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Written Answers

Volume 487: debated on Tuesday 10 February 2009

Written Answers to Questions

Monday 9 February 2009

Health

Abortion

To ask the Secretary of State for Health how many terminations of pregnancies where severe disability was suspected were carried out in the most recent 12 month period for which figures are available. (254563)

[holding answer 5 February 2009]: There were 1,939 abortions performed under section l(l)(d) of the Abortion Act in England and Wales in 2007, the last year for which figures are available. The full table showing the breakdown by principal medical condition for abortions performed under section 1(1)(d) is available in the Abortion Statistics, England and Wales: 2007, copies of which have been placed in the Library.

Ambulance Services: Crimes of Violence

To ask the Secretary of State for Health how many recorded attacks on ambulance crews there were in each NHS ambulance trust area in each of the last three years. (254202)

Since 2004-05, the number of physical assaults against staff reported by NHS bodies in England has been collected annually by the National Health Service Security Management Service. The number of physical assaults reported against staff in ambulance trusts in the period 2005-06 to 2007-08 are shown in the following tables.

Total reported assaults against ambulance staff by trust 2005-06 to 2007-08

2005-06

Number

Avon Ambulance Service NHS Trust

32

Bedfordshire and Hertfordshire Ambulance and Paramedic Service NHS Trust

23

Coventry and Warwickshire Ambulance NHS Trust

31

Cumbria Ambulance Service NHS Trust

5

Dorset Ambulance NHS Trust

20

East Anglian Ambulance NHS Trust

36

East Midlands Ambulance Service NHS Trust

53

Essex Ambulance Service NHS Trust

6

Gloucestershire Ambulance Services NHS Trust

4

Greater Manchester Ambulance Service NHS Trust

112

Hampshire Ambulance Service NHS Trust

28

Hereford and Worcester Ambulance Service NHS Trust

15

Kent Ambulance NHS Trust

16

Lancashire Ambulance Service NHS Trust

9

Lincolnshire Ambulance and Health Transport Service NHS Trust

17

London Ambulance Service NHS Trust

325

Mersey Regional Ambulance Service NHS Trust

47

North East Ambulance Service NHS Trust

46

Oxfordshire Ambulance NHS Trust

4

Royal Berkshire Ambulance Service NHS Trust

10

South Yorkshire Ambulance Service NHS Trust

14

Staffordshire Ambulance Service NHS Trust

15

Surrey Ambulance Service NHS Trust

30

Sussex Ambulance Service NHS Trust

21

Tees East and North Yorkshire Ambulance Service NHS Trust

41

Two Shires Ambulance NHS Trust

9

West Midlands Ambulance Service NHS Trust

46

West Yorkshire Metropolitan Ambulance Service NHS Trust

29

Westcountry Ambulance Services NHS Trust

44

Wiltshire Ambulance Service NHS Trust

16

Total ambulance sector assaults reported in 2005-06

1,104

2006-07

Number

East Midlands Ambulance Service NHS Trust

74

East of England Ambulance Service NHS Trust

77

Great Western Ambulance Service NHS Trust

34

London Ambulance Service NHS Trust

297

North East Ambulance Service NHS Trust

39

North West Ambulance Service NHS Trust

166

South Central Ambulance Service NHS Trust

38

South East Coast Ambulance Service NHS Trust

81

South Western Ambulance Service NHS Trust

47

Staffordshire Ambulance Service NHS Trust

11

West Midlands Ambulance Service NHS Trust

99

Yorkshire Ambulance Service NHS Trust

43

Total ambulance sector assaults reported in 2006-07

1,006

2007-08

Number

East Midlands Ambulance Service NHS Trust

59

East of England Ambulance Service NHS Trust

84

Great Western Ambulance Service NHS Trust

23

London Ambulance Service NHS Trust

673

North East Ambulance Service NHS Trust

43

North West Ambulance Service NHS Trust

234

South Central Ambulance Service NHS Trust

50

South East Coast Ambulance Service NHS Trust

69

South Western Ambulance Service NHS Trust

38

West Midlands Ambulance Service NHS Trust

147

Yorkshire Ambulance Service NHS Trust

45

Total ambulance sector assaults reported in 2007-08

1,465

Note:

On 1 July 2006, the 30 NHS ambulance trusts in England merged to create 12 reconfigured trusts. On 1 October 2007, Staffordshire Ambulance Service NHS Trust merged with the West Midlands Ambulance Service Trust. The total number of reported assaults before and after mergers are shown against the reconfigured trusts as they were at the end of the reporting years.

Anorexia: Internet

To ask the Secretary of State for Health what discussions he has had with ministerial colleagues on the Pro Ana web sites relating to anorexia; and if he will make a statement. (254580)

My right hon. Friend the Secretary of State has not discussed this issue with ministerial colleagues. Responsibility for the regulation of the internet rests with the Department for Business, Enterprise and Regulatory Reform.

The Department is concerned about the risks posed by websites which encourage anorexia or bulimia, but cannot take any legal action against them. Such sites are not in themselves illegal and may also be hosted overseas.

We continue to explore a variety of courses of action. For example, we have worked with a media agency which offered their expertise pro bono to run advertisements directing youngsters to more appropriate sites.

Blood: Donors

To ask the Secretary of State for Health whether he plans to allow gay men to donate blood. (254900)

Current policy excludes men who have ever had sex with men, whatever their sexual orientation, from blood donation.

The United Kingdom adopts a highly precautionary approach to blood safety. The guiding principle is that if the best available evidence shows that there are reasonable grounds to believe that a course of action will improve the safety of the blood, this action should be taken. The Department is committed to regularly reviewing this evidence, and has asked its expert advisory committee on the Safety of Blood, Tissues and Organs to do this in 2009.

Care Homes: Elderly

To ask the Secretary of State for Health how many visits the Minister for Care Services has made to (a) care homes, (b) day centres and (c) other services for older people. (254591)

I have undertaken visits to the following care homes for older people, day care centres for older people and other services for older people:

Visits for 2008

Date

Visit

Organisation

Location

Purpose

13 October 2008

Dignity tour—North East England

Service for older people

Dementia Care Partnership, Bradbury Centre

Tour of centre and meet staff and residents.

3 November 2008

Dignity tour—East of England

Services for older people

The Julian Hospital, Norwich, Norfolk and Waveney Mental Health NHS Trust

Tour of wards for older people, meet with staff and patients.

10 November 2008

Dignity tour—South East Coast

Care Home for older people

Red Oaks Care Home, Barchester Healthcare

Tour of home and meet staff and residents.

18 December 2008

Dignity visit, East Midlands

Services for older people

Cynthia Spencer Hospice, Manfield Health Campus, Northampton Northamptonshire

Tour of hospice and meet staff and patients.

Chronic Obstructive Pulmonary Disease

To ask the Secretary of State for Health what assessment his Department has made of the resources needed to implement the forthcoming National Service Framework for chronic obstructive pulmonary disease; and whether there will be ring-fenced funding from his Department for this purpose. (253711)

The Department is currently developing a detailed Impact Assessment for the National Strategy for chronic obstructive pulmonary disease and any financial implications of implementing the programme will be published alongside the strategy.

Complementary Medicine

To ask the Secretary of State for Health what assessment his Department has made of (a) the side-effects of (i) Vioxx, (ii) SSRI antidepressants and (iii) Salmeterol and (b) the use of complementary and alternative medicines to treat the conditions such drugs were developed to address. (254114)

The safety and efficacy of medicinal products is formally assessed from clinical trials submitted at the time of marketing authorisation. These data are carefully evaluated by the independent scientific advisory committee, the Commission on Human Medicines (CHM), and the Medicines Healthcare products Regulatory Agency (MHRA) prior to authorisation for evidence that the products work and are acceptably safe. The longer term safety of the use of medicines in routine clinical practice is closely monitored by the MHRA, including reports of suspected adverse drug reactions (ADRs) submitted by health professionals and patients through the Yellow Card scheme, to ensure that benefit risk balance continues to be favourable.

The safety of Vioxx (rofecoxib), the Selective Serotonin Reuptake Inhibitor antidepressants (SSRIs) and salmeterol has been under continuous review by the MHRA since these medicinal products were first authorised. Any new data or possible safety issue to emerge have been carefully evaluated and, as necessary, appropriate action taken to update the product information for prescribers and patients to reflect the emerging safety profile and where necessary revised prescribing advice has been issued.

Vioxx (rofecoxib) was a selective COX-2 inhibitor, a type of non-selective anti-inflammatory drug, licensed for the treatment of osteoarthritis, rheumatoid arthritis and acute pain conditions. In 2000, comparative clinical trial data raised concerns over the risk of heart attacks and other thrombotic cardiovascular events in association with use of rofecoxib. The Committee on Safety of Medicines (CSM, the predecessor to the CHM) reviewed the safety of rofecoxib on several occasions between 2000 and 2003. This led to updates to product information and prescribing advice on the risk of thrombotic cardiovascular events. In 2004, the manufacturers of rofecoxib withdrew the product after clinical trial data comparing rofecoxib with placebo (a dummy pill) provided the first definitive evidence of an increased risk of heart attack and stroke, evident after 18 months of treatment. The safety of other selective COX-2 inhibitors and non-steroidal anti-inflammatory drugs (NSAIDs) was fully reviewed between 2004 and 2006 and the conclusion was that the benefits of the authorised NSAIDs continue to outweigh the risks in the licensed indications.

SSRI antidepressants are used to treat depression and anxiety disorders. Ongoing concerns about the safety of the SSRIs in early 2003 prompted a review by an Expert Working Group of the CSM of the risk of suicidal behaviour and withdrawal reactions associated with the SSRIs. The Expert Working Group conducted a comprehensive review of the safety of this entire class of drugs, examining all available evidence and reviewing all the regulatory advice issued. The MHRA published key findings and updated advice to healthcare professionals and patients as the review progressed.

Salmeterol is a long-acting adrenoceptor beta agonist (LABA) used in the management of asthma and chronic obstructive pulmonary disease. The CSM and CHM have reviewed the safety of salmeterol on a number of occasions, leading to updates to product information and communications to remind healthcare professionals of the appropriate use of LABA in the treatment of asthma. The balance of risks and benefits of LABA was recently reviewed at the request of CHM, and was considered positive in the treatment of asthma in adults and adolescents, provided LABA are used with inhaled corticosteroids. The outcome of the review was published in the MHRA bulletin Drug Safety Update, which is available on the MHRA website.

There are currently no complementary or alternative medicines with marketing authorisations for the treatment of major conditions such as osteoarthritis, depression or asthma therefore the MHRA does not hold any information on the usage of complementary and alternative medicines for these conditions.

Some years ago the MHRA considered a number of applications for marketing authorisations for products containing St. John’s Wort (Hypericum perforatum L.) for mild to moderate depression. However, the applications were refused due to lack of adequate evidence of safety and efficacy.

Dementia: Devon

To ask the Secretary of State for Health how many people were diagnosed with (a) Alzheimer's disease and (b) dementia in (i) East Devon constituency and (ii) Devon in each of the last five years. (253999)

The national Quality and Outcomes Framework (QOF) records the number of people recorded on practice disease registers with a diagnosis of dementia but this does not distinguish between Alzheimer's disease and other forms of dementia. The publication ‘Revisions to the GMS Contract 2006/07’, from NHS Employers, states that Alzheimer's disease accounts for 50-75 per cent. of cases of dementia. This register count is available for the two latest releases of QOF, covering 2006-07 and 2007-08.

We are unable to supply this information for parliamentary constituencies, as the data are only available for general practices (GPs) and can be aggregated to primary care trust (PCT) level. We have supplied figures for the smallest health area that covers Devon, namely Devon PCT.

These QOF figures are given in the following table. They are the totals for patients with dementia.

QOF data—number of patients on the Dementia disease registers

Financial year

2007-08

2006-07

Devon PCT

3,527

3,388

Source:

The data supplied in the table above are published on the website of the Information Centre for health and social care.

(a) For 2007-08 see the Quality and Outcomes Framework 2007/08 publication data tables at the following link (published 30 September 2008):

www.ic.nhs.uk/statistics-and-data-collections/supporting-information/audits-and-performance/the-quality-and-outcomes-framework/qof-2007/08/data-tables

The table for PCT level QOF for 2007-08 can be found at the following link:

www.ic.nhs.uk/webfiles/QOF/2007-08/NewFilesGS/QOF0708_PCTs_Prevalence.xls

This publication has already been placed in the Library.

(b) For 2006-07 see Quality and Outcomes Framework 2006/07 publication data tables at this link (published 28 September 2007):

www.ic.nhs.uk/statistics-and-data-collections/supporting-information/audits-and-performance/the-quality-and-outcomes-framework/qof-2006/07/qof-2006-07-data-tables

The table for PCT level QOF for 2006-07 can be found at this link:

www.ic.nhs.uk/webfiles/QOF/2006-07/QOF0607_PCTs_Prevalence.xls

This publication has already been placed in the Library.

Notes:

1. QOF is the national Quality and Outcomes Framework, introduced as part of the new General Medical Services contract on 1 April 2004.

2. Participation by practices in the QOF is voluntary, though participation rates are very high, with most Personal Medical Services practices also taking part.

3. The published QOF information was derived from the Quality Management Analysis System (QMAS), a national system developed by NHS Connecting for Health.

4. QMAS uses data from general practices to calculate individual practices' QOF achievement. QMAS is a national information technology system developed by NHS Connecting for Health to support the QOF.

5. The system calculates practice achievement against national targets. It gives general practices, PCTs and strategic health authorities objective evidence and feedback on the quality of care delivered to patients.

6. QMAS captures the number of patients on the various disease registers for each practice. The number of patients on the clinical registers can be used to calculate measures of disease prevalence, expressing the number of patients on each register as a percentage of the number of patients on practices' lists.

7. Figures presented here are just the number of patients on the disease register for dementia.

To ask the Secretary of State for Health how many beds for people diagnosed with dementia there were in Devon in each of the last 10 years; and if he will make a statement. (254000)

This information is not held centrally.

Dementia is one of the most important issues we face as the population ages. Around 570,000 people already have the condition in England and this number is set to double in the next 30 years, with the costs of dementia tripling.

That is why the Department published the first National Dementia Strategy on 3 February 2009. It sets out how we can transform services, through a combination of better training, earlier intervention and real support for people with dementia and their families.

Dental Services

To ask the Secretary of State for Health how many courses of treatment dentists carried out in (a) the North Yorkshire and York primary care trust area and (b) England in each year since 1997. (254279)

The information is not available in the format requested. However, information is available on the numbers of courses of treatment (CoTs) in England in the years ending 31 March, 1997 to 2006 in Table 3 of the “NHS Dental Activity and Workforce Report, England: 31 March 2006” report.

This information is based on the old contractual arrangements which were in place up to and including 31 March 2006. This report has already been placed in the Library and is available on the NHS Information Centre website at:

www.ic.nhs.uk/pubs/dwfactivity

The number of CoTs performed in England in 2006-07 and 2007-08 are available in Table A4 of Annex 3 of the “NHS Dental Statistics for England: 2007/08” report. Information is provided by primary care trust and strategic health authority. This information is based on the new dental contractual arrangements, introduced on 1 April 2006. This report, has already been placed in the Library and is also available on the NHS Information Centre website at:

www.ic.nhs.uk/pubs/dental0708

To ask the Secretary of State for Health how many practising dentists there were in (a) the North Yorkshire and York primary care trust area and (b) England on 1 April in each year since 1997. (254280)

The numbers of national health service dentists, as at 31 March, 1997 to 2006 are available in annex E of the “NHS Dental Activity and Workforce Report England: 31 March 2006”. Information is available by strategic health authority (SHA) and by primary care trust (PCT).

