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3 July 2006 : Column 805W—continued

The information for voluntary grammar and grant maintained integrated schools is not readily available and is being requested. I will write to the hon. Lady with the information as soon as possible.

Institutions of further and higher education and universities would claim for damages from their insurers, and the Department for Employment and Learning does not hold details of insurance cover or claims.

Young Carers

Mark Durkan: To ask the Secretary of State for Northern Ireland how many children in Northern Ireland are identified as young carers. [80949]

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Mr. Hanson: In the 2001 census, there were 398,056 children aged under 16 in Northern Ireland, of whom 5,377 were providing care to family members, friends, neighbours or others because of long-term physical or mental ill-health, disability or problems related to, old age.


Administration Spending

Steve Webb: To ask the Secretary of State for Health how much was spent on (a) administration and (b) management costs by each primary care trust in England in the last year for which figures are available, expressed (i) as a percentage of their total budget and (ii) as the cost per head of population in areas they cover. [34206]

Andy Burnham [pursuant to the reply, 27 April 2006, Official Report, c. 1295W]: I regret that owing to a clerical error the table placed in the Library in the previous reply is incorrect.

The administration costs (both “as a percentage of net operating costs” and “expenditure per head”) for two primary care trusts (St. Helens and Teignbridge) were shown incorrectly, and this also affected the England administration costs “expenditure per head” total figure.

The correct table will be placed in the Library.

Alzheimer's Disease

Mr. Baron: To ask the Secretary of State for Health what answers her Department has received from the National Institute for Health and Clinical Excellence (NICE) to each of the six questions asked by her Department on 13 February 2006, Gateway reference 6185, in relation to the NICE appraisal of Donepezil, Rivastigmine, Galantamine and Memantine for the treatment of Alzheimer's disease. [81674]

Andy Burnham: The National Institute for Health and Clinical Excellence's responses to comments received on its appraisal of these drugs have been published on NICE'S website at


Dr. Alasdair McDonnell: To ask the Secretary of State for Health how the National Institute for Health and Clinical Excellence guidance will affect the treatment of anaemia, with particular reference to patients suffering from cancer-related exhaustion; and if she will make a statement. [79793]

Andy Burnham: We expect national health service organisations and clinicians to take full account of appraisals issued by the National Institute for Health and Clinical Excellence (NICE). NICE has not yet issued its final guidance on Erythropoeitins for cancer-induced anaemia.

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Annette Brooke: To ask the Secretary of State for Health how much her Department has spent per baby born on the promotion of breastfeeding in each of the last three financial years. [82290]

Caroline Flint: National health service primary care trusts are responsible for the provision of breastfeeding support services at a local level, for example, through the development of local area action plans. As a result, the majority of expenditure on breastfeeding is at a local level. Figures relating to local spend on breastfeeding are not available.

The following table shows the cost of breastfeeding promotion at a national level in relation to the number of live births in England.

Financial year Departmental spend on promotion of breastfeeding and infant nutrition( 1 ) (£) Number of live births in England( 2)









Not available

(1) These figures do not include the cost of local services and local promotional activity. (2) These figures are for women who are normally resident in England.

Care Homes

Mr. Stephen O'Brien: To ask the Secretary of State for Health what assessment she has made of the extent to which the work of the Criminal Records Bureau and the protection of vulnerable adults scheme, Skills for Care, Commission for Social Care Inspection and the General Social Care Council overlaps in relation to the regulation of care homes; whether she expects there to be overlapping responsibilities following implementation of her Department's proposals for registration of care workers; and what plans she has to establish (a) a single body and (b) a single access point for the inspection and regulation of care homes and their staff. [80687]

Mr. Ivan Lewis: The Commission for Social Care Inspection (CSCI), as the statutory regulator of care homes, has overall responsibility for registering, inspecting and regulating homes, including inspecting against national minimum standards and the Care Homes Regulations. It is the only organisation of those referred to which has statutory responsibility for the inspection and regulation of care homes.

As part of its inspection work, CSCI will ensure that the necessary Criminal Records Bureau and protection of vulnerable adults scheme checks on care home staff have been carried out and that staff and the registered provider are appropriately trained, which will include meeting requirements, such as the registration of care workers, laid down by bodies such as the General Social Care Council.

