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8 Feb 2007 : Column 1133Wcontinued
Death certification is a statutory duty of individual medical practitioners under the Registration of Births and Deaths Act, 1953. It is not part of their employment by NHS trusts, other hospitals, primary care trusts or nursing homes. Death certificates cannot be completed by dentists, ambulance personnel, or any other person who is not a registered medical practitioner. Guidance is therefore directed to doctors, not institutions. The General Register Office (GRO) of the Office for National Statistics is responsible for death registration and local registrars supply books of medical certificates of cause of death (MCCDs) to doctors and hospitals. Every book includes notes on how to complete the MCCD. These make clear that doctors are required to complete the MCCD to the best of their knowledge and belief. They are asked to include on the death certificate every disease or condition which, in their clinical judgment, contributed to the death either directly or indirectly.
Updated guidance to certifiers was published on the GRO website in July 2005 (www.gro.gov.uk/medcert). The updated guidance specifically draws attention to health care associated infections (HCAI). HCAI, including disease due to clostridium difficile, should be treated exactly the same as any other disease when it comes to death certification. If, in the certifying doctor's clinical judgment, it was part of the sequence leading directly to death, it should be written in part I of the MCCD. If the doctor thinks that it was not part of the direct sequence, but did contribute to causing the patient's death indirectly, he should write it in part II of the MCCD.
The Chief Medical Officer at the Department of Health drew this guidance to the attention of all registered doctors through his CMO update no. 42 in July 2005
(http://www.dh.gov.uk/AboutUs/MinistersAndDepartmentLeaders/ChiefMedicalOfficer/CMOPublications/CMOUpdate/fs/en).
Mr. Godsiff: To ask the Chancellor of the Exchequer what plans the Office for National Statistics (ONS) has to produce data for the new constituency areas once the order implementing the Boundary Commission's recommendations has been laid; and whether he has issued guidance to the ONS on the production of statistics for the new constituencies. [119197]
John Healey: The information requested falls within the responsibility of the National Statistician, who has been asked to reply.
Letter from Colin Mowl, dated 8 February 2007:
The National Statistician has been asked to reply to your question concerning what plans the ONS has to produce data for the new constituency areas once the order has been moved; and what guidance has been issued to the ONS on the production of statistics for the new constituencies. I am replying in her absence. (119197)
I have assumed your question is with reference to the parliamentary constituencies and Assembly Electoral Regions (Wales) Order 2006 (25 April 2006) which will become operative at the date of the next ordinary election to the Assembly in May 2007 in respect of the Assembly Constituencies and at the date of the next parliamentary election in respect of the parliamentary constituencies. An impact of the Order is that the boundaries of the new Assembly Constituencies will differ from those of the parliamentary constituencies until coterminosity is restored at the date of the next General Election. I understand that an equivalent order for parliamentary constituencies in England will be laid in due course and much of the following reply applies equally to such constituencies.
ONS have geographical referencing systems that underpin the production of statistics for a range of UK statistical geographies. A range of constitution lists, look-up tables and digital boundaries are routinely updated to reflect boundary changes and are used to produce statistics for changed areas.
We are publishing annual electoral registration statistics for local authorities and parliamentary constituencies on 22 February 2007. These tables are on existing boundaries.
A number of statistics from the 2001 Census are published for parliamentary constituencies. ONS is reviewing the most appropriate manner in which 2001 Census data could be provided for new constituencies for the UK Parliament in both England and Wales when the boundaries for England are finalised. The amount of data produced from the 2001 Census for the new Welsh Assembly constituencies (that will share boundaries with parliamentary constituencies at the next general election), and the timing of its release, will depend on available resources and the priority of other Census outputs.
Mr. Harper: To ask the Chancellor of the Exchequer what percentage of GDP the total amount of defence expenditure represented excluding military operations in each year since 1997. [119076]
Mr. Timms: The MOD'S annual report and accounts sets out the level of the Defence budget as well as the additional cost of military operations in each of those years. Annual GDP deflators can be found on the Treasurys website at:
http://www.hm-treasury.gov.uk/economic_data_and_tools/gdp_deflators/data_gdp_fig.cfm
Jim Cousins: To ask the Chancellor of the Exchequer what change in the number of employees in each (a) region and (b) county there has been for his Department, its agencies and public bodies, in (i) 2004-05 and (ii) 2005-06; what percentage of the total change was accounted for by each (A) region and (B) county; and what share of total employment in each (1) region and (2) county his Departments employees represented at (y) 1 April 2004 and (z) 31 March 2006. [119421]
John Healey: The information requested falls within the responsibility of the National Statistician, who has been asked to reply.
Letter from Colin Mowl, dated 8 February 2007:
The National Statistician has been asked to reply to your recent Parliamentary Question concerning what change in the number of employees in each region and county there has been for the Chancellor of the Exchequers Department, its agencies and public bodies, in each of 2004-05 and 2005-06; what percentage of the total change was accounted for by each region
and county; and what share of total employment in each region and county his Departments employees represented at (a) 1st April 2004 and (b) 31st March 2006. I am replying in her absence. (119421)
Civil Service employment statistics by region are published annually, broken down by government department, in the Civil Service Statistics report on the Cabinet Office website. The latest publication is for 1 April 2005.
http://www.civilservice.gov.uk/management/statistics/publications/xls/report_2005/table_p.xls
Regional statistics for Non-Departmental Public Bodies are not held centrally.
Statistics have been provided as follows:
i) Full-Time Equivalent permanent employment for the Chancellors departments and agencies broken down by Government Office for the Regions for 1 April 2004 and 1 April 2005, together with the change between the two years.
ii) For those departments and agencies for which more detailed statistics are available centrally, a breakdown by Administrative Area on a comparable basis has also been provided for the same two years. Small area statistics are not available for all Chancellors departments.
iii) For comparison purposes, total employment by region has been sourced from the Labour Force Survey. Please note that these statistics are headcounts and not Full Time Equivalents.
Regional distribution of permanent staff, non-industrial and industrial staff, 1 April 2005 | ||||||||
Full-time equivalent | ||||||||
London and South East | ||||||||
Departments and their agencies | London | South East | Total London and South East | South West | West Midlands | North West | North East | Yorkshire and the Humber |
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