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15 Mar 2006 : Column 2313W—continued
Self-Harm (Prisons)
Mr. Bellingham: To ask the Secretary of State for the Home Department what estimate he has made of the number of serial self-harmers in the prison estate; and if he will make a statement. [57771]
Fiona Mactaggart: Relatively few prisoners, the vast majority of whom are female, account for most self-harm incidents across the prison estate. In 2005, 50 prisoners (1 per cent. of individuals responsible for self-harm incidents) accounted for about 25 per cent. of all reported self-harm incidents; 260 prisoners (5 per cent.) accounted for about 50 per cent. The average number of self-harm incidents per individual who has self-harmed is currently about four per year but 23 prisoners had more than 100 recorded incidents.
A broad, integrated and evidence-based prisoner suicide prevention and self-harm management strategy is in place. The strategy can be summarised as, 'Reducing distress and promoting the well being of all who live and work in prisons.' It operates by embedding 'safer custody' as a current through every area of prison life—including detoxification, healthcare, staff training, and the built environment. The key intervention currently being introduced across public and private prisons is the new care-planning system for at-risk prisoners: Assessment, Care in Custody and Teamwork (ACCT). ACCT aims to improve the quality of care by introducing flexible care-planning that is prisoner-centred, supported by improved staff training in assessing and understanding at-risk prisoners.
Comprehensive electronic guidance to staff on managing people who self-harm has been issued; this was developed in close partnership with the Department of Health and the National Institute for Mental Health
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in England (NIMHE) and aims to be of use to all those working with people who self-harm within a secure environment.
The Prison Service has set up a network of establishments to develop interventions, facilitate evaluation and share good practice around managing prisoners who self-harm. An information leaflet about managing self-harm written by a prisoner for prisoners includes information on how to manage self-injury and how to get help within the prison context. Touch screen technology is being developed in prisons to inform prisoners of where to obtain support and how to support other prisoners.
World Cup
Mr. Hands: To ask the Secretary of State for the Home Department whether he plans to introduce new legislative measures to combat potential hooliganism from English fans at this year's football World Cup. [56341]
Paul Goggins: Refinements to existing football disorder legislation are included in the Violent Crime Reduction Bill. These measures are not essential to our plans for preventing banning order subjects and other risk fans from leaving England and Wales during the World Cup or for minimising the risk of disorder among England fans during the tournament.
Young Offender Institutions
Dr. Vis: To ask the Secretary of State for the Home Department whether new guidelines will be developed for young offender institutions following the guidance from the National Institute for Health and Clinical Excellence on the treatment of children with mental health problems. [56698]
Fiona Mactaggart: The Youth Justice Board works closely with the Department of Health on the provision of health care to young people in custody. They will be considering whether specific additional guidance should be given on this issue.
HEALTH
Agenda for Change Programme
Mr. Stewart Jackson: To ask the Secretary of State for Health what assessment she has made of the effects of the Agenda for Change programme on each grade of NHS staff in the Norfolk, Suffolk and Cambridgeshire Strategic Health Authority. [55735]
Ms Rosie Winterton: The responsibility for the agenda for change programme and its effects on national health service staff lies with the local NHS.
All NHS organisations within the Norfolk Suffolk and Cambridgeshire Strategic Health Authority area have worked in a collaborative way throughout the implementation phase of agenda for change and are continuing this way of working post implementation to ensure that the development of the new pay system, consistency of application and interpretation is maintained and that benefits are realised.
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Art Acquisitions
Mr. Spring: To ask the Secretary of State for Health how much was spent on works of art by NHS organisations in Suffolk in each of the past five years. [56360]
Ms Rosie Winterton: Data are not collected centrally on the particular purchase of works of art. However, information is provided annually by National Health Service trusts on the amount invested in arts and art projects including labour, material and resources received from other organisations. This information was first collected in 2002–03 and information covering these returns for 2002–03 through to 2004–05 is shown in the table.
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The data provided have not been amended centrally and the accuracy of these data are the responsibility of the provider organisation. Data for 2002–03 and 2003–04 were provided as part of a mandatory data set. The information for 2004–05 was provided by trusts on a voluntary basis as part of the initiative to reduce bureaucracy in the NHS.
Body Mass Index
Steve Webb: To ask the Secretary of State for Health what is the most recent estimate of the average body mass index in (a) England, (b) each region and (c) each strategic health authority. [53839]
Caroline Flint: The most recent data on the mean body mass index (BMI) in England is from the 'Health Survey for England 2004—updating of trend tables to include 2004 data' report. This shows the mean BMI to be 27.1 for men and 26.8 for women in 2004 (weighted figures).
The tables provides the age standardised mean BMI for England in each Government office region and strategic health authorities between 1994 and 2002. The results from the tables are taken from the 'Health Survey for England: Health and lifestyles indicators for Strategic Health Authorities 1994–2002' report. The data shows BMI as a three-year moving average, with the latest data available in this format being 2000–02.
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Note:
In the SI (significance indicator) column, High"/"Low" indicate age standardised values for this SHA that are significantly higher/lower than the England average, at the 95 per cent. confidence level.
Source:
Health Surveys for England 1994 to 2002.
Produced by National Centre for Social Research (NatCen), February 2004.
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