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Mr. Lansley: To ask the Secretary of State for Health whether it is his Department's policy that relatives of a deceased person on the organ donor register may refuse permission for the deceased's organs to be donated; and if he will make a statement. 
Ms Rosie Winterton: The Human Tissue Act 2004 makes clear that where an adult has, while alive and competent, given consent for one or more of the scheduled purposes to take place following their death, then that consent is sufficient for the activity to be lawful. In these circumstances, therefore, a relative of the deceased person may not refuse permission for the deceased's organs to be donated, but there may be cases in which donation may not be practicable. The Human Tissue Authority will be responsible for preparing codes of practice that set out what is lawful and the procedures to be followed to implement the Act. These codes of practice will be subject to consultation and parliamentary scrutiny.
To ask the Secretary of State for Health what assessment he has made of the effect that
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contracts with Interhealth Care Services for treatment centres will have on waiting lists for orthopaedic joint replacements in Sefton. 
Mr. Hutton: Interhealth Care Services will carry out over 900 orthopaedic procedures in the Sefton area, starting from June 2006. Interim service with Nuffield hospitals and Capio Healthcare began in October 2004 and will provide South Sefton Primary Care Trust with an additional 269 procedures for their patients in that year.
Dr. Ladyman: The standard for an integrated, community-based paediatric continence service is defined in the children's national service framework (NSF). National health service primary care trusts (PCTs) are expected to ensure that accessible, high quality continence assessment and treatment is provided. This process will be informed by Good Practice in Paediatric Continence Service-Benchmarking in Action 2003". The Department has also set out principles for needs-based local target setting for health and social care as part of its three-year planning guidance, National Standards, Local Action". PCTs must agree appropriate local targets with their strategic health authority, whose responsibility it is to ensure that local health services are of a high quality and are performing well. The guidance states that organisations will need to be guided by the NSFs, the standards of which will be inspected and reviewed by the Healthcare Commission over a 10-year implementation period, for the children's NSF.
Mr. Burstow: To ask the Secretary of State for Health(1) what advice has been given to strategic healthauthorities on supporting the development of integrated paediatric continence services by primary care trusts; 
Strategic health authorities (SHAs) and primary care trusts (PCTs) have all received the national service framework for children, young people and maternity services (children's NSF). This promotes the development of integrated, community-based paediatric continence services. It states that service provision should be informed by the NHS Modernisation Agency's 2003 publication Good Practice in Paediatric Continence ServicesBenchmarking in Action", which
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is available on the clinical governance support group's website at www.cgsupport.nhs.uk/PDFs/articles/Mod_Agency_Good_Practice.pdf.
The Department has also set out principles for local target setting for the national health service and social care as part of its planning guidance, National Standards, Local Action". This requires PCTs to agree appropriate local targets with their SHA, which has a responsibility to offer support throughout the planning process. National Standards, Local Action" states that organisations will need to be guided by the evidence set out in the national service frameworks. In the case of the children's NSF, the Healthcare Commission will inspect and review progress towards achieving the standards over a 10-year implementation period.
Mr. Keith Bradley: To ask the Secretary of State for Health what the average level of personal care costs in residential homes in England was in the last year for which figures are available. 
Dr. Ladyman [holding answer 24 March 2005]: Separate figures on the average level of personal care costs in residential homes in England are not available. The average gross weekly expenditure by local authorities, on residential care, including board and lodging payments, personal care, management and support costs, in 200304 is shown in the table.
|Supported residents||Amount (£)|
|Adults aged 1864 with:|
|Mentally health needs||450|
Ms Rosie Winterton: The chair of the mental health helplines partnership (MHHP), of which SANE was until recently a member has written to SANE offering MHHP's support. The Department has indicated to the chair of the MHHP that it would offer advice and support to MHHP in this matter.
The Department's contract with SANE in respect of Saneline comes to an end on 31 March 2005. In terms of the future funding of the Saneline service, SANE is eligible to apply for government funding streams aimed at the voluntary and community sector.
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Paul Flynn: To ask the Secretary of State for Health (1) what performance criteria are applicable to the (a) number and (b) type of assessments to be undertaken in the Unified Health and Social Care Assessment Process; 
Mr. Hutton: The independent Healthcare Commission is responsible for developing the indicators for use in the national health service performance ratings. Details can be found on its website at: www.healthcarecommission.org.uk/indicators_2005/.
The independent Commission for Social Care Inspection is responsible for developing the indicators for use in social care assessment. Details can be found on its website at: www.csci.org.uk/council_performance/paf/performance_indicators.htm.
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