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Mr. Burstow: To ask the Secretary of State for Health what instructions her Department has given to the Programme Steering Group responsible for reviewing the Better Healthcare, Closer to Home proposals; and if she will make a statement. 
to provide a strategic overview to sub-groups;
to determine the evaluation arrangements;
to provide a steer to the sub-groups about the closer to home themes;
to determine what should happen to the recommendations;
to sign off and submit interim and final report;
to secure professional support for recommendations; and
to be the public face of the project.
Caroline Flint: The Governments national campaign know your limits is the first to focus on binge drinking. Campaign leaflets on binge drinking and young people are distributed from health promotion units around the country. One of their major customer groups are schools and colleges.
Mr. Dai Davies: To ask the Secretary of State for Health what assessment she has made of the effect on demand for NHS (a) accident and emergency and (b) longer term services of trends in teenage binge drinking. 
Caroline Flint: Table 1 uses the age group 16 to 19 as a proxy measure for teenage binge drinking. It also uses the Information Centres measure of binge drinkingboys drinking more than eight units in one day and girls drinking more than six units a day.
Table 2 shows that admission to hospital following a visit to accident and emergency by this age group in each year from 1998-99 to 2005-06 rose from 4,114 to 7,237. This is almost entirely due to incidents of acute intoxication in this age group.
Well over 90 per cent. of alcohol related admissions to hospital for this age group come via accident and emergency. Few admissions come from other sources such as GPs or planned admissions, indicating a small burden on longer term services.
|Table 1: Drinking last week by sexpeople aged 16 to 19 in 1998 to 2004|
|(1) 1998 data are unweighted|
(2) Binge is defined as those drinking 8/6 units on at least one day a week
Statistics on Alcohol: England, 2006The Information Centre for health and social care.
|Table 2: Counts of finished admission episodes for patients aged 16-19 with a primary or secondary diagnosis of selected alcohol related diseases( 1) , NHS Hospitals, England 1998-99 to 2005-06|
|Admission via A and E||Admission not via A and E||Unknown method of admission|
|(1) Alcohol related diseases defined as following ICD-10 codes:|
F10: Mental and behavioural disorders due to use of alcohol
K70: Alcoholic liver disease
T51: Toxic effect of alcohol
Finished admission episode.
A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in patients, as a person may have more than one admission within the year.
Hospital Episode Statistics, The Information Centre for health and social care.
Caroline Flint: The provision of blood test clinics is a matter for the relevant local health community. However, the NHS West Midlands reports that the Coventry Teaching primary care trust has recently introduced changes to its blood test clinics with the aim of providing a more clinically appropriate and efficient service.
Mr. Fraser: To ask the Secretary of State for Health how much financial support her Department gave to the cancer collaborative on (a) breast cancer, (b) lung cancer, (c) prostate cancer and (iv) colorectal cancer in each of the last eight years. 
The table shows the annual allocations to the national health service from the Department to support the employment of local staff and continuation of projects run by the cancer services collaborative-improvement partnership (CSC-IP). These amounts do not include those funds used to support the central co-ordinating team of the CSC-IP.
|Financial year||Allocation (£000)|
Dr. Iddon: To ask the Secretary of State for Health what recent estimate she has made of the average length of time it takes for a new cancer treatment to go from the laboratory discovery to being available from the NHS. 
Caroline Flint: The Department has made no estimate of the length of time it takes a medicine to go from discovery to use in the national health service. The length of time will vary considerably from drug to drug. Information supplied by the pharmaceutical industry suggests that medicines typically take 10 to 12 years to come to market. These estimates are not specific to cancer medicines.
Caroline Flint: Data giving the number of deaths in 2006 as a result of carbon monoxide poisoning are not yet available. The Office for National Statistics (ONS) has indicated that data on death registrations for 2006 will not be available until April or May 2007 and data on death occurrences for 2006 will not be available until October or November 2007.
(1) The cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10) code T58.
Mr. Love: To ask the Secretary of State for Health if she will set targets for improving the (a) total cholesterol and (b) low density lipoprotein cholesterol levels among patients at high risk of coronary heart disease in England; and if she will make a statement. 
Ms Rosie Winterton: Our policy on cholesterol targets is set out in the national service framework for coronary heart disease, and reflected in key drivers of practice such as the quality and outcomes framework of the general medical service contract.
One of the principal mechanisms for updating policy is through the National Institute of Health and Clinical Excellence (NICE). NICE is currently working on guidance on lipid management, due out later this year. That guidance will set out any revisions to current policy on targets for controlling cholesterol.
Mr. Love: To ask the Secretary of State for Health what information she collects on the (a) total cholesterol and (b) low density lipoprotein cholesterol levels of (i) patients at high risk of coronary heart disease and (ii) patients suffering from diabetes; and if she will make a statement. 
Ms Rosie Winterton: The new General Medical Services (GMS) contract specification encourages primary care practices to identify patients with coronary heart disease (CHD), stroke and diabetes and to control cholesterol in those patients. The following tables show the percentage of available points achieved against these indicators across England demonstrating that general practitioner practices are making good progress in improving control of cholesterol in patients with cardiovascular disease.
|CHD 8: Percentage of patients with coronary heart disease whose last measured total cholesterol (measured in the last 15 months) is 5mmol/l or less.|
|QOF||Overall percentage CHD 8 for England|
|Stroke 8: Percentage of patients with TIA or stroke whose last measured total cholesterol (measured in the last 15 months) is 5mmol/l or less|
|QOF||Overall percentage stroke 8 for England|
|DM 17: Percentage of patients with diabetes whose last measured total cholesterol within previous 15 months is 5mmol/l or less|
|QOF||Overall percentage DM17 for England|
| Notes: Please note some patients may be excluded from the indicator because of exceptions and exclusions. Only patients registered with a general practice participating in QOF will be included|
|Count of finished consultant episodes (FCE) for primary and secondary diagnosis of K70.3 alcoholic cirrhosis of liver for under 18-year-olds 1996-97 to 2005-06|
Hospital Episode Statistics (HES), The Information Centre for Health and Social Care
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