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Mr. Woodward: The Department of Health, social services and public safety has placed orders for influenza vaccine directly with three manufacturers for the 200506 immunisation programme through a process of central procurement. This differs from previous years where the responsibility for securing vaccine for Northern Ireland rested with independent GP and pharmacy contractors.
The arrangements for the distribution of the flu vaccine for the 200506 programme will involve direct supply of vaccine to GP surgeries from an appointed wholesaler. In previous years community pharmacists were involved in the distribution of vaccine from wholesaler premises to GP surgeries.
Mrs. Iris Robinson: To ask the Secretary of State for Northern Ireland what extra facilities will be provided to assist general practitioner surgeries in the Province with the storage of increased numbers of influenza vaccines. 
Mr. Woodward: There are no plans to provide extra storage facilities in GP practices for influenza vaccines. In view of the arrangements being made this year for the ordering and delivery of vaccine to GPs, the Department of Health, social services and public safety does not anticipate a need for any additional refrigerated capacity in surgeries.
Lady Hermon: To ask the Secretary of State for Northern Ireland how many violent attacks involving knives were recorded in Northern Ireland in each of the past three years; and what steps he is taking to reduce such incidents. 
The Government have tabled an amendment to the Violent Crime Reduction Bill currently before Parliament to extend to Northern Ireland the proposal to further restrict the sale of knives to those aged 18 or over.
Mrs. Iris Robinson: To ask the Secretary of State for Northern Ireland what representations have been made to the Department from (a) medical staff and (b) others regarding provision for sufferers of Marfan syndrome in the Province. 
Mr. Woodward: From 1 January 2003 to 7 July 2005 the Department has received correspondence about Marfan service provision from one clinician, together with six inquiries from elected representatives and one enquiry from a carer of a patient with Marfan syndrome.
Currently, patients suffering from this rare syndrome are treated by consultants working in the Regional Genetics Centre at Belfast City Hospital and other appropriate specialists, particularly those within the cardiology unit at the Royal Group of Hospitals.
Mr. Dodds: To ask the Secretary of State for Northern Ireland how many consultants specialising in mental health are employed by the (a) Royal Group, (b) Mater hospital and (c) United Hospitals Trust at Whiteabbey and Antrim. 
|Royal Group of Hospitals||0||0|
|United (Whiteabbey hospital)||0||0|
|United (Antrim hospital)||0||0|
United Hospitals Group HSS Trust does not directly employ any consultant psychiatrists. However, mental health services are provided at Whiteabbey hospital and are staffed by one consultant psychiatrist employed by Homefirst HSS Trust.
Mr. Dodds: To ask the Secretary of State for Northern Ireland how many consultants specialising in child and adolescent mental health are employed by the North and West Belfast Health and Social Services Trust. 
Mr. Woodward: The number of consultants specialising in child and adolescent mental health employed by the North Belfast and West Belfast HSS Trust is 1 (0.3 WTE). This consultant provides a trust wide service across North and West Belfast and is a consultant psychologist in the trust's paediatric clinic.
Mr. Woodward: In response to concerns about the number of violent attacks on patients and staff, the Department issued guidance to health and personal social services employers. This guidance urged employers to regularly review the assessment of risk associated with different facilities/locations, to introduce a standard method of recording all incidents of verbal and physical abuse and to regularly train staff and ensure that the training is appropriately tailored for the different staff disciplines. Employers were also encouraged to press charges in situations where staff have been the subject of violent or abusive behaviour and to provide lone peripatetic workers with a mobile telephone and develop protocols to monitor the safety of the worker. The guidance also advised that the number of entrances to A and E departments should be restricted, particularly late at night and that limits should be placed on the number of persons, not themselves requiring treatment, given entry to an A and E department.
The Department has launched a publicity campaign, designed to emphasise the message that violent attacks on staff are a crime and that the perpetrators could face a prison sentence. The Department and PSNI have also developed joint protocols for reporting incidents of verbal and physical abuse.
Mrs. Iris Robinson: To ask the Secretary of State for Northern Ireland how many (a) members of staff, (b) patients and (c) visitors have suffered (i) verbal and (ii) physical assaults at each mental health trust in the Province in each of the last 10 years. 
Mrs. Iris Robinson: To ask the Secretary of State for Northern Ireland how many missed hospital out-patient appointments there were in each health trust in the Province in each of the last three years. 
Mr. Woodward: The total number of missed hospital out-patient appointments in each financial year 200203 to 200405 is provided in the following table. Please note that figures for 200405 are provisional. These figures represent the number of out-patient appointments where a patient did not attend and failed to give advance warning to the hospital.
|Altnagelvin Group HSS Trust||15,397||16,233||16,788|
|Armagh and Dungannon HSS Trust||2,674||2,597||2,519|
|Belfast City Hospital HSS Trust||23,223||23,461||22,283|
|Causeway HSS Trust||5,831||6,045||5,080|
|Craigavon and Banbridge Community HSS Trust||1,940||1,794||2,010|
|Craigavon Area Hospital Group HSS Trust||15,103||14,623||13,416|
|Down Lisburn HSS Trust||7,440||7,136||6,558|
|Foyle Community HSS Trust||1,311||1,986||1,884|
|Green Park Healthcare HSS Trust||7,377||8,159||8,169|
|Homefirst Community HSS Trust||3,701||3,893||4,251|
|Mater Infirmorum Hospital HSS Trust||11,694||12,023||12,302|
|Newry and Mourne HSS Trust||9,349||9,798||8,934|
|North and West Belfast HSS Trust||293||523||419|
|Royal Group of Hospitals HSS Trust||53,707||53,602||51,100|
|South and East Belfast HSS Trust||3,816||3,609||2,890|
|Sperrin Lakeland HSS Trust||6,884||6,335||6,043|
|Ulster Community and Hospitals HSS Trust||20,743||20,253||19,951|
|United Hospitals Group HSS Trust||13,487||12,739||13,141|
|Northern Ireland total||203,970||204,809||197,738|
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