This measure counted the number of NHS dentists recorded on PCT lists as at 31 March each year. This information is based on the old contractual arrangements, which were in place up to and including 31 March 2006. This report has already been placed in the Library and is also available on the NHS Information Centre website at:

www.ic.nhs.uk/pubs/dwfactivity

The numbers of dentists with NHS activity during the years ending 31 March, 2007 and 2008 are available in table G1 of annex 3 of the “NHS Dental Statistics for England: 2007/08” report. Information is provided by SHA and by PCT. This information is based on the new dental contractual arrangements, introduced on 1 April 2006. This report has already been placed in the Library and is also available on the NHS Information Centre website at:

www.ic.nhs.uk/pubs/dental0708

This measure is based on a revised methodology and therefore supersedes previously published work force figures relating to the new dental contractual arrangements. It is not comparable to the information collected under the old contractual arrangements. This revised methodology counted the number of dental performers with NHS activity recorded via FP17 claim forms in each year ending 31 March.

Both sets of published figures relate to headcounts and do not differentiate between full-time and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.

Dental Services: Fees and Charges

To ask the Secretary of State for Health if his Department will conduct an investigation of the effects of the banding of charges for dentistry on the NHS. (254975)

Professor Jimmy Steele of Newcastle university is currently chairing an independent review of national health service dentistry in England. The review will consider how the Department can respond to the conclusions and recommendations the Health Select Committee (HSC) recently made, following their inquiry into dental services. The system of banded patient charges is one of the issues the HSC raised and that Professor Steele and his team will consider, taking views from a wide range of stakeholders. Professor Steele will publish his findings later in the spring, and the Department will then respond to his recommendations.

Dental Services: Prescriptions

To ask the Secretary of State for Health (1) how many prescription items were dispensed by dentists in (a) the North Yorkshire and York Primary Care Trust area and (b) England in each year since 1997; (254251)

(2) what the net ingredient cost of prescriptions dispensed by dentists in (a) the North Yorkshire and York Primary Care Trust area and (b) England was in each year since 1997.

Information on prescribing by dentists is available from the Prescription Cost Analysis (PCA) system. It is available only for England as a whole. It is available by calendar year from 2003.

The number and net ingredient cost of prescriptions dispensed by dentists in each year is given in the following table.

Calendar year

Number of items (thousand)

Net ingredient cost (£000)

2007

4,569

10,657

2006

4,481

10,078

2005

4,651

9,186

2004

4,706

9,154

2003

4,768

9,231

Notes:

Definitions

PCA Data

Prescription information is taken from the PCA system, supplied by the Prescription Services Division of the NHS Business Services Authority, and is based on a full analysis of all prescriptions dispensed in the community ie by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England. Also included are prescriptions written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The data do not cover drugs dispensed in hospitals, including mental health trusts, or private prescriptions.

The vast majority of these prescriptions are written by general medical practitioners in England; however, prescriptions written by nurses, dentists, other non-medical prescribers and hospital doctors are also included provided they were dispensed in the community.

The figures are taken from separate tables relating to prescribing by dentists only.

Source:

PCA

Dentistry

To ask the Secretary of State for Health (a) how many students were given NHS dental bursaries and (b) how much was paid out in NHS dental bursaries (i) in each of the last five years and (ii) in each primary care trust area in 2007-08. (255611)

The number of dental students who have been awarded an NHS bursary in each of the past five academic years is shown in the following table.

Academic year

Number of dental students awarded an NHS bursary1

2003-04

535

2004-05

572

2005-06

528

2006-07

589

2007-08

771

Total

2,995

1 Includes students who received a nil award following means testing, English domiciled students studying in other parts of the UK, and EU fees only students.

Source:

NHS BSA Student Bursaries Scheme database

The amount paid by the NHS Bursary Scheme to dental students for maintenance support and other allowances in each of the past five academic years is shown in the following table.

Academic year

Amount paid for maintenance support and other allowances1 (£)

2003-04

900,697

2004-05

886,568

2005-06

843,334

2006-07

1,053,332

2007-08

1,274,226

Total

4,958,156

1 Excludes students who received a nil award following means testing and EU fees only students

Source:

NHS BSA Student Bursaries Scheme database

The NHS Business Services Authority cannot break down this information by primary care trust area.

Departmental Impact Assessments

To ask the Secretary of State for Health how many equalities impact assessments his Department has undertaken in the last 12 month period for which figures are available; and what estimate he has made of the cost to the public purse of such assessments. (255072)

Equality impact assessment is an integral part of how the Department develops its internal and external policies and carries out its functions. The Department undertook over 350 screening and full assessments from 1 February 2008 to 31 January 2009. The cost of undertaking the assessments is not available as it is not separately identified in the policy development process.

Departmental Manpower

To ask the Secretary of State for Health how many staff were directly employed by his Department in each of the last 10 years; and how many self-employed workers were engaged by the Department in each such year. (254833)

The following table presents the number of staff directly employed by the Department. Figures for 1999 to 2007 are taken from the annual departmental reports. Information about staff employed in 2008 will be published in the 2009 departmental report later in the year.

Core Department of Health (full-time equivalents)

2007

2,178

2006

2,250

2005

2,245

2004

2,050

2003

2,964

2002

3,390

2001

3,809

2000

3,632

1999

3,753

The information on the number of self-employed workers is not held centrally and could be provided only at disproportionate cost.

Departmental Public Appointments

To ask the Secretary of State for Health which of the public appointments for which his Department is responsible are due to be (a) renewed and (b) filled in the next 24 months; what the (i) remit, (ii) salary, (iii) political restriction, (iv) eligibility requirement and (v) timetable for each appointment is; and what records his Department keeps in respect of such appointments. (254240)

The Appointments Commission recruit and appoint public appointees on behalf of the Secretary of State for Health. Appointments are made on merit and are regulated by the Office of the Commissioner for Public Appointments. The appointments do not carry with them a salary as they are not employees, but appointees are usually remunerated for their work either annually, per meeting or through receiving expenses. Levels of remuneration vary according to the type of body.

We have asked the Appointments Commission to write to the right hon. Member with further more detailed information.

Drugs: Rehabilitation

To ask the Secretary of State for Health how many and what proportion of people who received drug treatment had to wait (a) less than three weeks and (b) more than three weeks in each of the last three years, broken down by the smallest geographical area for which figures are available; and if he will make a statement. (251247)

The National Treatment Agency for Substance Misuse collects data on local services via the National Drug Treatment Monitoring System.

The information requested is only available for 2006-07 and 2007-08 and is shown in the table, broken down by Drug Action Team (DAT).

Numbers under five have been suppressed in accordance with procedures to preserve the confidentiality of information which could potentially identify individual patients.

2006-072007-08

Number

Percentage

Number

Percentage

DAT No.

