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Mr. Denham: Further to my answer on 8 January 2002, Official Report, column 710W, the Children and Young People's Unit are currently extending consultation with young people to test out and develop the initial views expressed at the event on 29 October. This involves regional consultation workshops which will take place during February, a survey of around 1,100 young people, and further opportunities to respond to the survey via the unit's website. A key theme that has emerged from early consultations is the role of the media, and some specific work with young people is planned to examine this in more depth. In addition the unit has established a network of external organisations to help promote the debate about youth disengagement from democracy. The unit continues to work closely with the Electoral Commission and the Department for Transport, Local Government and the Regions and it remains my intention to produce conclusions and recommendations for further action later this year.
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Mr. Hutton: The major United Kingdom providers of private health care have indicated that they have spare capacity available for treating national health service patients which could increase the amount of NHS-funded work within the private sector to approximately 100,000 cases per annum.
The capacity available in the private sector varies over time and by specialty. It is for NHS commissioning organisations to investigate capacity available in the independent sector as part of planning elective capacity.
To help the NHS to find out about available capacity in the independent sector, the NHS Purchasing and Supply Agency has established a secure website where independent health care providers are able to post offers of treatment for NHS patients, by hospital and clinical specialty.
Between 1 April 1999 and 31 March 2000 a total of 70,897 permanent and temporary qualified nursing staff were employed in private nursing homes and residential care homes. The Department does not collect information covering the number of nurses working in private hospitals and the voluntary sector.
Yvette Cooper: In England and Northern Ireland, the policy is to provide recombinant clotting factors for new haemophilia patients and children under 16. Scotland and Wales are committed to providing recombinant products for all haemophilia patients. We are actively considering extending the provision of recombinant clotting factors to all haemophilia patients in England when supplies allow.
Because of the current world shortage of recombinant clotting factors, some patients across the United Kingdom have been switched from recombinant to plasma derived clotting factors as a temporary measure but this situation is improving. The Department is working with the United Kingdom Haemophilia Centre Doctors Organisation and with industry to manage available supplies.
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Jacqui Smith [holding answer 13 December 2001]: Mental health services are available to armed services' personnel via the services that form part of the Defence Medical Services and/or through services provided to the general population in the national health service. We have embarked upon a radical programme of modernisation to improve access to effective treatment and care in the NHS, reduce unfair variation, raise standards and provide quicker and more convenient services across the spectrum of care. There is also current guidance relevant to war pensioners (Health Service Guidance(97)31) to ensure referrals within the NHS make specific reference to the need for treatment for the condition for which the pension was awarded.
Mr. Heald: To ask the Secretary of State for Health what assessment he has made of his policy that nobody with severe mental illness who asks for treatment should be refused; and if he will make a statement. 
Jacqui Smith [holding answer 12 February 2002]: The National Service Framework (NSF) for Mental Health, published in September 1999, sets out national standards for mental health. The NSF contains seven overarching standards, two of which are specifically about the provision of effective services for people with severe mental illness. The standards aim to ensure that each person with severe mental illness receives the range of mental health services they need. Implementation of the NSF standards is an on-going process that should be largely completed by 2004.
Jacqui Smith [holding answer 12 February 2002]: Recruitment and retention of staff is a key issue for mental health services. Work is taking place on a number of issues to improve recruitment and retention, and includes:
working with the Royal College of Psychiatrists to look at recruitment and retention issues, such as the retention of senior house officers, working patterns and workload and retirement plan;
analysing the reports from the local implementation teams about recruitment and retention.
Jacqui Smith [holding answer 12 February 2002]: The reason for the fall in new episodes of care may be due to an increase in the average duration of each episode of care which rose from about three months in 199697 to over four months in 19992000. However, only cautious interpretations are possible on so small a sample of data. The full data set are available on the website at www.doh.gov.uk/public/KT240001
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It is further reported via the local implementation teams (LITs) self assessment reports that 4 per cent. of LITs had complete coverage of this type of service for its population and that a further 44 per cent. of LITs had a service although it was still being developed in line with service specifications and population need.
