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22 Jan 2004 : Column 1425W—continued
Crisis Resolution Teams
Mrs. Roe: To ask the Secretary of State for Health with reference to the NHS Plan paragraph 14.31, how many crisis resolution teams have been established; and of these teams, how many are able to offer a 24-hour service. [148061]
Ms Rosie Winterton [holding answer 20 January 2004]: According to the Durham mental health service mapping database (http://www.dur.ac.uk/service.mapping/amh), there are 132 crisis resolution teams currently in operation, 81 of which are offering a 24-hour service.
Dentistry
Dr. Murrison: To ask the Secretary of State for Health what assessment he has made of the impact that an increased proportion of women in the dental workforce has had on the availability of full-time equivalent practising dentists. [147502]
Ms Rosie Winterton: The number of male dentists in the general dental service has increased during the past 10 years from 11,819 dentists at September 1993 to 12,607 at September 2003. The number of female dentists has increased from 3,954 to 5,93O. The female proportion has risen from 25 per cent. to 32 per cent. The implications are discussed in the report of the Dental Workforce Review, which we will be publishing shortly.
Diabetes (South Sefton)
Mrs. Curtis-Thomas: To ask the Secretary of State for Health (1) whether South Sefton's Primary Care Organisation has appointed a clinical champion for diabetes; [148997]
- (2) what the percentage is of general practitioners providing (a) diabetes clinics and (b) other forms of structured diabetes care for South Sefton Primary Care Trust; [149000]
(3) whether people with diabetes are able to have (a) blood glucose tests with results on the same day, (b) urine tests with results on the same day, (c) access on the same day to specialist expertise within primary care and (d) access to equipment for retinopathy screening with interpretation on the same day, under South Sefton Primary Care Trust; [149018]
(4) whether South Sefton Primary Care Organisation has a protocol for the transfer of young people with diabetes from paediatric services to adult services; [149019]
(5) whether South Sefton Primary Care Organisation has a local diabetes implementation and planning group to lead service commissioning; [148998]
(6) whether South Sefton Primary Care Organisation (a) has a population-based register and (b) uses general practitioners' practice-based registers; [149001]
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(7) whether South Sefton Primary Care Organisation has a strategy for early identification of people with diabetes; [149002]
(8) whether the South Sefton Primary Care Trust provided training in the management of diabetes in the last two years for (a) general practitioners and (b) diabetes clinics; [148999]
(9) whether South Sefton Primary Care Trust provides joint specialist diabetes and obstetric clinics for people in the area; [149020]
(10) whether the South Sefton Primary Care Trust provides joint specialist renal and diabetes clinics for people with diabetes who have renal complications; [149021]
(11) how often people are routinely recalled for retinopathy screening by South Sefton Primary Care Trust; and whether digital cameras are used; [149003]
(12) what percentage of people with diabetes were screened in the period April 2002 to March 2003 by South Sefton Primary Care Trust; [149004]
(13) whether people with diabetes in the South Sefton Primary Care Trust area are invited to diabetes education sessions with a healthcare professional; [149005]
(14) what written information is available on (a) diabetes, (b) self-management of diabetes, (c) personal diabetes record and care plans, (d) local diabetes services, (e) outcomes of care and (f) Diabetes UK to people diagnosed with diabetes by South Sefton Primary Care Trust; and in what languages this material is available; [149015]
(15) whether South Sefton Primary Care Trust's register enables the call and recall of invitations for people with diabetes to attend services; [149016]
(16) whether people with diabetes in the South Sefton Primary Care Trust area are able to access (a) routine diabetes care and (b) risk factor monitoring in a single visit; [149017]
(17) whether the South Sefton Primary Care Trust provides foot care clinics for those at high risk of developing lower limb complications. [149022]
Miss Melanie Johnson: This information is not collected centrally. However it can be obtained from the following website: www.drfoster.co.uk/diabetes/objectlist.aspx?obid = 271&w= 1&p=1.
The website can be accessed via www.diabetes.org.uk.
