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Ms Rosie Winterton:
The number of speech and language therapists that have been on staff in the Essex strategic health authority (SHA) in each of the last three years is shown in the table.
31 Oct 2005 : Column 837W
|Essex SHA total||Q03||131||136||140|
|Basildon Primary Care Trust (PCT)||5GR||31||18||17|
|Castle Point and Rochford PCT||5JP||(42)||14||18|
|Epping Forest PCT||5AJ||27||31||29|
|Essex Rivers Healthcare NHS Trust||RDE||32||(42)||(42)|
|Maldon and South Chelmsford PCT||5GL||33||35||34|
|Mid Essex Hospital Services NHS|
|South Essex Partnership NHS Trust||RWN||6||7||8|
Mr. Burstow: To ask the Secretary of State for Health (1) what recent estimate she has made of (a) weight loss and (b) protein loss among patients in hospital for (i) 0 to 6, (ii) 7 to 13, (iii) 14 to 29 and (iv) 30 days and over; 
Mr. Byrne: There have been no estimates or research on this carried out centrally. Essence of Care, published in 2003, sets benchmarks for screening and assessment to identify patients' nutritional needs in health and social care settings, and helps healthcare professionals to devise appropriate care plans.
Re-admission data from 199899, which is calculated using the re-admission rate definition, emergency re-admissions to hospitals within 28 days of discharge to hospitals", is available at www.nchod.nhs.uk, where a full definition is given in the guidance notes.
I regret that due to a clerical error, table 2 in the reply that the then Parliamentary Under-Secretary of State for Public Health (Miss Melanie Johnson) gave the hon. Member for Ribble Valley (Mr. Evans) on 22 March 2005, Official Report, column 758W was incorrect. The correct information is contained in this answer.
Tony Baldry: To ask the Secretary of State for Health what representations Ministers have received from the Royal College of Paediatricians and Child Health on the availability of senior house officer posts. 
Mr. Byrne: The Department does not collect data on the number of doctors completing training in any given year. Such data for 2004 would be available from the competent authorities for postgraduate medical education at the time, the Specialist Training Authority of the Medical Royal Colleges and the joint committee on postgraduate training for general practice.
In the September 2004 census, the number of medically qualified senior house officers and equivalents was 20,094 in England. This was an increase of 1,882 (10 per cent.) from the previous year and an increase of 5,514 (38 per cent.) since 1997.
The census is a count of doctors on particular salary scales or their equivalents, not a count of doctors with a particular job description. These figures therefore include trust doctors, clinical fellows and other such posts.
Mr. Byrne: The modernising medical careers proposals for specialist training have yet to be agreed in detail. The proposals would see the gradual phasing out of the senior house officer grade to be replaced by structured programmes of training leading to the award of a certificate of completion of training.
Mr. Truswell: To ask the Secretary of State for Health what the average cost was of procedures carried out by (a) Leeds Teaching Hospital Trust and (b) other teaching hospital trusts in the last year for which figures are available, broken down by specialty. 
Mr. Byrne: Data on the average costs of national health service hospital services is made available through the annual NHS reference costs collection. The NHS reference cost index (RCI) provides an indication of the costs of hospital services in individual NHS trusts against the national average. Leeds Teaching Hospitals NHS Trust has an RCI score of 115 relative to the average of 100, based on 200304 data, the most recent year for which figures are available. NHS reference costs are not broken down by speciality.
Mr. Evans: To ask the Secretary of State for Health if she will list the job titles of the staff employed at Lancashire NHS Teaching Trust; and how many full-time equivalent staff are employed in each role. 
Mr. Byrne [holding answer 25 October 2005]: This is a matter for the Chair of the Lancashire Teaching Hospitals National Health Service Foundation Trust. I have written to Mr. Dennis Benson informing him of your inquiry.
Mr. Kevan Jones: To ask the Secretary of State for Health what systems are in place to ensure that her Department works closely with local health communities to understand their requirement for extra capacity in the services it provides. 
Mr. Byrne [holding answer 20 October 2005]: The Department carries out regular capacity planning and local delivery planning (LDP) processes with strategic health authorities (SHAs). In both of these, the Department worked closely with SHAs and, through them, with primary care trusts to understand overall capacity requirements in order to deliver the national targets for 200506 to 200708, as set out in National Standards, Local Action".
Mr. Lansley: To ask the Secretary of State for Health what steps she is taking to improve the standard of care available to those suffering from lupus; and what action is being taken to raise awareness of lupus among health professionals. 
Mr. Byrne: The national service framework (NSF) for long-term conditions, while specifically aimed at those with neurological conditions, is relevant for all people with long-term conditions, including lupus. The NSF addresses a range of key issues including the need for equitable access to a range of services; good quality information and support for patients and carers; the ability to see a specialist and get the right investigations and diagnosis as quickly as possible.
Addressing the training needs of health professionals is the responsibility of the appropriate regulatory bodies. They set standards for the pre-registration training of doctors, nurses and other health care professionals, approve the education institutions that provide the training and determine the curricula.
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