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To ask the Secretary of State for Health what discussions she has had on the report A Strategic Review of the Provision and Commissioning of Ambulance Services across Cheshire and Merseyside; and what steps her Department is taking to implement the report. 
Departmental officials have received a copy of the report arising from this review. However, departmental officials have not held any formal discussions with regard to implementation. This is a matter for the Cheshire and Merseyside strategic health authority who are working with the Mersey regional ambulance service with regard to the recommendations contained in the report and how they might be implemented.
Attention Deficit Hyperactivity Disorder
To ask the Secretary of State for Health what steps she is taking to improve the standard of care available to those with attention-deficit hyperactivity disorder. 
In 2000, the National Institute for Health and Clinical Excellence (NICE) published guidance on the use of Methylphenidate in treating attention deficit
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hyperactivity disorder (ADHD). NICE is currently reviewing this guidance in the wider context of other pharmacological and physiological interventions in children, young people and adults with ADHD.
The national service framework for children, young people and maternity services, which was published in September 2004, mapped out the improvement which we expect to see in child and adolescent mental health services over the next decade. Early in 2006, we will publish an exemplar which will illustrate a care pathway for a child suffering ADHD, which will demonstrate good practice and assist in the planning of effective services.
To ask the Secretary of State for Health how many finished consultant episodes of care for attention deficit hyperactivity disorder there have been in each year since 1997. 
The information requested is shown in the table.
Finished consultant episodes (FCEs) with a primary psychiatric diagnosis of attention deficit hyperactivity disorder (ICD-10 code F90), by gender, England, 199697 to 200304(10)
Data has not been adjusted for shortfalls in data, i.e. the data are ungrossed.
1.ICD-10 Code F90 includes disturbance of activity and attention (F90.0) and hyperkinetic disorder (F90.1), and hyperkinetic disorder other/NOS (F90.8/F90.9).
2.Disclosure rules apply due to the sensitive nature of the data; therefore, figures have been rounded to the nearest 10.
3.A FCE is defined as a period of admitted patient care under one consultant within one health care provider. The figures do not represent the number of patients, as a person may have more than one episode of care within the year.
Hospital episode statistics, National Health Service Health and Social Care Information Centre.
To ask the Secretary of State for Health how many prescriptions of Ritalin have been issued in each of the last five years. 
The information requested is shown in the following table. The figures are taken from the prescription cost analysis from the Prescription Pricing Authority.
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To ask the Secretary of State for Health (1)how many diagnoses have been made of autism spectrum disorders in each of the last five years for which figures are available; 
(2) what data her Department collects on levels of autism in the adult population; 
(3) how many children under the age of eight have been diagnosed with autism spectrum disorders in each of the last five years. 
Diagnoses of autistic spectrum disorders (ADSs) within hospitals are available from hospital episode statistics (HES). These are shown in the table.
Number of finished consultant episodes involving a diagnosis of ASD(11), by age at end of episode, England, 19992000 to 200304
|Age at end of episode|
|16 and under||Over 16||Unknown||All diagnoses
ASDs include childhood autism, atypical autism, Asperger's syndrome, Rett's syndrome and other less common ASDs.
HES, national health service health and social care information centre.
The Department does not collect data centrally on the levels of autism in the adult population, nor does it collect information on the diagnosis of children under the age of eight.
The Medical Research Council's Review of Autism Research: Epidemiology and Causes, (2001) suggests that":
... there appears fairly good agreement that autism spectrum disorders affect approximately 60, and more narrowly defined autism 1030, per 10,000 children under eight".
It also suggests that the prevalence in autism in the adult population is not known.
To ask the Secretary of State for Health what estimate she has made of the number and percentage of biopsy specimens mislaid within the national health service in the last year for which figures are available. 
The Department does not collect this information centrally.
To ask the Secretary of State for Health how many babies weighing 8.8lbs or more were born in England in each of the last five years for which figures are available. 
I have been asked to reply.
The information requested falls within the responsibility of the National Statistician, who has been asked to reply.
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Letter from Karen Dunnell to Dr. Vincent Cable, dated 20 October 2005:
As National Statistician, I have been asked to reply to your recent question asking how many babies weighing 8.81b or more were born in England in each of the last five years for which figures are available. (17827)
Birthweight figures are routinely published in metric weights. Figures for live born babies weighing 4,000g or more born to women resident in England 200004 are given in the attached table.
Live born babies by selected birthweight to women resident in England, 200004(12)
|Live births weighing|
4,000g or more
|All live births with|
a stated birthweight
Office for National Statistics
To ask the Secretary of State for Health (1)how many cases of shoulder dystocia were recorded in births of children weighing more than 8.8lbs in each of the last five years for which figures are available; 
(2) how many cases of cephalopelvic disproportion were recorded in births of childen weighing more than 8.8lbs in each of the last five years for which figures are available; 
(3) how many babies weighing (a) 8.8lbs or more, (b) 5.9lbs to 8.7lbs and (c) less than 5.8lbs died as a direct result of complications during birth in each of the last five years for which figures are available; 
(4) whether she plans to introduce standard NHS guidelines for the delivery of babies weighing more than 8.8lbs; and if she will make a statement; 
(5) what discussions she has held with (a) the Royal College of Gynaecologists and (b) other professional bodies about the development of protocols for very large babies delivered in NHS maternity wards. 
Information on the number of cases of shoulder dystocia and cephalopelvic disproportion in births of children weighing more than 8.8lbs. is not collected centrally.
Information on the number of babies weighing 8.8lbs. or more, 5.9lbs. to 8.7lbs. and less than 5.8lbs., who died as a direct result of complications during birth, is not collected centrally.
I have not held any discussions with the Royal College of Obstetricians and Gynaecologists or other professional bodies about the development of protocols for the delivery of very large babies.
I currently have no plans to introduce standard national health service guidelines for the delivery of babies weighing more than 8.8lbs. Current evidence suggests identification of large for gestation" babies, even with the advent of ultrasound scanning, has large margins of error. Current evidence also suggests management of expected/suspected" babies of larger than 4000 grams, or larger than 8lb. 14 oz., shows no
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significant difference in actual morbidity and mortality of babies, whether labour is induced, spontaneous or elective caesarean section.
Maternity clinical risk management standards have been developed by the NHS Litigation Authority, which administers the clinical negligence scheme for trusts. The standards include training for and management reporting of shoulder dystocia and have been fully endorsed by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives.