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Ms Rosie Winterton:
Primary angioplasty is carried out in a catheter laboratory by a team of professionals including a cardiologist with training in angioplasty techniques, cardiac nurse and scientific and technical
staff. It does not take place in an accident and emergency department although some hospitals have a catheter laboratory, which is situated close to the emergency department.
There are currently about 30 centres able to offer primary angioplasty, and 50 per cent. of these offer a 24 hour a day, seven day a week service. A small number of centres are in hospitals without an emergency department.
British Cardiovascular Intervention Society audit of angioplasty as at September 2006.
Lorely Burt: To ask the Secretary of State for Health what steps her Department is taking to prevent incidents of violence against staff in (a) Birmingham Heartlands and Solihull hospitals and (b) hospitals nationwide. 
Ms Rosie Winterton: The NHS Security Management Service (NHS SMS) was created in April 2003, with both policy and operational responsibility for security management within the national health service. A comprehensive strategy has been implemented detailing the preventative pro-active and reactive action that is to be taken both nationally and locally to tackle this problem.
A network of local security management specialists (LSMS) supported nationally by the NHS SMS guidance, has been introduced, as well as mandatory conflict resolution training for all front line NHS staff, with over 250,000 staff trained by March 2006.
A national physical assault reporting system (PARS) has been developed to monitor and respond to incidents of assault against NHS staff. Using a clear definition as to what constitutes a physical assault, figures for the number of reported assaults against NHS staff 2005-06, released on 1 November 2006, indicate there were 1,690 fewer than 2004-05.
New measures to tackle nuisance and disturbance behaviour on NHS premises have also been proposed and consulted upon. As well as reducing the impact of this behaviour on the delivery of healthcare, the proposed legislation will give health bodies the power to remove an individual displaying this behaviour before an incident may escalate into violence.
Peter Bottomley: To ask the Secretary of State for Health whether she has issued guidance to primary care trusts on how to estimate the carbon impact of changes in travel patterns arising from proposals for hospital reconfiguration. 
Any proposals for the reconfiguration of services are a matter for the national health service locally. We would expect the local NHS to take into account a wide variety of issues when putting forward such proposals. There is a well
established and well understood process for managing consultations on proposed changes so that patients, the public and other stakeholders can help to inform the local debate.
Lynne Jones: To ask the Secretary of State for Health pursuant to the answer of 1 March 2007, Official Report, column 1552W, on influenza, what the (a) site and (b) content is of the stockpile of antiviral drugs held by (i) the Government and (ii) the World Health Organisation. 
Ms Rosie Winterton: The United Kingdom Governments stockpile is composed of Oseltamivir. The stock for England is stored in a single location in England and the details of the location have not been made public for security reasons. The stock for each devolved administration has already been distributed to each country.
Lynne Jones: To ask the Secretary of State for Health pursuant to the answer of 1 March 2007, Official Report, columns 1552-53W, on influenza, if she will take steps to ensure that the preparedness of countries where humans have died from infection with avian influenza is brought up to at least the level that exists in the UK. 
Ms Rosie Winterton: International collaboration offers the best opportunity to improve preparedness internationally. The United Kingdom (UK) will continue to work closely with the World Health Organisation (WHO), the European Community and other bilateral and multi-national groups in this regard. In particular at the European Community, World Bank and People's Republic of China pledging conference on avian and pandemic influenza in Beijing in January 2006, the UK pledged $35 million (£20 million), with the aim of improving international preparedness and response.
Mr. Ivan Lewis: Estimates of expenditure on childbirth and maternity care are available from the programme budgeting returns. In the 2005-06 financial year expenditure on maternity and reproductive health was estimated at £2.9 billion, with a further £0.8 billion spent on treating neonatal conditions.
Simon Hughes: To ask the Secretary of State for Health whether her Department has carried out a race equality impact assessment of the decision to close the Maudsley Hospital 24 hour emergency clinic; and if she will make a statement. 
