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Ambulance Trusts 2006-07 Rates
Banding by Emergency Expenditure and Activity:
% of CE AT Band 1 AT Band 2 AT Band 3 AT Band 4

AT Chief Executive Spot Rate

July 2006 rates





November 2006 rates





AT Directors



July 2006 rates





November 2006 rates







July 2006 rates





November 2006 rates





Human Resources


July 2006 rates





November 2006 rates





NHS: Pensions

Mr. Philip Hammond: To ask the Secretary of State for Health when he expects the 2006-07 Resource Accounts for the NHS pension scheme to be published. [159107]

Ann Keen: The National Health Service Pension Scheme Resource Accounts for the 2006-07 year should be laid before Parliament on Monday 22 October.

Nurses: Manpower

Mark Hunter: To ask the Secretary of State for Health how many nurses were employed by Stockport Primary Care Trust in each year since 1997. [158006]

Ann Keen: The information requested can be found in the following table:

National health service hospital and community health services: Qualified nursing, midwifery and health visiting staff in the Stockport primary care trust (PCT) as at 30 September each specified year headcount













Note: More accurate validation processes in 2006 have resulted in the identification and removal of 9858 duplicate non-medical staff records out of the total workforce figure of 1.3 million in 2006. Earlier years' figures could not be accurately validated in this way and so will be slightly inflated. The level of inflation in earlier years' figures is estimated to be less than 1 per cent. of total across all non-medical staff groups for headcount figures (and negligible for full time equivalents). This should be taken into consideration when analysing trends over time. Source: The Information Centre for health and social care non-medical workforce census.


Mr. MacDougall: To ask the Secretary of State for Health what steps his Department is taking to reduce levels of obesity in England. [159458]

Dawn Primarolo: Obesity is a serious problem, with significant health, social and financial costs. Successfully tackling the problem requires a whole society approach.

The Foresight report (copies of which are available in the Library) predicts that by 2050 over half the adult population will be obese, costing the nation an extra £45.5 billion a year.

The Government have already made significant progress in a number of areas. For example:

The Government have committed to go further and faster on its existing obesity policies and will be developing a comprehensive cross-Government strategy on obesity, building on the evidence in this report. The work will be led by a cross-governmental ministerial group convened by the Secretary of State for Health.

Prostate Cancer: Screening

Mr. Dai Davies: To ask the Secretary of State for Health how many prostate specific antigen (PSA) tests were carried out by the national health service in 2006-07; how many men were diagnosed with prostate cancer as a result of the test; what alternatives to the PSA test have been assessed; what plans he has to introduce such alternative tests; and what discussions he has had with his counterpart in the Welsh Assembly Government on methods of prostate cancer diagnosis. [157978]

Ann Keen: The prostate specific antigen (PSA) test measures the level of PSA in a man’s blood. However, it is not perfect. Some men with prostate cancer do not have raised levels of PSA. Two-thirds of men with raised levels of PSA, depending on the cut-off level used, do not have prostate cancer. The PSA test cannot distinguish between men with slow-growing prostate cancer and those who have a more aggressive disease.

The number of PSA tests carried out in the national health service is not held centrally. The Department policy research programme funded a study on urological referral in men with raised PSA levels and patterns of testing in general practice between 2002 and 2004. The study showed that the annual rate of testing is estimated to be 8.6 per 100 men (1).

The number of men diagnosed with prostate cancer as a result of having a PSA test is not held centrally. However, it is likely that most men with a diagnosis of prostate cancer had at least one PSA test as part of the diagnostic process.

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The Government are committed to introducing a national screening programme for prostate cancer if and when screening and treatment techniques are sufficiently well developed. There is currently insufficient evidence from any country in the world to show that screening would reduce deaths from prostate cancer. The United Kingdom National Screening Committee (NSC) keeps screening for prostate cancer under review.

The Department is supporting the development of screening technology for prostate cancer by having a comprehensive research strategy into all aspects of prostate cancer. We are jointly with other National Cancer Research Institute (NCRI) members funding two NCRI Prostate Cancer Research Collaboratives, and the Department has funded half of the total £7.4 million cost for the first three years. Following a review of progress by an international expert panel the Department, Cancer Research UK and the Medical Research Council have agreed to provide a further three years funding of £3.9 million. The research undertaken by the Collaboratives covers all aspects of prostate cancer, and the NSC will be kept closely informed of any research results affecting the evidence base of prostate cancer screening. We are also monitoring international trials on prostate cancer screening.

It is important to note that in order for a screening technology to contribute to saving lives it is essential for there to be effective treatments for the disease detected. That is why the Department is funding a £20
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million trial of treatments for (PSA) screen-detected early prostate cancer (the ProtecT trial). The trial is due to complete in 2008.

Regarding the Welsh Assembly, the Director of Cancer Services at NHS Wales is an observer on the Department’s Prostate Cancer Advisory Group.

Streptococcus: Pregnant Women

Harry Cohen: To ask the Secretary of State for Health if his Department will assess the latest evidence for testing pregnant women for group B streptococcus; and if he will make a statement. [157834]

Ann Keen: The United Kingdom National Screening Committee (UK NSC) advises Ministers and the national health service in all four UK countries about all aspects of screening policy and supports implementation. Using research evidence, pilot programmes and economic evaluation, it assesses the evidence for programmes against a set of internationally recognised criteria.

The UK NSC is considering the implications of the latest research as part of an ongoing programme of work to assess the evidence on the best way to reduce newborn group B streptococcus infections.

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