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6 Feb 2003 : Column 437Wcontinued
Mr. Laxton: To ask the Secretary of State for Health (1) what assessment has been made of the effect on the self-esteem and recovery of long-term patients of being reliant on the NHS trust for clothing, with particular reference to those with mental health problems; 
Jacqui Smith: The Government has made no assessment of the effect on the self-esteem and recovery of long term patients in mental health in-patient units being reliant on the National Health Service for clothing. However, empowering patients to take an active role in their own care is a key theme in the NHS Plan. In addition, the National Institute for Mental Health for England (NIMHE) is in the process of gathering examples of positive practice in the provision of clothing needs for long term patients in mental health in-patient units. We hope to make such examples of positive practice available on the NIMHE website in the spring.
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Dr. Evan Harris: To ask the Secretary of State for Health what assessment he has made of whether staff from health protection organisations managing organisational change will have the surge capacity to cope with a major crisis. 
The human resources departments of the health protection organisations are closely involved. The capability and capacity to respond to major incidents embedded within the health protection organisations will continue to be delivered and as always in any major incident a reprioritisation of tasks is undertaken by senior managers in order to deliver the surge capacity that is required.
Mr. Burns: To ask the Secretary of State for Health if he will make a statement on the impact of the health service Ombudsman's ruling on the Squires case on the Government's policy on those suffering from (a) dementia and (b) Alzheimer's. 
Jacqui Smith [holding answer 4 February 2003]: My right hon. Friend the Secretary of State is aware of the Ombudsman's report on continuing care, which includes the Squires case. However, the report has not yet been published.
Mr. Hutton: Officials from the Department will be meeting with officials from the Italian Ministries of Health and Labour later this month. The purpose of the meeting will be to progress the recruitment of doctors to work in the National Health Service.
Mr. Lidington: To ask the Secretary of State for Health what assessment he has made of the cost to each NHS provider in the Thames Valley area of meeting the planned increase in employers' national insurance contributions. 
Ms Blears: The increases in National Insurance, announced by my right hon. Friend, the Chancellor of the Exchequer on 17 April 2002, will come in to effect in April 2003. A table is attached showing the percentage increase on the provider's total cost base. As the NI increase is 1 per cent., on pay, and pay is two thirds or more of costs, this averages about 0.7 per cent. increase on total costs.
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|Acute Trusts||National Insurance|
|Royal Berks & Battle Hospitals||0.77|
|Heatherwood & Wexham||0.78|
|Oxford Mental Health||0.72|
|Oxford Learning Disability||0.65|
|Royal Berks Ambulance||0.70|
|Bucks Mental Health||0.81|
|Two Shire Ambulance||0.70|
Dr. Evan Harris: To ask the Secretary of State for Health how much has been spent on external advisers or consultants by the Department of Health in 200203; and what is budgeted to be spent on external consultants and advisers in (a) 200304, (b) 200405 and (c) 200506. 
Mr. Gardiner: To ask the Secretary of State for Health pursuant to his answer of 14 January 2003, Official Report, column 523W, on fair trade, if his Department will establish rules to support the Government's position on fair trade. 
Mr. Lammy: Existing procurement procedures within the Department already allow consideration of a wide range of criteria in the evaluation of tenders within the framework of the Government's value for money policies and the European Community procurement rules. These include assessment of company policies on a range of issues including purchasing and the environment to ensure compliance with the appropriate Government policy in these areas, including fair trade.
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(3) if he will list the locations of providers of gender reassignment surgery that have done NHS commissioned work in each of the last five years; and how many FTE staff, broken down by category, worked at each facility in each year. 
Mr. Hutton: Gender reassignment surgery consists of a series of different surgical procedures, for example, female to male gender reassignment may require a mastectomy and a hysterectomy and a series of operations to construct a phallus. The Department collects Hospital Episode Statistics (HES) from national health service trusts on operations specifically for sexual transformation, but those procedures such as mastectomies or hysterectomies are collected separately and it is not possible to identify if these were carried out as part of a gender reassignment operation. Details of the NHS trusts who have undertaken any operations for sexual transformation in the past five years are listed in the table.
Information on the numbers of psychiatric assessments undertaken for gender dysphoria are currently not collected centrally. The mental health minimum dataset will collect data for the first time on psychiatric assessments from April 2003.
Information on waiting lists and the number of full time equivalent staff and sessions per week devoted to treating patients with gender dysphoria and those working in gender dysphoria clinics is not collected centrally.
Mr. Rosindell: To ask the Secretary of State for Health if he will make a statement on General Practitioner numbers in the London borough of Havering; and what plans he has to increase their number. 
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