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Miss Melanie Johnson: The National Institute for Clinical Excellence is preparing guidance for the national health service in England and Wales on the identification and management of genetic risk of familial breast cancer, with which the BRCA 2 gene is associated. This is due to be published shortly and is expected to include guidance on when it is appropriate to refer individuals for genetic testing, and the type of test which should be offered.
Simon Hughes: To ask the Secretary of State for Health how many new cases of hepatitis C have been diagnosed among drug users in (a) London and (b) England in each of the last five years; and if he will make a statement. 
Miss Melanie Johnson: Laboratory reports of antibody to hepatitis C in London and England from 1999 to 2003, where injecting drug use is given as a risk factor, are shown in the table. The majority of cases of acute hepatitis C infection do not result in symptoms and therefore new infections are not usually identified. These laboratory reports do not distinguish between new and previous infections.
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(58) Provisional data.
Health Protection Agency.
Mr. Nigel Jones: To ask the Secretary of State for Health how many new HIV positive cases were recorded in each of the last 10 years for which figures are available; how many deaths from HIV/AIDS there were in each year; how many HIV positive cases have been reported in total; and if he will make an assessment of likely future trends of the disease. 
Miss Melanie Johnson: The numbers of new diagnoses of HIV infection and deaths in HIV-infected individuals, with or without reported AIDS, recorded in England in each of the last 10 years are shown in the table. By the end of December 2003, a total of 56,286 individuals had been reported as diagnosed with HIV infection in England since the start of the epidemic.
The latest estimates for future trends in numbers of diagnosed individuals living with HIV were published by the Health Protection Agency (HPA) at the end of 2002. They are available on the HPA website at http://www.hpa.org.uk/infections/topics az/hiv and sti/publications/hiv annual 2002.pdf.
|Year(59)||Newly diagnosed HIV infections||Deaths|
Numbers for recent years will rise as delayed reports are received.
Communicable Disease Surveillance Centre, Health Protection Agency (data to the end of December 2003).
Mr. Hutton: Using the definition in The Better Regulation Task Force's report, "Independent Regulators", there are 31 bodies with the right to inspect or regulate national health service hospital trusts in England. However, 18 of these are regulators of the professions, or professional bodies, whose inspection roles apply only to training which a hospital might provide.
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From 1 April 2004, the Commission for Health Improvement, the Social Services Inspectorate and the National Care Standards Commission will cease to exist. At the same time, three new bodies will be introduced: the Commission for Healthcare Audit and Inspection, the Commission for Social Care Inspection and the Foundation Trusts Regulator, but in most cases they will replace or rationalise a number of the functions of existing bodies.
Dr. Ladyman: The Department's Public Service Agreement includes a target to increase the number of those supported to live intensively at home to 30 per cent. of all those being supported at home or in residential care by March 2006. The percentage has risen by nearly two points, from 27.2 per cent. in 200102 to 29 per cent. in 200203.
Mr. Burstow: To ask the Secretary of State for Health pursuant to the Answer of 30 January 2004, Official Report, column 559W, on long-term care, how the estimates for (a) income from user charges for personal care at home, (b) savings of disability benefits and (c) publicly funded residents with incomes high enough to meet some care costs were derived. 
Dr. Ladyman: In 200102, councils received around £320 million in income from user charges for domiciliary services. This information can be found on the Department's website. This is assumed to rise to around £350 million in 200304.
The costs in respect of publicly funded residents with incomes high enough to meet care costs are an estimate, in the absence of data. A comparison of local authority data on the numbers of older supported residents in independent sector care homes and Department for Work and Pensions data on the numbers of older recipients of the residential allowance suggests that around 20 per cent. of older supported residents did not receive the residential allowance. This suggests that around 20 per cent. of supported residents have incomes above £168 per week, which is both the cut-off for receipt of residential allowance by older residents and the assumed level of hotel costs. This would amount to some 57,000 supported residents. If the average income of this subgroupfor which data are not availablewas around £200 per week, the annual cost of free personal care for this group would be around £100 million.
Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 30 January 2004, Official Report, column 559W, on long-term care, whether there would be offsetting savings to the Department for Work
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and Pensions' expenditure on disability benefits for older people receiving care at home, if the personal care were to be provided free. 
Dr. Ladyman: Free personal care would not result in any savings to the Department for Work and Pensions' expenditure on disability benefits for older people receiving care at home. This is because receipt of local authority funded home care, unlike receipt of local authority supported residential care, does not trigger loss of disability benefits.
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