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9 Feb 2006 : Column 1479W—continued

Jentle Service

Tim Loughton: To ask the Secretary of State for Health (1) how much revenue has been raised by the Jentle Service at the maternity department of the Queen Charlotte's and Chelsea Hospital; and what the service offers to expectant mothers; [48074]

(2) how many women have so far subscribed to the Jentle Service provided by the maternity department at the Queen Charlotte's and Chelsea Hospital. [48073]

Jane Kennedy: The Hammersmith Hospitals Trust's scheme is called Birth—the Jentle Midwifery Scheme". The scheme only applies to the Queen Charlotte's and Chelsea hospital.

The scheme provides for two options. The first is for private patients. The second option is a midwifery-led scheme for national health service patients, which offers continuity for the woman and ensures she has a named midwife throughout her pregnancy, birth and the postnatal period. The scheme incorporates antenatal care, the birth and postnatal care. The trust bills the woman £4,000 for this scheme. The option does not include any other services or facilities except that a single amenity room is included in the package for the first night, if one is available.

The number of women that have used the scheme including those delivered and those still pregnant is 74. The number of babies delivered so far is 51.

The total amount invoiced to date for the Jentle Midwifery Scheme is £164,998.

LIFT Scheme

Mr. Andrew Turner: To ask the Secretary of State for Health (1) whether the issues set out in the letter dated 13 December to a director of development of a primary care trust from the NHS LIFT Policy Lead of the Capital Investment Branch of her Department outlining mandatory changes to the Local Improvement Finance Trust (LIFT) scheme were previously discussed with the chairman and members of the LIFT Liaison Organisation for Business Investors (LIFT LOBI); and what plans (a) she and (b) officials of her Department have to meet with LIFT LOBI to discuss these issues; [40119]

(2) whether the contents of the letter dated 13 December to a director of development of a primary care trust from the NHS Lift Policy Lead of the Capital Investment Branch of her Department outlining mandatory changes to the Local Improvement Finance Trust (LIFT) scheme represent the policy of her Department; what consultations were undertaken with (a) primary care trusts, (b) LIFT companies, (c) Partnerships for Health, (d) business investors and (e) other stakeholders about the matters contained in that letter; and whether those consultations were in accordance with the Code of Practice on Consultations issued by the Cabinet Office; [40120]
 
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(3) whether the issues set out in the letter dated 13 December to a director of development of a primary care trust from the NHS Lift Policy Lead of the Capital Investment Branch of her Department outlining mandatory changes to the Local Improvement Finance Trust (LIFT) scheme were previously raised by the representatives of the Capital Investment Branch at the Lift in Action Steering Group on 4 November; [40121]

(4) what assessment she has made of whether the policy developments set out in the letter dated 13 December 2005 to a Director of Development of a Primary Care Trust from the NHS LIFT Policy Lead of the Capital Investment Branch of her Department outlining mandatory changes to the Local Improvement Finance Trust (LIFT) scheme are consistent with (a) the findings of the recent National Audit Office Report on the LIFT scheme and (b) the letter from the chief executive of the national health service to the chair of the LIFT Liaison Organisation for Business Investors dated 25 October 2005; and if she will make a statement. [41914]

Mr. Byrne: The letter of 13 December, to the director of development for Bristol South and West Primary Care Trust, confirmed the Department's decision to require the standard private finance initiative contract to be used in future for complex individual Local Improvement Finance Trust (LIFT) facilities with a capital value of over £25 million. This decision was taken to ensure appropriate risk transfer for these very large LIFT facilities, which are much larger and cover additional services than those originally intended to be undertaken under LIFT. The decision simply involves the use of a different contract for the limited number of LIFT facilities where it is more appropriate. It does not represent a major policy, financial or service change, and for this reason, no formal consultations were undertaken with stakeholders including the LIFT Liaison Organisation for Business Investors (LIFT LOBI). This is in line with the Cabinet Office's Code of Practice on Consultation". The Department's national health service LIFT policy lead met representatives of LIFT LOBI on 9 January to discuss and explain the decision, and is also holding a series of meetings with the primary care trusts affected. I have no plans to meet members of LIFT LOBI.

The issues set out in the letter of 13 December were not raised by officials at the LIFT in action steering group meeting on 4 November as the policy was still under internal departmental development.

The policy developments set out in the letter are consistent with the National Audit Office report on the LIFT scheme, which endorses LIFT as an initiative to support the redevelopment of the primary care estate. They are also consistent with the letter from the chief executive of the NHS to the chair of the LIFT LOBI dated 25 October 2005.

Lyme Disease

Annette Brooke: To ask the Secretary of State for Health what recent representations she has received about the treatment of Lyme disease in England; and if she will make a statement. [46385]

Caroline Flint [holding answer 31 January 2006]: Three representations have been received concerning the diagnosis and treatment of Lyme disease. Two
 
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alleged that Lyme disease was not being correctly diagnosed or treated within the national health service and one was additionally concerned about risks of transmission via blood transfusion. A parliamentary question has also been asked about the use of intravenous ceftriaxone for Lyme disease.

