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21 Mar 2007 : Column 1006W—continued

Herbal Medicine: Regulation

Mr. Stephen O'Brien: To ask the Secretary of State for Health what (a) discussions she has had with and (b) representations she has received from (i) the Medicines and Healthcare Products Regulatory Agency and (ii) other relevant public bodies on her plans for the future regulation of herbal practitioners. [125369]

Caroline Flint: The Medicines and Healthcare Products Regulatory Agency (MHRA) is an executive agency of the Department. Ministers have had ongoing discussions with them, as with any other part of the Department.

We have received advice from the independent Herbal Medicines Advisory Committee recommending that statutory regulation of the herbal medicine profession be progressed in order to permit effective reform of the arrangements under s12(l) of the Medicines Act 1968 whereby practitioners prepare unlicensed herbal remedies for use in meeting the needs of individual patients.

We have established a working group chaired by Professor Mike Pittilo to look at the practicalities of regulation of acupuncturists, herbal medicine practitioners and traditional Chinese medicine practitioners. We are awaiting the working group's report and in the light of that we will consider next steps for the way forward.

Heroin

Mr. Hoyle: To ask the Secretary of State for Health what assessment she has made of the potential effect on the health of long-term heroin users of prescription of heroin on the NHS. [126625]

Caroline Flint: In consultation with the Department and other experts in the field, the National Treatment Agency for substance misuse (NTA) published ‘Injectable heroin (and injectable methadone),
21 Mar 2007 : Column 1007W
Potential roles in drug treatment’ (May 2003), which provides guidance for drug treatment practitioners on injectable heroin in local drug treatment systems.

Substitute prescribing using methadone and buprenorphine is recognised as the recommended treatment for the majority of individuals requiring opiate substitution treatment. For a small number of heroin users who do not respond to other types of substitute prescribing, it is appropriate, when clinically assessed to be the case, to prescribe heroin. Doctors who prescribe heroin to drug misusers require a Home Office licence.

The Home Office is currently funding pilot trials relating to the prescribing of heroin for drug misusers. Full analysis and evaluation of these trials is due to be completed in 2008.

Homeopathy

Derek Conway: To ask the Secretary of State for Health (1) what estimates she has made of the effect on costs to the NHS in 2005-06 of the referral of patients to NHS homeopathic facilities; [125808]

(2) which London primary care trusts fund GP referrals to NHS homeopathic facilities. [125809]

Caroline Flint: Provision of complementary and alternative therapies on the national health service are a matter for primary care trusts and local NHS service providers. The Government considers that decision making on individual clinical interventions, whether these are conventional, complementary or alternative, are for local determination. The cost-effectiveness, efficacy, safety and availability of suitably qualified practitioners are all factors that have to be considered when these decisions are being made.

Richard Ottaway: To ask the Secretary of State for Health what recent guidance she has issued to primary care trusts on provision of the option of access to homeopathy care and treatment in the NHS; and what research she has (a) commissioned and (b) evaluated into the use of homeopathic treatment to control rheumatoid arthritis. [127229]

Caroline Flint: The Government consider that decision-making on individual clinical interventions, whether conventional or complementary/alternative
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treatments, have to be a matter for local national health service providers and practitioners as they are best placed to know their community's needs. In making such decisions, they have to take into account evidence for the safety, clinical and cost-effectiveness of any treatments, the availability of suitably qualified practitioners, and the needs of the individual patient. Clinical responsibility rests with the NHS professional who makes the decision to refer and who must therefore be able to justify any treatment they recommend. If they are unconvinced about the suitability of a particular treatment, they cannot be made to refer.

To support policy and the delivery of effective practice in the NHS, research is commissioned through a number of national programmes that are open to everyone and priorities are set through widespread consultation.

Hospital Beds: Greater London

Lynne Featherstone: To ask the Secretary of State for Health how many respite beds are available in each London borough; and what the (a) average and (b) maximum waiting period is for respite beds in each London borough. [125857]

Caroline Flint: The information requested is not held centrally.

Hospitals: Admissions

Mrs. May: To ask the Secretary of State for Health how many patients were admitted to NHS hospitals for (a) drug-related and (b) alcohol-related illnesses and injuries in each strategic health authority area in each year between 2002 and 2006. [126075]

Caroline Flint: It is not possible to identify the exact number of patients admitted to national health service hospitals for alcohol and drug related illnesses. Illnesses can be caused by or can be affected by drug and/or alcohol misuse but we are not able to indicate this with all cases. Drug and alcohol misuse related illnesses are not defined within one specific hospital diagnosis code.

National data from codes of primary diagnosis, which indicate the reason for a patient’s admission to hospital is either drug or alcohol related are in the following tables.


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21 Mar 2007 : Column 1010W
Count of finished admission episodes where the primary diagnosis was alcohol related*, by strategic health authority of treatment, 2001-02 to 2005-06 NHS Hospitals, England
Finished admission episodes
SHA Code SHA Description 2001-02 2002-03 2003-04 2004-05 2005-06

Q01

Norfolk, Suffolk and Cambridgeshire

1,447

1,500

1,775

2,041

2,155

Q02

Bedfordshire and Hertfordshire

725

697

764

810

74

Q03

Essex

739

776

873

1,078

1,151

Q04

North West London

1,293

1,291

1,582

1,689

2,078

Q05

North Central London

837

1,069

1,061

1,378

1,556

Q06

North East London

1,090

1,122

1,334

1,471

1,586

Q07

South East London

1,445

1,80

2,104

2,690

2.986

Q08

South West London

867

922

1,112

1,296

1329

Q09

Northumberland, Tyne and Wear

1,623

1,774

1,743

2,001

2,106

Q10

County Durham and Tees Valley

845

1,087

1,459

1,510

1,441

Q11

North and East Yorkshire and Northern Lincolnshire

1,381

1,183

1,351

1,320

1,397

Q12

West Yorkshire

1,829

1,800

1,869

1,730

2,061

Q13

Cumbria and Lancashire

1,474

2,163

2,112

2,339

2,360

Q14

Greater Manchester

2,090

2,562

2,949

3,626

4,289

Q15

Cheshire and Merseyside

4,021

4,117

4,472

4,564

5,068

Q16

Thames Valley

1,116

1,107

1,206

1,416

1,431

Q17

Hampshire and Isle of Wight

925

1,432

1,470

1,664

1,733

Q18

Kent and Medway

701

889

939

1,178

1,245

Q19

Surrey and Sussex

1,004

1,950

1,669

2,248

2,183

Q20

Avon, Gloucestershire and Wiltshire

846

1,284

1,607

1,822

1,950

Q21

South West Peninsula

1,303

1,392

1,585

1,597

1,607

Q22

Dorset and Somerset

813

750

773

871

1,076

Q23

South Yorkshire

1,061

1,213

1,391

1,566

1,502

024

Trent

1,783

1,888

2,079

2,302

2,414

Q25

Leicestershire, Northamptonshire and Rutland

681

883

1,106

1,118

1,551

Q26

Shropshire and Staffordshire

938

1,237

1,445

f,511

1351

Q27

Birmingham and the Black Country

2,002

2,363

2,566

2,779

2,965

Q28

Coventry, Warwickshire, Herefordshire and Worcestershire

882

1,322

1,295

1,566

1,533

Y

Not known

4,968

Total

40,729

41,610

45,811

51,203

55,353


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