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Mr. Reed: To ask the Secretary of State for Health what progress has been made on the new Loughborough general hospital; and if he will make a statement. 
Jacqui Smith: The full business case (FBC) for the development of Loughborough Hospital was approved by national health service Trent Regional Office in November 1999. Since that time, Leicestershire and Rutland Healthcare NHS Trust has continued to develop the design and costing of the scheme.
Outstanding planning issues have been resolved and construction work started on this £9.4 million, publicly funded scheme earlier this year. The project is on time and within budget with an expected completion date on site of 22 November 2002. It is due to come into use at the end of December 2002.
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Mr. Swire: To ask the Secretary of State for Health (1) how many operations have been cancelled in Devon, in each quarter in (a) 2000 and (b) 2001, as a result of hospital beds being occupied by (i) delayed discharge patients who were awaiting social services funding or assessment and (ii) delayed discharge patients who had fully funded social services packages arranged; 
Ms Blears: Information is not collected centrally in the requested format. The available information on delayed discharges in north and east Devon health authority has been placed in the Library.
Mr. Swire: To ask the Secretary of State for Health what percentage of children aged (a) one to two, (b) two to three and (c) three to four years have been given MMR inoculations in Devon in the last five years. 
Ms Blears: The information available about children immunised against measles, mumps and rubella is contained in the Statistical Bulletin "NHS Immunisation Statistics, England: 200001". A copy of the bulletin is in the Library and can also be found on the Department of Health website www.doh.gov.uk/public/sb0121.htm.
Mr. Swire: To ask the Secretary of State for Health how many nursing and residential care (a) homes and (b) beds have closed in Devon in each year since 1997. 
Ms Blears: The number of residential and nursing care establishment closures in 1999 and 2000, together with the number of new registrations, are shown in the table. Information is not available centrally on the number of beds associated with closures or new registrations.
|Year ending 31 March|
|Number of establishment closures|
|Number of new registrations|
(38) Information for 1999 is presented for Devon county council only as information for Plymouth and Torbay unitary authorities is not available. Information for 2000 is presented for Devon county council and Plymouth and Torbay unitary authorities. Therefore the figures are not strictly comparable.
(39) Information presented for south and west Devon and north and east Devon health authorities.
Registration and Inspection Survey
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Mr. Vaz: To ask the Secretary of State for Health how many people have died while on trolleys in the Leicestershire health authority while awaiting admission in the last 12 months for which figures are available. 
Jacqui Smith: There are no recorded instances of patients dying on trolleys in the Leicestershire health authority area while awaiting admission in accident and emergency, with the exception of Brenda Jones, who died in Leicester Royal infirmary on 20 November.
After being assessed and waiting on a trolley for several hours, Mrs. Jones was being seen by a doctor in Leicester Royal infirmary accident and emergency department when she collapsed. She was taken to a resuscitation room, where sadly she died. A post mortem has revealed that she died of a pulmonary embolus. The trust's initial investigations suggest this could not have been foreseen from her presenting condition. Nevertheless, a full investigation is being carried out and University Hospitals of Leicester NHS trust has already revisited and strengthened its procedures and has apologised to Mrs. Jones' husband.
Mr. Vaz: To ask the Secretary of State for Health if he will make a statement on the death of Mrs. Brenda Jones. 
Jacqui Smith: The University Hospitals of Leicester national health service trust is carrying out an urgent investigation into the circumstances surrounding Mrs. Jones' death in the accident and emergency department at Leicester Royal infirmary (LRI) after a considerable time spent waiting on a trolley. Initial investigations indicate that Mrs. Jones' treatment in accident and emergency was appropriate to her presenting condition. A post mortem revealed that she died of a pulmonary embolus and it is believed that this could not have been foreseen. Nevertheless, procedures have been revisited and strengthened and the trust has apologised to her husband.
Following visits to Leicester Royal infirmary by the National Patients Access Team and the Winter and Emergency Services Team (WEST), a remedial action plan has been put in place, to address the problems of long waiting in accident and emergency at the LRI. The regional office continues to work closely with the trust and WEST to help Leicester to meet the new national target, which states that by the end of March 2002 no one should have to wait more than four hours in accident and emergency before admission.
We are determined to tackle the problem of long trolley waits in some parts of the country. The University Hospitals of Leicester NHS trust has received £3.7 million to modernise its accident and emergency department, as part of our £115 million accident and emergency modernisation programme. A further £366,011 was announced last week for extra emergency care nurses at the trust between now and 2003.
Mr. Vaz: To ask the Secretary of State for Health what is the annual budget of the University Hospitals of Leicester trust for the latest financial year. 
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Jacqui Smith: The latest published figures for the University Hospitals of Leicester national health service trust are for the financial year 200001. The total income (or turnover) for this period was £346.83 million.
Mr. Vaz: To ask the Secretary of State for Health how many consultants there are in the University Hospitals of Leicester. 
Jacqui Smith: The number of hospital, public health medicine and community health services medical and dental consultants within the University Hospitals of Leicester national health service trust is 360.
Mr. Allen: To ask the Secretary of State for Health (1) what steps he is taking to ensure that the stroke standard published within the National Service Framework for Older People is implemented across different health and social care settings; 
Jacqui Smith: The stroke standard in the National Service Framework for Older People (NSF) provides a detailed service model and specific milestones for the local development of specialised stroke services throughout England. The achievement of milestones will be monitored and will ensure improvements in access to, and delivery of stroke care and as a consequence help to reduce variation in death rate across England. The NSF milestones are:
By April 2003 every hospital which cares for older people with stroke will have established clinical audit systems to ensure delivery of the Royal College of Physicians clinical guidelines for stroke care.
By April 2004 primary care groups/trusts will have ensured that:
every general practice, using protocols agreed with local specialist services, can identify and treat patients identified as being at risk of a stroke because of high blood pressure, atrial fibrillation or other risk factors
every general practice is using a protocol agreed with local specialist services for the rapid referral and management of those with transient ischaemic attack
every general practice can identify people who have had a stroke and are treating them according to protocols agreed with local specialist services
every general practice has established clinical audit systems for stroke.
By April 2004, 100 per cent. of all general hospitals which care for people with stroke to have a specialised stroke service as described in the stroke service model.
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