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Charles Hendry: To ask the Secretary of State for Health what estimate he has made of the change in revenues of public houses in England since the introduction of the ban on smoking in public places; and if he will make a statement. 
Dawn Primarolo: While it is still too early to make any definitive statement about the economic impact of the law which came into operation on 1 July 2007 in England, based on our regulatory impact assessment (RIA) we are not expecting a significant positive or negative impact on the industry.
Mr. Ivan Lewis: There would be disproportionate costs incurred to produce this information across the whole time period requested. The following table shows the average per capita social services spending from 2000-01 to 2005-06 for England, the South West and Cornwall.
|England total||South West||Cornwall|
1. The table shows total net cost of social services per head of population, this is the total spend excluding capital charges minus income received from client contributions and other income which includes income from the national health service.
2. In 2003-04 the Supported People Grant was introduced which should be taken into consideration when making comparisons over time. The expenditure information is actual spend and has not been adjusted for inflation.
2005 under-18 conception rate datapublished by the Office for National Statistics in February 2007showed that since the 1998 baseline year, the under-18 conception rate in England fell by 11.8 per cent., to its lowest level for over 20 years. The under-16 rate fell by 12.1 per cent. over the same period.
Notwithstanding these achievements, we need to see faster progress in order to achieve the challenging target of halving the under-18 conception rate by 2010. Consequently, we have issued guidance to local authorities and primary care trusts, setting out the key features of local strategies in areas where teenage conception rates have fallen fastest. All areas have been asked to review their strategies against this guidance, with a view to raising all areas' performance to the levels of the best. If all areas had performed as well as the top quartile, the national reduction would be 26 per cent.more than twice the 11.8 per cent. reduction that has actually been achieved.
The Department launched Saving Lives, Valuing Donors: A Transplant Framework for England in 2003 and the National Service Framework for Renal Services in 2004. These set out the Department's key aims for organ and tissue transplantation over the following 10 years. Government investment in hospital based funding has helped increase donor rates and an organ donor taskforce will report to Ministers in autumn 2007 on how organ donor rates can be further improved.
Following the publication of the Chief Medical Officer's annual report in July, the taskforce will also examine the potential impact on organ donation of introducing an opt out or presumed consent scheme.
Mr. Bradshaw: The information is not available in the format requested. The tables show the number of out-patient appointments and the number of finished consultant episodes with an operation at North Cheshire Hospitals NHS Trust.
|Out - patient appointments, North Cheshire Hospitals NHS Trust, all specialties, 2001-02 to 2006-07|
|First attendances seen||First attendances DNA||Subsequent attendances seen||Subsequent attendances DNA||Total appointments|
Department of Health form QMOP and QM08
Count of finished consultant episodes (FCEs) with an Operation (OPCS-4 codes between A01-X59 or and (operation code not known)) as reported by the North Cheshire Hospitals NHS Trust (RWW). Note that this excludes procedures performed as outpatients.
|NHS Hospitals England|
|Data year||Count of FCEs with an operation|
1. The NHS Information Centre has investigated with North West Strategic Health Authority and North Cheshire Hospitals NHS Trust the reason for the reported decrease in the number of FCEs with an operation. The main cause of this decrease is that between 2002-03 and 2004-05 the trust stopped recoding certain procedures as being performed in a day case setting and started recording them as being performed in outpatients. Information is not available centrally on total procedures performed in outpatients. Data reclassification issues are being picked up by the Information Centre and the Audit Commission. From April 2007 onwards the trust will revert to counting this activity as a day case.
2. Finished Consultant Episode (FCE)
An FCE is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
3. Finished Consultant Episode (FCE) with an Operation
A count of FCEs with an operation is the number of episodes with at least one coded procedure field. Please note that more procedures are carried out than finished consultant episodes with an operation. For example, patients under going a cataract operation would tend to have at least two proceduresremoval of the faulty lens and the fitting of a new onecounted in a single finished consultant episode.
4. Data Quality
Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts and Primary Care Trusts (PCTs) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
5. Ungrossed data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Hospital Episode Statistics (HES), The Information Centre for health and social care.
Daniel Kawczynski: To ask the Secretary of State for Health (1) what representations he has received from wheelchair users groups in relation to proposed changes to wheelchair provision and other community equipment services; 
Mr. Ivan Lewis: The Prime Minister launched the Transforming Community Equipment and Wheelchair Services Programme in June 2006 to work collaboratively with stakeholders to develop a radical new model for delivery of community equipment and wheelchair services in England, which has users and carers at its heart. The intention was to look at the two services in parallel, but this has not been feasible.
Two potential models were developed for wheelchair services. However, without robust data it was not possible to make recommendations for the way forward. This is of particular concern in view of the successive reports over the last 20 years which have consistently argued for modernisation and investment in the wheelchair services. A further data gathering exercise was agreed, this will report back to the Ministers in December 2007.
Action for Kids;
Muscular Dystrophy Campaign;
Multiple Sclerosis Society;
Spinal Injuries Association;
National Forum Wheelchair User Groups; and
Motor Neurone Disease Association.
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