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Mr. Fallon: To ask the Secretary of State for Health why her Department is not renewing its contract to provide the journal Drug and Therapeutics Bulletin to doctors and therapeutic advisers in England. 
John Hemming: To ask the Secretary of State for Health (1) what estimate has been made of the number of local NHS organisations which will bulk subscribe to the Drugs and Therapeutic Bulletin following the ending of the NHS-wide subscription; 
Andy Burnham: The Department has made no such estimate and has no plans to issue guidance to the national health service. I understand that Which? Limited, the publishers of the Drug and Therapeutics Bulletin are examining a range of possible future subscription arrangements.
Audited summarisation schedules of:
East Kent Hospitals NHS Trust (1999-2000 to 2004-05)
Provisional outturn for East Kent Hospitals NHS Trust (2005-06)
Mr. Howard: To ask the Secretary of State for Health what payments central Government made to East Kent Hospitals NHS Trust for 2005-06; whether there were payments that were undertaken to be made but were not made; what payments are planned for 2006-07; and if she will make a statement. 
Public dividend capital (PDC) totalling £25,160,000 was issued to East Kent Hospitals NHS Trust in 2005-06. Of this, £22,160,000 was issued on a permanent basis, £3,000 on a temporary basis. The temporary PDC was repaid in year. To date no PDC has been issued to the trust in 2006-07.
Mr. Pelling: To ask the Secretary of State for Health what the waiting time for an echo-cardiogram was in Croydon in the last period for which figures are available; and how many such procedures have been carried out in the last 12 months. 
(1) Before 2002, data collection was carried out using different geographical boundaries and are not therefore included.
|Number of confirmed cases of E.coli 0157|
Laboratory of Enteric Pathogens, Health Protection Agency Centre for Infections, Colindale
Andrew George: To ask the Secretary of State for Health (1) what (a) targets, (b) instructions and (c) guidance have been set for primary care trusts in respect of the (i) type and (ii) proportion of elective acute procedures which should be procured from the independent sector; 
(2) pursuant to the answer of 18 July to question 81980, on elective procedures, what (a) approach and (b) actions her Department will take in respect of those trusts which fail to secure or secure a very small proportion of their elective procedures through the independent sector. 
Mr. Ivan Lewis: There are no instructions or targets for the type or proportion of activity that primary care trusts (PCTs) must secure through the independent sector, so there is no question of PCTs failing to secure a given level of provision.
In April 2006, the Department published Choice at Referral: Guidance Framework for 2006-07, which made clear that PCTs should offer patients referred for elective care the choice of at least four locally commissioned providers, together with appropriate national health service foundation trusts and nationally procured independent sector treatment centres.
|Count of emergency admissions for all national health service hospitals in England|
|Data year||Emergency admissions|
The Information Centre for health and social care
Helen Goodman: To ask the Secretary of State for Health what steps her Department has taken to ensure that (a) supermarkets and (b) manufacturers implement the recommendations of the Food Standards Agency concerning front of pack labelling. 
provision of information for fat, saturated fat, sugar and salt;
use of red, amber, green colour coding to indicate at a glance whether the level of individual nutrients is high, medium and low;
information on the level of each nutrient present in a portion of the product; and
use of nutritional criteria developed by the agency.
Since then, the Food Standards Agency (FSA) has been working with retailers and manufacturers to promote take-up of the recommended approach. I have also met representatives of several companies to encourage them to adopt this approach.
Sainsburys already has a traffic light colour based scheme on its own-brand ready meals, breakfast cereals, pizzas and sandwiches. Waitrose has also introduced the scheme by applying it to sandwiches and intends to extend this to ready meals and pizzas later this year. Asda and the Co-op are to follow shortly.
Chris Huhne: To ask the Secretary of State for Health what measures the Government and their non-departmental public bodies have put in place to ensure food manufacturers report to the Food Standards Agency infections harmful to human health in their produce; and if she will make a statement. 
Caroline Flint: Under the General Food Law Regulation (EC) 178/2002, it is illegal to place any food on the market if it is unsafe, that is, injurious to human health or unfit for human consumption. The regulation also requires food manufacturers to inform immediately both the Food Standards Agency (FSA) and their local authority of any food assessed to be potentially harmful to health. The food must then be withdrawn from the market and, if necessary, recalled from consumers. In order to facilitate food manufacturers' obligations to report food incidents under Regulation 178/2002, the FSA has made available to industry guidance on reporting which can be accessed from the FSA's website at:
Chris Huhne: To ask the Secretary of State for Health what recent guidelines the Food Standards Agency has issued regarding testing for salmonella by food manufacturers; and if she will make a statement. 
Caroline Flint: The Food Standards Agency (FSA) has not issued specific guidance on salmonella testing since testing regimes should be established by food business operators, informed by their food safety management systems. The FSA has, however, issued a range of guidance documents to assist food businesses and enforcers with implementing the new hygiene legislation. These list sources of further technical guidance from industry representative bodies and expert organisations which will help businesses to establish appropriate hazard analysis critical control point-based procedures and testing regimes.
Ian Lucas: To ask the Secretary of State for Health what assessment the Food Standards Agency has made of whether guideline daily amounts on food assist consumers in making judgments about the healthiness of a food product. 
Caroline Flint: The Food Standards Agency tested a total of seven different guideline daily amounts (GDA) signpost formats with consumers. The results indicated that many consumers could not use this information to correctly assess the nutritional quality of food. Understanding improved when the GDA information was provided in combination with traffic light colour coding.
Ian Lucas: To ask the Secretary of State for Health whether the Food Standards Agency has tested the effectiveness of monochrome guideline daily amounts showing nutrients as a percentage of guideline daily amounts. 
Caroline Flint: A monochrome guideline daily amount (GDA) signpost format was included in the signpost formats the Food Standards Agency tested with consumers. The results indicated that in practice many consumers could not use this information to correctly assess the nutritional quality of food. Understanding improved when the GDA information was provided in combination with traffic light colour coding.
Chris Huhne: To ask the Secretary of State for Health what assessment she has made of the impact of legal fee liability upon the prosecution of food and drink companies by competent authorities under the General Food Regulations 2004; and if she will make a statement. 
Caroline Flint: There has been no assessment of the impact of legal fee liability upon prosecution of food and drink companies under the General Food Regulations 2004. This was not mentioned as a possible financial burden in any of the responses to the public consultation exercise before the general food regulations were introduced.
Mr. Gordon Prentice:
To ask the Secretary of State for Health what information is made available to the public by the NHS on the incidence of genetic
disorders for children of closely related parents; and if she will make a statement. 
Andy Burnham: The provision of information to the public on this kind of issue is generally a matter for local national health service services taking into account the needs and cultural background of their local population.
The Human Genetics Commission supports the need for proper provision of education and information about marriage within a kin-ship group. This should entail access to counselling and support, preferably in the individual's or couple's preferred language, and a no-blame approach that enables at-risk couples to come forward for testing. Those wanting specific advice on their individual risk should consult a clinical geneticist or genetic counsellor in their local NHS regional genetics centre.
The Department is funding two pilot projects in areas with large Asian communities that are looking at how best to raise community awareness of genetics services and what they can provide. These pilots will provide valuable evidence on how best to provide culturally sensitive services that meet the particular needs of these populations.
The London IDEAS Genetic Knowledge Park (funded by the Department and Department of Trade and Industry) and the genetic interest group are preparing a leaflet dealing specifically with the possible increased risk of inherited disorders associated with consanguineous marriage for use by specialised genetics services as an adjunct to genetic counselling. This is part to of a larger project that aims to address the lack of availability of multilingual information on genetic disorders and risk.
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