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Annette Brooke: To ask the Secretary of State for Health what steps the Government are taking to reduce the number of young people waiting over 26 weeks to see child and adolescent mental health services staff. 
Mr. Ivan Lewis: In the three years to 31 March 2006 the Department invested over £300 million to improve and expand child and adolescent mental health services (CAMHS). The number of specialist CAMHS staff increased by 35 per cent. between 2002 and 2005. We have also established the National CAMHS Support Service to provide commissioners and providers of CAMHS with expert advice on best practice.
The number of children and adolescents waiting to be seen for over 26 weeks by specialist non-residential CAMHS teams fell from 6,100 in 2004 to 4,000 in 2005, the latest year for which figures are available.
Andrew Mackinlay: To ask the Secretary of State for Health (1) on what basis the unit costs set out in table 1, page 11 of the report of the Public Consultation Review of Mental Health Employment Services across South Essex submitted to the South West Essex Primary Care Trust were calculated; and if she will make a statement; 
(2) what the basis was for the conclusion of the report of the Public Consultation Review of Mental Health Employment Services across South Essex submitted to the South West Essex Primary Care Trust that the employment services, with the exception of the SEPT vocational unit, were not achieving satisfactory outcomes in relation to the service level agreement with the three Rethink employment services in South Essex; and if she will make a statement. 
Andrew Mackinlay: To ask the Secretary of State for Health on what occasions Mark Tebbs, the Mental Health Commissioner for South West Essex Primary Care Trust, visited the service trainees at Rethink Pet Supplies in Basildon prior to the publication of his report; and if she will make a statement. 
Ms Rosie Winterton [holding answer 16 April 2007]: The NHS East of England Strategic Health Authority reports that the South West Essex Primary Care Trust (PCT) has apologised to Rethink Pet Supplies for not visiting them before the initial review stage began. However, the PCT has since visited the company on 22 March to discuss the complaints of service users.
Mr. Laurence Robertson: To ask the Secretary of State for Health what assessment she has made of the availability of personal indemnity insurance for independent midwives; and if she will make a statement. 
Ms Rosie Winterton [holding answer 16 April 2007]: Professional indemnity insurance is currently not available for independent midwives. We understand that this is because they practise in a specialty associated with the highest level of awards arising from litigation. We have been working with the Independent Midwives Association and other independent midwives since 2004 to provide some solutions and suggested alternatives. This process is continuing.
Bob Russell: To ask the Secretary of State for Health if she will list the occasions since she has held her present office when she has used (a) rail services, (b) the London Underground, (c) tram or light railway services and (d) buses in connection with her ministerial duties. 
Mr. Ivan Lewis: The Secretary of State regularly uses rail services in connection with her ministerial duties. Since taking up her post as the Secretary of State for Health, she has used rail services to travel to the following locations in her ministerial capacity.
24 MarchWolverhampton and Manchester
3 AprilManchester and Stoke
11 JulyMilton Keynes
Norman Baker: To ask the Secretary of State for Health pursuant to the answer of 5 March 2007, Official Report, column 1692W, on NHS: drugs, whether the permissibility of accepting hospitality at meetings under the rules includes transport to such meetings (a) in the UK and (b) overseas. 
Ms Rosie Winterton [holding answer 12 March 2007]: Under the Medicines (Advertising) Regulations 1994, hospitality provided to health professionals by the pharmaceutical industry at scientific or promotional meetings may include the payment of travelling or accommodation expenses. This must be strictly limited to the main purpose of the meeting or event.
The self-regulatory Association of the British Pharmaceutical Industry code of practice for the pharmaceutical industry provides further guidance on the appropriate level of hospitality to be offered. This includes a restriction to economy air travel for delegates sponsored to attend meetings.
Tim Farron: To ask the Secretary of State for Health what the savings to (a) the University hospitals of Morecambe Bay trust and (b) the Cumbria primary care trust in the financial year 2007-08 will be as a result of the announcement that trusts in deficit will not be fined in addition to being required to pay back the deficit. 
Ms Rosie Winterton:
The income deduction of £6,357,000 applied to the University hospitals of Morecambe Bay in 2006-07 as a result of overspending in 2005-06 will be reversed. At quarter three the trust
was forecasting a deficit of £6,357,000; the reversal of the income deduction means the revised forecast is for breakeven.
The changes to the resource accounting and budgeting regime apply to NHS trusts only. This is in line with the recommendations in the Audit Commission Review of the NHS Financial Management and Accounting Regime published in July 2006.
Mr. Drew: To ask the Secretary of State for Health what the average pay awarded to (a) GPs, (b) consultants and (c) nurses was in each of the last 10 years; and what the percentage increase was over the previous year in each case in each year. 
|Table one: Average GP net income (national health service only), Great Britain - intended average net remuneration/income|
|Amount (£)||Percentage increase over previous year|
|Table two: Estimated average GP net income (NHS only), Great Britain|
|Table three: Estimated average GP net income (all sources), United Kingdom|
The concept of intended average net remuneration (IANR) disappeared with the introduction of the new general medical services contract in 2003-04. Figures for future years, including the 2003-04 and 2004-05 estimates, are not comparable with IANR figures so no percentage increases for those years are shown. Since 2004-05 information on GP income is derived from the HM Revenue and Customs tax self-assessment database which relates to income from all sources, NHS and private. Information for 2005-06 will not be available until late 2007.
|Table four: Shows information for consultants and nurses.|
|Average pay for consultants (£)||Percentage increase for consultants (average earnings per fte)||Average pay for nurses (£)||Percentage increase for nurses (average earnings per fte)|
| Notes: Figures for 2006-07 and 2007-08 are estimated projections and are subject to change.|
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