Games, has appointed a delivery partner—CLM—to manage the procurement and delivery of the facilities.
[holding answer 2 February 2007]: I have nothing to add to my answer of 29 January 2007. To release further cost information on each of the individual elements of the £900 million increase that I announced to the Culture, Media and Sport Select Committee could prejudice the commercial negotiations that the Olympic Delivery Authority are currently undertaking with private developers.
The Olympic Delivery Authority have employed PMP to identify options for the legacy use of the Olympic stadium. This work is ongoing.
The use of London council tax to support expenditure on the Olympic Games is a matter for the Mayor of London.
(2) what her estimate is of the change in the Olympics precept on London council tax bills as a result of the recently announced cost increases.
The 2003 Memorandum of Understanding between the Government and the Mayor of London provides for cost overruns to be met in a sharing arrangement to be agreed as appropriate between them. The memorandum makes no presumptions about the use of council tax, which is a matter for the Mayor and he has made his position on this clear.
We are currently exploring a range of options and will report to Parliament when a resolution has been reached.
The London Organising Committee for the Olympic Games and Paralympic Games is working with key stakeholders including my Department to stage a number of inspiring ceremonies. These include the handover ceremony at the Beijing Games, the opening and closing ceremonies, the welcoming of the athletes to the Olympic Village, the medal ceremonies, the Torch Relay, and the Olympic Youth Camps.
In addition, the Cultural Olympiad will be delivered and funded in partnership with a range of public and private partners.
The London 2012 Organising Committee is currently finalising the budgets for each of these important elements of the Olympic Games and Paralympic Games. It is working within the overall framework set out in the candidate file and is confident that it sits within its £2 billion revenue budget.
National Lottery
I have already announced that £410 million will come from non-Olympic lottery distributors, of which the Big Lottery Fund is one, from 2009. No decision has yet been made about how that amount will be allocated between individual distributors.
The Government are currently considering how the additional Olympic costs of £900 million should be met This discussion will take account of the Memorandum of Understanding between the Government and the Mayor, which provides for a sharing arrangement to be agreed as appropriate and through seeking additional national lottery funding in amounts to be agreed at the time.
No conclusions have yet been reached on the further use of lottery funding.
It was always understood when we bid that National Lottery funding for London 2012 would involve some loss of income to the non-Olympic good causes, including charities. Non-Olympic distributors may lose an average of 5 per cent. of their income because of sales diversion to Olympic Lottery games over the period 2005-06 to 2012-13. In addition, we have already announced that £410 million will be taken from non-Olympic Lottery proceeds between 2009 and 2012. No decision has been made about how that amount will be shared between the various non-Olympic good causes.
The Government are currently considering how the additional Olympic costs of £900 million should be met. This discussion will take account of the Memorandum of Understanding between the Government and the Mayor, which provides for a sharing arrangement to be agreed as appropriate and through seeking additional National Lottery Funding in amounts to be agreed at the time. No conclusions have yet been reached on the further use of Lottery funding.
Parliamentary Questions
I apologise for the delay in answering these parliamentary questions. I can confirm that I answered 108185 on 29 January 2007, Official Report, column 105W and question 108992 was answered on 5 February 2007, Official Report, column 712W.
Duchy of Lancaster
Departmental Expenditure
For details of how much was spent on the (a) Delivery Unit, (b) Strategy Unit and (c) Office of Public Service Reform in each year since its creation to 2004-05, I refer the hon. Member to the answer given to him by the then Parliamentary Secretary for the Cabinet Office (Jim Murphy) on 27 February 2006, Official Report, column 43W.
Costs for the Delivery Unit (DU), Strategy Unit (SU) and Office of Public Service Reform (OPSR) in 2005-06 can be found in the following table:
Amount (£000) DU 5,173 SU 3,348 OPSR 1,081
The figures shown are for total resource spend less any income.
The Delivery Unit, the Strategy Unit and the Office of Public Service Reform do not form part of the Prime Minister’s Office.
For details of the remit and function of the Delivery Unit and Strategy Unit, I refer the hon. Member to the Cabinet Office Annual Report and Resource Accounts 2005-06 (Pages 12 and 13).
For details of the remit and function of the Office of Public Service Reform, I refer the hon. Member to the Cabinet Office Annual Report and Resource Accounts 2003-04 (Page 8). The Office of Public Service Reform was disbanded in January 2006.
Copies of these reports are available in the Library and are also available on the Cabinet Office website at:
http://www.cabinetoffice.gov.uk/reports/annualreport/index.asp
Departments: Special Advisers
My special advisers are appointed under terms and conditions set out in the “Model Contract for Special Advisers”, a copy of which is in the Library of the House. Individual letters of appointment are confidential between the employer and employee and therefore not for publication.
Departments: Termination of Employment
The Cabinet Office asks all staff who leave the Department to complete an exit questionnaire. Completion is voluntary.
Legal Advice
The Prime Minister’s Office has not incurred any expenditure on external legal advice in the past five years.
Transformational Government
The progress against the Transformational Government Implementation Plan Action List is available online:
http://www.cio.gov.uk/transformational_government/annual_report2006/index.asp
A copy has been placed in the Library for the reference of Members.
Progress has already been made in many areas identified in the action plan (Cm6970). For example, from January 2006 to September 2006, 3.7 million motorists renewed their car tax online; customers can now apply for both state pension and pension credit in one 20-minute telephone call; and the new electronic border-control systems have generated 4,456 alerts to border agencies and have resulted in 315 arrests.
Deputy Prime Minister
Correspondence
(2) how many letters were received by his Department from hon. Members in each of the last 12 months; how many such letters were responded to within (a) 10 and (b) 20 days of receipt; how many were answered after 20 days from the date of receipt; and if he will make a statement.
The Cabinet Office, on an annual basis, publishes a report to Parliament on the performance of Departments in replying to correspondence from Members and peers. The report for 2005 was published on 30 March 2006, Official Report, column 75WS. Information relating to 2006 will be published as soon as it is ready.
Departmental Budget
I refer the hon. Member to the answer given by my right hon. Friend the Prime Minister on 17 May 2006, Official Report, column 985W, and the answer I gave him on 9 October 2006, Official Report, column 72W.
Departmental Contracts
Public affairs firms advise clients on political lobbying. My Department would not award contracts for lobbying, and has not done so since it was formed on 5 May 2006. For information relating to the period prior to this time, I refer the hon. Member to the answer given to him by my hon. Friend the Under-Secretary of State for Communities and Local Government (Angela E. Smith), on 8 February 2007, Official Report, column 1155W.
