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(b) primary care expenditure and (c) pharmaceutical expenditure for each year since 1997; and if he will make a statement. 
Dr. Ladyman: Information on expenditure on respiratory disease is not collected centrally. The British Thoracic Society published their report in November 2001 entitled "The Burden of Lung Disease". The report estimates the total cost of respiratory disease to the national health service to be £2,576 million. It estimates that approximately £647 million is spent on primary care, £1,062 million is spent on hospital inpatient care, £18 million is spent on hospital day case care, £40.7 million is spent on hospital outpatient care and £800 million is spent on prescriptions relating to respiratory disease.
Ms Rosie Winterton: Initial expenditure on voluntary redundancies is £9.1 million. The amount of further expenditure will depend on a number of factors, including the level of transfers to partner organisations, the amount of natural wastage and the number of staff the Department is able to re-deploy.
Mr. Hinchliffe: To ask the Secretary of State for Health what the estimated total cost is of the Department of Health reorganisation and change process; and whether this figure includes monies to address (a) planning, (b) evaluation, (c) retraining and (d) relocation. 
Ms Rosie Winterton: Total costs in the implementation period October 2003 to October 2004 are estimated at £13.7 million. This includes external consultants support in planning the implementation and evaluation as well as support for staff. This figure also incorporates initial expenditure on voluntary redundancies of £9.1 million. Relocation costs cannot be quantified until appointments have been made.
Mr. Hinchliffe: To ask the Secretary of State for Health how much money will be spent on (a) external consultants and (b) the process of transferring service provision to other Government Departments, arm's length bodies and local health authorities as part of the Department's change programme. 
Ms Rosie Winterton: We expect to spend £1.25 million on external consultants in the change programme implementation period from October 2003 to October 2004. Staff support in managing change, recruitment and in seeking alternative employment is estimated at £2.35 million in the same period.
Mr. Hinchliffe: To ask the Secretary of State for Health what the expected social costs are of the restructuring proposed for the Department of Health in relation to (a) redundancies, (b) relocation of staff and (c) the impact of these issues on areas of high unemployment. 
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Ms Rosie Winterton: The impact of unnecessary redundancies will be mitigated by a vacancy freeze (in place since last summer) and active redeployment of staff to alternative posts, either within the health and social care system or within the civil service.
Mr. Hinchliffe: To ask the Secretary of State for Health whether the Department has conducted an impact assessment as outlined in the Race Relations (Amendment) Act 2000, prior to the significant departmental changes that may affect the Department's staff. 
Ms Rosie Winterton: The Department has identified the potential impact of the change programme on the promotion of race equality, has consulted upon and put in place processes to mitigate any adverse impact and is monitoring implementation.
Tim Loughton: To ask the Secretary of State for Health how many school nurse whole-time equivalents are employed in each of the primary care trusts in Sussex; and what their responsibilities are. 
|Whole time equivalent||Headcount|
|Total of specified organisations||1,325||2,061|
|5FH Bexhill and Rother PCT||107||153|
|5FJ Hastings and St. Leonards PCT||94||151|
|5FK Mid-Sussex PCT||116||197|
|5L8 Adur, Arun and Worthing PCT||280||418|
|5L9 Western Sussex PCT||283||443|
|5LQ Brighton and Hove City PCT||65||110|
|5LT Sussex Downs and Weald PCT||218||335|
|5MA Crawley PCT||94||135|
|5MC Horsham and Chanctonbury PCT||70||119|
(81) UPEs includes QMS Unrestricted Principals, PMS Contracted GPs and PMS Salaried GPs.
Department of Health Non-Medical Workforce Census.
Department of Health General and Personal Medical Services Statistics.
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School nurses' responsibilities cover children in the five to 16 age group in areas, which include general health care, drop-in cases, child protection, vaccinations, health checks, referrals on to general practitioners, target health checks (such as hearing tests), as well as requests from schools, one to one for parent or child.
Mrs. Lait: To ask the Secretary of State for Health pursuant to the Answer of 21 January 2004, Official Report, columns 136263W, what the resource implications are to (a) local government and (b) the NHS of the requirement for national services within the NHS to consult Overview and Scrutiny committees when they wish to change a national service; and whether a regulatory analysis of the system has been published. 
Ms Rosie Winterton: It is not possible to assess the resource implications for local government or national health service organisations in relation to the requirement for overview and scrutiny committees to be consulted on changes to national NHS services, since each circumstance will lead to a different set of arrangements. It is right that substantial changes are appropriately consulted upon and that both local government and the NHS treat that consultation as a priority for local people affected by any proposed change. Local government and the NHS locally should set aside funding to ensure that such changes do receive rigorous consultation to ensure local people's interests are taken into consideration.
To date, there has not been any regulatory analysis of the work of overview and scrutiny committees in relation to health services. The Department is making a one-off payment to the Centre for Public Scrutiny to undertake a programme of work to support and enable health scrutiny by local government. Part of the three-year programme will be to put in place an evaluation of health scrutiny, including health service consultations, and to assess the outcomes for local people resulting from the input of overview and scrutiny committees.
Miss Melanie Johnson: The Sex Lottery campaign has been carefully designed to target young adults, aged 18 to 30, who are most at risk from sexually transmitted infections and who would benefit from increased information and awareness raising. A variety of publications and media outlets have been used to reach this audience, and a full detailed list has been placed in the Library.
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