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The number of patients on the quality and outcomes framework for the only years available, 2004-05 and 2005-06, for the disease registers for asthma and chronic obstructive pulmonary disease which are the only relevant data we hold in QOF are listed in the following table.
|Asthma||Chronic obstructive pulmonary disease|
Research active NHS organisations account for their use of the research and development allocations they receive from the Department in an annual research and development report. The reports for 2005-06 show that in that year those organisations spent some £31 million on research to do with respiratory disease.
Ms Rosie Winterton: The Department does not collect information from the national health service on expenditure on management consultants. While primary care trusts and NHS trusts operate within the financial framework set by the Department, they are accountable to strategic health authorities for their financial performance, not the Department, and publish their own set of annual financial accounts.
Sarah Teather: To ask the Secretary of State for Health how many children in Brent with mental health problems were treated on an adult ward in the last period for which figures are available. 
Ms Rosie Winterton: No assessment has been made. The Audit Commissions June 2006 report, Managing finances in mental health confirms that mental health spending across all ages groups represent the largest single element of programme budget spending in the national health service (NHS), amounting to 12.2 per cent. of total NHS expenditure. It is for each PCT to determine what proportion of the resources allocated to it are spent on commissioning mental health services and the other healthcare needs of their local populations.
Mrs. Riordan: To ask the Secretary of State for Health how much was spent by primary care trusts on treatments not approved by the National Institute for Health and Clinical Excellence in each year for which figures are available. 
Mr. Hurd: To ask the Secretary of State for Health what framework her Department has in place for the development of general practitioners and nurses with a special interest in (a) neurology and (b) epilepsy. 
Ms Rosie Winterton: In April 2003 the Department published guidelines for the appointment of general practitioners with special interests in epilepsy. Those guidelines, which were endorsed by the Royal College of General Practitioners, are currently under review alongside those for other specialties. Updated and revised versions will be published in 2007.
There are no plans to develop specific guidelines for nurses with a special interest in epilepsy, although under the Modernising Nursing Careers initiative specialist nursing practice will be reviewed during the course of next year.
To ask the Secretary of State for Health pursuant to the proposals of NHS Blood and Transplant, what steps she plans to take to ensure the
(a) supervision, (b) security and (c) protection from contamination of fixed equipment for blood donations in (i) schools and (ii) other public buildings; and whether she proposes to indemnify schools against risks associated with storing such equipment. 
The NBS use school sites all over the country with the agreement of local governing bodies. NBS has robust venue assessment procedures, signed off and approved by the Medicines and Healthcare products Regulatory Authority. Every site is evaluated for its clinical safety, donor safety, staff safety and public safety. Blood collection is not held in areas where children are taught. They are either in a separate area of the building, for example a shared community facility, or alternatively are held at times when the school is closed.
NBS does not plan to have fixed equipment installed on school sites. If separate storage facilities exist, NBS may arrange to hold basic equipment such as donation beds, tables and chairs. Again, the venue would be fully risk assessed for staff, donors and public. Storage facilities would be separate, locked and under NBS control. Blood packs containing needle sharps would be held separately in NBS temperature controlled facilities. During any blood collection session, any such equipment would be in the direct control of health care professionals.
Mr. Lidington: To ask the Secretary of State for Health how much land at Stoke Mandeville hospital, Aylesbury (a) she owns, (b) is owned by the Buckinghamshire hospitals NHS trust and (c) has been sold to developers within the last two years. 
Andy Burnham: My right hon. Friend Secretary of State for Health and Buckinghamshire national health service trust currently own approximately 6.1 and 16.85 hectares respectively at Stoke Mandeville hospital. During the last two years, land sales to developers amounted to 0.13 and 7.72 hectares respectively.
Mr. Lansley: To ask the Secretary of State for Health what her Departments total expenditure has been on managing the NHS identity, as explained on the website www.nhsidentity.nhs.uk, in each financial year since 1997-98. 
Under proposals for reform of the NHS pension scheme, on which consultation is now completed, it is proposed to cap employer contributions in future at 14.2 per cent. initially and then at 14.0 per cent. from 2016.
Anne Milton: To ask the Secretary of State for Health how many vacant NHS posts were frozen in (a) Surrey Primary Care Trust (PCT) and its predecessor PCT, (b) South East Coast Strategic Health Authority (SHA) and its predecessor SHA and (c) England in each year since 1997. 
Mr. Lansley: To ask the Secretary of State for Health when she expects to publish the NHS staff earnings survey for 2006-07; and which specific staff groups are classified as administrative and clerical in the survey. 
Ms Rosie Winterton: The Information Centre for health and social care is responsible for national health service staff earnings information. They are currently working on a methodology to extract earnings data from the electronic staff record data warehouse. It is hoped that an updated NHS staff earnings survey can be published in 2007, depending on the outcome of methodology and data quality checks being satisfactory. It is not a pre-announced publication, and as such no exact date has been set.
Mr. Lansley: To ask the Secretary of State for Health what the staff sickness absence rate has been in the NHS in each financial year since 1997-98, broken down into each major category of staff. 
Ms Rosie Winterton: The national health service sickness absence survey was first collected in 1999. It is not possible to split the rates into staff groups. The following table shows NHS sickness absence rates from 1999 to 2005.
|NHS sickness absence rates 1999 to 2005, England|
1. Sickness absence rate is defined as the amount of time lost through absences as a percentage of staff time available.
2. This does not cover maternity leave, carers leave or any periods of absence agreed under family friendly/flexible working policies.
3. General practitioners and their staff are not included in the above figures.
4. The above figures are estimates as some organisations in the NHS did not provide figures for sickness absence.
The Information Centre for health and social care sickness absence survey.
Andy Burnham: The responsibility to commission appropriate pain management services based on the needs of the local population lies with primary care trusts. The Department does not collect this information centrally.
Mr. Hands: To ask the Secretary of State for Health (1) what steps she is taking to encourage NHS clinicians to develop patient pathway guidance for the treatment of conditions which have not been addressed by clinical guidelines from the National Institute for Health and Clinical Excellence; 
(3) whether her Department recognises patient pathway guidance developed by NHS clinicians prior to clinical guidelines being developed by the National Institute for Health and Clinical Excellence for specific conditions. 
Andy Burnham: The Department recognises that professional bodies and other relevant organisations continue to have a role in drawing together good practice advice on such issues where they are not the subject of National Institute for Health and Clinical Excellence guidance. From time to time we work with specific professional organisations, such as the Royal Colleges, to that end. For example, to support delivery of the 18 week general practitioner referral to treatment target the Department is working with clinical leaders to identify good practice and develop high level symptom based pathways. The Royal Colleges have been invited to nominate clinical leads for each of the high volume specialties to form a clinical advisory group for this work.
Mr. Lansley: To ask the Secretary of State for Health whether diagnostics commissioned as a direct access service, as explained on page 7 of Annex B to her Departments road-testing guidance for payment by results in 2007-08, will fall within the scope of the 18 week waiting time target. 
Andy Burnham: By the end of 2008, patients on hospital consultant pathways will be treated within a maximum 18 weeks from general practitioners (GP) referral to hospital treatment. All diagnostic tests on patient pathways between GP referral to treatment including straight to test referrals for diagnostic tests as part of consultant-led pathways fall within the scope of the 18 week waiting time target.
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