Departmental Travel
All travel by departmental staff is undertaken in accordance with the “Civil Service Management Code”, a copy of which is available in the Library of the House.
Departmental Website
Of the 2,771 separate visits recorded in the period concerned, 2,582 were made from non-government domains.
Departments: Furniture
None.
Freedom of Information
The answer remains the same as the one I gave on 1 November 2006, Official Report, column 434W.
Departments: Special Advisers
My special advisers are appointed under terms and conditions set out in the “Model Contract for Special Advisers”, a copy of which is in the Library. Individual letters of appointment are confidential between the employer and employee and therefore not for publication.
Temporary Staff
I refer the hon. Members’ to the answer I gave on 11 January 2007, Official Report, column 686W.
Foreign and Commonwealth Office
Airports (VIP Operations)
Foreign and Commonwealth Office (FCO) funding from April 2008 is under discussion with HM Treasury; all future expenditure plans will depend on the outcome.
FCO funding for the VIP/Royal Suites at Heathrow and Gatwick for financial year (FY) 2007-08 has been budgeted at a net £2.4 million.
FCO funding in each of the past five years was FY 2001-02 £2.55 million; FY 2002-03 £2.49 million; FY 2003-04 £2.98 million; FY 2004-05 £2.57 million; FY 2005-06 £2.7 million.
Aung San Suu Kyi
Aung San Suu Kyi remains under house arrest. The conditions of her detention are very restrictive. Only her doctor is allowed occasional visits. On 24 November 2006, our ambassador in Rangoon formally requested authority from the Burmese Ministry of Foreign Affairs to pay a courtesy call on her. The request was refused. No other Government officials have requested meetings with Daw Aung San Suu Kyi.
Bosnia and Herzegovina
The Peace Implementation Council, on which the UK sits, will review the future of the Office of the High Representative at its meeting on 26-27 February, taking into account the situation in Bosnia and Herzegovina and in the region as a whole.
Burma
Our policy is to support all action in the UN, including in the Security Council, which helps to promote reform and positive change in Burma. We therefore co-sponsored the UN Security Council Resolution on Burma with the United States which was put to the vote on 12 January. Nine members of the Security Council voted for the Resolution. However the Resolution was not adopted, as two permanent members of the Security Council—China and Russia—voted against, as did South Africa.
Disappointing though this result was, it is important to note that all Security Council members agreed that there were serious issues of concern in Burma. This, and the positive votes from a majority of Council partners, reflected the international community’s deep concern over the plight of Burma’s people. We will continue to work within the UN to ensure that Burma remains on the UN Security Council agenda.
On 24 January my right hon. Friend the Minister of State for Trade, Investment and Foreign Affairs, Ian McCartney, met representatives from the Chin and Kachin ethnic groups in Burma to discuss the many difficulties faced by their respective communities, including violation of their religious freedoms.
I refer the hon. Member to the answer my right hon. Friend the Minister for Trade, Investment and Foreign Affairs (Mr. McCartney) gave the hon. Member for Cotswold (Mr. Clifton-Brown) on 4 December 2006, Official Report, columns 69-70W.
Members of the Non-Aligned Movement did not adopt a common position on Burma at the time the UN Security Council Resolution on Burma was put to the vote on 12 January. The Non-Aligned members of the UN Security Council voted as follows: Ghana, Panama and Peru voted in favour of the resolution; Indonesia, Congo and Qatar abstained; and South Africa voted against. China has observer status in the Non-Aligned Movement and voted against the resolution.
China: Human Rights
I wrote to the Chinese ambassador in August 2006 to urge China to give fresh impetus to the reform of the Re-education through Labour (RTL) system. We raised RTL with the Chinese Government at the most recent round of the UK-China Human Rights Dialogue on 5 February 2007. The Chinese authorities said China is reducing the scope and number of sentences of the RTL system but progress is slow. We continue to urge China to progress the reform of RTL and all forms of administrative detention in order to ratify the International Covenant on Civil and Political Rights.
Engagement on human rights in China remains a Government priority. We raised a range of human rights issues with the Chinese Government at the most recent round of the UK-China Human Rights Dialogue on 5 February 2007. We held detailed discussions on the main themes of Civil Society and the role of defence lawyers, as well as wider issues of concern. We received information on China’s recent human rights developments and we offered recommendations for reform. We also raised 45 individual cases of concern and received 35 responses.
China: Press Freedom
We regularly raise freedom of the media with the Chinese Government. My right hon. Friend the Secretary of State for Culture, Media and Sport (Tessa Jowell) urged the Chinese Government to lift restrictions on foreign correspondents up to and beyond the Beijing Olympics during her visit to China in September 2006. The Chinese Government implemented new regulations on 1 January 2007 which give foreign correspondents freedom to report and travel around China up to 17 October 2008. We urged the Chinese Government to ensure freedom to domestic and international press at the most recent round of the UK-China Human Rights Dialogue on 5 February 2007. We will continue to raise this issue with the Chinese Government.
China: Tibet
The EU urged the Chinese Government to investigate the incident at the Nangpa Pass, at the last round of the EU-China Human Rights Dialogue, held in Beijing on 19 October 2006. The Chinese Government confirmed that the incident had taken place and promised to give further information. The EU followed up on 19 December 2006 and was told by the Chinese authorities that the incident was a border management issue and there was nothing new to report. We raised the incident at the most recent round of the UK-China Human Rights Dialogue on 5 February 2007 and urged the Chinese Government to fully investigate reports of ill-treatment of the people detained during the shooting.
Democratic Republic of Congo
The Democratic Republic of Congo (DRC) remains a priority for the UK. A Department for International Development (DFID)-funded UN Development Programme (UNDP) programme will be providing immediate training and technical support to the new Parliament, Ministers, senior civil servants and provincial assemblies, to help them take on their new roles and responsibilities. The Foreign and Commonwealth Office is financing training on the role of political opposition for senior parliamentarians.
The UK is the biggest bilateral European donor in the DRC (£62 million available this financial year). DFID's programme focuses on providing immediate humanitarian assistance; supporting good governance, democratisation and accountability; reforming the army, police and justice sector; supporting the provision of basic services—health, education and infrastructure—to the population; tackling HIV/AIDS and promoting better management of the DRC's natural resources.
Democratic Republic of Congo: Politics and Government
President Joseph Kabila and Prime Minister Gizenga named their Government on 5 February. The new Government consists of six senior Ministers of State, 34 Ministers and 20 Vice-Ministers.
