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3 Jun 2003 : Column 370W—continued
Meningitis
Mr. Kidney: To ask the Secretary of State for Health what funding his Department (a) spent in financial year 2002–03 and (b) has budgeted for the financial year 2003–04 on (i) research, (ii) vaccine and other preventive programmes and (iii) advice, information and publicity in respect of meningitis conditions. [111404]
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Ms Blears: The spend on advice, information, publicity and research in respect of all meningitis conditions for 2002–03 is shown in the following table:
| £ | |
|---|---|
| Advice, information and publicity | 132,000 |
| Research | 36,000 |
The budget for 2003–04 for advice, information, publicity and research is shown in the following table.
| £ | |
|---|---|
| Advice, information and publicity | 439,000 |
| Research | 20,000 |
Mental Health
Sandra Gidley: To ask the Secretary of State for Health what programmes target depression in at-risk populations. [114535]
Jacqui Smith: The national service framework for mental health, published in September 2000 and the national suicide prevention strategy set out programmes of activity to reduce suicide.
Sandra Gidley: To ask the Secretary of State for Health what research he has commissioned on the link between depression and substance abuse in women. [114537]
Ms Blears: The Department of Health has not recently commissioned any research on the link between depression and substance abuse in women, as the links between mental health problems and substance misuse are already well established.
However, in 2002, the Department commissioned an evidence based document, 'Co-existing Problems of Mental Disorder and Substance Misuse (dual diagnosis)'. This is an information manual for the drugs and mental health field developed by the Royal College of Psychiatrists' Research Unit, which highlights the importance of partnership work between the two fields.
In addition to this, The National Treatment Agency has developed the 'Models of Care' document, which is effectively a national service framework for substance misuse. 'Models of Care' alerts treatment agencies to the risk of women who have accessed treatment developing recurrent mental health problems including eating disorders, self-mutilation, suicide attempts and low self-esteem.
Sandra Gidley: To ask the Secretary of State for Health what efforts are being made proactively to diagnose depression during pregnancy. [114538]
Jacqui Smith: General practitioners, health visitors and midwives work very closely with expectant mothers in the ante-natal phase. This will include discussions and assessment, in some cases of mood and feelings. Pregnant women who are already in contact with mental health services are monitored and treated for depression if necessary.
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Tim Loughton: To ask the Secretary of State for Health what assessment he has made of the Beating the Blues cognitive behaviour programme piloted in Hungerford for dealing with depression problems. [115096]
Jacqui Smith: No direct assessment has been made of the computerised cognitive behavioural treatment for depression called Beating the Blues. However, the Department of Health commissioned the National Institute for Clinical Excellence (NICE) to appraise this and similar approaches. The report was published in October 2002 and is available on the NICE website at www.nice.org.uk. The appraisal will be reviewed again in due course.
Mental Health Services
Tim Loughton: To ask the Secretary of State for Health (1) whether he plans to include a duty on primary care trusts to provide age-appropriate mental health services under the proposed Mental Health Bill; [114740]
- (2) when he expects to publish the clauses relating to children for the proposed Mental Health Bill. [114739]
Jacqui Smith: The purpose of the proposed Mental Health Bill is to provide a legal framework for when someone can be treated for their mental disorder without consent. It is not about providing services or the standards of service provision. Therefore, it is not proposed to include a duty on primary care trusts to provide age-appropriate mental health services in the Bill.
Reform of the legislation is only one strand of the Government's strategy. It should be seen alongside increased investment under the NHS Plan and modernisation of services under national service frameworks (NSFs) for standards of care for working-age adults with mental health problems.
The first part of the NSF for children, young people and maternity services emphasises the need for age-appropriate care and environments for children and young people when in hospital. This will be a key theme throughout the full NSF to be published in the next year.
An expert working group is developing a section of the NSF specifically on child and adolescent mental health services.
Clauses relating to children for the proposed Mental Health Bill will be published when the full Bill is introduced in Parliament. The Bill will be introduced as soon as parliamentary time allows.
NHS Dentists
Mr. Hurst: To ask the Secretary of State for Health how many NHS dentists there were per head of population in Essex in each year from 1990–2002. [115189]
Mr. Lammy: The available information is for the general dental service (GDS).
