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Mrs. May: To ask the Chancellor of the Duchy of Lancaster how many written parliamentary questions to her Department in the 2005-06 session were not answered (a) wholly and (b) in part on disproportionate cost grounds. 
Mrs. May: To ask the Chancellor of the Duchy of Lancaster what guidance has been sent out by the Cabinet Office to other Departments relating to (a) traffic light grading of parliamentary questions and (b) unanswered parliamentary questions in the last 12 months. 
Sarah McCarthy-Fry: To ask the Secretary of State for Health what assessment she has made of the effect on children of greater journey times to suitable facilities as a consequence of closures of accident and emergency units. 
Andy Burnham: It is a matter for the local national health service to ensure the provision of urgent and emergency care services, including accident and emergency facilities, that are responsive to peoples needs.
The way the national health service responds to emergencies needs to focus not just on getting the patient to a location but also on taking care to the patient. This is why it is necessary to focus on a range of measures including response times by the ambulance service, its ability to administer a wide range of treatment and provision of urgent and social care in the community.
Mr. Jamie Reed: To ask the Secretary of State for Health (1) what account is taken of (a) service accessibility, (b) socio-economic indicators, (c) clinical need, (d) the advice of health professionals and (e) the wishes of service users in the siting of acute hospital services; 
Derek Wyatt: To ask the Secretary of State for Health how many ambulances on emergency call to a property were unable immediately to locate the right address upon arrival in the last two years. 
Caroline Flint: The transfer of patients to chlorofluorocarbon (CFC) free metered dose inhalers (MDIs) began in 1995 when the first one was licensed for use in the United Kingdom. Many more have been introduced to the market since that time.
The Government's plan for phasing out CFCs in asthma inhalers is set out in the UK Transition Strategy for CFC-based MDIs, which was developed after consultation with all relevant stakeholders and published by the Department of Health and the Department for the Environment, Transport and the Regions in 1999. It was communicated widely to healthcare professionals in the national health service, patient groups and patients at that time.
The Department and the Department for the Environment, Food and Rural Affairs continue actively to pursue the phase-out of CFCs in MDIs in accordance with the UK transition strategy. The UK has declared CFCs to be non-essential for three medicines: ipratropium, salbutamol and fluticasone.
Mr. Ivan Lewis: A national action plan for audiology will be published soon. The action plan will be aimed at improving access, service delivery and waiting times through the development of a sustainable service model for the service. Implementation of the action plan and its recommendations will be the responsibility of local services.
Mr. Jenkins: To ask the Secretary of State for Health how much was allocated to Burntwood, Lichfield and Tamworth Primary Care Trust in (a) cash and (b) real terms in each of the last five years. 
Andy Burnham: The following table shows the revenue allocations made to Burntwood, Lichfield and Tamworth Primary Care Trust for the financial years 2003-04 to 2006-07. In 2002-03 the Department made allocations to health authorities.
|Allocation||Real terms allocation in 2006-07 prices|
Ms Rosie Winterton: The information requested is not held centrally. I have written to the NHS Appointments Commission and asked them to write to my hon. Friend providing information about the chair and non-executive directors of the Central Lancashire Primary Care Trust.
With regard to the chief executive and other executive directors, national health service organisations must make the interests of chief executives and board members available to the public under the code of accountability in the NHS, but there is no requirement for them to declare this information to the Department.
Mr. Hayes: To ask the Secretary of State for Health what the total cost has been to date of purchasing surgical instruments to facilitate centralised processing referred to in paragraph 4.31 of her Departments annual report 2006. 
Instruments are purchased by local national health service bodies, not by the Department. Since 2001-02, however, the Department has allocated some £100 million for the purchase of surgical
instruments by NHS trusts. Those instruments were intended to facilitate central processing by reducing the amount of processing done other than in sterile services departments, or by the setting up of an offsite service. From 1 March 2002 to 30 November 2006, the NHS purchased surgical instruments worth some £155 million using the NHS Purchasing and Supply Agencys (NHS PASA) framework agreement. This sum includes instruments purchased to replace damaged ones or to increase instrument stock as well as to facilitate centralised reprocessing. NHS trusts may also have purchased instruments without using the NHS PASA framework agreement.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much of the £27 million for childrens palliative care services announced by her Department on 30 October 2006 has been (a) allocated and (b) spent. 
Mr. Ivan Lewis: The £27 million is to be spread over three years. Of the £9 million available in financial year 2006-07 we have given funding directly to 35 hospice services, totalling £8,715,696. There is one application still to be determined and we await further information from the organisation concerned. We have agreed with the key stakeholders that the balance of the £9 million for this financial year will contribute to the cost of the review of the long-term sustainability of childrens palliative care services.
Mr. Lansley: To ask the Secretary of State for Health what her Department's timetable is for reviewing the recommendations contained within the report of the independent expert scientific group on clinical trials. 
