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Departmental Leaflets

Sandra Gidley: To ask the Secretary of State for Health how much her Department spent on nationally produced (a) consultation documents and (b) public information leaflets in each of the last 10 years. [111005]

Mr. Ivan Lewis: Between 1 October 2004 and 31 December 2006, the Department published 1,529 documents including command papers, information leaflets, guidance documentation and national health service staff bulletins. The cost of producing these including design, typesetting, editorial and print services totalled £17,003,082—an average of £11,120 per title.

There is currently no mechanism for identifying which of these are specifically consultation documents or information leaflets and the Department has no central record for printed publications produced prior to 1 October 2004. To attempt to gather this information would incur disproportionate cost.

Departments: Pay

Stephen Hammond: To ask the Secretary of State for Health what the total sum of bonuses paid to civil servants in her Department was in (a) 2005 and (b) 2006. [121559]

Mr. Ivan Lewis: The total sum of bonuses paid to civil servants in the Department for financial years 2005-06 and 2006-07, is shown in the table.

£

2005-06

1,336,649.43

2006-07(1)

1,432,244.37

(1 )Year to date figure (April 2006 to January 2007)

Mr. Lansley: To ask the Secretary of State for Health how much was paid in bonuses to staff in her Department in (a) 1997-98, (b) 1998-99, (c) 1999-2000, (d) 2000-01 and (e) 2002-03; and how many staff qualified for bonuses in each year. [123606]

Mr. Ivan Lewis: The information is not available and could be obtained only at disproportionate cost.

Departments: Sick Leave

Norman Lamb: To ask the Secretary of State for Health how many people were away on sick leave from her Department for more than (a) three months, (b) six months, (c) nine months and (d) one year in each of the last five years. [121434]

Ms Rosie Winterton: The number of people who were away on sick leave for more then three months, six
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months, nine months and one year, in each of the last five years is detailed as follows:

2003 2004 2005 2006

More than:

3 months

52

105

59

111

6 months

20

56

27

46

9 months

10

26

15

33

1 year

8

19

10

26

Notes:
Figures for 2002 are not available.
As the analysis for 2006 figures was carried out until the end of December 2006, absences of over three months but continuing beyond 31 December 2006 are recorded against 2006, even though they will finish in 2007 or later and will finally be recorded against the year in which they end. As such the 2006 figures are artificially inflated.

Drugs: Licensing

Kate Hoey: To ask the Secretary of State for Health (1) what assessment she has made of the recently published consultation paper from the Government of Guernsey on the regulation of medicines; what response she plans to make to that consultation; and if she will press the Guernsey authorities to end the trade in marketing unlicensed medicines to UK mainland consumers; [122304]

(2) what resources the (a) Medicines and Healthcare products Regulatory Agency and (b) Food Standards Agency have available to deploy in relation to the export to UK mainland consumers of unlicensed medicines and illegal food supplements by companies based in the Channel Islands; and what recent assessment she has made of the adequacy of the level of enforcement action by those agencies. [122305]

Caroline Flint: The legislation administered by the Medicines and Healthcare products Regulatory Agency, an Executive agency of the Department, does not apply to the Channel Islands. The Islands have their own legislative assemblies. The Medicines and Healthcare products Regulatory Agency is currently considering the consultation paper from the Government of Guernsey and no response has yet been formulated. The deadline for comments is 10 April 2007. The consultation will be used as part of the ongoing dialogue between the Medicines and Healthcare products Regulatory Agency and the Guernsey authorities to control the marketing of illegal products.

Reports of illegal medicinal products made to the Medicines and Healthcare products Regulatory Agency are investigated by the Medicines Borderline Section and/or the Enforcement and Intelligence Unit depending on the type of offence and regardless of the country of origin. These activities are reviewed through the agency’s management structure. If the company is outside the Medicines and Healthcare products Regulatory Agency’s jurisdiction, it is referred to the relevant regulatory authority.

I am advised by the Food Standards Agency that local authorities have responsibility for enforcing the requirements of food law and have resources to control all foods. The Food Standards Agency does not maintain a central record of such resources. The Food Standards Agency assesses the adequacy of local authority controls through its audit programme.


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Health: Inequalities

Mr. Laws: To ask the Secretary of State for Health what recent assessment she has made of changes in health inequality between people in each income decile since 1996-97; what targets she has set in relation to reducing health outcome inequalities; and if she will make a statement. [121847]

Caroline Flint: There are no recent assessments of changes in health inequality between people by income decile since 1996-97. The information is not held centrally and could be obtained only at disproportionate cost.

The following tables show the targets the Government have set in relation to reducing health outcome inequalities.

Health inequalities are unacceptable and tackling them is a top priority for the Government. We have established the most comprehensive programme ever in this country to address them, including a range of challenging targets.

Departmental public service agreement (PSA) targets, Spending Review (SR) 2002
PSA target Measure

Target 11

By 2010 reduce inequalities in health outcomes by 10 per cent. as measured by infant mortality and life expectancy at birth

Mortality in infancy by social class: the gap in infant mortality between “routine and manual” groups and the population as a whole

Life expectancy by local authority: the gap between the fifth of areas with the lowest life expectancy at birth and the population as a whole

Baseline year is average of 1997, 1998 and 1999



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Departmental PSA targets, SR2004
PSA target Measure

Target 1

Substantially reduce mortality rates by 2010. From heart disease and stroke and related diseases by at least 40 per cent. in people under 75, with a 40 per cent. reduction in the inequalities gap between the fifth of areas with the worst health and deprivation indicators (the Spearhead Group) and the population as a whole

Death rate from heart disease, strokes and related illnesses among people aged under 75.

