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19 July 2007 : Column 635W—continued
The NSF was reviewed in 2004 by Louis Appleby, the National Director for Mental Health. His report, “The National Service Framework for Mental Health—Five years on”, identified the need to broaden the focus of work from the specialist mental health services to the mental health needs of the community as a whole.
The NSF’s programme of work is kept under regular review, especially in the light of recent reforms to health and social care systems.
Mentally Ill: Hospitals
Alan Simpson: To ask the Secretary of State for Health how many people in (a) England, (b) Nottinghamshire and (c) Nottingham were sectioned to psychiatric wards in each of the last five years. [148382]
Mr. Ivan Lewis: Information about the number of formal detentions under the Mental Health Act 1983 since 2001-02 is shown in the following table. These figures relate to all age groups of adults and children.
| Number of detentions under the Mental Health Act 1983 and other legislation (England): children and adults of all ages | |
| Number | |
| Source: The Information Centre for health and social care published data Form KP90 | |
| Number of detentions under the Mental Health Act 1983 in Nottinghamshire Healthcare NHS Trust which provides mental health services across Nottinghamshire | |
| Number | |
| Source: The Information Centre for health and social care Form KP90. | |
The figures for Nottinghamshire include those for Nottingham. Separate figures for Nottingham are not available.
National Patient and Public Involvement Director
Sandra Gidley: To ask the Secretary of State for Health what plans he has to replace the National Patient and Public Involvement Director. [150272]
Ann Keen: Following Harry Cayton’s appointment as chief executive of the Council for Healthcare Regulatory Excellence, the Department will be appointing a new Director for Patients and the Public in the autumn. The Department is taking this opportunity to review the role in light of wider changes within the Department and, in particular, how the new director can drive forward increased patient and public involvement in local services.
Harry Cayton has held the post of National Director for Patients and the Public since 2002. This has been a
time of significant impact and achievement. He has accepted the Secretary of State's invitation to chair the National Information Governance Board until October 2008.
NHS: Finance
Mr. Lansley: To ask the Secretary of State for Health how the relative needs formula component of the formula grant for local authorities is determined; when it was last reviewed; which variables are included in the formula; who determines the formula; and if he will make a statement. [148141]
Mr. Ivan Lewis: The social care relative needs formulae for all client groups were reviewed in 2005 and new formulae were introduced for the 2006-07 settlement. The formulae are mainly produced through academic research projects and will remain unchanged for the next three-year settlement.
The older people’s formula consists of a basic amount per person aged 65 and over and top-ups for age, deprivation, sparsity, low income from fees and charges, and area costs.
The variable in the age top-up is the proportion of the 65 and over population that is aged 90 years and over.
The variables in the deprivation top-up are the proportions of people aged 65 and over with the following characteristics:
in receipt of income support or pension credit;
in receipt of attendance allowance;
living in rented accommodation; and
living alone in a household.
The sparsity top-up is calculated using data on the population sparsity of those aged over 65.
The variable in the current top-up for low income from fees and charges is the proportion of older people living in rented accommodation. This is the only part of the funding formulae that is calculated internally by departmental analysts, and the analysis has recently been re-run using the latest data. The resulting two options will be included in the Department for Communities and Local Government’s Formula Grant Distribution Consultation over the summer.
The area cost adjustments for older people and younger adults are calculated by the Department for Communities and Local Government (DCLG) to take into account the differing costs of providing adult social care by area.
The younger adult’s formula consists of a basic amount per person aged 18-64 and top-ups for deprivation and area costs. The variables included in the deprivation top-up are:
the proportion of people in receipt of disability living allowance aged 18-64;
the proportion of people who have never worked or are long term unemployed;
the proportion of people in routine occupations; and
the proportion of households with no family.
The DCLG have responsibility for the overall local government finance settlement.
Central Government, following consultation with local government and subject to parliamentary
approval, determines the relative needs formulae based on the results of the research and analysis.
Tim Farron: To ask the Secretary of State for Health what assessment he has made of the likely impact of recent changes in the NHS capital expenditure budget. [150828]
Mr. Bradshaw: The capital expenditure budget for 2007-08 has been adjusted to reflect latest forecasts of expenditure for the year from the national health service. Therefore, recent changes in the NHS capital expenditure budget have had no impact on the NHS capital expenditure programme.
NHS: Surveys
Mr. Lansley: To ask the Secretary of State for Health if he will publish the full results of the IpsosMORI survey referred to on page 24 of the Chief Executive of the NHS’s Annual Report 2006-07, published on 21 June 2007, showing that less than 60 per cent. of the public are satisfied with the NHS overall. [147567]
Ann Keen: The full results of the IpsosMORI survey, referred to on page 24 of the Chief Executive of the NHS’s Annual Report 2006-07, were published in June and have been placed in the Library and are available at:
NHS: Translation Services
David T.C. Davies: To ask the Secretary of State for Health whether he or his predecessor has received any requests from primary care trusts for extra funding to cover patient translation costs. [148260]
Mr. Ivan Lewis: The Department has no record of any specific requests from primary care trusts to the current or former Secretary of State for extra funding to cover patient translation costs.
Osteoporosis: Blackpool
Mr. Marsden: To ask the Secretary of State for Health (1) what proportion of people living in Blackpool who have been diagnosed with osteoporosis are (a) under and (b) over the age of 70 years; [149773]
(2) what estimate he has made of the number of people in (a) Blackpool and (b) the North West who have been diagnosed with osteoporosis and are (i) unable to take and (ii) do not respond to the drug alendronate; [149774]
(3) what estimate he has made of the number of people in (a) Blackpool and (b) the North West who have been diagnosed with osteoporosis; [149775]
(4) what estimate he has made of the proportion of people in (a) Blackpool and (b) the North West who have osteoporosis and receive no drug treatment for the disease. [149776]
Ann Keen: This information is not collected centrally.
