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To ask the Secretary of State for Health what estimate she has made of the number of people in (a) England, (b) Redbridge and (c) Waltham Forest who have sleep apnoea; what
treatment is available for sleep apnoea on the NHS; how many are estimated to suffer from it; where in East London the treatment is available; what policy local primary care trusts have for funding the relevant treatment; and if she will make a statement. 
Andy Burnham: Data on the number of people with sleep apnoea are not available centrally but the British Snoring and Sleep Apnoea Association estimates that 4 per cent. of men and 2 per cent. of women are affected by the condition.
Patients with sleep apnoea are able to access a range of NHS and social care services, tailored to meet their individual needs, to help them manage their condition. It is for health professionals in primary care organisations, in consultation with other stakeholders, to determine which services their populations require and ensure the appropriate level of provision. In terms of sleep disorders such as sleep apnoea, this would include, where appropriate, the provision of continuous positive airway pressure equipment as well as other treatments and interventions such as advice to promote weight loss. It is for health professionals to decide what treatment to offer patients, in consultation with the patient and informed by the patient's medical history.
Andrew George: To ask the Secretary of State for Health (1) how much the Government have spent on (a) adult and (b) childrens social services provision for each providing local authority (i) in total and (ii) per capita in each year for which records are available; 
(3) what funding her Department plans to make available for (a) adult and (b) childrens social services for each providing local authority for each of the next three financial years (i) in total and (ii) per capita. 
Detailed Personal Social Services expenditure data are collated annually and published by the Information Centre for Health and Social Care. A copy of the 2004-05 return has been placed in the Library, however these data are not returned on a per capita basis and the requested information is therefore not available.
As part of the Local Government Finance Settlement 2006-07, the Department of Health will make available £1,590 million of specific revenue grant funding, and £48 million of capital grants for adult
social services to fund any cost pressures councils may face in delivering their adults social care commitments.
Specific grant allocations to local authorities for 2006-07 and 2007-08 made by the Department of Health are contained in the Local Authority Social Services Letter 2005(6), a copy of which is available in the Library.
Resource allocations for financial years 2008-09 to 2010-11 will be determined by the Spending Review 2007. Responsibility for children's services resides with the Department for Education and Skills.
To ask the Secretary of State for Health how much was spent on social services by (a) local
authorities, (b) her Department and (c) other sources in each year since 1997; and what the percentage year-on-year change was in the budget for social services in (i) real and (ii) nominal terms in each year since 1997. 
Table 1 shows adult social services spending covered by the three funding sources of the Government, local authorities via council tax and client contributions, up to 2004-05, the last year for which full actuals are currently available.
|Table 1: Spend on adult social services personal social services gross expenditure, cash terms|
|(1) From 2003-04 excludes the nursing care costs element as the NHS took over payment of this from 1 April 2003.|
(2) Local authority expenditure for 2000-01 and later years is obtained from the PSS EX1 return; individual service lines include overhead costs. For years prior to 2000-01 it is obtained from the R03 current expenditure return but with a share of overhead cost allocated to service lines on a pro rata basis. Figures for 2000-01 and later years are therefore not necessarily comparable with those for earlier years.
(3) Includes expenditure funded from the DCLG Supporting People grant introduced in 2003-04 and classified as social services expenditure.
RO3 and PSS EX1 returns
|Table 2: Changes in the Department of Health budget for adult social care|
|Total PSS: adults only (£ million)||Percentage growth year-on-year||Percentage growth real terms|
1. Responsibility for children's funding transferred to the Department for Education and Skills after 2003-04. Prior to this Department personal social services allocations covered children and adults, but to provide a consistent trend only adult social care spend is shown here, i.e. in line with the Secretary of State's current responsibilities.
2. Figures for 2006-07 and 2007-08 cannot be included due to the introduction of the four block model. This means that it is no longer appropriate to refer to separate budgeted amounts for younger adults and older people's service blocks. The Department is currently awaiting further guidance on the presentation of adult social care resources from the Department for Communities and Local Government.
Tim Loughton: To ask the Secretary of State for Health what discussions South East Coast Strategic Health Authority has had with the management of (a) Worthing Hospital and (b) Southlands Hospital in West Sussex regarding the redeployment of staff following the planned service reconfiguration. 
Kate Hoey: To ask the Secretary of State for Health if she will offer South London and Maudsley NHS Trust financial assistance following the budget set by Southwark and Lambeth Primary Care Trust; and if she will make a statement. 
Andy Burnham: I have met with my hon. Friend and other local hon. and right hon. Members on this issue. Following that meeting, I have asked officials to discuss this with NHS London and report back to me.
Lynne Featherstone: To ask the Secretary of State for Health how many special severance payments have been made in each year since 2001, broken down by NHS trust; and if she will make a statement. 
Dr. Cable: To ask the Secretary of State for Health how many staff in her Department received bonus payments in each of the last five years for which information is available; what proportion of the total work force they represented; what the total amount of bonuses paid has been; what the largest single payment was in each year; and if she will make a statement. 
Mr. Ivan Lewis: The numbers of staff who received bonus payments in 2004-05 and 2005-06, together with the proportion of staff they represent and the total amount of bonus paid, are set out as follows:
The largest single payment in 2004-05 was £22,500 and the largest payment in 2005-06 was £30,000. The most significant proportion of bonuses paid to staff are to senior civil servants. The Department operates the payment system for the senior civil service (SCS) in line with the Senior Salaries Review Body recommendations and wider Cabinet Office policy. The largest single payment in both cases refers to a senior civil service bonus and is in line with the recommendations of the above.
Mr. Watson: To ask the Secretary of State for Health what assessment she has made of the findings of the recent study led by the Dean of the Florence Nightingale School for Nursing on the effect of ward staffing levels on the care of surgical patients. 
Ms Rosie Winterton:
Patient safety is always a top priority for the national health service and we now have about an extra 89,000 more nurses working in the NHS delivering high quality care for patients than in 1997. Nursing ratios are a complex subject which has yet to gain a specific agreement within the nursing profession. We welcome this addition to this area of research which demonstrates the key role nurses play in positive
patient outcomes. It is for individual NHS trusts to determine how best to use their funds to meet national and local priorities and to commission services accordingly. This process provides the means for addressing local needs within the health community including the provision of ward staff.
The principal sponsor of research into the development of anti-TB drugs is the Department for International Development (DfID). DfID is currently supporting such research by funding the Global Alliance for TB Drug Development. In the period 2005 to 2008 DflDs contribution to the Alliance will amount to £6.5 million.
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what the incidence of tuberculosis among people who entered the UK and became resident there within the previous five years was in (a) 1995, (b) 1998, (c) 2001, (d) 2004 and (e) the latest year for which figures are available; 
|Number and rate of non-UK born tuberculosis cases that entered the UK within the last five years (England)|
|Number||Rate per 100,000 population|
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