From cancer by at least 20 per cent. in people under 75 with at least a reduction in the inequalities gap of at least 6 per cent. between the fifth of areas with the worst health and deprivation indicators (the Spearhead Group) and the population as a whole

Death rate from cancer among people aged under 75.

Target 2

Reduce health inequalities by 10 per cent. by 2010 as measured by infant mortality and life expectancy at birth

Mortality in infancy by social class: the gap in infant mortality between “routine and manual” groups and the population as a whole

Baseline is average of 1997, 1998 and 1999

Life expectancy by local authority: the gap between the fifth of areas with the “worst health and deprivation indicators” (the Spearhead Group) and the population as a whole

Baseline year is average of 1995, 1996 and 1997

Target 3

Tackle the underlying determinants of health and health inequalities by:

Reducing adult smoking rates to 21 per cent. or less by 2010, with a reduction in prevalence among routine and manual groups to 26 per cent. or less

Smoking: reduction in numbers of adult (26 per cent.) and routine/manual (31 per cent.) groups of smokers (2002-03 baselines). Prevalence from General Household survey

Halting the year-on-year rise in obesity among children under 11 by 2010, in the context of a broader strategy to tackle obesity in the population as a whole (joint target with the Department for Education and Skills and the Department for Culture, Media and Sport).

Obesity: prevalence of obesity as defined by National BMI percentile classification for children aged between two and 10 years (inclusive) measured through the Health Survey for England. Baseline year is weighted average for three-year period 2002-04

Reducing the under 18 conception rate by 50 per cent. by 2010, as part of a broader strategy to improve sexual health (joint target with the Department for Education and Skills)

Teenage conceptions: the under 18 conception rate is the number of conceptions to under 18-year-olds per thousand females aged 15-17. Baseline year is 1998. ONS Conception Statistics


Health Professionals: Crimes of Violence

Mr. Jim Cunningham: To ask the Secretary of State for Health what steps her Department is taking to support staff who are assaulted in the line of duty. [124278]

Ms Rosie Winterton [holding answer 5 March 2007]: In April 2003 the NHS Security Management Service (NHS SMS) was created and assumed responsibility for tackling violence against national health service staff, together with all other security related issues in the NHS in England. A comprehensive strategy has been implemented detailing both preventative and re-active action to be taken to tackle this problem both nationally and locally.

Guidance has been issued to every health body in England setting out the support that should be offered at a local level, including arranging for counselling services if required, to staff that have experienced violence and abuse.

The NHS SMS have formed a legal protection unit (LPU) which advises health bodies on the appropriate action to take against alleged offenders. The LPU also considers private prosecutions on behalf of those who have been assaulted where the prosecuting authorities have declined to take action, and the circumstances are such that action is appropriate. This includes seeking redress.

Health Services: EC Action

Philip Davies: To ask the Secretary of State for Health what aspects of public health promotion are within the competency of the European Union. [121644]

Caroline Flint: Most competence for action in the field of public health remains with the member states, but the European Union has the responsibility, set out in the treaty, to undertake certain actions which complement the work done by member states.

Article 152 of the EC treaty covers public health. It states that a high level of human health protection shall be ensured in the definition and implementation of all community policies and activities; and that community action should be directed towards improving public health, preventing human illness and diseases, and obviating sources of danger to human health and complement national policies. The article also encourages co-operation between the community and member states on public health.

In practice, EU work on public health often focuses on facilitating the exchange of information, knowledge and best practice among member states and covers
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many issues, from the general (eg health inequalities) to the specific (eg, action on alcohol use). Article 152(4) also sets out specific areas, e.g. standards for quality and safety for blood, in which legislative measures can be adopted by the Commission in this field. EU legislation that has a beneficial effect on public health has also been adopted on the basis of other parts of the treaty (eg, tobacco packaging legislation, based on Article 95 which relates to the internal market).

Health Services: Prisons

Mike Wood: To ask the Secretary of State for Health what plans she has for the NHS taking on responsibility for medical services in prisons. [121802]

Ms Rosie Winterton: On 1 April 2003, the responsibility for health services in the publicly run prisons in England was transferred from HM Prison Service to the national health service. Funding was transferred to the NHS in stages, and this transfer process completed on schedule in April 2006. The responsibility for commissioning prison health services in the publicly-run prisons in England has therefore been fully devolved to national health service primary care trusts.

Some £118 million in funding for these services was transferred in 2003. During 2006-07 nearly £200 million will be invested in prison healthcare.

Prisoners requiring more complex medical treatments receive it in NHS hospitals, as they did when HM Prison Service had responsibility for prison healthcare.

Hepatitis: Nurses

Norman Lamb: To ask the Secretary of State for Health how many specialist hepatitis C virus nurses worked in England in each of the last 10 years; how many such nurses are working in each strategic health authority; and if she will make a statement. [121019]

Ms Rosie Winterton: The annual national health service workforce census does not separately identify hepatitis C virus nurses from the rest of the nursing workforce.

Incontinence

Dr. Naysmith: To ask the Secretary of State for Health what expert advice was taken by her Department prior to its classification of incontinence products in the consultation document on Arrangements for the remuneration of services relating to appliances under Part IX of the Drug Tariff. [121266]

Caroline Flint: The classification of incontinence products was not included in the consultation paper related to arrangements for the remuneration of services relating to appliances within Part IX of the Drug Tariff but in a companion paper: arrangements for the reimbursement pricing of stoma and incontinence appliances under Part IX of the Drug Tariff.

To address the challenge of classifying some 5,800 items, advice was taken from four independent experts. The experts were selected based on their experience and breadth of knowledge and each is currently practising. Furthermore, to ensure objectivity, the Department selected individuals who are not sponsored by a
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manufacturer. However, each has contacts within industry and knowledge of the latest products being introduced to the market.


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