---

Neurological Conditions

Mr. Todd: To ask the Secretary of State for Health what progress has been made with preparing the National Service Framework for neurological conditions; and if he will make a statement. [29110]

Jacqui Smith: Good progress has been made on preparatory work for the National Service Framework (NSF). The Department has held a number of meetings with a range of voluntary and professional groups, patients and users to hear their views and received many

28 Jan 2002 : Column 144W

written submissions. A scoping event was held on 12 November at which some of the key generic issues the NSF should address were identified.

Pulmonary Illnesses

Mr. Lidington: To ask the Secretary of State for Health (1) how many pulmonary rehabilitation centres there are in England and Wales; [29355]

(2) what his policy is on the provision of pulmonary rehabilitation centres within the NHS. [29358]

Jacqui Smith: Information on local service configuration in England, such as the number of pulmonary rehabilitation services, is not collected centrally. We are aware that provision of pulmonary rehabilitation is a service increasingly offered by local departments of respiratory medicine.

It is a decision for health authorities, in partnership with primary care groups/trusts and other local stakeholders, to assess the health needs of their populations, including those needing pulmonary rehabilitation, and to commission services to meet those needs.

Mr. Lidington: To ask the Secretary of State for Health what his policy is on the training of specialist respiratory nurses and physiotherapists. [29353]

Mr. Hutton: Maintaining and extending the skills, potential and careers of national health service staff taking into account service developments and patient need in health and social care is a fundamental part of the NHS Plan and the Framework for Lifelong Learning for the NHS, "Working Together—Learning Together". Copies of these are available in the House of Commons Library.

Training in many specialist areas takes place after registration and there are courses available for respiratory training for both qualified nurses and physiotherapists. Decisions on post-registration training are taken by individual practitioners and local NHS organisations in the light of local needs, and these will be better informed by National Service Framework and NHS Plan priorities.

Statistics

Mr. Cousins: To ask the Secretary of State for Health what steps he is taking to allow continuous statistical comparisons to be made between (a) existing health authorities, (b) new primary care trusts and (c) strategic health authorities. [29709]

Mr. Hutton: Information needs—including the continuity of data—in the light of the current reorganisation are currently being considered. Routine statistics published at the level of individual national health service bodies will reflect the new organisational structures, but mapping to older units will be available where practicable and on request.

From later this year primary care trusts will be taking on the majority of functions of existing health authorities and will be the focal point locally for improving the health of the community, securing high quality services and integrating health and social care locally. Data at this level will therefore be the main priority.

28 Jan 2002 : Column 145W

Cancer

Mr. Cousins: To ask the Secretary of State for Health what the age standardised mortality rates for all cancers

28 Jan 2002 : Column 146W

for men and women in each health authority in England were in each year since 1995. [29708]

Yvette Cooper: The information requested is shown in the table.

Trends in mortality from all malignant neoplasms (ICD9 140–208): Indirectly standardised ratios (SMR)—1989 to 1999 annually, all ages⁽⁴¹⁾

