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Mr. Don Foster: To ask the Secretary of State for Health what estimate he has made of the number of British citizens who may travel after 31 December without a valid E111 form; and if he will make a statement. 
Experience has shown that only a small number of UK residents travelling to other EEA member states who need treatment do not have valid health entitlement documentation with them. We expect that changes to the E111 arrangements will temporarily increase that number. There is an ongoing publicity campaign to bring these changes to public notice so that problems will be kept to the minimum possible.
17 Nov 2004 : Column 1677W
Dr. Ladyman: The table shows the number of people receiving continuing national health service healthcare in the four North Staffordshire primary care trusts (PCTs) for 200203 and 200304. This data was not centrally collected before 200203.
|Staffordshire Moorlands PCT||39||32|
|North Stoke PCT||54||38|
|South Stoke PCT||53||34|
|QMS non discretionary||1,902,895|
Dr. Ladyman: The configuration of local health services including the provision of vocational rehabilitation services is a matter for the local national health service, working in partnership with its stakeholders and the local community. It is for NHS organisations to plan and develop services based on their specific local knowledge and expertise.
The North East London Mental Health Trust is working with Redbridge primary care trust on a number of initiatives to redesign and modernise the range of vocational rehabilitation services, and a number of options for future management and delivery of the service are under consideration.
This comprises a doubled development fund of £92 million, additional support for PCTs of £14 million and capital incentives of £30 million. In addition, where a practice transfers its responsibility for out-of-hours to the PCT, it will surrender six per cent, of its global sum, equivalent to around £6000 per average general practitioner. If every practice in the country opted out, this would amount to some £180 million.
We have also massively increased PCT allocations and PCTs should be making the most effective use of their unified budgets to establish integrated unscheduled care, which brings together out-of-hours services with emergency care services to meet patient need.
Mr. Hutton: We have greatly increased investment in out-of-hours services in 200405. Some £316 million has been made available to primary care trusts in dedicated funding for out-of-hours, including a doubled development fund of £92 million.
Miss Melanie Johnson: The Department and the Disability Rights Commission recently issued joint guidance for the primary care sector aimed at raising awareness of the duties under the Disability Discrimination Act 1995 and improving disabled people's experience of primary care services. This included a leaflet entitled "You Can Make A DifferenceImproving primary care services for disabled people", for front line staff in general practitioner (GPs) surgeries and other primary care settings, which includes a number of practical ideas for improving services for people with sensory impairment. Furthermore, a wide range of information and guidance on disability access is available to GPs, both on the Department and NHS Estates websites and from external sources such as the Disability Rights Commission.
The Department recently announced an additional £108 million over two years for improving GP premises. The use of this money will be subject to local decision-making and prioritisation, which may include improving disability access.
In 1997, the number of GPs in North Staffordshire health authority (HA) was 236. In June 2004, there was a total of 253 GPs in the four primary care trusts (PCTs) corresponding to the former North Staffordshire HA. This is an increase of 17, or 7.2 per cent. The numbers at June 2004 in the four PCTs are shown in the following table.
|North Stoke PCT||69|
|South Stoke PCT||72|
|Staffordshire Moorlands PCT||57|
In June 1997, the number of individual general dental service dentists in England was 16,303. There were 19,339 in June 2004, including dentists in the personal dental service. This is an increase of 3,036, 18.6 per cent.
In June 1997, the number of dentists 1 in North Staffordshire HA was 118 2 . In June 2004, there was a total of 158 2 dentists in the four PCTs corresponding to the former North Staffordshire HA. This is an increase of 40, or 33.9 per cent. The numbers at June 2004 in the four PCTs are shown in the following table.
|North Stoke PCT||55|
|South Stoke PCT||37|
|Staffordshire Moorlands PCT||36|
Ms Keeble: To ask the Secretary of State for Health what assessment he has made of the implications for health spending of the Government's proposals for housing growth in the South Midlands and Milton Keynes area. 
The Office of the Deputy Prime Minister is working closely with the Department of Health to ensure that health funding allocation responds effectively to growth. In March 2004, the Department of Health
17 Nov 2004 : Column 1680W
announced additional revenue funding of £20 million for 200405 and 200506 for Primary Care Trusts (PCTs) in the growth areas. £5.611 million of this is for PCTs in the MKSM area, with £2.460 million specifically for the Northamptonshire PCTs. The Department of Health also announced an additional £20 million of capital funding for the NHS in the Growth Areas for 200506, decision on the allocation of which will be taken later this year. From 200607 onwards, the Department of Health has agreed to include a growth area revenue adjustment in their future allocations.
The impact of the growth areas on Health and Social care in the Milton Keynes and South Midlands growth area is being looked at in the Office of the Deputy Prime Minister's funded "Planning for future of health and social care needs in the MKSM sub region" study. This study is due to report in summer 2005.
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