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Ms Rosie Winterton [holding answer 2 May 2006]: The Royal College of Physicians' national clinical guidelines for stroke recommend that all stroke patients should be screened for the presence of cognitive impairments as soon as is practicable.
The Department has commenced work on an 18-month programme to develop a national stroke strategy. The work to develop the strategy will look at the measures that need to be put in place to ensure that patients receive high quality care when they are admitted to hospital.
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Helen Jones: To ask the Secretary of State for Health what steps she is taking to ensure that all healthcare staff are aware of (a) the risk of vascular dementia in stroke patients and (b) the action which should be taken if dementia is suspected. 
Ms Rosie Winterton: The complex nature of dementia once it is diagnosed requires a whole systems approach across a range of health and social care providers. The National Institute for Health and Clinical Excellence is currently working on dementia guidelines. The first consultation on this guideline is expected in May 2006. This is in addition to the ongoing work of the older people's mental health programme which includes guidance on the provision of services.
Helen Jones: To ask the Secretary of State for Health what steps she is taking (a) to develop effective systems of identifying people at high risk of having a stroke and (b) to put in place ways to reduce that risk. 
Ms Rosie Winterton [holding answer 2 May 2006]: The quality and outcomes framework (QAF) of the general practitioner contract includes points for setting up and maintaining a register of people who have had a transient ischaemic attack (TIA) or stroke, a key indicator that there is a high risk of a full, or more serious, stroke. The QAF also includes a range of points for managing that risk including for recording and managing of hypertension and cholesterol in patients who have had a stroke or TIA. In addition, the QAF includes points for managing other key risk factors such as treatment and care for atrial fibrillation, management of diabetes, recording smoking status and giving advice on smoking cessation, and setting up and maintaining an obesity register.
The Department has commenced work on an 18-month programme to develop a national strategy for stroke. One of the six key areas will focus on the improvement of primary and secondary stroke risk prevention, and raising public awareness, particularly the symptoms of stroke and the associated risk factors.
Helen Jones: To ask the Secretary of State for Healthwhat research she has commissioned on the best ways of improving the management of patients who have had a (a) transient ischemic attack and (b) minor stroke. 
Ms Rosie Winterton: The Department funds research to support policy and to provide the evidence needed to underpin quality improvement and service development in the national health service. Through the service delivery and organisation and health technology assessment programmes, the Department has funded a number of projects related to improving the management of patients who have had a transient ischaemic attack or minor stroke. These include:
a systematic review and economic evaluation of the clinical effectiveness and cost-effectiveness of clopidogrel and modified-release dipyridamole in the secondary prevention of occlusive vascular events;
The NHS national research programme projects listed above, either completed over the last three years or are currently under way, have been funded at a cost of £5.1 million. The Department has also invested £20 million over five years to set up a new stroke research network.
Mr. Vara: To ask the Secretary of State for Healthhow much money was distributed to voluntary organisations through section 64 General Scheme of Grants in each year since 1997; and if she will list the organisations which received such funding in 200506. 
Mr. Byrne: The table sets out the amount of grants to voluntary and community organisations from the section 64 General Scheme of Grants for each year from 1997 to 2005. Organisations that received a grant in 200506 are listed on the Department's website at: www.dh.gov.uk/section64
|Total value of approved grants (£ million)|
Peter Viggers: To ask the Secretary of State for Health what information her Department holds on the waiting times for (a) different categories of operations and (b) rehabilitation for stroke patients in South Hampshire. 
The operation for stroke patients is the endarterectomy of the carotid artery and (patch repair of carotidThe median waiting time for patients with a primary diagnosis of stroke and a main operation of
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endarterectomy of the carotid artery and patch repair of the carotid artery covering the following primary care trusts:
Finished admission episodes A finished admission episode is the first period of in-patient care under one consultant within one Healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
The primary diagnosis is the first of up to 14 (seven prior to 200203) diagnosis fields in the hospital episode statistics (HES) data set and provides the main reason why the patient was in hospital.
The main operation is the first recorded operation in the HES data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, for example time waited, but the figures for all operations count of episodes give a more complete count of episodes with an operation.
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