House of Commons Hansard Written Answers for 20 Oct 2005 (pt 17)

20 Oct 2005 : Column 1164W—continued

Primary Care Trusts

John Mann: To ask the Secretary of State for Health how many planned primary care trusts will cover areas outside geographic areas covered by corresponding hospital trusts. [17809]

Mr. Byrne [holding answer 14 October 2005]: Following the publication of Commissioning a Patient led NHS" on 28 July, strategic health authorities will be submitting proposals to the Department for the configuration of their primary care trusts (PCTs) based on criteria set out in the document. The Department will consider the proposals and respond by the end of November. Any agreed changes will require formal straightforward consultation for three months from December. I am therefore unable to say what the configuration of PCTs will be until the outcome of that is known.

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Private Sector NHS Treatment

Clive Efford: To ask the Secretary of State for Health what requirements will be placed on private sector providers of services to the NHS to invest in the training of medical staff. [17428]

Mr. Byrne: Independent sector treatment centres (ISTCs) providing a service to the national health service will be expected to offer training for all staff. This will be included in their contract.

Clive Efford: To ask the Secretary of State for Health what assessment she has made of the likely impact on NHS recruitment and retention of the demand for medical staff in the new private health centres. [17429]

Mr. Byrne: Recruitment and retention are kept under review as part of longer term medical work force planning which aims to deliver sufficient appropriately trained people to provide the healthcare that is needed, whatever the setting. We have introduced rules to ensure that skilled professionals remain in the national health service.

Psychological Therapy

Dr. Cable: To ask the Secretary of State for Health what the waiting times for psychological therapy were in the last period for which figures are available, broken down by mental health trust. [16971]

Mr. Byrne: Information is not available in the requested format. The Department only collects waiting times for consultant led services and since the majority of referrals for psychological therapies would be to other mental health professionals such as clinical psychologists, this information does not capture the volume of activity accurately. At the end of June, there were 362 people waiting for an outpatient appointment with a psychotherapy consultant. Of these, 25 had waited 13 to 17 weeks, 77 eight to 13 weeks, 127 four to eight weeks, and 133 less then four weeks. A further six people were waiting for an inpatient appointment with

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a psychotherapy consultant. Of these, three had waited less than a month and the other three had waited less than two months. In line with the Government's manifesto commitment, the Department will continue to improve services for people with mental health problems at primary and secondary levels and this will include extending the availability of psychological therapies of proven effectiveness.

Scanning Services

Mr. Kevan Jones: To ask the Secretary of State for Health who incurs the financial cost of making a site ready for a mobile scanner operated by Alliance Medical Ltd. [17912]

Mr. Byrne [holding answer 14 October 2005]: The national health service is responsible for ensuring that sites are suitable for the mobile scanning units to allow scanning to commence. To support this, the Department allocated central funding to strategic health authority clusters to upgrade the sites identified by SHAs.

Sexually Transmitted Diseases

Mr. Davey: To ask the Secretary of State for Health how many cases of sexually transmitted diseases were diagnosed in (a) England, (b) London and (c) Kingston and Surbiton (i) in each year since 2002 and (ii) in each of the last 12 months; and which sexually transmitted disease was the most frequently diagnosed in each case. [16682]

Caroline Flint: The number of new diagnoses of syphilis, gonorrhoea, genital chlamydial infection, herpes, genital warts and other diagnoses seen in genito-urinary medicine (GUM) clinics (KC60 return) in England, London, and the Kingston Primary Care Trust (PCT) are shown in the tables. For all these geographical areas, the most frequently diagnosed sexually transmitted infection over the time period shown was genital chlamydial infection.
1: Diagnoses of selected sexually transmitted diseases (STDs) GUM clinics by sex, England, 2002–04

Condition code Condition description Sex 2002 2003 2004

A1, A2 Primary and secondary infectious syphilis Male 1,059 1,350 1,748

Female 137 181 262

B1, B2 Uncomplicated gonorrhoea Male 16,940 16,236 14,605

Female 7,417 7,220 6,299

C4A, C4C Uncomplicated chlamydial infection Male 34,331 37,927 42,518

Female 43,786 47,470 50,096

C10A Anogenital herpes simplex—first attack Male 6,522 6,424 6,421

Female 10,988 10,696 10,468

C11A Anogenital warts—first attack Male 33,983 34,569 36,397

Female 29,951 30,625 31,701

Total all other STDs1, 2 Male 202,107 216,942 228,407

Female 256,459 263,550 267,497

2: Diagnoses for selected STDs in GUM clinics by sex, London, 2002–04

Condition code Condition description Sex 2002 2003 2004

A1,A2 Primary and secondary infectious syphilis Male 568 621 732

Female 76 103 115

B1,B2 Uncomplicated gonorrhoea Male 7,114 6,190 5,614

Female 3,043 2,639 2,095

C4AC4C Uncomplicated chlamydial infection Male 9,442 9,845 10,186

Female 9,987 10,366 10,526

C10A Anogenital herpes simplex—first attack Male 1,995 2,034 1,958

Female 2,872 2,943 2,853

C11A Anogenital warts—first attack Male 7,230 6,955 7,372

Female 5,777 5,578 5,735

Total all other STDs1, 2 Male 71,542 79,955 84,327

Female 90,827 91,795 93,045

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3: Diagnoses of selected STDs in GUM clinics by sex, Kingston PCT, 2002–04

