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Caroline Flint: It is our policy that decisions on fluoridation schemes should be taken locally by strategic health authorities (SHAs), following consultations with the populations they serve. The previous legislation governing fluoridation left water companies responsible for final decisions on fluoridation. The main initiative the Government have taken on fluoridation has been to introduce amending legislation to make SHAs responsible for decisions and to define in greater detail how they should conduct consultations. The Department has also made grants totalling £428,000 over the period 200102 to 200506 to the British Fluoridation Society to promote the benefits of fluoridation. This forms part of a wider programme of work to improve oral health and reduce oral health inequalities.
The guidance on consultations and ascertaining public opinion is available in the Library. Under this guidance, SHAs are expected to have regard to both the extent of support for the proposal and the cogency of the arguments advanced. Numbers of representations are not to be the sole determinant of the SHA's decision. I am not aware of any primary care trusts in the Surrey and Sussex SHA area that are currently taking steps to promote the fluoridation of the water supply.
Jane Kennedy: The Department has invested £125 million into the modernising hearing aid services project since 2000. As a result, from April 2005 all 164 national health service audiology services in England should be routinely fitting digital hearing aids.
Mr. Holloway: To ask the Secretary of State for Health how many individuals in Gravesham suffer from (a) coronary heart disease, (b) stroke and (c) diabetes; and what steps are being taken to reduce the numbers of people suffering from such diseases. 
Caroline Flint: The number of individuals in Gravesham suffering from coronary heart disease (CHD) and diabetes is collected at primary care trust (PCT) level from the local delivery plan returns. The number of patients diagnosed with CHD identified by practices in Dartford, Gravesham and Swanley PCT is 6,696 and the number of patients with diabetes within the same PCT is 8154. Information on the number of people suffering from strokes is not collected centrally.
The Department has set out plans for tackling CHD, stoke and diabetes in the national service frameworks (NSF for CHD in 2000, stroke as a standard within the NSF for older people in 2001 and NSF for diabetes in 2001.) The Department has convened a vascular programme board to improve co-ordination across, CHD, stroke and diabetes.
The Department's public health campaigns make a significant contribution to reducing the numbers of people suffering from CHD, stroke and diabetes. These include campaigns on smoking and healthy eating, and the Food Standards Agency's campaign on reducing salt consumption.
Joan Walley: To ask the Secretary of State for Health (1) which primary care trusts applied the HER2 test to everyone diagnosed with early breast cancer, prior to her recent announcement on HER2 testing; 
Information on which primary care trusts applied the HER2 test to everyone diagnosed with early stage breast cancer prior to the recent announcement on HER2 testing is not collected centrally.
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Mr. Burstow: To ask the Secretary of State for Health (1) what estimate she has made of the average amount spent on hospital food per patient per day; and what assessment she has made of whether there is variation in spending in different regions; 
|Average cost of patient main meals per day (£)||Average percentage of untouched/ unserved patient meals|
No central assessment is made of spending on main meals in different regions. However, performance indicators on this and related areas are available to all trusts through the estates return information collection system to support local monitoring and decision making.
Data on untouched meals" form part of a wider question on untouched/unserved meals". This includes food delivered to the ward and not served, for example, because a patient has gone home, as well as that served but not eaten.
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Mr. Truswell: To ask the Secretary of State for Healthwhat the average cost was of NHS-funded (a) orthopaedic and (b) ophthalmic procedures carried out in (i) NHS and (ii) private healthcare establishments in the last five years for which figures are available, broken down by type. 
Mr. Amess: To ask the Secretary of State for Health if she will list the organisations and individuals consulted before the Review of the Human Fertilisation and Embryology Act, A Public Consultation was issued; and if she will make a statement. 
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