DAT code

DAT name

Waits <= 3 weeks

Waits > 3 weeks

Waits <= 3 weeks

Waits > 3 weeks

Waits <= 3 weeks

Waits > 3 weeks

Waits <= 3 weeks

Waits > 3 weeks

1

H01B

Barking and Dagenham

341

5

99

1

391

*

2

H12B

Barnet

304

43

88

12

276

40

87

13

3

D09B

Barnsley

469

56

89

11

523

28

95

5

4

K01B

Bath and North East Somerset

195

75

72

28

222

76

74

26

5

G01B

Bedfordshire

274

28

91

9

382

38

91

9

6

H13B

Bexley

170

14

92

8

219

37

86

14

7

F05B

Birmingham

2,439

240

91

9

2,499

178

93

7

8

B03B

Blackburn with Darwen

313

67

82

18

396

23

95

5

9

B04B

Blackpool

529

84

86

14

664

31

96

4

10

B14B

Bolton

536

65

89

11

739

52

93

7

11

K06B

Bournemouth

433

79

85

15

514

64

89

11

12

J01B

Bracknell Forest

156

0

100

0

124

7

95

5

13

D13B

Bradford

1,229

5

100

0

1,217

19

98

2

14

H14B

Brent

376

89

81

19

574

40

93

7

15

J10B

Brighton and Hove

388

86

82

18

540

176

75

25

16

K02B

Bristol

1,152

163

88

12

874

193

82

18

17

H15B

Bromley

251

33

88

12

284

22

93

7

18

J07B

Buckinghamshire

418

119

78

22

472

62

88

12

19

B15B

Bury

419

14

97

3

401

17

96

4

20

D03B

Calderdale

309

*

360

*

21

G03B

Cambridgeshire

401

97

81

19

389

89

81

19

22

H03B

Camden

747

42

95

5

838

29

97

3

23

B20B

Cheshire

758

34

96

4

844

30

97

3

24

H05B

City of London

17

*

13

*

25

K13B

Cornwall and Isles of Scilly

410

213

66

34

486

148

77

23

26

A02B

County Durham

705

48

94

6

722

25

97

3

27

F06B

Coventry

600

21

97

3

681

9

99

1

28

H16B

Croydon

464

55

89

11

493

25

95

5

29

B16B

Cumbria

413

134

76

24

630

42

94

6

30

A01B

Darlington

298

5

98

2

298

7

98

2

31

E05B

Derby

508

73

87

13

489

14

97

3

32

E04B

Derbyshire

733

113

87

13

573

174

77

23

33

K08B

Devon

611

111

85

15

688

93

88

12

34

D14B

Doncaster

626

56

92

8

607

20

97

3

35

K05B

Dorset

328

140

70

30

459

24

95

5

36

F07B

Dudley

408

143

74

26

567

94

86

14

37

H17B

Ealing

671

60

92

8

718

14

98

2

38

D02B

East Riding of Yorkshire

220

22

91

9

284

12

96

4

39

J11B

East Sussex

408

179

70

30

574

124

82

18

40

H18B

Enfield

381

24

94

6

347

43

89

11

41

G05B

Essex

862

157

85

15

1,627

155

91

9

42

A09B

Gateshead

502

30

94

6

617

9

99

1

43

K14B

Gloucestershire

745

85

90

10

637

76

89

11

44

H19B

Greenwich

541

36

94

6

686

34

95

5

45

H06B

Hackney

891

30

97

3

857

38

96

4

46

B08B

Halton

350

20

95

5

262

41

86

14

47

H20B

Hammersmith and Fulham

466

39

92

8

499

24

95

5

48

J15B

Hampshire

672

92

88

12

771

86

90

10

49

H21B

Haringey

599

102

85

15

676

17

98

2

50

H31B

Harrow

190

56

77

23

254

23

92

8

51

A03B

Hartlepool

187

9

95

5

303

5

98

2

52

H02B

Havering

259

9

97

3

278

15

95

5

53

F08B

Herefordshire

153

31

83

17

181

22

89

11

54

G08B

Hertfordshire

539

92

85

15

955

135

88

12

55

H32B

Hillingdon

273

67

80

20

373

56

87

13

56

H33B

Hounslow

300

58

84

16

527

27

95

5

57

J18B

Isle of Wight

170

5

97

3

189

*

58

H04B

Islington

616

100

86

14

748

24

97

3

59

H22B

Kensington and Chelsea

399

46

90

10

594

20

97

3

60

J13B

Kent

1,023

169

86

14

1,991

224

90

10

61

D01B

Kingston upon Hull

694

47

94

6

617

29

96

4

62

H23B

Kingston upon Thames

247

16

94

6

298

17

95

5

63

D04B

Kirklees

584

12

98

2

709

16

98

2

64

B11B

Knowsley

591

19

97

3

577

19

97

3

65

H07B

Lambeth

949

85

92

8

911

40

96

4

66

B05B

Lancashire

1,165

222

84

16

2,136

175

92

8

67

D12B

Leeds

1,143

273

81

19

1,377

33

98

2

68

E02B

Leicester

749

110

87

13

644

107

86

14

69

E01B

Leicestershire

550

124

82

18

518

90

85

15

70

H08B

Lewisham

573

63

90

10

735

70

91

9

71

E08B

Lincolnshire

1,114

102

92

8

673

86

89

11

72

B17B

Liverpool

1,502

146

91

9

1,742

105

94

6

73

G02B

Luton

248

27

90

10

372

27

93

7

74

B18B

Manchester

924

78

92

8

988

43

96

4

75

J14B

Medway Towns

228

62

79

21

418

74

85

15

76

H24B

Merton

409

18

96

4

402

20

95

5

77

A05B

Middlesbrough

381

14

96

4

534

24

96

4

78

J08B

Milton Keynes

148

38

80

20

183

40

82

18

79

A07B

Newcastle upon Tyne

516

26

95

5

553

61

90

10

80

H25B

Newham

521

77

87

13

556

82

87

13

81

G09B

Norfolk

621

136

82

18

835

226

79

21

82

D08B

North East Lincolnshire

264

14

95

5

312

11

97

3

83

D07B

North Lincolnshire

197

7

97

3

248

*

84

K04B

North Somerset

271

136

67

33

392

72

84

16

85

A08B

North Tyneside

251

24

91

9

308

36

90

10

86

D05B

North Yorkshire

593

38

94

6

518

51

91

9

87

E09B

Northamptonshire

479

241

67

33

691

216

76

24

88

A10B

Northumberland

265

32

89

11

341

30

92

8

89

E07B

Nottingham

905

125

88

12

1,033

88

92

8

90

E06B

Nottinghamshire

1,051

98

91

9

1,213

68

95

5

91

B13B

Oldham

399

20

95

5

483

23

95

5

92

J09B

Oxfordshire

627

155

80

20

599

103

85

15

93

G04B

Peterborough

269

72

79

21

320

51

86

14

94

K09B

Plymouth

233

37

86

14

596

25

96

4

95

K07B

Poole

163

30

84

16

140

56

71

29

96

J16B

Portsmouth

256

29

90

10

304

29

91

9

97

J02B

Reading

278

37

88

12

307

19

94

6

98

H10B

Redbridge

268

56

83

17

389

50

89

11

99

A04B

Redcar and Cleveland

207

9

96

4

353

9

98

2

100

H26B

Richmond upon Thames

278

34

89

11

290

26

92

8

101

B09B

Rochdale

639

25

96

4

672

15

98

2

102

D15B

Rotherham

569

19

97

3

413

10

98

2

103

E03B

Rutland

10

*

6

*

104

B01B

Salford

491

41

92

8

432

46

90

10

105

F09B

Sandwell

455

105

81

19

473

64

88

12

106

B19B

Sefton

624

15

98

2

783

29

96

4

107

D11B

Sheffield

1,040

48

96

4

784

19

98

2

108

F01B

Shropshire

283

9

97

3

308

7

98

2

109

J03B

Slough

357

19

95

5

309

26

92

8

110

F10B

Solihull

245

17

94

6

241

16

94

6

111

K15B

Somerset

359

49

88

12

337

60

85

15

112

K03B

South Gloucestershire

217

41

84

16

241

38

86

14

113

A11B

South Tyneside

402

35

92

8

372

19

95

5

114

J17B

Southampton

379

26

94

6

464

48

91

9

115

G06B

Southend-on-Sea

262

28

90

10

261

62

81

19

116

H09B

Southwark

742

102

88

12

826

71

92

8

117

B10B

St Helens

459

7

98

2

413

16

96

4

118

F03B

Staffordshire

715

186

79

21

865

123

88

12

119

B21B

Stockport

372

7

98

2

357

12

97

3

120

A06B

Stockton-on-Tees

338

7

98

2

445

14

97

3

121

F04B

Stoke-on-Trent

404

143

74

26

418

139

75

25

122

G10B

Suffolk

287

148

66

34

495

216

70

30

123

A12B

Sunderland

443

42

91

9

719

25

97

3

124

J19B

Surrey

498

263

65

35

663

222

75

25

125

H27B

Sutton

412

32

93

7

387

13

97

3

126

K11B

Swindon

179

113

61

39

255

52

83

17

127

B12B

Tameside

303

15

95

5

383

24

94

6

128

F02B

Telford and Wrekin

261

*

250

13

129

G07B

Thurrock

187

*

284

9

130

K10B

Torbay

146

109

57

43

180

109

62

38

131

H28B

Tower Hamlets

781

61

93

7

874

136

87

13

132

B02B

Trafford

274

*

389

16

96

4

133

D10B

Wakefield

545

73

88

12

520

10

98

2

134

F11B

Walsall

403

66

86

14

514

23

96

4

135

H11B

Waltham Forest

277

130

68

32

437

22

95

5

136

H29B

Wandsworth

425

37

92

8

471

37

93

7

137

B07B

Warrington

199

35

85

15

379

24

94

6

138

F12B

Warwickshire

397

36

92

8

441

38

92

8

139

J04B

West Berkshire

87

22

80

20

100

27

79

21

140

J12B

West Sussex

211

239

47

53

380

210

64

36

141

H30B

Westminster

840

98

90

10

688

36

95

5

142

B22B

Wigan

416

86

83

17

617

10

98

2

143

K12B

Wiltshire

133

94

59

41

257

51

83

17

144

J05B

Windsor and Maidenhead

156

28

85

15

195

16

92

8

145

B06B

Wirral

524

56

90

10

683

49

93

7

146

J06B

Wokingham

84

13

87

13

78

12

87

13

147

F13B

Wolverhampton

646

11

98

2

793

8

99

1

148

F14B

Worcestershire

546

36

94

6

523

50

91

9

149

D06B

York

211

81

72

28

211

31

87

13

* = Numbers under five suppressed.

Economic Situation

To ask the Secretary of State for Health what recent discussions his Department has had with outside organisations to discuss policy on reducing the effect of the recession on matters within his Department’s responsibility. (254056)

The Department has regular engagement with a range of outside organisations and stakeholders. The Department will continue to maintain this dialogue including on issues related to the economy and the implications for health and social care.

General Practitioners

To ask the Secretary of State for Health with reference to the answer of 6 November 2008, Official Report, column 693W, on general practitioners, what reasons have been identified for the reduction in numbers of GP referrals to consultants between 2003-04 and 2007-08. (255620)

The Department has not undertaken any specific research into the reasons for the slight decrease in general practitioner (GP) referrals to first consultant-led outpatient appointments between the period 2003-04 to 2007-08.

GP written referrals for first outpatient appointment (consultant-led): All specialties, England provider based

Number of GP referrals made

1997-98

8,991,722

1998-99

9,139,785

1999-2000

9,141,425

2000-01

9,362,770

2001-02

9,470,342

2002-03

9,655,874

2003-04

9,802,237

2004-05

9,776,914

2005-06

9,785,960

2006-07

9,337,136

2007-08

9,639,029

Source:

Department of Health, QM08, KH09, QAR (Quarterly Activity Return).

To improve the appropriateness of care patients receive, i.e. the right treatment from the right health care professional, in the right place and at the right time, the Department has issued guidance to the NHS ‘Care and Resource Utilisation’ (December 2006) (a copy of which has been placed in the Library), which sets out a range of ways in which primary care trusts and clinicians can work together to improve care provided to patients.

Health Services: Milton Keynes

To ask the Secretary of State for Health what the (a) average, (b) maximum and (c) minimum wait time has been at the Milton Keynes walk-in centre in January 2009. (255044)

This information is not held centrally, but can be obtained from Milton Keynes Primary Care Trust.

Health Services: Public Consultation

To ask the Secretary of State for Health how many responses the Department has received to the consultation, The case for change - why England needs a new care and support system. (254546)

I refer the hon. Member to the answer given to the hon. Member for Buckingham (John Bercow) on 15 December 2008, Official Report, column 238W.

Healthcare Commission

To ask the Secretary of State for Health what estimate he has made of the cost to the Healthcare Commission of investigating healthcare complaints in 2008-09. (254254)

We understand from the chairman of the Healthcare Commission that for the period April to December 2008 the cost to it of investigating complaints was £6.6 million. There were 6,011 complaints resolved in this period at an average cost of £1,102.

To ask the Secretary of State for Health how many complaints the Healthcare Commission has referred to the Health Services Ombudsman in 2008-09. (254255)

We understand from the chairman of the Healthcare Commission that in the period April to December 2008, 16 complaints were referred to the Parliamentary and Health Service Ombudsman.

To ask the Secretary of State for Health whether the Healthcare Commission has targets for the time it takes to (a) accept and (b) resolve complaints; and if he will make a statement. (254256)

We understand from the chairman of the Healthcare Commission that there are no targets for accepting cases. The Commission has a target of closing 95 per cent. of independent review requests within 12 months of the date of receipt. The Commission is currently closing 95 per cent. of cases within six months of receipt.

We are reforming the way complaints are responded to across health and social care. A new single system will be in place from April 2009. We have already started trying out the new approach in over 90 national health service and social care organisations across the country, known as ‘Early Adopters’.

The new approach is about making it easier and simpler for people wishing to make a complaint. Under the new arrangements for health, instead of the current three tiers of complaints handling (local NHS provider, the Healthcare Commission, then the Health Service Ombudsman) there will be a two tier system, with local resolution by the provider and then recourse to the Health Service Ombudsman.

Heart Diseases

To ask the Secretary of State for Health how many people were (a) diagnosed with and (b) received treatment for heart disease in (i) England, (ii) the North East, (iii) the Tees Valley district and (iv) Middlesbrough South and East Cleveland constituency in each of the last 10 years. (253426)

Please see the following tables and notes.

Table 1: Number of people diagnosed with heart disease

Financial year

Stockton on Tees Teaching primary care trust (PCT)1

Middlesbrough PCT2

Redcar and Cleveland PCT3

North East total4

England

2007-08

7,943

6,513

6,901

127,972

1,892,432

2006-07

8,007

6,537

6,982

129,478

1,898,565

2005-06

8,063

8,485

5,204

131,123

1,900,640

2004-05

8,079

8,541

5,313

131,668

1,893,184

1 Formerly North Tees PCT. Following the PCT reconfiguration in 2006 2 a part of Middlesbrough PCT joined with others to form Redcar and Cleveland PCT. Middlesbrough PCT remained but as a smaller PCT. 3 Langbaurgh PCT merged with a part of Middlesbrough PCT and became Redcar and Cleveland PCT. 4 For 2007-08 and 2006-07 the North East total is the total for North East Strategic Health Authority (SHA). For 2005-06 and 2004-05 the North East total is the sum of Northumberland, Tyne and Wear SHA and County Durham and Tees Valley SHA.

Table 2: Number of people who received treatment for heart disease—Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

Financial year

Stockton on Tees Teaching PCT1

Middlesbrough PCT2

Redcar and Cleveland PCT3

North East4

England

2006-07

1,033

639

608

16,374

310,642

2005-06

1,145

885

491

16,363

312,164

2004-05

1,234

1,028

554

16,987

311,532

2003-04

1,134

1,146

609

17,934

310,418

2002-03

1,163

1,188

644

18,465

306,380

2001-02

1,159

1,275

734

18,812

295,050

2000-01

1,124

1,372

738

20,113

293,911

1999-00

1,109

1,474

779

19,723

289,729

1998-99

974

1,500

752

19,691

290,391

1997-98

957

1,352

665

18,289

284,269

1 Formerly North Tees PCT. Following the PCT reconfiguration in 2006 2 a part of Middlesbrough PCT joined with others to form Redcar and Cleveland PCT. Middlesbrough PCT remained but as a smaller PCT. 3 Langbaurgh PCT merged with a part of Middlesbrough PCT and became Redcar and Cleveland PCT. 4 For 2007-08 and 2006-07 the North East total is the total for North East SHA. For previous years the North East total is the sum of the constituent organisations existing at the time. Notes: The Information Centre (IC) have provided data from the national Quality and Outcomes Framework (QOF) to answer part (a) and data from the Hospital Episode Statistics (HES) to answer part (b). (a) The national QOF records the number of people recorded on practice disease registers. A register exists for coronary heart disease (CHD). Register counts are available for the last four financial years. The IC are unable to supply information for all the areas requested as some are not health regions. Where this occurs we have supplied information for the health areas that best fit those requested. Furthermore, some of these health areas have changed under the reconfiguration of PCTs and SHAs in 2006. (b) Figures from the HES give a count of hospital admission episodes with a primary diagnosis of “coronary heart disease” (CHD). This is not a count of people treated as the same person could have been admitted several times and this also excludes treatment taking place in primary care. Definitions Table 1 QOF is the national Quality and Outcomes Framework, introduced as part of the new General Medical Services contract on 1 April 2004. Participation by practices in the QOF is voluntary, though participation rates are very high, with most Personal Medical Services practices also taking part. The published QOF information was derived from the Quality Management Analysis System (QMAS), a national system developed by NHS Connecting for Health. QMAS uses data from general practices to calculate individual practices' QOF achievement. QMAS is a national IT system developed by NHS Connecting for Health to support the QOF.

The system calculates practice achievement against national targets. It gives general practices, PCTs and SHAs objective evidence and feedback on the quality of care delivered to patients. The QMAS captures the number of patients on the various disease registers for each practice. The number of patients on the clinical registers can be used to calculate measures of disease prevalence, expressing the number of patients on each register as a percentage of the number of patients on practices' lists. CHD Register—definition In order to call and recall patients effectively in any disease category and in order to be able to report on indicators for coronary heart disease, practices must be able to identify their patient population with CHD. This will include all patients who have had coronary artery revascularisation procedures such as coronary artery bypass grafting (CABG). Patients with Cardiac Syndrome X should generally not be included in the CHD register. Practices should record those with a past history of myocardial infarction as well as those with a history of CHD.

Table 2Ungrossed data Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

Finished admission episodes (hospital admissions)

A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. Primary diagnosis The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital. The ICD-10 codes used to identify CHD are as follows: 120—Angina pectoris 121—Acute Myocardial infarction 122—Subsequent myocardial infarction 123—Certain current complications following acute myocardial infarction 124—Other acute ischaemic heart diseases. 125—Chronic ischaemic heart disease. Number of episodes in which the patient had a (named) primary diagnosis

These figures represent the number of episodes where the diagnosis was recorded in the primary diagnosis field in a Hospital Episode Statistics (HES) record. Data quality HES are compiled from data sent by more than 300 NHS trusts and PCTs in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.

PCT/SHA data quality

PCT and SHA data were added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner (GP) practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data. Assessing growth through time HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Heart Diseases: Medical Treatments

To ask the Secretary of State for Health what his Department's most recent assessment is of the effectiveness of trans catheter aortic valves. (255020)

The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for assessing the effectiveness of new procedures and providing guide valve implantation was published by NICE in June 2008. NICE found that the evidence for effectiveness was limited to small numbers of patients who were considered to be at high risk for conventional cardiac surgery. It showed good short-term efficacy for such patients but there was little evidence available on long-term outcomes.

The Department has worked with NICE and the relevant professional bodies to ensure that proper clinical audit of all patients receiving transcatheter aortic valve implantation is carried out so that outcomes can be assessed.

To ask the Secretary of State for Health how many times the NHS funded transcatheter aortic valve implants in each region in the last 12 months. (255608)

To ask the Secretary of State for Health pursuant to the answer of 27th January, Official Report, column 403W, on heart disease: medical treatments, which primary care trusts have permitted the funding of transcatheter aortic valve implants. (255671)

The Department does not collect this information centrally. The Specialised Services Commissioning Groups, which are responsible for decisions on funding highly specialised services (subject to the funding priorities of their constituent primary care trusts), are in the process of agreeing a framework based on service criteria agreed by the relevant professional societies which will lead to designation of certain centres for this procedure within each strategic health authority area. Designated centres would then receive funding. It is understood that Yorkshire and Humberside Specialised Commissioning Group has already reached an agreement ahead of finalising the commissioning framework.

Heathrow Airport: Respiratory Diseases

To ask the Secretary of State for Health how many children under the age of 18 years have been admitted to hospital with (a) acute asthma, (b) acute emphysema, (c) acute bronchitis and (d) other acute respiratory disorders within (i) one mile, (ii) three miles, (iii) five miles and (iv) 10 miles of Heathrow Airport in each year since 1997. (253850)

The Department does not hold centrally information on hospital admissions in the format requested, and such information could be obtained only at disproportionate cost.

The Department is currently part-funding the Small Area Health Statistics Unit at Imperial College to study health effects in the vicinity of Heathrow airport associated with air pollution and noise using data on mortality, cancer incidence and hospital admissions. A report is due for publication in 2010.

Hepatitis

To ask the Secretary of State for Health (1) what steps he plans to take to reduce the number of undiagnosed cases of hepatitis C; and if he will make a statement; (255000)

(2) what plans he has to increase public awareness of the modes of transmission of hepatitis C; and if he will make a statement.

The Department is continuing to run a hepatitis C awareness campaign for health care professionals and the public that uses a range of channels of communication such as press, radio and ambient advertising, leaflets and guidance, a campaign website, and a confidential and free telephone line to provides information about modes of transmission.

The campaign aims to encourage those at risk of infection to seek testing and to assist health care professionals in identifying patients who may be at risk so that they can be referred for specialist care.

In addition, the Department and the National Treatment Agency for Substance Misuse (NTA) launched a joint harm reduction campaign last year for injecting drug users and those working with them that includes information about the prevention, diagnosis and treatment of hepatitis C. The campaign supports implementation of the joint departmental and NTA action plan on reducing drug-related harm. A copy of the plan has been placed in the Library.

Hospitals: Admissions

To ask the Secretary of State for Health what the five most common causes of admission to hospital for (a) children and (b) adults were in the latest period for which statistics are available. (252154)

The five most common reasons for admission to hospital for (a) children and (b) adults, where children are defined as under 16 years of age and adults over 16 years of age, in the latest period for which data are available are shown in the following tables.

16 and under (children)

Primary diagnosis1

Number of finished admission episodes2

(Liveborn infants according to place of birth3

452,451)

Acute upper respiratory infections of multiple and unspecified sites

41,494

Disorders relating to short gestation and low birth weight

40,363

Dental caries4

36,530

Viral infection of unspecified site

34,800

Acute tonsillitis

32,674

Over 16 (adults)

Primary diagnosis1

Number of finished admission episodes2

Pain in throat and chest

257,113

Abdominal and pelvic pain

237,959

Other cataract

193,986

Malignant neoplasm of breast

154,765

Perineal laceration during delivery

144,848

1 Primary diagnosis—The primary diagnosis is the first of up to 20 diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was treated in hospital.