All Government members belong to the Alliance pour la Majorite Presidentielle coalition of parties which supported President Kabila's election campaign. The new Government is a mixture of new faces and politicians with experience from the transitional Government.
The new Government faces many challenges, notably reforming the security sector, dealing with corruption and improving regional relations. We are committed to working with the Government to build a stable and prosperous Democratic Republic of Congo and Great Lakes region.
Departmental Contracts
In respect of the Foreign and Commonwealth Office:
Budgets for this kind of activity are devolved. The information is not held centrally and could be compiled only at disproportionate cost.
In respect of the public bodies:
The BBC World Service has contracted two public affairs companies over the past five years, to provide relevant summaries of parliamentary business:
Weber Shandwick until 2003; and
Cambre Public Affairs since, to maintain an automated on-line service.
The British Council contracted three public affairs companies over the last five years:
Brunswick Arts International to manage the promotion of the British Pavilion at the Venice Biennale (August to September 2004);
Brunswick Arts Consultancy Ltd to support the British Council's arts promotion (February to April 2002, June 2002 to May 2003, August 2003 to July 2004); and Fleishman-Hillard UK to produce an audit of MP perceptions of the British Council (January 2006).
EU Constitution
The Treaty establishing a Constitution for Europe, including provisions for an EU Foreign Minister, was agreed by all member states on 29 October 2004. However, following the “no” votes in France and the Netherlands, there is at present no consensus among member states on the future of the Constitutional Treaty. The way forward will be discussed at the European Council in June. The Government make no presumption as to the outcome of those discussions. My right hon. Friend the Minister for Europe made a written ministerial statement on 5 December 2006, Official Report, column 10-11WS regarding the UK’s approach to these discussions. This remains the Government’s position.
The Treaty establishing a Constitution for Europe, including provisions for an EU external action service, was agreed by all member states on 29 October 2004. However, following the “no” votes in France and the Netherlands, there is at present no consensus among member states on the future of the Constitutional Treaty. The way forward will be discussed at the European Council in June. The Government make no presumption as to the outcome of those discussions. My right hon. Friend the Minister for Europe made a written ministerial statement on 5 December 2006, Official Report, column 10-11WS regarding the UK’s approach to these discussions. This remains the Government’s position.
The Treaty establishing a Constitution for Europe, including provisions for a European Council President, was agreed by all member states on 29 October 2004. However, following the “no” votes in France and the Netherlands, there is at present no consensus among member states on the future of the Constitutional Treaty. On the basis of extensive consultations with member states, the German presidency will present a report on the state of discussion with regard to the Constitutional Treaty, and possible future developments, to the June European Council. The report will be examined by the European Council, but the Government make no presumption as to the outcome of those discussions. My right hon. Friend the Minister for Europe made a written ministerial statement on 5 December 2006, Official Report, column 10-11WS regarding the UK’s approach to these discussions. This remains the Government’s position
Euro-Mediterranean Partnership
I have been asked to reply.
On behalf of the UK Government, Baroness Royall of Blaisdon attended the 8th Euro-Mediterranean Conference of Ministers of Foreign Affairs at Tampere from 27 to 28 November 2006. At the Conference, Ministers endorsed the results of the Euro-Mediterranean Trade Ministers Conference held in Marrakech on 24 March 2006 and reiterated their commitment to achieving a Euro-Mediterranean free trade area by 2010.
Against this background, and based on the Rabat roadmap, the agenda for negotiations in 2007 will include a focus on the progressive liberalisation of trade in agricultural, processed agricultural and fisheries products, with a possible selected number of exceptions and timetables for gradual and asymmetrical implementation, taking account of the differences and individual characteristics of the agricultural sectors in different countries. Non-tariff aspects of agricultural trade liberalisation will be covered in these negotiations, along with rural development, agricultural productivity and quality, and sustainable development.
Iraq
The Iraq Study Group’s report was commissioned by, and for, the US Government and Congress, and does not require a formal response from the Government.
My right hon. Friend the Secretary of State for Defence and I have outlined the Government’s position on the Iraq Study Group’s report to the House on 12 December 2006, Official Report, columns 726-28, and at a joint session with the Foreign Affairs and Defence Committees on 11 January 2007, respectively.
Kosovo: Arms Control
The UK actively supports arms eradication programmes in Kosovo. In partnership with the Government of Sweden, we are managing an ongoing project through the Foreign and Commonwealth Office’s Global Conflict Prevention Pool, worth £71,000, which aims to address the proliferation of light weapons and small arms throughout Kosovo.
Kosovo: Politics and Government
The UN Special Envoy presented draft proposals to Belgrade and Pristina on 2 February. We encourage both parties to engage constructively and responsibly with the Special Envoy over these proposals. We believe that completion of the status process is important in order to provide clarity to the people of Kosovo over their future which in turn will help stabilise the political situation in Kosovo.
The UK has worked in close partnership with Contact Group partners (US, France, Germany, Italy, Russia) to assist efforts to achieve a lasting status settlement for Kosovo and the region.
Contact Group Ministers last met in New York in September 2006, where we asked UN Special Envoy Martti Ahtisaari to prepare a comprehensive proposal for a status settlement. Contact Group officials met on Friday 26 January in Vienna, where they discussed UN Special Envoy Ahtisaari’s plans for taking the status process forward.
We will continue working closely with Contact Group partners to achieve the durable solution for Kosovo which will enhance regional stability and the region’s Euro-Atlantic prospects.
I have had several discussions on the EU’s future role in Kosovo in bilateral and multilateral fora. Most recently, I discussed Kosovo with EU Foreign Ministers at the General Affairs and External Relations Council on 22 January and at the EU-NATO transatlantic lunch on 26 January. We continue to work closely with the US and Russia in the Contact Group which last met at ministerial level in September 2006.
A safe, secure and prosperous Kosovo in a stable region is vital to Europe. There is broad agreement among member states that the EU should be closely involved in the future of Kosovo and should play a leading role in the implementation of a Kosovo settlement. Planning has now started to ensure the EU is well placed to meet their responsibilities. But we should avoid prejudging the outcome of the status process.
The UN Special Envoy Martti Ahtisaari adjusted the timeline for the Kosovo status process to accommodate the elections in Serbia on 21 January. The official results of the elections show that pro-EU, pro-reform parties have a clear majority. We await the formation of a new government.
Meanwhile, the Kosovo final status process continues. The UN Special Envoy put draft proposals to Belgrade and Pristina on 2 February. We fully support the UN Special Envoy’s efforts to bring this process to completion as soon as possible so that Kosovo can finally have clarity over its future, enabling the Balkan region to move beyond the conflicts of the recent past towards a future with a Euro-Atlantic perspective.
