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Aggregates Levy

Mr. Weir: To ask the Chancellor of the Exchequer, pursuant to his answer of 8 January 2002, Official Report, column 805W, question 25025, on the aggregates levy, if he will specify the environmental benefits the imposition of the aggregates levy in Scotland will deliver. [27475]

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Mr. Boateng: The aggregates levy will bring about environmental benefits by making the price of aggregates better reflect the environmental costs of their extraction (noise, dust, visual intrusion, loss of amenity and damage to biodiversity) and by encouraging the more efficient use of aggregate and the greater use of alternative recycled materials.


Tilt Report

Mr. Heald: To ask the Secretary of State for Health how many patients have moved out of hospitals as a result of the implementation of the Tilt report. [22089]

Jacqui Smith [holding answer 13 December 2001]: Additional funding is being made available, as recommended in the Tilt report, to facilitate the movement, by 2004, of patients no longer needing high security care. The funding is being made available to aid the development of new services to help reduce delays in moving patients. A target for the number of patients to be moved, and the associated funding, has recently been agreed with each region.

IT Systems

Mr. Burstow: To ask the Secretary of State for Health what estimate he has made of the use of the international ICD coding standard for recording clinical details for all patient activity in other countries. [10262]

Ms Blears: There are approximately 41 countries that have planned or actually implemented the latest version of ICD which is ICD-10 for the coding of national mortality and morbidity statistics including the United States of America, Australia, Canada, France, Germany, Italy and Japan.

Mental Health

Mr. Heald: To ask the Secretary of State for Health how many episodes of clinical psychology treatment occurred in (a) 1996–97 and (b) 1999–2000. [14109]

Jacqui Smith [holding answer 12 November 2001]: During the period from 1996–97 to 1999–2000 the number of new episodes of care fell by nearly 5 per cent. from 197,000 to 188,000. However, the average duration of each episode rose. All information relating to new episodes of care for clinical psychology services for each year since 1988–89, including an explanation of the data, is contained in the statistical report "Clinical psychology summary information for 2000–01, England". A copy of the summary is in the Library and is available on the Department's website

London Ambulance Service

Mr. Burns: To ask the Secretary of State for Health (1) how many calls the London ambulance service received during the most recent 12 months for which figures are available; [24690]

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Ms Blears [holding answer 8 January 2002]: Information about the number of emergency calls and the number resulting in an emergency response arriving at the scene of the reported incident for the London ambulance national health service trust are contained in the Department of Health Statistical Bulletin "Ambulance Services, England 2000/01". The bulletin also contains information about the response times to emergency calls. A copy of the bulletin is in the Library and available at

Information on the number of hoax calls made to the London Ambulance Service (LAS) is not collected centrally. However, the LAS classify a hoax call as one where, on arrival of an ambulance crew or first responder, there is no patient to be found at the scene. The LAS recorded 391 such calls between the beginning of January and the end of November 2001. This figure represents less than 0.5 per cent. of the total workload for that period.

The LAS recognise that the majority of patients who dial 999 require some form of medical help or other assistance but also believe that, for many, their illness and injuries do not require an emergency ambulance to attend them. It is, however, extremely difficult to set a strict definition as to what constitutes an inappropriate call.

The LAS launched on 17 December 2001 a public education campaign to reduce the more blatant inappropriate use of the service by patients who could make their own way to an accident and emergency department or, in some cases, do not require hospital treatment at all. The campaign also highlights the fact that people should not phone the LAS for advice and so clog up the 999 call-taking system, but should instead be phoning NHS Direct or seeking advice from their GP.

Community Pharmacists

Mr. Burns: To ask the Secretary of State for Health (1) what was the value of the fee paid to community pharmacists in December 1997; [24722]

Ms Blears [holding answer 8 January 2002]: Community pharmacies in England are paid a variety of fees and allowances, but the basic dispensing fee paid for

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the large majority of prescriptions is currently 87.4p. Comparable fee levels for prescriptions dispensed in December 1997, 1998, 1999 and 2000 are shown in the table.


DecemberBasic dispensing fee

Mr. Burns: To ask the Secretary of State for Health how much community pharmacy contractors are receiving in dispensing fees; and what the equivalent figure was in May 1997. [24721]

Ms Blears [holding answer 8 January 2002]: For September 2001 (the latest month for which figures are available) total remuneration paid to pharmacy contractors in England was £58.8 million. The equivalent figure for May 1997 was £52.9 million.


Mr. Burns: To ask the Secretary of State for Health how many people in England and Wales failed to get all or part of their prescriptions dispensed between 1 December 2000 and 1 December 2001. [24714]

Ms Blears [holding answer 8 January 2002]: The information requested is not available for England. Responsibility for the national health service in Wales lies with the National Assembly for Wales.

Orthodontist Services

Mr. Burns: To ask the Secretary of State for Health how many orthodontists there were in England (a) at the latest available date and (b) in March 1997, broken down by each health authority area. [24712]

Ms Blears [holding answer 8 January 2002]: The information requested is shown in the table.

