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Ms Rosie Winterton:
Professor Mike Richards, the National Cancer Director, is working with cancer networks to ensure that testing arrangements are put in place to enable women who require it to be tested for HER2 status. This work is ongoing.
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Ms Rosie Winterton [holding answer 2 February 2006]: The reasons behind the increase in breast cancer rates are complex. The Cancer Atlas, published by the Office for National Statistics in 2005, states that most of the known risk factors for breast cancer relate to a woman's reproductive history and that lifestyle factors, such as poor diet and alcohol consumption, may also contribute to a higher risk.
Mr. Stewart Jackson: To ask the Secretary of State for Health what the (a) average and (b) longest wait for urgent breast cancer referral at the Peterborough and Stamford Hospitals NHS Foundation Trust was in the latest period for which figures are available. 
|Waiting time from referral to first out-patient appointment (days)|
|Percentage seen within two weeks of referral||Total referrals||Under 14||1516||1721||2228||Over 28|
|Urgent referrals received by trust within 24 hours|
|Peterborough and Stamford Hospitals National Health Service Foundation Trust||100||281||281||0||0||0||0|
|Urgent referrals not received by trust within 24 hours|
|Peterborough and Stamford Hospitals NHS Foundation Trust||75.0||44||33||3||2||2||4|
|Patients treated within two months||Patients not treated within two months||Percentage treated within two months|
|Peterborough and Stamford Hospitals NHS Foundation Trust||38||0||100|
Mr. Burns: To ask the Secretary of State for Health (1) why the average NHS funding per person for the Chelmsford Primary Care Trust (PCT) area is less than the average figure for England; what measures are being taken to bring the funding for the Chelmsford PCT area closer to the average figure for England; and if she will make a statement; 
|Allocation per head|
Revenue allocations are made to PCTs on the basis of the relative needs of their populations. A weighted capitation formula is used to determine PCTs' target shares of available resources, to enable PCTs to commission similar levels of health services for populations in similar need.
The components of the formula are used to weight each PCTs crude population according to their relative need (age, and additional need) for healthcare and the unavoidable geographical differences in the cost of providing healthcare (the market forces factor).
The formula does not determine allocations. The formula is used to set targets, which then inform allocations. Actual allocations reflect decisions on the speed at which PCTs are brought nearer to target through the distribution of extra funds (pace of change policy).
Pace of change policy is decided for each allocations round. For the 200608 allocations, it has been decided to move PCTs more quickly towards their fair share of funds. As a result of this allocation round, no PCT will be more than 3.5 per cent. under its fair share by the end of 200708. At the start of 200607, Chelmsford PCT will be very close to their target allocation (only 0.1 per cent. below target).
The reason that Chelmsford PCT receives lower allocations per person than the England average, is that the measurement of healthcare needs across the population of Chelmsford is lower than the England average.
The development of the formula is kept under constant review by the advisory committee on resource allocation (ACRA). ACRA is an independent body, made up of national health service managers, academics and general practitioners. ACRA will make recommendations on any changes to the formula, that may be required in advance of the next round of allocations.
Mrs. Gillan: To ask the Secretary of State for Health if her Department will issue advice to educational establishments on the health implications for (a) children and (b) staff of a school of being in close proximity to a large-scale chicken farming establishment. 
Ms Rosie Winterton
[holding answer14 February 2006]: The Department does not propose to issue advice on the health implications for children and staff of a school of being in close proximity to a large-scale chicken farming establishment.
16 Feb 2006 : Column 2296W
Ms Rosie Winterton [holding answer 31 January 2006]: Personal child health records are provided to parents after the birth of their child. The record provides families with a means of recording visits, immunisation, concerns raised and action taken. The record covers the range of health and development milestones and although it cannot go into the detail of conditions the record does prompt inquiries about vision and promotes further discussion and specific eye checks where indicated.
Free sight tests are available under the national health service for children under 16 and those aged 16 to 18 in full time education. Sight tests allow the opportunity to review all aspects of eye health, including investigations for signs of disease.
Ms Rosie Winterton: Screening for bowel cancer in England is currently only available as part of the English bowel cancer screening pilot in Coventry and Warwickshire. The pilot began in 2000, and is now into its third round of screening. People aged 58 to 69 are sent a kit called a faecal occult blood (FOB) test, which looks for hidden blood in the stools, an indicator that bowel cancer may be present. People are invited every two years, and complete the kit in their own homes before returning it to the laboratory where the results are interpreted.
In 200405, 31,074 people were screened at a cost of around £800,000. Research and an independent evaluation of the pilot have shown that around 60 per cent. of the population take up their invitations to participate in bowel cancer screening.
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