The inspector of microbiology and infection control has confirmed that the internationally recognised criteria for the diagnosis of Lyme borreliosis are routinely used for diagnosis within the NHS through the Health Protection Agency's Lyme borreliosis specialist diagnostic service. These are based upon stringent interpretation of serological tests for specific antibodies to the causative organism, Borrelia burgdorferi and are recommended in the United States of America, Europe and the United Kingdom. The Inspector is concerned that some medical practitioners base their diagnosis on positive results from unsuitable and unvalidated tests performed in non-accredited laboratories. A warning was published in the American journal Morbidity and Mortality Weekly Report, 11 February 2005, advising caution regarding many commercially promoted tests for Lyme borreliosis and restating the internationally accepted diagnostic criteria.

Treatment is with antibiotics. Detailed studies have shown excellent long term outcomes for most people who receive appropriate treatment. Repeated or
 
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prolonged courses of antibiotics have been shown not to help the small proportion of patients with post infection syndrome.

Macular Degeneration

Andrew Rosindell: To ask the Secretary of State for Health how much funding has been committed in 2005–06 to research into ways of reducing the cost of curing age-related macular degeneration. [40604]

Ms Rosie Winterton: The Department is investing £1 million in a study to gather evidence on the clinical and cost effectiveness of photodynamic therapy for people with the predominantly classic form of age-related macular degeneration. This study will inform the National Institute for Health and Clinical Excellence when its guidance on photodynamic therapy is reviewed in September 2006.

The Department is not looking specifically at ways of reducing the cost of curing age-related macular degeneration.

Medical Staff (Tooting)

Mr. Khan: To ask the Secretary of State for Health how many (a) doctors and (b) nurses there were in the constituency of Tooting in (i) 1997 and (ii) the last year for which figures are available. [47755]

Jane Kennedy: The information requested is shown in the tables.
Hospital, Public Health Medicine and Community Health Services (HCHS) Staff, General Medical Practitioners (excluding retainers), Nursing, Midwifery and Health Visiting staff and GP Practice Nurses, All Doctors and Nurses for selected organisations, 1997–2004, England

Number (headcount)
1997
Of which:
Of which:


All Doctors


HCHS Doctors(33)
General Medical Practitioners (excluding retainers)(34)


Nurses
Nursing, Midwifery and Health visiting staff

GP Practice Nurses
Q08South West London2,5411,7627798,2317,725506
Of which:
RHFMerton & Sutton Community Healthcare NHS Trust6868n/a523523n/a
RHGRichmond, Twickenham & Roehampton NHS Trust152152n/a990990n/a
RQYSouth West London & St. George's Mental Health NHS Trust9696n/a387387n/a
RVMSouth West London Community NHS Trustn/an/a
Q08South West London SHAn/an/a
RJ7St. George's Group NHS Trust475475n/a1,3711,371n/a
RPPWandsworth Community Health NHS Trust1818n/a277277n/a
5LGWandsworth PCTn/an/a


2001

Number (headcount)
Of which:
Of which:


All Doctors


HCHS Doctors(33)
General Medical Practitioners (excluding retainers)(34)


Nurses
Nursing, Midwifery and Health visiting staff

GP Practice Nurses
Q08South West London2,8232,0357888,9748530444
Of which:
RHFMerton & Sutton Community Healthcare NHS Trustn/an/an/an/an/an/a
RHGRichmond, Twickenham & Roehampton NHS Trustn/an/an/an/an/an/a
RQYSouth West London & St. George's Mental Health NHS Trust220220907907
RVMSouth West London Community NHS Trust5555893893
Q08South West London SHA
RJ7St. George's Group NHS Trust6196191,7651,765
RPPWandsworth Community Health NHS Trust
5LGWandsworth PCT1961969090

 
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2004

Number (headcount)
Of which:
Of which:
All DoctorsHCHS Doctors(33)General Medical Practitioners (excluding retainers)(34)NursesNursing, Midwifery and Health visiting staffGP Practice Nurses
Q08South West London3,5582,61993910,73510,241494
Of which:
RHFMerton & Sutton Community Healthcare NHS Trustn/an/an/an/an/an/a
RHGRichmond, Twickenham & Roehampton NHS Trustn/an/an/an/an/an/a
RQYSouth West London & St. George's Mental Health NHS Trust2672671,0331,033
RVMSouth West London Community NHS Trust
Q08South West London SHA44
RJ7St. George's Group NHS Trust7597592,5562,556
RPPWandsworth Community Health NHS Trust
5LGWandsworth PCT24147194600483117



n/a = Not available.
— = Denotes zero.
(33) Excludes Hospital Medical Hospital Practitioners and Hospital Medical Clinical Assistants, most of whom are GPs working part time in hospitals.
(34) General Medical Practitioners (excluding retainers and registrars) includes Contracted GPs , GMS Others and PMS Others. Prior to September 2004 this group included GMS Unrestricted Principals, PMS Contracted GPs, PMS Salaried GPs, Restricted Principals, Assistants, Salaried Doctors (Para 52 SFA), PMS Other, Flexible Career Scheme GPs and GP Returners.
Note:
Data as at 30 September each year except GP and Practice Nurse data as at 1 October 1997.
Sources:
Health and Social Care Information Centre General and Personal Medical Services Statistics
Health and Social Care Information Centre Medical and Dental Workforce Statistics
Health and Social Care Information Centre Non-Medical Workforce Census



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