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Nursing Homes

Chris Grayling: To ask the Secretary of State for Health (1) how many nursing homes have had their residents assessed for eligibility for Government contributions to their nursing care; [23405]

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; [24681]

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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. [25952]

Jacqui Smith: A reply was sent on 29 January.

Criminal Records Bureau

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. [25780]

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.

Medical Treatment (Scotland)

Mr. Peter Duncan: To ask the Secretary of State for Health how many patients resident in England and Wales received treatment at medical facilities in Scotland in each of the last five years. [27425]

Mr. Hutton: [holding answer 16 January 2002]: I refer the hon. Member to the reply given to the hon. Member for Woodspring (Dr. Fox) on 10 January 2002, Official Report, columns 997–98W.

Ministerial Rail Travel

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. [28089]

Ms Blears: My right hon. Friend last used the railway in connection with official duties on 14 November 2001 travelling from London to Harrogate.

All arrangements for official travel are made in line with guidance set out in Chapter 7 of the Ministerial code and the accompanying guidance document "Travel by

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Ministers", using the most efficient and cost effective mode of transport, and bearing in mind security considerations.

Mortality Rates

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. [28485]

Mr. Hutton: The information requested is shown in the table.

Annual mortality from coronary heart disease (ICD9 410–414): Number of deaths, 1995 to 1999, all ages


Annual mortality from stroke (ICD9 430–438): Number of deaths, 1995 to 1999, all ages


Annual mortality from all malignant neoplasms (ICD9 140–208): Number of deaths, 1995 to 1999, all ages


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Health Authorities (West Midlands)

Mr. Stevenson: To ask the Secretary of State for Health what the underspend or overspend was in (a) 1999–2000 (b) 2000–01 and the latest forecast figures for (i) 2001–02 and (ii) 2002–03 for each health authority in the west midlands region. [29270]

Yvette Cooper: The level of under or overspending for 1999–2000 and 2000–01 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 2003–03 is not available.


Health authority1999–2000 Surplus/ (deficit)2000–01 Over/(under) spending
Birmingham HA(1,899)766
Coventry HA(5,230)2,263
Dudley HA(51)585
Herefordshire HA822220
North Staffordshire HA(625)0
Sandwell HA(2,896)0
Shropshire HA(1,729)180
Solihull HA(133)625
South Staffordshire HA(4,593)2,025
Walsall HA(909)577
Warwickshire HA(8,661)3,167
Wolverhampton HA(2,812)41
Worcestershire HA(1,482)1,199


1. Under or overspends have been interpreted as income and expenditure surpluses or deficits in 1999–2000.

2. Following the introduction of resource accounting and budgeting, the operational financial balance has been used as a measure of under or overspending in 2000–01. All health authorities in west midlands achieved break-even or an underspend in these terms.


Health authority audited summarisation forms 1999–2000 and 2000–2001

Growth Hormone Replacement Therapy

Mr. Gerrard: To ask the Secretary of State for Health (1) what guidance has been issued to health authorities regarding adult growth hormone replacement therapy; [30829]

Jacqui Smith: Information about funding for adult growth hormone replacement therapy is not centrally available.

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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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