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|Percentage delivered by midwives|
Bob Spink: To ask the Secretary of State for Health what guidance her Department has issued to hospitals on the means to prevent transmission of clostridium difficile; and if she will make a statement. 
A professional letter on health care associated infections including particularly infection caused by Clostridium difficile was issued to all Chief Executives of national health service acute trusts, primary care trusts and strategic health authorities on 7 December 2006. This letter set out the policies and clinical practices needed to control Clostridium difficile and also included very simple operational guidance for managers.
A high impact intervention on Clostridium difficile was added to our delivery programme Saving lives: a delivery programme to reduce healthcare associated infections including MRSA in June 2006. This tool will help to reduce infections.
A joint professional letter from the Chief Medical Officer and the Chief Nursing Officer went out to NHS Trusts in December 2005 reminding them of the importance of this infection and listed the key actions to control Clostridium difficile and highlighted the guidance available(1, 2). The letter has been placed in the Library and is at:
All those providing health care services need high standards of hygiene to prevent infections. Specific measures to control Clostridium difficile are restriction, where possible, of broad spectrum antibiotics, isolation of patients and enhanced environmental cleaning.
Both a simple guide to Clostridium difficile and the National Clostridium difficile Standards group: Report to the Department of Health, are available in the Library and on the Departments website at:
National Clostridium difficile Standards Group: Report to Department of the Health February 2003 http://www.dh.gov.uk/assetRoot/04/06/76/51/04067651.pdf
(1) Clostridium Difficile Infection, Prevention and Management A Report by a Department of Health/PHLS joint working group. 1994 http://www.hpa.org.uk/
(2) Guidelines for optimal surveillance of Clostridium difficile infection in hospitals Brazier JS and Duerden BI. Guidelines for optimal surveillance of Clostridium difficile infection in hospitals. Comm.Dis.Pub.Health. 1998:1;(4) 229-230.
Ms Rosie Winterton: A table listing the primary dental service resource allocations for 2006-07 for all primary care trusts (PCTs) in England as at 31 July 2006 is available in the Library. This set out the net allocations awarded to PCTs and the assumed gross budgets based on illustrative assumptions about levels of patient charge income for each PCT. Strategic health authorities agreed with their PCTs locally how these allocations would be redistributed within the new PCT areas that took effect from 1 October 2006.
Norman Baker: To ask the Secretary of State for Health if she will press the European Food Safety Agency (a) to publish a timetable for assessment of evidence dossiers submitted to it under the terms of the food supplement directive and (b) to make it its policy to announce decisions on individual applications as soon as they have been made. 
Caroline Flint: At a recent meeting with part of the United Kingdom food supplements industry, a number of concerns were raised regarding dossiers submitted for an opinion by the European Food Safety Authority (EFSA) in relation to the food supplements directive. It was agreed at the meeting that these concerns would be raised with EFSA and this will include the timetable for assessing dossiers and the publication of decisions on individual applications.
Mr. Clegg: To ask the Secretary of State for Health (1) how many (a) junior doctors and (b) fully qualified doctors of (i) European Economic Area (EEA) nationality and (ii) non-EEA nationality have been newly employed by the NHS since July 2006; 
(2) how many (a) junior doctors and (b) fully qualified doctors of non-European Economic Area nationality are employed by the NHS; and how many were employed by the NHS in each of the last five years. 
Caroline Flint: The Department's press release announced the allocations to primary care trusts for the pooled drug treatment budget for 2007-08 on 26 January 2007. A copy of the press release has been placed in the Library.
Mrs. Dorries: To ask the Secretary of State for Health what assessment she has made of the impact of the acute services review on major capital development programmes in the East of England strategic health authority area; and if she will make a statement. 
Andy Burnham: Any proposals for the reconfiguration of services are a matter for the national health service locally. There is a well-established and well understood process for managing consultations on such changes so that patients, the public and local stakeholders can help to inform the local debate.
Information is not collected at the level of individual hospitals. Available information on the number of admissions via accident and emergency (A&E) departments at East Sussex Hospitals National
Health Service Trust is shown in the table. Information on the number of attendances at A&E is a separate collection.
|Admissions via A&E|
|(1) Admissions via all A&E types were first collected in Q1 2003-04. Data after this date are for all A&E types, prior to this the figures are for admissions via major (type 1) A&E only.|
(2) 2006-07 data are for Q1, Q2 and Q3 only.
Department of Health, QMAE dataset
Mr. Hoyle: To ask the Secretary of State for Health how many people between the ages of (a) 10 to 16, (b) 17 to 23 and (c) 24 to 30 years were diagnosed with eating disorders in each of the last 10 years. 
Ms Rosie Winterton: This information is not available in the requested format. Information is available from 2002-03 onwards about the number of finished consultant episodes following a primary diagnosis of an eating disorder, by gender, and for the age ranges 0 to 14 years, 15 to 59 years, 60 to 74 years and over 75 years and is shown in the table.
|Number of finished consultant episodes for patients with a primary diagnosis of an eating disorder, by year and gender, for the national health service in England 2002-03, 2003-04, 2004-05 and 2005-06|
| Note: A finished consultant episode is a period of admitted patient care under one consultant within one health care provider. Please note that the figures represent the number of treatment episodes provided, but do not represent the individual number of patients seen, as a person may have more than one episode of care within the year. Source: Hospital Episode Statistics (HES) The Information Centre for Health and Social Care.|
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 19 February 2007, Official Report, columns 36-7W, on emergency bed days, for what reasons she has not published data relating to 2005-06; and if she will publish this data. 
|Number of bed days for emergency admission group||Total number of bed days for all admission groups||Emergency bed days expressed as a percentage of the total number of bed days|
1. Bed days during the year for finished episodes.
2. Total bed days during the year from episode start date or 1 April (whichever is later) to episode end date or 31 March (whichever is earlier).
3. Admission methods for the emergency admissions included above are:
21 Emergencyvia accident and emergency (A&E) services, including the casualty department of the provider.
22 Emergencyvia general practitioner (GP).
23 Emergencyvia Bed Bureau, including the Central Bureau.
24 Emergencyvia consultant out-patient clinic.
28 Emergencyother means, including patients who arrive via the A&E department of another health care provider.
4. Data Quality
Hospital episode statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England.
Hospital Episodes Statistics (HES), The Information Centre for health and social care.
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