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Anorexia

Mr. Salmond: To ask the Secretary of State for Health how many (a) male and (b) female patients were hospitalised for anorexia in (i) 2000 and (ii) 2005; and what steps are being taken (A) to treat and (B) to prevent anorexia. [86970]

Ms Rosie Winterton: Information on finished consultant episodes of patients with a primary diagnosis of anorexia in 1999-2000 and 2004-05 is shown in the table.

In order to improve the identification, treatment and management of anorexia nervosa, the National Institute for Health and Clinical Excellence published a clinical guideline on the core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders in 2004. The guideline covers physical and psychological treatments, treatment with medicines, and what kinds
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of services best help people with eating disorders. It also includes information specifically for patients, carers and the public.

The Department’s five year initiative to tackle stigma and discrimination surrounding mental health issues in England, Shift, works with young people and professionals to promote awareness of all mental health problems including eating disorders.

The Department also supports voluntary organisations such as the Eating Disorders Association to provide information and advice for people with mental health problems in England through the mental health help lines partnership project.

Primary diagnosis (4 char) R630 anorexia/F500 anorexia nervosa/F501 atypical anorexia nervosa
Gender Age group Finished consultant episodes (FCEs)

Mean and median results

2004-05

Male

All ages

7,432

Female

All ages

10,269

Total

17,701

1999-2000

Male

All ages

7,256

Female

All ages

9,583

Total

16,839

Notes:
1. 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.
2. All diagnoses count of episodes:
These figures represent a count of all FCEs where the diagnosis was mentioned in any of the 14 (seven prior to 2002-03) diagnosis fields in a Hospital Episodes Statistics record.

Anti-depressants

Mr. Burstow: To ask the Secretary of State for Health what the (a) number of prescription items and (b) prescription expenditure was for anti-depressant drugs in 2005; and what the percentage change was between (i) 1985 and 1995, (ii) 1995 and 2005 and (iii) 1985 and 2005. [88509]

Andy Burnham: The information shown in the table represents the number of prescription items and net ingredient cost of antidepressants that have been dispensed in the community in England in 1985, 1995 and 2005, together with the percentage change between 1985 and 1995, 1995 and 2005 and 1985 and 2005.

Number of prescription items (millions) of antidepressants dispensed in the community in England Net ingredient cost (NIC) (£ millions) of antidepressants dispensed in the community in England

1985

6.8

26.0

1995

13.2

146.8

2005

29.4

338.5


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Percentage change in items Percentage change in NIC

1985-1995

95

465

1995-2005

122

131

1985-2005

334

1,203

Source: Prescription pricing division of the Business Services Authority (formerly known as the Prescription Pricing Authority)

Audiology Services

Mr. Betts: To ask the Secretary of State for Health what assessment she has made of the extent to which the exclusion of direct referrals to audiology services from the 18-week waiting time target is consistent with the national service framework for older people. [85424]

Mr. Ivan Lewis: We recognise that older people are the largest users of audiology devices and therefore have a particular interest in waiting times for audiology services. The national service framework (NSF) for older people includes hearing as one of the senses to be investigated in assessing an older person’s health and social care needs. One of the aims of the Healthy Ageing programme, in ‘A New Ambition for Old Age’, which updates the NSF, is to reduce hearing impairment as a barrier to active ageing.

Audiology and adult hearing services in particular are mainly accessed directly by primary care and are predominantly outside the scope of the 18-week pathway, which is focused on changing traditional hospital consultant pathways. A separate national action plan is being developed on improving access to adult hearing services. The needs of older people and the NSF commitments will be taken into consideration in relation to the action plan.

Mark Hunter: To ask the Secretary of State for Health pursuant to the answer to the hon. member for Solihull (Lorely Burt) of 29 June 2006, Official Report, column 604W on audiology services, when she expects the data to be published. [87923]

Mr. Ivan Lewis: A written ministerial statement was made on 12 July 2006, Official Report, columns 69-70WS announcing that data on diagnostic waiting times had been released and published on the Department's website at: www.performance.doh.gov.uk/diagnostics/index.htm. This first publication of diagnostic waiting time figures will become a regular monthly release.