We are encouraging both Belgrade and Pristina to engage positively and constructively with the Special Envoy.
Members: Correspondence
I replied to my right hon. Friend on 31 January.
I have been asked to reply.
This has been passed to me to respond. I wrote to my right hon. Friend on 30 January 2007.
Middle East: Human Rights
We are concerned at the human rights situation in Israel and the occupied Palestinian territories and regularly receive representations about human rights from non-governmental organisations in the region and in London.
We are particularly concerned by the failure to implement the 15 November 2005 agreement on movement and access; extra-judicial killings of Palestinians by the Israel defence force; the firing of artillery shells near populated areas of the Gaza Strip causing deaths of civilians; continued settlement construction in the West Bank; the impact of the barrier; closures; settler violence; and intimidation and harassment of Palestinian citizens. We also remain concerned about human rights abuses in areas where the Palestinian authority should take responsibility, in particular its failure to prevent terrorist attacks, militant groups from attacking Israeli civilians and the continuing violence between Palestinian groups. We regularly raise these concerns with the Israeli Government and Palestinian President Abbas.
Palestine
We welcome the ceasefire between Israel and the Palestinians in Gaza. Nevertheless, we remain concerned at the security situation in Gaza. Between 3 and 16 January the UN Office for the Co-ordination of Humanitarian Affairs (OCHA) has reported that 10 Palestinians were killed in Gaza by the Israel Defence Force. One international photographer was also abducted by Palestinian militants but was released unharmed. 12 Qassam rockets were fired by Palestinian militants towards Israel. No injuries were reported.
On 7 February OCHA reported that in 2007 86 Palestinians including 11 children had been killed in intra-Palestinian violence and 486 injured. On 29 January, Hamas and Fatah announced a ceasefire following a weekend of violence that left 29 dead and 100 wounded. 50 Palestinians were also kidnapped (some have since been released). On 1 February the ceasefire collapsed, leaving 13 dead and over 100 injured in overnight violence. Hamas and Fatah have since renewed the ceasefire which is still holding.
We urge the Israeli military to do everything in its power to avoid civilian casualties. We have repeatedly raised our concerns with the Government of Israel. We have also raised our concerns about the firing of Qassam rockets at Israeli towns with President Abbas. We welcome his call for the firing of these rockets to stop.
We welcome Saudi Arabia’s efforts to broker a National Unity government (the Mecca talks). During my visit to the region 5-7 February, I made clear to all parties that we wanted to work with a National Unity government based on the Quartet (US, UN, EU and Russia) principles.
Pensions
The cash equivalent transfer value of the Principal Civil Service Pension Scheme pension entitlements of the 10 highest paid members of staff of the Foreign and Commonwealth Office (FCO) amounted in total to £9,849,461 at 31 March 2006.
We publish the pay and pension details of FCO members of the Department’s Board of Management in the Remuneration Report that forms part of the FCO’s Annual Resource Accounts. Our 2006 Remuneration Report included individual pay and pension details for two of the 10 highest paid members of staff included in this calculation. A copy of the 2006 Accounts have been placed in the Library of the House.
Sudan: China
China has approximately 450 uniformed troops in the UN Mission in Sudan. We have not received reports of non-uniformed Chinese troops operating in Sudan.
We continue to encourage China to use its growing power positively in Africa. We are engaging the Chinese on Darfur and on implementation of the North/South Peace Agreement.
Sudan: Peace Keeping Operations
The African Union (AU) Mission in Sudan (AMIS) carries out vital work to protect civilians and monitor the ceasefire in Darfur. But to cover such a vast area effectively AMIS needs reinforcement and this needs to come from the UN. A phased approach to increasing UN support to peacekeeping in Darfur was agreed in Addis Ababa on 16 November 2006 and is now being implemented. It will culminate in a hybrid AU and UN force, the details of which are currently being finalised. In the meantime, it is vital that AMIS can continue its work and the UK is committed to supporting this. We have pledged a further £15 million to this end, bringing our total contribution for this financial year to £35 million.
We were deeply saddened to hear of the death of an AMIS civilian police officer in Qassab internally displaced people camp in Darfur last week. We offer condolences to his family.
Syria
The British embassy in Damascus maintains regular links with the Government of Syria. Our ambassador met President Assad of Syria and Foreign Minister Muallim on 7 January. My right hon. Friend the Prime Minister’s foreign policy adviser, Sir Nigel Sheinwald, visited Syria in late October 2006. He reiterated the Government’s hope that Syria would revise its policies to play the constructive role in the region that the international community expects. Sir Nigel made clear that the prospect of enhanced engagement with the UK was dependent on the degree to which Syria responded to our concerns, which are shared by many in the international community.
Syria has in recent weeks taken steps to establish stronger links and co-operation with the Government of Iraq. That is a welcome development. We hope to see practical results. We want Syria to use its influence with Hamas and other groups to work for progress in the Middle East Peace Process. Syria should also support efforts to ensure stability in Lebanon, and respect all UN Security Council resolutions relating to Lebanon.
Timor-Leste
My right hon. Friend the Foreign Secretary has had no discussions with the UN Secretary-General or with others about the report of East Timor’s Commission for Reception, Truth and Reconciliation. Foreign and Commonwealth Office officials have discussed the report’s recommendations with the UN Secretariat and other delegations.
It is for the UN Secretary-General to decide how to handle the report within the UN, including when to discuss it in the Security Council.
Uganda
(2) what her current assessment is of the rule of law and the independence of the judiciary in Uganda.
I refer the hon. Member to the answer I gave the hon. Member for Portsmouth South (Mr. Hancock) on 6 February 2006, Official Report, column 828W.
In addition, our high commissioner in Kampala, as part of the Partners for Democracy and Governance Group in Kampala, raised our concerns about the continued custody of the 19 People's Redemption Army detainees to Interior Minister Rugunda on 25 January.
I refer the hon. Member to the answer I gave him on 15 January 2007, Official Report, columns 834-35W, and to the answer I gave to the hon. Member for Hornsey and Wood Green (Lynne Featherstone) today (UIN 119053).
We will continue to raise these issues with the Government of Uganda.
I refer the hon. Member to the answer I gave to the hon. Member for Portsmouth, South (Mr. Hancock) on 6 February 2007, Official Report, column 828W, and the answer I gave to the hon. Member for Hornsey and Wood Green (Lynne Featherstone) today (UIN 119053).
We will continue to raise our concerns about this issue with the Government of Uganda.
