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Caroline Flint: This information is not collected centrally as a matter of routine. However, we are aware that the North Lincolnshire and Northamptonshire Primary Care Trusts (PCTs) have temporarily suspended the provision of in vitro fertilisation (IVF) procedures. Gloucestershire PCT has stopped funding IVF for new patients and this will be reviewed in October 2007. We are working with the patient support organisation Infertility Network UK to help PCTs share best practice in the provision of fertility services and engage with fertility patients in the planning and prioritisation of services.
(2) pursuant to the statement by the Minister of State for Delivery and Reform in Westminster Hall of 14 December 2006, Official Report, column 357WH, when she will write to the hon. Member for South Cambridgeshire on the difference in levels of disease in Leigh and Eastbourne. 
Tim Loughton: To ask the Secretary of State for Health what her Departments Child and Adolescent Mental Health Service budget was in each of the last five years, broken down by category of expenditure. 
Mr. Ivan Lewis: Information on ear-marked funding is contained in the table. Both revenue and capital funding are in addition to the general allocations to the national health service and local authorities.
The child and adolescent mental health services (CAMHS) mapping exercise for 2005 found that in 2004-05 the total spend on specialist CAMHS by the national health service and local authorities was £431 million. Further information on expenditure on CAMHS can be found at:
|Department of Health CAMHS funding 2002-03 to 2006-07|
|NHS revenue||NHS capital||Personal social services revenue|
|(1) In 2006-07, resources were made available to SHAs for CAMHS as part of a larger bundle of revenue funding for the NHS.|
Department of Health
Tim Loughton: To ask the Secretary of State for Health (1) what criteria were used to decide which health trusts would receive a share of the £130 million made available to improve the mental health estate in 2006-07; and what the timetable is for primary care trusts to receive their allocation of this funding; 
(2) what proportion of the £130 million made available to improve the mental health estate in 2006-07 has been allocated to spending on (a) places of safety, (b) psychiatric intensive care units and (c) inpatient wards. 
Ms Rosie Winterton: The Department invited mental health trusts to submit bids for a share of the £130 million capital funding pot through their strategic health authorities (SHAs). The bids were assessed by a group comprising Department officials, service users, commissioners and clinical services representatives, following criteria which were outlined in a letter sent to SHA and mental health trust chief executives on 2 March 2006, Capital allocation process: £130 million for adult mental health services. A copy has been placed in the Library.
The Department considered bids in the following order of priority: for Section 136 health-based place of safety developments; for improvements in the psychiatric intensive care unit (PICU) estate; and, for acute mental health ward improvements.
The £130 million is being allocated to SHAs for subsequent allocation to qualifying mental health trusts. It will not, therefore, go to primary care trusts, except in the small number of cases where these are also service providers. The 2006-07 allocations for PICUs and places of safety were sent to SHAs and foundation trusts in autumn 2006.
Of the £130 million, £100 million will be allocated to PICUs and places of safety across the two years 2006-07 to 2007-08. Approximately £42 million has been allocated in 2006-07, and approximately £52 million is provisionally identified for allocation in 2007-08. Identifying the exact allocations made to places of safety or PICUs is not possible because some of the successful bids combine development of PICUs and places of safety as single bids, not as separate projects. Similarly timescales for project development varies as some projects involve new build and other relatively small refurbishment works.
£30 million will be allocated to acute inpatient ward developments in 2007-08. I announced last November that this £30 million should focus on capital schemes promoting safety on acute wards, particularly for women service users.
Tim Loughton: To ask the Secretary of State for Health (1) for what reasons her Department does not routinely collect the reports commissioned by strategic health authorities on homicides committed by people in touch with mental health services; and if she will make a statement; 
(2) what the (a) title and (b) publication date was of each report into a homicide committed by someone in touch with mental health services commissioned under (i) Health Service Guideline 94(27) and (ii) her Departments guideline on independent investigation of adverse events in mental health services in each of the last 20 years. 
Ms Rosie Winterton:
The independent investigations commissioned and published by local health authorities, and latterly strategic health authorities, are primarily established to examine the care and treatment provided by local services to an individual or individuals. As such, the recommendations that they produce are in general aimed at local service delivery improvements and a local action plan is developed to address the issues identified. Therefore, the Department does not routinely expect to receive copies of these reports. However, it is clear that there may be lessons to be learnt nationally
by considering the circumstances of the cases together. This is why the Department, and latterly the National Patient Safety Agency (NPSA), commissions the centre for suicide prevention at the University of Manchester to produce the national confidential inquiry into suicide and homicide by people with mental illness (NCISH).
NCISH covers data on all suicides and homicides committed by someone in touch with mental health services and all sudden, unexplained deaths in psychiatric units. A wide number of aspects of these cases are analysed and recommendations for policy and practice improvement made. In addition, NCISH receives copies of independent investigation reports and undertakes a regular review of them. The NPSA has commissioned NCISH to conduct a review of recent cases which will be completed in March this year, with an initial report available in late 2007 or early 2008.
While the Department does not routinely expect to receive copies of all independent investigation reports, it has produced a list of those commissioned since the Health Service Guideline 94(27) came into force in 1994 to comply with a request for information under the Freedom of Information Act 2000. The list, which is available in the Library, has been compiled on a best endeavours basis and is as complete as possible but it is likely that there have been other reports published that are not included.
Sarah Teather: To ask the Secretary of State for Health what assessment she has made of the potential for adult learning to benefit elderly people diagnosed with (a) Alzheimers and (b) mental illness. 
Ms Rosie Winterton: No formal assessment has been made of the potential for adult learning to benefit elderly people diagnosed with Alzheimers and mental illness. However, Everybodys Business, the Departments service development guide for older adults mental health services, recognises that lifelong learning is one of the elements of staying active, and that it is one of the areas that should be included in health promotion strategies for older people with mental illness.
|Patients detained under the Mental Health Act 1983 or other Acts as at 31 March 2005 by trust|
|Trust||Total male||Total female||Total|
Caroline Flint: It is the responsibility of primary care trusts and strategic health authorities to analyse their local situation and develop plans, in liaison with their local national health service trusts and primary care providers, to deliver high quality NHS services.
Ms Rosie Winterton: It is the responsibility of primary care trusts and strategic health authorities to analyse their local situation and develop plans, in liaison with their local national health service trusts and primary care providers, to deliver high quality NHS services.
Mr. Stephen O'Brien: To ask the Secretary of State for Health whether all patients will be able to opt out of having their (a) summary and (b) detailed care record put on (i) the Spine and (ii) any other database other than that of their GP. 
Caroline Flint: Patients will be able to ask their general practitioners to prevent a summary care record being created for them on the spine, though the Department advises patients to think carefully before requesting this as the summary care record will enable improved national health service care and reduce clinical risk.
Detailed care records, however, are held locally within health communities and are not held on the spine. Clinicians are required to keep adequate records for clinical governance and medico-legal reasons and will generally do so within detailed care records systems. As is currently the case, patients will not be able to specify how or where local detailed records are held, though the new systems will enable patients to place restrictions on how these records may be shared or accessed.
However, some forms of care, for example blood tests and x-rays, will in future automatically generate records within the detailed care records systems, and if care is dependent upon use of these systems there can be no flexibility for those who receive that care.
Mr. Bone: To ask the Secretary of State for Health which primary care trusts are receiving funding below the national capitation formula in each year between 2002-03 and 2006-07; and by what percentage each was below its prescribed capitation amount in each year. 
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