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Andrew George: To ask the Secretary of State for Health pursuant to the oral answer to the hon. Member for Falmouth and Camborne (Julia Goldsworthy) of 24 April 2007, Official Report, column 777, on cost shunting, whether she has made an assessment of the merits of permitting primary care trusts and local authority social services departments (a) to amalgamate to form one organisation and (b) to amalgamate their budgets to operate strategically through a single budget. 
Mr. Ivan Lewis: The Department encourages close co-operation between local authorities and primary care trusts as this is in the best interests of the overall health and social care system and in improving the health and well-being of local communities. The approach taken to this co-operation is a matter for local decision, but there are powers to make joint appointments and for partnership arrangements, which include powers to create single pooled budgets, to be established as permitted under section 75 of the NHS Act 2006 and for an application to be made to the Secretary of State to establish a care trust as permitted under section 45 of the Health and Social Care Act 2001.
|Last minute cancelled operations for non-clinical reasons|
A last minute cancellation is one that occurs on the day the patient was due to arrive, after they have arrived in hospital, or on the day of their operation.
Department of Health dataset quarterly monitoring of cancelled operations (QMCO).
Helen Jones: To ask the Secretary of State for Health what discussions she has had with Warrington Primary Care Trust on its decision to stop funding treatment services at a GP practice in Birchwood; and if she will make a statement. 
Helen Jones: To ask the Secretary of State for Health (1) how many people who work but do not live in Birchwood have been treated by the GP practices there in the last 12 months; and what assessment has been made of the likely impact on accident and emergency services at Warrington Hospital if there was a reduction in the number and types of services available at those practices; 
(2) if she will ensure that an independent expert in primary care is appointed to review treatment room services provided in Birchwood during the six months of extended funding which has been offered by the primary care trust. 
Andy Burnham: The information requested is not collected centrally. Warrington primary care trust, working in conjunction with North Cheshire Hospitals NHS Trust, is responsible for assessing the impact of any proposed changes to service provision.
It is the responsibility of strategic health authorities and primary care trusts to commission, develop services in response to local needs, and to ensure that appropriate services are provided for the local population.
Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 5 February 2007, Official Report, column 723W, on healthcare-acquired infections, when she expects the Health Protection Agency to publish on its website the number of reported cases of (a) MRSA and (b) Clostridium difficile for the period April 2006 to March 2007; and if she will make a statement. 
Mr. Ivan Lewis: Data on methicillin-resistant Staphylococcus aureus bloodstream infections have been collected through the mandatory surveillance scheme since April 2001 and are published by financial year (April to March). The Health Protection Agency (HPA) plans to publish the data for the last financial year (April 2006 to March 2007) in late July 2007.
Data on Clostridium difficile associated disease have been collected through the mandatory surveillance scheme since January 2004 and are published by calendar year. Data for 2006 are due to be published in April 2007 and the HPA plans to publish the data for the first quarter of 2007 (January to March) in late July 2007.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 11 October 2006, Official Report, column 774W, on MRSA, what progress her Department has made on its internal desk analysis of hospital organisation specialty mix and MRSA; and when she plans to publish the report. 
Mr. Ivan Lewis: As part of its programme to reduce healthcare associated infections the Department is undertaking peer review of this internal desk analysis. It is planned to publish this later this year once the peer review is complete.
Mr. Ivan Lewis: The Rapid Review Panel has reviewed Steris vaporised hydrogen peroxide and awarded it a recommendation 2 stating that basic research and development has been completed and the product may have potential value; in use evaluations/trials are now needed in an national health service clinical setting.
The Department is currently funding a project to evaluate environmental cleaning for methicillin-resistant Staphylococcus aureus. As part of this Steris vaporised hydrogen peroxide equipment will be evaluated alongside wet disinfection in both a hospital side room and a controlled exposure chamber.
Mr. Ivan Lewis: Information is not collected centrally on the amount that has been spent on hospital hygiene in the last five years. However, as a measure of the importance that the Government attach to this matter, a capital fund of £50 million was launched in December 2006 to support local initiatives to improve hygiene standards.
Mr. Ivan Lewis: Making Leeds Better is a comprehensive plan for improving healthcare in the city. It is the ambition of the Leeds Teaching Hospitals Trust, the Leeds Primary Care Trust (PCT) and the national health service to centre childrens services on one new site in the city. This remains the case.
However, concerns have been raised about the affordability of this project. Leeds PCT is investigating how this might be resolved prior to public consultation and the next major milestone, the submission of the outline business case, which is still over 20 months away.
Dr. Kumar: To ask the Secretary of State for Health how many people in (a) England, (b) the North East and (c) the area corresponding as closely as possible to Middlesbrough South and East Cleveland were diagnosed with attention deficit hyperactivity disorder in each of the last seven years. 
In March 2006, the National Institute for Health and Clinical Excellence (NICE) published guidance on the use of drugs to treat ADHD. NICE has estimated that around 5 per cent. of school-aged children meet the diagnostic criteria for ADHD, equivalent to 366,000 children and adolescents in England and Wales, but not all these children will require medication.
The position concerning ADHD in adults is unclear. There have been a number of follow-up studies of those given the diagnosis as children, which indicate that a small proportion may continue with ADHD problems into adulthood.
Mr. Baron: To ask the Secretary of State for Health pursuant to the answer of 19 April 2007, Official Report, column 746W, on Members correspondence, when she will reply to the letter from the hon. Member for Billericay of 14 March on the proposed independent sector treatment centre for Basildon. 
Mr. Baron: To ask the Secretary of State for Health pursuant to the answer of 24 April 2007, Official Report, column 1045W, on Members correspondence, when she will reply to the letter from the hon. Member for Billericay of 8 March concerning Mr. OReilly. 
Mr. Brady: To ask the Secretary of State for Health how much was provided in unweighted allocated funds per head of population for mental health services in (a) Trafford and (b) Salford in the last 12 months. 
Ms Rosie Winterton: Separate allocations are not made for mental health services. It is for each primary care trust (PCT) to determine what proportion of the resources allocated to it are spent on commissioning mental health services and on the other health care needs of their local populations.
Mr. Brady: To ask the Secretary of State for Health what the average time was between referral and first appointment for primary care psychological services in (a) Trafford and (b) Salford in the last 12 months. 
Mr. Burns: To ask the Secretary of State for Health pursuant to the answer of 12 March 2007, Official Report, column 132W, on Mid-Essex Primary Care Trust, how many administrative staff there are in the Mid-Essex Primary Care Trust. 
|NHS hospital and community health services: administrative staff in the Mid-Essex primary care trust( 1) by level as at 30 September 2006|
|(1) Mid-Essex PCT was formed on 1 October 2006 from a complete merger of Chelmsford PCT, Maldon and South Chelmsford PCT and Waltham, Baintree and Halstead care trust. 2005 figures are an aggregate of these three predecessor organisations, provided for the purposes of comparison. Due to various complex issues, it is not possible to directly compare previous staffing levels with those of the newly formed PCTas not all local authority boundaries are co-terminus with those of PCT.|
The Information Centre for health and social care Non-Medical Workforce Census.
Mr. Hepburn: To ask the Secretary of State for Health (1) how many people received treatment for multiple sclerosis in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997; 
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