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7 Jan 2004 : Column 391W—continued

Child Mental Health

Tim Loughton: To ask the Secretary of State for Health what the prevalence of mental health problems is in children aged (a) five to 10, (b) 11 to 15 and (c) 16 to 19 in England, broken down by gender. [145689]

Dr. Ladyman: Information is not available in the form requested. The tables show the prevalence of mental disorders in young people aged five to 15 years and neurotic disorder in young people 16 to 19 years.

Prevalence of mental disorders among five to 15-year-olds

Five to 10 years11 to 15 years
All children8.211.2


Office for National Statistics survey—Mental health of children and adolescents in Great Britain (2000)

Prevalence of neurotic disorder among 16 to 19-year-olds

16 to 19-year-olds
All adults13.3


Office for National Statistics survey—Psychiatric morbidity among adults living in private households (2000)


Mr. Burstow: To ask the Secretary of State for Health what assessment he has made of the reasons for the change in the number of (a) adults and (b) children registered with a dentist in the last three years. [142061]

Ms Rosie Winterton: Adult registrations in the general dental service fell by 160,000 in the three years between September 2000 and September 2003 from 16.81 million to 16.65 million, a fall of 1.0 per cent. Children's registrations fell by 170,000 from 6.84 million to 6.67 million, a fall of 2.5 per cent.

During the same period, there has been an increase in National Health Service dental services provided by the personal dental services; the number of patients increased by 340,000 in the three years between 1999–2000 and 2002–03.

Some of the drop in registration numbers is due to improved procedures at the Dental Practice Board in removing duplicate patient records.

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General population figures are not yet available for this period on a consistent basis that is based on the 2001 Census. However it is estimated that between 2001 and 2002 the adult population in England rose by 0.5 per cent. with the children's population falling by 0.4 per cent.

We recognise that dentists in some areas have reduced their NHS commitment and there has been considerable dissatisfaction since 1992 with remuneration system which is now seen as a disincentive to provide NHS dental care. Proposals in the Health and Social Care (Community Health and Standards) Act 2003 will underpin a modernised, high-quality primary dental service provided through contracts between primary care trusts and dental practices and properly integrated with the rest of the NHS providing better access to services and an improved patient experience. With these new responsibilities will go the £1.2 billion resources currently held centrally.

Diabetes (Amputations)

Mr. Burstow: To ask the Secretary of State for Health what the cost of amputations due to diabetes was in each year since 1996 in (a) England and (b) each strategic health authority; how many people in each case have had amputations due to diabetes in each year since 1996; and what assessment his Department has made of the proportion of amputations due to diabetes that could have been prevented. [144776]

Ms Rosie Winterton: Data on the cost of lower limb amputations is not collected in the format requested. The table shows how many lower-limb amputations were performed in the years 1996–2003 in national health service hospital trusts in England.

Primary Diagnosis Diabetes (ICD10 codes E10-E14), With main operation of Lower Limb Amputation (OPCS4 codes X09-X11), Finished Consultant Episodes (FCEs)
NHS hospital trusts in England, 1996–97 to 2002–03

Amputation of:
Leg (X09)Foot (X10)Toe (X11)Total


1. An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.

2. The main operation is the first of four operation fields in the HES data set, and is usually the most resource intensive procedure performed during the episode.

3. The primary diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital.

4. Data in this table are adjusted for both coverage and unknown/invalid clinical data, except for 2001–02 and 2002–03 which are not yet adjusted for shortfalls.

5. 2002–03 data are provisional and subject to change.


Hospital Episode Statistics (HES), Department of Health.

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The Department of Health's Hospital Episode Statistics (HES) system provides information on in-patient care in England. With the clinical information given by hospital providers it is not possible to determine how many amputations due to diabetes could have been prevented. The national service framework for diabetes standards document noted that all people with diabetes should receive high-quality care throughout their lifetime, including support to optimise the control of blood glucose, blood pressure and other risk factors for developing the complications of diabetes. The standards document also noted that the impact of microvascular complications could be reduced if they are detected and treated at an early stage and states that all young people and adults with diabetes should receive regular surveillance for the long-term complications of diabetes.

Health Development Agency

Mr. Burstow: To ask the Secretary of State for Health if he will list the (a) budget allocations and (b) actual spending of the Health Development Agency in each year since 2000. [144785]

Miss Melanie Johnson: The information requested is shown in the following table.

Health development agency allocations and expenditure(12)

Total Allocations/Income from Government Sources(14)11,28812,26111,015
Net resource outturn(15)11,46211,96011,024

(12) Information taken from HDA published accounts.

(13) The 2000–01 figures used are as per the 2001–02 accounts (restated as a comparator).

(14) Total expenditure may exceed the allocation or other payments to the HDA from Government because the HDA may earn income from other sources to cover that expenditure.

(15) Net Resource Outturn is the Operating Cost less other Income. This does not include Capital interest charges.

Healthy Living Programmes

Mr. Burstow: To ask the Secretary of State for Health what plans he has to evaluate New Opportunity-funded healthy living programmes; and what arrangements have been made to ensure that the lessons from such evaluations are disseminated. [145080]

Miss Melanie Johnson: The New Opportunities Fund is supporting a number of healthy living programmes, each of which will be formally evaluated. The Department of Health will study the evaluation findings carefully, and will work with the New Opportunities Fund to help ensure that lessons learned are effectively disseminated.

In addition, the Department of Health has commissioned its own evaluation of the health living centre programme through the Tavistock Institute against key health priorities such as cancer and coronary heart disease prevention. The Institute will be encouraged to publish their findings and the Health Development Agency will incorporate the findings into evidence and practice reviews.

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Maternity Units

Mr. Baron: To ask the Secretary of State for Health pursuant to his Answer of 15 December, Official Report, column 772W, on maternity services, to what extent women are able to choose whether they will be seen in a midwifery-led maternity unit; and what effect the policy of their local health authority has on choice. [146324]

Dr. Ladyman: We expect midwife led maternity care to be one of the options available to women and their families. A woman's decision to give birth in a midwife led unit should be a matter for informed discussion between the woman and the health professionals responsible for providing her care.

It is up to local health organisations, working with their communities and other local partners, to provide high quality maternity services that are both as safe and as accessible as possible to women and their families.

Mr. Baron: To ask the Secretary of State for Health whether it is the Government's policy that women should be able to choose to be treated in a midwife-led maternity unit. [146325]

Dr. Ladyman: It is Government policy that women should be able to choose to have midwife led maternity care. A woman's decision to give birth in a midwife led maternity unit should be a matter for informed discussion between the woman and the health professionals responsible for providing her care.

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