2 Finished admission episodes—A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year.

3 Z38 (Liveborn infants according to place of birth) is used as a diagnosis code for babies who are well and do not require any care. Every episode (including birth episodes) must contain a primary diagnosis so this code is used for ‘well babies’. To account for this, we have provided the top six most common conditions for 16 and under children.

4 Prior to 2001 general dental practitioners (GDPs) were allowed to give general anaesthetics for dental procedures within their practices. Following their acceptance of the recommendations in the report “A Conscious Decision” Ministers agreed that by 31 December 2001 general anaesthesia for dental treatment should be administered in a hospital setting with critical care facilities. During 2001 regulations were put in place in respect of the administration of general anaesthesia for dental treatment under arrangements to provide general dental services and in the private sector. Thus anyone doing this in the primary care setting for the last year had to be inspected and registered by their local health authority. The large numbers of general anaesthetics undertaken by general dental practitioners (GDPs) and also the Community Dental Service had to be transferred to the hospital setting. Currently a large proportion of those general anaesthetics for treatment of dental caries are provided by the Salaried Dental Services, but out of acute hospital Oral and Maxillofacial Surgery departments under a services level agreement. They are usually out-patient in nature but because general anaesthetic has been given are counted as elective procedures.

Note:

Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. Data year 2006-07.

Source:

Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Kidney Patients

To ask the Secretary of State for Health what plans his Department has for reducing levels of late diagnosis of chronic renal failure. (253575)

The quality requirements of National Service Framework for renal services aim to minimise the impact of chronic kidney disease in its early stages.

Since 2006 the Quality and Outcomes Framework has encouraged general practitioners to identify people in the earlier stages of chronic kidney disease. This can help to postpone or prevent the onset of end stage renal failure, a serious condition which can lead to death if untreated. Treatment of end stage renal failure can include transplantation or dialysis (renal replacement therapy or RRT).

In addition, the vascular checks programme will put in place an integrated, systematic, population-wide vascular risk assessment and management programme for those between the ages of 40 and 74. This national programme will assess people's risk of heart disease, stroke, diabetes and kidney disease and offer individually tailored prevention. Phased implementation will begin from April 2009-10. This programme has the potential to detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals to be better managed and improving their quality of life.

Medicine: Internet

To ask the Secretary of State for Health what steps he is taking to tackle the online purchase of counterfeit medicines. (254540)

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for tackling the availability of counterfeit medicines in the United Kingdom.

A strategy to combat counterfeit medicine was published by the MHRA in November 2007. This strategy includes steps to combat the availability of counterfeit medicines through the internet. A copy has been placed in the Library and it can also be found at:

www.mhra.gov.uk/home/groups/ei/documents/websiteresources/con2033156.pdf

Part of the strategy focuses on providing the public with sufficient information to make an informed choice on how to obtain their medicines safely. This includes raising awareness through national advertising campaigns with industry and patient groups, and media articles.

MHRA routinely monitor and investigate rogue websites offering medicines for sale on the internet. The agency can take enforcement action against wrong-doing based in the UK. MHRA work closely with the European Union and other international regulatory authorities to ensure that, wherever possible, offending websites based in those countries are amended to reflect the law and to request any appropriate enforcement action is taken by the authorities in those countries.

In addition the MHRA is active in monitoring the internet and co-ordinating international action, including enforcement activity focused against those sites either operating, or fulfilling orders from within the UK. MHRA have brought 14 successful prosecutions, for illegal activity over the internet, in the UK over the last five years, including the supply of counterfeit medicines.

Mental Health Services: Expenditure

To ask the Secretary of State for Health how much his Department has spent on (a) child and adolescent mental health services and (b) adult mental health services in each of the last 10 years. (253998)

Data on additional funding given to the national health service and local authorities between 1999-2000 and 2007-08 for child and adolescent mental health services (CAMHS) are in the following table. This funding is additional to expenditure from NHS and local authority baseline budgets. The annual CAMHS Mapping, which started in 2003-04, has reported the total expenditure by the NHS and local authorities on CAMHS as follows: 2003-04—£322 million; 2004-05—£431million; 2005-06—£461 million; 2006-07—£523 million.

Department of Health CAMHS funding 1999-2000 to 2007-08

£ million

1999-2000

10

2000-01

20

2001-02

35

2002-03

20

2003-04

47

2004-05

103

2005-06

159

2006-07

86

2007-08

119

Notes:

1. Allocations in 2004-05, 2005-06 and 2007-08 included NHS capital funding. In 2007-08 this was specifically used to increase the number of in-patient beds for children and young people. Since 2006-07, CAMHS NHS revenue funding has been included in baseline allocations.

2. Data on adult mental health services spending over 10 years are not available. Information provided is for working age adults over the last seven years.

Total expenditure on adult mental health services from 2001-02 to 2007-08 at 2007-08 pay and price levels

Total investment (£ billion)

2001-02

3.844

2002-03

4.253

2003-04

4.394

2004-05

4.902

2005-06

5.209

2006-07

5.330

2007-08

5.530

Note:

The data report on planned investment on working age adults only.

Source:

Mental Health Strategies

Mental Health Services: Nurses

To ask the Secretary of State for Health how many registered mental health nurses there were in Devon in each of the last 10 years; and if he will make a statement. (253943)

The information is not held in the format requested.

The number of qualified mental health nurses in the South West strategic health authority area and the Devon Partnership NHS Trust, as at 30 September for each specified year, are given in the following table.

National health service hospital and community health services: qualified mental health nurses1 in the South West strategic health authority area and the Devon Partnership NHS Trust as at 30 September each specified year

Headcount

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

South West strategic health authority area

4,604

4,340

4,285

4,385

4,594

4,578

4,699

4,744

4,601

4,696

Of which:

Devon Partnership NHS Trust2

487

496

507

524

782

749

723

715

781

693

1 Mental health nurses figures are an aggregate of the Psychiatric Nursing and Learning Disabilities Nursing areas of work.

2 In 2001 Exeter and District Community Services NHS Trust and North Devon healthcare NHS Trust merged to form Devon Partnership NHS Trust. Figures prior to 2001 are an aggregate of these predecessor organisations.

Source:

The NHS Information Centre for health and social care Non-Medical Workforce census

To ask the Secretary of State for Health how many registered mental health nurses were employed in the NHS in each of the last 10 years; and if he will make a statement. (255632)

The number of registered mental health nurses that were employed in the national health service in each of the last 10 years is shown in the following table.

NHS Hospital and Community Health Service: Qualified nursing staff in England by each specified area of work as at 30 September each specified year.

All areas of work

1998

48,877

1999

48,922

2000

49,026

2001

51,315

2002

52,204

2003

53,678

2004

56,046

2005

57,377

2006

56,061

2007

56,117

Source:

The NHS Information Centre for health and social care Non-Medical Workforce Census.

The number of mental health nurses has increased by 14.8 per cent. from 48,877 in 1998 to 46,117 in 2007.

MRSA

To ask the Secretary of State for Health what assessment he has made of the effectiveness of his Department’s Clean Safe Care strategy for reducing MRSA infections and deaths. (254964)

The “Clean, safe care” strategy was published in January 2008, and gave an overview of our strategy and initiatives, many of which were already well established, to tackle health care associated infections (HCAIs) and improve cleanliness. A copy of the strategy has already been placed in the Library.

We have significantly reduced meticillin-resistant Staphylococcus aureus (MRSA) infections. The latest Health Protection Agency data for July to September 2008 show a reduction in MRSA bloodstream infections of 33 per cent. compared to the same quarter in 2007. In 2008, the national health service met the nationwide target to halve the number of MRSA bloodstream infections compared to 2003-04 levels. Latest figures also show a 62 per cent. reduction compared to the quarterly average in 2003-04, making further progress.

The number of death certificates that mentioned MRSA decreased by 4 per cent. from 1,652 in 2006 to 1,593 in 2007. This is the first time the number of death certificates mentioning MRSA has fallen since ONS records began in 1993.

The following table details the number of death certificates with MRSA mentioned and MRSA as the underlying cause, England and Wales, 2003-07.

Number of death certificates in England and Wales

2003

2004

2005

2006

2007

Mentions of MRSA

968

1,138

1,649

1,652

1,593

Number of these where underlying cause of death is MRSA

322

357

465

519

460

Source:

ONS Health Statistics Quarterly.

Many patients who become infected with a HCAI have other serious and potentially fatal underlying medical conditions. Doctors are not supposed to record all diseases or conditions present at death, only those that contribute directly to it. It is a matter of individual professional judgment whether the doctor lists an HCAI as a contributory cause. There have been a number of initiatives to raise the profile of HCAIs and improve their acknowledgment as diagnoses in their own right. In October 2007 and July 2005 the chief medical officer reminded doctors of the importance of giving full and accurate information on the death certificate, particularly in relation to HCAIs.

We have commissioned an evaluation of the effectiveness the HCAI and Cleanliness Improvement Programme (one strand of the “Clean, safe care” strategy) with a specific focus on the work streams focused on reductions in the incidence of MRSA. We are also commissioning work to understand the ways in which hospital cleanliness relates to other aspects of a good environment, and how this might have an impact on HCAIs. These studies are in their initial stages and will provide results later in 2009.

To ask the Secretary of State for Health what estimate he has made of the number of NHS clinical staff who are carriers of MRSA. (254965)

NHS Treatment Centres: Private Sector

To ask the Secretary of State for Health how many general practitioner referrals to independent sector treatment centres there were in each year since such centres were established. (255590)

Through the Independent Sector Treatment Centre (ISTC) programme, more than 1.49 million operations, diagnostic assessments and primary care consultations have been provided to national health service patients (as at 31 December 2008).

The Department does not hold information about the number of general practitioner referrals to ISTCs.

To ask the Secretary of State for Health what guidance his Department has issued to general practitioners on the referral of patients to independent sector treatment centres. (255591)

Independent sector treatment centre (ISTC) providers and primary care trusts (PCTs) ensure patients and referring general practitioners (GPs) are provided with appropriate information regarding ISTCs.

The Department does not directly issue guidance to GPs on the referral of patients to ISTCs. When patients are referred by their GP for a first consultant-led outpatient appointment they are entitled to choose the organisation that provides their NHS care and to the information to support that choice. As set out in the NHS constitution this will become a legal right from 1 April 2009.

To ask the Secretary of State for Health how many independent sector treatment centres there are. (255613)

The centrally procured Independent Sector Treatment Centre (ISTC) procurement process was conducted in two stages: Wave 1 and Phase 2. There are currently 25 fixed-site Wave 1 ISTCs, eight Phase 2 ISTC schemes, a mobile magnetic resonance imaging (MRI) service, a mobile cataract service and six commuter walk-in centres. There are also two Phase 2 ISTC schemes in mobilisation.

A full list of the centrally procured ISTC schemes is provided as follows.

Wave 1 ISTCs

Contract

Location

Hospital name

Provider

GC4

Thames Valley

Blakelands NHS Treatment Centre

Ramsay Health Care UK*

GC4

East Cornwall

Bodmin NHS Treatment Centre

GC4

East Lincs

Boston NHS Treatment Centre

GC4

North East Yorkshire and North Lincolnshire

Clifton Park NHS Treatment Centre

GC4

West Lincolnshire

Gainsborough NHS Treatment Centre

GC4

North Oxford

Horton NHS Treatment Centre

GC4

Southampton

Ramsay New Hall Hospital NHS Treatment Centre

GC4

Thames Valley

Ramsay Reading Hospital NHS Treatment Centre

GC4

Northumberland Tyne and Wear

The Cobalt NHS Treatment Centre

GC5 W

Cheshire and Merseyside

Cheshire and Merseyside NHS Treatment Centre

Interhealth Care Services (UK) Ltd. *

GC5 W

Kidderminster

Kidderminster NHS Treatment Centre

GC5E

Nottingham

Nottingham NHS Treatment Centre at QMC

Nations Healthcare Ltd.

GC6

Maidstone

Mid Kent NHS Treatment Centre

Partnership Health Group

GC7

Outer North East London

North East London NHS Treatment Centre

Partnership Health Group

GC8

Wycombe

Mid and South Buckinghamshire NHS Diagnostic Centre

Care UK*

GC8

Portsmouth

St. Mary’s NHS Treatment Centre

GC8

Brighton

Sussex Orthopaedic NHS Treatment Centre

GC8

Havant

Havant Diagnostic Centre

GC8

Medway

Will Adams NHS Treatment Centre

LP2

Bradford

Eccleshill NHS Treatment Centre

Nations Healthcare (Bradford) Ltd.

LP3

Burton upon Trent

Midlands NHS Treatment Centre

Nations Healthcare (Burton) Ltd.

LP4

Trent and South Yorkshire

Barlborough NHS Treatment Centre

Partnership Health Group

LP7

Shepton Mallet

Shepton Mallet NHS Treatment Centre

UK Specialist Hospitals

LP8

Greater Manchester

Greater Manchester Surgical Centre

Netcare UK Ltd.

LP9

Plymouth

Peninsula NHS Treatment Centre

Partnership Health Group

MRI

Mobile Diagnostics (120 sites)

MRI Fastrack

Alliance Medical Ltd.

OC123

Mobile Catract Solution (10 sites)

Opthalmic chain

Netcare UK Ltd.

CWiC

Manchester

Manchester Piccadilly NHS Walk in Centre

Atos Healthcare

CWiC

Liverpool Street

Liverpool Street NHS Walk in Centre

Walk in Health

CWiC

Canary Wharf

Canary Wharf NHS Walk in Centre

Atos Healthcare

CWiC

Newcastle

Newcastle Central NHS Walk in Centre

Care UK

CWiC

Victoria

Victoria NHS Walk in Centre

Care UK

CWiC

Leeds

Headrow NHS Walk in Centre

Netcare UK Ltd.

