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12 Oct 2005 : Column 547W—continued

IVF Treatment

Mr. Hancock: To ask the Secretary of State for Health (1) what recent representations she has received about the variance in IVF treatment offered by primary care trusts; [16510]

(2) if she will commission research into the amount of provision of IVF treatment by each individual primary care trust; [16511]

(3) what the timetable is for the full implementation of the National Institute for Health and Clinical Excellence clinical guideline on treatment and assessment of people with fertility problems. [16512]

Caroline Flint: This year, we have received 236 letters and 25 questions from hon. and right hon. Members about the provision of in vitro fertilisation treatment. It is for each primary care trust, in liaison with local health bodies and patient groups, to make decisions on the implementation of the National Institute for Health and Clinical Excellence's (NICE) guideline on fertility treatment, taking resources and local health care priorities into account. The extent to which NHS organisations comply with national guidance is considered by the Healthcare Commission during its review and performance assessment process. We have not set a time frame for the full implementation of the NICE guideline, though we have made clear that we expect the NHS to make progress towards it in the longer term.

Little Havens Children's Hospice

Bob Spink: To ask the Secretary of State for Health how much NHS funding will be made available to Little Havens Children's Hospice in (a) 2005–06 and (b) 2006–07. [15603]

Mr. Byrne: Children's hospice services are funded from a number of sources, including services commissioned by primary care trusts (PCTs) based on their assessment of children's needs and their priorities. They are best placed to make decisions on the local need for palliative care and are able to take into account the needs of individual families and their preferences. Local hospices need to engage their PCTs in the commissioning process. PCTs have received substantial increases in their baseline funding and there is no ceiling on the amount of funding they can provide for children's palliative care.
 
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The information requested is not collected centrally. However, I understand that Castle Point and Rochford PCT, on behalf of all five PCTs in South Essex, gave Little Havens Hospice funding that totalled £30,197 in 2005–06. It is envisaged a similar amount will be available in 2006–07.

Live Births/Abortions (Essex)

Mr. Amess: To ask the Secretary of State for Health how many (a) live births and (b) abortions there were in (i) Essex and (ii) Bedford and Hertfordshire strategic health authority in each year since 1976. [15628]

Caroline Flint: The information requested is shown in the table.
Total number of abortions and live births for residents of Essexa and Bedfordshire and Hertfordshireb1976–2004

Essexa
Bedfordshire and
Hertfordshireb
AbortionsLive birthsAbortionsLive births
1976(32)2666(37)17879(39)2962(32)(5508130033)17968
1977276317244292417834
1978295417958348618894
1979323019177365420136
1980336619607390220638
1981(33)n/a19032(40)385119897
1982n/a18140359319265
1983(34)180518267367719340
1984199718767419819533
1985207418953425319870
1986187919280438120517
1987200320253436120971
1988246220594478821760
1989252420411485821424
1990244720760480121756
1991253220556462321566
1992238620385(32) 0 410221853
1993(35)426020275(32)(5508130033)430121595
1994403119919(32)(5508130033)414321578
1995390319162422420750
1996435919214(32)(5508130033)458120872
19974503191814907(32)(5508130033)20776
19984945(38)19097501220802
1999458618752525520398
2000466717919499520281
2001466317784(32)(5508130033)502820029
2002(36)462617827(32)(5508130033)504519842
2003477218451546620552
2004489718887520320904