Mark Hunter: To ask the Secretary of State for Health pursuant to the answer to the hon. Member for Aylesbury of 19 April 2006, Official Report, column 732W, on audiology, when she expects to publish the results for the 2006 vacancy survey. [87924]

Ms Rosie Winterton: The 2006 national health service workforce vacancy survey was published on 27 July 2006. It is available on the Information Centre for health and social care website at: www.ic.nhs.uk/pubs/vacsurveyresmar2006.

Copies have been placed in the Library.


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Autism

Dr. Cable: To ask the Secretary of State for Health what funding is earmarked for the diagnosis and treatment of autism in adults in 2006-07. [88686]

Mr. Ivan Lewis: It is for local councils and national health service trusts to determine how much they allocate for diagnosis and treatment of autism in adults from the funding they receive.

Dr. Kumar: To ask the Secretary of State for Health how many parents who are carers for children with autism in (a) England, (b) the North East, (c) the Tees Valley and (d) the area corresponding as closely as possible to Middlesbrough, South and East Cleveland constituency have received carers grants since 2001. [87970]

Mr. Ivan Lewis: This Government introduced the carers grant in 1999 to support councils in providing breaks and other services for carers in England. The grant is not paid to individuals but paid each year to councils as a specific formula grant. Councils can use the grant to provide a range of services for carers in their area depending on local demand and need. This may include parents caring for children with autism.

Biometric Technology

David Maclean: To ask the Secretary of State for Health what (a) planned and (b) existing projects in her Department involve the use of biometric technology. [82581]

Andy Burnham: None.

Bird and Bird Solicitors

Mr. Stewart Jackson: To ask the Secretary of State for Health what contracts were awarded by her Department to Bird and Bird Solicitors in each year since 1997; what the (a) value and (b) duration of each such contract was; and if she will make a statement. [88158]

Ms Rosie Winterton: Bird and Bird have only been appointed on one contract by the Department which was to provide legal advice for the digital television project for NHS Direct.

The expenditure by the Department on this contract is commercially confidential. The contract commenced in January 2003 and was completed in June 2006. The Department's current financial system does not hold information for years prior to 2004, and could not obtain this information without incurring disproportionate costs.

Broomfield Hospital

Mr. Burns: To ask the Secretary of State for Health if she will make a statement on progress in approving the Broomfield hospital private finance initiative scheme; and when approval is expected to be given. [86036]


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Andy Burnham [holding answer 24 July 2006]: I refer the hon. Member to the answer given on 16 May 2006, Official Report, column 932W.

Current indications are that an announcement will be made in mid-August, dependent on obtaining clearance from HM Treasury. The reappraisal report for Broomfield hospital has now been completed and we were aiming to be in a position to announce decisions from the revalidation exercise—including that for this trust shortly.

Care Costs

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 5 July 2006, Official Report, column 1209W, on care costs, what the data requested are in real terms using the GDP deflator series instead of allowing for health pay and price inflation. [85832]

Andy Burnham: The average cost of delivering an episode of care in real terms using the gross domestic product deflator at 30 June 2006 is detailed in the following table.

Cost per episode (£)

1997-98

1,131

2000-01

1,165

2001-02

1,075

2003-04

1,082


There was a change in the data series between 2000-01 and 2001-02, so figures for 1997-98 and 2003-04 are not comparable.

A patient admitted to hospital is assigned to a practitioner responsible for their treatment. This period of care is termed an episode.

There is no data available for 1979.

Information is not available on a comparable basis after 2003-04.

