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24 July 2007 : Column 979W—continued

Contraception: Finance

Sandra Gidley: To ask the Secretary of State for Health what the cost to the NHS was of emergency hormonal contraception in each of the last 10 years. [150969]

Dawn Primarolo: Only partial information is collected centrally.

The information shown in the table is for prescriptions dispensed in the community in England. This does not include emergency hormonal contraception supplied by community contraception clinics or issued under Patient Group Directions.

Cost (£000)

















Prescription information is taken from the Prescription Cost Analysis system, supplied by the Prescription Pricing Division of the Business Services Authority, and is based on a full analysis of all prescriptions dispensed in the community i.e. by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England. The data do not cover drugs dispensed in hospitals.

Dental Services

Hugh Bayley: To ask the Secretary of State for Health what percentage of the (a) adult and (b) child population of (i) Selby and York Primary Care Trust area, (ii) North Yorkshire Primary Care Trust area, (iii) Yorkshire and the Humber and (iv) England was registered with an NHS general dental practitioner in 2006. [151617]

Ann Keen: I refer the hon. Member to the answer given on 14 May 2007, Official Report, columns 578-79W.

Dental Services: Gloucestershire

Mr. Laurence Robertson: To ask the Secretary of State for Health if he will make a statement on the future of NHS dental services in Gloucestershire. [151717]

Ann Keen [holding answer 23 July 2007]: Under the dental reforms launched in 2006, primary care trusts (PCTs) are now responsible for providing or commissioning national health service dental services to meet local needs.

We understand that Gloucestershire PCT regards NHS dental services as a local priority and has announced plans to expand local services.

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Doctors: Vacancies

Peter Bottomley: To ask the Secretary of State for Health how many hospital doctor vacancies there are, broken down by grade and specialty, in each (a) deanery and (b) trust. [150383]

Ann Keen: This information is not collected centrally.

There are details of Medical Training Application Service (MTAS) vacancies by grade/level and specialty and this is on the Modernising Medical Careers website at MTAS vacancies are also posted on Deanery websites.

Drinks: Nutrition

Dr. Kumar: To ask the Secretary of State for Health if he will assess the (a) calorific content and (b) hydrating properties of (i) orange juice, (ii) water, (iii) low-calorie carbonated drinks and (iv) fruit smoothies. [150753]

Dawn Primarolo: Data on the calorific content of foods can be found in the McCance and Widdowson's ‘The Composition of Foods’ series. Latest data from this series published in 2002 are set out in the following table.

Food Energy (kcal/100g)

Orange juice, unsweetened




Low calorie carbonated drinks e.g. diet cola


Fruit smoothies


(1 )Data are an average figure for a composite sample of products available on the market at the time of analysis.
(2) Fruit smoothies have not yet been analysed for The Composition of Foods. Information made available by market leaders suggest energy values in this range, depending on products formulation.
Food Standards Agency (2002) McCance and Widdowson's ‘The Composition of Foods’, Sixth summary edition. Cambridge: Royal Society of Chemistry.

The Government have no plans to commission an assessment of the hydration properties of certain fluids.

The Food Standards Agency advises people to consume 6 to 8 glasses (1.2 litres) of water, or other fluids, every day to prevent dehydration. This amount should be increased when the weather is warm or when exercising.

Genito-Urinary Medicine: Closures

Tim Loughton: To ask the Secretary of State for Health how many community sexual health clinics closed in each of the last five years. [150640]

Dawn Primarolo: This information is not collected centrally.

Health Professions: Registration

Mr. Gordon Prentice: To ask the Secretary of State for Health what steps the Health Professions Council takes to ensure protected titles are not used by those not entitled to use them. [150016]

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Mr. Bradshaw: A person commits an offence if they use a protected title and they are not registered with the relevant health professions regulator, including the Health Professions Council (HPC). I understand from the HPC that if it comes to their notice that a person is using a protected title without being registered it will issue a warning letter. If the person does not register (if qualified) and continues to use the title, the HPC can issue a ‘cease and desist’ letter. In most cases this action has been effective and the HPC says that it has not yet had to prosecute a case. Anyone improperly using a protected title may be subject to prosecution and a fine of up to £5,000.

Health Services: Autism

Dr. Gibson: To ask the Secretary of State for Health what estimate he has made of the amount spent on (a) Asperger's adult services and (b) autism services in Norfolk in each of the last five years. [150866]

Ann Keen: The Department has not estimated the amounts spent on Asperger’s adult services and autism services in Norfolk. It is the responsibility of primary care trust to ensure that the services they commission meet the needs of the communities that they serve.

Health Services: Community Care

Mr. Rooney: To ask the Secretary of State for Health (1) whether the NHS has responsibility under the Continuing Care Guidance to provide (a) chiropody, (b) physiotherapy, (c) speech and language therapy, (d) occupational therapy, (e) dietetic services and (f) continence services and pads in all care settings; [152073]

(2) for what reasons guidance notes HSC2001(15): LAC(2001)18 and HSC(2003)006: LAC(2003)7 have been withdrawn. [152074]

Ann Keen: The National Framework for NHS Continuing Healthcare, which was published on 26 June, makes it clear that it is the responsibility of primary care trusts (PCTs) to identify, commission and contract for all services required to meet the needs of individuals who qualify for NHS Continuing Healthcare and for the healthcare part of a joint care package.

