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Hospital Sites Development

Mr. Cox: To ask the Secretary of State for Health if it is his policy to seek to encourage private developers who have purchased former hospital sites and land to provide low-cost housing in developments that they may undertake. [160272]

Mr. Denham: My right hon. Friend the Secretary of State for the Environment, Transport and the Regions is responsible for setting the national policy guidance in respect of the provision of low-cost housing. Local authorities include policies in their development plans that reflect this guidance. It is for them to ensure that their policies are adhered to when considering proposals for redevelopment of former hospitals.

Local Social Services

Mr. Cox: To ask the Secretary of State for Health what recent discussions he has had with each of the London borough councils on the growth in their spending on the provision of local social services for the present financial year. [160269]

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Mr. Hutton: Ministerial colleagues and I meet frequently with representatives of local councils, including London authorities to discuss growth, which will increase by 10.7 per cent. in real terms from 2000-01 to 2003-04.

Day Centres (Shropshire)

Mr. Paul Marsden: To ask the Secretary of State for Health if he will make a statement on day centre provision for people with learning disabilities in Shropshire. [160376]

Mr. Hutton: Shropshire has 12 day centres for people with learning disabilities. These provide a range of opportunities including employment, leisure, therapeutic help and access to education. Some of the centres provide extra support or activities for people who have severe disabilities.

Most of these centres are small, but the two centres based in Shrewsbury are large centres each catering for between 70 to 90 people. As part of a three-year county-wide improvement plan, social services have increased the learning disability budget by 18 per cent. to modernise the service and to provide users in Shrewsbury with small local provision, which will be consistent with the type of provision available in the rest of the county.

A Joint Investment Plan for Learning Disability in Shropshire has been submitted for formal evaluation to the Department. This, together with the action plan drawn up in response to the recent Joint Review report, gives details of an overall strategy to improve and integrate health and social services provision and make it more responsive to service users needs.

Learning Disabilities (Shropshire)

Mr. Paul Marsden: To ask the Secretary of State for Health how many people with learning disabilities have been supported for each year since 1992 by Shropshire county council's social services; and if he will make a statement. [160363]

Mr. Hutton: Numbers of residents with learning disabilities supported by Shropshire social services for each year since 1992 are given in the table.

YearResidentsResidential careNursing care


DH forms RA6 and SR1

Telford and Wrekin became a unitary authority in 1998. The data for the new unitary have been added to those for Shropshire for 1999 and 2000 for proper comparison with the earlier years.

These figures include people resettled from hospital and funded by the health authority. These represent 66 out of 234 people for 2000.

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The council also supports 481 people with a learning disability, at home. This figure is taken from the Personal Social Services Personal Indicator's for 1999-2000. Shropshire was placed at band 5 for this indicator, reflecting very good performance in this area. Shropshire was one of the first local authorities to complete the resettlement of people with learning disabilities from long stay hospitals.

Medical Specialities

Mr. Todd: To ask the Secretary of State for Health what guidance he has given to health authorities on their allocation of resources to individual medical specialties. [160263]

Mr. Denham: To enable health authorities to manage flexibly the totality of resources available to them, there is limited earmarking of funds within allocations. For 2001-02 the national health service plan implementation programme identified the following sums included in allocations with an intention that they be spent on the purpose for which they were allocated:

Priority£ million
Cancer and coronary heart disease450
Waiting times and access423
Intermediate care and community equipment188
Information management and technology113

These sums reflect national estimates of investment needed to deliver targets and milestones in implementing the NHS plan. They are intended as a guide for local health communities in ensuring that their own plans will meet these targets and milestones.

A copy of the NHS plan implementation programme will be placed in the Library.

Medicines Control Agency

Mr. Ian Stewart: To ask the Secretary of State for Health if he will publish the high-level targets for the Medicines Control Agency for 2001-02. [160938]

Yvette Cooper: The high-level targets for the Medicines Control Agency are included in its annual business plan, copies of which have been placed in the Library today.

Human Fertilisation and Embryology Authority

Mr. Ian Stewart: To ask the Secretary of State for Health if he has approved the Human Fertilisation and Embryology Authority's fifth code of practice. [160939]

Yvette Cooper: The Human Fertilisation and Embryology Authority's revised code of practice has been approved and was laid before the House today. Copies of the code have been placed in the Library.

Mr. Ian Stewart: To ask the Secretary of State for Health if he has approved the publication of the second quinquennial review of the Human Fertilisation and Embryology Authority. [160940]

Yvette Cooper: The report of the second quinquennial review of the Human Fertilisation and Embryology Authority has been approved and copies have been placed in the Library today. This was a thorough review of the

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authority and its work which included wide consultation with the public, service users and providers. The report acknowledges the value of the authority's role in this highly sensitive area.

The report makes important recommendations. Work on introducing improved quality assurance systems is in hand and we are working with the authority to agree an implementation plan for the other recommendations.


Mrs. Brinton: To ask the Secretary of State for Health what action he is taking to address the incidence of stroke in ethnic minority groups, to identify and raise awareness among those at greatest risk and to provide accessible, culturally sensitive and appropriate prevention information. [160539]

Yvette Cooper: The Department is taking action to address the incidence of stroke in minority ethnic groups through the National Service Frameworks (NSFs) for coronary heart disease and older people.

Given the higher prevalence of stroke in some minority ethnic communities, the NSFs recognise the need to ensure that integrated stroke services and stroke prevention advice should take into account the need for advocacy support, especially for those patients and carers for whom English is not their first language.

The Department is currently funding the Stroke Association to produce information packs on high blood pressure, effects of diet, risks from smoking and alcohol and the importance of exercise. The packs will specifically target Afro-Caribbean people and will be publicised and distributed through local community, church and health groups by the end of 2001.

As part of the Department's tobacco education campaign, a dedicated campaign focused on ethnic minority populations is being developed. The campaign will start in summer of this year and will be supported by a specialist Asian language helpline.

Mrs. Brinton: To ask the Secretary of State for Health what progress has been made towards the target set in "Saving Lives: Our Healthier Nation" of reducing stroke in those under 75 years. [160537]

Yvette Cooper: The target set in the White Paper "Saving Lives: Our Healthier Nation" was not solely for stroke, but was for all circulatory diseases combined:

The table shows directly standardised mortality rates in England (based on three-year rolling averages) from stroke, CHD and for all circulatory diseases (the target group), among people aged under 75.

9 May 2001 : Column: 207W

StrokeCHDAll circulatory diseases
1996 (1995-97)24.588.9139.6
1997 (1996-98)23.884.3133.8
1998 (1997-99)22.879.2127.0
Percentage change 1996-98-6.6-11.0-9.0


Office for National Statistics

Mrs. Brinton: To ask the Secretary of State for Health what guidance he will be issuing on the development of stroke registers to identify those at greater risk of stroke; and when that guidance can be expected. [160538]

Yvette Cooper: Advice on constructing and populating stroke registers will be contained in the Information Strategy for Older People which will be published shortly.

The National Service Framework for Older People requires that individuals at particular risk of stroke should be identified and offered advice and support to make lifestyle changes. General Practitioner practices should build on registers being developed for the prevention of coronary heart disease as described in the Coronary Heart Disease National Service Framework (Standards 3 and 4) and put in place models of care. The milestone for the registers is April 2004.

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