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27 Nov 2002 : Column 346Wcontinued
Mr. Lammy: The priorities and targets for the next three years for the National Health Service and social services are set out in a document entitled XImprovement, Expansion and Reform: The Next 3 Years Priorities and Planning Framework 20032006". This document can be found on the Department's website.
Work is also currently under way on the development of a business plan for the Department for the three-year period 200306; to ensure delivery of the targets contained in the Department's public service agreement. At the end of the process a Departmental business plan detailing the Department's work programme for the three-year period will be produced.
Mr. Burstow: To ask the Secretary of State for Health when he plans to lay before the House the Statutory Instrument to extend the time limit for staff who were employed in care homes immediately before 1 April for obtaining checks from the CRB. 
Mr. Paul Marsden: To ask the Secretary of State for Health if he will make a statement on increasing resources for child protection in connection with child pornography material seized by police. 
Jacqui Smith: Between 199697 and 200203, the Government increased social services funding by more than 20 per cent, in real terms, and will make further annual average real terms increases available of 6 per cent, between 20034 and 20056. The Government is spending £11 billion on personal social services this year, 200203. It is, however, up to local authorities with social services responsibilities, in the light of their assessments of children's needs within their area, to decide how to allocate this money.
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Jacqui Smith: Our latest data show that 10.4 per cent, of children between 10 and 17, who have been in the care of the local authority for a year or more, have received a reprimand, final warning or conviction. This represents a rate that is three times greater than for all children. Hence, the Department has a public service agreement target to narrow the gap in offending between the looked after children and their peers.
The achievement of this target is underpinned by the Quality Protects programme, which has been supported by a grant of £885 million over five years from 1999 to 2004. This major programme seeks to ensure that looked after children gain the maximum life chance benefits from educational opportunities, health care and social care and thus have the same opportunities as their peers to lead fulfilling lives.
Phil Sawford: To ask the Secretary of State for Health (1) what progress is being made into the biomedical research on chronic fatigue syndrome and ME; and when NICE will provide guidance on management and treatment for patients with ME; 
Jacqui Smith: The independent group, set up by the Medical Research Council (MRC) to develop a broad strategy for advancing biomedical and health services research on chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), hope to complete their recommendations in time for submission to the MRC in March 2003. But the group has recognised that this is a tight timetable, and has agreed not to compromise the integrity and quality of their report to meet the timeframe proposed, reserving the right to extend the timescale if necessary.
The Department endorses the view of the CFS/ME independent working group report that there should be no doubt this is a chronic illness and that health and social care professionals should recognise it as such.
We are still considering whether to ask the National Institute for Clinical Excellence to provide guidance on management and treatment for patients with CFS/ME. In the meantime we have, through both the chief executive's bulletin and the GP Bulletin, made the National Health Service aware of the action for CFS/ME publication XGuidance on the management of CFS/ME". This is a useful summary of the issues.
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Before 1 April 2002 data were collected at the old health authority level. Health authorities were disbanded on 1 April 2002 and replaced with primary care trusts. Health authority level data up to and including Quarter 4 200102, March 2002, is available.
Jacqui Smith: National health service funded nursing care applies equally to care home residents, regardless of the condition they have. The important issue is the level of input into their care from a registered nurse. This applies to mental health needs as well as to the physical needs of the resident.
Mr. McLoughlin: To ask the Secretary of State for Health if he will list the grants funded by his Department for which individual members of the public and organisations may apply; and if he will make a statement as to (a) the total of such funding in the last financial year, (b) the total number of awards and (c) their administrative costs. 
The administration of grants is carried out by a number of different units within the Department, to which a range of staff make a contribution. It is not possible to provide an accurate estimate of these costs.
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Mr. Lammy: We shall be publishing the delivery strategy for the diabetes national service framework in the next few weeks. A national target for diabetic retinopathy screening is in the planning and priorities framework, XImprovement, Expansion and Reform", which sets the priorities for the national health service for the next three years. The target requires that 80 per cent. of people with diabetes will be offered screening for the early detection, and treatment if needed, of diabetic retinopathy by 2006, rising to 100 per cent. coverage of those at risk of retinopathy by the end of 2007.
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Mr. Lammy: Insulin pump therapy is not suitable for every person who requires insulin to control their diabetes. The National Institute for Clinical Excellence has been asked to provide an appraisal of the clinical and cost effectiveness of insulin pump therapy. This is expected to be published in February 2003.
The table shows the effective length of wait from receipt of a general practitioner (GP) written referral request to first outpatient attendance in weeks for the specialty ophthalmology, quarter two 200203, by Strategic Health Authority.
|Strategic Health Authority||Effective length of wait from receipt of GP written referral request to first outpatient attendance (weeks) ophthalmology, quarter 2 2002 to 2003||Proportion of first outpatient attendances seen within four weeks|
|0 to 4||4 to 13||13 to 17||17 to 21||21 to 26||over 26|
|Avon, Gloucestershire and Wiltshire||2,926||3,744||1,266||663||105||7||33.6|
|Bedfordshire and Hertfordshire||1,278||1,708||730||555||280||108||27.4|
|Birmingham and the Black Country||2,085||4,577||1,696||820||271||54||21.9|
|Cheshire and Merseyside||3,669||3,798||1,547||929||561||99||34.6|
|County Durham and Tees Valley||460||1,537||384||240||166||55||16.2|
|Coventry, Warwickshire, Herefordshire and Worcestershire||758||1,842||839||738||789||50||15.1|
|Cumbria and Lancashire||2,280||2,757||956||703||534||23||31.4|
|Hampshire and Isle of Wight||1,114||2,934||939||480||304||2||19.3|
|Kent and Medway||978||1,779||787||625||1,115||0||18.5|
|Leicestershire, Northamptonshire and Rutland||728||1,492||745||650||660||55||16.8|
|Norfolk, Suffolk and Cambridgeshire||3,247||3,581||1,181||837||562||68||34.3|
|North and East Yorkshire and North Lincolnshire||1,469||2,034||575||506||356||27||29.6|
|North Central London||2,108||6,608||531||448||360||76||20.8|
|North East London||735||1,156||484||463||130||7||24.7|
|North West London||1,279||2,036||259||275||43||0||32.9|
|Northumberland, Tyne and Wear||990||3,839||644||224||103||9||17.0|
|Shropshire and Staffordshire||1,554||1,531||523||465||861||190||30.3|
|Somerset and Dorset||871||1,949||873||618||164||52||19.2|
|South East London||950||2,470||800||655||589||184||16.8|
|South West London||966||2,185||383||171||143||4||25.1|
|South West Peninsula||1,447||2,615||526||720||784||23||23.7|
|Surrey and Sussex||2,307||4,037||1,593||1,055||794||0||23.6|
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