The National Framework supersedes HSC2001/15: LAC(2001)18. Guidance in HSC2003/006 : LAC(2003)7, remains current until 30 September 2007, but we will soon publish the guidance that supersedes it.

Health Services: Tourism

Sandra Gidley: To ask the Secretary of State for Health what estimate he has made of the number of holidaymakers resident in (a) Hampshire and (b) England requiring treatment when they returned to the UK in each of the last five years; and what treatments they required. [150946]

Dawn Primarolo: This information is not centrally held by the Department.

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Home Care Services: Oxygen

Sandra Gidley: To ask the Secretary of State for Health what the average cost to the NHS is of providing (a) routine and (b) emergency domiciliary oxygen supplies in each health trust. [151013]

Dawn Primarolo: The Department does not hold this information centrally. There are 10 regional contracts supporting the provision of home oxygen to patients at home in England. Four services are available—emergency or urgent supply, short burst oxygen therapy, long-term oxygen therapy and ambulatory oxygen. The price for each service varies within the different service contract regions. Costs will also vary according to the number of patients using a service or combination of services and the patient's individual needs (for example, the amount of oxygen a patient uses each day).

Hospitals: Standards

Tom Brake: To ask the Secretary of State for Health how many hospitals are carrying out consultations on (a) bed closures and (b) service reductions. [151087]

Ann Keen: Any proposals for the reconfiguration of services are a matter for the national health service locally.

There is a well established and well understood process for managing formal public consultations on proposals for major service change so that the public and other stakeholders can help to inform the local debate.

Human Papilloma Virus: Vaccination

Christine Russell: To ask the Secretary of State for Health (1) if he will take steps to ensure that the Joint Committee on Immunisation and Vaccination considers the benefits of the Australian model for introducing a human papilloma virus immunisation programme; [152443]

(2) if he will consider allowing young women up to the age of 25 to self-refer for human papilloma virus vaccination for two years after the proposed programme begins in 2008. [152444]

Dawn Primarolo: The Department has agreed in principle to accept the advice from the Joint Committee on Vaccination and Immunisation (JCVI) that human papilloma virus vaccines should be introduced routinely for girls aged around 12-13 years, subject to independent peer review of the cost benefit analysis. Details of the programme will be finalised in the coming months, following further advice from JCVI and discussions with the national health service on the implementation of the programme. JCVI is currently considering the evidence regarding the benefits and costs of vaccinating older girls, and will provide advice on this issue in due course.

Influenza: Vaccination

Mr. Lansley: To ask the Secretary of State for Health what plans he has to conduct a public debate on vaccine prioritisation in the event of an influenza pandemic, as recommended by the Joint Committee on
24 July 2007 : Column 983W
Vaccination and Immunisation in its meeting of 14 February 2007; and whether he plans to conduct a public debate on antiviral prioritisation in the event of an influenza pandemic. [152331]

Dawn Primarolo: In the event that the United Kingdom is involved in a worldwide pandemic influenza outbreak, the public will have an active role to play in ensuring the country’s effective response.

Building on the research already undertaken, it is proposed to start an ongoing programme of public engagement by the end of 2007. This will include debating vaccine and antiviral prioritisation as well as other issues of public concern in accord with the “National Framework for responding to an influenza pandemic” that was issued in draft in March 2007.

Kidney Patients: Portsmouth

Mr. Hancock: To ask the Secretary of State for Health what plans he has to implement the National Service Framework for Renal Services in Portsmouth. [151521]

Ann Keen: It is up to the national health service locally to implement the National Service Framework for Renal Services. The Department, however, is assisting the NHS in doing so by providing guidance and policy development expertise on subjects which are particularly challenging.


Sandra Gidley: To ask the Secretary of State for Health how many British nationals have (a) been diagnosed with and (b) died of malaria in each year since 2001. [150944]

Dawn Primarolo: Information on the nationality of patients that are diagnosed with or died from malaria are not collected. However, the Health Protection Agency does publish an annual table of imported malaria cases and deaths, shown in the following table.

The information is available on the Health Protection Agency website at:

Imported malaria cases and deaths, United Kingdom 2001-06
Total (number of cases) Deaths



















Midwives: Employment

Mr. Hancock: To ask the Secretary of State for Health if he will assess the merits of providing all midwives, qualifying from universities in England with a guarantee of one year's paid employment as a midwife in the NHS in England. [151514]

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Ann Keen: The Department has consulted with NHS Employers, strategic health authorities (SHA) and the Social Partnership Forum on maximising employment opportunities for newly qualified health care graduates. The consistent message from these consultations is that solutions need to be flexible, locally driven and founded on partnerships between employers, staff side and the higher education sector. Any new initiatives also need to be appropriately tested first.

Accordingly, East of England SHA have offered to undertake a feasibility study into establishing a local voluntary guaranteed employment scheme. The feasibility study will last for one year and was launched on 15 May by East of England SHA. The outcome of the feasibility study will determine whether employment guarantee schemes are a viable option. If so, the nature and length of these schemes will be defined upon relevant factors established through the study.

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