Care Homes

Mr. Burstow: To ask the Secretary of State for Health what measures have been taken since October 2005 to ensure that free, fresh, chilled drinking water is available to all care home residents throughout the day. [88966]

Mr. Ivan Lewis: The Care Homes Regulations state that homes must provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users. Food, in the regulations, includes drink.

The review of the national minimum standards for care homes, which the Commission for Social Care Inspection must take into account when inspecting care homes, is ongoing and will be subject to public consultation in due course. The issue of availability of drinking water to residents is being considered as part of the review.

As part of the “Heatwave Plan for England 2006”, the Department has issued “Supporting Vulnerable People before and during a heatwave—advice for care home managers and staff”. This is a fact-sheet,
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containing advice on preparation for and dealing with the effects of a heat wave on care home residents. It includes guidance on identifying those most at risk, monitoring residents’ fluid intake, particularly if they are unable to drink unaided and ensuring that water and ice are widely available.

Cataract Operations

Sarah Teather: To ask the Secretary of State for Health how many cataract operations were carried out in (a) each London strategic health authority and (b) each London primary care trust in each of the last three years. [87721]

Ms Rosie Winterton: The table shows the latest data available for total numbers of cataract operations by London primary care trust (PCT) and strategic health authority (SHA) for the years 2002-03, 2003-04 and 2004-05.


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Total procedures

2004-05

PCT

Barnet PCT

1,161

Bexley Care Trust

7,764

Brent Teaching PCT

4,383

Bromley PCT

5,526

Camden PCT

8,107

City and Hackney Teaching PCT

1

Croydon PCT

7,489

Enfield PCT

2,825

Hammersmith and Fulham PCT

1,869

Havering PCT

6,766

Hillingdon PCT

2,703

Islington PCT

39,392

Kensington and Chelsea PCT

1,914

Kingston PCT

8,206

Lambeth PCT

5,451

Southwark PCT

5,712

Sutton and Merton PCT

3,917

Tower Hamlets PCT

1,337

Waltham Forest PCT

8,778

Wandsworth PCT

6

Westminster PCT

7,392

SHA

North Central London SHA

52,538

North East London SHA

16,882

North West London SHA

17,208

South East London SHA

24,453

South West London SHA

19,618

2003-04

PCT

Barnet PCT

1,121

Bexley Care Trust

8,787

Brent Teaching PCT

3,656

Bromley PCT

6,006

Camden PCT

6,390

City and Hackney Teaching PCT

4

Croydon PCT

9,528

Ealing PCT

2

Enfield PCT

2,137

Hammersmith and Fulham PCT

2,691

Havering PCT

4,984

Hillingdon PCT

2,282

Islington PCT

113,976

Kensington and Chelsea PCT

2,048

Kingston PCT

11,070

Lambeth PCT

6,350

Southwark PCT

5,942

Sutton and Merton PCT

4,731

Tower Hamlets PCT

1,253

Waltham Forest PCT

8,507

Wandsworth PCT

68

Westminster PCT

7,797

SHA

North Central London SHA

124,282

North East London SHA

14,748

North West London SHA

17,818

South East London SHA

27,085

South West London SHA

25,397

2002-03

PCT

Barnet PCT

902

Bexley PCT

9,353

Brent PCT

3,896

Bromley PCT

5,030

Camden PCT

6,564

Croydon PCT

8,733

Enfield PCT

2,304

Hammersmith and Fulham PCT

1,941

Havering PCT

4,134

Hillingdon PCT

2,307

Islington PCT

88,837

Kensington and Chelsea PCT

1,441

Kingston PCT

8,482

Lambeth PCT

5,859

Southwark PCT

5,708

Sutton and Merton PCT

4,415

Tower Hamlets PCT

880

Walthamstow, Leyton and Leytonstone PCT

7,788

Wandsworth PCT

6

Westminster PCT

6,239

SHA

North Central London SHA

98,607

North East London SHA

12,802

North West London SHA

15,824

South East London SHA

25,950

South West London SHA

21,636



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