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Social Services Finance (Scotland)

Mr. Duncan: To ask the Secretary of State for Health if he will make a statement on the liability of councils in England and Wales to reimburse the costs incurred by Scottish local authorities' social services departments in processing social services assessments on individuals from England and Wales who are placed in residential institutions in Scotland and referred to the Children's Reporter in Scotland. [115826]

Jacqui Smith: Responsibility for the costs of assessing and meeting the needs of a child will depend on the circumstances of an individual case.

Attention Deficit Hyperactivity Disorder

Jonathan Shaw: To ask the Secretary of State for Health if he will make a statement on diagnosis of adults with attention deficit hyperactivity disorder. [116903]

Jacqui Smith: Attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) have been considered primarily as disorders of childhood, and are described in the International Classification of Mental and Behavioural Disorders (ICD-10) and the U.S. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), where clinical descriptions and diagnostic guidelines are to be found. Diagnosis is clearly a matter for the responsible medical practitioner, but I understand that the position concerning ADD/ADHD in adults is less clear. I gather that evidence is accumulating that the disorder found in childhood may persist into adulthood and in some cases be first diagnosed in adulthood.

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Cheshire and Merseyside SHA

Helen Jones: To ask the Secretary of State for Health, how many people from each parliamentary constituency in the area (a) applied and (b) were interviewed for the post of chair of Cheshire and Merseyside Strategic Health Authority. [112300]

Jacqui Smith [pursuant to her reply, 15 May 2003, c. 413W]: I regret that my response was incorrect. The final paragraph of the response should have read as follows.

Cleft Lip and Palate Services

Helen Jones: To ask the Secretary of State for Health what proposals for future arrangements for the provision of cleft lip and palate services will be put to residents in the North West; and what arrangements will be made to encourage those in health-deprived areas to participate in a consultation on these services. [116099]

Jacqui Smith [holding answer 4 June 2003]: The three strategic health authorities in the north west—Greater Manchester, Cheshire and Merseyside and Cumbria and Lancashire—held a joint board and agreed to conduct a joint consultation on the options for the future delivery of cleft lip and palate services in the north west.

It is proposed that one consultation document will be published and circulated to a wide range of organisations in accordance with the new arrangements for patient and public involvement.

It is anticipated that the formal consultation will commence at the end of June/beginning of July 2003.

Clinical Negligence

Chris Grayling: To ask the Secretary of State for Health what his policy is on introducing a no-fault clinical negligence compensation system. [116893]

Mr. Lammy: The Chief Medical Officer, Professor Sir Liam Donaldson, has reviewed a wide range of options to tackle the complex issues involved in improving the present system for handling clinical negligence claims, including no fault compensation; these are under consideration by Ministers. I know the outcome of the Chief Medical Officer's review is eagerly awaited. We hope to publish our proposals for reform soon.

Commission for Healthcare Audit

Mr. Hancock: To ask the Secretary of State for Health if he will make a statement on the new Commission for Healthcare Audit and Inspection. [116071]

Mr. Lammy: The Health and Social Care (Community Health and Standards) Bill, which includes provisions to establish the new Commission for Healthcare Audit and Inspection (CHAI), is currently before Parliament.

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CHAI's principal role will be to carry out a fully independent assessment of the quality of both public and private healthcare in order to encourage improvement. Subject to parliamentary approval of the Bill's provisions, we intend that CHAI will be operational from April 2004. A shadow chair, Professor Sir Ian Kennedy, and 10 shadow commissioners have so far been appointed by the independent National Health Service Appointments Commission to lead in establishing the new body.

Continuing Care

Mr. Burstow: To ask the Secretary of State for Health (1) pursuant to his answer of 8 May 2003, Official Report, column 867W, on continuing care funding, from how many strategic health authorities further clarification has been requested; and what the reasons are for not publishing the information received from SHAs about their continuing care policies; [115569]

Jacqui Smith: Strategic health authorities (SHAs) have estimated the number of people who may have been wrongly denied full national health service funding for continuing care based on local information. The Department in discussion with SHAs suggested a number of factors which could be taken into account, including the local nursing home population. There is no intention to publish the procedure for estimating the number. Further clarification has been requested from all SHAs. The Department of Health does not routinely publish details of estimated costs of a specific service.

Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 21 May 2003, Official Report, column 852W, on continuing care, what additional information was required from strategic health authorities following the deadline for reviewing existing continuing care criteria; and if he will make a statement. [116860]

Jacqui Smith: We have asked strategic health authorities for evidence of their legal advice taken when agreeing new continuing care criteria.


Mr. Burns: To ask the Secretary of State for Health when he will reply to the letter from the hon. Member for West Chelmsford of 10 February concerning the practical problems facing patients suffering from mental health problems. [117662]

Jacqui Smith: A reply was sent to the hon. Member on 2 June.

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Mr. Keetch: To ask the Secretary of State for Health what plans he has to improve the provision of NHS dentistry in Herefordshire; and if he will make a statement. [116883]

Mr. Lammy: It is the intention of the Health and Social Care (Community Health and Standards) Bill to better match the provision of primary dental services with local oral health needs through local commissioning of the service. It is our intention that funding for primary dental services will be allocated direct to primary care trusts (PCTs), so that they will be in a position to secure primary dental services for their population.

Herefordshire PCI will receive a cash increase of more than 30 per cent., over the period 2003 to 2006. The Government has already invested over £2 million in the Herefordshire dental access centre, which operates from six sites throughout the county.

Mr. Hancock: To ask the Secretary of State for Health pursuant to his answer of 22 May 2003, Official Report, column 966–67W, on dentistry, how many residents within (a) Portsmouth, (b) Fareham and Gosport and (c) Southampton City primary care trusts have been unable to register with an NHS dentist in the last year; and what assessment he has made of the likely timescale for all residents within the Portsmouth PCT area having access to an NHS dentist. [116915]

Mr. Lammy: This information is not held centrally. Information is collected on the number of registrations in each primary care trust (PCT) area and on the number of calls to NHS Direct which meet the locally set distance standards.

Not all patients seek routine access to NHS dental care. Some patients prefer to be seen on an unregistered basis under the occasional treatment arrangements or in a dental access centre.

There is a personal dental services pilot in Southampton City PCT incorporating a dental access centre. It treated 9,980 patients in the year ending March 2003. There is also a personal dental service pilot in Fareham and Gosport PCT, which treated 2,156 patients in the year ending March 2003.

The latest information available from NHS Direct suggest most callers in the three PCT areas are being put in touch with a dentist offering NHS treatment within local distance standards.

The Health and Social Care (Community Health and Standards) Bill, currently before Parliament, proposes local commissioning of primary dental services. It is anticipated that, through local commissioning, PCTs would be better placed to address local access issues as they arise. The new arrangements are expected to come into effect in 2005. It is also the intention of the Bill to

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make NHS dentistry a more attractive option to general dental practitioners by providing them with a more predictable level of income, allowing them to work differently and incorporating them into the NHS family.

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