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Mr. Jamie Reed: To ask the Secretary of State for Health what statutory obligations cover the care provided to residents in care homes for the elderly; how her Department enforces these obligations; and what statutory requirements are placed upon primary care trusts with regard to care homes for the elderly. 
Mr. Ivan Lewis: The detailed regulation of the provision of care for older people in residential care homes is governed by the Care Standards Act 2000 and regulations made under it. The relevant statutory instruments which govern the regulation and inspection of care homes, as defined in that Act, are the National Care Standards Commission (Registration) Regulations 2001 (S.I. 2001/3969) and the Care Homes Regulations 2001 (S.I. 2001/3965). Primary care trusts may make arrangements for the placing of people in residential care homes which are regulated in this way but do not have specific statutory obligations themselves in relation to the regulation of such homes.
In England, the Commission for Social Care Inspection (CSCI), which is set up under the Health and Social Care (Community Health and Standards) Act 2003, regulates residential care homes through its powers of registration and inspection. Enforcement of the regulatory conditions is through criminal sanctions and mandatory inspection of homes by CSCI. In exercising its powers of inspection, CSCI must take into account the relevant national minimum standards issued under the 2000 Act, which apply across the country and are intended to ensure consistency in the quality of services. It is an offence for anyone who carries on or manages a care home, as defined in the 2000 Act, not to be registered.
Tony Baldry: To ask the Secretary of State for Health how many women gave birth at (a) Horton General Hospital and (b) Warwick General Hospital in (i) 2005-06, (ii) 2004-05 and (iii) 2003-04; and how many expectant mothers received midwife assistance at home at each hospital in each year. 
As National Statistician I have been asked to reply to your question about how many expectant mothers gave birth at (a) Horton General Hospital and (b) Warwick General Hospital in
(i) 2005-06, (ii) 2004-05 and (iii) 2003-04; and how many expectant mothers received midwife assistance at home in each hospital in each year. (144085)
Figures on maternities in hospitals are available from birth registration information. The latest available maternity figures from this source are for 2005. The table below shows the figures requested for the financial years 2003-04 and 2004-05. Since most births at Horton take place in Horton Maternity Hospital, figures for this unit have been included as well as those for Horton General Hospital.
|Maternities in Horton General Hospital, Horton Maternity Hospital and Warwick Hospital in 2003-04 and 2004-05|
|Number of maternities|
No information is held centrally on midwife assistance at home for these hospitals.
David T.C. Davies: To ask the Secretary of State for Health what guidance has been issued by her Department on the covert monitoring of parents while on hospital premises for the detection and prevention of child abuse. 
Mr. Ivan Lewis: The full guidance issued by the Department, Safeguarding Children in Whom Illness is Fabricated or Induced, contains relevant guidance on covert monitoring of parents on hospital premises. Copies have been placed in the Library and are available at:
Mr. Carswell: To ask the Secretary of State for Health pursuant to the answer of 17 May 2007, Official Report, column 912W, on Clacton hospital, for what reasons decisions on Peter Bruff Ward at Clacton hospital are being made by West Essex Primary Care Trust. 
Andy Burnham: As stated in my answer of 17 May any decision regarding the closure of the Peter Bruff Ward at Clacton hospital is a matter for the local national health service, which has the responsibility for the configuration and delivery of local services, working in partnership with the communities it serves. NHS East of England has advised that a consultation on the proposed changes to mental health services in North Essex was launched on 7 June. The consultation, which will conclude on 7 September, includes proposals on the future of the Peter Bruff Ward at Clacton. I would urge the hon. Member to engage as fully as possible during the consultation to ensure that his views and those of his constituents are taken into consideration.
Andy Burnham: The Suffolk County Council Health Scrutiny Committee referral of West Suffolks community health proposals is currently under consideration by the Secretary of State, and a response will follow in due course.
Mr. Iain Wright: To ask the Secretary of State for Health on what basis the allocations of funding for children's orthodontic services for Hartlepool for 2006-07 and 2007-08 were made; if she will take action to improve children's orthodontic services in Hartlepool; and if she will make a statement. 
