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National Children's Bureau
National Eczema Society
NCH Action for Children
Plan International UK
Princess Royal Trust for Carers
Queen Elizabeth's Foundation
Royal Air Force Benevolent Fund
Royal Mencap Society
Royal Society of Arts
Royal Star and Garter Home
St. John Ambulance
Talking Newspaper Association
The Children's Trust
The Salvation Army
Tuberous Sclerosis Association
Norman Lamb: To ask the Secretary of State for Health (1) what assessment she has made of the operation of the National Childrens Vision Screening Programme announced in the National Services Framework for Children; and if she will make a statement; 
Mr. Ivan Lewis: The National Service Framework (NSF) for children, young people and maternity services recommends an optometrist-led screening programme for children aged four and five, and for the existing vision tests for seven-year-olds to be discontinued once these programmes are in place. The NSF set out a 10-year plan for improving services for children and young people. It is for primary care trusts to make their own decisions locally about how these improvements are achieved and how they are funded from the overall resources made available to them.
Norman Lamb: To ask the Secretary of State for Health what assessment she has made of the impact of referral management schemes by primary care trusts on the number of referrals to secondary care; and if she will make a statement. 
Health Reform in England: Update and Commissioning Framework, published in July 2006, states that referral management centres must be clinically led and commissioners and providers need to work together to deliver sustainable solutions. Primary care trusts with their partners have been advised that it will be good practice to review, and where necessary, develop existing referral management centres by April 2007 to make sure that they create tangible benefits for patients, and uphold the principles set out in Care and resource utilisation: ensuring appropriateness of care, published on 14 December 2006. This has been placed in the Library and is available at:
Mr. Walker: To ask the Secretary of State for Health if she will extend the scope of the Advance Service Medicine Use Review to cover people who are cared for by carers and members of their family; and if she will make a statement. 
Caroline Flint: Medicines use reviews (MURs) are available to any patient who has been receiving pharmaceutical services for at least three months from the pharmacy providing the MUR service. Primary care trusts can identify priority patient groups for MURs, including those that are cared for.
Alan Simpson: To ask the Secretary of State for Health if she will place in the Library a copy of the Independent Sector Treatment Centre contract awarded to Nations in respect of its plans for a facility adjacent to the QMC hospital in Nottingham. 
David Taylor: To ask the Secretary of State for Health what steps she has taken to increase public understanding and awareness of (a) healthcare regulation and (b) healthcare regulatory bodies. 
The consultation document The future regulation of health and adult social care in England, published on 27 November 2006, outlines the functions and roles for a new health and adult social care regulator and which regulatory functions will need to be undertaken from 2008 onwards, and by whom. It provides a clear and refocused approach to regulation and a framework for management of the health and adult social care systems. This is part of the on-going health reform programme and focuses on the development of a regulatory framework that will support health reform to achieve safety, quality, fairness and efficiency for patients and service users across health and adult social care. The consultation document is available at:
Mr. Evennett: To ask the Secretary of State for Health what recent representations she has received about the provision of services at Queen Marys hospital, Sidcup; and if she will make a statement. 
(2) how much radioactive waste from hospitals in England was produced in 2006; and how much such waste, in (a) cubic metres and (b) TBq, was sent to the national low-level waste repository in that year; 
The Department does not collect data centrally on the use and disposal of radioactive materials by hospitals. The Radioactive Substances Act
1993 requires that hospitals register their use and storage of radioactive materials and hold authorisation for disposal and accumulation of radioactive waste. Under these structures, the registered users maintain detailed local records of use, storage and disposal of radioactive materials. The Environment Agency maintains information on the individual registrations and authorisations, which include the maximum limits on radioactivity permitted. In addition, the Agency holds records related to waste radioactive materials through the pollution inventory.
The uses of radioactive materials in diagnostic and therapeutic medicine are almost without exception confined to materials of very short half-life. The waste is mostly disposed of by decay, with extreme dilution to watercourses (where strict measures are used to estimate the rate of discharge and ensure that drinking water is never put at risk), as waste for incineration or by dilution in other waste for local authority disposal. As a consequence of these methods of disposal there is no significant burden to the low-level waste repository.
The Department contributes to discussions with other Government Departments and agencies regarding the future of radioactive waste control and disposal generally. Current discussions are led by the Department for Environment, Food and Rural Affairs.
Mr. Heald: To ask the Secretary of State for Health what meetings (a) she, (b) her Ministers and (c) her officials have had with (i) the chairman of the Labour party and (ii) Labour party employees on potential hospital closures and cuts in services. 
Mrs. Dorries: To ask the Secretary of State for Health what training is provided to medical staff in NHS hospitals on the risks of health care associated infections; and if she will make a statement. 
Mr. Ivan Lewis: Duty 11 of The Health Act 2006: Code of Practice for the Prevention and Control of Healthcare Associated Infections (HCAIs) requires national health service bodies to ensure that all staff are suitably educated in the prevention and control of HCAIs. This requirement covers both induction and ongoing education. The content of training programmes is determined locally.
To ask the Secretary of State for Health what recommendations have been made by the Rapid Review Panel to the Health Protection Agency on investment in new technologies to combat health
care associated infections; and if she will make a statement. 
Mr. Ivan Lewis: The rapid review panel (RRP) provides a prompt assessment to the Department of new and novel equipment, materials and other products or protocols that may be of value to the national health service in improving hospital infection control and reducing hospital acquired infections. The panel has considered over 168 products and its recommendations are published on the Health Protection Agencys website but the RRP does not advise on purchasing.
Bob Russell: To ask the Secretary of State for Health (1) how much the company Patientline paid to the national health service in the 2005-06 financial year for the right to provide non-medical services for patients; 
Mr. Ivan Lewis: Patientline provides non-clinical services to patients in the form of bedside television and telephone services in around 117 national health service trusts in England. The company makes no payments to those trusts for the right to provide these services.
Patientline does pay trusts for space rental and reimburses them for the cost of power used by the bedside systems. In one case, it also reimbursed a trust for costs it incurred for cabling used by the Patientline system.
Mr. Lansley: To ask the Secretary of State for Health what is the sum provided under Payment by Results for (a) a home birth, (b) a birth at a midwife-led unit and (c) a birth at a consultant-led maternity unit; and, in each case, whether the tariff payment is differentiated according to a prior risk assessment. 
Andy Burnham: There is no national tariff for home births. This activity falls outside the scope of payment by results. Under payment by results, no distinction is made between midwife and consultant-led births. The tariff takes account of complications or co-morbidities; however this is not determined by a prior risk assessment.
|HRG code||HRG name||Elective spell tariff||Non-elective spell tariff|
|w cc = with complications and co-morbidities|
w/o cc = without complications and co-morbidities
1. The difference between normal and assisted delivery is the use of specific equipment during the birth. For example, assisted delivery includes forceps delivery, vacuum delivery and breech extraction delivery.
2. The majority of birthing events fall under the non-elective tariff as the time of delivery cannot be planned.
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