Down's Syndrome
Mr. Laurence Robertson: To ask the Secretary of State for Health what (a) funding and (b) other support there is for parents with children with Down's Syndrome; what plans he has to increase (i) funding and (ii) other support; and if he will make a statement. [149419]
Dr. Ladyman: Over £3 billion a year is spent on health and social services for people with learning disabilities, including those with Down's Syndrome. People with
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Down's Syndrome also use mainstream health and social services and benefit from increased expenditure on those services.
People with Down's Syndrome and their family carers will also benefit from our proposals for improving services for people with learning disabilities, their families and carers as set out in the White Paper "Valuing People: A New Strategy for Learning Disability for the 21st Century" (Cm 5086), published in March 2001. "Valuing People" sets out a comprehensive five year strategy to be implemented by the Government and by local agencies.
The White Paper also announced the creation of two new funds to support its priorities; the Implementation Support Fund (ISF) of £2.3 million a year from April 2001 and the Learning Disability Development Fund (LDDF), comprising of £23.1 million revenue and £20 million capital in 2003–04. Our annual report on learning disability, "Making Change Happen" (HC 514), published in April 2003, announced that the ISF would continue until March 2006. The LDDF will also continue until March 2006.
Families of children with Down's Syndrome have also benefited from Government programmes to support disabled children. As part of the "Quality Protects" (QP) programme, the disabled children's ringfenced grant rose from £15 million last year to £30 million this year. This, along with the yearly rises in the Carer's Grant, is leading to increases in the levels of provision of short term breaks for parents of disabled children. Direct payments were introduced in the Carers and Disabled Children Act 2000; one of the key aims is to give families greater choice and flexibility in how they receive services, including the range of short term breaks. As part of the development of national service framework for children, the Government are considering how best to support the particular needs of families with disabled children, who require flexible services responsive to their particular needs.
The Down's Syndrome Association has been awarded a grant of £28,000 for a two year project, "Planning for a Healthy Life". The project aims to produce web-based information on the specific health issues that need to be taken into account in health action planning for people with Down's Syndrome by medical students, general practitioners and health workers.
People with Down's Syndrome and their family carers will also benefit from the outcome of this project.
Environmental Impact Study
Dr. Kumar: To ask the Secretary of State for Health if he will commission a study on the environmental impact of staff and service users across the NHS. [148316]
Miss Melanie Johnson: It is Government policy that environmental considerations must be properly taken into account in all the activities and services provided by the national health service. It is for each individual hospital trust to undertake environmental impact assessments for the services it provides and the facilities used by its staff and service users.
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Health and Social Services (Lincolnshire)
Mr. Simmonds: To ask the Secretary of State for Health how much funding (a) in absolute terms and (b) per head of population has been made available in (i) Lincolnshire and (ii) England for the provision of adult social services in each year since 1995. [148475]
Dr. Ladyman: The information requested is shown in the table.
| Total adult resources (£ million) | Total per head of population (£) | |
|---|---|---|
| Lincolnshire | ||
| 1995–96 | 60 | 125 |
| 1996–97 | 67 | 139 |
| 1997–98 | 72 | 148 |
| 1998–99 | 73 | 149 |
| 1999–2000 | 78 | 156 |
| 2000–01 | 82 | 163 |
| 2001–02 | 88 | 173 |
| 2002–03 | 105 | 204 |
| 2003–04 | 114 | 221 |
| 2004–05 | 121 | 232 |
| England | ||
| 1995–96 | 5,220 | 140 |
| 1996–97 | 5,746 | 154 |
| 1997–98 | 6,081 | 162 |
| 1998–99 | 6,458 | 172 |
| 1999–2000 | 6,827 | 181 |
| 2000–01 | 7,176 | 189 |
| 2001–02 | 7,701 | 201 |
| 2002–03 | 8,766 | 228 |
| 2003–04 | 9,527 | 246 |
| 2004–05 | 10,117 | 260 |
(13) The funding figures include both FSS and grants. The figures include some grants which can be used to support all social care services. These are Carers, Training Support Programme, Human Resources Development Strategy, Performance Fund and National Training Strategy Grants. It is not possible to split these grants between adult and children's services.
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