I refer the hon. Member to the answer I gave to the hon. Member for Portsmouth, South (Mr. Hancock) on 6 February 2007, Official Report, column 828W, and the answer I gave to the hon. Member for Hornsey and Wood Green (Lynne Featherstone) today (UIN 119053).
We will continue to raise our concerns about this issue with the Government of Uganda.
Health
“Choosing Health”
The concept of a health champion described in the “Choosing Health” White Paper is being implemented through other programmes, such as health trainers and communities for health. These programmes are identifying, developing, and in the case of health trainers, recruiting individuals who are championing health in their communities. We are exploring ways to recognise and celebrate those championing health through existing national award schemes.
Alcohol Awareness
Charitable organisations have been involved with the development of the Government’s “know your limits” campaign since its earliest stages. In July and August 2005 charitable organisations were invited to participate in workshops entitled “Delivering Communications to Support the Alcohol Harm Reduction Strategy” that fed into initial thinking regarding the campaign.
Charitable organisations are also kept up to date with the progress of campaign development and sit on the communication stakeholders group which feeds into on-going alcohol communications activity and helps shape future plans.
Anorexia and Suicide Websites
The Department is concerned about the risks posed by websites encouraging anorexia and is working with a media agency who have offered their expertise pro bono to run advertisements directing youngsters to more appropriate sites.
In January 2006, I met with the Internet Service Providers Association UK and Samaritans to explore ways that internet service providers can help in protecting vulnerable people from accessing internet sites and chat rooms that make information available about suicides.
There are no current plans to undertake research on the influence on vulnerable people of material on websites encouraging suicide or anorexia. We are convinced by the anecdotal evidence of their dangerousness but are quite unable to take any legal action against them because such sites are not in themselves illegal and may also be hosted overseas. We continue to explore other, non-legislative, courses of action.
Autism
(2) how many people were diagnosed with autism in 2005-06.
It is for local commissioners to ensure their populations benefit from improvements to the provision of care for people with autistic spectrum disorders, using the increasing resources this Government have made available.
In the three years to March 2006 we invested £300 million in child and adolescent mental health services (CAMHS) provided by the national health services and local authorities. In 2006-07 they will have a further £140 million available to them. This is being used to develop CAMHS to ensure that the challenge of providing and then maintaining a comprehensive CAMHS can be met. One element of a comprehensive CAMHS are services for autistic young people who also have mental health problems.
The Department does not collect data on the number of people diagnosed with autism.
However, hospital episode statistics show that there were 10,355 finished consultant episodes with a diagnosis falling under the wider field of autistic spectrum disorders in 2005-06. This includes patients admitted to NHS hospitals only and is likely to be much smaller than the total number of patients diagnosed. The figure does not represent the number of patients, as a person may have more than one episode of care within the year.
Better Healthcare
The care closer to home demonstration group is overseeing the care closer to home demonstration project. Its terms of reference are:
to provide a strategic overview to sub-groups;
to determine the evaluation arrangements;
to provide a steer to the sub-groups about the closer to home themes;
to determine what should happen to the recommendations;
to sign off and submit interim and final report;
to secure professional support for recommendations; and
to be the public face of the project.
Binge Drinking
The Government’s national campaign “know your limits” is the first to focus on binge drinking. Campaign leaflets on binge drinking and young people are distributed from health promotion units around the country. One of their major customer groups are schools and colleges.
Alcohol education materials are routinely made available to schools and colleges through the network of health promotion units around the country.
Table 1 uses the age group 16 to 19 as a proxy measure for teenage binge drinking. It also uses the Information Centre’s measure of binge drinking—boys drinking more than eight units in one day and girls drinking more than six units a day.
Table 1 shows that, between 1998 and 2004, binge drinking by this age group changed very little.
We are unable to determine if demand by this age group for accident and emergency services has increased, as records are not kept in a way that would allow us to make this assessment.
Table 2 shows that admission to hospital following a visit to accident and emergency by this age group in each year from 1998-99 to 2005-06 rose from 4,114 to 7,237. This is almost entirely due to incidents of acute intoxication in this age group.
Well over 90 per cent. of alcohol related admissions to hospital for this age group come via accident and emergency. Few admissions come from other sources such as GPs or planned admissions, indicating a small burden on longer term services.
Percentage 19981 2000 2001 2002 2003 2004 Drank last week Men 63 63 59 57 63 59 Women 56 56 57 52 58 51 Drank more than 8/6 units2 on at least one day Men 31 33 27 27 31 30 Women 23 24 27 26 26 22 1 1998 data are unweighted 2 Binge is defined as those drinking 8/6 units on at least one day a week Source: Statistics on Alcohol: England, 2006—The Information Centre for health and social care.
Admission via A and E Admission not via A and E Unknown method of admission 2005-06 7,237 354 5 2004-05 5,665 334 5 2003-04 4,415 308 4 2002-03 3,635 278 3 2001-02 3,795 280 4 2000-01 3,894 329 9 1999-2000 4,400 275 0 1998-99 4,114 294 9 1 Alcohol related diseases defined as following ICD-10 codes: F10: Mental and behavioural disorders due to use of alcohol K70: Alcoholic liver disease T51: Toxic effect of alcohol Note: Finished admission episode. A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in patients, as a person may have more than one admission within the year. Source: Hospital Episode Statistics, The Information Centre for health and social care.
Blood: Screening
The provision of blood test clinics is a matter for the relevant local health community. However, the NHS West Midlands reports that the Coventry Teaching primary care trust has recently introduced changes to its blood test clinics with the aim of providing a more clinically appropriate and efficient service.
Cancer Treatment
Information is not available for the financial years prior to 2001-02 and the available information was not recorded in the format requested.
The table shows the annual allocations to the national health service from the Department to support the employment of local staff and continuation of projects run by the cancer services collaborative-improvement partnership (CSC-IP). These amounts do not include those funds used to support the central co-ordinating team of the CSC-IP.
Financial year Allocation (£000) 2001-02 5,532 2002-03 6,685 2003-04 9,409 2004-05 18,787
From the financial year 2005-06 onwards, the monies to support the CSC-IP were devolved to the NHS for local management. Information on these funds is not collected centrally.
The Department has made no estimate of the length of time it takes a medicine to go from discovery to use in the national health service. The length of time will vary considerably from drug to drug. Information supplied by the pharmaceutical industry suggests that medicines typically take 10 to 12 years to come to market. These estimates are not specific to cancer medicines.
