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23 Jan 2006 : Column 1841W—continued
Barts and the London NHS Trust
Mr. Lansley: To ask the Secretary of State for Health if she will decide whether to support the redevelopment of Barts and the London NHS Trust by 31 January. [43448]
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.
Brain Tumours (Treatment)
John Bercow: To ask the Secretary of State for Health what steps are being taken by her Department to improve access to rehabilitation services for brain tumour patients. [42487]
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:
mapping levels of provision and models of service and, where possible, the cost-effectiveness of rehabilitative services;
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.
Child Health (West Cheshire)
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. [42670]
Mr. Byrne: The information requested is not held centrally.
Children's Hospices
Mr. Paice: To ask the Secretary of State for Health (1) what guidance has been issued to primary care trusts about commissioning care from children's hospices; [31474]
(2) what assessment she has made of the funding of children's hospices, [31475]
(3) if she will list the sums paid to children's hospices by each primary care trust in the last year for which figures are available. [31478]
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.
Information is not collected centrally on the amount of funding children's hospices receive from PCTs.
Continuing Care
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. [43635]
Mr. Byrne:
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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Contracting for Services
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. [32585]
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
Correspondence
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. [36700]
Jane Kennedy: A reply was sent on 12 December 2005.
Dentistry
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. [38907]
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.
Andrew Rosindell: To ask the Secretary of State for Health how many NHS dentists were practising in England in each of the last eight years, broken down by (a) county and (b) London borough. [40613]
Ms Rosie Winterton: The information requested, provided by local health authority or London borough, has been placed in the Library.
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. [41366]
Ms Rosie Winterton: The available information, at primary care trust (PCT) level, is shown in the table.
Notes:
1.2004 and 2005 data includes General Dental Service (CDS) and Personal Dental Service (PDS) registrations/PDS patients seen (counts patients seen in the past 15 months for some PDS schemes).
2.Data for 2003 and earlier do not include those PDS schemes that do not have any registrations (eg Dental Access Centres), and is therefore not directly comparable with 2004 and 2005 data.
3.Most PDS schemes that have registrations have re-registration periods in excess of fifteen months, so the figures for PDS schemes are generally higher than they would have been for the same attendance pattern under GDS.
4.Proxy registrations are not available at constituency level.
5.1997–2000 percentages have been calculated using 2001 population data.
6.2005 percentages have been calculated using 2004 population data.
Source:
Dental Practice Board
Mr. Graham Stuart: To ask the Secretary of State for Health what percentage of children in Beverley and Holderness constituency are registered with an NHS dentist. [41369]
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.
Table one gives the total number of children registered with a dentist since 1997 in Beverley and Holderness.
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Table two shows the percentage of children registered in each of the local PCTs.
Notes:
1.2004 and 2005 data include GDS and PDS registrations/PDS patients seen (counts patients seen in the past 15 months for some PDS schemes).
2.Data for 2003 and earlier do not include those PDS schemes that do not have any registrations (e.g. dental access centres), and is therefore not directly comparable with 2004 and 2005 data.
3.Most PDS schemes that have registrations have re-registration periods in excess of fifteen months, so the figures for PDS schemes are generally higher than they would have been for the same attendance pattern under GDS.
4.Proxy registrations are not available at constituency level.
5.1997 to 2000 percentages have been calculated using 2001 population data.
6.2005 percentages have been calculated using 2004 population data.
Source:
Dental Practice Board
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. [41380]
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
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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. [42387]
Ms Rosie Winterton [holding answer 16 January 2006]: The information requested is shown in the table.
Notes:
1.2004 and 2005 data include GDS and PDS registrations/PDS patients seen (counts patients seen in the past 15 months for some PDS schemes).
2.Data for 2003 and earlier do not include those PDS schemes that do not have any registrations, for example, dental access centres, and is therefore not directly comparable with 2004 and 2005 data.
3.Most PDS schemes that have registrations have re-registration periods in excess of 15 months, so the figures for PDS schemes are generally higher than they would have been for the same attendance pattern under GDS.
4.This information was provided by the Dental Practice Board and relates to patients registered with dentists whose practice address postcodes are within the constituency boundary.
Source:
Dental Practice Board.
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. [42793]
Ms Rosie Winterton:
The information requested is provided in the table.
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Notes:
1.The percentages of the population registered with a dentist (or registration rate) have been estimated by including patient registrations in the area of the dentist, that is according to the postcode of the dental surgery and not the patient's address. So the registration rates for some areas may be affected by some patients receiving dental treatment in a different area from the one in which they live.
2.Estimates have been calculated using population estimates for the nearest year for which data are available. 1997–2000 percentages have been calculated using 2001 population estimates. 2005 percentages have been calculated using 2004 population estimates.
Source:
NHS Health and Social Care Information Centre
Chris Ruane: To ask the Secretary of State for Health how much has been allocated to training dentists in each of the last 30 years at 2005–06 prices. [36872]
Ms Rosie Winterton: The historical information requested is not held centrally.
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.
Mr. Evans: To ask the Secretary of State for Health how many NHS dentists per head of the population were practising in Lancashire in each year since 1997. [43161]
Ms Rosie Winterton: The information requested is shown in the table.
Notes:
1.2005 data calculated using Office for National Statistics 2004 mid-year population estimates based on the 2001 census.
2.Figures have been rounded to two decimal places.
Source:
NHS Health and Social Care Information Centre.
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