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Single Sex Wards

10. Dame Marion Roe (Broxbourne) (Con): What progress has been made with making wards in child and adolescent mental health services units single-sex. [182191]

The Parliamentary Under-Secretary of State for Health (Dr. Stephen Ladyman): The data are not collected centrally, but the Royal College of Psychiatrists' quality network for in-patient child and adolescent mental health services conducts annual reviews of services. Of the units reviewed in 2002–03, 89 per cent. fully or partly met its standards for single-sex privacy, and for units reviewed so far in 2003–04, that has increased to 98 per cent.

Dame Marion Roe: I am grateful to the Minister for that reply, but can he tell the House what action is being taken to stop young and adolescent mental health
 
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patients being placed in adult mental health wards, and what measures the Government propose to take to ease the crisis in resources for such patients?

Dr. Ladyman: I congratulate the hon. Lady on her recently bestowed honour.

The hon. Lady is right; there is a real problem when it becomes necessary to place adolescents in adult wards and we are working very hard to avoid it, not only by giving guidance to the services but also by making major investments in those services. I bring to her attention the fact that later this year we shall be publishing the national service framework for children, which will include further extensive guidance on the subject.

Tim Loughton (East Worthing and Shoreham) (Con): If we are "motley", I dread to think what unparliamentary language would be required accurately to describe the shower on the Treasury Bench—

Mr. Speaker: Order. I dealt with the remark that was made. I want temperate language at all times.

Tim Loughton: Why did a recent British Medical Journal survey of psychiatrists and paediatricians reveal that nearly two thirds of under-18-year-olds with mental health problems were admitted to inappropriate wards, many to adult wards? They were the lucky ones, given that the mean number of adolescent in-patient beds is only 7.1 beds per 100,000 of the population, leading to the conclusion that there is an absolute lack of capacity in child and adolescent in-patient psychiatrist units. Given all the Government's bluster about eradicating mixed-sex wards for adults with physical illness—unsuccessfully—why have they done nothing to end mixed-sex wards for adolescents with mental illness, potentially the most vulnerable of all?

Dr. Ladyman: I would not have thought child and adolescent mental services an obvious subject for levity, but perhaps my sense of humour is not quite as refined as the hon. Gentleman's.

We are making a major investment in child and adolescent mental health services, including an investment in new wards and in providing single rooms and separate-sex facilities. We are making the investment that will improve a service with which we are not happy. The hon. Gentleman is pledged to taking that investment out.

Patient Capacity

11. Mrs. Janet Dean (Burton) (Lab): What plans he has to increase patient capacity within the NHS. [182192]

The Secretary of State for Health (Dr. John Reid): The NHS is expanding capacity as never before, with 19,400 more doctors and 67,000 more nurses since 1997, and the largest hospital building programme in its history. That will allow us to offer faster, more responsive services and more patient choice, all free with no charges for anyone for operations or treatment.
 
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Mrs. Dean: I thank my right hon. Friend for that answer and—to use the word of the morning—celebrate the fact that there has been a 35 per cent. increase in overall staffing at Queen's hospital in Burton, and a 68 per cent. increase in the number of doctors there. A new GP surgery at Winshill in my constituency is serving a local population that has not had one for between 20 and 30 years. May I also tell my right hon. Friend—

Mr. Simon Burns (West Chelmsford) (Con): Question!

Mr. Speaker: Order. I chair the proceedings in the House.

Mrs. Dean: There are concerns about the number of GPs, especially in the inner wards of Burton, and about the shortage of dentists in east Staffordshire. Will my right hon. Friend give the primary care trust guidance on how to address those issues?

Dr. Reid: We always stand ready to give whatever assistance and guidance we can, although as we drive forward reforms in the national health service and increase capacity we are trying simultaneously to pass down to local level as much of the power for decision making as possible. My hon. Friend has given a balanced picture of where we are. We have made huge and significant progress on capacity over the past seven years, although we still have a long way to go, as she pointed out. However, the choice before people is plain: what we offer, in increased capacity, extended choice, more personal care, all delivered free at the point of need; or the alternative, which is to reduce NHS capacity, to scrap all targets so that there will be unlimited waiting lists, to introduce charges and give preferential treatment to the better-off, and to return to the jungle of the free market where health policy benefits only the financially fittest in this country.

Mr. Mark Francois (Rayleigh) (Con): May I ask the Secretary of State about capacity as regards dental patients in the NHS? In large parts of my constituency, it is now practically impossible to register with an NHS dentist. People must go to a practice well outside the constituency to do so. In Hockley, in my constituency, there is a particular problem. The residents association has come up with some innovative proposals to address it, but those in the local health economy appear to be pooh-poohing them at present. Will the Secretary of State allow me to write to him specifically about that very difficult situation to find out whether he can do something to address the black hole in NHS dentistry in my constituency?

Dr. Reid: Of course I look forward to receiving any representation on that from any Member on either side of the House. I have not hidden—nor has the Minister of State, Department of Health, my hon. Friend the Member for Doncaster, Central (Ms Winterton)—from the huge challenges that we face with dentistry. Again, let us try to get a balanced picture. There are more dentists in this country than ever before. There has been a 15 per cent. increase in the number of dentists in this country. There are more dentists in training than ever before, but there are problems that relate to the
 
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contract. I make no party political point, but that is not merely a problem under this Government. There is a problem with getting in extra dentists in the short term, as well as with training them for the long term. I will address all those points in the coming week, because this issue should not separate us on party political grounds, but I certainly look forward to receiving any ideas and representations. One idea that I will not accept is to reduce the capacity that we are putting into the NHS—an idea that could only make the situation worse.

Mr. Gordon Prentice (Pendle) (Lab): We need more home-grown doctors because, very often, doctors will stay in the area where they were trained. May I ask my right hon. Friend whether there is any plan to establish a new medical school in the north-west, based on the university of Central Lancashire?

Dr. Reid: It is not always that I can start with the words, "I agree entirely with my hon. Friend," but I can today. That is why we have got 60 per cent. more home-grown doctors, and more medical students and a higher number of applications to medical colleges than ever before. We have opened four more medical colleges as well.

All that is a massive advance, but it is short of where we would want to be in an ideal world. However, I hope that people will recognise that, if we want to build on the advances of the past few years, we need increased capacity and more personal control for patients, and all that must be delivered free at the point of need. We should be celebrating this morning the fact that, as shown in a BBC poll, 70 to 80 per cent. of the people of this country agree with us on that and are entirely opposed to any plan to charge people for health care.

Enbrel

12. Rev. Martin Smyth (Belfast, South) (UUP): When he expects Enbrel to be available for general prescription throughout the NHS. [182193]

The Minister of State, Department of Health (Ms Rosie Winterton): Enbrel is already available on NHS prescription.

Rev. Martin Smyth: It may be in England, but I understand that it is not yet available in Northern Ireland, where patients are crying out for it. Will the Minister have a chat with her colleagues in the Northern Ireland Office to find out whether Enbrel may become free on prescription not in three years' time, but to meet patients' needs at the moment?

Ms Winterton: As I said, Enbrel is available on prescription. The hon. Gentleman may be referring to the National Institute for Clinical Excellence guidelines, which are implemented in England and Wales, but the implementation of NICE guidelines is, in fact, a devolved decision. However, I can assure him that officials in the Northern Ireland Office are considering more formal ways of working with the relevant national standard-setting bodies, including NICE, which will address the problem that he raises.
 
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