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6 Jul 2005 : Column 448W—continued

Cancer Treatment

Mr. Lansley: To ask the Secretary of State for Health what recent estimate she has made of the cost to the NHS in England in a year of treating (a) prostate, (b) mouth and (c) facial skin cancer. [9953]

Ms Rosie Winterton [holding answer 5 July 2005]: Information on the costs of treating individual tumours is not collected centrally. Latest information indicates that nearly £3.4 billion was spent by primary care trusts in financial year 2003–04 in treating all cancers.

Consultants

Mrs. Dean: To ask the Secretary of State for Health what plans she has to issue guidance on effective commissioning for those in the public and voluntary sectors who are commissioning work from external consultants. [7020]

Jane Kennedy: The Department provides detailed procurement guidance to its staff, with a direct link to the successful delivery toolkit, as explained by my hon. Friend the Financial Secretary to the Treasury (John Healey), in his reply of 27 June 2005, Official Report, column 1286W.

The National Health Service Purchasing and Supply Agency, together with the Office of Government Commerce, has awarded a series of framework agreements to provide specialist business, professional and information technology consultancy and services to the NHS. This can allow trusts to streamline certain elements of the procurement process.

Cytology

Sandra Gidley: To ask the Secretary of State for Health if she will list the hospitals which (a) have
 
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introduced liquid-based cytology and (b) are scheduled to introduce liquid-based cytology over the next year. [9898]

Ms Rosie Winterton: Since the National Institute for Health and Clinical Excellence published its appraisal of liquid based cytology (LBC) in October 2003, the following hospitals have introduced LBC for cervical screening:

The following hospitals intend to introduce LBC by March 2006:


 
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Dentistry

Steve Webb: To ask the Secretary of State for Health if she will estimate the percentage of the population with no decayed, missing or filled teeth, broken down by (a) age and (b) social class, in each year since 1990. [6566]

Ms Rosie Winterton: Dental health surveys are carried out every 10 years. For adults—those aged 16 and over—the last survey was for 1998 and the results are published in Adult Dental Health Survey. Oral Health in the United Kingdom 1998" ISBN 0–11–621268–3. That report contains analyses by age and by social class of the head of household, which includes the percentage of adults who are dentate and the percentage of dentate adults who have 24 or more sound and untreated teeth. The results are shown in Tables 1 and 2.
Table 1: Dental status and number of teeth by age group, 1998, England
Percentage



Age

Adults who are dentate
Dentate adults with 24 or more sound and untreated teeth
16–2410059
25–3410025
35–44999
45–54951
55–64821
65 and over561




Source:
Adult Dental Heath Survey, 1998, tables 7.1.1 and 7.1.10.





 
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Table 2: Dental status and number of teeth by social class, 1998, England
Percentage

Social class of head
of household
Adults who are dentateDentate adults with 24 or more sound and untreated teeth
I, II, III NM9318
III M8613
IV, V7918




Source:
Adult Dental Heath Survey, 1998, tables 7.1.1 and 7.1.14.




For children, the dental health surveys were carried out in 1993 and 2003. The report for the year 2003, which, like the adult survey, records encouraging improvements in oral health, is available on the website of the Office for National Statistics at www.statistics.gov.uk/children/dentalhealth/. The report includes a separate report entitled, Social factors and oral health in children", which shows decay experience results for 1993 and 2003 for 12 and 15-year-old children. The percentages of children with obvious decay experience in those years are shown in Tables 3 and 4.
Table 3: Proportions of five, eight, 12 and 15-year-olds with obvious decay experience in permanent teeth, 1993 and 2003, England
Percentage

Age19932003
Primary teeth
54341
85954
Permanent teeth
81712
125031
156046




Note:
Obvious decay experience includes decay into dentine, filled teeth and missing teeth due to decay.
Source:
Children's Dental Health in England, 2003, tables 1.1 and 1.7.





Table 4: Proportions of 12 and 15-year olds with obvious decay experience in permanent teeth by social class, 1993 and 2003, United Kingdom
Percentage

Household
social class
12-year-olds in 199312-year-olds in 200315-year-olds in 199315-year-olds in 2003
1,11,11
non-manual
45285847
III manual51406844
IV,V68277246




Note:
Obvious decay experience includes decay into dentine, filled teeth and missing teeth due to decay.
Source:
Social factors and oral health in children, tables 5 and 6.




Mr. Lancaster: To ask the Secretary of State for Health how many people are on waiting lists for NHS dentists in Milton Keynes. [6975]

Ms Rosie Winterton: The information requested is not collected centrally.
 
