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4 Jun 2007 : Column 287W—continued


4 Jun 2007 : Column 288W

Depression: Diamorphine

Mr. Lansley: To ask the Secretary of State for Health what the net ingredient cost of (a) anti-depressants and (b) diamorphine dispensed in the community was in each year since 1997. [137319]

Caroline Flint: The net ingredient cost (NIC) for anti-depressants and diamorphine hydrochloride dispensed in the community, in England, from 1997 to 2006, is in the following table:

NIC ( £000 )
Diamorphine hydrochloride Anti-depressants

1997

3,748

239,121

1998

3,808

279,004

1999

3,693

315,269

2000

3,553

310,378

2001

3,287

341,661

2002

3,312

380,883

2003

3,686

395,178

2004

3,974

400,682

2005

1,803

338,547

2006

3,532

291,511


For diamorphine, the British National Formulary (BNF) chemical name of ‘diamorphine hydrochloride’ is used. For anti-depressants, the figures cover all dispensing in the BNF section 4.3.

The use of diamorphine hydrochloride in 2005 was affected by supply problems. Costs of anti-depressants and diamorphine hydrochloride in 2005 and 2006 were affected by the new PPRS agreement (February 2005) and new arrangements for generic prices introduced in April 2005.

Doctors: Contracts

Mr. Hoban: To ask the Secretary of State for Health on what date her Department gained Treasury approval for (a) the new GP contract introduced in 2004 and (b) the new consultant contract introduced in 2003. [137068]

Ms Rosie Winterton: New contracts for doctors formed part of the discussions between the Department and HM Treasury on the SR02 spending review, which concluded in July 2002.

Doctors: Training

Dr. Murrison: To ask the Secretary of State for Health how many non-EEA doctors have obtained training posts in the first round of application through the Medical Training Application Service. [128714]

Ms Rosie Winterton: As the process is ongoing, it is not yet possible to provide a breakdown of numbers as requested.

Ms Abbott: To ask the Secretary of State for Health what steps she is taking to encourage junior doctors who do not get a run-through training post to remain in the UK. [137210]


4 Jun 2007 : Column 289W

Ms Rosie Winterton: The Review Group is exploring the possibilities for creating further training opportunities where these can support local workforce requirements. For junior doctors who do not get a run-through training post there are a number of options, including, as in the past, non-training service posts, fixed term specialist training appointments and any other training posts that will continue to become available over the year. The Review Group is also exploring ways to support any doctors who do not secure training and to maximize the employment opportunities for them in the United Kingdom.

Ms Abbott: To ask the Secretary of State for Health whether the Medical Training Application Service system will be audited and reviewed before doctors are allocated their jobs; and if she will make a statement. [137211]

Ms Rosie Winterton: A full security review of the system has now been completed by information technology security testing specialists, MWR Infosecurity. Action has been taken to further strengthen the security arrangements and MWR now consider the Medical Training Application System site to be robust and above average for security. Both MWR and CESG (Communications Electronic Security Group), the national technical authority for information assurance, have confirmed that appropriate and sufficiently comprehensive action has been taken. The site was therefore re-opened on 4 May, restricted to postgraduate deaneries only, to support the next steps in the recruitment process. Given the continuing concerns about MTAS, the computer system will now not be used for matching candidates to training posts, but will continue to be used for national monitoring.

Drugs: Greater London

Sarah Teather: To ask the Secretary of State for Health how many people were referred to NHS services as a result of drug addiction in each London health trust area in each of the last 10 years. [138496]

Caroline Flint: The information is not held in the format requested. However, the following table shows the number of referrals made by drug action teams in London from 2004.


4 Jun 2007 : Column 290W
Number of referrals
Drug action team (DAT) 2004-05 2005-06 2006-07

Barking and Dagenham

404

500

734

Havering

341

295

538

Camden

1,079

1,043

1,989

Islington

949

921

1,789

City of London

15

21

40

Hackney

694

446

1,675

Lambeth

938

1,248

1,990

Lewisham

655

791

1,216

Southwark

971

1,145

1,997

Redbridge

452

489

728

Waltham Forest

443

589

998

Barnet

397

499

847

Bexley

241

223

400

Brent

453

476

1,164

Bromley

377

382

845

Croydon

640

635

1,232

Ealing

872

938

1,545

Enfield

390

411

811

Greenwich

576

610

1,001

Hammersmith and Fulham

756

900

1,897

Haringey

722

726

1,348

Kensington and Chelsea

643

472

1,356

Kingston upon Thames

300

299

502

Merton

559

482

782

Newham

662

652

1,412

Richmond upon Thames

495

384

765

Sutton

403

483

832

Tower Hamlets

827

920

1,716

Wandsworth

578

657

1,327

Westminster

819

889

1,938

Harrow

426

423

789

Hillingdon

384

397

692

Hounslow

610

748

1,117

Total

19,071

20,094

38,012


Sarah Teather: To ask the Secretary of State for Health what estimate she has made of the total cost of treating (a) drug, (b) alcohol and (c) smoking related illnesses in each London primary care trust in each of the last five years. [138498]

Caroline Flint: The information requested is not held centrally. However, the following table shows the cost of drug related illnesses broken down by Drug Action Teams in London, with allocations for 2007-08 to be finalised in June.

Nationally, the national health service spends between £1.4 billion and £1.7 billion on alcohol related illnesses, and £1.4 billion and £1.7 billion on smoking related illnesses.


4 Jun 2007 : Column 291W
PTB for
Drug action team 2002-03 2003-04 2004-05 2005-06 2006-07

Barking and Dagenham

111

1,019

1,149

1,430

1,849

Barnet

955

1,205

1,309

1,576

2,030

Bexley

600

759

827

997

1,287

Brent

1,417

1,909

2,201

2,795

3,605

Bromley

716

901

978

1,175

1,510

Camden

2,017

2,466

2,599

3,033

3,914

City of London

14

23

31

44

58

Croydon

1,212

1,565

1,738

2,135

2,753

Ealing

1,794

2,135

2,188

2,480

3,195

Enfield

1,093

1,458

1,669

2,104

2,704

Greenwich

1,449

1,867

2,070

2,538

3,261

Hackney

2,112

2,749

3,077

3,806

4,920

Hammersmith and Fulham

1,340

1,616

1,679

1,931

2,500

Haringey

1,547

2,096

2,430

3,099

3,988

Harrow

542

689

754

914

1,185

Havering

566

711

770

924

1,192

Hillingdon

888

1,038

1,043

1,157

1,494

Hounslow

861

1,041

1,084

1,250

1,612

Islington

2,451

2,950

3,059

3,511

4,507

Kensington and Chelsea

1,817

1,999

1,999

2,099

2,699

Kingston upon Thames

658

725

725

761

977

Lambeth

2,439

3,266

3,748

4,739

6,083

Lewisham

2,023

2,586

2,847

3,468

4,469

Merton

804

949

964

1,081

1,389

Newham

2,164

2,984

3,509

4,529

5,801

Redbridge

678

929

1,087

1,398

1,798

Richmond upon Thames

687

756

756

793

1,021

Southwark

2,274

3,052

3,510

4,446

5,739

Sutton

568

662

664

733

940

Tower Hamlets

1,988

2,731

3,202

4,124

5,272

Waltham Forest

958

1,357

1,630

2,141

2,733

Wandsworth

1,663

2,000

2,073

2,378

3,063

Westminster

2,729

3,002

3,002

3,152

4,042

London total

43,801

55,195

60,371

72,741

93,590


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