My right hon. Friend the Chancellor of the Exchequer announced in his Budget statement made on 16 March 2005 that CSCI and the Healthcare Commission will merge to form a single inspectorate for health and social care. The planned merger reflects
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increasingly close collaboration on the ground between people working in these two fields. It also reflects shared objectives for the highest possible standards for everyone using these services. The merger is part of a wider policy to improve regulation and help reduce the burden that it can place on the front line across health and social care. The intention is that the merger will take place in 2008.

Mr. Stephen O'Brien: To ask the Secretary of State for Health whether the compact with the voluntary sector applies to care homes. [79648]

Mr. Ivan Lewis: The Compact on relations between Government and the voluntary and community sector in England (the compact), first introduced in 1998, is the framework agreement for how the Government and the sector should work together. The compact is the agreement between Government and the voluntary and community sector in England to improve their relationship for mutual advantage. It applies to care homes in the voluntary sector only.

By building better relationships, the compact can help Government and the voluntary and community sector work better together for the communities they serve. It operates on a voluntary basis but commitment is strong:

The Government are strongly committed to creating a framework in which the sector can continue to flourish, be strong and independent.

Mr. Stephen O'Brien: To ask the Secretary of State for Health what estimate she has made of the average cost to care homes of mandatory regulation and inspection in the last period for which figures are available. [79675]

Mr. Ivan Lewis: The cost to care homes of statutory regulation and inspection are contained in The Commission for Social Care Inspection (Fees and Frequency of Inspections) Regulations 2004, copies of which are available in the Library.


Mr. Baron: To ask the Secretary of State for Health what plans she has (a) to extend regulation of chiropodists and podiatrists to cover all foot health practitioners who use the techniques of chiropody and (b) to prevent foot health practitioners advertising their services as chiropody services. [81081]

Andy Burnham [holding answer 29 June 2006]: Extension of statutory regulation to groups not currently regulated is being considered as part of a
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review of regulation. We will publish our decisions on the outcome of the review when ready. Under the Health Professions Order 2001, it is an offence for anyone falsely to represent himself as registered by the Health Professions Council in one of the professions regulated by it, to use a title to which he is not entitled or falsely to represent himself to possess qualifications in a relevant profession. The relevant professions include chiropody and podiatry.

Cochlear Implant Treatment

Malcolm Bruce: To ask the Secretary of State for Health how many (a) children and (b) adults were provided with cochlear implant treatment in (i) England and (ii) Scotland over the last five years; and if she will make a statement. [82295]

Mr. Ivan Lewis: The number of children and adults who were provided with cochlear implants in England, per capita, between 2000-01 and 2004-05 is shown in the table. The figures for 2004-05 are the most recent available.

The Department does not collect data on health services in Scotland.

All operations count of episodes (OPCS4 D24.1, D24.2) implantation of intra/extracochlear prosthesis national health service hospitals, England
Rate per 100,000 population
Children (aged up to 17) Adults (aged 18 and over) Total





















Estimated population estimates
Children (aged up to 17) Adults (aged 18 and over) Total





















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Rate per 100,000 population
Children (aged up to 17) Adult s (aged 18 and over) Overall rate





















Notes: 1. All operations count of episodes These figures represent a count of all finished consultant episodes (FCEs) where the procedure was mentioned in any of the 12 (four prior to 2002-03) operation fields in a HES record. A record is only included once in each count, even if an operation is mentioned in more than one operation field of the record. 2. Finished consultant episode (FCE) An FCE is defined as a period of admitted patient care under one consultant within one healthcare 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. 3. Main operation The main operation is the first recorded operation in the hospital episode statistics (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. 4. Secondary procedure As well as the main operative procedure, there are up to 11 (three prior to 2002-03) secondary operation fields in HES that show secondary or additional procedures performed on the patient during the episode of care. 5. Ungrossed data Figures have not been adjusted for shortfalls in data (ie the data are ungrossed). Sources: Hospital Episode Statistics (HES) The Information Centre for health and social care 2001 census


Keith Vaz: To ask the Secretary of State for Health if she will list the companies which were paid consultancy fees by her Department in 2005-06; how much each was paid; and what each of the companies was used to accomplish. [69693]

Mr. Ivan Lewis: The Department does not collect centrally information that would allow the analysis requested and to obtain this information would incur disproportionate costs.

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