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NHS Managers

Mr. Jenkins: To ask the Secretary of State for Health what percentage of NHS managers were clinicians in each of the last 10 years. [43462]

Mr. Byrne: The table shows the percentage of national health service managers who also had a clinical qualification in each of the last 10 years.
Percentage of managers with a clinical qualification, England

Percentage
199547.4
199647.8
199747.2
199847.1
199945.4
200045.8
200146.0
200242.5
200346.0
200450.2

NHS Staff Costs

Mr. Wills: To ask the Secretary of State for Health what percentage of the increase in NHS funding has been spent on staff costs in each year since 1997. [19279]

Mr. Byrne: The information requested is shown in the following table.
 
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Total (England) increased expenditure on staff costs, shown as a percentage of the increase in total national health service expenditure

Percentage
1997–9831.1
1998–9950.5
1999–200045.3
2000–0148.9
2001–0252.7
2002–0353.0
2003–0429.7
2004–0521.6



Notes:
1. Returns for 2003–04 from NHS bodies excluded the increase in NHS employers' pension contributions from 7 per cent. to 14 per cent. of pensionable pay. This was paid directly to the NHS Pensions Agency by the Department of Health.
2. Expenditure in NHS foundation trusts is not included within returns provided to the Department of Health. The 2004–05 figures therefore exclude all NHS foundation trusts data and are not consistent with the previous figures in the table.
Sources:
Annual financial returns of the health authorities 1997–98 to 2001–02
Annual financial returns of the strategic health authorities 2002–03 to 2004–05
Annual financial returns of the primary care trusts 2000–01 to 2004–05
Annual financial returns of the NHS trusts 1997–98 to 2004–05


Obesity

Mr. Lansley: To ask the Secretary of State for Health when she will launch the planned cross-Government campaign to raise awareness of the health risks of obesity and the steps people can take through diet and physical activity to prevent it; what discussions she has had with external stakeholders regarding the design of the campaign; when these discussions took place; and if she will make a statement. [43536]

Caroline Flint: The social marketing programme will be launched in the autumn of 2006. Its focus will be on providing the general public with the necessary information and support to lead healthier lifestyles in relation to diet and physical activity. In developing this activity, discussions have taken place with a broad range of stakeholders across Government, the non-governmental organisations sector and relevant industries over the past six months. These meetings have included bilateral discussions and a larger scale summit held in December. Development work has focused on understanding the behaviours and attitudes of people at highest risk of obesity and exploring how stakeholders can contribute to the development and implementation of the programme.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 20 December 2005, Official Report, column 2716W, on obesity, how rates of childhood obesity are calculated; whether this will change following publication of her Department's guidance on measuring childhood obesity on 11 January 2006; and if she will make a statement. [43634]

Caroline Flint: Calculation of the rate of childhood obesity for measuring obesity prevalence in the Department are based on United Kingdom national body mass index (BMI) percentile classification. This defines children as overweight and obese if their BMI
 
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falls above the 85th and 95th centile, respectively, of the reference curve for their age and gender. This methodology is used by both the Health Survey of England and is outlined in the guidance to primary care trusts (PCTs) on calculating local childhood obesity prevalence. There are no plans to change this following publication of the Department's guidance on measuring childhood obesity on 11 January 2006.

Recent guidance on measuring childhood obesity provides advice to PCTs on how to measure the height and weight of children in reception year (four to five years) and year 6 (10 to 11 years). This local data on childhood obesity will help inform local planning, targeting of local resources and interventions and enable tracking of local progress against the childhood obesity public service agreement target.

Ophthalmic Services

Frank Dobson: To ask the Secretary of State for Health whether NHS organisations were invited to submit proposals for mobile clinics for cataract operations. [17373]

Mr. Byrne [holding answer 17 October 2005]: Any organisation, including national health service organisations, could have expressed an interest in the advertisement published in the Official Journal of the European Union advertisement in 2003 and submitted a pre-qualification questionnaire. No NHS organisations responded to these stages of the procurement.

Mr. Baron: To ask the Secretary of State for Health what recent assessment she has made of ophthalmic services in Wolverhampton. [46822]

Ms Rosie Winterton [holding answer 30 January 2006]: It is the responsibility of the Wolverhampton city primary care trust to ensure that appropriate services are commissioned to meet the needs of its local population.

The Birmingham and the Black Country strategic health authority reports that the Royal Wolverhampton hospitals national health service trust intends to relocate ophthalmic services from the Wolverhampton eye infirmary to new facilities in the New Cross hospital. This follows a formal period of public consultation which concluded in December 2004.

Paediatric Continence Services

Mr. Burstow: To ask the Secretary of State for Health (1) what action she plans to take to promote the development of integrated paediatric continence services in every primary care trust; [43574]

(2) what assessment she has made of the effects of integrated continence services to children with persistent bladder and bowel problems. [43575]

Mr. Byrne: Primary care trusts will be assessed increasingly against the standards identified in the national service framework for children, young people and maternity services, and their progress toward meeting these standards, including standard six, which recommends integrated paediatric continence services. This is in line with our assessment that integrated community-based paediatric continence services, informed by our previous guidance, Good Practice in
 
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Paediatric Continence Services", can help children with incontinence problems and their parents or carers to access care and treatment more easily. The guidance is available on the Department's website at: www. cgsupport.nhs.uk/PDFs/articles/good_practice_ paediatric_continence_services.pdf.

Parkinson's Disease

Mrs. Dorries: To ask the Secretary of State for Health (1) what recent discussions she has had with (a) ministerial colleagues and (b) others about the provision of funding for Parkinson's disease nurse specialists; and if she will make a statement; [47349]

(2) what assessment she has made of the levels of funding required for Parkinson's disease nurse specialists; and if she will make a statement. [47361]

Mr. Byrne: We have made no assessment on the levels of funding required for Parkinson's disease nurse specialists, nor have we had recent discussions on the provision of such nurses.

It is the responsibility of primary care trusts to provide services for those living with Parkinson's disease. This may include the provision of Parkinson's disease nurse specialists.

Mrs. Dorries: To ask the Secretary of State for Health what steps the Government are taking to increase the quality of treatment available for those suffering from Parkinson's disease in Bedfordshire; and if she will make a statement. [47353]

Ms Rosie Winterton: The national service framework (NSF) for long-term conditions focuses on improving services for people with neurological conditions, such as Parkinson's disease. People with these conditions will get faster diagnosis, more rapid treatment and a comprehensive package of care under the NSF, both nationally and in Bedfordshire.

Mrs. Dorries: To ask the Secretary of State for Health how many Parkinson's disease specialist nurses there have been in Bedfordshire in each year since 1997; and if she will make a statement. [47355]

Ms Rosie Winterton: The information requested is not held centrally.


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