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9 Dec 2002 : Column 149W—continued

Attention Deficit Hyperactivity Disorder

Mark Tami: To ask the Secretary of State for Health what dedicated facilities and support are available to children diagnosed with ADHD in the UK. [84584]

Jacqui Smith: Children with ADHD normally receive help and support from within the spectrum of child and adolescent mental health services (CAMHS) which range from primary care, including school and social services interventions, to specialist and inpatient services. Child and adolescent psychiatrists, and increasingly paediatricians, provide specialist diagnostic and treatment services for children with ADHD, supported by members of multidisciplinary teams.

A number of voluntary bodies also provide information, advice and support specifically for parents and children with this disorder. The Department provides grant-aid to the ADHD National Alliance which helps to coordinate voluntary sector activity and development work in this field.

Arrangements for Scotland and Wales are the responsibility of the devolved administrations. Whilst the institutions in Northern Ireland are dissolved, responsibility rests with Ministers in the Northern Ireland Office.

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Mark Tami: To ask the Secretary of State for Health what estimates he has made of the number of school-aged children diagnosed with ADHD. [84586]

Jacqui Smith: Information on numbers diagnosed is not collected centrally. The prevalence of attention deficit hyperactivity disorder (ADHD) of all types is estimated at around five per cent. of school-aged children, approximately 345,000, six to 16 year olds in England.


Mrs. Brooke: To ask the Secretary of State for Health whether all teenagers in England and Wales are being offered BCG vaccinations; and if he will make a statement. [81774]

Ms Blears: BCG is recommended and available for children between the ages of 10 to 14 years as part of the school immunisation programme.

Dr. Evan Harris: To ask the Secretary of State for Health what percentage of breast cancer patients have been waiting less than two months between urgent referral and the start of treatment in (a) England and (b) each NHS region. [85301]

Ms Blears: Data is not yet collected centrally on performance of this target. The standard of a maximum wait of two months from urgent referral to first definitive treatment for breast cancer comes into effect at the end of December 2002. Central monitoring will begin in 2003 and data will be published on a quarterly basis next year. Data on current cancer waiting times targets is published on the Department's website at

Mrs. Browning: To ask the Secretary of State for Health if he will list Health Authorities/PCTs that have received funding from the Cancer Care Plan for specialist palliative care, announced in May 2000, together with the amounts received. [84996]

Ms Blears [holding answer 3 December 2002]: The NHS Cancer Plan pledged that the national health service contribution to the costs of specialist palliative care, including hospices, would increase by #50 million by 2004. Funding for specialist palliative care is included in the overall increased NHS investment for implementing the Cancer Plan and is, therefore, included in baseline allocations to health authorities (HAs) and primary care trusts (PCT). Each HA and PCT has received increased funding.

As mentioned in my earlier reply to the hon. Member on 3 December 2002,we have made available an extra #10 million for specialist palliative care in 2002–03 to support the work the National Cancer Director is undertaking with the NHS and the voluntary sector to develop proposals for a new approach to specialist palliative care funding and planning. A list of the allocations made to each PCT from that extra funding has been placed in the Library.

Dr. Tonge: To ask the Secretary of State for Health how many extra (a) doctors, (b) nurses and (c) managers have been employed by NHS trusts using the extra money allocated for the improvement of cancer services. [83701]

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Mr. Hutton: Information specifically on the number of staff employed by national health service trusts using the money allocated for the improvement of cancer services is not available.

A table showing the increase in hospital and community health services (HCHS) medical staff employed in the cancer specialties in NHS trusts, primary care trusts (PCTs) and the National Blood Authority, excluding staff who work elsewhere in the NHS, between 2000 and 2001 follows. Information on staff groups other than HCHS medical staff working in cancer services is not collected centrally.

NHS Hospital and Community Health Services (HCHS): Medical staff working in the cancer specialties(39) employed in NHS trusts, PCTs and the National Blood Authority in England as at 30 September each year

Medical staff employed in the cancer specialties5,650 6,090 440

(39) Excludes hospital practitioners and clinical assistants most of whom are GPs


Figures are rounded to the nearest 10.


Department of Health Medical and Dental Workforce Census.

By 2003–04 we will be making an additional #570 million available to support the implementation of the NHS Cancer Plan. These increased resources will enable PCTs to decide where NHS resources are best spent in line with local priorities in providing high clinical standards and good value for money.

The Government are implementing a range of measures to improve recruitment and retention of all staff, including nurses. Since 1997, the nursing work force has grown by 39,520. Between September 1999 and March 2002 there was an approximated net increase in nurses working in the NHS of 28,740—the NHS Plan

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target and Manifesto commitment have been reached two years early. The increase in nurse numbers will enable the recruitment of additional cancer-site specific nurse specialists, chemotherapy nurses, district nurses, palliative care nurse specialists and additional nurses on wards caring for cancer patients.

Care Expenditure

Andrew George: To ask the Secretary of State for Health how much was spent, adjusted for inflation, on (a) homecare, (b) secure accommodation, (c) fostering, (d) day care, (e) nursing care and (f) residential care for (i) children, (ii) 18 to 64 year olds and (iii) people aged 65 and over in each year since 1997–1998 in (A) Cumbria, (B) Devon, (C) East Riding of Yorkshire, (D) Herefordshire, (E) Lincolnshire, (F) North Yorkshire, (G) Northumberland, (H) Rutland, (I) Shropshire, (J) Wiltshire and (K) England. [85566]

Jacqui Smith : The information requested has been placed in the Library.

Care Home Inspectors

Mr. Burstow: To ask the Secretary of State for Health [pursuant to his answer of 28 November, Official Report, column 408W], on care home inspectors, how many (a) established care home inspector posts and (b) vacancies there were in each of the last five years. [86258]

Jacqui Smith : The available information on the number and whole time equivalent (WTE) of professional and support staff and the number of posts vacant in England is shown in the table for the years 1998–1999 to 200–2001. Data for 2001–2002 is not available.

The data for 2000–2001 are not directly comparable with previous years as they do not include the inspection of provision of under eight activity.

Staffing trends in registration and inspection units England: all inspection units

Number Whole time equivalent (WTE) Posts vacant (WTE)
Professional staff2,1202,0351,5801,8801,7901,410809545
of which:
registration/inspection officers(40)1,220895(40)1,100820(40)7030
Support staff795790680695670560404540


(40) not available

Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 28 November, Official Report, column 408W, on care home inspectors, what types of premises the inspectors are required to inspect; and how many of each type of establishment there are, by region. [86259]

Jacqui Smith : The National Care Standards Commission (NCSC) inspects children's homes, care homes, independent hospitals, independent clinics, independent medical agencies and fostering agencies. It also carries out welfare inspections of boarding schools and further education colleges accommodating under-18 year olds. The NCSC is also responsible for the inspection of local authority adoption and fostering services. Provisions in the Care Standards Act 2000 relating to inspection of domiciliary care agencies, nurses agencies, residential family centres, and voluntary adoption agencies have not yet been commenced.

Information on the number of different types of establishment is not yet available.

Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 28 November, Official Report, column 408W, on care home inspectors, how many

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vacancies have been unfilled for (a) up to one month, (b) one to three months, (c) three to six months, (d) six months to one year and (e) one year or more. [86261]

Jacqui Smith: This information is not available. The National Care Standards Commission does not currently hold retrospective data relating to vacancies.

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