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Mr. Hancock: To ask the Secretary of State for Health by what date he expects (a) the NHS Breast Screening Programme to be extended to cover all women aged 47 to 73 years and (b) everyone with breast problems to be seen by a specialist within two weeks, following a referral by their GP; and if he will make a statement. 
Ann Keen: The Department does not hold information centrally on specific clinics or services offered by individual trust or funded by individual primary care trusts (PCTs). The provision of services is a matter for agreement between trusts and their commissioning PCTs, in consultation with local stakeholders. This should take into consideration local needs and priorities while ensuring they meet core national standards for the delivery of health services.
National Institute for Health and Clinical Excellence (NICE) published a clinical guideline on familial breast cancer in May 2004, partially updated in October 2006. The clinical guideline relates to the classification and care of women at risk of familial breast cancer in primary, secondary and tertiary care. The guideline recommends that women at moderate familial risk of breast cancer or greater should receive annual mammography or magnetic resonance imaging surveillance.
NICE clinical guidelines are covered by the Departments developmental standardsstandards which the national health service is expected to achieve over time. The Healthcare Commission has responsibility for assessing progress towards achieving these standards.
Sarah Teather: To ask the Secretary of State for Health how many women had to wait longer than (a) two weeks, (b) one month and (c) four months to be screened for breast cancer after referral by a GP in the last period for which figures are available, broken down by London borough. 
The national health service breast screening programme is operated from local breast screening units, who send invitations to eligible women directly. If abnormalities are found on a womans mammogram, an appointment at the local assessment clinic is made automatically by the local breast screening unit. General practitioners are not an integral part of the programme, but are kept fully informed of their patients progress through the programme by being copied into results letters.
Jon Trickett: To ask the Secretary of State for Health how many eligible women are on waiting lists for breast screening in West Yorkshire; and how many of these have been waiting over three years for screening. 
The National Statistician has been asked to reply to your question about how many babies were born in NHS maternity units in Stockport Primary Care Trust hospitals in each year since 1997. I am replying in her absence. (158001)
Figures on live births in hospitals are available from birth registration information. The latest available figures by place of birth are for 2005.
|Live births in Stepping Hill hospital, Stockport, 1997 to 2005|
The table shows the figures requested for the calendar years 1997 to 2005, for Stepping Hill Hospital, the only NHS maternity unit in Stockport Primary Care Trust.
Mr. Harper: To ask the Secretary of State for Health what estimate he has made of the number of (a) infections and (b) deaths due to Clostridium difficile in (i) Gloucestershire hospitals NHS trust and (ii) England in each of the last five years. 
Ann Keen: We introduced mandatory surveillance of Clostridium difficile infection (CDI) in January 2004. The latest annual data were published in July 2007 and the number of CDI reports for patients aged 65 and over in Gloucestershire hospitals NHS foundation trust and in England are in the following table.
|Gloucestershire NHS foundation trust||England|
Health Protection Agencyprovisional data
|Mentions of C. difficile||Number of these where underlying cause of death is C. difficile|
ONS Health Statistics Quarterly 33
Ann Keen: The Government launched fundamental reforms to national health service dentistry in England in April 2006. Under the reforms local NHS now has the power to directly commission dental services. There is further to go but the reforms provide for the first time a stable foundation on which primary care trusts can build robust NHS dental services tailored to local needs. The Government are committed to expanding NHS dental services. Two new dental schools have been opened this year in England providing an additional 170 dental training places, a 25 per cent. increase in total training places.
Central Lancashire Primary Care Trust (PCT) is investing an additional £1.3 millions in NHS dentistry to help solve the issues around access. To attract new dentists to the area and to encourage existing local dentists to provide additional services, the PCT has advertised for dentists to submit tenders to provide the additional NHS dentist appointments.
It is anticipated that once the outcome of the tendering process is known in December dentists will agree start dates with the PCT and the increase in capacity will be available by the end of the year. Those patients that are on the dental access database will be contacted and asked if they wish to transfer to a dentist within their area.
Ann Keen: The numbers of national health service dentists at primary care trust (PCT) (including Shropshire PCT) and strategic health authority (SHA) area as at 31 March 1997 to 2006 are available in annex E of the NHS Dental Activity and Workforce Report England: 31 March 2006. Information is based on old contractual arrangements.
The numbers of NHS dentists at PCT (including Shropshire PCT) and SHA level as at 30 June, 30 September, 31 December 2006 and 31 March 2007 are available in table E1 of annex 3 of the NHS Dental Statistics for England: 2006-07 report.
The inclusion of dentists on trust led contracts in the data collection following the 2006 reforms means that data collected since April 2006 cannot be directly compared with data collected under the previous system.
Norman Baker: To ask the Secretary of State for Health how many fixed penalty tickets were incurred by vehicles within the purview of his Department in the last year for which figures are available; and what the total cost was. 
Mr. Heald: To ask the Secretary of State for Health (1) what assessment he has made of the availability of retinal screening for diabetes patients in (a) Royston, Hertfordshire and (b) Hertfordshire; 
Ann Keen: Officials from the Department had discussions with the East of England strategic health authority about retinal screening for diabetic patients recently. The two Hertfordshire primary care trusts (West Hertfordshire, East and North Hertfordshire) are working towards the national standards.
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