Caroline Flint: The Government fully endorse and support the recommendations made by the expert scientific group on phase one clinical trials. The Medicines and Healthcare products Regulatory Agency (MHRA) has set up an implementation group that has met several times and drawn up a project plan for implementing all the report's recommendations. In particular, the MHRA has already put in place precautionary measures concerning the approval and conduct of trials involving higher risk substances as recommended by the expert scientific group, including access to independent scientific advice. The MHRA expects to have in place an expert advisory group which will report to the commission on human medicines and advise on applications for clinical trials on higher risk substances by the end of March 2007.
Mr. Nicholas Brown: To ask the Secretary of State for Health what advice her Department gives to primary care trusts on the provision of cognitive behavioural therapy as part of the national health service. 
Ms Rosie Winterton: The National Institute for Health and Clinical Excellence (NICE) published guidelines to the NHS on the treatment of depression and anxiety in December 2004. NICE gave emphatic support to making evidence-based psychological therapies available as an adjunct or alternative to drug treatments for the treatment of mild to moderate depression, anxiety and schizophrenia.
included psychological therapies alongside drug treatments n the National Service Framework for Mental Health (1999) to show they are just as important as drug treatments, and sometimes referred by service users;
published an evidence-based guideline Treatment Choice in Psychological Therapies and Counselling in 2001 to help GPs and professionals know more about the most effective treatments for particular conditions;
published the booklet Choosing Talking Treatments in 2001 for service users and carers to help them know the questions to ask when seeking psychological therapies or counselling;
published the practical guidance Organising and Delivering Psychological Therapies in July 2004 to help local services understand what best practice should involve. It contains recommendations for how to deliver:
acceptable, user-friendly services which involve users and carers, provide information and enhance engagement and choice;
accessible services which manage waits, co-ordinate services and ensure times and locations are appropriate;
equitable services which reduce inequalities and ensure access for black and minority ethnic and other under-served groups;
cost-effective services which are targeted, evidence-based, effective and provided locally; and
safe services in which staff are well-trained and supported, and which are connected to clinical governance systems.
NICE also issued a technology appraisal TA097 on computerised cognitive behavioural therapies (CCBT) in February 2006. By 31 March 2007, NICE requires all PCTs to provide access to the packages Beating the Blues as an option for the treatment of mild and moderate depression and FearFighter as an option for the treatment of panic and phobia.
Mr. Lansley: To ask the Secretary of State for Health how many (a) coronary artery bypass operations and (b) percutaneous coronary interventions took place on the NHS in each year since 2000-01 (i) in total and (ii) broken down by strategic health authority. 
To ask the Secretary of State for Health where the 11 pilots to assess different models of heart attack care referred to on page 7 of the National Director for Heart Disease and Stroke's report entitled Mending Hearts and Brains, published 5 December 2006, are situated; what is being assessed at each pilot site; when the pilots were established in each case; when she expects the pilots to conclude in each case; whether she plans to establish more pilot sites; whether results
from the pilots will be published; and if she will make a statement. 
Leeds General infirmaryWest Yorkshire Primary PCI Service
Hammersmith, St. Mary's and Harefield hospitalsWest London Primary Angioplasty Service
Manchester Royal infirmary and Wythenshawe hospitalsPrimary PCI for Greater Manchester
London Chest hospitalBarts and the London Direct AMI Service
James Cooke University hospital and University hospital of North Durham(1)South Tees Primary Angioplasty Service
Royal Devon and Exeter hospitalthe Royal Devon and Exeter Primary Angioplasty Project
Kings College hospitalSouth East London Primary Angioplasty Pilot
(1 )North Durham is a control site carrying out thrombolysis.
The pilot sites were established early in 2005 with the exception of Harefield which joined later in the year. In all cases except in Leeds, sites already had some experience of offering a primary angioplasty service. The Leeds service commenced in March 2005. Patient data for the study has been collected from 1 April 2005 and will be completed by 31 March 2007. There are no plans to establish further pilots.
An independent evaluation of the pilots is being carried out by the School for Health and Related Research (ScHARR) at the University of Sheffield. The evaluation is addressing the patient experience of primary angioplasty and staffing implications and carrying out detailed costing taking into account the different geographies and service models afforded by the pilots. The sites are contributing to some extent to all the areas of the evaluation but some will be taking part in a more detailed analysis of one particular area. The details have not yet been finalised by ScHARR. ScHARR has recruited further control sites carrying out thrombolysis as the main treatment for heart attack to assist with the evaluation.
Following receipt of the patient follow up data in March 2007, there will be an interim progress report from the Department and British Cardiovascular Society (BCS). The Department has been working jointly with BCS on this pilot study. A final report from ScHARR and a report from the Department is due in early 2008.
Mr. Lansley: To ask the Secretary of State for Health what the evidential basis was for the statement on page 6 of the National Director for Heart Disease and Stroke's report entitled Mending Hearts and Brains, published 5 December 2006, that 250 strokes could be prevented if local hospitals were bypassed; and if she will place in the Library copies of the relevant documentation. 
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