Ms Rosie Winterton: The resource allocations for primary dental care services awarded to primary care trusts (PCTs) for 2006-07 were based on expenditure on general dental services and personal dental services pilots in each PCT area during the reference period October 2004 to September 2005. This captured payments for both general dental services and specialist services such as orthodontic services. The allocations also included adjustments to reflect nationally agreed increases in dentists' remuneration, provision for growth plans previously submitted to and approved by the Department, and some margin to accommodate any new services that may have started during or after the reference period but could not be fully reflected in the calculation of reference period earnings.
The resource allocations for 2007-08 included additional funding to allow for factors such as 2007-08 increases in dentists remuneration and adjustments in the expected levels of patient charge income. Hartlepool PCT received a 7.1 per cent. increase in its 2007-08 dental funding allocation, net of income from patient charges.
PCTs are responsible for developing dental services in their area to reflect local needs and priorities. Subject to honouring existing contracts, PCTs are free to vary the balance of resources committed to general dental services and to specialist services such as orthodontics. PCTs may also make additional investment in services from within their total national health service resources, if they consider this an appropriate local priority. The Department has provided a range of guidance and support to PCTs to support effective commissioning of orthodontic services and help promote access to high-quality services.
Mr. Prisk: To ask the Secretary of State for Health how many flights to overseas destinations were taken by (a) civil servants and (b) Ministers in her Department in each of the last three calendar years; and what the total cost of such flights were. 
Mr. Ivan Lewis:
This information can be provided only at disproportionate cost. Since 1999, the Government have published on an annual basis a list of all overseas visits by Cabinet Ministers costing in excess of £500, as well as the total cost of all ministerial travel overseas. Copies of the lists are available in the Library. Information for 2006-07 is currently being compiled and will be published before the summer recess. All
travel is undertaken in accordance with the Civil Service Management Code, the Ministerial Code and Travel by Ministers.
Mrs. May: To ask the Secretary of State for Health if she will list the outside (a) agencies and (b) consultancies which are undertaking work commissioned by her Department; and what the (i) purpose and (ii) cost is of each commission. 
Andy Burnham: The Department does not regularly collect data on contracts awarded to external suppliers by sponsored public bodies. Performance targets for executive non-departmental public bodies (NDPBs) sponsored by the Department, including outputs to be achieved, are agreed by Ministers and set out in the published business or corporate plan of the NDPB. Copies of plans are available from the relevant body. The Department monitors performance against these targets and progress is discussed with Ministers. The outputs and achievements of each executive NDPB are set out in its annual report, a copy of which is available in the Library.
Mr. Hoban: To ask the Secretary of State for Health pursuant to the Answer of 4 June 2007, Official Report, column 284W, on Departments: Delivery Unit, (1) what the conclusions were of the review of the overall NHS reform programme; 
Andy Burnham: The findings and conclusions of NHS reform programme reports of the joint review by the Department of Health and the Prime Ministers Delivery Unit comprise confidential policy advice to the Prime Minister and Ministers, and are not published.
Mr. Hoban: To ask the Secretary of State for Health pursuant to the Answer of 4 June 2007, Official Report, column 284W, on Departments: Delivery Unit, what the (a) start date and (b) end date was of each review; and on which date a final report was produced for each. 
|Name of review||Start date||End date|
Mr. Hoban: To ask the Secretary of State for Health pursuant to the Answer of 4 June 2007, Official Report, column 284W, on Departments: Delivery Unit, if she will place in the Library copies of the terms of reference for the reviews of (a) 18 weeks, (b) the overall NHS reform programme, (c) childhood obesity and (d) primary care trust capability. 
Mr. Carswell: To ask the Secretary of State for Health how many Memorandums of Understanding are in force as a result of agreements with foreign Governments entered into by Ministers in her Department; and what executive actions each entails. 
Ms Rosie Winterton: The Department has entered into numerous Memorandums of Understanding (MOU) with a large number of countries over the years. The purpose and content of these agreements varies considerably, as does the amount of activity taking place under them. For this reason, we are currently evaluating the impact and effectiveness of our memorandums. This will inform a more strategic approach in line with the Global Health Strategy, which the Government are currently developing.
The following table details our principal bilateral agreements. However, we also have several separate reciprocal health care agreements with other countries on access to treatment abroad. This information is available on www.dh.gov.uk/travellers
|Department of Health principal bilateral agreements|
|Country||Type of agreement||Date of expiry||Area covered|
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