Carbon Monoxide
Data giving the number of deaths in 2006 as a result of carbon monoxide poisoning are not yet available. The Office for National Statistics (ONS) has indicated that data on death registrations for 2006 will not be available until April or May 2007 and data on death occurrences for 2006 will not be available until October or November 2007.
The ONS usually provides data for carbon monoxide deaths based upon deaths occurring in each year and the ONS anticipates the 2006 data would not be available until late November 2007.
The latest ONS data available for England and Wales for 2005 indicates 257 deaths due to carbon monoxide poisoning1.
1 The cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10) code T58.
Cholesterol
Our policy on cholesterol targets is set out in the national service framework for coronary heart disease, and reflected in key drivers of practice such as the quality and outcomes framework of the general medical service contract.
One of the principal mechanisms for updating policy is through the National Institute of Health and Clinical Excellence (NICE). NICE is currently working on guidance on lipid management, due out later this year. That guidance will set out any revisions to current policy on targets for controlling cholesterol.
The new General Medical Services (GMS) contract specification encourages primary care practices to identify patients with coronary heart disease (CHD), stroke and diabetes and to control cholesterol in those patients. The following tables show the percentage of available points achieved against these indicators across England demonstrating that general practitioner practices are making good progress in improving control of cholesterol in patients with cardiovascular disease.
The applicable quality and outcomes framework (QOF) indicators and the overall percentages are as follows:
QOF Overall percentage CHD 8 for England 2004-05 72 2005-06 78
QOF Overall percentage stroke 8 for England 2004-05 63 2005-06 72
QOF Overall percentage DM17 for England 2004-05 72 2005-06 79 Notes:Please note some patients may be excluded from the indicator because of exceptions and exclusions. Only patients registered with a general practice participating in QOF will be included
Cirrhosis
The table shows details of children under 18 years who were diagnosed with alcohol related cirrhosis of the liver in the last 10 years.
Number 2005-06 1 2004-05 0 2003-04 1 2002-03 0 2001-02 0 2000-01 1 1999-2000 0 1998-99 0 1997-98 0 1996-97 0 Source: Hospital Episode Statistics (HES), The Information Centre for Health and Social Care
Class A Drug Addicts
We do not have estimates of numbers of heroin and cocaine addicts but recent Home Office research, using 2004-05 data, has provided estimates of numbers of people who are problematic users of opiates or crack cocaine or of both types of drugs.
There are no good estimates for problematic powder cocaine users. Crack cocaine users and opiate users are those included in the new estimates.
The estimated number of opiate users aged 15 to 64 in England (including heroin and methadone users) is 281, 320 (95 per cent. CI1 279,753 to 292,941).
The estimated number of crack cocaine users (not including powder cocaine users) is 192,999 (95 per cent. CI 188,138 to 210,763). However, it should be noted that this estimate will include crack cocaine users for whom crack cocaine is not necessarily their main drug of use.
Many of the opiate users and crack cocaine users are the same people and there are an estimated 327,466 (95 per cent. CI 325,945 to 343,424) people who use either opiates or crack cocaine or use both types of drugs.
1 95 per cent. confidence intervals show the range of values within which we can be 95 per cent. sure that the ‘true’ PDU estimate lies.
Clinical Assessment, Treatment and Support Services
No contracts have been signed for clinical assessment, treatment and support (CATS) services in the North West of England. The commercial terms of the CATS service for Cumbria and Lancashire are still under negotiation with the preferred bidder. There are no guarantees in respect of the number of referrals. The commercial terms between the Department and the bidder are commercially sensitive.
Providers must demonstrate that all workforce strategies, policies, processes and practices comply with the provisions outlined in ‘Safer Recruitment—A Guide for NHS Employers, the Code of Practice for International Recruitment of Healthcare Professionals and Standards for Better Health.’
NHS North West is working with local primary care trusts to assess and manage the impact on acute trusts of introducing clinical assessment, treatment and support services. This includes any possible impact on national health service staff.
(2) what time period there will be between the publication of the consultation on clinical assessment, treatment and support services and the opening of CATS centres in Cumbria and Lancashire.
The six primary care trusts covering Cumbria and Lancashire are currently undertaking public consultation on the proposed clinical assessment, treatment and support (CATS) services for the region. This consultation ends on 9 March 2007. The joint primary care trust independent sector commissioning board is due to meet on 21 March 2007 to consider the outcome of the consultation. Further timings will be dependent on the outcome of this meeting.
Cloned Animals and Birds: Food Products
(2) whether milk and milk products produced from cloned dairy animals will have to be (a) approved and (b) identified as such via labelling in order to enter the market in the EU.
The sale of foods and food ingredients derived from cloned animals falls within the scope of the Novel Foods Regulation (EC) 258/97. The authorisation and labelling of novel foods is decided on a case-by-case basis and no applications have been received to date for products derived from cloned animals.
The advisory committee on novel foods and processes would consider applications for the marketing of cloned meat products for food and food ingredients, and would provide advice to Ministers on whether to approve applications.
The sale of foods and food ingredients derived from cloned animals falls within the scope of the Novel Foods Regulation (EC) 258/97. The authorisation and labelling of novel foods is decided on a case-by-case basis and no applications have been received to date for products derived from cloned animals. Meat from cloned animals and the offspring from cloned animals cannot therefore currently be sold for human consumption.
No investigations into the safety of meat from cloned animals are currently being undertaken in the United Kingdom or in the European Union. However, at a European Commission (EC) working group on 12 January a number of member states, including the UK, agreed that the European Food Safety Authority should be consulted on this issue. This will be discussed at a forthcoming EC Standing Committee.
Committees: Ministerial Attendance
No central record of ministerial invitations to appear before committees of the European Parliament is maintained.
However, the Secretary of State did appear before the Environment, Public Health and Food Safety Committee during the United Kingdom European Union Presidency.
No Ministers have appeared before either the Scottish Parliament or the Welsh Assembly since 2004. The Northern Ireland Assembly has been suspended since 2002.
Complementary Medicine: Prisons
The information requested is not held centrally. The provision of alternative or complementary therapies for prisoners is a matter for the primary care trust responsible for commissioning the health service at the establishment concerned.
Coronary and Stroke Care
“Mending Hearts and Brains”, the document in which the figure of 5 per cent. features, is a personal report from the National Clinical Director for Heart Disease and Stroke. This figure of 5 per cent. reflects a judgment based on expert professional knowledge and experience rather than research evidence, of which there is little available, on this particular topic. This will be made clear in a revised version of the report which will be made available on the website.