Phase 2 ISTCs

Contract

Location

Hospital name

Provider

D01

London Diagnostics

Mobile sites

John Scott Health Centre

InHealth*

St. Leonards Primary Care Centre

Langthorne Health Centre

St. George’s Hospital

Northwick Park Hospital

Appleby Health Centre

The Centre

Wood Street Health Centre

Broad Street Health Centre

Barking Hospital

Edgware Community Hospital

St. Ann’s Hospital, St. Ann’s Road

University Hospital Lewisham

Guy’s Hospital

Old Deer Park

Queen Marys Hospital

Hainault Health Centre

Lordship Lane Clinic

Bingfield Primary Care Centre

North Middlesex Hospital

King’s Oak Hospital

Bishops Wood Hospital

Shirley Oaks Hospital

London Independent Hospital

Barnet General Hospital

The Garden Hospital

London Imaging Centre

Blackheath Hospital

The Sloane Hospital

Central Middlesex Hospital

Northwick Park Hospital

Clementine Churchill Hospital

Mayday University Hospital

E01

Avon, Gloucestershire and Wiltshire

Avon

In mobilisation

Care UK*

Gloucestershire

In mobilisation

Wiltshire

In mobilisation

E05

Cumbria and Lancashire

Carlisle

Caldew Outpatient Centre

Ramsay Health Care UK*

Gisburne

Abbey Gisburne Park Hospital

Blackpool

Classic Fylde Coast Hospital

North Tyneside

Cobalt Treatment Centre

Chorley

Euxton Hall Hospital

Preston

Fulwood Hall Hospital

Kendal

Ramsay Kendal site (on Westmorland General Hospital Site)—not yet operational

Darlington

Woodlands Hospital—short term until Kendal is operational

Ormskirk

Renacres Hall Hospital

Middlesbrough

Tees Valley Treatment Centre

E06

Cheshire and Merseyside

Crewe

BMI South Cheshire Hospital

Spire Healthcare (Holdings) Ltd. *

Liverpool

Classic Lourdes Hospital

Macclesfield

Classic Regency Hospital

Wrexham

Classic Yale Hospital

Manchester

Spire Manchester Hospital

Merseyside

Spire Murrayfield Hospital (Wirral)

Warrington

Spire Cheshire Hospital

E08

Greater Manchester (A) CATS

Greater Manchester

In mobilisation

Care UK

E08

Greater Manchester (B) CATS

Greater Manchester

In mobilisation

Care UK

E09

Hampshire and Isle of Wight

Hampshire and Isle of Wight

Southampton NHS Treatment Centre

PHG/Care UK

E15

Northumberland Tyne and Wear

Gateshead

Spire Gateshead NHS Treatment Centre

Spire Healthcare (Holdings) Ltd.*

Washington

Spire Hospital Washington

E16

Renal (national scheme)

Wirral

Clatterbridge Hospital—short term in existing building then permanent in new build

Fresenius Medical Care (UK) Ltd.*

Merseyside

Whiston Hospital—short term, then St. Helen’s Hospital permanently

St. Helens

St. Helens Hospital—permanent after temporary Whiston Hospital

Cheshire

Warrington Hospital

Merseyside

Southport and Formby District General Hospital

Hull

Royal Hull Infirmary

North Lincolnshire

Diana, Princess of Wales Hospital, Grimsby

Cheshire

Halton General Hospital, Runcorn

Yorkshire

Scarborough General Hospital

North Lincolnshire

Scunthorpe General Hospital

East Yorkshire

Bridlington and District Hospital

South Yorkshire

Montagu Hospital, Dearne Valley

Nottinghamshire

Bassetlaw Hospital, Woksop

PET/CT North (Diagnostics)

Liverpool—mobile site

Broadgreen Hospital

Alliance Medical*

Clatterbridge—mobile site

Clatterbridge Centre for Oncology

Stoke-on-Trent—mobile site

University Hospital of North Staffordshire

Leeds—mobile site to become fixed in 2009

Leeds Teaching Hospital NHS Trust

Middlesbrough—mobile site

South Tees NHS Trust

Sheffield—mobile site to become fixed in 2009

University Hospital Sheffield NHS Trust

Newcastle—mobile site

Freeman Hospital

Hull—mobile site

University of Hull Hospitals NHS Trust

London—fixed site

Guy’s and St. Thomas’ NHS Trust

NHS subcontract with Alliance Medical*

Preston—fixed site

Lancashire Teaching Hospitals NHS Trust

Birmingham—fixed site

University Hospitals Birmingham NHS Foundation Trust

PET/CT South (Diagnostics)

Colchester—mobile site

Colchester District General Hospital

Inhealth Molecular Imaging Ltd.*

Northampton—mobile site

Northampton General Hospital

Leicester—mobile site

Glenfield Hospital

Norwich—mobile site

Norfolk and Norwich University Hospital

Maidstone—mobile site

Maidstone Hospital

Cambridge—mobile site

Addesbrookes Hospital

Southampton—mobile site

Southampton General Hospital

Bournemouth—mobile site

Royal Bournemouth General Hospital

Plymouth—mobile site

Peninsula Radiology Academy

Taunton—mobile site

Musgrave Park Hospital

Poole—mobile site

Poole Hospital

Basildon—mobile site

Basildon

London—fixed site

Guy’s and St. Thomas’ NHS Trust

NHS sub-contract with Inhealth Molecular Imaging Ltd.*

Nottingham—fixed site

Queens Medical Centre

* Indicates provider braced for subsequent rows.

NHS: Fees and Charges

To ask the Secretary of State for Health whether the next stage of the NHS co-payments review will examine means of reducing inequality between patients who can and cannot afford to co-pay for treatments which are unavailable on the NHS. (254719)

Professor Mike Richards completed his review in October 2008, and the Secretary of State made his report, “Improving access to medicines for NHS patients”, public on 4 November 2008. A copy of the report has already been placed in the Library.

In his report, Professor Richards carefully considered equity issues before making recommendations to the Secretary of State about policy on additional private care. In line with Professor Richards’ recommendations, the Secretary of State announced a package of measures to improve access to drugs on the national health service, including a new scheme from the National Institute for Health and Clinical Excellence to introduce greater flexibility in appraising expensive drugs for end of life conditions with small numbers of patients. These measures will mean that more drugs are available on the NHS, which will reduce the number of patients who may wish to buy additional private drugs.

To ask the Secretary of State for Health what mechanism will be put in place to ensure that the possibility for patients to co-pay for a treatment does not act as a disincentive for NHS primary care trusts to fund that treatment. (254722)

It is one of the guiding principles of the national health service that a person should have access to health services based on clinical need, and not on the ability of a patient to pay. Professor Richards’ review, “Improving access to medicines for NHS patients”, was based on, and reinforces, this principle. “The NHS Constitution”, published on 21 January 2009, also reaffirmed this as one of the key principles underpinning all that the NHS does. Copies of both documents have already been placed in the Library. Decisions by primary care trusts on funding for individual patients are no exception to this.

NHS: Finance

To ask the Secretary of State for Health what his estimate is of the capital budget of the NHS for each year from 2006-07 to 2010-11, in real terms using 2006-07 prices. (255288)

The requested statistics are given in the following table.

NHS Capital Expenditure 2006-07 and 2010-11

Capital net NHS expenditure (nominal) £ billion

Capital net NHS expenditure (real 06-07) prices)1

2006-07

Outturn

3.069

3.069

2007-08

Outturn

3.591

3.487

2008-09

Plan

4.567

4.295

2009-10

Plan

5.428

5.030

2010-11

Plan

4.674

4.215

Note:

1. Use gross domestic product Deflator at 23 December 2008.

NHS: ICT

To ask the Secretary of State for Health how many penalties have been imposed on suppliers for security breaches under the NHS national programme for IT in the last 12 months; and what the total monetary value of those penalties was. (255359)

There have been no confirmed security breaches attributable to suppliers under the national information technology programme in the period concerned. In consequence, the question of penalties has not arisen.

Official Engagements

To ask the Secretary of State for Health what the official engagements of Ministers in his Department were from 1 November to 30 November 2008. (255553)

The information is shown in the following table.

Details of official engagements from 1 November to 30 November

DH Minister

Date of meeting

Organisation

Secretary of State, Alan Johnson

4 November 2008

Health Oral Questions

5 November 2008

Meeting on Government Response to Carol Black’s Review

5 November 2008

Meeting—Iranian Minister of Health

5 November 2008

Meeting—David Blunkett MP and CEO, Alzheimer’s Society

6 November 2008

Cabinet

6 November 2008

Closing the Gap: Health Equality through Action on the Social Determinants of Health—Speech to conference

6 November 2008

Q and A to NHS Confed Employers Conference

6 November 2008

Meeting—Brazilian Minister of Health

8 November 2008

Visit—Silver Star Diabetes Centre

9 November 2008

Politics Show

10 November 2008

Cabinet Committee

10 November 2008

Meeting—Lord Mandelson—Pharmaceutical Industry

11 November 2008

Armistice Day ceremony

11 November 2008

Cabinet

11-14 November 2008

International visit to Washington—Speech

17 November 2008

Meeting—Chair, East Midlands SHA

17 November 2008

Meeting—Royal Brampton Hospital

18 November 2008

Cabinet

18 November 2008

Children’s Plan Conference

18 November 2008

Meeting—Chair, South West SHA

18 November 2008

British Energy and MS Society Reception

19 November 2008

Evidence to Health Select Committee

20 November 2008

Meeting—Chinese Health Minister

20 November 2008

National Stakeholder Forum Meeting

24 November 2008

Cabinet

25 November 2008

Event for Launch of Dame Carol Black Review

25 November 2008

Meeting—Australian High Commissioner

25 November 2008

Ministerial Industry Strategy Group

26 November 2008

Meeting with Dr. Richard Taylor MP and Prof. Mike Richards—Richards Review

26 November 2008

Event to celebrate 35 years of United Response (UR)

27 November 2008

New Savoy Partnership Conference “Psychological Therapies in the NHS” speech +

28 November 2008

Visit to Hillside Bridge Healthcare Centre

28 November 2008

Regional Cabinet—Leeds

Minister of State (Health Services)—Ben Bradshaw Minister for the South West

4 November 2008

Health Oral Questions

5 November 2008

Visit to NHS North of Tyne

7 November 2008

Regional Economic Work Task force meeting (as Regional Minister for the South West)

10 November 2008

Visit to TwoFour Studios (as Regional Minister for the South West)

11 November 2008

Debate—The Medical Professions (Miscellaneous Amendments) Order 202008

12 November 2008

Special Interest Group of Municipal Authorities Parliamentary Group

12 November 2008

Meeting—Neil Turner MP re: Health Inequalities through primary care trust allocations

12 November 2008

Conference—Regional Development Agency’s Annual Public meeting

12 November 2008

Reception—Third Annual HSJ 50 Celebration

13 November 2008

Ministers’ Regions Summit

14 November 2008

Telephone call—Chief Inspector, CSCI

17 November 2008

Meeting—Chair of the Socialist Health Association

17 November 2008

Debate—Affirmative regs for the Civil Contingencies Act 2004 (Amendment of List of Responders) Order 202008

17 November 2008

Adjournment Debate—Healthcare in Sutton

18 November 2008

Adjournment Debate—Government policy on people with strokes

18 November 2008

Meeting—Ruth Carnall CBE to discuss London

18 November 2008

Meeting—Muscular Dystrophy Campaign

19 November 2008

SHA Chairs monthly meeting

20 November 2008

National Stakeholder Forum

20 November 2008

Speech—Excellence Awards (as Regional Minister for the South West)

21 November 2008

Meeting—Regional Director, Environmental Agency (as Regional Minister for the South West)

24 November 2008

Meeting—Chairmen of the National Association of Primary Care

25 November 2008

NHS Confederation

25 November 2008

Breakfast briefing meeting with Trisha Goddard—Patient Choice

25 November 2008

Dinner—NHS Confederation London PCT Policy Chairs Dinner

26 November 2008

Speech—South West Forum Annual Conference 202008 (as Regional Minister for the South West)

27 November 2008

Meeting—Healthcare Commission

Minister of State(Public Health) Dawn Primarolo

4 November 2008

Health Oral Questions

5 November 2008

Speech—National Alcohol Conference—Nottingham

5 November 2008

Speech—Reception of the Commission on Social Determinants for Health International Conference—London

6 November 2008

Commission on Social Determinants for Health International Conference—London (Including a Dinner and a speech)

6 November 2008

Media Interview with the Observer

10 November 2008

Meeting—German Health Minister

10 November 2008

Cabinet Committee

10 November 2008

Launch for Change4Life

11 November 2008

You and Yours programme

11 November 2008

Meeting—Foresight Review Officials

11 November 2008

Media—Healthy Towns

12 November 2008

Meeting—Baroness Gould

12 November 2008

Meeting—Gisela Stewart MP

12 November 2008

Action on Smoking and Health (ASH)

13 November 2008

Westminster Hall Debate—Tackling Obesity

13 November 2008

Meeting—Marie Woolf—Journalist

17 November 2008

Reception for those who worked on Human Fertilisation and Embryology Act

19 November 2008

Speech—IDeA (Improvement and Development Agency) Conference

20 November 2008

Adjournment Debate—Organ Donation

20 November 202008

National Stakeholder Forum

21-24 November 2008

International Trip to Libya

25 November 2008

Select Committee on Pandemic Influenza

25 November 2008

Speech—Fabian Society Conference

25 November 2008

Phone call—Minister for Health Northern Ireland

25 November 2008

Meeting—Japanese Pharmaceutical Manufacturers Association

26 November 2008

Speech—Fitness Industry Association

26 November 2008

Phone call—Minister of Health for Wales

27 November 2008

Phone call—Minister of Health for Scotland

26 November 2008

Faculty of Family Planning Association

Minister of State (Care Services)—Phil Hope Minister for the East Midlands

3 November 2008

Social Care and Support event, Norwich

3 November 2008

Dignity Visit—Julian Hospital, Norwich

4 November 2008

Health Oral Questions

4 November 2008

Speech—TUC event, London

4 November 2008

Meeting—Council of Regional Ministers, London

4 November 2008

National Autistic Society Reception

4 November 2008

Cabinet Committee

5 November 2008

Cross-Government meeting—Government response to Dame Carol Black’s review

5 November 2008

Meeting—Alzheimer's Society

7 November 2008

Speech—Skills for care accolade event, London

10 November 2008

Social Care and Support event—Brighton

10 November 2008

Dignity Visit—Brighton

11 November 2008

Speech—Local Government Association event, Health and Well-being, London

11 November 2008

Meeting—President, Royal College of Psychiatrists

11 November 2008

Speech—Help the Aged, London

12 November 2008

Speech—English Community Care Association (ECCA) national conference

12 November 2008

Speech—Carers UK Summit, London

18 November 2008

Speech—Mental Health Providers Forum Conference, London

19 November 2008

Speech—Pacesetters programme, London

19 November 2008

Speech—Local Government Information Unit Conference on Services for Older people

19 November 2008

Human Rights Inquiry Event

19 November 2008

Cabinet Committee

19 November 2008

Speech—Counsel and Care parliamentary reception

19 November 2008

Speech—All Party Parliamentary Group on Social Enterprise

20 November 2008

Meeting—Annual Performance Assessment of Councils for 2007-2008

20 November 2008

Speech—2010 and Beyond :A new Era for Mental Health Policy in the UK, London

20 November 2008

Speech—National Stakeholder

20 November 2008

Social Enterprise Visit

22 November 2008

Final care support independence event, Birmingham

25 November 2008

Speech—Dignity in Care Conference

25 November 2008

Meeting—members of Law commission

26 November 2008

Life Chances Ministerial Group

26 November 2008

Meeting—Lloyds Pharmacy

26 November 2008

Meeting—Alzheimer’s Research Trust

27 November 2008

Telecare conference event, London

Parliamentary Under Secretary (Lords) Professor the Lord Darzi of Denham, KBE

3 November 2008

Meeting—Foundation Trust and NHS Confederation

3 November 2008

Meeting—National Association of Colitis and Crohn’s Disease

3 November 2008

Meeting—Humana Europe

4 November 2008

Oral Statement—Top ups

4 November 2008

Meeting—The Academy of Medical Sciences

5 November 2008

Meeting—The Health Foundation

5 November 2008

Meeting—APAX

5 November 2008

Visit—Northgate Clinic

6 November 2008

Meeting—HealthTalkOnline

6 November 2008

Meeting—NHS Alliance

6 November 2008

Meeting—Monitor

10 November 2008

Meeting—Healthcare Commission

10 November 2008

Meeting—BUPA

11 November 2008

Meeting—Royal College of Midwives

Royal College of Anaesthetists

Royal College of Paediatrics and Child Health

Royal College of Obstetricians and Gynaecologists

Academy of Medical Royal Colleges

Royal College of Surgeons of England

Royal College of Physicians

Royal College of General Practitioners

11 November 2008

Meeting—Dr. Foster Intelligence

12-14 November 2008

International visit to Washington—Speech

18 November 2008

Meeting—NHS Consultant’s Association

19 November 2008

Meeting—London Assembly

19 November 2008

Meeting—Florence Nightingale School of Nursing and Midwifery

20 November 2008

Oral PQ

26 November 2008

Visit to Keele University

Parliamentary Under-Secretary for Health, Ann Keen

3 November 2008

Reception—Royal College of Pathologists

4 November 2008

Health Oral Questions

5 November 2008

Meeting—RNIB

5 November 2008

Meeting—The Lindsey Leg Club Foundation

5 November 2008

Speech—Human Tissue Authority

5 November 2008

Speech—Chief Nursing Officers summit

6 November 2008

Speech—NHS Employers Annual Conference

11 November 2008

Speech—All Party Parliamentary Group on Cancer

11 November 2008

Meeting—Royal College of Midwives

12 November 2008

Event—Nursing Times Awards

14 November 2008

Visit—Opening Nursing and Midwifery Campus

18 November 2008

Speech—Antibiotic Awareness Day

18 November 2008

Speech—Second Children’s Plan Conference

18 November 2008

Speech—World Diabetes Day

19 November 2008

Speech—World Chronic Obstructive Pulmonary Disease Day

21 November 2008

Visit—Harefield Heart Centre and Harefield Hospital

25 November 2008

Speech—Healthcare for London Conference

25 November 2008

Speech—A Framework for Violence and Abuse Prevention

Patient Choice Schemes

To ask the Secretary of State for Health what percentage of slots on the Choose and Book system were reported to be unavailable when requested by patients in the last 12 weeks for which figures are available. (254155)

The Department does not collect information on the percentage of slots unavailable for patients to book into.

