|Previous Section||Index||Home Page|
Mr. Byrne: According to the latest United Kingdom market survey, published in September 2004 by the independent healthcare analysts Laing and Buisson (LB), the level of spare capacity in the care home sector has remained the same over the last three years, at around 10,000 places, despite a fall in the number of care home places. In March 2004, the national average occupancy rate was 92.1 per cent. in private sector care homes, 90.2 per cent, for care homes with nursing; 92.4 per cent, for other care homes.
|SHA of residence||200102||200203||200304|
|North West London SHA||179||217||201|
|North Central London SHA||196||158||184|
|North East London SHA||308||261||284|
|South East London SHA||284||309||285|
|South West London SHA||123||105||114|
|Total London SHAs||1,090||1,050||1,068|
Mr. Gerrard: To ask the Secretary of State for Health what guidance she has issued on the provision of maternity services, including HIV treatment to prevent mother to child transmission, to women who do not have leave to remain in the UK. 
Mr. Byrne: Guidance on how to handle the provision of maternity services to women without leave to remain in the United Kingdom is contained in the document, Implementing the Overseas Visitors Hospital Charging Regulations: Guidance for NHS Trust Hospitals in England", issued to all trusts in April 2004.
In response to a recommendation from the Health Select Committee in its recent report, New Developments in Sexual Health and HIV/AIDS Policy", the existing guidance was re-issued to trust overseas visitors managers on 16 May 2005. This confirmed that, because of the seriousness of potential risks to mother and baby, maternity services should be treated as immediately necessary treatment and provided without delay. This could include HIV treatment if considered clinically appropriate. However, if the patient is an overseas visitor
27 Jun 2005 : Column 1370W
who is not eligible to receive national health service hospital treatment free of charge, then they should be charged for any treatment provided.
Jane Kennedy: The North West London Hospitals National Health Service Trust is actively addressing issues at the maternity unit at Northwick Park hospital. Last year the trust, Brent Primary Care Trust (PCT) and Harrow PCT invited the Healthcare Commission to help the Trust with improvements. In April 2005, the Department, on the recommendation of the Healthcare Commission, introduced special measures at the unit to provide additional resource and external clinical support to accelerate the improvement programme.
The trust welcomed these measures and has been progressing with its action plan, which is based on the draft Healthcare Commission report and the requirements of the special measures. While there is further work to be done, including completing the refurbishment of the unit in December 2005, the trust and North West London Strategic Health Authority are confident that good progress is being made.
Andrew Rosindell: To ask the Secretary of State for Health what steps the Government are taking to ensure (a) doctors and (b) dentists are not intoxicated while at work; and what procedure is followed if a doctor or dentist is found to be intoxicated while on duty. 
Mr. Byrne: Every national health service employer has a code of conduct or staff rules, which sets out acceptable standards of conduct and behaviour expected of all its employees. Breaches of these rules are considered to be misconduct. Misconduct can cover a wide range of behaviour and be classified in a number of ways.
The Department issued guidance, Taking alcohol and other drugs out of the NHS workplace" in February 2001. Earlier this year the guidance was re-issued as part of the Management of Health, Safety and Welfare Issues for NHS Staff" by NHS Employers, who provide support to employers.
The guidance recommends that staff who are identified as having a problem, either through self-referral or management action, and who are willing to undertake treatment, should be rehabilitated. The cost of retaining them as useful employees and utilising their knowledge far outweighs the costs of losing them from the NHS.
NHS employers should have policies and support in place to address any problems of drugs and alcohol use among staff. The findings of the recent NHS staff survey report showed 80 per cent. of staff having access to counselling services.
Mr. Burstow: To ask the Secretary of State for Health what role the (a) Healthcare Commission and (b) Commission for Social Care Inspection will play in monitoring compliance with the codes of practice of the Mental Capacity Act 2005. 
Mr. Byrne: The Healthcare Commission works to improve standards in both national health service and independent sector organisations and regulates the independent healthcare sector through registration and inspection. The Commission for Social Care Inspection works to improve standards in social care provision and regulates services relating to both adults and to children, through registration and inspection.
It will be important for health and social care statutory agencies to take account of the provisions of the Mental Capacity Act in their work once the Act is implemented, in order to ensure they are performing effectively and, in certain circumstances, lawfully.
Officials involved in implementing the Mental Capacity Act have held early discussions with both Commissions about the implications of the Act for their operations, and will continue to do so as implementation proceeds.
|Next Section||Index||Home Page|