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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
 
15 Mar 2006 : Column 2314W
 
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.
NHS trust investment in art and art projects
£000

Trust name2002–032003–042004–05
Suffolk West Primary Care Trust (PCT)
0
00
Central Suffolk PCT000
Suffolk Coast PCT000
Waveney PCT000
Ipswich PCT000
Ipswich Hospital NHS Trust006,712
West Suffolk Hospitals NHS Trust10,00000
Suffolk Mental Health Partnership Trust
0
00

 
15 Mar 2006 : Column 2316W
 

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.
Age standardised mean body mass index (BMI), by year (three-year moving average)

Persons
1994–96
1995–97
1996–98
1997–99
CodeNameMeanSIMeanSIMeanSIMeanSI
England26.026.126.226.3
ANorth East26.126.326.426.4
Q10County Durham and Tees Valley26.226.5High26.426.4
Q09Northumberland, Tyne and Wear26.026.226.426.5
BNorth West25.9Low26.026.226.3
Q15Cheshire and Merseyside26.026.126.326.4
Q13Cumbria and Lancashire25.826.226.426.5
Q14Greater Manchester25.8Low25.8Low26.0Low26.1
DYorkshire and the Humber26.2High26.226.326.3
Q11North and East Yorkshire and Northern Lincolnshire26.3High26.326.426.5
Q23South Yorkshire26.4High26.326.226.2
Q12West Yorkshire26.026.026.226.3
EEast Midlands26.2High26.3High26.426.5
Q25Leicestershire, Northamptonshire and Rutland26.126.126.226.4
Q24Trent26.2High26.4High26.5High26.6
FWest Midlands26.3High26.5High26.6High26.8High
Q27Birmingham and the Black Country26.4High26.6High26.7High26.7High
Q28West Midlands South26.126.426.6High26.8High
Q26Shropshire and Staffordshire26.4High26.426.426.7
GEast26.026.126.326.3
Q02Bedfordshire and Hertfordshire25.926.026.126.3
Q03Essex25.926.226.326.3
Q01Norfolk, Suffolk and Cambridgeshire26.226.126.426.3
HLondon25.7Low25.9Low26.0Low26.1Low
Q05North Central London25.4Low25.6Low25.7Low25.5Low
Q06North East London26.026.226.226.4
Q04North West London25.7Low26.026.126.3
Q07South East London26.126.126.126.3
Q08South West London25.4Low25.5Low25.7Low25.7Low
JSouth East25.9Low26.026.126.1Low
Q17Hampshire and Isle of Wight25.7Low26.026.126.3
Q18Kent and Medway26.126.226.326.2
Q19Surrey and Sussex25.7Low25.9Low26.126.0Low
Q16Thames Valley26.026.026.026.0
KSouth West26.126.226.326.4
Q20Avon, Gloucestershire and Wiltshire25.826.026.126.2
Q22Dorset and Somerset26.4High26.5High26.6High26.7
Q21South West Peninsula26.126.226.326.3

 
15 Mar 2006 : Column 2317W
 

Persons
1998–2000
1999–2001
2002–02
CodeNameMeanSIMeanSIMeanSI
England26.426.626.7
ANorth East26.526.727.0High
Q10County Durham and Tees Valley26.326.927.4High
Q09Northumberland, Tyne and Wear26.626.626.8
BNorth West26.526.626.7
Q15Cheshire and Merseyside26.526.626.6
Q13Cumbria and Lancashire26.726.826.8
Q14Greater Manchester26.426.626.8
DYorkshire and the Humber26.426.526.7
Q11North and East Yorkshire and Northern Lincolnshire26.626.827.1High
Q23South Yorkshire26.426.426.4
Q12West Yorkshire26.226.326.4
EEast Midlands26.726.8High27.1High
Q25Leicestershire, Northamptonshire and Rutland26.626.726.9
Q24Trent26.726.9High27.2High
FWest Midlands26.9High27.0High27.1High
Q27Birmingham and the Black Country27.0High27.1High27.3High
Q28West Midlands South26.626.826.8
Q26Shropshire and Staffordshire26.9High27.027.1
GEast26.426.526.8
Q02Bedfordshire and Hertfordshire26.326.526.5
Q03Essex26.526.526.8
Q01Norfolk, Suffolk and Cambridgeshire26.426.527.0
HLondon26.226.3Low26.4Low
Q05North Central London25.8Low25.8Low26.0Low
Q06North East London26.426.426.4
Q04North West London26.426.526.0Low
Q07South East London26.426.426.2
Q08South West London26.226.326.9
JSouth East26.1Low26.3Low26.4Low
onHampshire and Isle of Wight26.426.526.6
Q18Kent and Medway26.426.526.8
Q19Surrey and Sussex25.9Low26.0Low26.1Low
Q16Thames Valley26.226.326.4Low
KSouth West26.426.526.4Low
Q20Avon, Gloucestershire and Wiltshire26.426.526.2Low
Q22Dorset and Somerset26.626.726.5
Q21South West Peninsula26.226.426.5




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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