The Department does collect the number of instances of slot unavailability as reported by The Choose and Book Appointments Line (TAL), expressed as a ratio of all successful direct bookings. This is presented for the last 12 weeks for which figures are available covering the period week ending 9 November 2008 to week ending 25 January 2009 in the following table.

Slot unavailability

Total weekly directly bookable service outpatient bookings

Slot issues as percentage of bookings

9 November 2008

11,121

77,534

14.3

16 November 2008

11,234

77,141

14.6

23 November 2008

12,302

74,370

16.5

30 November 2008

12,221

73,206

16.7

7 December 2008

11,305

73,498

15.4

14 December 2008

9,412

69,313

13.6

21 December 2008

8,506

70,731

12.0

28 December 2008

3,357

35,312

9.5

4 January 2009

3,145

66,099

4.8

11 January 2009

6,125

86,609

7.1

18 January 2009

6,583

84,902

7.8

25 January 2009

7,099

87,567

8.1

102,410

876,282

11.7

Notes:

1. The weekly report expresses the percentage as a percentage of successful directly bookable service bookings.

2. Individual national health service trusts are responsible for ensuring that enough appointments slots for first outpatient appointments are made available through the Choose and Book system to ensure patients and general practitioners can book into them electronically.

Source:

Choose and book weekly report as recorded by the Choose and Book Appointments Line (TAL)

Smoking: Young People

To ask the Secretary of State for Health what steps his Department is taking to help teenagers give up smoking. (254609)

Reducing smoking among young people is a priority for the Government. Much has already been achieved in this area, including raising the age of sale of tobacco products, legislation to strengthen sanctions available against retailers who persistently sell tobacco to children and young people, and smoking is addressed in the National Curriculum and through the Healthy Schools Programme.

Protecting children and young people from smoking was one of four key aspects of the Department’s “Consultation on the future of tobacco control” published on 31 May 2008. A copy has already been placed in the Library. Responses to the consultation are informing the development of a new strategy on tobacco control, which will include action to continue to tackle the uptake of smoking by young people.

The Government this year are taking forward tobacco control legislation intended to protect and support young people in the Health Bill. The Health Bill includes a prohibition on the display of tobacco products, which will help to eliminate the marketing of tobacco products, to which young people are susceptible. The Bill will also provide powers to restrict or ban the sale of tobacco from vending machines, removing a major source of tobacco for young people.

Local stop smoking services are able to provide a range of support options to anyone wanting to quit smoking, including young people. Resources are also available that can be accessed by smokers direct on smoking cessation, these include the NHS “gosmokefree” website and from the general NHS Smoking Helpline (0800 169 0 169).

Social Security Benefits: Compensation

To ask the Secretary of State for Health how much money has been recovered by the NHS under the provisions of the Social Security (Recovery of Benefits) Act 1997 in each year since it entered into force. (252336)

I have been asked to reply.

The Department for Work and Pensions administers recoveries on behalf of the NHS. However those recoveries are not under the Social Security (Recovery of Benefits) Act 1997, but the Road Traffic (NHS Charges) Act 1999, and The Health and Social Care (Community Health and Standards) Act 2003.

Those recoveries are in the following table:

NHS Recoveries

£ million

1999-00

30.05

2000-01

75.85

2001-02

98.28

2002-03

105.03

2003-04

105.65

2004-05

117.50

2005-06

121.50

2006-07

128.19

2007-08

137.04

2008-091

111.19

1 This figure is up to and including December 2008

Spinal Injuries: North East

To ask the Secretary of State for Health what the longest time was that a patient had to wait to receive treatment for spinal cord injury in the North East in the last five years. (254908)

The information is not available in the format requested. The following table shows the count of finished admission episodes by time waited with a primary diagnosis of spinal cord injury, for hospitals in the north-east of England from 2002-03 to 2006-07.

All admission episodes

Up to 1 week

1 up to 2 weeks

2 up to 3 weeks

3 up to 4 weeks

4 up to 5 weeks

Unknown Time Waited

2006-07

3

0

1

0

0

1

1

2005-06

3

1

2

0

0

0

0

2004-05

1

0

0

0

1

0

0

2003-04

5

2

0

2

0

0

1

2002-03

1

0

1

0

0

0

0

Notes:

1. Finished admission episodes: A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. However, admissions do not represent the number of inpatients, as a person may have more than one admission within the year.

2. Primary diagnosis: The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES dataset and provides the main reason why the patient was admitted to hospital.

3. Time waited (days): Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period, whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.

4. Spinal cord injury is defined as one of the following ICD-10 codes recorded in primary diagnosis field:

5140 Concussion and oedema of cervical spinal cord;

5141 Other and unspecified injuries of cervical spinal cord;

5142 Injury of nerve root of cervical spine;

5143 Injury of brachial plexus;

5240 Concussion and oedema of thoracic spinal cord;

5241 other and unspecified injuries of thoracic spinal cord;

5242 Injury of nerve root of thoracic spine;

5340 Concussion and oedema of lumbar spinal cord;

5341 Other injury of lumbar spinal cord;

5342 Injury of nerve root of lumbar and sacral spine;

5343 Injury of cauda equina;

5344 Injury of lumbosacral plexus;

T060 Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level;

T061 Injuries of nerves and spinal cord involving other multiple body regions;

T093 Injury of spinal cord, level unspecified;

T094 Injury of unspecified nerve, spinal nerve root and plexus of trunk.

Source:

Hospital Episode Statistics (HES). The NHS Information Centre for health and social care

Thalassaemia

To ask the Secretary of State for Health what his Department’s policy on the treatment of thalassaemia is. (253735)

The Government support the availability of treatment services for thalassaemia that fit the model outlined in “High Quality Care for All”, that care should be fair, personalised, effective and safe.

Key to this is the development of clinical networks of specialist care and the concept that every patient should have access to optimal specialist management and care, as well as routine care provided conveniently close to home. Clinical networks for Haemoglobinopathy disorders (thalassaemia and sickle cell) have now been established and initial meetings of stakeholders have taken place.

We are also currently undertaking a peer review of service provision and commissioning arrangements for haemoglobinopathies. This will inform a programme of supportive action later in the year, in partnership with the national health service and stakeholders.

To ask the Secretary of State for Health what recent assessment his Department has made of the variation in funding of oral iron chelation drugs for the treatment of thalassaemia patients between primary care trusts. (253740)

Thrombosis

To ask the Secretary of State for Health what discussions the Healthcare Commission has had with the Care Quality Commission on including risk assessment for venous thromboembolism as a clinical audit indicator. (254810)

Discussions between the Healthcare Commission and the Care Quality Commission are matters to be raised with them directly.

To ask the Secretary of State for Health what plans he has to include risk assessment for venous thromboembolism in hospitalised patients as an indicator in the 2009-10 Care Quality Commission periodic review of NHS providers. (254811)

We expect indicators to be included in periodic reviews of NHS providers to reflect the existing commitments and tier 1 and 2 vital signs that were set out in the 2009-10 operating framework.

To ask the Secretary of State for Health what plans he has to include risk assessment for venous thromboembolism in hospitalised patients as a topic for special review by the Care Quality Commission in 2009-10. (254812)

In addition to its core statutory functions, the Care Quality Commission also has the power to carry out special reviews into specific or general issues to do with health or adult social care provision.

The Care Quality Commission is currently consulting on the list of topics it is considering for special reviews and studies for 2009-10. This consultation remains open until 12 March 2009 see

www.carequalitycommission.org.uk/consultations/reviews_in_0910.aspx).

Transplant Surgery

To ask the Secretary of State for Health how many organs were successfully transplanted in each year since 1997, broken down by (a) type of organ and (b) transplant centre. (254154)

Based on the definition that a transplant is successful if the patient survives beyond the point of their three month check-up; figures for the number of organs successfully transplanted in each year since 1997, broken down by type of organ and transplant centre have been placed in the Library.

To ask the Secretary of State for Health pursuant to the answer of 14 January 2009, Official Report, columns 827-32W, on transplant surgery: figures, if he will break down by year the figures given for organ and ocular tissue transplants in the UK. (254159)

Information showing organ and ocular tissue transplants in the United Kingdom in each year since 1998, broken down by transplant centre and organ, has been placed in the Library.

Written Answers to Questions

Tuesday 10 February 2009

Scotland

Departmental Plants

To ask the Secretary of State for Scotland how much his Department spent on cut flowers in each of the last three years. (256170)

Departmental Press

To ask the Secretary of State for Scotland which (a) newspapers, (b) magazines and (c) journals his Department has subscriptions to. (252986)

The Scotland Office orders a selection of newspapers and magazines on a weekly basis, which varies according to demand. The Department does not subscribe to any journals.

Leader of the House

Legislative Process

To ask the Leader of the House how many minutes were spent on the Third Reading of each Bill passed by the House since May 2005. (255099)

The information is provided in the following table. This includes any time spent on Divisions.

Date

Bill

Time spent on third reading (Hrs. mins)

Session 2005-06

6 July 2005

Finance Bill

0.22

11 July 2005

Racial and Religious Hatred Bill1

1.04

14 July 2005

Consumer Credit Bill

1.06

20 July 2005

Regulation of Financial Services (Land Transactions) Bill

0.41

10 October 2005

Civil Aviation Bill

0.39

11 October 2005

Natural Environment and Rural Communities Bill

0.21

17 October 2005

Transport (Wales) Bill

1.27

18 October 2005

Identity Cards Bill1

1.01

10 November 2005

Terrorism Bill

4.00

14 November 2005

Violent Crime Reduction Bill

0.45

16 November 2005

Immigration, Asylum and Nationality Bill1

0.47

24 November 2005

European Union (Accessions) Bill

0.19

30 November 205

Terrorism (Northern Ireland) Bill

2.15

1 December 2005

Council Tax (New Valuation Lists for England) Bill

0.40

6 December 2005

London Olympics Bill

0.43

15 December 2005

National Insurance Contributions Bill

0.32

11 January 2006

Electoral Administration Bill

0.29

16 January 2006

Equality Bill (Lords)

1.00

18 January 2006

Work and Families Bill

1.15

19 January 2006

National Lottery Bill1

0.43

26 January 2006

Criminal Defence Service Bill (Lords)

0.44

14 February 2006

Health Bill1

1.07

28 February 2006

Government of Wales Bill1

1.33

7 March 2006

Merchant Shipping (Pollution) Bill (Lords)

0.15

9 March 2006

Childcare Bill

0.26

14 March 2006

Animal Welfare Bill

0.18

27 April 2006

Northern Ireland Bill

0.01

10 May 2006

Police and Justice Bill

0.16

11 May 2006

Housing Corporation (Delegation) etc. Bill

0.34

16 May 2006

Legislative and Regulatory Reform Bill1

0.33

17 May 2006

Northern Ireland (Miscellaneous Provisions) Bill

0.42

22 May 2006

Armed Forces Bill

0.42

24 May 2006

Education and Inspections Bill1

0.46

20 June 2006

Children and Adoption Bill (Lords)1

0.56

29 June 2006

Commons Bill (Lords)

0.19

5 July 2006

Finance (No. 2) Bill1

0.45

13 July 2006

NHS Redress Bill (Lords)1

0.38

17 July 2006

Compensation Bill (Lords)

0.41

19 July 2006

Commissioner for Older People (Wales) Bill (Lords)

0.22

9 October 2006

Road Safety Bill (Lords)

0.45

19 October 2006

Companies Bill (Lords)

0.58

23 October 2006

Safeguarding Vulnerable Groups Bill (Lords)

0.18

25 October 2006

Charities Bill (Lords)

0.44

26 October 2006

Fraud Bill (Lords)

0.20

Session 2006-07

28 November 2006

Investment Exchanges and Clearing Houses Bill

0.15

9 January 2007

Welfare Reform Bill

0.44

25 January 2007

Fraud (Trials without a jury) Bill1

0.48

29 January 2007

Digital Switchover (Disclosure of Information) Bill1

0.25

6 February 2007

Justice and Security (Northern Ireland) Bill1

0.50

20 February 2007

Planning-gain Supplement (Preparations) Bill1

1.16

20 February 2007

Income Tax Bill

0.48

27 February 2007

Greater London Authority Bill1

0.55

28 February 2007

Offender Management Bill1

1.20

13 March 2007

Statistics and Registration Service Bill

1.00

27 March 2007

Northern Ireland (St Andrews Agreement) (No. 2) Bill

0.01

18 April 2007

Pensions Bill

0.59

9 May 2007

UK Borders Bill

0.43

22 May 2007

Local Government and Public Involvement in Health Bill1

0.55

14 June 2007

Rating (Empty Properties) Bill

0.33

19 June 2007

Mental Health Bill (Lords)1

1.02

26 June 2007

Finance Bill1

0.34

27 June 2007

Tribunals, Courts and Enforcement Bill (Lords)

0.21

28 June 2007

Concessionary Bus Travel Bill (Lords)

0.13

5 July 2007

Consumers, Estate Agents and Redress Bill (Lords)

0.50

12 July 2007

Further Education and Training Bill (Lords)

1.02

17 July 2007

Parliament (Joint Departments) Bill (Lords)

0.10

23 July 2007

Forced Marriage (Civil Protection) Bill (Lords)

0.57

15 October 2007

Legal Services Bill (Lords)

0.55

22 October 2007

Serious Crime Bill (Lords)

0.28

Session 2007-08

3 December 2007

Child Maintenance and Other Payments Bill

0.35

9 January 2008

Criminal Justice and Immigration Bill

0.32

17 January 2008

Channel Tunnel Rail Link (Supplementary Provisions) Bill

0.14

31 January 2008

National Insurance Contributions Bill1

1.00

19 February 2008

Banking (Special Provisions) Bill1

1.37

11 March 2008

European Union (Amendment) Bill1

6.18

31 March 2008

Housing and Regeneration Bill

0.19

30 April 2008

Energy Bill

0.32

13 May 2008

Education and Skills Bill

0.35

11 June 2008

Counter-Terrorism Bill1

0.11

2 July 2008

Finance Bill1

0.31

10 July 2008

Regulatory Enforcement and Sanctions Bill1

0.47

8 October 2008

Children and Young Persons Bill1

0.27

22 October 2008

Human Fertilisation and Embryology Bill1

0.21

27 October 2008

Local Transport Bill (Lords)1

0.27

28 October 2008

Climate Change Bill (Lords)1

0.16

3 November 2008

Dormant Bank and Building Society Accounts Bill (Lords)

0.26

4 November 2008

Employment Bill (Lords)

0.32

1 Includes Division

Transport

A303

To ask the Secretary of State for Transport what plans he has for completion of the dualling of the A303. (254680)

Following our decision to give regions a greater role in determining priorities for major transport schemes within indicative allocations, it is for the South West region to advise on the relative priority of dualling improvements to the A303 alongside other proposed schemes in the region. We are expecting advice on the priorities for transport investment in the South West in the period to 2018-19 by the end of this month.

