Previous Section Index Home Page


25 Feb 2004 : Column 487W—continued

Masts

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. [155872]

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.

Medical Research (Animals)

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. [155550]

Miss Melanie Johnson: The Department of Health, the Department of Trade and Industry and the Home Office each contributed £28,502 towards the cost of the research.

Mental Health

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. [155630]

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

25 Feb 2004 : Column 488W

guidance in April 2004. Full details of the provisional schedule for this guideline can be found on the NICE website at www.nice.org.uk.

MMR

Tim Loughton: To ask the Secretary of State for Health how many children aged between five and 15 years developed (a) measles, (b) mumps and (c) rubella in each of the last 10 years. [152558]

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.

Number of cases aged 5–14 years

MeaslesMumpsRubella
199551429
1996145631
1997911002
199812345
1999202295
2000234724
2001154191
2002881305
2003(10)1642480

(10) Provisional.

Sources:

1996–2002 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


Obesity-related Deaths

Mr. Burstow: To ask the Secretary of State for Health what methodology his Department used to estimate the number of deaths from obesity-related diseases; and if he will make a statement. [155157]

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 2000–01: 15 February 2001.

Podiatry

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. [155985]

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

25 Feb 2004 : Column 489W

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.

We are committed to reducing bureaucracy in the NHS and commissioning such a study would not be cost effective.

Sexually Transmitted Diseases

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. [154459]

Dr. Ladyman: This information is not collected centrally. However the available information from the Health Protection Agency has been placed in the Library.

The data contained within these tables does not represent the prevalence of disease within this individual strategic health authority.

Soft Drinks (Schools)

Mr. Jim Cunningham: To ask the Secretary of State for Health what representations he has made to the United Kingdom soft drinks industry about distribution of soft drinks in schools. [155811]

Miss Melanie Johnson [holding answer 23 February 2004]: No direct representations to the United Kingdom soft drinks industry about distribution of soft drinks in schools have been made.

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.

The Food Standards Agency has undertaken a pilot in schools on healthier drink vending, which will feed into the "Food in Schools" programme.

25 Feb 2004 : Column 490W

SPIRIT Trial

Mrs. Calton: To ask the Secretary of State for Health (1) by what date the National Cancer Research Network expects to have all 300 patients recruited for the SPIRIT trial; [154935]

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.

Tendring Primary Care Trust

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. [155120]

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. [155121]

25 Feb 2004 : Column 491W

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.

Tim Loughton: To ask the Secretary of State for Health (1) what sites were considered by Tendring Primary Care Trust for its new headquarters; [155122]

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:



25 Feb 2004 : Column 492W



Kennedy Way was chosen as the preferred option.

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. [155124]

Dr. Ladyman: Tendring Primary Care Trust (PCT) is currently consulting staff, local councillors and residents' representatives on the range of services to be provided from the centre.

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.

Clacton and Holland-on-Sea

Service clusterIncludes:
Central Clinical ServicesSecurity
Essential Clinical ServicesGeneral Practitioner services
Nurse Practitioner services
Nurse Led ServicesChronic disease management
Health promotion (expand family planning and sexual heath, diagnostics–visiting GP)
Special provision for teenagers
Vaccinations and immunisations
Contraception
Child Health
Cervical Cytology
Chronic Disease ManagementDiabetic services (more multidisciplinary team)
Chiropody
Eye
Dietetics
Podiatry
COPD/Asthma
Chromic management eye Diseases
Optometry (multidisciplinary)
Coronary Heart Disease
Hypertension
Diabetes
Diabetic Retinopathy Screening
Heart Failure Assessment
DiagnosticsWarfarin & DVT Monitoring
One stop near patient testing
Visiting echo
Ultrasound
Osteoporosis assessment
Blood tests/phlebotomy
ECG
Future possibility of X-ray and Ultrasound
(PACS)
Health PromotionPrevention has close links with rehabilitation
Smoking Cessation
Teenage Advisory Clinic
Information Zone
Rehabilitation ServicesPost discharge stroke
Musculo-skeletal assessment
Falls Prevention
Cardiac rehabilitation
Heart Failure rehabilitation
Musculo-skeletal clinic
District Nursing ServiceLeg ulcer clinics (dermatology, vascular, district nurses)
Community paramedics
District Nurse Base
Leg Ulcer Clinic
Continence Clinic
Equipment Store
Health Visiting ServiceHealth Visitor base
Mental Health ServicesSubstance misuse
Community Psychiatric Services
Child and Family Consultation Service
CMHT
Memory clinic
Counselling
Social ServicesVulnerable adults
Child Protection
Social Worker Base
Care Advisor service
Voluntary SectorShared resources
Advisory Clinics
Outpatient ServiceOphthalmology
Explore paediatric outreach
Dermatology
Neurology Outpatients
Dermatology outpatients
Care of the Elderly Outpatients
Urology
Community Dental ServicesCommunity Dental Services
AudiologyHearing Tests
Hearing Aid Clinic
Podiatry/chiropodyPodiatry/chiropody
Patient Advice and Liaison Service (PALS)Base for PALs service
Dispensary/pharmacyIntegration
CaféCafé
Children's ServicesPaediatric child health
Occupational Therapy
Physiotherapy
Speech and language
School nursing
Disability nursing
Children's outreach
Children's continence services
Nursery services
Child protection

25 Feb 2004 : Column 493W

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. [155125]

Dr. Ladyman: This information is not collected centrally.

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. [155126]

Dr. Ladyman: We have no plans to close general practitioner surgeries in the Tendring Primary Care Trust (PCT) area.

25 Feb 2004 : Column 494W

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.

The local NHS has no plans to close practices in Tendring; and 75 per cent. of practices have been expanded with additional doctors and nurses, using personal medical services growth money.

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. [155127]

Dr. Ladyman: I am advised by Tendring Primary Care Trust that funding for transporting residents is currently under review.

25 Feb 2004 : Column 495W


Next Section Index Home Page