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Department of Health
Department for Education and Skills
Department for Constitutional Affairs
Department for Work and Pensions
Office for National Statistics
British Medical Association
Nursing and Midwifery Council
Royal College of Obstetricians and Gynaecologists
Royal College of Nursing
Independent Advisory Group on Sexual Health and HIV
British Association for Counselling and Psychotherapy
Confidential Enquiry into maternal and Child Health
British Pregnancy Advisory Service
Family Planning Association
Marie Stopes International
Society for the Protection of the Unborn Child
University of Southampton
Information Services Division, NHS National Services Scotland
Caroline Flint: The annual 2006 abortion statistics will be published by the Department in June 2007. Provisional abortion data for January to September 2006 are available in the Office for National Statistics publication Health Statistics Quarterly 33, copies of which are available in the Library.
Mr. Amess: To ask the Secretary of State for Health what discussions her Department has had with West Midlands Perinatal Institute on its recent study of the abortion of foetuses on grounds of disability; and if she will make a statement. 
We are aware that some babies are born showing signs of life following an abortion for foetal abnormality. The management of these cases rests with the clinical team involved, taking into account all the relevant factors and circumstances. The British Medical Association, the Royal College of Obstetricians and Gynaecologists (RCOG) and the British Association of Perinatal Medicine have issued guidance to clinicians on this sensitive issue.
While there continues to be medical advances in caring for premature babies, it is very rare for babies born at 22 weeks gestation or under to survive. The RCOG recommends that for all terminations at gestational age of more than 21 weeks and six days, the method chosen should ensure that the foetus is born dead.
The guidance goes on to say that where the patient chooses not to have feticide in the presence of a lethal abnormality, discussion must take place within the appropriate team, and the patients wishes and agreement sought on the management of the foetus after birth.
Norman Lamb: To ask the Secretary of State for Health what guidance her Department issues to primary care trusts and strategic health authorities on the (a) minimum and (b) maximum catchment population for each accident and emergency department when planning the reconfiguration of services. 
Mr. Lansley: To ask the Secretary of State for Health what recent estimate she has made of the proportion of (a) men and (b) women who drink more than the recommended weekly amounts of alcohol; and what assessment she has made of trends in alcohol consumption since 1992. 
The table show average weekly alcohol consumption between 1992 and 2005. During the 1990s and up to
2001, the data show an increase in average weekly consumption; the figure for 2005 shows a reduction.
It is important to note that as a result of an inter-departmental review (Sensible Drinking; Department of Health 1995) Government advice on sensible drinking was changed from a weekly to a daily benchmark. This was to recognise the dangers of excessive drinking in a single session. Data on maximum daily amount drunk last week have only been collected by the General Household Survey from 1998 onwards and therefore trend information back to 1992 is not available on that measure.
|Persons aged 16 and over, average weekly alcohol consumption by units|
|1992||1994||1996||1998||1998||2000||2001||2002||2005||Weighted base 2005 (000s) = 100 per cent.||Unweighted sample 2005|
In 2000, the decision was made to weight the data to compensate for under-representation of people in some groups. This table shows weighted and unweighted data for 1998 to give an indication of the effect of weighting. Caution should be exercised when comparing weighted and unweighted data.
General Household Survey 2005, Smoking and Drinking Among Adults; Office for National Statistics
Caroline Flint: The Licensing Act 2003 came into force on 24 November 2005 and introduced a number of measures including removing the fixed closing hours which contributed to large concentrations of customers, provoking disorder and nuisance. Evaluation of the Act formed part of the Governments Alcohol Harm Reduction Strategy, which is currently being reviewed. We will be publishing a renewed strategy shortly.
Daniel Kawczynski: To ask the Secretary of State for Health by what mechanism and to what extent public opinion has been taken into account in the review of ambulance control rooms by the West Midlands Ambulance Service NHS Trust. 
Andy Burnham: Section 242 of the National Health Service Act 2006 requires NHS organisations, including ambulance trusts, to involve and consult patients and the public in the planning of services, in developments of proposals for changes in services, and in decisions affecting the operation of services. In addition, the Department issued policy and practice guidance to the NHS in respect of this matter in 2003 and we would expect this to be adhered to.
It is for the NHS locally to determine whether or not a particular issue constitutes a service change. NHS West Midlands reports that the West Midlands Ambulance Service NHS Trust has decided to undertake a public consultation in relation to its review of control rooms. However, the details of this consultation have yet to be determined.
Caroline Flint: Data held by the Department only readily identify antibiotic prescription items dispensed in the community, more than one of which could constitute a course of treatment. A full 30 years of community prescribing data are not available, only from 1980 onwards:
|Prescription items dispensed in the community in England|
Data from 1980 to 1990 are only partial and not consistent with data from 1991 onwards. Figures up to 1990 are based on fees and a sample of one in 200 prescriptions dispensed by community pharmacists and appliance contractors. Figures for 1991 onwards are based on items and cover all prescriptions dispensed by community pharmacists, appliance contractors dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered.
Martin Horwood: To ask the Secretary of State for Health pursuant to the answer of 20 April 2007, Official Report, column 805W, on avian influenza, what information her Department holds on the percentage fatality rates for the pandemic influenza outbreaks of (a) 1918-19 (H1N1), (b) 1957 (N2N2) and (c) 1968 (H3N2). 
Ms Rosie Winterton [holding answer 10 May 2007]: Contemporary Ministry of Health estimates of deaths were as detailed in the table. These should be taken as indicative only. In particular, it is difficult to establish case fatality rates with certainty as many cases of influenza would not have been recorded.
|Deaths (England and Wales)||Mortality rate (rounded) ( percentage )||Case fatality rate (rounded estimate) ( percentage )|
(2) how much her Department spent on the Lister Institute's (a) Chelsea and (b) Elstree laboratories in (i) 1980, (ii) 1981, (iii) 1982, (iv) 1983 and (v) 1984; and if she will make a statement; 
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