A303: Stonehenge

To ask the Secretary of State for Transport what consultation he had with Visit Britain on his Department’s review of the Stonehenge improvement scheme. (255776)

The Highways Agency carried out a widely publicised consultation between January and April 2006 on alternative options for improvements to the A303 running past Stonehenge. There is no record of Visit Britain having responded to this consultation.

Cars: Insurance

To ask the Secretary of State for Transport what system the Driver and Vehicle Licensing Agency has in place to ensure that accurate and up-to-date car insurance information is held on its databases. (254582)

All motor vehicle insurance details are held on the insurance industry’s motor insurance database (MID) and it is the insurance industry’s responsibility to provide data to it. The Department requires 95 per cent. of new records to be on the database within seven days. The industry estimates that nearly 99 per cent. of all appropriate records are now on the database within seven days.

To ask the Secretary of State for Transport how many vehicle excise duty online renewals have been refused in the last period for which figures are available because car insurance details have not been held on the Driver and Vehicle Licensing Agency database. (254583)

When customers apply for a tax disc on Driver and Vehicle Licensing Agency Electronic Vehicle Re-licensing (EVL) service, the vehicle’s insurance is electronically checked with the Motor Insurance Bureau (MIB), these details are not held on DVLA’s database. If the insurance details cannot be traced with the MIB, customers are not able to make a re-licensing transaction through the EVL service. If customers have recently renewed, updated or changed the insurance policy, the vehicle details may not have been updated yet on the MIB. The reason for this is that the MIB only records the expiry date of the current insurance period. Once that current period ends the new insurance period updates the database.

The number of incomplete transactions from November 2008 to January 2009, where insurance details could not be found are:

November 2008: 109,050 out of 1,691,556 transactions

December 2008: 89,633 out of 1,622,678 transactions

January 2008: 130,231 out of 1,961,037 transactions

Driving Tests

To ask the Secretary of State for Transport what research he has (a) commissioned and (b) evaluated on revisions to the standard driving test. (254760)

In parallel with our wide ranging learning to drive consultation which looks at reforming the way that people learn to drive and are tested, we have initiated a programme of research to trial and evaluate the measures proposed. These include:

Evaluation of classroom-based discussion groups exploring young people’s attitudes to safe driving.

Assessing the impact of different educational interventions and access to learning materials on performance at the theory test.

Development of a self evaluation tool that could help learners identify their attitudes towards risk and safety.

Assessing possible changes to the content of the practical driving test, such as examiners giving candidates less direction for part of the test.

Development of a revised marking scheme for the practical test, based on a candidate’s demonstration of defined competencies rather than the current fault-based assessment.

We propose to publish reports of each of the research projects in due course.

Great Eastern Railway

To ask the Secretary of State for Transport what steps he plans to take to increase capacity on the Chelmsford to Liverpool Street railway line. (254748)

The Secretary of State for Transport set out his requirements for additional peak capacity into London Liverpool Street in the White Paper “Delivering a Sustainable Railway” published in July 2007.

The Department for Transport is actively engaged in discussions with National Express East Anglia (NXEA) aimed at achieving early commercial agreement that will enable NXEA to increase the capacity it provides to meet this requirement. This will include services between Chelmsford and Liverpool Street.

Heathrow Airport: Greenhouse Gas Emissions

To ask the Secretary of State for Transport how many schools within the boundaries of areas surrounding Heathrow airport currently have air quality with a nitrogen dioxide level of 40 micrograms/m3 or greater. (254120)

The technical report “Population Exposure to Air Pollution”, published as part of the “Adding Capacity at Heathrow Airport” consultation in November 2007, shows (Table 3.4) 16 ‘sensitive receptors’ (which includes schools) with nitrogen dioxide levels above the limit of 40 micrograms/m3 in 2002. Data for the current year are not available but no such exceedances are predicted in 2010 or future years, with or without airport expansion.

Heathrow Airport: Job Creation

To ask the Secretary of State for Transport what estimate has been made of the number of new jobs which would be created by the expansion of Heathrow Airport. (254888)

The assessment of additional jobs from a third runway are set out in the recently published ‘Adding Capacity at Heathrow Airport—Impact Assessment’. This is available at:

http://www.dft.gov.uk/pgr/aviation/heathrowconsultations/heathrowdecision/impactassessment/

Table A1, page 92 shows the incremental impact of a third runway relative to the base case of no third runway. Additional capacity is likely to lead to around 8,000 additional on-site jobs by 2030.

Heathrow Airport: Noise

To ask the Secretary of State for Transport what recent estimate he has made of noise levels in each London borough resulting from the establishment of the Heathrow third runway. (253847)

Noise impacts of a three-runway airport at Heathrow were presented in the November 2007 consultation document and supporting technical report on noise, both of which are still available on the Department’s website. The documents include a geographical presentation of noise contour details but do not provide figures by borough.

Highways Agency: Finance

To ask the Secretary of State for Transport (1) pursuant to the answer of 27 January 2009, Official Report, column 300W, on motorways: repairs and maintenance, whether the £6 billion programme of national major schemes will be in addition to the annual budget for the Highways Agency programme of national major schemes; (255093)

(2) what the Highways Agency budget in (a) 2009-10, (b) 2010-11, (c) 2011-12 and (d) 2012-13 is for national major road schemes.

In our July 2008 document “Roads - Delivering Choice and Reliability” we announced that up to £6 billion was being made available for improvements to national strategic roads in England. On 15 January 2009, we announced which schemes this funding would support up to 2015. This funding is in addition to the provision for major improvements to regional strategic roads and other Highways Agency activities such as maintenance and the Traffic Officer Service.

The budgets for the Highways Agency are set on an annual basis and published in their annual Business Plan. The 2009-10 Highways Agency Business Plan is due to be published by the end of March 2009. Precise budgets are subject to annual confirmation as part of determining overall public sector investment and the Highways Agency’s business planning process.

Humber Bridge: Tolls

To ask the Secretary of State for Transport what the toll for the Humber Bridge was for a single car crossing in each year since the bridge was opened; and if he will make a statement. (254774)

The toll for a single car crossing in each year since the bridge was opened is:

£

June 1981 to 31 December 1985

1.00

1 January 1986 to 31 December 1987

1.20

1 January 1988 to 6 August 1989

1.50

7 August 1989 to 7 September 1997

1.60

8 September 1997 to 31 March 1998

1.90

1 April 1998 to 11 October 1998

2.10

12 October 1998 to 31 March 2000

2.30

1 April 2000 to 31 March 2002

2.40

1 April 2002 to 23 April 2006

2.50

24 April 2006 to present

2.70

This information is publicly available on the Humber Bridge website.

Kent

To ask the Secretary of State for Transport how much (a) revenue payment, (b) capital grant and (c) supported borrowing funding has been made available by his Department to (i) Kent County Council, (ii) Thanet District Council and (iii) Dover District Council in 2008-09; and how much is planned in each case for 2009-10. (255092)

The following tables show the transport capital and revenue funding the Department for Transport has allocated to Kent county council for 2008-09 and 2009-10. In county areas, funding is made to the upper tier authority. Allocations are not ring-fenced and local transport authorities have discretion to spend their allocations in line with their priorities.

The tables indicate the proportion of capital allocations allowed for within the Department for Communities and Local Government’s formula grant settlement as supported borrowing, and the proportion of grant provided by the Department. Figures shown are in £ millions.

Kent county council—capital funding

£ million

Integrated Transport(IT) Block

Highways Maintenance(HM)

Proportion of IT and HM provided as supported borrowing (percentage)

Proportion of IT and HM provided as grant (percentage)

Other funding1 (grant)

Total capital funding

2009-10

14.627

25.775

35.575

4.827

0.516

40.918

2008-09

13.383

23.972

32.560

4.795

0.553

37.908

1 Other capital funding comprises capital detrunking and capital road safety.

Most revenue expenditure on transport is supported through the Department for Communities and Local Government’s formula grant, but the Department has made the following specific revenue grants to Kent county council:

Kent county council—specific revenue funding

£ million

Road safety revenue

Revenue detrunking

Specific bus grants1

Total revenue funding

2009-10

2.317

0.272

2.395

9.405

2008-09

2.484

0.265

2.577

9.646

1 The figures comprise spend for the Urban Bus challenge (UBC), the Rural Bus Challenge (RBC), Kickstart bus projects and allocations for the Rural Bus Subsidy Grant (RBSG).

The following table shows the allocations that the Department for Transport makes to Thanet and Dover district councils in respect of concessionary fares. (These authorities also receive additional concessionary fares funding through the Department for Communities and Local Government’s formula grant.)

Concessionary fares funding1

£ million

Thanet district council

Dover district council

2009-10

0.540

0.340

2008-09

0.520

0.330

1 Special grant allocation.

Liquefied Petroleum Gas: Chelmsford

To ask the Secretary of State for Transport how many petrol stations in West Chelmsford constituency have active liquefied petroleum gas pumps. (254749)

This information is not held centrally by Government. However, information on geographical locations is available on the UK LPG website at:

www.drivelpq.co.uk

Local Authorities: Debt Collection

To ask the Secretary of State for Transport with reference to the answer to the hon. Member for Welwyn Hatfield of 19 November 2008, Official Report, columns 509-10W, on local authorities: debt collection, whether the powers for local authorities to use certified bailiffs to collect unpaid parking fines existed prior to the introduction of the 2007 regulations. (246948)

The Road Traffic Act 1991 enabled London local authorities to use certificated bailiffs. These provisions have been replicated for authorities outside London through parking designation Orders made by the Secretary of State on an individual basis.

M6: Tolls

To ask the Secretary of State for Transport how many vehicles per day travelled between (a) junctions 3 and 4, (b) junctions 7 and 8, (c) junctions 8 and 11a, (d) junctions 11a and 15 of the M6 motorway and between (e) junctions 3a and 7, (f) junctions 7 and 9, (g) junctions 9 and 10 of the M42, (i) for each of the five years before and (ii) each year after the opening to traffic of the M6 Toll. (253849)

The following table shows available traffic figures for the specified lengths of the M6 and M42 for each of the five years before and after the opening of the M6 Toll in December 2003.

M6

Junctions 3 and 4

Junctions 7 and 8

Junctions 8 and 11a

Junctions 11a and 15

North bound

South bound

North bound

South bound

North bound

South bound

North bound

South bound

1999

n/a

n/a

n/a

n/a

159842

159019

155581

156351

2000

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

2001

249600

250000

153535

155116

277200

273900

245700

146883

2002

147273

250760

257530

258850

272983

271500

253100

252550

2003

45963

48545

68489

59498

62174

55813

47556

48158

2004

48105

49305

64616

51364

60231

54608

54965

55397

2005

54835

50820

63507

55388

63341

58962

56581

57141

2006

54746

55367

66961

55605

61927

56291

56192

56486

2007

56428

57050

171705

51285

63327

258082

56042

56275

2008

52063

52908

171452

59152

60846

161618

52817

53126

M42

Junctions 3a and 7

Junctions 7 and 9

Junctions 9 and 10

North bound

South bound

North bound

South bound

North bound

South bound

1999

n/a

n/a

138947

141756

133988

133600

2000

n/a

n/a

n/a

n/a

n/a

n/a

2001

n/a

n/a

n/a

n/a

132822

130409

2002

263500

263300

147544

147587

234300

233200

2003

259500

258800

n/a

n/a

35165

33898

2004

57354

57803

n/a

39405

34929

33277

2005

61656

63087

n/a

47139

35892

34523

2006

63304

65400

52509

46940

36184

34839

2007

65137

66875

62686

252050

37079

35828

2008

61336

61908

61062

n/a

33874

32454

n/a = not available

All figures are from specific traffic counts, except:

1 denotes aggregated figure from a set period

2 Denotes estimated figure

Parking: Disabled

To ask the Secretary of State for Transport what steps his Department has taken to standardise the use of Blue Badges and dedicated disabled parking facilities across public and private car parks; and if he will make a statement. (255039)

The Blue Badges scheme only applies to on-street parking. The provision of parking spaces in off-street car parks, whether local authority owned or privately owned, falls under the requirements of the Disability Discrimination Act (DDA) 1995. In both types of car park, service providers need to ensure that they provide an adequate number of parking spaces for disabled people and that these spaces are readily available. The Department for Transport will be working with the British Retail Consortium and other stakeholders to support improved enforcement in car parks.

Railway Stations

To ask the Secretary of State for Transport what steps he plans to take to improve the efficiency and delivery of larger station projects as part of the future delivery of the Railways for All Programme; and if he will make a statement. (254934)

Setting efficiency targets for Network Rail activity is a function of the Office of Rail Regulation. The “Regulator’s Period Review”, published in October 2008, sets challenging targets for Network Rail to improve efficiency over the five year period from April 2009.

Network Rail are moving towards a modular station design, and an integrated approach to station planning, in order to leverage efficiencies and minimise disruption to passengers during enhancement, renewal and maintenance works, including access for all.

The Department for Transport is working closely with Network Rail to support initiatives which improve performance and delivery of station projects, and present opportunities to realise economies of scale.

Railway Stations: Yorkshire

To ask the Secretary of State for Transport how many new rail stations are scheduled to be opened in Yorkshire in the next three years; what the location is of each; and what car parking provision is planned to be provided at each. (254942)

Responsibility for promoting new stations rests primarily with local authorities and passenger transport executives (PTEs). The Department for Transport has received outline proposals for four new stations in the West Yorkshire PTE area at Apperley Bridge, Kirkstall Forge, Horsforth Woodside and Low Moor and one in the City of York area at Haxby.

