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Mr. Lansley: To ask the Secretary of State for Health how many doctors have been suspended for six months or more in each quarter since April 2001; and what estimate she has made of the cost to the NHS of suspensions of doctors in the last full year for which figures are available. 
Departmental figures show that, from 2000, approximately 30 doctors were suspended at any one time for six months or more. National Clinical Assessment Service (NCAS) figures show that for the first three quarters of 2004, 21 doctors were excluded at any one time, and 19 in quarter four. Long-term suspensionsdoctors or dentists formally excluded from work for six months or morehave reduced by almost half to about 20 at any one time in 2004. The figures for 2005 will be published by NCAS in the spring. Data on the cost of exclusions are not collected
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centrally. The National Audit Office in their report, The Management of Suspensions of Clinical Staff in NHS Hospital and Ambulance Trusts in England", estimated that the average cost of excluding a doctor was £188,000.
Mr. Davey: To ask the Secretary of State for Health what research her Department has commissioned on the (a) recognition and (b) referral mechanism for eating disorders by (i) general practitioners and (ii) other health professionals. 
Ms Rosie Winterton: The Department has not commissioned research on the recognition and referral mechanism for eating disorders by general practitioners and other health professionals. However, clinical guidelines published by the National Institute for Health and Clinical Excellence (NICE) in January 2004 provide recommendations for healthcare professionals on core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders in primary, secondary and tertiary care. The guidelines are available on NICE'S website at www.nice.org.uk/pdf/cg009niceguidance.pdf.
1. PDS schemes have varying registration periods. To ensure comparability with corresponding GDS data, PDS registrations are estimated using proxy registrations, namely the number of patients seen by PDS practices in the past 15 months. There will be a break in the registrations series at the point at which PDS schemes were introduced as the proxy registrations build up. Falls in registration rates will be particularly pronounced in the financial year 200405, when the majority of PDS schemes were introduced.
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.
Dental Practice Board
Mr. Drew: To ask the Secretary of State for Health when the National Institute for Health and Clinical Excellence is expected to make its final decision on whether it will recommend the use of erythropoietin. 
Jane Kennedy: I understand that the National Institute for Health and Clinical Excellence (NICE) is likely to publish its final guidance on the use of erythropoietin for the management of anaemia induced by cancer treatment in May 2006. Further information is available from NICE's website at www.nice.org.uk.
Ms Rosie Winterton: The Department has not designated any national health service hospitals as main centres for the treatment of ex-service personnel returning from military conflict. Local NHS bodies have a responsibility to provide services to meet the health needs of all those who are eligible for treatment including ex-service personnel.
Mr. Ancram: To ask the Secretary of State for Health what Government guidelines are available to (a) general practitioners, (b) neurologists and (c) other medical carers for the treatment of ex-service personnel suffering Gulf War-related illnesses. 
Ms Rosie Winterton: No guidelines have been issued specifically for the treatment of ex-service personnel returning from military conflict. Clinical guidelines published by the National Institute for Health and Clinical Excellence provide recommendations in the treatment of various health problems including those that may be experienced by ex-service personnel returning from military conflict.
Mr. Lansley: To ask the Secretary of State for Health if she will instruct the National Institute for Health and Clinical Excellence to conduct an appraisal of haemodynamic fluid optimisation. 
Mr. Lansley: To ask the Secretary of State for Health (1) pursuant to the answer of Mr. Richard Douglas to the Health Committee on 6 December 2005, HC (200506) 736-i, on public expenditure on health and personal social services 2005, question 318, what the control totals are which sum to £200 million, broken down by strategic health authority; and which of her Department's budgets will be underspent to finance the NHS deficit anticipated for the 200506 financial year; 
Control totals are an internal financial management tool used for the operational management of the national health service. The reason for having control totals is to bring strategic health authorities (SHAs) as close as possible to financial balance.
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The control totals are set in agreement with SHAs. They are used to inform performance management discussions across SHAs' health economies. It would be inappropriate to publish the control totals during the financial year, as it may have implications for performance discussions held with NHS organisations, and the ability of the Department and all SHAs to discharge their performance management function.
In 200506, spending control totals have been issued to the Department's three business groups. These have not been translated into individual budget underspends. The overall central programme is on target to deliver savings.
Ms Rosie Winterton:
Primary care trusts (PCTs) in partnership with strategic health authorities and other
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local stakeholders, are responsible for planning and developing services to meet the health needs of local people. Burntwood, Litchfield and Tamworth PCT is responsible for commissioning health services for residents of Tamworth.
Mr. Jenkins: To ask the Secretary of State for Health how many vacant midwife posts there are in (a) the Staffordshire and Shropshire Strategic Health Authority area and (b) the Burntwood, Lichfield and Tamworth Primary Care Trust area; and what plans her Department has to recruit more midwives into the NHS in Staffordshire. 
Ms Rosie Winterton: The table shows the three-month vacancy rates for qualified midwives in the Shropshire and Staffordshire Strategic Health Authority (SHA) area by organisation, including the Lichfield and Tamworth Primary Care Trust (PCT) area.
|March 2005||September 2004|
|Three-month vacancy rate (percentage)||Three-month vacancy number||(Staff in post) full-time equivalent||(Staff in post) Headcount|
|Shropshire and Staffordshire SHA area total||0.4||2||519||683|
|Burntwood, Lichfield and Tamworth PCT||||0||0||0|
|Burton Hospitals NHS Trust||0.0||0||101||132|
|Cannock Chase PCT||||0||0||0|
|East Staffordshire PCT||||0||0||0|
|Mid-Staffordshire General Hospitals NHS Trust||0.0||0||78||92|
|North Staffordshire Combined Healthcare NHS Trust||||0||0||0|
|North Staffordshire Hospital NHS Trust||1.1||2||178||227|
|North Stoke PCT||||0||0||0|
|Robert Jones and Agnes Hunt Orthopaedic and District Hospital|
|Shrewsbury and Telford Hospitals NHS Trust||||0||162||232|
|Shropshire and Staffordshire SHA||||0||0||0|
|Shropshire County PCT||||0||0||0|
|South Staffordshire Healthcare NHS Trust||||0||0||0|
|South Stoke PCT||||0||0||0|
|South Western Staffordshire PCT||||0||0||0|
|Staffordshire Ambulance Service NHS Trust||||0||0||0|
|Staffordshire Moorlands PCT||||0||0||0|
|Telford and Wrekin PCT||||0||0||0|
Mr. Jenkins: To ask the Secretary of State for Health how many delayed discharges were in acute hospitals serving the Tamworth area in the last 12 months; and how many acute hospital bed nights these represented. 
Ms Rosie Winterton: The information is not available in the format requested. However, the table shows the number of delayed discharges in the last 12 months at the Mid-Staffordshire General Hospitals National Health Service Trust.
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