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4 Oct 2004 : Column 1964W—continued

Eating Disorders

Mr. Burstow: To ask the Secretary of State for Health how many finished consultant episodes there were with a primary diagnosis of (a) anorexia and (b) bulimia, broken down by (i) age and (ii) gender in each year since 1997. [187869]

Ms Rosie Winterton: Information on the number of finished consultant episodes in national health service hospitals of patients with a primary diagnosis anorexia and bulimia, broken down by age and gender in each year since 1997, has been placed in the Library.

Mr. Burstow: To ask the Secretary of State for Health if he will make a statement on the review of eating disorders undertaken by the National Development Group for Specialised Services. [187871]


 
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Ms Rosie Winterton: The national development group for specialised mental health services is near to completing a review of all such services. It anticipates providing a report on its work late in 2004 or early in 2005.

European Health Card

Mr. Burstow: To ask the Secretary of State for Health (1) what proof of identity will be needed to apply for an European health card; [187880]

(2) what security measures will be put in place to verify identity on the European health card to replace the E111 form. [187881]

Mr. Hutton: A United Kingdom-wide consultation on proposals for introducing the European health insurance card is currently under way. It is likely that the application process will require applicants to provide their UK address together with their National Insurance number or their national health service number, since these best ways available of demonstrating residence in the UK and therefore eligibility to receive NHS services. In all but exceptional circumstances, cards will only be issued to UK addresses.

National Service Framework for Older People

Sandra Gidley: To ask the Secretary of State for Health (1) pursuant to his Answer of 1 July, Official Report, column 408W, on fall/osteoporosis services, when the Healthcare Commission's review of the delivery of the National Service Framework and older people's services will be published; [183660]

(2) when the findings of the Commission for Healthcare Improvement's consultation on the scope of the review of the National Service Framework for Older People will be made available. [185994]

Dr. Ladyman: I understand from the Chairman of the Healthcare Commission that the findings are available on its website at www.healthcarecommission.org.uk. The results of the initial consultation on the scope of the review were published in October 2003 and the detailed methodology was published in March 2004.

The Healthcare Commission will be producing a national report on the implementation of the National Service Framework for Older People by December 2005. Local reviews will be running throughout 2005.

Forum Support Organisations

Mr. Drew: To ask the Secretary of State for Health whether forum support organisations within the Commission for Patient and Public Involvement in Health (CPPIH) will end in August 2005 prior to the winding up of the CPPIH. [188388]

Ms Rosie Winterton: No decisions have been taken yet about whether to extend the forum support organisation contracts beyond August 2005, when they expire.

Sue Doughty: To ask the Secretary of State for Health how many bone fractures resulting from falls were treated by the NHS in the last period for which figures are available; how many of those suffering from such
 
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fractures were known to have osteoporosis; how many were discovered to have osteoporosis in post-fracture screening; and if he will make a statement. [188180]

Dr. Ladyman: Information on the number of bone fractures resulting from falls treated by the National Health Service for the last period for which figures are available is shown in the table. Information on how many of those suffering fractures were known to have osteoporosis and how many were discovered to have osteoporosis in post-fracture screening is not collected centrally.
Primary diagnosis—fracture (ICD 10 diagnosis codes S02, 812, S22, 832, 842, 552, 562, 872, 582, 892 and T02) with secondary diagnosis falls (ICD diagnosis codes WOO-W19)—counts of finished consultant episodes (FCEs)

National Health Service hospitals—England161,670




Notes:
Ungrossed data—figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
A FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a patient may have more than one episode of care within the year.
Cause code—the cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects.
Secondary diagnoses—as well as the primary diagnosis, there are up to 13 (6 prior to 2002–03) secondary diagnosis fields in Hospital Episode Statistics (HES) that show other diagnoses relevant to the episode of care
Source:
HES, Department of Health



Fraud Costs

Mr. Lansley: To ask the Secretary of State for Health what estimate his Department has made of the cost of fraud to (a) his Department and (b) the executive agencies for which his Department in responsible in each of the last 10 years. [185875]

