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11 Mar 2003 : Column 232W—continued
Cataract Patients
Dr. Fox: To ask the Secretary of State for Health what assessment he has made of the London pilot scheme extending patient choice to cataract patients. [97315]
Mr. Hutton: Initial survey work has been undertaken internally within the pilot scheme to obtain feedback from patients who have already received treatment under the cataract choice scheme in London. The feedback from this research has helped inform the ongoing design of the London scheme for other specialties and the planned national roll out across England.
Patients themselves when being offered choice are making an individual assessment of the relative attractiveness of the scheme to them. So far for cataracts, of the 2,247 patients offered the choice of earlier treatment, 1,685 have accepted. This means that there has been a very high take up rate, 75 per cent., of those patients who already had been waiting for treatment.
Contraception
Jim Dobbin: To ask the Secretary of State for Health which local area health authorities in England and Wales have authorised pharmacies to provide the morning-after pill free of charge under Patient Group Directives to (a) women over the age of 16 and (b) girls under the age of 16; and when authorisation was (i) given and (ii) withdrawn in each case. [99410]
Ms Blears: The information requested is not collected centrally. The decision whether to involve pharmacists in the provision of emergency contraception under patient group directions is for the relevant primary care trusts.
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Jim Dobbin: To ask the Secretary of State for Health how many locations not covered by the KT31 form have been authorised to distribute the morning-after pill in each local area health authority to (a) girls over the age of 16 and (b) girls under the age of 16 in each of the last five years. [99411]
Ms Blears: The information requested is not collected centrally. The decision about local provision of emergency contraception under patient group directions is for the relevant primary care trusts.
Court of Appeal Judgment
Mr. Olner: To ask the Secretary of State for Health what effect he estimates the Court of Appeal judgment of 29 January that a body has no legal personality will have on the NHS. [99756]
Mr. Lammy: The judgment was concerned with whom proceedings should be initiated against in the case of an insurance claim against the estate of a person who has died. It does not concern the status of the dead body, and, as such, has no implications for the national health service.
Dead Bodies
Mr. Olner: To ask the Secretary of State for Health (1) if he will require hospital trusts to set in place procedures to ensure that funeral staff are aware of infection that may be present in a dead body; [99758]
- (2) what action he will take to ensure that funeral staff are properly advised of risk of infection arising from the removal of an infected body from hospital premises. [99757]
Ms Blears: Trusts should already be aware of "Safe working and the prevention of infection in the mortuary and post-mortem room", produced by the Health and Safety Commission's Health Services Advisory Committee* published this year. This guidance focuses on preventing and controlling infection risks in mortuary and post-mortem room practice in accordance with duties under health and safety law. It also covers arrangements for undertakers and ambulance staff based on departmental advice that undertakers need to know if a body is or may be infectious and it provides a specimen infection control notification sheet.
The Department has had contact with funeral directors' professional associations on this issue previously and will keep them informed as appropriate of any new guidance from our advisory committees.
- * ISBN: 0 7176 2293 2, 2003.
Delayed Discharges
Mr. Burns: To ask the Secretary of State for Health how many beds in Greater London were occupied by delayed discharge patients (a) at the latest available date and (b) in each of the last four quarters. [101316]
Mr. Hutton: The information requested is shown in the table.
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| Number | |
|---|---|
| 2001–02 | |
| Q3 | 1,108 |
| Q4 | 919 |
| 2002–03 | |
| Q1 | 855 |
| Q2 | 808 |
| Q3 (Latest) | 795 |
Dr. Evan Harris: To ask the Secretary of State for Health how many (a) cancelled operations and (b) delayed discharges there were in each NHS trust in England on the latest date for which figures are available. [98850]
Mr. Hutton: Quarterly data are collected on the number of operations cancelled by the hospital for non-clinical reasons (i) at the last minute (i.e. on the day patients are due to arrive or after arrival in hospital or on the day of their operation) and (ii) on the day of surgery. Data are available in the Library and on the Department's website at www.doh.gov.uk/hospitalactivity/data requests.htm.
Data on delayed discharges are collected on a quarterly and annual basis by survey. The information is at primary care trust level and the latest data for Quarter 3 2002–03 is available in the Library.
Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 13 February 2003, Official Report, column 949W, on delayed discharges, what changes were made to the Community Care (Delayed Discharges etc.) Bill following the responses received from the consultation. [99525]
Jacqui Smith: No changes were made to the Community Care (Delayed Discharges etc.) Bill as a result of the consultation responses. This is because the Bill was not drafted until after the consultation period, taking the responses into account.
Dentistry
Mr. Burns: To ask the Secretary of State for Health how many (a) practising dentists and (b) dentist practices there are in Greater London; and how many there were in May 1997. [101306]
Mr. Hutton: 3,130 general dental service (GDS) dentists were practising dentistry in 1,478 practices in the London national health service region at 30 June 2002. This compares to 2,884 GDS dentists practising in 1,458 practices at 30 June 1997. 470 and 230 dentists were working in the hospital dental service (HDS) and community dental service (CDS) in the London NHS region at 30 September 2002, this compares with 450 and 240 dentists respectively at 30 September 1997. Also 43 dentists were working in the personal dental service (PDS) in the London NHS region at 30 September 2002 who were not also working in the GDS. The PDS began in October 1998. Information on the number of practices for those dental services is not available. Most of the dental services are provided on community or hospital trust premises.
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The number of GDS dentists includes principals on a strategic health authority list, their assistants and vocational dental practitioners in the GDS in England. The figures for the number of GDS dentists are on a headcount basis rather than a whole time equivalent basis and therefore take no account of part-time working.
GDS dentists provide NHS dental services in "high street" practices and carry out the majority of NHS dental treatment in the United Kingdom. The proportion of NHS or private dental treatment that a GDS dentist provides is solely at the discretion of the dentist. GDS dentists are required to provide a full range of NHS treatment to maintain the oral health of the patients that are registered with them for capitation (children) or continuing care (adults).
Patients wishing to register with a GDS dentist can obtain details of dentists accepting new patients in their area by contacting NHS Direct.
Mr. Burns: To ask the Secretary of State for Health how many NHS dentist vacancies there are in Greater London; and how many there were in May 1997. [101303]
Mr. Hutton: General dental practitioners (GDPs) working in the national health service general dental services are self employed. They are free to choose and vary the location of their practice and their level of commitment to GDS dentistry.
It is therefore not possible to quantify the number of vacancies.
The number of GDPs continues to increase. There were 3,130 general dental service practitioners working in the London NHS region at 30 June 2002, of which 2,758 were principal dentists. This compares to 2,884 and 2,676 respectively in June 1997.
Mr. Burns: To ask the Secretary of State for Health what proportion of (a) adults and (b) children living in the Greater London area (i) are and (ii) were in May 1997 registered with an NHS dentist. [101308]
Mr. Hutton: The available information is for the general dental service (GDS) in the London national health service region.
On 31 May 2002 37.9 per cent. of adults and 50.3 per cent. of children were registered with a GDS dentist in the London NHS region. The registration rates for 31 May 1997 for adults and children were 49.1 per cent. and 51.1 per cent. respectively.
Registrations now lapse if patients do not return to their dentists within 15 months. Registration rates will exclude patients who haven't been to their GDS dentist within the past 15 months and patients who receive dental treatment from other NHS dental services.
The registration rates for 31 May 2002 and 31 May 1997 cannot be compared because of changes in the registration period which affected the registration numbers from November 1997. Registration figures do not include patients attending dental access centres and patients who are not registered.
11 Mar 2003 : Column 236W
Patients seeking dental treatment or wishing to register with a GDS dentist can obtain details of dentists accepting new patients in their area by contacting NHS Direct.
Mr. Letwin: To ask the Secretary of State for Health what steps he will take to ensure provision of NHS dentistry in Sherbourne. [101618]
Ms Blears [holding answer 7 March 2003]: The Government are committed to providing national health service dentistry for all who need and seek it. We recognise, however, that there are some areas of the country, including parts of Dorset, where it is difficult to find a NHS dentist.
I am advised that North Dorset Primary Care Trust (PCT) and South West Dorset PCT have recently formed the West Dorset dental planning group, which held its first meeting in February. The planning group includes general dental practitioners and also represents community dentistry and is looking at cost-effective ways to support local NHS dentists and increase general access to NHS dental provision within the Dorset area.
Osborne House, a new NHS dental practice in Yeovil, was opened in October 2002 and has recently registered 8,300 individuals within an overall capacity of 10,000. Some individuals living in the Sherborne area wishing to access NHS dental provision have been advised to register with Osborne House, which lies approximately six miles from Sherborne. Individuals within the Sherborne area who approach the Dorset Dental Helpline for routine dental treatment are currently also referred to general dental practitioners in Dorchester or Blandford Forum.
In the forthcoming Health and Social Care Bill, the Government proposes to legislate for far-reaching reform of NHS dental services. It is proposed that each PCT be given a duty to provide or secure the provision of primary dental services in its area to the extent that it considers reasonable to do so and be given the financial resources to do this. This will give PCTs the flexibility to address access issues in their area. Dentists who contract with a PCT will have a secure income in return for making a longer-term commitment to the NHS.
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