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Mr. Paice: To ask the Secretary of State for Health what representation he has received on his proposals for a remedial action notice within new food hygiene regulations; in what circumstances he would expect it to be used instead of the Emergency Prohibition Notice; and if he will make a statement. 
Miss Melanie Johnson: I am advised by the Food Standards Agency (FSA) that concerns have been raised, largely by some meat industry stakeholders, about the use of the Remedial Action Notice in response to the FSA's consultation on new food hygiene legislation.
The proposed Remedial Action Notice would directly replace the existing Regulation 10 notice in current meat hygiene legislation. These notices are expected to be served in situations where requests for corrective measures to reduce the risk of contamination and consequent risk to public health have been ignored by the operator. Examples of where they might be used in slaughterhouses are:
to promptly and effectively prohibit the use of a piece of equipment; impose conditions on, or the carrying out of a process; require the rate of production to be reduced or even stopped; or require the detention of any animal or food of animal origin for the purposes of examination.
Emergency Prohibition Notices and Orders are currently issued under the Food Safety Act 1990, and provision for Hygiene Emergency Prohibition Notices and Orders has been made in the draft Food Hygiene (England) Regulations. The current notices and orders are used where there is a real and imminent risk to health and the new provisions will replicate that requirement.
Miss Melanie Johnson: The number of notified cases of food poisoning in England and Wales reported to the Health Protection Agency (HPA) each year since 2001 is shown in the table. These numbers have shown a decrease each year since 2001.
|Notified cases of food poisoning in England and Wales|
Notified cases of food poisoning are not considered to be a reliable indicator of food-borne disease due to considerable under-reporting of all notifiable diseases. Very few notified cases will be based on evidence supporting the suspected association with food.
22 Mar 2005 : Column 747W
Based on laboratory reports and multiplication factors derived from a large study of infectious intestinal disease 1 , the HPA estimated that, in 2000, there may have been as many as 1.3 million cases of food-borne illness acquired in England and Wales, of which around 370,000 consulted a doctor 2 . In that year, only 86,528 cases of food poisoning were notified. The HPA has not carried out a similar estimate for subsequent years.
2 Adak G K, Long S M, O'Brien S J. Gut 2002; 51:832841.
Miss Melanie Johnson: Notified cases of food poisoning are based on clinical diagnoses; therefore, it is not always possible to confirm the cause of the illness. However, estimates made by the Health Protection Agency (HPA); 1 have indicated that the main microbiological cause of food poisoning is Campylobacter".
Data for 200103 on the number of laboratory-confirmed cases of illness in England and Wales caused by the five major food-borne bacteria also indicate that Campylobacter" caused the greatest number of cases in each year.
Final figures for 2003 provided by the HPA are shown in the following table and suggest that the number of laboratory-confirmed cases of Campylobacter" in England and Wales in 2003 decreased by 22 per cent. compared with the figures for 2001. Reliable data for 2004 are not yet available.
Successive Governments have not required the national health service to provide statistics on the number or nationality of overseas visitors treated under the provisions of the NHS (Charges to Overseas Visitors) Regulations 1989, as amended, or on the costs of treatment. It is therefore not possible to provide the information requested.
22 Mar 2005 : Column 748W
Dr. Ladyman: The North Central London strategic health authority reports that the Great Ormond Street Hospital National Health Service Trust is forecasting they will achieve financial balance for the current financial year.
|Number of MRSA bloodstream infection reports|
|April 2001 to March 2002||7|
|April 2002 to March 2003||13|
|April 2003 to March 2004||4|
|April 2004 to Sept 2004||1|
Mr. Best: To ask the Secretary of State for Health what the level of funding per head of population in eachprimary care trust in Leeds was in the last year for which figures are available; and what assessment his Department has made of inequality of healthcare provision in the city. 
|200405 allocation per weighted head of population|
|Leeds, North East||1,044.27|
|Leeds, North West||1,001.55|
|In-patient beds||Day patient beds|
|199697||York health services national health service trust||1,171||32|
|200304(29)||York hospitals NHS trust(30)||778||43|
|200304||Selby and York PCT(30)||375||0|
Hugh Bayley: To ask the Secretary of State for Health how many patients had been waiting 13-weeks or longer for outpatient treatment at York health services NHS Trust at (a) April 1997 and (b) the latest date for which figures are available. 
Miss Melanie Johnson: The table shows the number of patients not yet seen at the end of the quarter who have experienced a wait of over 13-weeks for a first outpatient appointment at York health services national health service trust in March 1997 and from 2002, at York hospitals NHS trust.
|March 1997(31)||York health services NHS trust||2,058|
|December 2004||York hospitals NHS trust(32)||645|
Hugh Bayley: To ask the Secretary of State for Health how many finished consultant episodes there were in (a) total and (b) each speciality at York hospitals NHS trust in each year since 199697; and how many (i) hip replacements and (ii) cataract operations were carried out in that NHS trust in each year. 
|110||Trauma and Orthopaedics||4,375||4,274||4,560||4,468||4,660||4,649||5,158||5,566|
|120||Ear Nose & Throat (ENT)||2,211||1,833||2,134||2,166||2,193||2,301||2,050||2,041|
|180||Accident and Emergency (A&E)||1,361||731||460||134||||*||29||7|
|610||General practice with maternity function||200||125||516||1,829||1,772||1,418||1,581||1,631|
|620||General Practice other than Maternity||519||522||480||437||411||370||0||0|
|711||Child and Adolescent Psychiatry||72||64||54||47||57||51||0||0|
|715||Old Age Psychiatry||838||904||854||745||744||696||0|||
|Hip replacements||Cataract operations|
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