			Males
			1989	1990	1991	1992	1993	1994	1995	1996	1997	1998	1999
O00	England	SMR	105	105	104	103	100	98	96	95	92	91	88
QDD	Bradford	SMR	107	107	117	112	98	102	100	87	95	101	93
QDE	County Durham	SMR	116	121	112	113	117	111	107	113	110	105	103
QDF	East Riding	SMR	116	118	106	101	105	108	101	106	95	100	98
QDG	Gateshead and South Tyneside	SMR	149	137	132	131	131	126	123	129	112	119	111
QDH	Leeds	SMR	115	112	106	102	104	101	96	101	94	93	102
QDJ	Newcastle and North Tyneside	SMR	129	131	130	127	128	121	113	122	109	116	112
QDK	North Cumbria	SMR	113	109	106	104	99	105	101	108	85	95	87
QDM	Northumberland	SMR	106	102	101	109	103	98	104	106	105	104	94
QDN	Sunderland	SMR	132	129	132	129	116	124	114	119	110	120	106
QDP	Tees	SMR	126	138	118	128	124	125	122	111	116	114	104
QDQ	Wakefield	SMR	115	110	118	114	107	109	107	105	100	100	90
QDR	North Yorkshire	SMR	94	96	92	92	94	89	85	82	84	81	78
QDT	Calderdale and Kirklees	SMR	108	103	110	107	101	96	94	94	95	98	92
QCG	Barnsley	SMR	110	112	111	115	114	109	106	106	96	104	99
QCH	North Derbyshire	SMR	103	103	105	106	106	102	105	96	86	90	87
QCJ	South Derbyshire	SMR	110	99	109	103	100	98	91	90	95	91	86
QCK	Doncaster	SMR	102	114	103	109	119	102	113	111	103	99	101
QCL	Leicestershire	SMR	104	97	93	90	90	88	83	86	82	80	81
QCM	Lincolnshire	SMR	102	100	99	97	100	93	91	94	85	88	85
QCN	North Nottinghamshire	SMR	109	109	102	111	108	98	102	97	96	102	92
QCP	Nottingham	SMR	111	99	101	102	107	102	99	97	100	94	92
QCQ	Rotherham	SMR	126	102	116	114	100	112	106	90	99	95	103
QCR	Sheffield	SMR	117	113	113	115	116	107	103	105	110	101	94
QDL	South Humber	SMR	106	117	120	104	91	99	112	103	104	102	100
QD9	Birmingham	SMR	113	117	112	111	109	106	100	98	95	99	92
QEA	Coventry	SMR	117	117	109	111	94	96	95	93	88	91	94
QEC	Dudley	SMR	108	112	107	105	107	104	102	90	93	100	94
QED	Herefordshire	SMR	113	88	96	97	97	85	88	83	92	78	79
QEE	Sandwell	SMR	124	119	118	129	110	117	110	110	106	116	104
QEF	Shropshire	SMR	93	106	97	101	102	93	94	98	89	94	87
QEG	Solihull	SMR	106	100	98	94	96	89	95	80	87	93	74
QEH	North Staffordshire	SMR	113	120	124	114	109	111	108	114	104	101	97
QEJ	South Staffordshire	SMR	110	109	106	104	102	96	100	96	90	94	83
QEK	Walsall	SMR	118	118	115	107	109	105	109	94	100	97	104
QEL	Warwickshire	SMR	97	97	100	101	99	94	97	91	88	84	85
QEM	Wolverhampton	SMR	111	105	114	114	120	117	96	99	103	104	100
QEN	Worcestershire	SMR	90	95	101	96	87	91	89	88	87	85	77
QC1	South Lancashire	SMR	101	97	108	99	100	88	98	95	97	79	93
QC2	Liverpool	SMR	132	129	135	133	132	130	126	134	124	113	117
QC3	Manchester	SMR	142	129	136	129	123	130	122	117	122	125	115
QC4	Morecambe Bay	SMR	118	103	102	110	103	93	95	94	92	84	87
QC5	St. Helens and Knowsley	SMR	126	124	125	118	119	122	125	117	115	111	109
QC6	Salford and Trafford	SMR	119	123	122	122	113	115	104	113	107	102	99
QC7	Sefton	SMR	119	106	120	108	118	110	111	103	98	95	98
QC8	Stockport	SMR	121	105	107	113	103	89	92	94	90	92	87
QC9	West Pennine	SMR	119	123	119	114	108	118	111	110	108	109	97
QCT	Bury and Rochdale	SMR	111	106	116	108	107	100	108	97	96	101	102
QCV	North Cheshire	SMR	115	116	124	114	113	112	107	115	106	110	101
