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Jacqui Smith: The Department does not collect such data centrally on a routine basis. However, preliminary information available from regions of the position at the end of December, indicates that around 80 per cent. of the nursing homes with residents eligible for national health service funded nursing care had had their residents' needs for care determined by a registered nurse. The majority of the remainder will be completed by the end of this month.
Tim Loughton: To ask the Secretary of State for Health (1) what percentage of stroke patients were treated in special stroke units in each of the last five years; and what were the survival rates in each case; 
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Jacqui Smith [holding answer 8 January 2002]: The information requested on the percentage of stroke patients treated in special stroke units and the survival rates for stroke patients treated in non-specialist units is not collected centrally.
The Royal College of Physician's sentinel audit published in 1999 did show however, that 18 per cent. of stroke patients spent at least 50 per cent. of their time in a stroke unit. A subsequent audit in 2000 showed that this figure had risen to 26 per cent.
The National Service Framework (NSF) for Older People, published on 27 March 2001, requires 100 per cent. of all general hospitals which care for people with stroke to have a specialised stroke service, as described in the NSF stroke service model, by April 2004.
Mr. Sanders: To ask the Secretary of State for Health when he expects to reply to the letter from the hon. Member for Torbay of 23 October 2001 regarding Dr. Mehta and Dexa screening services. 
Mr. Lloyd: To ask the Secretary of State for Health what steps he is taking to help local authority social services meet charges incurred by criminal record checks from the Criminal Records Bureau. 
Jacqui Smith [holding answer 11 January 2002]: The cost of certificates will be charged to the individual on whom the check is sought, although there is nothing to stop an employer such as a local authority reimbursing the individual if they so wish.
Bob Russell: To ask the Secretary of State for Health when he last used the railway service in connection with his official duties; what station he left from and what was the destination; and whether it is his intention to make greater use of the railways in future. 
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Mr. Randall: To ask the Secretary of State for Health how many deaths in (a) the UK and (b) the London Borough of Hillingdon there have been in each of the last five years from (i) cancer, (ii) heart disease and (iii) stroke. 
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Mr. Stevenson: To ask the Secretary of State for Health what the underspend or overspend was in (a) 19992000 (b) 200001 and the latest forecast figures for (i) 200102 and (ii) 200203 for each health authority in the west midlands region. 
Yvette Cooper: The level of under or overspending for 19992000 and 200001 is shown in the table. By the end of this financial year we expect all health authorities to live within their agreed resource limits. Where they require support at year-end this will be provided principally through brokerage from elsewhere in the national health service. This is normal practice in managing the year-end financial position of individual bodies and for the NHS overall. Information for 200303 is not available.
|Health authority||19992000 Surplus/ (deficit)||200001 Over/(under) spending|
|North Staffordshire HA||(625)||0|
|South Staffordshire HA||(4,593)||2,025|
1. Under or overspends have been interpreted as income and expenditure surpluses or deficits in 19992000.
2. Following the introduction of resource accounting and budgeting, the operational financial balance has been used as a measure of under or overspending in 200001. All health authorities in west midlands achieved break-even or an underspend in these terms.
Health authority audited summarisation forms 19992000 and 20002001
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The National Institute for Clinical Excellence is currently carrying out two appraisals, human growth hormone in children which is due in April 2002, providing there are no appeals and human growth hormone in adults which is due in July 2002, providing there are no appeals.
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