Osteoporosis: Preventive Medicine
Mr. Truswell: To ask the Secretary of State for Health (1) what range of treatments is available to post-menopausal women at risk of osteoporotic fracture; [150007]
(2) what percentage of people diagnosed with osteoporosis are prescribed treatments to help prevent fractures occurring; [150008]
(3) what assessment his Department has made of the National Institute for Health and Clinical Excellence guidance on the use of drugs to prevent osteoporotic fractures in post-menopausal women. [150009]
Ann Keen: We have made no assessment of the range of treatments available to post-menopausal woman at risk from osteoporotic fracture.
Information on the percentage of those diagnosed with osteoporosis prescribed treatments to help prevent fractures occurring is not collected.
We have made no assessment of the draft guidance currently being developed by the National Institute for Health and Clinical Excellence.
Patients: Accidents
David T.C. Davies: To ask the Secretary of State for Health how many patients received injuries as a result of accidents while staying in hospitals in England in the last period for which figures are available. [150402]
Ann Keen: The number of incidents reported to the National Patient Safety Agency's national reporting and learning system (NRLS) classified as patient accidents, resulting in some degree of harm to a patient, in an inpatient setting in either acute, general, community or mental health hospitals in England between 1 April 2006 and 31 March 2007 is 84,240. This information is based on the date the incident was reported to the NRLS rather than on the actual date of occurrence.
Plagiocephaly
Sir Nicholas Winterton: To ask the Secretary of State for Health (1) what assessment he has made of the incidence of plagiocephaly; and what statistical correlation there is between that incidence and numbers of babies placed on their backs to sleep; [149954]
(2) how many cases of plagiocephaly were identified in each of the last 10 years for which figures are available; [149955]
(3) what treatment is available on the NHS for plagiocephaly; how many babies were treated for plagiocephaly in each of the last five years for which figures are available; and if he will make a statement. [149956]
Ann Keen:
The Department has made no such assessment. Neither does it collect figures on the numbers of cases of plagiocephaly. However, Great Ormond Street Hospital for Sick Children has estimated that almost half of children develop positional plagiocephaly and that only a very small
minority develop it in the womb. The rest develop positional plagiocephaly from spending a lot of time in one position, usually on their backs. Nevertheless, Doctors recommend that babies sleep on their backs in order to reduce the incidence of cot death.
There are several treatments for plagiocephaly available either on the national health service, or through parental intervention. However, since in the overwhelming majority of cases, the condition is self-correcting, many doctors do not deem additional treatment necessary.
Pleural Plaques
Mr. Hepburn: To ask the Secretary of State for Health how many people were treated for pleural plaques in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. [150559]
Ann Keen: Information on the number of people treated for pleural plaques is not collected.
Pregnant Women: Alcoholic Drinks
Sandra Gidley: To ask the Secretary of State for Health what consideration he is giving to making screening for maternal alcohol consumption via objective techniques such as Tolerance Annoyed Cut down Eye-opener (T-ACE) and Tolerance Worried Eye-opener Amnesia, Kut-down (TWEAK) part of routine antenatal care in the NHS. [150273]
Dawn Primarolo: There are no plans to use these techniques. The National Institute for Health and Clinical( )Excellence are currently updating their antenatal care guideline and it will include a risk( )assessment tool. The guideline will include educational aspects of antenatal care, the normal( )physiological processes taking place, how the women can contribute to her own and the( )baby’s good health and well-being and minimise exposure to risks (for example, diet,( )exercise, alcohol and drug consumption, sexual activity and smoking cessation).
Primary Care Trusts: Local Government
Mr. Keith Simpson: To ask the Secretary of State for Health (1) what assessment she has made of the likely impact of implementing district unitary authorities on the operation of primary care trusts; [146457]
(2) what assessment she has made of the impact of the bids of local authorities shortlisted for unitary status on health provision in those areas; [146463]
(3) what discussions she had with the Secretary of State for Communities and Local Government on the local authorities seeking unitary status which appeared on the shortlist published by the Department for Communities and Local Government on 27 March 2006. [146475]
Mr. Bradshaw:
The decision as to which proposals should proceed to stakeholder consultation reflected the collective decision of Government. All 26 unitary proposals that were received in response to the invitation issued on 26 October 2006 were assessed against the five criteria set out in that invitation. The 16
unitary proposals that have been subject to the stakeholder consultation will now be reassessed against the same five criteria having regard to all the information available including that received in response the consultation. Primary care trusts, along with a range of public bodies, have been able to submit their views as part of the stakeholder consultation.
Mr. Keith Simpson: To ask the Secretary of State for Health what her policy is on co-terminosity of boundaries between primary care trusts and local government structures. [146460]
Mr. Ivan Lewis: We are committed to enabling local authorities and their partners in the national health service to work together to deliver better integrated health and social care services. One of the aims of the reconfiguration programme ‘Commissioning a Patient-led NHS’, which was published in July 2005, was to improve relationships between healthcare and local authorities by bringing their boundaries closer together. Approximately 70 per cent. of the new primary care trusts (PCTs) are coterminous with the boundaries of local authorities with social services responsibilities. This compares with 44 per cent. of PCTs previously coterminous.
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