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18 Dec 2003 : Column 1118Wcontinued
Mr. Gardiner: To ask the Secretary of State for Health how many referrals of children up to the age of five years there were to the Community Paediatric Service in England and Wales in each year since 1997; and who initiated the referrals. 
Data about new episodes of care with the community paediatric nursing services in England are published in "Patient Care in the Community, NHS Specialist Care Nursing, Summary information for 200203, England"available at http://www.doh.gov.uk/kc590203.
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|Number of initial contacts|
Referrals to community paediatric nurses are not necessarily the same as referrals to community paediatric serviceswhich usually relate to medical services and a different client mix.
David Winnick: To ask the Secretary of State for Health when he will reply to the letter of 10 November 2003 from the hon. Member for Walsall, North, on the Royal Commission on Long Term Care, transferred to his Department from the Department for Work and Pensions. 
Mr. David Ruffley: To ask the Secretary of State for Health (1) what estimate he has made of the number of delayed discharge patients awaiting a domiciliary care package in Suffolk on the latest date for which figures are available; 
In September 2003 in England, 26.3 per cent. of patients who experienced a delayed transfer of care from hospital for a period of 28 days or over, and in Suffolk West Primary Care Trust the figure was 38.89 per cent. This compares to 34.2 per cent. in England and 46.4 per cent. in Suffolk West PCT in September 2002.
Ms Rosie Winterton: My right hon. Friend the Secretary of State, announced at the Health Select Committee on 30 October that he intends to undertake a review in 2004 of the Department's arm's length bodies. This review will embrace executive non-departmental public bodies and special health authorities as well as executive agencies.
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Mr. Austin Mitchell: To ask the Secretary of State for Health if he will increase the number of doctors in practice to make up any shortfall in the NHS as the integrated care record system is introduced. 
Mr. Hutton: There will not be a need to increase the number of doctors in practice in the National Health Service as a consequence of the introduction of the integrated care record system. The system will in fact produce efficiency savings for clinicians across the NHS. For example, summaries of records will be available across the whole of the NHS along with the necessary information to support clinical decisions.
Having to read through large quantities of unsorted information prior to conducting consultations;
Waiting for paper based information including results to be transferred around hospitals and between trusts to facilitate clinical decisions;
Re-typing and re-entering information which has already been captured electronically elsewhere in the NHS.
Miss Melanie Johnson: The impact of fruit and vegetable consumption in the 66 primary care trusts (PCTs) running Five-a-Day community initiatives is being evaluated using the Five-a-Day Consumption Evaluation Tool (FACET). The participants are being selected randomly from the electoral register for the 66 PCTS and control areas matched for multiple deprivation index. The total cost of the evaluation is estimated to be £330,000.
Miss Melanie Johnson: The Five-a-Day logo is part of a wider educational programme to provide clear and consistent information on the benefits of eating at least five portions of a variety of fruit and vegetables a day. The cost to date of developing the Five-a-Day logo and related communications, including materials for use in primary care settings throughout the national health service, has been £549,000.
Barbara Follett: To ask the Secretary of State for Health (1) how many times in each of the last five years representatives of (a) the farming sector, (b) the food manufacturing sector, (c) the food retail sector, (d) consumer organisations, (e) academia and (f) other sectors have made presentations to the Food Standards Agency Board that are not recorded in the agency's board papers; 
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It is normal practice for informal briefing sessions to include a range of stakeholders or individuals with different views or perspectives on an issue. Details of the total number of informal briefing sessions organised for the board of the FSA since it was established on 1 April 2000 are shown in the table. Also indicated is the number of times specific sectors have participated in these informal briefing sessions. The figures for other sectors include participation by Government Departments, chairs or members of expert/advisory committees, enforcement organisations, professional associations and individuals.
|Total number of informal briefing sessions||9||10||8||15|
|Including participation by the following groups:|
|Food manufacturing sector||||||||1|
|Food retail sector||||2||||1|
The board of the FSA has recently agreed to publish the topics of, and (subject to their agreement) the groups invited to participate in, future informal board briefing sessions. This information will be published with papers put to open board meetings, beginning with the board's next open meeting on 12 February 2004.
Mr. Burstow: To ask the Secretary of State for Health if he will make a statement on the amount of fraud in the NHS; and what research his Department has commissioned to estimate the level of unidentified fraud in the NHS. 
Mr. Hutton: The National Health Service Counter Fraud and Security Management Service (NHS CFSMS) has an on-going programme of highly accurate risk measurement exercisesaccurate to plus or minus 1 per cent.designed to reveal levels of losses and, through repeated exercises, reductions in such losses, where they take place.
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|Year data selected||Fraud losses|
|Pharmaceutical patient fraud|
|Dental patient fraud|
|Optical patient fraud|
A statistically valid sample of those prescriptions prescribed during March 2003 has been taken and a further measurement exercise has been completed. Further reductions in pharmaceutical patient fraud are anticipated and figures will be produced later this month.
Mr. Hutton: The National Health Service Counter Fraud Service, now Counter Fraud and Security Management Service (CFSMS), was created in 1998 with a remit to tackle fraud and corruption within the NHS. So far, it has produced a financial benefit to the NHS of more than £295 million. It works with more than 400 professionally trained and accredited local counter fraud specialists covering every health body in England and Wales.
NHS bank and agency staff are an integral part of the NHS work force, but there is, unfortunately, a small minority of these staff who take advantage of the NHS and its resources. CFSMS have identified bank and agency timesheet fraud as a significant area of fraud and investigations, to date, have resulted in 33 criminal prosecutions. Some of the individuals involved have received terms of imprisonment ranging from nine to 21 months. Criminal prosecution is not the only action taken and CFSMS pursues a parallel sanctions policy, seeking to combine appropriate disciplinary procedures with civil action to freeze and recover assets.
The CFMS is engaged in a national proactive exercise aimed at highlighting system and policy weaknesses in the NHS. As a result, information will be sent to the whole of the NHS in England and Wales on how to improve systems, stop the fraudulent practices that put resources at risk and prevent bank and agency staff fraud in the future. Local counter fraud specialists in NHS organisations that use bank and agency staff have
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been required to check agency staff records, including timesheets, uncover incidents of fraud, assess systems used to monitor agency staff and deliver fraud awareness presentations to agency staff.
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