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Mr. Baron: To ask the Secretary of State for Health when he plans to publish guidance on continence services as part of the planned high-level report on developing services for older people with complex needs. 
Mr. Ivan Lewis: The key messages for developing services for older people with complex needs were outlined in the National Clinical Director for Older Peoples reconfiguration report A Recipe for Care published in January of this year. There are no plans to issue further guidance on continence services but the National Clinical Director continues to advise Ministers on developing services for older people with complex needs and will continue to publish evidence-based information to support service development.
The management of continence is a key issue for the care of older people, as highlighted in Standard 2 of the National Service Framework for Older People and is one of the conditions for which early intervention is recommended, as outlined in A Recipe for Care.
Mr. Baron: To ask the Secretary of State for Health what assessment he has made of the results of the second survey of continence care for older people undertaken by the Royal College of Physicians. 
Mr. Ivan Lewis: The assessment of paediatric continence services is for local primary care trusts (PCTs), with a view to compliance with standard six of the national service framework for children. This standard includes a specific section on paediatric incontinence. The provision of continence services for younger people and disabled children is the responsibility of local PCTs, with a view to compliance with standard six of the national service framework for children. This standard includes a specific section on paediatric incontinence.
Mr. Baron: To ask the Secretary of State for Health (1) what plans he has to carry out a review of the impact on elderly people of changes to the home delivery service of incontinence products; 
(3) what powers are available to the Government to oblige health bodies to comply with the guidelines contained in Good Practice in Continence Services; and whether sanctions are available for non-compliance; 
(4) whether the Government plans to carry out research to ascertain how many people suffer from incontinence, broken down by (a) the age and sex of those affected and (b) the form of incontinence. 
Health bodies are expected to have regard for the guidance contained in the document Good Practice in Continence Services. SHAs have a duty to ensure that primary care trusts provide acceptable continence services. The Healthcare Commission may intervene where health bodies fail to provide an adequate level of service.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 16 July 2007, Official Report, column 176W, on maternity services, on what evidential basis the figure for live births in England in 2006 was estimated; and what percentage change this figure represented from live births in England in 2005. 
Ann Keen: In 2005 there were 613,028 live births in England. In 2006 there were 635,748 live births. This was a 3.7 per cent. increase on live births in England in 2005. The figure for live births in the original reply was for England and Wales whereas these figures are England only. This information is given in the table. Table 6 of the Office for National Statistics Births (Provisional), Selected Background Data, England and Wales and is published on the ONS website at:
The figure for the number of live births in England 2006 comes from the details collected when births are registered. Registering a birth is a legal requirement and must be done within 42 days of the birth. Births to residents of England which are registered elsewhere are excluded, while births registered in England whose usual residence is elsewhere, are included.
|Table 6: live births by health area of usual residence of mother, numbers, general fertility rates and total fertility rates, 2006England and Wales, Government Office Regions (within England), and health authorities/boards( 1)|
|Area of usual residence||Live births||GFR( 2)||TFR( 3)|
|(1) Strategic health authorities in England and local health boards in Wales.|
(2) The general fertility rate (GFR) is the number of live births per 1,000 women aged 15 to 44.
(3) The total fertility rate (TFR) is the average number of children that would be born per woman if women experienced the age-specific fertility rates of the year in question throughout their childbearing lifespan.
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