QCW	South Cheshire	SMR	102	106	101	100	99	93	93	93	89	91	84
QCX	East Lancashire	SMR	106	101	110	108	106	99	98	97	101	99	96
QCY	North West Lancashire	SMR	100	106	98	101	104	102	102	94	90	93	95
QDA	Wigan and Bolton	SMR	111	115	115	104	103	104	105	100	97	98	104
QDC	Wirral	SMR	109	122	118	120	102	102	115	104	95	100	98
QA6	Bedfordshire	SMR	101	101	95	99	93	95	89	92	90	82	86
QAX	North Essex	SMR	90	103	93	90	95	95	90	89	82	86	83
QAY	South Essex	SMR	101	101	100	111	101	96	99	97	91	90	90
QCF	Suffolk	SMR	100	91	97	92	88	90	87	87	83	78	78
QEP	East and North Hertfordshire	SMR	96	99	97	99	97	88	87	82	86	88	83
QEQ	West Hertfordshire	SMR	96	106	93	88	92	90	78	85	84	78	80
QER	Cambridgeshire	SMR	101	95	94	92	92	92	83	88	83	83	73
QET	Norfolk	SMR	95	98	90	95	88	88	90	89	80	83	82
QA2	Hillingdon	SMR	105	106	110	106	95	90	88	90	89	85	83
QA3	Kensington, Chelsea and Westminister	SMR	103	102	105	102	98	93	93	86	77	81	65
QA4	Enfield and Haringey	SMR	106	106	101	97	94	95	90	92	87	85	88
QA5	Redbridge and Waltham Forest	SMR	101	100	93	100	85	96	93	85	87	93	82
QAA	Bexley and Greenwich	SMR	106	113	105	111	102	102	99	101	103	99	93
QAC	Bromley	SMR	99	99	95	104	91	91	98	91	79	84	82
QAD	Croydon	SMR	94	89	99	91	89	88	96	89	84	91	90
QAG	Kingston and Richmond	SMR	87	93	89	95	87	94	97	87	88	82	72
QAH	Lambeth, Southwark and Lewisham	SMR	119	118	117	118	111	112	106	104	100	98	96
QAJ	Merton, Sutton and Wandsworth	SMR	110	110	110	103	109	95	95	92	96	96	88
QAP	Barking and Havering	SMR	119	106	120	118	109	107	104	104	101	103	99
QAQ	Barnet	SMR	91	90	97	82	83	90	76	80	71	80	67
QAR	Brent and Harrow	SMR	91	91	97	90	87	84	84	79	84	81	74
QAT	Camden and Islington	SMR	113	119	122	120	111	102	94	99	87	93	92
QAV	Ealing, Hammersmith and Hounslow	SMR	105	104	104	100	92	93	90	97	81	92	79
QAW	East London and the City	SMR	123	122	129	127	118	114	112	103	105	104	101
QA7	Berkshire	SMR	103	95	97	95	93	92	88	90	84	83	80
QA8	Buckinghamshire	SMR	105	96	101	101	91	92	85	85	76	83	87
QAE	East Kent	SMR	104	100	99	106	102	101	99	100	100	92	85
QAF	West Kent	SMR	99	104	106	100	97	101	101	95	88	90	89
QAK	East Surrey	SMR	95	83	85	88	94	89	83	82	80	84	76
QAL	West Surrey	SMR	97	98	94	97	86	90	86	85	84	79	77
QAM	East Sussex, Brighton and Hove	SMR	91	97	98	99	94	88	92	87	87	83	82
QAN	West Sussex	SMR	94	95	93	94	91	88	90	86	80	82	83
QCC	Northamptonshire	SMR	108	104	108	97	98	96	103	95	95	93	89
QCE	Oxfordshire	SMR	91	91	94	96	95	86	87	84	80	83	82
QD1	North and Mid Hampshire	SMR	92	92	99	97	93	93	86	85	87	85	74
QD2	Portsmouth and South East Hampshire	SMR	109	111	102	101	92	102	95	93	95	94	86
QD3	Southampton and South West Hampshire	SMR	107	100	105	101	90	94	96	92	83	87	83
QD4	Isle of Wight	SMR	101	99	102	105	100	90	86	88	81	94	75
QD5	Somerset	SMR	87	93	88	92	85	93	89	90	87	83	82
QD6	South and West Devon	SMR	99	100	93	99	96	98	87	90	92	88	91
QD7	Wiltshire	SMR	98	98	96	98	95	88	87	82	82	80	80
QD8	Avon	SMR	99	96	100	94	89	90	90	87	88	86	81
QDV	Cornwall and Isles of Scilly	SMR	90	94	92	94	96	95	91	90	84	81	86
QDW	Dorset	SMR	86	89	94	91	86	83	91	84	87	82	79
QDX	North and East Devon	SMR	92	89	96	97	83	83	86	84	80	85	82
QDY	Gloucestershire	SMR	100	93	83	99	87	87	91	85	82	82	83

