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Mrs. Spelman: To ask the Secretary of State for Health what guidelines, other than International Commission Non-Ionizing Radiation Protection emission levels, are used by (a) the Health and Safety Executive and (b) OFCOM for the practical implementation of a precautionary approach to mast installations around sensitive sites. 
Miss Melanie Johnson: The International Commission on Non-Ionizing Protection (ICNIRP) guidelines is concerned with exposure to electromagnetic fields. The mobile phone industry has voluntarily agreed, as a precautionary measure, to comply with ICNIRP guidelines. The Government have also agreed that mobile telecommunications equipment should meet the ICNIRP guidelines as expressed in the European Union Council Recommendation on the limitation of exposure of the general public to electromagnetic fields (0Hz-300Ghz) of 12 July 1999. No Government body uses any other more restrictive exposure guidelines.
Norman Baker: To ask the Secretary of State for Health pursuant to his answer of 2 February 2004, Official Report, column 1129W, on medical research (animals), how much the Government contributed to the 2002 MORI poll. 
Tim Loughton: To ask the Secretary of State for Health what progress has been made on the National Institute for Clinical Excellence guidance on recommended procedures for control and restraint of mental health patients. 
Ms Rosie Winterton: The anticipated publication date for the National Institute for Clinical Excellence's (NICE) clinical guideline on the short-term management of disturbed (violent) behaviour in in-patient psychiatric settings is November 2004. NICE provisionally plans to consult on the first draft of the
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Miss Melanie Johnson: Data on comparable confirmed cases of measles, mumps and rubella are only available from 1995. The number of confirmed cases of measles, mumps and rubella between 1995 and 2003 are shown in the table. The information provided relates to the number of confirmed cases of measles, mumps and rubella in children aged between five and 14 years. Data on cases in children aged between 5 and 14 years is being provided, as this is the standard age grouping used in all surveillance reports.
19962002 Health Protection Agency website:
http://www.hpa.org.uk/infections/topics az/measles/data reg age.htm
http://www.hpa.org.uk/infections/topics az/mumps/data reg age.htm
http://www.hpa.org.uk/infections/topics az/rubella/data reg age.htm
Miss Melanie Johnson: The Department uses estimates presented in the National Audit Office report on obesity: "Tackling Obesity in England"report by the Comptroller and Auditor General. HC220 Session 200001: 15 February 2001.
Mr. Baron: To ask the Secretary of State for Health if he will collect a sample of the discharge rates, whether complete or not, of NHS podiatry services, to enable the Government to estimate how many patients could reasonably be accepted into NHS foot care services. 
Dr. Ladyman [holding answer 23 February 2004]: National health service foot care services are provided on the basis of assessed clinical need. Primary care trusts, in partnership with strategic health authorities and other local stakeholders, have the responsibility for improving the health of the community, securing the provision of high quality services, and integrating health and social care locally. They have the resources to
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commission services, and to identify the number of professional staff that they need to deliver those services. This process provides the means for addressing local needs within the health community including the provision of chiropody/podiatry services.
Mrs. Helen Clark: To ask the Secretary of State for Health what the incidence of sexually transmitted diseases was in the areas covered by (a) the Greater Peterborough Primary Care Trust and (b) the Norfolk, Suffolk and Cambridgeshire Strategic Health Authority in the last year for which figures are available, broken down by (i) HIV, (ii) Chlamydia, (iii) gonorrhoea, (iv) syphilis and (v) genital herpes; how many cases of each disease there were in the (A) under 19, (B) 20 to 25, (C) 25 to 35 and (D) 35 plus age group, broken down by gender; and what the percentage change was in each case in each of the previous five years. 
The Department of Health-led strand of the "Food in Schools" programme comprises eight pilot projects, which aim to ensure children have access to healthy food choices and drinks throughout the school day. In particular, the work on water provision aims to increase overall consumption of water by pupils in schools by making it more accessible. The healthier vending machines pilot challenges schools and the vending industry to make healthy options available in school vending machines, which includes the provision of healthier drink products.
The results of all eight pilot projects will be brought together in a 'whole school approach' and made available to schools across England from the beginning of 2005 to assist them in providing a wider range of healthier foods and drinks for pupils.
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(3) how many centres have been approved to enter patients in the SPIRIT trial; and when they will be receiving patients. 
Miss Melanie Johnson: The SPIRIT trial received multi-centre research ethics committee approval in November 2003. Local research ethics committee approval is currently being applied for at the various centres that plan to participate. The trial is led by the American College of Surgeons Oncology Group (ACOSOG). Any centre that wishes to participate must obtain United States federal-wide assurance, and investigators and research nurses must obtain membership of the ACOSOG. The trial team anticipates that six to eight centres in the United Kingdom will be approved by summer 2004, and that these centres will immediately start entering patients into the trial. The team is confident that 300 UK patients will be recruited before May 2007, which is the US target for completing accrual.