a There were boundary changes in Essex and comparable data in some years are not available.
(32) Essex area health authority 1975–1980.
(33) Comparative data for Essex not available 1981–82.
(34) Includes district health authorities for Mid-Essex, North East and West Essex from 1983 to 1992.
(35) Includes health authorities for North Essex and South Essex from 1993 to 2001.
(36) Essex strategic health authority. From 2002, includes primary care organisations for Basildon, Billericay, Brentwood and Wickford, Castle Point and Rochford, Chelmsford, Colchester, Epping Forest, Harlow, Maldon and South Chelmsford, Southend on Sea, Tendring, Thurrock, Uttlesford, Witham, Braintree and Halstead.
(37) Essex County 1976–1997.
(38) Includes Southend and Thurrock, Unitary authorities.
b There were boundary changes in Bedfordshire and Hertfordshire and comparable data in some years are not available.
(39) Includes Bedfordshire and Hertfordshire area health authorities 1975–1980.
(40) Includes district health authorities for Northern Bedfordshire, Southern Bedfordshire, North Hertfordshire, East Hertfordshire, North West Hertfordshire and South West Hertfordshire 1981–1991.
(41) Includes North Bedfordshire, South Bedfordshire, North West Hertfordshire, South West Hertfordshire district health authorities in 1992.
(42) Includes North Bedfordshire, South Bedfordshire, North West Hertfordshire, South West Hertfordshire and East and North Hertfordshire district health authorities in 1993.
(43) Includes Bedfordshire, North West Hertfordshire, South West Hertfordshire and East and North Hertfordshire district health authorities 1994–1995.
(44) Includes Bedfordshire, West Hertfordshire and East and North Hertfordshire Health Authorities 1996–2000.
(45) Includes Bedfordshire, Hertfordshire health authorities in 2001.
(46) Bedfordshire and Hertfordshire strategic health authority. From 2002 includes primary care organisations for Bedford, Bedfordshire Heartlands, Dacorum, Hertsmere, Luton, Northern Hertfordshire and Stevenage, Royston, Buntingford and Bishop's Stortford, South East Hertfordshire, St Albans and Harpenden, Watford and Three Rivers, Welwyn Hatfield.
(47) Includes Bedfordshire and Hertfordshire counties 1976–1996.
(48) Includes Luton unitary authority and Bedfordshire and Hertfordshire counties in 1997–2004.
Sources:
Data for abortions supplied by SD3G, Department of Health.
Data for live births supplied by the Office for National Statistics.





 
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Mr. Amess: To ask the Secretary of State for Health how many women in (a) Essex and (b) Bedford and Hertfordshire strategic health authority had an abortion in each of the last five years for which figures are available who already had had (i) one, (ii) two, (iii) three, (iv) four and (v) five previous abortions. [15470]

Caroline Flint: The information requested is shown in the table.
Number of previous terminations to women resident in Bedfordshire and Hertfordshire and Essex strategic health authority (SHA) having terminations in 2002, 2003 and 2004.

Number of previous terminations
SHA
01234+
2002Bedfordshire and Hertfordshire3,5621,1112876220
2003Bedfordshire and Hertfordshire3,7451,3232927729
2004Bedfordshire and Hertfordshire3,5711,2393095331
2002Essex3,2079952465430
2003Essex3,3471,0752645927
2004Essex3,4111,1062687735




Notes:
1. Prior to 2002, information was published by health authority and boundaries have changed.
2. Numbers for five previous terminations are less than 10 and therefore too small to release, in accordance with guidance from the Office of National Statistics.




Mr. Amess: To ask the Secretary of State for Health if she will list each method of abortion used in hospitals in England, broken down by (a) gestation limit and (b) date of introduction; and if she will make a statement. [15650]


 
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Caroline Flint: The Royal College of Obstetricians and Gynaecologists' (RCOG's) evidence-based clinical guideline, "The Care of Women Requesting Induced Abortion (2004)", sets out the recommended methods of abortion for each gestation band which practitioners are expected to follow.

Methods of termination are monitored through the forms sent to the Chief Medical Officer by practitioners for every termination of pregnancy they perform. A list of methods of abortion used in hospitals in England and Wales, by gestation, is contained within the statistical bulletin 2005/11 "Abortion Statistics, England and Wales: 2004", which is available on the Department website at www.dh.gov.uk/assetRoot/04/11/75/04117574.pdf. Copies are also available in the Library.

We do not hold information on when individual methods were introduced.


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