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how many calls have been abandoned; how many call centres are operational, and where they are; what the runnings costs are of each call centre; and if he will make a statement. 
Mr. Lammy [holding answer 23 July 2002]: Since its launch in March 1998, NHS Direct has handled 13 million calls. Approximately 7 per cent. of calls made to NHS Direct are abandoned without the caller speaking to a nurse.
|NHS Direct Site||Geographical Coverage||Population Coverage||Running Costs 200203|
|Anglia||Cambridgeshire, Norfolk & Suffolk||2,200,000||#3,542,000|
|Avon, Gloucester & Wiltshire||Avon, Gloucester & Wiltshire||2,200,000||#4,465,000|
|Bedfordshire & Hertfordshire||Bedfordshire & Hertfordshire||1,700,000||#3,580,000|
|Birmingham, Black Country & Solihull||West Midlands||2,400,000||#4,041,000|
|East Midlands||Leicestershire, Lincolnshire, Derbyshire & Nottinghamshire||3,500,000||#5,606,000|
|Essex||Essex, London Borough of Barking & Havering||2,037,000||#3,815,000|
|Greater Manchester, Cheshire & Wirral||Cheshire||3,900,000||#6,137,000|
|Hampshire & Isle of Wight||Hampshire & Isle of Wight||1,800,000||#4,384,000|
|Kent, Surrey & Sussex||Surrey, Kent & Sussex||4,100,000||#5,560,000|
|Midlandshires||Staffordshire, Shropshire, Herefordshire, Warwickshire & Worcester||3,000,000||#4,073,000|
|North and Central London||Barnet, Barking and Havering, Enfield & Haringey, Kensington, Chelsea & Westminster||1,600,000||#3,121,000|
|North East||Northumberland, Tyne & Wear||2,000,000||#4,693,000|
|North East London||East London & City, Redbridge & Waltham Forest||1,100,000||#2,370,000|
|North West Coast||Lancashire, Merseyside & Cumbria||3,000,000||#4,976,000|
|South East London||Lambeth, Southwark and Lewisham||1,500,000||#3,316,000|
|South West London||Croydon, Kingston & Richmond, Merton, Sutton and Wandsworth||1,300,000||#2,620,000|
|South Yorkshire & Humber||South Yorkshire, North Lincolnshire, North East Lincolnshire||1,700,000||#3,150,000|
|Tees, East & North Yorkshire||East Riding, Cleveland & North Yorkshire||1,900,000||#3,580,000|
|Thames Valley & Northamptonshire||Northamptonshire, Buckinghamshire, Oxfordshire & Berkshire||2,800,000||#4,028,000|
|West Country||Cornwall, Devon, Dorset & Somerset||2,700,000||#4,720,000|
|West London||Hillingdon, Brent and Harrow, Ealing, Hammersmith and Hounslow||1,350,000||#4,196,000|
|West Yorkshire||Calderdale & Kirklees, Leeds, Bradford, Wakefield & North Yorkshire||2,100,000||#4,949,000|
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Dr. Cable: To ask the Secretary of State for Health, pursuant to his answer of 20 November 2001, Official Report, column 255W, what progress has been made in setting up the NHS Direct performance management framework; and if he will make a statement. 
Mr. Lammy [holding answer 23 July 2002]: The first version of the NHS direct performance framework was launched in March 2002. The framework is based on the principle of continuous quality improvement and outlines responsibilities and tools for service delivery and the monitoring of performance and improvement at all levels of the organisationfrom the individual to the national service. The framework also outlines a set of key performance targets for NHS Direct, areas for the development of clinical indicators and areas for the development of internal management measures.
Mr. Liddington: To ask the Secretary of State for Health when the Natural Sausage Casings Association was first consulted by the Food Standards Agency about its proposed ban on the use of sheep intestines in food. 
Ms Blears [holding answer 9 July 2002]:The Food Standards Agency advise me that the Natural Sausage Casings Association (NSCA) was one of around 1,000 interested parties consulted on the report of the core stakeholder group on BSE and sheep, on 23 May this year. This report, which suggested that the Agency should recommend to the European Commission that intestine from all sheep be added to the current list of specified risk material, was made to the Agency's Board who considered it at their meeting on 13 June. The full detailed response of the NCSA and of their representatives, together with a summary of all the other responses to the consultation was made available to the Board.
Mr. Heald: To ask the Secretary of State for Health, pursuant to his written answer of 13 February 2002, Official Report, column 486W, whether the figures for finished consultant episodes with a primary diagnosis of eating disorder for 200001 have been adjusted for shortfalls in data; and if he will make a statement. 
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consultant episodes with a primary diagnosis of eating disorder for 200001 have now been adjusted for the shortfalls.
There were 1973 finished consultant episodes in National Health Service hospitals with a primary diagnosis of eating disorder in 200001. This figure does not represent all people with an eating disorder, as many do not require admission to hospital.
Mr. Pickthall: To ask the Secretary of State for Health for what reason (a) the DfES, (b) his Department and (c) other relevant information records are searched in addition to the Criminal Records Bureau's under the care standards regulations for checking nursing home owners and managers. 
Jacqui Smith [holding answer 17 July 2002]: Care homes look after some of the most vulnerable people in our society. In the past there have been far too many instances of abuse and neglect in care homes. We believe it is vitally important to ensure that the proprietors and managers of these homes are of good character and able to discharge their responsibilities fully.
The Care Homes Regulations 2001 require a criminal records check through the Criminal Records Bureau (CRB) for care home owners, managers and staff. As part of its checks the CRB will automatically check the Protection of Children Act register, and the Protection of Vulnerable Adults register once this becomes operational.
People who are unsuitable to work with children and vulnerable adults will not necessarily have committed a criminal offence. Regulations 7, 9 and 19 of the Care Homes Regulations 2001 require that registered providers, manager and staff must be fit people. It is, therefore, necessary for a range of records to be checked in order to ensure the fitness of care home owners and managers and to ensure that care home residents are properly looked after and that they are protected from abuse or neglect.
Tim Loughton: To ask the Secretary of State for Health (1) what the cost has been in severance pay and other related costs arising out of the decision of the former Director of the NHS Leadership Centre to step down from her post in December 2001; 
14 Oct 2002 : Column 511W
Mr. Lammy [holding answer 18 July 2002]: The individual concerned was employed by Royal United Hospitals Bath National Health Service Trust. Her secondment to the Department was terminated on 2 May 2002. Her contract of employment with the NHS trust was terminated on the 22 August 2002. She received no severance payment in connection with her decision to stand down from her position as head of the leadership centre nor in connection with the termination of her contract of employment.
Tim Loughton: To ask the Secretary of State for Health what assessment his Department has made of the amount of general practitioner hours which could be freed up by cutting the amount of paperwork required of family doctors. 
Mr. Hutton [holding answer 18 July 2002]: The Department has worked with the Cabinet Office public sector team to achieve the outcomes contained in the joint reports Making a difference: reducing general practitioner (GP) paperwork I and II published in March 2001 and June 2002.
Estimates, based on advice from practising general practitioners (GPs), suggest that if all the outcomes of these two reports are fully implemented the potential annual savings will amount to 10.3 million GP appointments freed, 3.4 additonal hours saved and up to 80,000 additional requests for medical information removed.
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