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David Simpson: To ask the Secretary of State for Health what percentage of (a) children, (b) adults and (c) the population in (i) England and (ii) each region were registered with a dentist in each of the last five years. 
Ms Rosie Winterton:
The table showing the proportion of adults and children registered with a national health service dentist in England and by strategic health authority as at 30 March in each specified year has been placed in the Library. These data reflect the 15-month registration period that
applied in the general dental services until 31 March 2006 and therefore exclude some patients who attend less regularly and patients seen at dental access centres.
Hugh Bayley: To ask the Secretary of State for Health which NHS general dental practices in Selby and York primary care trust area (a) have agreed, (b) are in dispute over and (c) have declined to agree to the new NHS dental contract; whether the practices which have declined the new contract will continue to treat NHS patients; how many NHS patients are treated by each such practice; and if she will make a statement. 
Ms Rosie Winterton: Information on the number of dentists or dental practices who have signed the new contract and the number who have not signed is not available centrally. We do however have some provisional information that covers contracts. A contract may well be for more than one dentist so cannot be broken down further to individual dentist level. These management estimates show that in Selby and York primary care trust:
This information is not validated and represents a snapshot of the position in early April. If a contract has been rejected by a practice or a dentist, that practice or dentist is then no longer able to provide national health service treatment. Where practices leave the NHS, the Selby and York primary care trust will look to re-provide NHS services according to the needs of its local population.
Hugh Bayley: To ask the Secretary of State for Health how many patients are registered with NHS general dental practitioners in Selby and York primary care trust area; and how many were registered in each of the past 10 years. 
|General dental services (CDS) and personal dental services (PDS)|
| Source: The Information Centre for health and social care NHS Business Services Authority.|
Under the new dental system, the concept of registration no longer forms part of the remuneration system. The Department is introducing a comparable means of monitoring the number of patients covered by NHS dental services, but the transition to the new arrangements means that it will be autumn before the new measure is available.
Information will be available in due course via the NHS Business Services Authority on the numbers of patients who receive care or treatment from NHS primary care dentists on one or more occasions within a given period. This will provide a measure that is broadly similar to that of patient registration under the former system of CDS. We expect the first information to be available in the autumn.
Hugh Bayley: To ask the Secretary of State for Health how much was paid by the NHS to general dental practitioners in Selby and York in each year since 1996-97 (a) in total and (b) on average per NHS dentist. 
Ms Rosie Winterton: The main element of national health service dental services is the primary dental care services provided by dentists working in the general dental service (GDS) or personal dental service (PDS) pilots.
The following table shows the available data on the main components of expenditure on those services in the Selby and York Primary Care Trust (PCT) from 1997-98 to 2005-06. Comparable localised data for previous years are not available. As the notes to the table record, certain other elements of GDS and PDS costs are also excluded because they are not readily available on a localised basis.
Payments to dentists as shown in the following table represent remuneration for the provision of dental services. As independent contractors, dentists are responsible for meeting their own practice expenses. Remuneration levels reflect the volume of NHS work undertaken by dental contractors, which can vary from practice to practice and may not equate to a full-time commitment to NHS services.
|GDS and PDS payments to dentists in Selby and York PCT area from 1997-98 to 2005-06( 1,2,3,4,5)|
|Gross NHS payment (£ million)||Number of GDS/PDS dentists as at 30 September||Average gross NHS payment per dentist (£)|
|(1) Gross NHS payment is the sum of those GDS and PDS payments itemised in note 2 which were due to GDS and PDS contractors. Actual payments are made net of any patient charge revenue already collected by the dentists concerned and retained against the sums due. Some dentists may undertake work in more than one PCT area, but only earnings in Selby and York PCT area are included in this data. (2) Total GDS payments include adult fees (including item of service and continuing care payments), child fees (including item of service and capitation payments), commitment payments and point of treatment check payment training (in 2001 only), seniority payments, maternity/paternity/adoptive leave payments, long term sick leave payments, continuing professional development allowances including travel hours, reimbursement of business rates, vocational training grants and clinical audit payments. The following costs are excluded from this data: employer's superannuation costs, vocational trainee salaries and National Insurance contribution costs, clinical audit convenors, clinical audit secretarial support costs and travel expenses, and costs associated with any salaried general dental practitioners and emergency dental services. (3) PDS payments and PDS patient charge revenue data are included for 2004-05 and 2005-06 only. PDS payments relate to baseline payments or the agreed regular monthly payments made to PDS practices. Certain additional or supplementary payments may be excluded. Reliable PDS data at practice level are not available prior to 2004-05. The data cannot identify the cost of any PDS services that are directly managed by local NHS Trusts, such as certain dental access centres. (4) Payments are assigned to areas on the basis of practice postcode data. (5) Payment information at PCT level is not available prior to 1997-98.|
Hugh Bayley: To ask the Secretary of State for Health how many (a) adults and (b) children have been on Selby and York Primary Care Trusts waiting list for registering with an NHS dentist in each month since the list was established. 
Hugh Bayley: To ask the Secretary of State for Health how many people have been (a) deregistered and (b) newly registered with NHS dentists in Selby and York Primary Care Trust in each month since July 2004. 
David Simpson: To ask the Secretary of State for Health how many staff in her Department have had (a) five or more, (b) four, (c) three and (d) two periods of sick leave of less than five days in each of the last three years. 
|Number of staff|
|Number of staff|
Mr. Lansley: To ask the Secretary of State for Health what progress has been made in developing an urgent care strategy; what discussions her Department has had with other organisations to facilitate the development of the urgent care strategy; and who will draw up the urgent care strategy. 
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