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Jane Kennedy [holding answer 19 January 2006]: North East of London strategic health authority have commissioned a review of the proposed redevelopment of St. Bartholomew's in the context of the existing cancer and cardiac services in London. They should be in a position to make a recommendation once they have had the opportunity to consider its findings.
Mr. Byrne: The Department scoping study is looking at rehabilitation services, including those for brain tumour patients, currently provided by the national health service and social care, with the aim of:
The National Institute for Health and Clinical Excellence is producing guidance on Improving Outcomes in Brain and Other Central Nervous System Tumours". It will include advice on rehabilitation
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services for patients with these forms of cancer. A second draft of this guidance has recently been consulted on and the final guidance is due to be issued in June 2006.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many children under the age of 10 years in (a) West Cheshire Primary Care Trust and (b) Eddisbury constituency have (i) osteogenesis imperfecta and (ii) ligamentous laxity. 
Mr. Byrne [holding answer 24 November 2005]: In our guide Commissioning Children's and Young People's Palliative Care Services", launched on 29 November 2005, we give commissioners important advice about the key aspects of children's palliative care which will improve the quality of commissioning and provision of services. This practical guide will stimulate improvements in commissioning and promote quality care for children, young people and their families in a range of settings, for example, palliative care at home, in hospital or in a hospice.
Primary care trusts (PCTs) working with their local authority partners and stakeholders, remain best placed to decide the level and range of palliative care needed by the children and young people in their locality and are able to respond directly to their needs. We have extended our manifesto pledge to increase funding for end of life care to include care for children and young people. We will make further announcements on this funding as soon as we can.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 10 January 2006, Official Report, column 574W, on continuing care, for what reasons the number of people in receipt of continuing care has increased. 
Work by the national health service to improve consistency and equity of access to NHS funded continuing care, coupled with increases in population needs, are thought to be the reasons for this increase.
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Sandra Gidley: To ask the Secretary of State for Health what measures her Department has taken to ensure that the Office of the Deputy Prime Minister's 'Guidance on Contracting for Services in the light of the Human Rights Act 1998' published in March has been brought to the attention of (a) chief executives, (b) directors of social services, (c) NHS trusts and (d) those who contract with independent care homes and domiciliary providers. 
Ms Rosie Winterton: The Office of the Deputy Prime Minister's 'Guidance on Contracting for Services in the light of the Human Rights Act 1998' is available on the Department's website at www.dh.gov.uk/assetRoot/04/12/38/46/04123846.pdf In addition, the 'Chief Executive Bulletin' (issue 297, 26 November-1 December 2005) alerted all national health service and council chief executives and directors of social services that guidance had been published. This is also available on the Department's website at: www.dh.gov.uk/Publications AndStatistics/Bulletins/ChiefExecutiveBulletin/BulletinCE/fs/en?CONTENT_ID=4123953&chk= 56chNG#5531805
Mr. Spellar: To ask the Secretary of State for Health when her Department will reply to the letter of 19 October from the right hon. Member for Warley regarding the campaign on rehabilitation services for blind and partially sighted people. 
Mr. Hollobone: To ask the Secretary of State for Health what recent assessment she has made of dental health; what the rate of tooth decay is in (a) adults and (b) children; and if she will make a statement. 
Ms Rosie Winterton [holding answer 20 December 2005]: The Department commissions decennial surveys of the dental health of adults and children, which show major improvements in the oral health of the population.
The 1998 National Adult Dental Health showed that the proportion of adults with no natural teeth had fallen from 37 per cent, in 1968 to 12 per cent. in 1998. The 2003 National Child Dental Health Survey showed that the proportion of 12 year old children with decayed, missing and filled teeth had fallen from 93 per cent. in 1973 to 38 per cent. in 2003. 12 year old children in England now have the best oral health of their age group in Europe.
The Government recognises that major inequalities in oral health remain. For example, in 2003, the probability of having obvious decay experience of the primary teeth was about 50 per cent. higher in the lowest social group than in the highest social group. The Department published a new oral health plan for England, 'Choosing Better Oral Health,' in November 2005. This sets out a range of measures that have the potential to reduce these inequalities including the fluoridation of water supplies. The Government have amended the legislative
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framework governing fluoridation to give people in areas with high levels of dental decay a real option of having their water fluoridated.
Mr. Graham Stuart: To ask the Secretary of State for Health what proportion of people in Beverley and Holderness were registered with an NHS dentist in each of the last 10 years for which records are available. 
East Yorkshire PCT
|Yorkshire Wolds and Coast PCT|
Ms Rosie Winterton: Information on children registered with a dentist at constituency level is not available as a percentage of the total number of children because population data is not available at constituency level.
|Beverley and Holderness constituency||East|
|Yorkshire Wolds and Coast PCT|
East Yorkshire PCT
|Yorkshire Wolds and Coast PCT|
Mr. Graham Stuart: To ask the Secretary of State for Health what assessment she has made of the report Meeting the Challenges of Oral Health for Older People: A Strategic Review, published in December 2005. 
Ms Rosie Winterton:
The review undertaken by the British Society of Gerodontology provides welcome guidance on ways of improving education, training and service provision to meet more effectively the oral health care needs of older people. This is likely to help
23 Jan 2006 : Column 1846W
the national health service build on the major improvements already achieved in the oral health of older people.
The 1998 National Adult Dental Health showed that the proportion of adults with no natural teeth had fallen from 37 per cent. in 1968 to 12 per cent. in 1998. However, as recognised in the report of the Primary Care Dental Workforce Review published in 2004, people who keep their teeth have a greater need for oral hygiene advice and support and for restorative dental treatment.
This additional demand was one of the reasons why, in response to the report, the Government undertook measures to expand the dental workforce by recruiting the equivalent of an extra 1,000 whole-time NHS dentists and providing for an extra 170 dental training places each year from 2005.
Tim Farron: To ask the Secretary of State for Health how many people in Westmorland and Lonsdale were registered with an NHS dentist in each of the last 10 years for which records are available. 
|Number of patients|
Mr. Pelling: To ask the Secretary of State for Health what percentage of the population in the area served by Croydon Primary Care Trust was registered with an NHS dentist in each year since 1997. 
|Estimated percentage of population|
The Higher Education Council for England is responsible for the academic costs of training and the Department is responsible for the clinical costs. At current prices the average cost, which includes the cost of academic and clinical training, is £160,000 over the five-year course, or £32,000 per year.
|Dentists per 10,000 population|
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