Hospital dental consultants within the orthodontics specialty by health authority(35)—as at 30 September 2000

Avon HA1010
Barking and Havering HA00
Barnet HA0
Barnsley HA
Bedfordshire HA00
Berkshire HA00
Bexley and Greenwich HA0
Birmingham HA1010
Bradford HA00
Brent and Harrow HA0
Bromley HA0
Buckinghamshire HA00
Bury and Rochdale HA
Calderdale and Kirklees HA00
Cambridge HA00
Camden and Islington HA1010
Cornwall and Isles of Scilly HA00
County Durham HA
Coventry HA0
Croydon HA00
Doncaster HA00
Dorset HA00
Dudley HA00
Ealing, Hammersmith and Hounslow HA00
East and North Hertfordshire HA0
East Kent HA00
East Lancashire HA00
East London and The City HA00
East Riding HA00
East Sussex, Brighton and Hove HA00
Enfield and Haringey HA0
Gateshead and South Tyneside HA
Gloucestershire HA
Herefordshire HA0
Hillingdon HA0
Isle of White HA
Kingston and Richmond HA00
Lambeth, Southwark and Lewisham HA1020
Leeds HA100
Leicestershire HA00
Lincolnshire HA00
Liverpool HA00
Manchester HA00
Merton, Sutton and Wandsworth HA00
Morecambe Bay HA0
Newcastle and North Tyneside HA0
Norfolk HA00
North and East Devon HA0
North and Mid Hampshire HA00
North Cheshire HA00
North Cumbria HA00
North Derbyshire HA00
North Essex HA00
North Nottinghamshire HA
North Staffordshire HA00
North West Lancashire HA0
North Yorkshire HA00
Northamptonshire HA00
Nottingham HA00
Oxfordshire HA00
Portsmouth and South East Hampshire HA00
Redbridge and Waltham Forest HA00
Rotherham HA00
Salford and Trafford HA00
Sefton HA00
Sheffield HA00
Shropshire HA00
Somerset HA00
South and West Devon HA00
South Cheshire HA00
South Derbyshire HA00
South Essex HA00
South Humber HA00
South Lancashire HA0
South Staffordshire HA00
Southampton and South West Hampshire HA00
St. Helens and Knowsley HA00
Stockport HA00
Suffolk HA00
Sunderland HA00
Tees HA00
Wakefield HA00
Walsall HA00
Warwickshire HA00
West Hertfordshire HA00
West Kent HA00
West Pennine HA0
West Surrey HA00
West Sussex HA00
Wigan and Bolton HA00
Wiltshire HA00
Wirral HA00
Wolverhampton HA00
Worcestershire HA00

(35) Where HAs are shown, staff holding appointments in more than one HA are included in each HA. The sum of HA totals therefore differs slightly from the England total and a direct comparison between England totals and HA totals is not advised.


1. Figures are rounded to the nearest 10.

2. '—' denotes zero.

3. '0' denotes less than five.


Department of Health 2000 medical and dental work force census.

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The information relates to hospital-based consultants within orthodontics.

Data showing the number of principal dentists within the General Dental Service, who have submitted one hundred or more orthodontic claims in a year are in the following table.

General Dental Service: Total number of orthodontists(36)—England

Health authority1996–972000–01
Barking and Havering68
Bexley and Greenwich88
Brent and Harrow105
Bury and Rochdale813
Calderdale and Kirklees78
Cambridge and Huntingdon(37)9
Camden and Islington47
Cornwall and Isles of Scilly49
County Durham33
Ealing, Hammersmith and Hounslow813
East and North Hertfordshire1015
East Kent912
East Lancashire812
East London and The City613
East Norfolk(37)16
East Riding614
East Surrey1314
East Sussex, Brighton and Hove129
Enfield and Haringey910
Gateshead and South Tyneside31
Isle of Wight32
Kensington and Chelsea and Westminster18
Kingston and Richmond88
Lambeth, Southwark and Lewisham47
Merton, Sutton and Wandsworth811
Morecambe Bay33
Newcastle and North Tyneside45
North and East Devon912
North and Mid Hampshire77
North Cheshire34
North Cumbria32
North Derbyshire915
North Essex2125
North Nottinghamshire811
North Staffordshire107
North West Anglia(37)3
North West Lancashire118
North Yorkshire1717
Portsmouth and SE Hampshire74
Redbridge and Waltham Forest910
Salford and Trafford1214
South and West Devon910
South Cheshire1616
South Derbyshire713
South Essex1012
South Humber35
South Lancashire68
South Staffordshire56
Southampton and SW Hampshire78
St. Helens and Knowsley24
West Hertfordshire915
West Kent1219
West Pennine1110
West Surrey1315
West Sussex2026
Wigan and Bolton1618

(36) An orthodontist is defined as a principal dentist who submitted 100 or more orthodontic claims in a year.

(37) In April 1999 Cambridge and Huntingdon, East Norfolk and North West Anglia HAs combined to form two HAs; Cambridge HA and Norfolk HA.

(38) Dentists are counted for each health authority in which they practice.

(39) Dentists are counted only once.

Dentists carrying out orthodontic treatment in the General Dental Service may also be carrying out orthodontic treatment for the Hospital Dental Service; therefore some dentists may have been included in both tables.

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