Andy Burnham [holding answer 19 March 2007]: The Department did not carry out a race equality impact assessment of the Secretary of State's decision to support national health service proposals to reconfigure mental health crisis services in Southwark and Lambeth, which included the closure of the emergency clinic (EC) at the Maudsley hospital.
A race equality impact assessment of the proposed closure of the EC was carried out at local level by the South London and Maudsley NHS trust in the autumn of 2006. In summary, the assessment did not demonstrate that closure of the EC would have an adverse impact upon service users from black and minority ethnic communities.
Lynne Jones: To ask the Secretary of State for Health what proportion of (a) oral questions and (b) written questions to her in the last session of Parliament were about mental health issues. 
Ms Rosie Winterton: Information is not collected centrally about the characteristics or circumstances of persons issued with antisocial behaviour orders, so it is not known how many were issued to people with mental health problems.
However, the 2006 Home Office guidance, Bigger, Better, Bolder, includes information on vulnerable people who commit antisocial behaviour. This makes it clear that, where there is evidence to suggest that a perpetrator of antisocial behaviour has a disability, learning disability, mental health problem, or is vulnerable in any other way then a practitioner with specialist knowledge should be involved in an assessment of the cause of the behaviour and how it can be addressed. The guidance calls for specialist involvement in the design of any intervention so this can be properly tailored to the needs of individuate and their carers.
Mr. Burns: To ask the Secretary of State for Health how many job losses are expected through (a) compulsory redundancies and (b) not filling vacancies at the Mid-Essex Hospital Trust in the period 2006 to 2008; and how many of these job losses will be (i) nurses, (ii) doctors and (iii) consultants. 
Mr. Baron: To ask the Secretary of State for Health what the status is of her Department's six-point plan for the recruitment and retention of NHS midwives; what the total expenditure on the plan has been to date; what assessment she has made of the effectiveness of the plan; and what future activity is planned. 
Bedfordshire and Hertfordshire Workforce Development Confederation were responsible for the implementation of the plan, as part of the National Midwifery Recruitment, Retention and Return Project, which they led between 2003 and November 2007. They were given £200,000 to support the delivery of the project.
Mr. Ivan Lewis: Decisions about the size of community midwives case loads are made locally. It is for primary care trusts (PCTs) in partnership with local stakeholders to commission services in order to meet the specific needs of the local community.
The maternity standard of the national service framework for children, young people and maternity services requires national health service maternity care providers and PCTs to ensure that there is a range of ante-natal, birth and post-birth care services available locally.
Mr. Baron: To ask the Secretary of State for Health how many consultant midwives there are in the NHS in England, broken down by region; and whether her Department has a target for the number of NHS consultant midwives. 
|NHS consultant midwives by SHA area as at 30 September 2005|
The Information Centre for health and social care non-medical workforce census
Mr. Ivan Lewis: The joint chief executives of the National Patient Safety Agency (NPSA) began a period of extended leave on 7 July 2006 and an interim chief executive was appointed on 31 July 2006. The agency has continued to deliver the work programme for 2006-07 that it agreed with the Department.
by 2004 the share of NHS spend on management costs will be cut so that a higher share of every pound spent goes into frontline patient care.
As a percentage of the overall national health service budget management costs have fallen from 3.9 per cent. in 2002-03 to 3.7 per cent. in 2004-05, continuing the downward trend from 5 per cent. in 1997-98.
In addition, the £250 million that will be released as a result of the recent re-organisation of the NHS will be returned directly into frontline services. Managers however will remain a key part of the NHS workforce in supporting clinical care and delivering improvements in waiting times and the accessibility of services.
The programme includes work done by national health service organisations in South Yorkshire, where most trusts were early implementers of payment by results, as well as specific research projects undertaken by the Centre For Health Economics at York university. We have also commissioned an independent evaluation of the implementation of payment by results from the Health Economics Research Unit at the university of Aberdeen, supported by the university of Dundee and the Office of Health Economics in London. This project began in December 2004 and is due to be completed this summer.
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