28 Jan 2002 : Column 147W

			Females
			1989	1990	1991	1992	1993	1994	1995	1996	1997	1998	1999
O00	England	SMR	105	103	103	103	100	99	98	98	96	95	94
QDD	Bradford	SMR	108	111	109	101	97	105	101	99	92	102	96
QDE	County Durham	SMR	113	112	115	105	107	105	105	116	98	105	100
QDF	East Riding	SMR	113	104	108	105	104	103	104	105	98	107	93
QDG	Gateshead and South Tyneside	SMR	119	109	109	116	124	114	109	110	120	114	114
QDH	Leeds	SMR	111	106	107	105	102	105	107	95	97	100	99
QDJ	Newcastle and North Tyneside	SMR	128	114	126	118	120	116	120	113	124	105	102
QDK	North Cumbria	SMR	114	109	112	102	100	96	91	101	100	103	98
QDM	Northumberland	SMR	111	103	106	101	102	99	104	114	92	103	101
QDN	Sunderland	SMR	116	127	119	118	123	112	114	105	105	123	110
QDP	Tees	SMR	120	117	119	121	118	111	110	110	108	108	103
QDQ	Wakefield	SMR	107	119	120	113	99	108	107	101	106	100	107
QDR	North Yorkshire	SMR	101	96	95	91	92	90	89	97	87	86	91
QDT	Calderdale and Kirklees	SMR	107	103	99	99	102	100	99	99	90	93	92
QCG	Barnsley	SMR	104	101	108	103	104	118	109	108	93	119	104
QCH	North Derbyshire	SMR	98	104	108	109	102	102	101	108	97	99	88
QCJ	South Derbyshire	SMR	100	103	109	106	97	100	99	93	91	88	90
QCK	Doncaster	SMR	120	112	110	110	114	102	106	112	104	105	106
QCL	Leicestershire	SMR	101	97	94	92	96	97	94	94	90	85	87
QCM	Lincolnshire	SMR	108	96	102	105	96	95	92	90	91	88	91
QCN	North Nottinghamshire	SMR	108	98	99	110	103	98	101	97	100	96	86
QCP	Nottingham	SMR	103	106	104	109	99	99	100	98	95	97	94
QCQ	Rotherham	SMR	103	103	96	103	106	115	108	111	106	104	86
QCR	Sheffield	SMR	105	105	108	98	100	106	107	109	110	98	100
QDL	South Humber	SMR	103	109	111	108	98	101	96	106	103	102	95
QD9	Birmingham	SMR	110	101	109	105	98	96	98	102	95	94	94
QEA	Coventry	SMR	106	100	103	115	100	98	102	97	103	91	94
QEC	Dudley	SMR	102	106	105	95	96	101	98	91	103	89	94
QED	Herefordshire	SMR	107	99	103	100	95	102	88	94	85	95	86
QEE	Sandwell	SMR	111	101	102	107	109	116	106	107	101	98	98
QEF	Shropshire	SMR	102	96	102	100	93	93	97	95	93	93	94
QEG	Solihull	SMR	101	104	106	96	98	97	101	103	89	80	88
QEH	North Staffordshire	SMR	107	112	115	113	111	114	111	95	100	105	104
QEJ	South Staffordshire	SMR	107	104	102	102	96	103	99	98	90	97	97
QEK	Walsall	SMR	110	112	105	115	98	107	92	88	97	94	87
QEL	Warwickshire	SMR	94	99	95	111	99	96	92	109	94	94	85
QEM	Wolverhampton	SMR	102	100	114	104	93	100	102	99	100	96	96
QEN	Worcestershire	SMR	100	103	90	100	92	96	94	95	91	83	84
QC1	South Lancashire	SMR	105	90	96	103	105	99	92	100	94	86	96
QC2	Liverpool	SMR	121	134	125	131	122	122	132	129	128	126	125
QC3	Manchester	SMR	123	119	115	119	117	116	120	114	117	112	126
QC4	Morecambe Bay	SMR	101	106	104	106	99	96	100	92	90	95	98
QC5	St. Helens and Knowsley	SMR	116	115	115	107	123	115	116	108	115	112	108
QC6	Salford and Trafford	SMR	120	111	121	111	110	108	112	109	108	102	104
QC7	Sefton	SMR	108	96	101	110	110	97	94	112	106	94	112
QC8	Stockport	SMR	104	104	103	104	98	104	96	93	101	95	90
QC9	West Pennine	SMR	116	122	109	109	113	109	100	109	100	110	106
QCT	Bury and Rochdale	SMR	108	123	114	107	103	108	110	116	112	101	104
QCV	North Cheshire	SMR	124	118	119	111	109	106	106	114	102	113	108
QCW	South Cheshire	SMR	106	100	103	110	92	98	89	95	96	93	94
QCX	East Lancashire	SMR	104	105	97	111	102	107	100	104	102	102	95
