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To ask the Secretary of State for Health what plans she has for the funding of (a) the
9 Jan 2006 : Column 128W
provision of HER2 testing and (b) the prescribing of Herceptin to women diagnosed with early stage breast cancer in the 200607 financial year. 
Roche, the manufacturer of Herceptin, has undertaken to assist the NHS in ensuring that high quality HER2 testing arrangements are put in place, for example through the provision of training for laboratory staff.
Mr. Lansley: To ask the Secretary of State for Health whether the profits for the manufacturer derived from the prescribing of Herceptin for the treatment of early stage breast cancer will be subject to the pharmaceutical price regulation scheme. 
Mr. Hunt: To ask the Secretary of State for Health what measures her Department is taking to provide anti-retroviral drugs to young children suffering from HIV/AIDS in England; and if she will make a statement. 
Caroline Flint: Anti-retroviral drugs for the treatment of children with HIV/AIDS in England are provided through the national health service trust delivering the treatment, under the clinical supervision of the specialist paediatrician. Such treatment and care is provided within an inter-disciplinary clinical network.
Mr. Sanders: To ask the Secretary of State for Health what targets have been set for hospital bed occupancy; how many beds have been available in general and acute wards in hospitals in Torbay primary care trust in each year since 1997; and what percentage of these were occupied on average in each year. 
Caroline Flint: Evidence suggests that the optimal bed occupancy rate is around 82 to 85 per cent. These figures however, are merely a guideline and it is up to the national health service locally to decide how best to manage their services.
The number of beds that have been made available in general and acute wards in Torbay primary care trust (PCT), and the percentage of these that were occupied on average since 2000 is shown in the table. This is the earliest data available as the PCT only came into existence in 2000. The data are collected on a provider rather than a commissioner basis.
Mr. Dunne: To ask the Secretary of State for Health in the event of closure of (a) Bridgnorth community hospital and (b) Ludlow community ospital, which entity would receive what proportion of the proceeds of divestment of the site on which the hospital operates. 
Ms Rosie Winterton [holding answer 20 December 2005]: If Bridgnorth hospital or Ludlow hospital were closed and sold, the proceeds would go to the Shropshire county primary care trust (PCT), providing that the open market value of each site at the time was below the PCT's delegated limit of £8 million.
Mr. Dunne: To ask the Secretary of State for Health (1) how many (a) full-time and (b) part-time jobs would be lost if (i) Ludlow community hospital and (ii)Bridgnorth community hospital were closed; 
(2) what assessment she has made of the impact of the closure of (a) Ludlow community hospital and (b) Bridgnorth community hospital on community care services in Shropshire; and what assessment she has made of the financial impact on the relevant local authorities. 
Ms Rosie Winterton [holding answer 20 December 2005]: This is a matter for the health community in Shropshire. Any proposals for significant changes to the provision of health services in Shropshire and Telford and Wrekin will be subject to formal public consultation.
Angela Browning: To ask the Secretary of State for Health whether the financial penalty paid by social services departments for late discharge of hospital patients applies to patients who are diagnosed as terminally ill. 
Mr. Byrne [holding answer 15 December 2005]: Patients receiving specialist palliative care are excluded from the system of charging for delays in discharge. In addition, many patients who have rapidly deteriorating conditions or who do not have long to live will continue to be the national health service's responsibility and as such will not trigger any payment from social services. The NHS is responsible for ensuring the patient is safe to discharge, however, some patients will have a strong preference to return home to die. If they, or their carer, need a care package, including services from social services which is not in place by their discharge date, social services will be potentially liable for a charge.
To ask the Secretary of State for Health how many hospital mergers have taken place over the last five years; what the projected effects on costs of each
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merger were; and what actual savings have been achieved in each case in the last relevant financial year. 
Lynne Jones: To ask the Secretary of State for Health what estimate she has made of the (a) total and (b) net cost of (i) integrating the proposed identity card scheme into her Department's IT systems and (ii) the on-going operation of the scheme within her Department. 
Mr. Byrne: The Department has, in consultation with the identity (ID) cards programme, developed its current best estimate of the cost of using the ID cards scheme to support the services which it oversees and these costs have been incorporated into the business case. The Department is represented on the Ministerial Committee on Identity Cards which oversees the work on benefits planning and realisation.
In deriving these estimates account has to be taken of the types of use required to support the particular services which the Department oversees. Not all services will require a high degree of integration between the ID cards scheme and other information technology (IT) systems. There are no plans to use ID cards to access the NHS Care Record Service.
We cannot release the detailed estimated costs for integrating IT systems and the on-going operation of the ID cards scheme within the Department and the services which it oversees at this stage as these elements may be acquired from the market. The estimates are therefore commercially sensitive and to release them may prejudice the procurement process and the Department's ability to obtain value for money from potential suppliers.
Mr. Lansley: To ask the Secretary of State for Health what the estimated price per procedure paid was to wave 1 independent sector treatment centres in (a) 200304 and (b) 200405; and what the NHS tariff was for each procedure offered by such centres in each year. 
However, the data are not comparable with independent sector contracts as they have to cover a range of costs, which are not applicable to the NHS. NHS equivalent cost, which does take into account the
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range of additional costs incurred by independent sector providers, is used to provide a direct comparison between the services procured from the independent sector and the NHS. Details of equivalent cost by procedure cannot be disclosed as it would undermine future commercial negotiations. However, the overall cost for wave 1 schemes in 200304 and 200405 was less than the NHS equivalent.