Ms Rosie Winterton: The figures available are from 1999–2000 and are shown in the table.
£

DepartmentAgencies
1999–20003,0550
2000–0100
2001–021500
2002–0338,3070
2003–0429,0826,100

Free Personal Care

Mr. Keith Bradley: To ask the Secretary of State for Health what the projected cost is of providing free personal care for all elderly people for (a) 2004–05 and (b) each of the following 10 years. [189461]

Dr. Ladyman: The Government have estimated that the cost of introducing free personal care for everyone in England would be some £1.5 billion at 2003–04 prices. None of this extra expenditure would increase choice or services available to older people. The Government have not made estimates for the next 10 years. On 8 September, the Joseph Rowntree Foundation,
 
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published projections to 2051 of the future costs of long-term care for older people in the United Kingdom in the report: "Future demand for long-term care in the UK: A summary of projections of long term care finance for older people".

The report concluded that long-term care spending in the United Kingdom would need to increase by about 315 per cent., in real terms between 2000 and 2051, to meet demographic pressures and allow for real rises in care costs, if dependency rates, patterns of care and funding arrangements remained unchanged. In terms of personal care, the researchers estimated that if free personal care had been introduced across the whole of the UK in 2000, public spending on long-term care would have risen immediately from £8.8 billion to £10.3 billion, and projected public spending would reach £42.6 billion or more by 2051, compared with £35.4 billion if current funding arrangements were maintained.

General Practitioners

Mr. Burstow: To ask the Secretary of State for Health how many general practitioner practices in (a) England and (b) each strategic health authority have premises below a minimum standard; and what his Department defines as a minimum standard for practice premises. [187866]

Mr. Hutton: The most recent figures available (2002–03) indicate that the number of general practitioner practice premises below minimum standards are as shown in the table. The figure of 700 represents only 6 to 7 per cent., of all primary care premises in England. The Government are supporting one of the largest and most sustained programmes of modernisation of primary care premises in the history of the national health service and this is likely to have a significant impact on these numbers.
Practices with premises below a minimum standard by strategic health authority in England—2002–03

Practices with premises below a minimum standard
England700
Norfolk, Suffolk and Cambridgeshire4
Bedford and Hertfordshire25
Essex91
North-west London31
North-central London149
North-east London160
South-east London55
South-west London0
Northumberland, Tyne and Wear3
County Durham and Tees Valley6
North and East Yorkshire and Northern Lincolnshire4
West Yorkshire4
Cumbria and Lancashire1
Greater Manchester18
Cheshire and Merseyside11
Thames Valley4
Hampshire and Isle of Wight3
Kent and Medway15
Surrey and Sussex26
Avon, Gloucestershire and Wiltshire16
South-west Peninsula2
Somerset and Dorset2
South Yorkshire31
Trent11
Leicestershire, Northamptonshire and Rutland0
Shropshire and Staffordshire4
Birmingham and the Black Country24
West Midlands South0

 
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The definition on which these figures are based was contained in paragraph 51 of the "Statement of Fees and Allowances", a copy of which is available in the Library.

Bob Spink: To ask the Secretary of State for Health how many single practitioner general practitioner surgeries there were in each of the last five years. [189554]

Mr. Hutton: The table shows the number of single-handed general practitioner surgeries there were in each of the last five years.
Single-handed partnerships of unrestricted principals and equivalents (UPEs)(43) 1997–2003

EnglandNumbers (headcount)
UPEsPartnerships of UPEsSingle-handed UPEs
199927,5918,9442,631
200027,7048,8782,575
200127,8438,8172,534
200228,0318,7482,482
200328,5688,7572,504


(43) UPEs include general medical service unrestricted principals, personal medical service (PMS) contracted GPs and PMS salaried GPs.
Data as at 1 October 1997–98 and 30 September 2000–03.
Source:
Department of Health general and personal medical services statistics.




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