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It shows that we have made significant progress over a wide range of areas and have created drivers for change through better engagement across systems and organisations, better information and new tools and techniques to support individual action to improve health. Two years through this three-year programme, examples of progress include the following:
Smokefree legislation was implemented on 1 July 2007
80 per cent. of people are now seen within 48 hours at a GUM clinic compared to 38 per cent. in 2004.
Mr. Bradshaw: Annual fees to cover the cost of providing assessment and registration services are approved by the Secretary of State, after consideration of proposals submitted by the Healthcare Commission (HC). Assessment of the effects of fees is therefore for the Commission in the first instance.
The HC on its 2007-08 independent healthcare sector fee proposals between 20 December 2006 and 20 February 2007. We understand from the chairman of the commission that during the consultation period it received numerous representations from providers asking that fees should be reduced for voluntarily funded establishments.
The HC revised its proposals after considering the comments it received. For 2007-08, annual fees for multiple sclerosis therapy centres have been reduced from £1,566 to £1,225, a reduction of 22 per cent. This is the first time that regulatory fees under the Care Standards Act 2000 have been reduced. Fees for first time registrations have increased from £907 to £990.
Mr. Bellingham: To ask the Secretary of State for Health what assessment he has made of the availability of primary care services to prison establishments during night periods; and if he will make a statement. 
Mr. Ivan Lewis: Information on the coverage of health care in prisons is not collected centrally. It is for primary care trusts, working in partnership with prisons, to commission the arrangements for out of hours cover.
Local prisons do usually contain 24-hour health facilities with nursing cover. For example, all prisons in London (with the exception of HMP Latchmere House) have healthcare beds with 24-hour nursing services available.
Mr. Stephen O'Brien: To ask the Secretary of State for Health when the competition for selection of the new chief executive of Connecting for Health will open; who will sit on the selection panel; what the starting salary for the post will be; and how bonuses for the post will be (a) set, (b) calculated and (c) paid. 
Lyn Brown: To ask the Secretary of State for Health what steps he is taking to ensure that local primary care trusts are helped to engage with strategic planning organisations on long-term major regeneration programmes in (a) the Thames Gateway, (b) East London and (c) the London borough of Newham. 
Mr. Bradshaw: The Departments London regional team and their London strategic health authority colleagues support the involvement of local national health service organisations in major regeneration initiatives within the Thames Gateway and East London areas, and the major developments in Newham for the Olympic and Paralympic Games.
Londons primary care trusts (PCTs) jointly fund with the London Development Agency the Healthy Urban Development Unit, which offers practical help to all PCTs in London, including Newham PCT. The aim is to significantly improve the health of Londoners by developing partnerships that enable health organisations to engage early, influencing the plan- making process, and have a positive effect on the outcomes of planning applications.
as forecast and planned, 1,200 health trainers have been trained and are in post as of 2006-07 year end;
competences have been signed off and exemplar job descriptions have been developed for tailoring by local health trainer partnerships;
a national implementation team has been put in place and now provides full regional coverage;
local training programmes have been developed and local evaluation has been put in place;
national accreditation has been developed, with support from technical advisers Skills for Health, to provide City and Guilds Level 3 and Royal Institute for Public Health Level 2 awards;
prisons have begun to introduce health trainers to the system, with around 80 health trainers now in place;
the Army expects to have trained 450 physical training instructor as health trainers by December 2007, with plans for a further 2,000 personnel to receive training in 2008;
Royal Mail plans to train some of their first aid staff as workplace health trainers;
the programme is also working with organisations such as Asda, Marks & Spencer, National Pharmacies and Football Foundation, and;
The Minister of State for Public Health (Dawn Primarolo) presented the first workplace Health Trainer certificate to Audrey Carlin, of T Allen Stockholder Ltd., on 3 July 2007.
Sandra Gidley: To ask the Secretary of State for Health how many health trainers there are in (a) Southampton primary care trust, (b) Hampshire primary care trust and (c) Portsmouth primary care trust. 
Southampton primary care trust has 14 health trainers recruited and in training.
Hampshire primary care trust has 12 health trainers recruited and in training.
Portsmouth primary care trust has 11 health trainers recruited and in training.
Dawn Primarolo: The 2010 inequalities targets for life expectancy, cardiovascular disease and cancer are based on narrowing the gap in mortality between the population as a whole and the fifth of local authority areas with the worst health and deprivation indicators (the spearhead group), and the primary care trusts that map to them, by 2010.
Life expectancy has increased for both males and females for England as a whole but it has improved more slowly in the spearhead areas. In England, average life expectancy for males is 76.9 and for females 81.1; in the spearhead group it is 74.9 for males and 79.6 for females. The slower rate of improvement in has led to a widening of the relative gap in life expectancy between England and the spearhead group. The latest data for 2003-05 show that the average life expectancy in the spearhead group was 2.61 per cent. lower than the England average for males, and 1.91 per cent. lower than the England average for females. Therefore, the relative gap has widened by 2 per cent. for men and 8 per cent. for women since the baseline (1995-97).
However, although the 2010 target for life expectancy is a challenging one, data for 2003-05 also show that some 60 per cent. of the 70 spearhead areas are on track to narrow their own life expectancy gap with that of England by 10 per cent. by 2010, compared to baseline for either males or females or both. The information is set out in the following table, with comparison data for 2002-04.
Data for 2003-05 have also shown continued improvements in CVD and cancer mortality inequalities between spearhead areas and the national average since the 1995-97 baseline. The absolute gap from circulatory disease has narrowed by 27.9 per cent., and we are on track to meet the 2010 target of at least a 40 per cent. reduction, There has been a 12.7 per cent. reduction in the absolute cancer inequality gap.
Targeted assistance to spearhead areas is being provided through a variety of programmes such as Communities for Health, Health Trainers, Life Check and smoking cessation as well as programmes on cancer, coronary heart disease and primary care.
The following table shows whether the 70 spearhead local authorities are on or off track to narrow their
share of the life expectancy gap by 10 per cent. for males or females or both by 2010 according to 2003-05 data. The table also shows a comparison to 2002-04.
|Spearhead Group performance on life expectancy for males and females 2003-05 v. 2002-04|
|On track both||On track male||On track female||Off track both||On track both||On track male||On track female||Off track both|
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