West Yorkshire PTE and the City of York council should be able to provide information on proposed opening dates and car parking provision at these stations.

Railway Track

To ask the Secretary of State for Transport what proportion of sets of points are heated in the national rail network. (255011)

This is an operational matter for Network Rail as the owner and operator of the national rail network. My hon. Friend should contact Network Rail’s chief executive at the following address for a response to his question:

Iain Coucher

Chief Executive

Network Rail

Kings Place

90 York Way

London, N1 9AG

Railways

To ask the Secretary of State for Transport how decisions are taken on whether Network Rail or train operating companies are used to deliver major projects. (254928)

The majority of major rail projects are delivered by Network Rail as the company best able to undertake such tasks. It has ownership of the railway infrastructure and can co-ordinate such activities with its responsibility for both maintenance and renewal.

Some smaller scale schemes are delivered by individual train operators, often where these form part of their franchise agreement obligations.

To ask the Secretary of State for Transport what proportion of Railways for All projects have been delivered by (a) Network Rail and (b) train operating companies. (254929)

So far 100 per cent. of the Access for All main schemes to reach completion have been delivered by Network Rail.

Work has started on site for a station being delivered by a train operating company, but progress has been slower than anticipated and the delivery proportions as yet unaffected.

Further opportunities for train operating company led delivery are being explored for projects reaching the design stage.

To ask the Secretary of State for Transport what assessment he has made of the performance of (a) Network Rail and (b) train operating companies in delivering Railways for All projects, including Small Schemes fund projects. (254930)

Assessment of Network Rail’s efficiency is a function of the Office of Rail Regulation, which publishes independent monitoring of current projects. The most recent report, which includes assessment and recommendations for the Access for All programme is available on the Office of Rail Regulations’ website at:

http://www.rail-reg.gov.uk/upload/pdf/conrep-projmon07-Halcrow.pdf

The Department for Transport works closely with Network Rail to monitor delivery of the programme, and is aware that initial progress has been slower than anticipated. Following an internal review in summer 2009, Network Rail put in place a revised contracting and delivery strategy, and delivery is now gaining momentum.

Network Rail are excluded from bidding for Access for All Small Scheme funding, the majority of which has been awarded to Train Operating Companies and local authorities. Of the train operating company schemes, 96 per cent. of 505 station projects were completed in 2006-08, delivering enhancements to over 480 stations. A further 149 stations are due to receive enhancements by train operating companies by 31 March 2009, under the 2008-09 programme, 56 of which are currently complete.

To ask the Secretary of State for Transport what matters were discussed at his recent meeting with the Association of Train Operating Companies and chief executives of the train operating companies; and if he will make a statement. (255982)

I refer the hon. Gentleman to the answer I gave to my hon. Friend the Member for Glasgow, South (Mr. Harris) on 9 February 2009, Official Report, column 1609W.

Railways: Disabled

To ask the Secretary of State for Transport what arrangements are in place to evaluate performance against the undertakings made by those bidding for rail franchises in terms of the disability element of franchise bids. (254931)

The Department for Transport’s evaluation of franchise bids includes an assessment of compliance with the invitation to tender, which reflects the Department’s equality of access policies.

To ask the Secretary of State for Transport what steps he plans to take to ensure that the disability element of rail franchising is scored in accordance with the Government’s disability equality duty. (254932)

The Department for Transport’s evaluation of franchise bids includes an assessment of compliance with the invitation to tender which reflects the Department’s equality of access policies.

Details that bidders are required to submit include:

compliance with their duties under the Disability Discrimination Act applicable to both stations and trains, including trains’ compliance with time scales required in accordance with the Rail Vehicle Accessibility Regulations;

consultation process to identify and address the reasonable needs of disabled passengers concerning existing facilities and planned enhancements;

procedures for the sale of tickets to disabled passengers;

staff training in disability awareness.

To ask the Secretary of State for Transport how local disability organisations are consulted on options for access improvements in major transport projects. (254933)

Major transport project promoters are responsible for deciding how to consult with their local stakeholders, including disability organisations. If they are public bodies they have obligations under the disability equality duty to secure the views of a wide range of disabled people.

Railways: Franchises

To ask the Secretary of State for Transport whether his Department has agreed Transport for London’s Metro Standards for the Southern Franchise; and whether he has had (a) representations from and (b) discussions with bidders for the Southern franchise on deferral of the bidding deadline. (256020)

The Department for Transport worked closely with Transport for London in the development of the South Central franchise. The Government franchise specification has a number of service and staffing enhancements that will deliver significant improvements in the London area.

Alongside this, Transport for. London is funding a number of additional incremental enhancements that will bring the franchise specification nearer to the Metro standard aspired to by Transport for London.

The Department’s discussions with bidders during the bid preparation phase have not included consideration of an extension to this stage of the procurement process, and we have received no representations to this effect.

Rescue Services: Hope Cove

To ask the Secretary of State for Transport if he will take steps to ensure that the Hope Cove lifeboat service is re-instated in time for the Easter weekend. (254918)

The Maritime and Coastguard Agency’s boat at Hope Cove may operate from 1 April 2009 in line with its standing instructions.

Road Traffic

To ask the Secretary of State for Transport if he will bring forward proposals to amend the Traffic Management Act 2004 so that its provisions can be enforced in England on vehicles registered in Scotland; and if he will make a statement. (254925)

We have no plans to amend the Traffic Management Act. Local authorities that follow the procedures set out in paragraph 10.66 of the Department for Transport’s Operational Guidance to local authorities about parking policy and enforcement should have no difficulty in taking enforcement action against vehicles where the address of the registered keeper is in Scotland.

Roads: Freight

To ask the Secretary of State for Transport what research his Department has carried out on charges for foreign haulage vehicles to enter the UK; what estimate he has made of (a) the maximum feasible charge per vehicle and (b) the potential annual revenue to accrue from such charges; and if he will make a statement. (254758)

The Department for Transport undertook a freight data feasibility study last year to identify realistic and legal options to deliver a database to link non-UK HGVs to their hauliers and enable enforcement agencies to better target their resources. This included consideration of a “vignette” scheme, a time-based user charging system.

The study found that less than 11 Euros, on average, could be raised per foreign HGV per day under a vignette—due to the limitations imposed by the EU’s E’urovignette Directive. Such a scheme offered a benefit to cost ratio of between 1.06 and 1.25 including ‘optimism bias’, with potential gross revenues of around £350 million over 10 years from non-UK hauliers.

Roads: Snow and Ice

To ask the Secretary of State for Transport what contingency reserves for salt and grit the Highways Agency has; for how many days of adverse weather conditions he estimates such supplies would last; and what steps he plans to take to ensure that supplies are adequate. (255555)

[holding answer 9 February 2009]: The Highways Agency, for which the Department for Transport is responsible, operates a routine and winter service regime that requires its service providers to maintain sufficient supplies of salt for the treatment of the Strategic Road Network (SRN) for a continuous period of six capability days.

In the present conditions of continuous severe weather, and the provision of mutual aid to local authorities, enabling them to treat local roads and routes onto and off the SRN, the Highways Agency will aim to have salt supplies for at least three capability days.

Supplies for salt are being replenished by the Highways Agency’s service providers suppliers, but the national demand is placing a strain on availability. The Highways Agency is fully engaged with these suppliers to ensure that supplies are being targeted towards areas of the network that have the highest demand and is itself marshalling its existing supplies of the salt, where this is practical, to ensure the continued availability of the network.

To ask the Secretary of State for Transport how much grit the Highways Agency holds; and how many days use this amount represents. (255660)

[holding answer 9 February 2009]: The Highways Agency normally retains supplies of salt that enable treatment of the Strategic Road Network for a continuous period of six capability days.

The volume of this equates to 85,000 cu m.

In the current conditions, the Highways Agency will aim to have supplies for at least three capability days.

Transport

To ask the Secretary of State for Transport when the period served by the Ten Year Plan for Transport will end; what assessment he has made of the merits of drawing up a successor programme; and if he will make a statement. (254699)

The Department’s approach to long-term strategic planning has been set out in the publications “Towards a Sustainable Transport System” and, more recently, “Delivering a Sustainable Transport System” which enhance the direction first set out in the 10-year plan.

House of Commons Commission

Parking: Disabled

To ask the hon. Member for North Devon, representing the House of Commons Commission (1) what provision is made for disabled holders of parliamentary passes to park in (a) Star Chamber Court and (b) Royal Court; (254408)

(2) how many disabled parking spaces there are on the Parliamentary Estate; and how many are reserved for disabled (a) hon. Members and (b) Members of the House of Lords.

There are four car parking spaces in Star Chamber Court which are reserved for the holders of blue disabled parking badges. Five car passes entitling the holder to park in Star Chamber Court have been issued; four of these are to Members. Parking in the House of Lords estate is a matter for that House.

Wales

Departmental Lobbying

To ask the Secretary of State for Wales whether Ministers in his Department received representations from (a) Lord Moonie, (b) Lord Taylor of Blackburn, (c) Lord Snape and (d) Lord Truscott in the last seven months. (255240)

Work and Pensions

Departmental ICT

To ask the Secretary of State for Work and Pensions which ICT projects initiated by his Department were abandoned before completion in each year since 1997; what costs were incurred on each project; who the contractors were; what the date of (a) commencement and (b) abandonment was in each case; and if he will make a statement. (251138)

The Department for Work and Pensions (DWP) was created in June 2001. Prior to that, the provision of detailed project information was the responsibility of different Departments and agencies.

Although the DWP does not have any discrete IT projects, it has a number of projects and programmes that include changes to, or new enabling, IT to a greater or lesser extent.

At present the Department has over 200 change projects, a significant number of which have an IT element which is critical to the success of the project. The number of projects in train at any one time will vary and the duration of the project lifecycle is usually more than one calendar year.

Provision of all information requested can be provided only at a disproportionate cost. We have provided such information as is readily available in the following table. This includes:

those projects that have been formally abandoned before completion, in the last five years where the IT element is such that non-delivery of the IT would have significantly affected the project's ability to deliver the intended outcomes and where the investment in the project exceed £1 million;

the investment costs incurred and the main IT contractors involved, where appointed; and

the financial years in which the project commenced and was abandoned.

Project name

Main IT Contractor

Commencement

Abandonment

Investment expenditure(£ million)

Benefits Processing Replacement Programme1

IBM—Solution Design Services

2004-05

2006-07

143.0

Retirement Planner2

Accenture—Solution Provider; EDS—Solution Operator

2003-04

2005-06

11.2

Document Management

None appointed at time of cancellation

2004-05

2006-07

1.4

1 BPRP: Of the total investment in BPRP, £73 million of the £143 million has been of continuing value to the Department. This is detailed in the Jobcentre Plus 2006-07 annual accounts. Part of the residual investment has been reimbursed to the Department, in work and kind, by the project's main contractor.

2 Retirement Planner: A closure date of 2004-05 was reported in a previous parliamentary question response. Ministerial agreement to suspend the project was finalised in 2005-06.

3 Including future commitments.

The costs of running the solutions implemented by the projects and programmes are not included as in the great majority of cases they are more than compensated for by the financial and non financial benefits they generate.

Any initiatives that are associated with ongoing system improvements or enhancements as part of normal Departmental business are also excluded.

To ask the Secretary of State for Work and Pensions for what proportion of time each of his Department’s 25 critical systems were available in each month in 2008. (254527)

The information is not held in the format requested. The availability of the Department’s IT systems is calculated in a service measurement period (SMP) and not on a monthly basis. This cycle is based on the fiscal year.

The following information supplied shows the availability of the Department’s top 25 IT systems covering the period from 14 January 2008 up to and including 11 January 2009.

Each ‘Top 25’ system has reported 100 per cent. availability each reporting period in 2008 except where detailed as follows.

Application

SMP11 14/01/08 to 10/02/08

SMP12 11/02/08 to 16/03/08

SMP01 17/03/08 to 13/04/08

SMP02 14/04/08 to 11/05/08

SMP03 12/05/08 to 15/06/08

SMP04 16/06/08 to 13/07/08

FRAIMS

100.00

99.77

100.00

100.00

100.00

100.00

Messaging

100.00

100.00

100.00

100.00

100.00

100.00

Local Payment System (LPS)

100.00

99.76

99.97

100.00

99.91

100.00

Programming Accounting System (PACS)

100.00

100.00

100.00

100.00

100.00

100.00

Resource Management (RM)

100.00

100.00

100.00

100.00

99.47

99.02

Customer Management System (CMS)

99.26

99.86

100.00

100.00

100.00

100.00

Incapacity Allowance (INCAP)

100.00

100.00

99.74

100.00

100.00

100.00

Income Support GB (ISCS)

100.00

100.00

100.00

100.00

100.00

100.00

Job Points

100.00

99.19

100.00

100.00

100.00

99.63

Job Seekers Allowance (JSA)

100.00

100.00

100.00

100.00

100.00

100.00

Labour Market System (LMS)

100.00

100.00

100.00

100.00

100.00

100.00

Social Fund (SFCS)

100.00

100.00

100.00

100.00

100.00

100.00

Employer Direct Online (EDON)1

100.00

100.00

100.00

100.00

Housing Benefit Subsidy Data Collection (HBSDC)

100.00

100.00

100.00

100.00

100.00

100.00

Employment Support Application (ESA)2

Customer information Service (CIS)

99.63

99.97

100.00

100.00

100.00

99.58

Pension Forecasting System (PFS)

100.00

99.89

100.00

100.00

100.00

100.00

Pension Services GB (PSCS)

100.00

100.00

100.00

100.00

100.00

100.00

Pension Services NI (PSCS)

100.00

100.00

100.00

100.00

100.00

100.00

Pension Transformation Programme (PTP)

100.00

100.00

100.00

100.00

99.66

100.00

CA

100.00

100.00

100.00

100.00

100.00

100.00

Disability Living Allowance (DLA)/Attendance Allowance (AA)

100.00

100.00

100.00

100.00

100.00

100.00

Child Support (CSCS)

100.00

100.00

100.00

99.79

100.00

100.00

CS2

100.00

99.85

99.90

99.87

99.99

100.00

CSA DMS

100.00

100.00

100.00

100.00

100.00

100.00

Application

SMP05 14/07/08 to 10/08/08

SMP06 11/08/08 to 14/09/08

SMP07 15/09/08 to 12/10/08

SMP08 13/10/08 to 09/11/08

SMP0910/11/08 to 14/12/08

SMP10 15/12/08 to 11/01/09

FRAIMS

100.00

100.00

100.00

100.00

100.00

100.00

Messaging

100.00

100.00

100.00

100.00

100.00

100.00

Local Payment System (LPS)

100.00

99.78

100.00

100.00

100.00

100.00

Programming Accounting System (PACS)

100.00

100.00

100.00

100.00

100.00

100.00

Resource Management (RM)

100.00

98.69

98.07

100.00

99.92

99.82

Customer Management System (CMS)

100.00

100.00

100.00

100.00

100.00

100.00

Incapacity Allowance (INCAP)

100.00

100.00

100.00

100.00

100.00

100.00

Income Support GB (ISCS)

100.00

100.00

100.00

100.00

100.00

100.00

Job Points