Condition code Condition description Sex 2002 2003 2004

A1, A2 Primary and secondary infectious syphilis Male ⁽¹⁸⁾— 11 21

Female ⁽¹⁸⁾— ⁽¹⁸⁾— ⁽¹⁸⁾—

B1, B2 Uncomplicated gonorrhoea Male 43 47 49

Female 18 35 46

C4A, C4C Uncomplicated chlamydial infection Male 287 304 330

Female 480 476 568

C10A Anogenital herpes simplex—first attack Male 24 25 52

Female 65 73 105

C11A Anogenital warts—first attack Male 152 196 251

Female 175 220 233

Total all other STDs1, 2 Female 1,369 1,548 1,809

Male 1,152 1,397 1,896

⁽¹⁶⁾Diagnoses include: complicated gonorrhoea, chancroid/lymphogranuloma venereum (LGV)/donovonosis, complicated chlamydial infection, uncomplicated non-gonococcal/non-specific urethritis in males, molluscum contagiosum, trichomoniasis, scabies/pediculosis pubis. A full list of conditions is given on the Health Protection Agency website at www.hpa.org.uk.
⁽¹⁷⁾Not all diagnoses made in GUM clinics are sexually transmitted.
⁽¹⁸⁾Between one and 10 cases diagnosed.

Condition code	Condition description	Sex	2002	2003	2004
A1, A2	Primary and secondary infectious syphilis	Male	1,059	1,350	1,748
		Female	137	181	262
B1, B2	Uncomplicated gonorrhoea	Male	16,940	16,236	14,605
		Female	7,417	7,220	6,299
C4A, C4C	Uncomplicated chlamydial infection	Male	34,331	37,927	42,518
		Female	43,786	47,470	50,096
C10A	Anogenital herpes simplex—first attack	Male	6,522	6,424	6,421
		Female	10,988	10,696	10,468
C11A	Anogenital warts—first attack	Male	33,983	34,569	36,397
		Female	29,951	30,625	31,701
	Total all other STDs1, 2	Male	202,107	216,942	228,407
		Female	256,459	263,550	267,497

Condition code	Condition description	Sex	2002	2003	2004
A1,A2	Primary and secondary infectious syphilis	Male	568	621	732
		Female	76	103	115
B1,B2	Uncomplicated gonorrhoea	Male	7,114	6,190	5,614
		Female	3,043	2,639	2,095
C4AC4C	Uncomplicated chlamydial infection	Male	9,442	9,845	10,186
		Female	9,987	10,366	10,526
C10A	Anogenital herpes simplex—first attack	Male	1,995	2,034	1,958
		Female	2,872	2,943	2,853
C11A	Anogenital warts—first attack	Male	7,230	6,955	7,372
		Female	5,777	5,578	5,735
	Total all other STDs1, 2	Male	71,542	79,955	84,327
		Female	90,827	91,795	93,045

Condition code	Condition description	Sex	2002	2003	2004
A1, A2	Primary and secondary infectious syphilis	Male	⁽¹⁸⁾—	11	21
		Female	⁽¹⁸⁾—	⁽¹⁸⁾—	⁽¹⁸⁾—
B1, B2	Uncomplicated gonorrhoea	Male	43	47	49
		Female	18	35	46
C4A, C4C	Uncomplicated chlamydial infection	Male	287	304	330
		Female	480	476	568
C10A	Anogenital herpes simplex—first attack	Male	24	25	52
		Female	65	73	105
C11A	Anogenital warts—first attack	Male	152	196	251
		Female	175	220	233
	Total all other STDs1, 2	Female	1,369	1,548	1,809
		Male	1,152	1,397	1,896

Sleep Apnoea

Mr. Lansley: To ask the Secretary of State for Health if she will direct the National Institute for Health and Clinical Excellence to conduct an appraisal on the use of continuous positive airway pressure for the treatment of sleep apnoea. [18457]

Mr. Byrne: We have no plans to ask the National Institute for Health and Clinical Excellence to conduct an appraisal on the use of continuous positive airway pressure for the treatment of sleep apnoea.

Specialist Rehabilitation Beds

Mr. Hunt: To ask the Secretary of State for Health (1)what the average number of specialist rehabilitation beds per 1,000 people in (a) each of the English regions and (b) England was in the latest year for which figures are available; [16672]

(2) what estimate she has made of the optimum number of specialist rehabilitation beds per 1,000 people in England; and if she will make a statement. [16673]

Mr. Byrne [holding answer 17 October 2005]: Information is not centrally collected on the number of specialist rehabilitation beds and no such estimate has been made of the optimum number of specialist rehabilitation beds per 1,000 people in England. The number of beds in national health service facilities varies, depending on the range and type of services they provide and the way in which the admission and discharge of patients is managed. These are matters for the NHS locally to determine, but work is in hand to scope the current provision of rehabilitation services across health and social care.

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