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The information in the following table shows the number of GDS dentists per 100,000 population in the Essex area at September each year from 1990 to 2001 and at 31 December 2002. The number of dentists includes principals, assistants and vocational dental practitioners. Health authorities (HA) replaced the family health service authorities (FHSA) in 1996.
| Health authority | Number of dentists per100,000 population | |
|---|---|---|
| Essex SHA | ||
| 31 December 2002 | 33 | |
| North Essex and South Essex HA | ||
| 30 September 2001 | 43 | |
| 30 September 2000 | 43 | |
| 30 September 1999 | 41 | |
| 30 September 1998 | 40 | |
| 30 September 1997 | 39 | |
| 30 September 1996 | 37 | |
| Essex FHSA | ||
| 30 September 1995 | 37 | |
| 30 September 1994 | 37 | |
| 30 September 1993 | 37 | |
| 30 September 1992 | 35 | |
| 30 September 1991 | 35 | |
| 30 September 1990 | 34 | |
(56) 1990–2001 ONS mid year population estimates based on the 1991 census.
Note:
2002 GP resident relevant population estimates constrained by the 2001 census
Patients who have difficulty accessing a high street dentist can receive national health service dental care from the community dental service (CDS). There is the equivalent of 13.5 full-time dentists working in the CDS in Essex.
There is a personal dental services pilot treating children in North Essex. Four dentists, four nurses, an oral health educator and a therapist work in the surgery.
Mr. Hurst: To ask the Secretary of State for Health what percentage of the population in Essex has been registered with an NHS dentist in each of the last 12 years. [115190]
Mr. Lammy: At 31 December 2002, 48.4 per cent. of the population of Essex Strategic Health Authority was registered with a general dental service (GDS) dentist. The information in the following table shows the percentage of the population registered with a GDS dentist in the Essex area, at September each year from 1991 to 2001.
Note:
1991–2001 ONS mid year population estimates based on the 1991 census.
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Registrations lapse if patients do not return to their dentist within 15 months and so the registration figures exclude patients who have not been to their GDS dentist within the past 15 months. Also excluded from the figures are patients who receive dental treatment from other national health service dental services including dental access centres.
Registration rates from 1998 onwards are not comparable with earlier rates because of reduction in registration periods to 15 months.
Registrations began in October 1990 and the September 1991 figure is low because registration numbers were building up.
Patients who have difficulty accessing a high street dentist can receive NHS dental care from the community dental service.
In addition, there is a personal dental services pilot in North Essex treating children only. 2,848 children were seen in the pilot in 2002–03.
Mr. Hoban: To ask the Secretary of State for Health how many patients were registered with NHS dentists in Hampshire in each year from 1997 to 2002. [115554]
Ms Blears: The table shows the number of registrations in the Hampshire area at 30 September in each of the years 1997 to 2002. The Hampshire area covers North and Mid Hampshire, Isle of Wight, Portsmouth and South East Hampshire and Southampton and South West Hampshire
Registrations lapse if patients do not return to their dentists within 15 months. Registrations will exclude patients who haven't been to their general dental service (GDS) dentist within the past 15 months and patients who receive dental treatment from other National Health Service dental services.
The September 1997 figure is not comparable with the later figures because of change in the registration periods for adults and children. The figures do not include patients attending the dental access centres which opened during the period and whose patients are not registered.
Patients wishing to register with a GDS dentist can obtain details of dentists accepting new patients by contacting NHS Direct.
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| At 30 September | Number of patients registered (thousands) |
|---|---|
| 1997 | 951 |
| 1998 | 842 |
| 1999 | 823 |
| 2000 | 824 |
| 2001 | 818 |
| 2002 | 801 |
Mr. Hoban: To ask the Secretary of State for Health how many dentists treated NHS patients in Hampshire in each year from 1997 to 2002. [115555]
Ms Blears: The table shows the number of general dental service (CDS) dentists in Hampshire area at 30 September in each of the years 1997 to 2002. The Hampshire area covers North and Mid Hampshire, Isle of Wight, Portsmouth and South East Hampshire and Southampton and South West Hampshire.
The number of dentist includes principals, assistants and vocational dental practitioners.
| At 30 September | Number of GDS dentists |
|---|---|
| 1997 | 569 |
| 1998 | 601 |
| 1999 | 623 |
| 2000 | 628 |
| 2001 | 644 |
| 2002 | 647 |
These figures are on a headcount basis rather than whole time equivalent (wte) basis and therefore take no account of part time working. In the GDS, dentists can vary the amount of National Health Service work they do; many also do some private work.
Mr. Battle: To ask the Secretary of State for Health what proportion of the population of Leeds, West constituency was registered with a NHS dentist in each of the last five years. [116182]
Jacqui Smith: The information requested is shown in the table.
| At 30 September | Percentage population registered with a GDS dentist |
|---|---|
| 1998 | 53.0 |
| 1999 | 52.5 |
| 2000 | 52.5 |
| 2001 | 51.5 |
| 2002 | 50.4 |
Note:
ONS mid-year population estimates based on the 2001 census.
Source:
Department of Health.
At 28 February 2003, 53.5 per cent. of the population for Leeds West Primary Care Trust (PCT) was registered with a general dentist service dentist.
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