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Julia Goldsworthy: To ask the Secretary of State for Health whether the Obesity Care Pathway being produced by her Department will include appropriate references to slimming on referral programmes. 
Caroline Flint: The draft Obesity Care Pathway is currently out for consultation until 3 January 2006. Consultation responses, including those on slimming on referral programmes, will be evaluated in the light of the evidence before a final text is produced.
To ask the Secretary of State for Health if she will make a statement on (a) progress made to date and (b) the timetable for future action in relation to obesity initiatives in the Implementation Programme of the White Paper on Public Health, with particular reference to (i) the Weight Loss Guide, (ii) the Obesity Care Pathway and the Obesity Tool Kit, (iii) the National Partnership for Obesity, (iv) establishment of the Obesity Programme Board, (v) the development of a job description and management structure for health
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trainers and (vi) the work of the National Institute for Health and Clinical Excellence in assessing weight loss options. 
A draft job description for health trainers has been sent to all the partnerships involved in the early adopter phase for review, to be agreed by the end of March 2006. Management structures for health trainers will be agreed and implemented at a local level.
Mr. Amess: To ask the Secretary of State for Health how many children were suffering with obesity in (a) Southend, (b) Essex, (c) Hertfordshire, (d) Greater London and (e) England in (i) 1994 and (ii) 2004. 
Caroline Flint: The data are not available in the exact format requested. We are unable to supply the data for Southend, Essex, Hertfordshire and Greater London. Data is available by Government office region (GOR) for 200102 and we have provided the areas that most closely match those requested; London GOR (for Greater London) and the East of England GOR (for Southend, Essex and Hertfordshire).
The 2003 data are the most recent available. Comparable data for 1994 are not available; therefore, we have provided 1995 data. The information requested is in the following table, using the estimated obesity prevalence results of the Health Survey for England (HSE) for 2002 and 2003.
Mike Penning: To ask the Secretary of State for Health what the total cost was of (a) sex change, (b) bunion and (c) cosmetic surgery operations for the last year for which figures are available; how many of each category of operation took place; and if she will make a statement. 
|Sex change operations||95|
|Cosmetic surgery operations||67,804|
Mr. Meacher: To ask the Secretary of State for Health what the average cost is of (a) each operation provided at independent treatment centres and (b) the same operation undertaken by an NHS trust. 
These data are not comparable with independent sector contracts as they have to cover a range of costs, which are not applicable to the NHS but we know that overall costs in the independent sector contracts in 200405 was estimated to be less than the NHS equivalent.
|Gross resource expenditure|
Mr. Byrne: There is no specific weighting in the weighted-capitation formula, used to inform revenue allocations to primary care trusts (PCTs), but the formula is the best available measure of need for all aspects of health care.
The components of the weighted-capitation formula are used to weight each PCTs population according to their relative need (i.e. age, and additional need) for health care and geographical differences in the cost of providing health care (i.e. market forces factor).
Mr. Baron: To ask the Secretary of State for Health when she expects to reply to the questions tabled by the hon. Member for Billericay relating to overseas nurses for answer on (a) 24 October, references 21223 and 21224 and (b) 17 November, reference 29318. 
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