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23 May 2006 : Column 1762W—continued


Kerry McCarthy: To ask the Secretary of State for Health how many physiotherapists were employed within the Avon, Gloucestershire and Wiltshire Strategic Health Authority area in the last year for which figures are available; and how many physiotherapy training places were available in that year. [71192]

Caroline Flint: Information on number of physiotherapists employed within Avon, Gloucestershire and Wiltshire Strategic Health Authority (SHA) area is shown in the table. 2,391 national health service physiotherapy training places were commissioned in 2004-05.

NHS hospital and community health services: Qualified physiotherapy staff in the Avon, Gloucestershire and Wiltshire SHA area by organisation as at 30 September 2005

Avon, Gloucestershire and Wiltshire SHA total


Avon and Wiltshire Mental Health Partnership NHS Trust


Bath and North East Somerset PCT


Bristol North PCT


Bristol South and West PCT


Cotswold and Vale PCT


Gloucestershire Hospitals NHS Foundation Trust


Gloucestershire Partnership NHS Trust


Kennet and North Wiltshire PCT


North Bristol NHS Trust


North Somerset PCT


Royal National Hospital For Rheumatic Diseases NHS Foundation Trust


Royal United Hospital Bath NHS Trust


Salisbury Health Care NHS Trust


South Gloucestershire PCT


South Wiltshire PCT


Swindon and Marlborough NHS Trust


Swindon PCT


United Bristol Healthcare NHS Trust


West Gloucestershire PCT


West Wiltshire PCT


Weston Area Health NHS Trust


The Information Centre for health and social care, non-medical workforce census

Primary Care Trusts

Anne Milton: To ask the Secretary of State for Health what steps her Department is taking to ensure that Guildford and Waverley Primary Care Trust meets the Government's commitment that (a) 80 per cent. of people with diabetes receive comprehensive retinopathy screening and (b) 70 per cent. of people with diabetes have received comprehensive retinopathy screening by June 2006. [71864]

Caroline Flint: The Department has a range of work in hand to support the national health service in delivering this target. The Department actively performance manages the strategic health authorities (SHAs) to ensure they have arrangements in place to ensure delivery. All primary care trusts (PCTs) are monitored on their progress towards achieving the target. The target is included within the local delivery agreements between SHA and PCTs which are reviewed quarterly through a data return.

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Mr. Harper: To ask the Secretary of State for Health what the effect will be on consultations on major service changes being undertaken by existing primary care trusts if they are not completed before those primary care trusts are dissolved. [72752]

Andy Burnham: Where matters such as consultations have not been completed by the time the existing primary care trusts are dissolved, each successor primary care trust will have to decide whether, and if so how, to continue with them.

Mr. Harper: To ask the Secretary of State for Health what powers primary care trusts have to direct the commissioning choices of general practitioners under practice-based commissioning. [72753]

Caroline Flint: Practice-based commissioning gives additional freedoms to general practitioner practices to commission innovative services.

Under practice-based commissioning, primary care trusts (PCTs) remain accountable for all funds allocated to them. Therefore, PCTs retain the power to ensure that all services commissioned meet all relevant quality standards and accreditation, as well as national and local priorities.

Mr. Harper: To ask the Secretary of State for Health whether new primary care trusts established on 1 October 2006 will be bound by decisions taken by existing primary care trusts that have not been implemented by that date. [72755]

Andy Burnham: Where any decisions have not been implemented by the time the existing primary care
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trusts (PCTs) are dissolved, each successor PCT will have to consider whether, and if so how, to continue with them.

Referral Management Schemes

Mr. Lansley: To ask the Secretary of State for Health (1) how many primary care trusts operate referral management schemes; what representations she has received from (a) hon. Members, (b) NHS organisations and (c) other interested parties on the operation of such schemes; what the content of these representations was; and when they were received; [60396]

(2) pursuant to the oral answer of 7 March 2006, Official Report, column 71, on Clinical Advisory Liaison Services, to the hon. Member for Banbury (Tony Baldry), if she will place in the Library a copy of the letter sent by her Department’s Director of Access to primary care trust chief executives in July 2005.[60414]

Andy Burnham: A copy of the letter has been placed in the Library. It is also available on the Department’s website at:

Information on the number of primary care trusts operating referral management schemes is not collected centrally.