It is not possible at this point to equate the responses to the actual populations served but it would appear that service developments currently allow for the availability of a service to almost 50 per cent. of the LIT populations.
Jacqui Smith [holding answer 12 February 2002]: Avon and Wiltshire Mental Health Partnership National Health Service Trust was given approval to proceed under the private finance initiative on 11 February 2002 for the modernisation of mental health services.
Mr. Heald: To ask the Secretary of State for Health, pursuant to his answer of 26 November 2001, Official Report, column 741W, on the "Mind Out For Mental Health" campaign, whether working minds employers' tool kits are available; and what stocks there are. 
Jacqui Smith: [holding answer 12 February 2002]: I refer the hon. Member to the replies I gave him on 29 October 2001, Official Report, column 554W and on 5 November 2001, Official Report, columns 10105W.
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Mr. Heald: To ask the Secretary of State for Health how many mental health out of area admissions which were not clinically indicated there were in the latest period for which figures are available. 
Jacqui Smith [holding answer 12 February 2002]: The National Plan set a target for 2004 that 700 more staff will be recruited to increase the breaks available for carers and to strengthen carer support networks. In pursuance of this target, all regular carers of people with mental health problems will have been identified, received an assessment and have their own care support plans by April 2004. By June 2004, local support networks for these carers will have been developed.
The statutory and voluntary sector currently provide support to carers, and the Department is developing a service specification for carers support services which will be available in April against which we will measure progress.
Mr. Heald: To ask the Secretary of State for Health, pursuant to his answer of 26 November 2001, Official Report, column 741W, on the "Mind Out For Mental Health" campaign, whether decisions have been made on communications expenditure for 200203; and if he will make a statement. 
Jacqui Smith [holding answer 12 February 2002]: Central information on the number of new graduate primary care mental health workers is not yet available. Funds to support the appointment of 1,000 such staff will be allocated in 200304.
Jacqui Smith [holding answer 12 February 2002]: By March 2004, mental health in-reach services are planned to be available in the 70 or so prisons in England and Wales judged to have the greatest mental health need, of a current total of 136 establishments.
Mr. Heald: To ask the Secretary of State for Health, pursuant to his answer of 1 November 2001, Official Report, column 817W, on mental health services, by what means he intends to assess whether he has reached his target that by 2004 no out of area crisis mental health admissions which are not clinically indicated take place. 
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between crisis admissions that are appropriately referred and dealt with by out of area services and those that were not.
Community mental health staff are employed by the national health service, local authorities and voluntary and independent sector organisations. Data currently collected by the Department identify community psychiatry nurses but medical, therapy and social care staff working in mental health services in the community are not identified separately.
Between 1999, baseline for the NHS Plan, and 2001, the number of qualified community psychiatry nurses employed in the NHS increased from 10,552 to 12,224. In the same period all staff employed in community psychiatry increased from 12,989 to 14,905.
Mr. Heald: To ask the Secretary of State for Health what his assessment is of whether it will be possible to meet his commitment that no prisoner with serious mental illness will leave prison without a care plan and a care co-ordinator by 2004. 
Jacqui Smith [holding answer 12 February 2002]: Mental health in-reach services to prisons are already being established in 22 prisons in England and Wales this year. We plan to expand that to an additional 25 prisons during 200203, with further development during 200304 so that by March 2004 in-reach will be available within the 70 or so prisons judged to have the greatest mental health need.
By targeting need in this way we expect to be able to encompass within the in-reach project the 5,000 prisoners at any one time who have severe and enduring mental illness. This will ensure that they are receiving more comprehensive services while in prison, and more effective throughcare when they are released.
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Jacqui Smith [holding answer 12 February 2002]: As I indicated in the reply I gave the hon. Member on 26 November 2001, Official Report, column 742W, evaluation of the Working Minds programme is continuing.
Jacqui Smith [holding answer 12 February 2002]: Mental health in-reach services are being developed in 18 English prisons during 200102, as well as in the four Welsh prisons. Once established, these services will be available to any prisoner within those establishments who is assessed as needing the level of mental health care that in-reach offers.
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