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24 May 2007 : Column 1497W—continued


Mr. Lansley: To ask the Secretary of State for Health what assumptions were made about the number of live births in each year until 2009 in order to inform her Department’s document “Maternity Matters”, gateway reference 7586 of 3 April 2007. [137394]

Mr. Ivan Lewis: Population predictions, including predictions of birth rates and trends, are developed by the Government Actuarial Department. We have used these forecasts as the basis for future trends in live births.

“Maternity Matters” is a comprehensive programme for improving choice, access and continuity of care in maternity services. It sets out a strategy that will put women and their partners at the centre of their local maternity service provision. It highlights how commissioners, providers, maternity professionals and user representatives will be able to use the health reform agenda to shape provision to meet the needs of women and their families.

In implementing the recommendations of “Maternity Matters” local managers will need to take into account a range of issues. These include how their services are organised within a maternity network, the provision of safe, responsive care for women with complex and straightforward pregnancies at all times, and arrangements for transfers across the network that take into account emergencies and geographical factors.

Norman Lamb: To ask the Secretary of State for Health how many births there were in each hospital consultant-led maternity unit in (a) 2005 and in (b) 2006. [138708]

Mr. Ivan Lewis [holding answer 22 May 2007]: Information is not collected centrally in the form requested. “NHS Maternity Statistics, England: 2004-5”, the last year for which we have figures, shows there were 584,100 hospital births and 13,700 home births. This equates to 97.7 per cent. hospital and 2.3 per cent. home births. Of the hospital births, 54 per cent. were in consultant wards, 40 per cent. were in joint consultant/midwife/general practitioner (GP) wards, 4 per cent. in midwife-led wards and 1 per cent. in GP wards. We are not able to break down these figures by national health service trust.

Chronic Fatigue Syndrome

Mr. Hancock: To ask the Secretary of Health, (1) what action her Department is taking to reduce the length of time taken to diagnose chronic fatigue syndrome/myalgic encephalomyelitis; [138399]

(2) what her strategy is to ensure that local service providers meet local need for myalgic encephalomyelitis/chronic fatigue syndrome services. [138400]


24 May 2007 : Column 1498W

Mr. Ivan Lewis: In 2004 the Department formally requested the National Institute for Clinical Excellence (NICE) to produce clinical guidelines on the diagnosis and management of chronic fatigue/myalgic encephalomyelitis (CFS/ME). NICE expects to publish this guidance in August 2007.

Local national health service organisations have the responsibility to demonstrate that they are making progress towards achieving the level of service quality described in the National Service Framework for Long-term Conditions (the NSF). Since publication of the NSF, the Department has co-ordinated a range of activity to help local health and social care organisations take forward implementation of the NSF. This includes:

Cochlear Implants: Waiting Lists

Sandra Gidley: To ask the Secretary of State for Health (1) how many (a) children and (b) adults have been waiting more than (i) three months, (ii) six months and (iii) one year for a cochlear implant operation; [138259]

(2) how many cochlear implant operations have been performed on (a) children and (b) adults in each NHS trust since 2002-03. [138260]

Mrs. Moon: To ask the Secretary of State for Health how many cochlear implants were carried out in each year between 2000 and 2006 in each health trust. [138254]

Mr. Ivan Lewis: Information on the number of children and adults waiting for a cochlear implant operation is not held centrally.

Information on how many cochlear implant operations have been performed on children and adults in each national health service trust since 2002-06 has been placed in the Library.

Colorectal Cancer: Bevacizumab

Mr. MacDougall: To ask the Secretary of State for Health when she expects Bevacizumab to become routinely available on the NHS for the treatment of bowel cancer. [138598]

Ms Rosie Winterton [holding answer 22 May 2007]: On 24 January 2007, the National Institute for Health and Clinical Excellence (NICE) issued guidance to the national health service on the use of Bevacizumab for the treatment of metastatic colorectal cancer.

NICE’s guidance did not recommend Bevacizumab as a treatment option for metastatic colorectal (bowel) cancer. However, the guidance states that patients who were receiving Bevacizumab should have the option to
24 May 2007 : Column 1499W
continue to do so until they and their consultants decide that it is the right time to stop treatment.

It will be for individual primary care trusts to decide whether to fund Bevacizumab for the treatment of metastatic colorectal cancer in the light of NICE’s recommendations. It would be inappropriate for Ministers to intervene.

Dental Services

Mr. Lansley: To ask the Secretary of State for Health how many dentists operating under (a) general dental
24 May 2007 : Column 1500W
services contracts and (b) personal dental services agreements left the NHS in each year since 1997-98; and what percentage these figures represent of the number of dentists in the NHS (i) in total and (ii) in each strategic health authority area. [137275]

Ms Rosie Winterton: The latest information available is set out in the following tables. Information is not available broken down by general dental services and personal dental services and could be provided in that format only at disproportionate cost.


24 May 2007 : Column 1501W

24 May 2007 : Column 1502W
General dental services (GDS) and personal dental services (PDS): Number of complete leavers, and as a percentage of total dentists, in England by strategic health authority (SHA) area as at 31 March each year
1998 1999 2000 2001 2002
Complete leavers % of total dentists Complete leavers % of total dentists Complete leavers % of total dentists Complete leavers % of total dentists Complete leavers % of total dentists

England

915

5

956

5

1,033

6

1,208

7

1,191

6

Avon, Gloucestershire and Wiltshire

50

6

40

5

56

6

58

6

69

7

Bedfordshire and Hertfordshire

39

6

34

5

39

5

34

5

39

5

Birmingham and the Black Country

25

4

38

5

33

5

48

6

33

4

Cheshire and Merseyside

38

4

48

5

45

5

44

5

57

6

County Durham and Tees Valley

16

4

20

5

19

5

20

5

19

5

Cumbria and Lancashire

31

5

28

4

33

5

49

7

25

4

Dorset and Somerset

20

5

17

4

30

7

23

5

33

7

Essex

27

5

32

6

31

5

52

9

50

9

Greater Manchester

51

6

39

4

52

6

45

5

43

5

Hampshire and Isle of Wight

26

4

31

5

33

5

50

7

43

6

Kent and Medway

51

9

54

9

50

8

51

8

45

7

Leicestershire, Northamptonshire and Rutland

20

5

22

5

17

4

41

9

28

6

Norfolk, Suffolk and Cambridgeshire

43

6

38

5

49

6

50

6

37

5

North and East Yorkshire and Northern Lincolnshire

26

5

24

5

28

5

26

5

23

4

North Central London

44

7

59

9

43

6

56

8

70

10

North East London

30

5

41

7

31

5

38

6

43

7

North West London

38

4

60

6

72

6

86

8

77

7

Northumberland, Tyne and Wear

24

5

30

6

34

7

30

6

29

6

Shropshire and Staffordshire

22

5

17

4

13

3

18

4

25

5

South East London

41

7

47

7

40

6

53

8

60

9

South West London

39

6

44

7

45

7

63

9

46

7

South West Peninsula

33

6

37

6

42

7

40

6

56

8

South Yorkshire

12

3

15

3

11

2

25

5

25

5

Surrey and Sussex

63

6

58

5

63

5

78

6

74

6

Thames Valley

48

6

36

4

46

5

48

5

53

6

Trent

39

5

40

5

54

6

51

6

53

6

West Midlands South

17

3

25

5

23

4

35

6

35

6

West Yorkshire

24

3

31

4

34

5

31

4

38

5


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