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20 Jan 2006 : Column 1661W—continued

Community Care

Mr. Lansley: To ask the Secretary of State for Health how many service users of social services departments have been in receipt of direct payments in each year since 1997; and how many adults receiving community care services provided by social services departments there were in each year since 1997. [42021]

Mr. Byrne: The table shows the number of people aged 18 and over receiving community based services as at 31 March for the years 2001 to 2005 in England and the number from these totals who received direct payments. Data are not available for the earlier years.
Number of adults(19) receiving community based services(20) and direct payments at 31 March, 2001–05—England

At 31 March:

Of whom received direct payments

(19) Adults aged 18 and over.
(20) Community based services includes day care, meals, respite care, direct payments, professional support, transport and equipment as well as home care.
(21) Data includes clients formerly in receipt of preserved rights.
(22) Data for 2005 are provisional.
(23) Data on the number of people receiving community based services in 2005 is not comparable to data for previous years. In 2005 restated guidance was issued to exclude people receiving services from grant-funded organisations who had not had a community care assessment.
Figures may not sum due to rounding.
RAP proforma P2s, KS1

Co-terminous Boundaries

Mr. Lancaster: To ask the Secretary of State for Health if she will make it her policy to promote co-terminous boundaries for primary care trusts and unitary authorities. [26113]

Mr. Byrne: One of the key criteria from 'Commissioning a Patient Led NHS' was to

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Currently 44 per cent. of primary care trusts (PCTs) are co-terminous with local government boundaries, this will rise to a minimum of 77 per cent. as a result of the PCT reconfiguration exercise which is currently the subject of public consultation. The percentage co-terminous could be considerably higher depending on the outcome of that consultation.

However, 'Commissioning a Patient Led NHS' also identified seven other criteria which must be met when considering PCT reconfiguration. This may mean that co-terminosity with local authorities may not always be the optimum configuration, and in some cases it may be sensible for PCTs to contain more than one unitary authority within their boundaries or to have several PCTs in a large local government area in order to meet local health needs.


Mr. Hollobone: To ask the Secretary of State for Health how much was spent on (a) NHS dentistry and (b) the NHS as a whole in (i) 1997 and (ii) the latest year for which figures are available. [38911]

Ms Rosie Winterton: The main elements of national health service dental services are the primary care services provided through the general dental services (GDS). In addition, a significant proportion of primary dental care is now provided by dentists working within the personal dental services (PDS) under new local commissioning arrangements agreed with primary care trusts. These elements, together with total NHS expenditure, are shown in the table. Net PDS expenditure is shown as an estimated range because the 2004–05 accounts format did not permit a precise identification of PCTs' net expenditure on PDS separate from other elements of discretionary health expenditure.

PCTs also commission community and hospital dental services to provide oral health programmes, or care to patients with special needs or more complex dental problems, but expenditure on these services is not separately identified in central returns.
NHS net expenditure: NHS, GDS, PDS
£ million

Net NHS expenditure: England(26)34,66469,706
Net GDS expenditure: England9591,246
Estimated net PDS expenditure:

(24) 1997–98 expenditure is on a cash basis.
(25) 2004–05 expenditure is on a stage two resource budgeting basis and is therefore not directly comparable with the 1997–98 data.
(26) Total NHS expenditure data are shown net of all sources of income. GDS and PDS data are shown net of dental charges paid by patients.

Mr. Bone: To ask the Secretary of State for Health how many dentists were admitting new NHS patients on 1 December 2005 in (a) England, (b) Northamptonshire and (c) Wellingborough. [40540]

Ms Rosie Winterton: Data regarding the number of dentists admitting new national health service patients are not available centrally. Individual primary care trusts should be able to provide this information for their local areas.
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Mr. Lansley: To ask the Secretary of State for Health what estimate she has made of the total cost to the NHS of providing care to those with diabetes for the most recent year for which figures are available. [41964]

Ms Rosie Winterton: The Department's resource accounts shows gross expenditure on diabetes in 2004–05 was £687 million.

Mr. Lansley: To ask the Secretary of State for Health what assessment she has made of the total number of people with (a) type 1 and (b) type 2 diabetes in each year since 1997; how many finished episodes of care relating to the treatment of diabetes there have been in each year since 1997; what estimate she has made of the total number of patients who will have (i) type 1 and (ii) type 2 diabetes in 2010; and if she will make a statement. [41967]

Ms Rosie Winterton: Information on the number of people with diabetes is not available in the exact form requested. The following information is available for diagnosed diabetes only.

Estimates of the number of people aged 16 and over with doctor-diagnosed diabetes can be derived for some earlier years from the Health Survey for England, collected every five years, and are shown in table one.
Table 1: People aged 16 and over with doctor-diagnosed diabetes in England


The Health Survey for England estimated that in 2003, around 90 per cent. of those with doctor-diagnosed diabetes had type two diabetes 1 .

The number of patients diagnosed with diabetes identified by general practitioner practices in England in 2004–05 was 1,766,391 2 . This is the first year of data from this source. Figures are not available for type one and type two diabetes separately.

Table two shows all diagnoses count of finished consultant episodes for diabetes NHS Hospitals, England 1997–98 to 2004–05.
Table 2: All diagnoses count of finished consultant episodes


Hospital Episode Statistics (HES), Health and Social Care Information Centre

Projections suggest that in England around 2.6 million people will have diabetes by 2010 3 .
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2 2004–05 Quality and Outcomes Framework data published by the Health and Social Care Information Centre. 3 PBS Prevalence Model.

Family Planning

Mr. Drew: To ask the Secretary of State for Health what advice her Department offers to those bodies offering family planning concerning whether there is a minimum age for offering contraception (a) with and (b) without parental consent. [42224]

Caroline Flint: Health professionals provide contraception to young people under 16 within an established legal framework which involves assessing the young person's competence to understand the choices they are making and encouraging them to talk to their parents. A young person's request for confidentiality is respected unless there are child protection concerns. The Department's guidance "Best practice guidance for doctors and other health professionals on the provision of advice and treatment to young people under 16 on contraception, sexual and reproductive health", stresses that duty of confidentiality is not absolute. Where a health professional believes that there is a risk to the health, safety or welfare of a young person which is so serious as to outweigh the young person's right to privacy, they should follow locally agreed child protection protocols as outlined in the Government guidance "Working Together to Safeguard Children" (1999).

The younger the teenager the greater concern about possible abuse or exploitation, but health professionals will assess risk on the facts of each individual case.

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