Tim Loughton: To ask the Secretary of State for Health if he will make a statement on plans to close general practitioner surgeries in (a) Holland-on-Sea and (b) Great Clacton in Tendring Primary Care Trust. 
Dr. Ladyman: It is this Government's policy, within the framework set out in the NHS Plan and the Shifting the Balance of Power initiative, to devolve funding decisions to the front line. It is now for primary care trusts (PCTs), in partnership with health authorities and other local stakeholders, to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services, based on the specialised knowledge they have of the local community.
The Colchester and Tendring Local Improvement Finance Trust project board is committed to significantly improve services and facilities in the area. Tendring PCTs plan is to develop one purpose-built health centre that will incorporate four local surgeries on one site in the local areas. Therefore, the surgeries are not being closed but re-sited.
The proposal is to centralise services on the Kennedy Way site with two satellite surgeries; one in Holland-on-Sea and the other in Great Clacton. The distance from the existing practices to the proposed new centre is approximately one mile. The satellite facilities will provide services to those patients who are unable to travel.
Tim Loughton: To ask the Secretary of State for Health what consultation has been undertaken by Tendring Primary Care Trust regarding the proposed closure of general practitioner surgeries in Holland-on-Sea. 
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Dr. Ladyman: I am advised that Tendring Primary Care Trust (PCT) extended its original consultation period so that it ran from mid January 2003 to mid March 2003 in order for option appraisals to be undertaken. Public consultation meetings were held, consultation documents were circulated, an appraisal workshop was also held and the PCT corresponded with the public and local councillors.
The PCT held an option appraisal day, which was attended by member of the public, resident associations, the Community Health Council and health professionals. The outcome of the option appraisal day was unanimous support for developing the Kennedy Way site.
Dr. Ladyman: Tendring Primary Care Trust, in partnership with Tendring District Council and local estate agents, undertook an exhaustive search for a site best befitting the necessary criteria for a new health centre. The key criteria were:
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Tim Loughton: To ask the Secretary of State for Health what the estimated cost is of the new surgery general practitioners centre in Kennedy Way, Clacton-on-Sea; and what proportion of the site will be occupied by primary care trust administration. 
The PCT's current estimated figure is £7 million for the health centre and PCT headquarters which it is currently estimated to be split as, £5 million for the health centre and £2 million for the PCT headquarters (these figures are subject to change according to the final service model adopted). The premises will then be leased through the Local Improvement Finance Trust over a 20 year period.
In addition to general practice, additional services will be available from the new site. These are shown in the table. However, until the range of services to be offered is agreed and costed, the PCT is at present unable to define what proportion of the accommodation will be given over to PCT administration. However, the PCT estimates that the large majority of accommodation will be for healthcare provision.
|Central Clinical Services
|Essential Clinical Services
|General Practitioner services
|Nurse Practitioner services
|Nurse Led Services
|Chronic disease management
|Health promotion (expand family planning and sexual heath, diagnosticsvisiting GP)
|Special provision for teenagers
|Vaccinations and immunisations
|Chronic Disease Management
|Diabetic services (more multidisciplinary team)
|Chromic management eye Diseases
|Coronary Heart Disease
|Diabetic Retinopathy Screening
|Heart Failure Assessment
|Warfarin & DVT Monitoring
|One stop near patient testing
|Future possibility of X-ray and Ultrasound
|Prevention has close links with rehabilitation
|Teenage Advisory Clinic
|Post discharge stroke
|Heart Failure rehabilitation
|District Nursing Service
|Leg ulcer clinics (dermatology, vascular, district nurses)
|District Nurse Base
|Leg Ulcer Clinic
|Health Visiting Service
|Health Visitor base
|Mental Health Services
|Community Psychiatric Services
|Child and Family Consultation Service
|Social Worker Base
|Care Advisor service
|Explore paediatric outreach
|Care of the Elderly Outpatients
|Community Dental Services
|Community Dental Services
|Hearing Aid Clinic
|Patient Advice and Liaison Service (PALS)
|Base for PALs service
|Paediatric child health
|Speech and language
|Children's continence services
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Tim Loughton: To ask the Secretary of State for Health what the recommendation of Tendring Community Health Council was in the consultation on (a) moving the Primary Care Trust headquarters and (b) closing (i) Frinton Road Medical Centre and (ii) the Grove Lodge general practitioner surgery. 
Tim Loughton: To ask the Secretary of State for Health what plans there are to close further general practitioner surgeries in the Tendring Primary Care Trust area after the proposed closure of Frinton Road Medical Centre and the Grove Lodge general practitioner surgery. 
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However, we are advised that Tendring PCT states that these practices are not closing but relocating to a new purpose-built facility with a wider range of services being offered under the national health service Local Improvement Finance Trust.
Tim Loughton: To ask the Secretary of State for Health what funds are being provided by Tendring Primary Care Trust to transport residents of Holland-on-Sea to the new Kennedy Way general practitioner surgery in Clacton-on-Sea; and for what period this funding is assured. 
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