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Mr. Amess: To ask the Secretary of State for Health if she will place in the Library the record of discussions made by her officials of her recent meeting with representatives of the Roman Catholic Church; and if she will make a statement. 
Rosie Cooper: To ask the Secretary of State for Health what percentage of fruit supplied to schools in West Lancashire under the National Fruit Scheme was sourced from (a) suppliers within 25 miles of the school supplied, (b) national suppliers and (c) overseas suppliers, over the period September 2004 to September 2005. 
Ms Rosie Winterton: From September 2004 to 2005 schools in West Lancashire received fruit and vegetables under the school fruit and vegetable scheme from two distribution depots located in Wigan and Skelmersdale. Five United Kingdom based suppliers supplied eight different types of fruit and vegetables to the depots. We do not collect information about the distance of suppliers in relation to the schools they supply. No overseas suppliers are participating in the school fruit and vegetable scheme.
Sir Paul Beresford: To ask the Secretary of State for Health when she will reply to the response from the Epsom and St. Helier hospital trust to her announcement that the new critical care hospital will be built on the St. Helier site. 
Ms Rosie Winterton: The Government do not actively recruit nursing students from overseas to train in the national health service. Admissions criteria for nursing courses are the responsibility of individual higher education institutions.
Rosie Cooper: To ask the Secretary of State for Health how many nurses work in NHS hospitals in the West Lancashire primary care trust area; and how many of them were employed via agencies in the last period for which figures are available. 
The Information Centre for health and social care, non-medical workforce census
Mr. Ivan Lewis: Studies suggest that the prevalence of food allergy in the United Kingdom may be increasing, especially in children, in line with the general increase in allergic diseases. There are many possible explanations for the apparent rise and there is currently no definitive answer. The Food Standards Agency is currently funding several studies aimed at identifying the prevalence of individual food allergies, including nut allergy. These projects should also give clues as to the possible reasons for the apparent rise in food allergy. The first of these studies is expected to be published in the scientific literature later this year and the second is part of a larger Europe-wide study on food allergy prevalence and factors that influence development of food allergy and will finish in July 2009.
|Number of new out-patient bookings, April 2005 to May 2006|
|Org ID||Name||Total||Proportion to be mapped to 5F3 (percentage)||Total|
Department of Health, Monthly Monitoring Returns (provider based)
Ms Rosie Winterton: The number of qualified physiotherapists employed in the national health service in England has increased by 5,754 or 40 per cent. since September 1997 which is shown in the following table.
The Information Centre for Health and Social Care, non-medical workforce census
Mr. Stephen O'Brien: To ask the Secretary of State for Health what percentage of its Directed Enhanced Services budget allocation each primary care trust (a) received and (b) spent in 2005-06. 
Ms Rosie Winterton: The 2005-06 budget allocations made to primary care trusts (PCTs) do not separately identify the directed enhanced service (DES) amounts. However, information on 2005-06 DES spend, based on latest available PCT forecasts, has been placed in the Library. These figures are provisional and unaudited.
Mr. Ivan Lewis: In 2004-05 expenditure on the purchase of healthcare from non-NHS bodies was £3.666 billion, approximately 5 per cent. of the total national health service budget but that excludes longstanding arrangements relating to the general medical, pharmaceutical and optical services and the purchasing of pharmaceutical products and medical devices from the private sector.
Ms Rosie Winterton: The number of psychiatric patients discharged from in-patient care by the national health service in England for each year between 1997-98 and 2004-05 is shown in the following table.
|NHS patients in England discharged from inpatient care with primary diagnosis of a psychiatric condition between 1997-98 and 2004-05|
1. A patient discharge episode, where the patient is discharged from hospital, includes transfers to other hospitals and patient deaths, where applicable.
2. The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital. The data do not represent patient numbers because an individual may have more than one episode of care within the same year.
3. The term psychiatric condition is all diagnoses as defined by the international classification of mental and behavioural disorders (ICD-10) codes F00-F99.
Hospital Episode Statistics (HES), The Information Centre for Health and Social Care.
Mr. Amess: To ask the Secretary of State for Health how many prescriptions of the morning-after pill were issued in each primary care trust area in each year since 1993, broken down by age of patient. 
Caroline Flint: The information on the number of prescriptions for emergency hormonal contraception prescribed by general practitioner practices in each primary care trust has been placed in the Library. Data by complete years are not available prior to 2002 and it is not possible to break the data down by age.
Ms Rosie Winterton:
It is not the role of the Department to assess the relative costs and patient benefits of this or other treatments. The National Institute for Health and Clinical Excellence (NICE) has been set up to issue
clinical guidance to the national health service including: interventional procedure guidance to assess if a procedure is safe for routine use in the NHS; technology appraisals to assess if a treatment is clinically and cost effective; clinical guidelines to advise on the diagnosis and management of certain conditions; and, cancer service guidance to advise on how services should be organised to ensure good outcomes for patients.
In February 2006, as part of its programme of work on interventional procedures, NICE issued guidance on the use of photodynamic therapy (PDT) in the treatment of non-melanoma skin tumours. It noted that the procedure was generally safe and did not cause major problems although, in theory, it could start off cancerous changes in the skin. NICE also stated that patients need to understand the risks of this treatment before they agree to have PDT and that further treatment may be necessary.
Also in February 2006, NICE published guidance on Improving Outcomes for people with skin tumours, including melanoma. This guidance includes recommendations on the management of patients with suspected precancerous or cancerous skin lesions. It describes PDT including the advantages and disadvantages of this type of treatment and notes that, at present, there is little information available on long-term cure rates. It does however recommend that a number of surgical and non-surgical procedures for the treatment of skin cancer, including PDT, should be available for use by clinicians in relevant teams, subject to locally agreed standards of competence.
However, the National Institute for Health and Clinical Excellence has issued guidance on the use of PDT in the NHS as part its programme of work on interventional procedures. NICE also addressed the use of PDT in its guidance on Improving Outcomes for people with skin tumours, including melanoma.
Mr. Hollobone: To ask the Secretary of State for Health what the Department's recommended criteria are for the categorisation of the level and extent of care required by each recipient in relation to social services care provided by local authorities. 
Mr. Ivan Lewis: The Departments recommended criteria to local authorities on setting of eligibility criteria for provision of services to all adults seeking social care support is set out in the Fair Access to Care Services Guidance on Eligibility Criteria for Adult Social Care which is available on the Department's website at: www.dh.gov.uk/assetRoot/04/01/96/41/04019641.pdf.
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