Conducting a comprehensive trawl for all representations received by the Department for references to referral management schemes would incur disproportionate cost. However, a brief search has identified representations from:

Type of representation?parliamentary questions
(a) hon. Members
From Date received Content of representation

Tony Baldry MP

7 March 2006

The advice given primary care trusts about the use of clinical advisory liaison services Use of Referral

John Penrose MP

13 and 15 March 2006

Management Centres in North Somerset

Andrew Lansley MP

22 March 2006

Clinical advisory liaison services

Steve Webb MP

3 May 2006

How many primary care trusts are operating general practitioner referral centres

Restrictive Interventions

Kerry McCarthy: To ask the Secretary of State for Health if her Department will develop a framework for restrictive physical interventions in line with the Welsh Assembly Government's document Framework for Restrictive Interventions Policy and Practice. [70986]

Ms Rosie Winterton: The Department commissioned the National Institute for Health and Clinical Excellence (NICE) to produce guidelines on the “Short-term management of disturbed (violent) behaviour in in-patient psychiatric settings” in as early as 2002. The guidelines were published in February 2005 and are available on NICE'S website at

The National Institute for Mental Health in England (NIMHE) published guidance in 2004 entitled “Developing positive practice to support the safe and therapeutic management of aggression and violence in mental health inpatient settings” which is available on NIMHE's website at

NIMHE and National Patient Safety Agency project on the prevention and management of violence will publish guidance and a checklist in 2006 to ensure that all restraint procedures meet rigorous standards. The project team is also developing proposals for the accreditation and regulation of physical intervention trainers.

Sandwell and West Birmingham Acute Trust

Mr. Mahmood: To ask the Secretary of State for Health what the salary costs of the chief executive of Sandwell and West Birmingham Acute Trust have been in each year since 2001. [66504]

Ms Rosie Winterton: The information requested is shown in the table.

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Annual salary of chief executive of Sandwell and West Birmingham Hospitals NHS Trust
Salary band









Sandwell and West Birmingham Hospitals NHS Trust was created in 2002-03.

The figures show the full annual salary. In 2002-03, the chief executive was paid a lower salary since he was carrying out some work for the West Midlands regional health authority. The chief executive was appointed in July 2002, and was accordingly paid a proportion of the salary shown in 2002-03.

School Nurses

Tim Loughton: To ask the Secretary of State for Health how many school nurses are employed in each primary care trust by (a) headcount and (b) whole-time equivalent. [69396]

Ms Rosie Winterton: The September 2005 census showed that there were 2,887 (1,913 full-time equivalent (fte)) qualified nurses working in the school nursing service, an increase of 478 (19.8 per cent.) since 2004.

Of these 943 (665 fte) have a post registration school nursing qualification, an increase of 87 (10 per cent.) since 2004.

Data on the total headcount and full-time equivalent number of qualified nurses in the school nursing area of work by primary care trust is available in the Library.


Dr. Murrison: To ask the Secretary of State for Health what assessment she has made of the incidence of tuberculosis in the United Kingdom in each year since 1997; and if she will make a statement. [67433]

Caroline Flint: Tuberculosis (TB) rates per 100,000 population for England, Wales and Northern Ireland from 1999-2004 are shown in the table.

TB cases













1. The Scottish Executive's system for enhanced tuberculosis surveillance differs in some respects and is not entirely comparable with England, Wales and Northern Ireland data.
2. HPA ETS data is only available from 1999 onwards.
Health Protection Agency (HPA) enhanced tuberculosis surveillance (ETS) scheme. Office for National Statistics mid-year population estimates. Data as at 10 May 2005

23 May 2006 : Column 1766W

The Department is working with key partners and stakeholders to deliver the objectives of the chief medical officer's action plan for stopping tuberculosis in England (October 2004).

The plan includes a commitment to have a high quality surveillance system which aims to provide the information required at local, national and international levels to prevent and control TB. Following consultation with various stakeholders, the HPA intends to create a new web-based system for TB surveillance within the next financial year. The new surveillance system will enable the provision of information on TB cases at local, regional and national level that is timely, relevant, complete and accurate. It will facilitate monitoring of disease trends and treatment outcomes and will help with commissioning services for TB.

Type 2 Diabetes

Tim Loughton: To ask the Secretary of State for Health how many children have been diagnosed with type 2 diabetes in each of the last 10 years. [69355]

Mr. Ivan Lewis: The data requested is not held centrally. However, data on the number of type 2 diabetes-related hospital treatment for children under the age of 18 are shown in the table.

All diagnoses count of finished consultant episodes (FCE) for selected diagnoses national health service hospitals England, 1995-96 to 2004-05
Count of FCEs





















Finished Consultant Episode (FCE)
An FCE is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
Diagnosis (Primary Diagnosis)
The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.
Secondary Diagnoses
As well as the primary diagnosis, there are up to 13 (six prior to 2002-03) secondary diagnosis fields in Hospital Episode Statistics (HES) that show other diagnoses relevant to the episode of care.
Definition of Selected Diagnoses (ICD-10 Codes)
Type 2 diabetes defined as:
E11 (non-insulin-dependent diabetes mellitus) or O241 (pre-existing diabetes mellitus, non-insulin-dependent) recorded in primary diagnosis or in any of the secondary diagnoses fields.
Ungrossed Data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Hospital Episode Statistics (HES), Health and Social Care Information Centre.

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