Data on numbers of people dying while waiting for heart operations are not collected centrally. One article from 19991 cites a lower estimate of around 2 per cent. although this is drawn from the New Zealand experience where waiting times were shorter.
1 Reference: Heart 1999; 81:5647
Dental Services
General dental services (GDS) contracts and personal dental services (PDS) agreements are held with primary care trusts (PCTs). The Department collects information on the number of GDS and PDS contract holders that signed their contracts in dispute as at 1 April 2006 and the number of outstanding disputes. These disputes are between the contract holder and the PCT. A contract may cover more than one dentist. As at the end of November 2006, there were 868 outstanding disputes.
Information is not available in the form requested for the constituency or county. Information is available in this format by primary care trust (PCT) and strategic health authority (SHA). Information for the local PCT and SHA as at 30 September 2006 is provided in the following table.
Dentists per 100,000 of population England 40.22 North West SHA 41.86 Morecambe Bay PCT 44.51 Notes: 1. England and SHA population data have been estimated using Office for National Statistics 2005 mid-year population estimates based on the 2001 census. PCT data have been estimated using 2004 mid-year population estimates as these are the latest available at this level. 2. Dentists will be counted more than once if they have contracts in more than one PCT or SHA. The England figure excludes duplication. Source: The Information Centre for health and social care NHS Business Services Authority
Information on patients not registered with a national health service dentist is not collected centrally. Information available shows patients registered with an NHS dentist and is shown in the table. The latest information available on patients registered was published in August 2006 by The Information Centre for health and social care as part of the ‘NHS Dental Activity and Workforce Report March 2006’. Registration data no longer form part of the new contract information, instead the new measure is patients seen within the last 24 months. Data showing patients seen split by adult and child will be published for the first time by The Information Centre as part of the quarter three publication due for release in March 2007.
General dental services (GDS) and personal dental services (PDS): Patients registered and proportion of the population registered with a dentist, by child and adult, by specific primary care trust, and England as at 31 March 2006 Proportion of population
Adults Children All Adults Children All North Peterborough PCT 52,870 18,548 71,418 73 79 74 South Peterborough 20,101 12,715 32,816 25 50 31 PCT England 17,670,283 7,044,134 24,714,417 45 64 49 Notes:1. The postcode of the dental practice was used to allocate dentists to specific geographic areas. PCT and strategic health authority areas have been defined using the Office for National Statistics all fields postcode directory. 2. Dentists consist of principals, assistant and trainees. Information on NHS dentistry in the community dental service, in hospitals and in prisons is excluded. 3. The data in this report are based on NHS dentists on PCT lists. These details were passed on to the BSA who paid dentists based on activity undertaken. A dentist can provide as little or as much NHS treatment as he or she chooses or has agreed with the PCT. In some cases an NHS dentist may appear on a PCT list but not perform any NHS work in that period. Most NHS dentists do some private work. The data does not take into account the proportion of NHS work undertaken by dentists. 4. 2005 and 2006 data have been estimated using Office for National Statistics 2004 mid-year population estimates based on the 2001 Census as these were the latest available at the time of publication. 5. The boundaries used are as at 31 March 2006. Sources:The Information Centre for health and social care NHS Business Services Authority (BSA) Office for National Statistics
Depression
(2) what studies her Department has commissioned comparing the efficacy of different models of therapy offered to those suffering from depression.
The Department has not commissioned any national research and development programme work in these areas. We provide funding for research and development programmes which support policy and provide the underpinning evidence needed for quality improvements and service development in the national health service, but these are devolved to and managed by NHS organisations.
NHS research and development programmes which are funded this way include the NHS health technology assessment programme, which has commissioned the following projects:
A pragmatic randomised controlled trial to evaluate exercise prescription as a treatment for depression.
Clinical effectiveness and cost of repetitive transcranial magnetic stimulation versus electro-convulsive therapy in severe depression: a multi-centre randomised controlled trial and economic analysis.
Randomised trial of fluoxetine and cognitive-behavioural therapy versus fluoxetine alone in adolescents with persistent major depression.
Antidepressant drug therapy versus a community-based psychosocial intervention for the treatment of moderate postnatal depression: a pragmatic randomised controlled trial.
Psychological interventions for postnatal depression - randomised controlled trial and economic evaluation.
Randomised controlled trial to determine the cost-effectiveness of fluoxetine for mild to moderate depression with somatic symptoms in primary care—threshold for antidepressant treatment.
Folate augmentation of treatment—valuation for depression: randomised controlled trial.
Effectiveness of counselling, cognitive behavioural therapy and general practitioner care for depression in general practice.
A randomised controlled trial to evaluate the efficacy and cost-effectiveness of counselling with patients with chronic depression and anxiety.
The clinical effectiveness and cost-effectiveness of computerised cognitive behaviour therapy for depression and anxiety.
Computerised cognitive behaviour therapy for depression and anxiety update: a systematic review and economic evaluation.
Clinical and cost-effectiveness of electro-convulsive therapy for depressive illness, schizophrenia, catatonia and mania; systematic reviews and economic modelling studies.
A rapid and systematic review and economic evaluation of the clinical effectiveness and cost-effectiveness of newer drugs for treatment of mania associated with bipolar affective disorder.
A randomised controlled trial to compare the cost-effectiveness of tricyclic antidepressants, selective serotonin re-uptake inhibitors and lofepramine.
Diabetic Foot Care
The provision of diabetic services is determined locally where responsibility for local health services lies. It is now for primary care trusts in partnership with strategic health authorities and other local stakeholders to plan, develop and improve health services for local people.
Digital Hearing Aids
The Department does not collect data on waiting times for fitting of digital hearing aids. Since January 2006, we have been collecting waiting time data for diagnostic tests/procedures, including audiology. The monthly diagnostic data for audiology consisted of waits for pure tone audiometry until October 2006 (published in December) when this was extended to cover all audiometry assessments. This information is published monthly on the Department of Health website at:
www.performance.doh.gov.uk/diagnostics/downloads/monthly/Excel_Download-WEB-Diagnostics_November_Provider.xls
In order to improve access and reduce waiting times for audiology services, a national action plan is being developed for publication soon.
In addition to the development of the action plan, the Department has also announced the procurement of up to 300,000 audiology pathways to provide assessment, fitting and follow up.
Both of these measures will assist in significantly reducing waiting times and will greatly benefit those who receive hearing aids.
Drug Rehabilitation Beds
There are 115 residential drug rehabilitation services in England with a total of 2,441 beds for drug and/or alcohol treatment. We do not have a record centrally of how many of these beds are occupied by defendants of the criminal justice system.
