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To ask the Secretary of State for Health (1) what plans she has to implement the Independent Midwives Association's NHS community midwifery model; and if she will make a statement; 
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Mr. Byrne: Officials met with the Independent Midwives Association (IMA) on 3 August to discuss their proposal of a national health service community midwifery model. The group agreed that it would be a useful exercise to pilot the IMA model with a small group of independent midwives. The IMA was asked to put together a proposal for this pilot, which could then be discussed with primary care trusts who had expressed an interest in working with the IMA community midwifery model. This pilot is being developed.
Joan Walley: To ask the Secretary of State for Health what assessment she has made of the number of extra midwives needed to enable full choice by 2009 in the NHS of where and how women will give birth. 
The numbers of midwives needed is a matter for local determination, but the number of students entering midwifery training was 2,374 in 200405 compared with 1,652 in 199697 and the vacancy rate for midwives was 1.8 per cent. in 2005 compared with 3.3 per cent. in 2004.
Mr. Austin Mitchell: To ask the Secretary of State for Health what the MRSA rates per thousand patient beds were for acute hospitals with (a) above and (b) below average levels of bed utilisation in each year since 2000. 
Jane Kennedy: As part of its programme to reduce health care associated infections, the Department is working on an internal desk analysis of hospital organisation specialty mix and methicillin resistant Staphylococcus aureus (MRSA). This indicates a statistical correlation but bed occupancy is only one of the factors that influences infection rates. The Department acknowledges the importance of assessing the impact of initiatives on the incidence of MRSA.
The Department published the outcome of a strategic review of the national health service ambulance services on 30 June 2005, Taking Healthcare to the Patient: Transforming NHS Ambulance Services". The review, led by the national ambulance adviser, supported by a group of stakeholders, sets out how ambulance services can be transformed from a service focusing primarily on resuscitation, trauma and acute
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care towards becoming a mobile health resource for the whole NHStaking healthcare to the patient in the community.
In order to realise the vision and the benefits of Taking Healthcare to the Patient-Transforming NHS Ambulance Services", ambulance trusts need to be of a size that enables appropriate investment in people and resources to underpin current and future services and enable the vision set out in the ambulance review to be delivered. We are therefore proposing that there should be fewer, bigger ambulance trusts and will be undertaking public consultation on these proposals this winter. These proposals will ensure resources are targeted to where they are most neededimproving patient care and supporting front-line services. A three-month statutory consultation on the reconfiguration of ambulance trusts is expected to commence early next month.
Dr. Richard Taylor: To ask the Secretary of State for Health what percentage of the NHS budget was spent on administrative costs in (a) 1975 and (b) 1995; and what estimate she has made of the likely percentage after the full implementation of payment by results. 
Mr. Byrne: National health service administrative cost expenditure was not collected prior to 199697. Payment by results does not introduce new administrative costs into the NHS but creates incentives for organisations to improve the efficiency of existing administrative functions.
Mr. Amess: To ask the Secretary of State for Health what the spending on the national health service in England (a) in cash terms, (b) adjusted for retail price inflation and (c) adjusted for inflation in NHS costs has been in each year since 1975. 
|Net NHS expenditure actual(80)||Net NHS expenditure 200405 prices||Net NHS expenditure adjusted by HCHS pay and price inflation|
|RB stage one(82)|
|RB stage two(83)(5508390084)|
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