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Sir Paul Beresford: To ask the Secretary of State for Health what steps her Department is taking to recruit dentists in (a) Greece, (b) Portugal, (c) Germany, (d) Spain and (e) India; and what intermediary organisations are being used. [5837]

Ms Rosie Winterton [holding answer 20 June 2005]: In Greece, Portugal, Germany and Spain and India smaller numbers of dentists, typically between five and 15 at a time, are being recruited compared with those from Poland (230). No contracts have been set with a recruitment company for activity in Greece, Portugal, Germany, Spain or India.

In Germany and Spain, a desk officer in the British Consulate advises interested dentists of the recruitment process. In India, a desk officer based in the British High Commission advises dentists who passed the International Qualifying Exam Part A in India this year of the recruitment process. In Greece and Portugal, recruitment events have been held by the Department.

Mr. Lancaster: To ask the Secretary of State for Health how much has been spent on general dental practitioners in Milton Keynes over the last three years. [8389]

Ms Rosie Winterton: Primary care provided by independent general dental practitioners (GDPs) forms the major element of national health service dental services. Most GDPs operate within the national terms of the general dental service (GDS), although some have opted to provide similar patient services under local contracts agreed with their primary care trust (PCT) as part of the recently introduced personal dental service (PDS). Under the GDS, the main costs are the individual treatment fees, including patient registration payments, payable to dentists; under the PDS, dentists are usually paid a regular contract value for a defined level of NHS commitment. The gross cost of GDS fees and PDS contract payments in the area of the Milton Keynes PCT are shown in the table.

Expenditure on community and hospital dental services is determined by the relevant local NHS body and expenditure on services in the Milton Keynes area alone is not identifiable from data available centrally.
Gross cost of General Dental and Personal Dental Services within the area of the Milton Keynes PCT
£ million

2002–032003–042004–5
Gross GDS dental fees (21)6.4846.8676.572
Gross PDS payments00(22)0.097
Total6.4846.8676.669




Notes:
(21)Gross GDS fees include all adult and child treatment fees, continuing care and capitation payments, and commitment payments. Certain allowances and costs, such as reimbursement of business rates, seniority payments, and employers' superannuation contributions, are excluded.
(22)The PDS scheme in Milton Keynes PCT started on 28 January 2005 and this figure therefore represents approximately two months of payments.
Notes:
1.All costs are shown gross of any income contributed by dental charges payable by patients.
2.Figures extracted from payment data held by the Dental Practice Board.





 
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Mr. Lancaster: To ask the Secretary of State for Health what has been the cost of running the Milton Keynes dental access centres in the last three years; and how much capital expenditure there was on setting up these centres. [8390]

Ms Rosie Winterton: The dental access centres in Milton Keynes are commissioned by the primary care trust and full cost information is not held centrally. However, the Department has made the following central contributions to the cost of this service over the last three years, which is shown in the table.
£

RevenueCapital
2002–03373,000160,000
2003–04670,0000
2004–05779,0000

Mr. Lancaster: To ask the Secretary of State for Health how many patients have been treated (a) by NHS general dental practitioners and (b) at dental access centres in Milton Keynes in each of the last three years. [8391]

Ms Rosie Winterton: The information requested is shown in the table.
General dental services (GDS) and personal dental services (PDS)—number of patients who have been treated within the Milton Keynes Primary Care Trust (PCT) area

Year
(ending
March)
GDS and PDS patientsDental access centre patientsPatients who attended bothTotal patients
200575,8305,03090779,953
200482,1193,7441,04684,817
200380,3284,08785683,559




Notes:
1.GDS and PDS patients—patients who have been treated under GDS and PDS, excluding dental access centres during the year
2.Dental access centre patients—patients who have been treated in the dental access centre during the year
3.Patients who attended both—patients who have been treated in both of the above during the year
4.Total patients—number of individual patients treated in Milton Keynes PCT area during the year.
Source:
Dental Practice Board




Mr. Prisk: To ask the Secretary of State for Health how many dentists in the Hertford and Stortford constituency had live Personal Dental Services contracts by 1 June. [8413]

Ms Rosie Winterton: As at 31 May 2005, there were three registered dentists within Hertford and Stortford parliamentary constituency with a personal dental services contract. Hertford and Stortford parliamentary constituency is covered by South East Hertfordshire Primary Care Trust (PCT) and Royston, Buntingford and Bishops Stortford PCT.


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