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Mr. Jenkin: To ask the Secretary of State for Health how many incidences of abuse of staff by patients were reported in Essex Rivers Healthcare Trust in 2005-06; what the average number for trusts was in that year; and if she will make a statement. 
Ms Rosie Winterton: Data relating to the average number of incidences of abuse by trust are not held centrally. Information on incidences of abuse on staff by patients relating to Essex River Healthcare can be obtained by writing to the Chief Executive of that trust.
Rosie Cooper: To ask the Secretary of State for Health how many people resident in West Lancashire were treated at (a) the Royal Liverpool Broadgreen NHS Trust, (b) Aintree Hospitals NHS Trust, (c) the Cardiothoracic centre, (d) Alder Hey Childrens hospital, (e) Liverpool Womens hospital, (f) Walton Neuro centre and (g) Mersey Care in each of the last five years, broken down by treatment received. 
John Bercow: To ask the Secretary of State for Health what assessment she has made of the preliminary guidance of the National Institute for Health and Clinical Excellence not to recommend the use of insulin inhalers. 
Andy Burnham: The preliminary recommendation issued by the National Institute for Health and Clinical Excellence (NICE), on the use of insulin inhalers, that inhaled insulin should not be recommended for the treatment of type one or type two diabetes mellitus, except in the context of clinical studies, is not final guidance to the national health service, but a draft for consultation.
The consultation period concluded on 10 May 2006. Concerns raised by the responses to the consultation will be considered by NICE at its appraisal committee on 25 May. NICE expects to issue final guidance to the NHS later in the year.
|Intensive care beds available|
Department of Health form KH03
Andy Burnham: The Department has made no assessment of maternity care within West Hertfordshire National Health Service Trust. However, there is a maternity services review currently being undertaken by West Hertfordshire Hospital Trust. The review is expected to conclude and report in late June of this year.
The review group is made up of health professionals, community representatives, that is local authorities, NHS managers, voluntary groups (including Dacorum Hospital action group) and the National Childbirth Trust (NCT). As part of its work, the review team has commissioned the NCT to conduct a postal survey involving every one of the 5,000 women who gave birth in West Hertfordshire last year. Every woman who gave birth last year has been sent a survey form and some have been asked to take part in more intensive focus groups.
Norman Baker: To ask the Secretary of State for Health how many vacant midwife posts there are in (a) the Sussex Downs and Weald and (b) the Eastbourne Downs Primary Care Trust area; and what plans her Department has to recruit midwives in these areas. 
Caroline Flint: A range of work force supply strategies have been developed to support the recruitment and retention of more healthcare professionals across England, including midwives. These include:
promoting careers in the national health service through NHS Careers and national, and local, recruitment campaigns;
attracting back former staff to the service; and
improving retention by becoming a better, more flexible and diverse employer.
The information on midwife vacancies is not available in the format requested. The information in the table gives midwife numbers and vacancies by NHS trust in the Surrey and Sussex Strategic Health Authority (SHA) region.
|Midwives (March 2005)||Staff in post (September 2004)|
|Three month vacancy rate (percentage)||Three month vacancy (number)||Full-time equivalent||Headcount|
Three month vacancy:
1. Three month vacancy information is as at 31 March 2005.
2. Three month vacancies are vacancies which trusts are actively trying to fill, which had lasted for three months or more (whole-time equivalents).
3. Three month vacancy rates are three month vacancies expressed as a percentage of three month vacancies plus staff in post.
4. Three month vacancy rates are calculated using staff in post from the non-medical work force census September 2004.
5. Percentages are rounded to one decimal place.
Staff in post:
Staff in post data are from the non-medical work force census September 2004.
Dr. Kumar: To ask the Secretary of State for Health what the percentage uptake of the MMR vaccination was in (a) the North East, (b) the Tees Valley and (c) Middlesbrough South and East Cleveland constituency in each year since 1997. 
Ms Rosie Winterton: Immunisation data by primary care trust, strategic health authority and nationally are published annually in the statistical bulletin, NHS Immunisation Statistics, England, which is available on the Departments website at: www.dh.gov.uk/PublicationsAndStatistics/Statistics/StatisticalWorkAreas/fs/en Data are not available by local authority or by electoral ward.
Caroline Flint: A single dose of a mumps-containing vaccine used in the United Kingdom confers between 61 per cent. and 91 per cent. protection against mumps. Although there is limited information on the effectiveness of a second dose of mumps vaccine, a two dose schedule of measles mumps and rubella vaccine should protect most people who do not respond to the first dose(1).
(1) Plotkin and Orenstein, 2004
Andy Burnham: Estimates of demand for national health service provision in 2007 are being made by strategic health authorities (SHAs) in line with National Standards, Local Action: Health and Social Care Standards and Planning Framework 2005/06-2007/08 published by the Department in July 2004. This included the new national targets set out in the public service agreement arising out of the 2004 spending review.
The Departments role is to agree with SHAs their local delivery plans in the form of data trajectories to achieve national targets. These then form the basis of a business agreement with the SHA against which they are performance managed and held to account for the performance of the NHS within their area.
SHA plans are aggregated from local primary care trust (PCT) plans and must, as a minimum, meet national target levels and, where appropriate, SHA shares of targets, to be signed off by the Department. Changes may occur during the three year planning period in the light of fresh information and new factors.
Assessment of demand for 2010 will form part of the 2007 spending review process. The assumptions made in relation to the demand for health service provision in the longer term, including for 2020 are set out in the Wanless Report: Securing Our Future Health: Taking a Long-Term View and are subject to further consideration in the light of new developments and information.
Mr. Lansley: To ask the Secretary of State for Health what the expenditure of strategic health authorities (SHA) in the last year for which figures are available was, broken down by major cost area (a) in total and (b) for each SHA. 
Andy Burnham: Strategic health authority (SHA) expenditure for 2004-05, the latest year available, is shown in the table. The majority of expenditure by
SHAs relates to training and education and there will be variation in expenditure because SHAs fund training on behalf of other health bodies.
|SHA name||Salaries and wages||Training( 1)||Other expenditure||Total expenditure|
|(1 )Work force development confederations|
Audited summarisation forms of the strategic health authorities 2004-05
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