QCY	North West Lancashire	SMR	108	105	107	95	96	97	96	99	97	93	95
QDA	Wigan and Bolton	SMR	109	106	111	108	106	104	97	103	95	97	105
QDC	Wirral	SMR	103	110	110	109	106	110	104	106	106	108	101
QA6	Bedfordshire	SMR	107	116	108	100	91	96	88	92	96	90	86
QAX	North Essex	SMR	103	106	98	97	97	94	97	92	93	95	88
QAY	South Essex	SMR	103	108	107	103	101	97	106	101	94	92	94
QCF	Suffolk	SMR	102	100	97	100	92	97	94	90	92	88	83
QEP	East and North Hertfordshire	SMR	101	107	100	95	99	92	101	91	89	103	94
QEQ	West Hertfordshire	SMR	110	100	98	98	92	96	100	91	95	94	90
QER	Cambridgeshire	SMR	98	101	93	97	91	96	89	89	93	90	92
QET	Norfolk	SMR	97	98	94	93	95	92	95	88	89	92	91
QA2	Hillingdon	SMR	106	92	102	105	94	98	96	102	100	99	91
QA3	Kensington, Chelsea and Westminister	SMR	106	107	99	103	100	101	94	86	102	83	79
QA4	Enfield and Haringey	SMR	101	89	100	100	92	92	93	89	86	87	93
QA5	Redbridge and Waltham Forest	SMR	102	101	100	90	89	98	89	91	84	86	93
QAA	Bexley and Greenwich	SMR	110	114	114	100	104	105	94	97	104	102	99
QAC	Bromley	SMR	95	102	95	97	96	86	97	101	99	95	89
QAD	Croydon	SMR	93	101	100	94	99	93	93	105	102	95	86
QAG	Kingston and Richmond	SMR	88	102	101	95	93	98	91	94	86	95	92
QAH	Lambeth, Southwark and Lewisham	SMR	114	110	108	110	108	103	98	99	107	100	92
QAJ	Merton, Sutton and Wandsworth	SMR	101	112	102	103	103	102	90	96	96	103	93
QAP	Barking and Havering	SMR	120	105	111	111	114	107	110	113	95	103	101
QAQ	Barnet	SMR	104	101	96	101	86	86	89	90	96	96	86
QAR	Brent and Harrow	SMR	92	93	95	93	96	100	92	97	96	88	78
QAT	Camden and Islington	SMR	114	107	104	112	103	104	109	96	94	101	93
QAV	Ealing, Hammersmith and Hounslow	SMR	104	102	112	105	101	95	100	97	94	90	95
QAW	East London and the City	SMR	124	113	112	114	123	109	113	102	104	99	100
QA7	Berkshire	SMR	99	105	103	103	97	95	92	96	88	92	87
QA8	Buckinghamshire	SMR	102	101	95	106	94	99	97	95	92	99	95
QAE	East Kent	SMR	106	108	105	102	100	104	96	97	94	92	90
QAF	West Kent	SMR	109	95	102	105	104	102	98	98	102	90	100
QAK	East Surrey	SMR	100	99	97	97	98	85	83	81	81	85	83
QAL	West Surrey	SMR	99	93	90	98	95	92	89	96	92	88	88
QAM	East Sussex, Brighton and Hove	SMR	98	94	94	99	96	100	96	88	95	92	92
QAN	West Sussex	SMR	101	95	96	98	94	89	94	92	86	87	89
QCC	Northamptonshire	SMR	107	108	110	102	99	106	99	99	94	101	98
QCE	Oxfordshire	SMR	100	95	100	96	96	96	93	94	95	94	88
QD1	North and Mid Hampshire	SMR	101	92	98	103	92	95	88	92	95	93	93
QD2	Portsmouth and South East Hampshire	SMR	100	102	94	104	95	93	91	100	101	97	91
QD3	Southampton and South West Hampshire	SMR	102	96	97	93	92	92	95	93	86	88	90
QD4	Isle of Wight	SMR	105	96	98	85	97	88	88	89	86	88	91
QD5	Somerset	SMR	108	95	95	93	91	92	90	94	85	87	92
QD6	South and West Devon	SMR	103	99	100	102	97	100	98	94	90	91	87
QD7	Wiltshire	SMR	99	104	95	94	100	92	93	96	95	89	92
QD8	Avon	SMR	101	96	96	103	95	88	93	90	94	89	86
QDV	Cornwall and Isles of Scilly	SMR	98	95	105	103	97	92	95	100	97	91	90
QDW	Dorset	SMR	100	93	96	94	92	85	93	83	92	88	87
QDX	North and East Devon	SMR	99	97	96	107	97	87	87	87	92	89	90
QDY	Gloucestershire	SMR	99	100	97	90	92	95	95	88	88	84	88

⁽⁴¹⁾ Standard rates are age-specific mortality rates in 1993

Source:

National Statistics

28 Jan 2002 : Column 149W

28 Jan 2002 : Column 151W

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