East Lancashire Hospitals Trust
Under the current national health service capital regime, if a trust sells a fixed asset, then the value of the asset held in the books must be reinvested in fixed assets such as buildings and clinical equipment. It may not be used to fund the day to day operating costs of services.
Asset sale proceeds enhance a trust's capital spending power and there is no netting off against future capital allocations. If the trust makes a profit on disposal, in cases where the sale proceeds exceed the value of the asset held in the trust’s books, then the profit is available to be reinvested into health provision. Conversely if the trust makes a loss on disposal, the trust must make the necessary decisions to absorb the impact on the overall financial position.
There are plans at the trust to reinvest part of the land sale receipt into supporting the development of the new health care campus.
Elderly
To date, the costs associated with the Dignity in Care Campaign have been some £118,000. This has funded a nurse summit, two dignity champions events, the development and production of the Dignity Challenge and Dignity Cards, and the development and management of the online Dignity Champions network.
Elderly: Nutrition
The Care Homes Regulations state that homes must provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users. Food in the Regulations includes drinks/fluids.
The National Minimum Standards (NMS) for care homes for older people require that service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them and that hot and cold drinks and snacks are available at all times and offered regularly. The NMS are under review at present; the intention is to implement any revised standards in late 2007.
In 2006, the Food Standards Agency (FSA) published nutrient and food based advice for those providing food in care homes. These are “Nutrient and Food Based Guidelines for UK Institutions (October 2006), Food served to Older People in Residential Care” (October 2006) and “Example Menus for Care Homes” (August 2006). They are available on the FSA website at:
www.food.gov.uk/healthiereating/nutritioncommunity/care.
Copies have been placed in the Library. The nutrient and food-based guidance for those providing residential care for older people is the first part in a series of guidance documents for United Kingdom institutions. The FSA expects to produce guidance for other institutions, including the national health service and prisons, in early 2007.
On 23 January, I announced that I intend to convene a summit involving organisations who have experience and are knowledgeable about the challenges of providing good nutrition in care to discuss this issue.
Emergency Bed Days
The information requested is in the following table:
Number of bed days for emergency admission group Total number of bed days for all admission groups Emergency bed days expressed as a percentage of the total number of bed days 1997-98 30,342,827 49,535,706 61.3 1998-99 31,177,520 49,863,665 62.5 1999-2000 31,269,251 49,539,741 63.1 2000-01 32,178,037 50,196,951 64.1 2001-02 32,925,334 50,776,911 64.8 2002-03 33,131,586 51,232,337 64.7 2003-04 33,592,698 51,198,417 65.6 2004-05 33,073,383 50,518,668 65.5 Notes: Bed days during the year for finished episodes. Total bed days during the year from episode start date or 1 April (whichever is later) to episode end date or 31 March (whichever is earlier). Admission methods for the emergency admissions included above are: 21 Emergency—via Accident and Emergency (A and E) services, including the casualty department of the provider 22 Emergency—via general practitioner 23 Emergency—via Bed Bureau, including the Central Bureau 24 Emergency—via consultant out-patient clinic 28 Emergency—other means, including patients who arrive via the A and E department of another health care provider Data quality Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts and Primary Care Trusts (PCTs) in England Source: Hospital Episodes Statistics (HES), The Information Centre for health and social care
EU Smoking Ban
The European Commission published a Green Paper entitled “Towards a Europe free from tobacco smoke: policy options at EU level” on 30 January 2007. Among other issues, the Green Paper discusses the actions that could be taken at a European-level to tackle the issue of second-hand smoke in Europe. Five different policy options are identified, one of which is binding European legislation. The document explains on page 19:
“The exact legal basis of the legislation could only be determined once the exact nature and scope of the instrument will be defined and this choice will have to take into account the results of this public consultation”
The Green Paper is available on the European Commission’s website at:
ec.europa.eu/health/ph_determinants/life_style/Tobacco/Documents/gp_smoke_en.pdf
England, Wales and Northern Ireland will be introducing comprehensive smokefree legislation in 2007—this will mean the United Kingdom population will be protected by smokefree legislation from this summer. The Government welcome the publication of the Green Paper as an opportunity for all interested groups to contribute to thinking at a European-level on smokefree public places and workplaces.
No specific discussions have been held with the European Commission on European Union-wide legislation on secondhand smoke. On 30 January 2007, the European Commission published a Green Paper entitled “Towards a Europe free from tobacco smoke: policy options at EU level”.
England, Wales and Northern Ireland will be following the lead of Scotland in introducing comprehensive smokefree legislation in 2007. The Government welcome the publication of the Green Paper as an opportunity for all interested groups to contribute to thinking at a European level on smokefree public places and workplaces.
Foetal Tissue
[holding answer 8 February 2007]: I understand that over 10 years ago, Sir Richard Branson offered to donate £1.5 million to support an NHS cord blood bank, on condition that the Department matched that sum. At the time the Department had already allocated considerably more than £1.5 million to establishing the NHS cord blood bank, therefore Sir Richard’s offer did not materialise. We are not aware of any more recent offer.
Since 2003-04 the NHS cord blood bank, one of the few internationally accredited cord blood banks in the world, has received nearly £4.5 million from the Department to support the work of the cord blood bank.
Food Labelling
Country of origin labelling is mandatory for beef, veal, fish and shellfish (whether pre-packed or loose), wine, certain fresh fruit and vegetables, olive oil, honey, and poultry meat from outside the European Union. It is also required on other foods if purchasers might otherwise be misled.
The European Commission is currently reviewing all labelling legislation, including country of origin. The Government are, in principle, in favour of extending country of origin labelling to a wider range of foods, subject to satisfactory cost benefit analysis.
In addition to legislative requirements, the Food Standards Agency has produced country of origin best practice guidance to help industry, retailers and caterers to provide additional voluntary information to better inform consumers. The guidance is currently being revised with a view to publication in early 2007.
The draft revised guidance recommends that if a product carries a packed-in statement that refers to one country, but it is produced in another, the label should make this clear.
Sainsbury's, Waitrose, the Co-op, McCains, Marks and Spencer and New Covent Garden Food Company are currently using the Food Standards Agency's (FSA) traffic light colour-coded labelling approach. Asda, Budgens/Londis, Avondale Foods, Moy Park, Bombay Halwa, Britannia and S and B Herba have announced their intention to introduce colour-coded front of pack nutrition labelling schemes shortly. A number of other retailers and manufacturers have also expressed an interest in adopting the approach.
The FSA television advertising campaign is funded by the agency.