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Mr. Hancock: To ask the Secretary of State for Health (1) how many primary care trusts in England are not providing at least one cycle of IVF to eligible couples with infertility; and if she will make a statement; 
(2) what assessment she has made of the practice of primary care trusts of limiting the provision of NHS-funded infertility treatment to couples with no existing children; and if she will make a statement; 
(3) what assessment she has made of whether primary care trusts are applying more restrictive female age criteria than the 23 to 39 years range set by the National Institute for Health and Clinical Excellence to couples seeking NHS-funded infertility treatment; and if she will make a statement; 
The National Institute for Health and Clinical Excellence (NICE) has carried out surveys following up the implementation of the clinical guideline on the assessment and treatment of people with fertility problems published in 2004. The surveys measuring the impact of the guideline, available on the NICE website at www.nice.org.uk, have found that 95 per cent. of the primary care trusts (PCTs) who responded are offering at least one cycle of in vitro fertilisation (IVF) to those defined as eligible according to local criteria. We advised PCTs to offer a minimum of one cycle of IVF by April 2005 to those who meet the clinical criteria in the guideline, giving priority to couples with no children living with them. We also advised that we expected the national health service to make progress to full implementation of the guideline in the longer term.
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The primary responsibility for the implementation of the NICE guidelines rests with the NHS at local level, in discussion with patients' groups and local health bodies. Local policies will reflect local needs and priorities.
Rosie Cooper: To ask the Secretary of State for Health how many individuals in West Lancashire 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. 
Mr. Byrne: There are 4,685 patients with diagnosed coronary heart disease and 3,691 patients with diabetes in the West Lancashire Primary Care Trust. Information from the West Lancashire PCT indicates that there are 1,795 patients with strokes in the West Lancashire PCT. It should be noted that the total number of diagnoses may not equate to the total number of patients as some may have more than one condition.
West Lancashire PCT is implementing the standards contained in the National Service Frameworks (NSFs), and have implementation groups covering all disease areas. Stroke is addressed specifically in the older persons NSF and coronary heart disease and diabetes have separate working groups.
Norman Lamb: To ask the Secretary of State for Health how many complaints there have been to the Healthcare Commission in each year since it was established; what the backlog is of complaints waiting to be considered by the Healthcare Commission; how many complaints have been considered and determined in each year since the Healthcare Commission was established; and what the estimated cost of considering a complaint is. 
I understand from the Chairman of the Healthcare Commission that from 31 July 2004 to 31 March 2005, 5,753 complaints were received. 830 of those were considered and determined. From April 2005 to date, 4,694 complaints have been received with 4,981 considered and determined within this period.
The cost per case depends on the complexity of the case but typically ranges from less complex cases being in the region of £500 to those cases needing further investigation being in the region of £1,125.
To ask the Secretary of State for Health what the budget of the Hertfordshire and
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Bedfordshire strategic health authority is for 200506; and what plans she has to increase this budget for the next financial year. 
It is for primary care trusts to commission services for the population that they service and we have set their revenue budgets for 200607 and 200708 to give them continued certainty of funding for three years.
Hospital cleanliness is measured annually as part of the patient environment action team (PEAT) assessment. The process has been reviewed this year, and the proportion of the assessment form that relates to cleanliness, as opposed to other environmental factors has increased from around 11 per cent. to almost 25 per cent.
Mr. Lansley: To ask the Secretary of State for Health pursuant to her written statement of 10 November 2005, Official Report, column 24WS, on Independent Nurse Pharmacist Prescribing, whether independent nurse prescribers allowed to prescribe controlled drugs will continue to be allowed to do so when the relevant regulations are amended; and if she will list the controlled drugs nurses are currently able to prescribe independently. 
Caroline Flint: A specific pandemic flu vaccine cannot be manufactured until the exact flu strain is known. The Department has met with vaccine manufacturers to discuss their preparedness for a flu pandemic and their progress towards producing a mock up vaccine.
We are working closely with other countries, the World Health Organization, and the European Commission and are in regular dialogue with manufacturers to ensure that a vaccine can be developed as quickly as possible once a pandemic influenza strain emerges. This will allow us to put arrangements in place to ensure production of vaccine for the United Kingdom population.
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