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Helen Jones: To ask the Secretary of State for Health how many operations have been contracted for at each independent treatment centre; of what type; and how many operations each centre has carried out. 
|Activity to October 2005|
|Scheme||Casemix||Interim/full service commencement date||Contract end date||Total FFCEs(30)||Procedures||Diagnostics|
|Ophthalmic Chain||Ophthalmology||1 February 2004||25 January 2009||44,737||18,389|||
|East Cornwall||General Surgery, Urology, Trauma and orthopaedics, Ear, nose and throat, Oral surgery, General medicine, Gastroenterology, cardiology, Dermatology, Thoracic medicine, Rheumatology, Paediatrics, Gynaecology, Dietetics, Physio assessment, Ophthalmology, Plastic Surgery||1 October 2005|
(interim start date)
26 January 2006
|31 March 2010||26,767||22|||
|East Lincolnshire||Ophthalmology,urology, hernias, varicose veins, colonoscopies and minor skin||20 April 2005||31 March 2010||7,263||437|||
|West Lincolnshire||Ophthalmology, gastroscopies, colonoscopies, orthopaedic, urology and minor skin||1 April 2005||31 March 2010||6,365||351|||
|North Oxford (Horton)||General Surgery, Urology, Trauma and orthopaedics, ENT, Ophthalmology, Oral surgery, Plastic Surgery, Gastroenterology, Dermatology, Rheumatology, Gynaecology||1 January 2006||31 March 2010||11,197|||||
|North and East Yorkshire and North Lincolnshire||General Surgery, Trauma and orthopaedics||1 July 2005|
(interim start date)
25 January 2006
|31 March 2010||9,964||154|||
|Southampton||Orthopaedics||1 April 2005||31 March 2010||12,317||652|||
|Northumberland||Upper scopes, hernias, varicose veins, minor skin||25 May 2005||31 March 2010||10,080||316|||
|Thames Valley||General Surgery, Urology, Trauma and orthopaedics, Dermatology, Gynaecology||1 April 2005|
(interim start date)
1 August 2006
|31 March 2010||14,072||386|||
|West Surrey||Subject to negotiation|||||||||||
|Kidderminster||Orthopaedics and general surgery||1 February 2005||31 January 2010||9,000||966|||
|Cheshire and Merseyside||Orthopaedics||1 June 2006||31 May 2011||24,817|||||
|Nottingham||Orthopaedic, Gynaecology, General surgical, Dermatology, Endoscopies||1 December 2007||30 November 2012||110,700|||||
|Maidstone Surgical Centre||Chemotherapy, minor surgery and diagnostics||25 September 2006||24 November 2011||12,112|||||
|Outer North East London||Ophthalmology, Orthopaedics, ENT, Oral, General Surgery, Urology||1 December 2006||30 November 2011||55,345|||||
|Brighton||Orthopaedics||1 February 2005|
(interim start date)
12 June 2006
|31 May 2011||27,479||2,451|||
|Wycombe||Diagnostics only (MRI, x-ray, echo and ultrasound)||1 August 2005||31 July 2010||74,880||||1,505|
|Medway||General Surgery, Gastroenterology, ENT, Gynaecology, Ophthalmic, Orthopaedics, Plastics, Urology, Oral Surgery, Ultrasound scansgeneral, Ultrasound scansdoppler, CT scans, MRI scans, Plain films and x-rays, Fluoroscopy||3 October 2005||30 September 2010||19,770||72|||
|Portsmouth||Walk in centre/minor injuries unit, day surgery, diagnostics, ophthalmology||1 December 2005||31 December 2010||34,155|||||
|Havant||Diagnostics only||1 January 2008||31 December 2010||78,600|||||
|Lister Surgical centre||Paediatrics, paediatrics ENT, endoscope, urology, ophthalmology, gynaecology and other specialities||1 October 2007||1 October 2012||15,612|||||
|Hemel Hampstead Surgical centre||Paediatrics, paediatrics ENT, endoscope, urology, ophthalmology, gynaecology and other specialities||1 October 2007||1 October 2012||13,943|||||
|Bradford||General Surgery, Gastroenterology, ENT, Gynaecology, Ophthalmic, Orthopaedics, Plastics, Urology, Oral Surgery, Ultrasound scans general, Ultrasound scansdoppler, CT scans, MRI scans, Plain films and x-rays, Fluoroscopy||1 July 2005||30 June 2010||27,416||846||4,784|
|Trent and South Yorkshire||Orthopaedic, MRI, CT scans||1 April 2005||31 March 2010||22,000||4,412|||
|Daventry||Ophthalmology, Upper GI endoscopies, Sigmoidscopy, Orthopaedics Dermatology, Urology||1 October 2003||30 September 2006||5,959||4,580|||
|Shepton Mallet||Orthopaedics, ophthalmology, general surgery and endoscopy||15 July 2005||14 July 2010||56,242||1,647|||
|Greater Manchester||Orthopaedic, general surgery and ENT||19 May 2005||18 May 2010||44,863||1,899|||
|Plymouth||Orthopaedics||3 May 2005||2 May 2010||2,938||1,382|||
|General Supplementary 1||Orthopaedic, ophthalmic, general surgery, ENT, plastic surgery||25 May 2004||30 June 2005||25,000||26,540|||
|General Supplementary 2||Orthopaedic, general surgery||1 July 2005||1 December 2005||12,167||12,837|||
|MRI||MRI diagnostic scanning||16 July 2004||15 July 2009||630,000||||82,450|
|Chlamydia||1624 year old screening||14 November 2005||To be confirmed||To be|
|Commuter walk-in Centres||Primary care||17 November 2005||Various||2.1 million|||||
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