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Mr. Byrne: To ask the Secretary of State for Health if he will list (a) delivered and (b) approved publicly-funded capital projects in the health sector in East Birmingham since 2001, broken down by estimated capital value. 
Dr. Ladyman: Birmingham and the Black Country Strategic Health Authority reports that the main publicly funded capital schemes for the three national health service organisations covering East Birmingham are as follows:
|200102||Arden Leigh medium secure unit||500|
|200203||Arden Leigh medium secure unit||11,911|
|200304||Arden Leigh medium secure unit||5,860|
|George and Elizabeth wards refurbishment||1,422|
|Small health in-patient facility (completed)||450|
|200405||Arden Leigh medium secure unit (completion)||800|
|George and Elizabeth wards refurbishment (completion)||450|
|200304||Total capital programme includes:||1,529|
|redevelopment of Stockland Green health centre|
|upgrading of Pearl GP premises||200|
|200405||Castle Vale new health centre||3,300|
|200102||Total capital programme includes:||11,768|
|Medical wards development project||6,758|
|200003||Total capital programme includes:||10,960|
|Yardley Green transfer||3,260|
|Medical Wards Phase 2||1,220|
|Day Surgery Hospital||856|
|Sterilisation of Instruments||779|
|200304||Total capital programme includes:||9,612|
|200405||Total capital programme includes:||12,269|
The final score is determined by reference to the assessment, but involves a weighting process that places greater emphasis on those aspects relating to cleanliness on wards, toilets and bathrooms and accident emergency and other departments, such as outpatients.
Mr. Hutton: The independent Healthcare Commission is responsible for national health service performance ratings and has launched a consultation on proposals to introduce a new health check for the NHS. This will continue to provide an annual rating of performance of NHS trusts.
Mr. Amess: To ask the Secretary of State for Health what factors are taken into account when a NHS hospital trust is being assessed under the star ratings system; and if he will make a statement. 
Mr. Hutton: The independent Healthcare Commission is responsible for developing and producing the national health service performance ratings. Details of how this will be done for 200405 will be posted on the Healthcare Commission's website at www.healthcarecommission.org.uk later this month.
|Total reports received|
|1986 to 1992||227|
|1993 to 1996||235|
|1997 to 2000||803|
|2003 (provisional data)||330|
Advice to doctors about the diagnosis and treatment of Lyme disease are readily available. Highly sensitive tests for the detection of Lyme disease are readily available and accessible across the national health service. Public health officials in areas such as the New Forest, where the risks of being bitten by an infected tick are highest, have made their local general practitioners aware of relevant symptoms.
Lyme disease can be treated with antibiotics, usually doxycycline or amoxicillin and early treatment usually clears the initial rash within several days and helps to prevent the development of complications. More serious symptoms also respond to antibiotic treatment. Detailed studies have shown excellent long-term outcomes for most people who receive appropriate treatment. Guidance on the treatment of Lyme disease is available on the Health Protection Agency's (HPA) website: www.hpa.org.uk/infections/topics_az/zoonoses/lyme_borreliosis/faq.htm
Workshops organised jointly by the Department of Health, Department for Environment, Food and Rural Affairs and the HPA were held in 2001 and 2002 to further raise awareness of healthcare professionals. These workshops brought together leading experts on the disease.
Dr. Murrison: To ask the Secretary of State for Health how many local contracts were cancelled following his Department's decision to make Picture Archiving and Communications Systems a core service within the National Programme for Information Technology; and at what cost. 
Mr. Hutton: NHS Professionals was initially allocated £7 million to support the start up of pilot sites. A further £24 million was invested in 200203 and £23.2 million in 200304. £26.6 million was allocated to support the establishment of the new special health authority for 200405.
The investment included a total of over £6.1 million during the financial years 200102 to 200304 to support the flexible careers scheme managed by NHS Professionals before the special health authority was established.
15 Dec 2004 : Column 1155W
Mr. Burstow: To ask the Secretary of State for Health pursuant to his answer of 8 December 2004, Official Report, column 559W, on nurse numbers, on what (a) estimates and (b) timescales he bases his expectation of further significant increases. 
The number of students entering training to become a nurse or midwife has increased by 62 per cent, since 199697. Combined with international recruitment, return to practice and the increasing numbers of newly qualified nurses, we expect to see increases in the nursing workforce.
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