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Mr. Amess: To ask the Secretary of State for Health what estimate he has made of the number of children who were diagnosed with diabetes in (a) Southend, (b) each borough in Essex, (c) each borough in Kent, (d) the Metropolitan Police area of London and (e) England in each of the last five years for which figures are available, broken down by age group. 
Ann Keen: This information is not available in the format requested. Current estimates suggest that there are approximately 20,000 children with Type 1 diabetes under the age of 15 in the United Kingdom. Estimates of the number of children with Type 2 diabetes vary, but in the UK it has been suggested that there may be as many as 1,400 children and young people with Type 2 diabetes.
Ann Keen: The information is not available in the format requested. The following table shows data on the number of patients on diabetes registers in general practices, available from the Quality and Outcomes Framework (QOF) data available on the Information Centre website but only for the financial years 2004-05, 2005-06 and 2006-07.
|Patients||Identified prevalence (Percentage)||Patients||Identified prevalence (Percentage)||Patients||Identified prevalence (Percentage)|
Due to changes in strategic health authority (SHA) and primary care trust (PCT) configurations, and the fact that East of England SHA and Suffolk PCT only came into existence in 2006, the figures quoted for 2005-06 and 2004-05 were originally for the old SHAs (Bedfordshire and Hertfordshire, Essex and Norfolk, Suffolk and Cambridgeshire) and PCTs (Central Suffolk, Ipswich, Suffolk Coastal and Suffolk West) that were in existence at the time have been summed to give figures for the new bodies.
The disease register in QOF for diabetes does not include any patient below the age of 17. However, the denominator is all registered patients. This means that the reported prevalence is lower than the actual value.
Coverage of QOF
Patients will only contribute to the figures in QOF if they are registered with a general practice participating in QOF. Not all practices participate in QOF and some participate in only some parts (especially PMS practices who are paid under different arrangements for providing services which are part of QOF for CMS practices). Most indicators in QOF have rules which allow for patients to be excluded (e.g. patient refuses treatment) and so the denominator for a given indicator may be less than the number of patients on the register for that disease. Note also that some indicators have age limits and so exclude some patients on the register.
Information Centre for health and social care.
Mr. Amess: To ask the Secretary of State for Health what research has been (a) commissioned and (b) evaluated by his Department on the causes of type 1 diabetes; and if he will make a statement. 
Dawn Primarolo: The Medical Research Council (MRC) is one of the main agencies through which the Government support medical and clinical research. The MRC supports a portfolio of research relating to diabetes. Expenditure on the portfolio in 2005-06 was £13.9 million.
The Department funds national health service research and development through the National Institute for Health Research (NIHR). The Institutes Diabetes Research Network, one of six topic specific networks, brings together NHS staff and resources to support randomised controlled trials and other well-designed studies for commercial and non-commercial sponsors. These include a study of the epigenetics of type 1 diabetes using identical twins. The NIHR is investing £20 million over five years in the network.
The Department also funds the Yorkshire register of diabetes in children and young people. Data derived from the register are used in epidemiological studies and in aetiological research, and contributes to the European study of childhood type 1 diabetes.
Mr. Austin Mitchell: To ask the Secretary of State for Health on what date Ministers from his Department next plan to meet representatives of the Health Food Manufacturers Association to discuss progress in implementation of the Food Supplements Directive. 
Dawn Primarolo: There is currently no date planned for Ministers to meet with representatives of the Health Food Manufactures Association to discuss progress in implementation of the Food Supplements Directive.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 14 June 2007, Official Report, column 1306-7W, on the elderly: malnutrition, when he plans to publish his Departments nutrition action plan. 
Mr. Ivan Lewis: The nutrition action plan will be published tomorrow and there will be an ongoing monitoring of how stakeholders and their work have contributed to the aims of the plan by a nutrition action plan delivery board.
Mr. Burstow: To ask the Secretary of State for Health how many deaths were caused by malnutrition among those aged over 65 years in the last 10 years, broken down by age and region; and if he will make a statement. 
The National Statistician has been asked to reply to your recent question asking how many deaths were caused by malnutrition among those aged over 65 years in the last 10 years, broken down by age and region. I am replying in her absence. (160867)
The attached table provides the numbers of deaths where malnutrition or effects of hunger were mentioned on the death certificate, by age group for persons aged 65 years and over, for each government office region in England, and for Wales, for the years 1997 to 2006 (the latest year available).
|Table 1. Deaths from malnutrition and effects of hunger( 1) , persons aged 65 and over by age group, by Government office region in England( 2) , and Wales, 1997-2006( 3)|
|(1) Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 (malnutrition) and E904.1 (effects of hunger) for the years 1997 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 (malnutrition) and T73.0 (effects of hunger) for 2001 onwards. Deaths were included where one of these causes was mentioned anywhere on the death certificate. The introduction of ICD-10 in 2001 means that the numbers of deaths from each cause before 2001 are not completely comparable with later years. (2) Based on boundaries as of 2007. (3) Figures are for deaths registered in each calendar year.|
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