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CSCI participated as a stakeholder, in collaboration with the Department of Health, in the development of the Nutrition Action Plan. As a stakeholder, CSCI has made a commitment that it will use the Annual Quality Assurance Assessment (AQAA) to ask all providers to confirm that they carry out nutritional screening for people at risk of malnutrition. Where evidence raises concern about nutrition and malnutrition, CSCI will ensure that this is fully explored during the next inspection of the service and will track through the AQAA, the assessment of individual person centred plans to make sure that where required, nutritional screening has taken place.

CSCI will be meeting with Skills for Care on 27 November 2007 to discuss the competences required by inspectors on nutritional care. The outputs from this work will inform training requirements, which will be delivered to inspectors within CSCI’s overall training programme.

Care Homes: Standards

Mr. Waterson: To ask the Secretary of State for Health what his most recent estimate is of the cost of implementation of the National Framework for NHS Continuing Healthcare (a) in total and (b) broken down by major cost area. [165823]

Mr. Ivan Lewis: The estimated overall cost to the national health service is £219 million in the first full year of implementation. This includes an allowance for primary care trusts to continue to pay the high band nursing care contribution for all those people receiving it, when the framework was implemented on 1 October 2007.

Chlamydia: Screening

Mr. Lansley: To ask the Secretary of State for Health what consideration his Department has given to the merits of developing a tariff for chlamydia screening in the system of payment by results, as recommended on page three of the Health Protection Agency's Annual Report of the National Chlamydia Screening Programme for 2006-07. [166441]

Mr. Bradshaw: The Department of Health consulted on how the payment by results system impacts on access to sexual health services as part of the Options for the Future of Payment by Results: 2008-09—2010-11 consultation document published on 15 March 2007.

There were a number of responses from stakeholders with an interest in sexual health and we will be considering their views in establishing our development priorities for sexual health payment by results. We will also take into account newly emerging recommendations such as that by the Health Protection Agency.

Cocoa: Labelling

Mr. Hancock: To ask the Secretary of State for Health if he will make it his policy to regulate labelling to identify the country of origin on products containing cocoa. [165928]

Dawn Primarolo: Origin labelling rules are harmonised at European Union level and, while the
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European Commission is currently reviewing legislation in this area, neither the Commission nor the United Kingdom has plans to introduce mandatory origin labelling for products containing cocoa.

Meanwhile, there is nothing to stop manufacturers from declaring this on a voluntary basis—provided it is accurate and not misleading.

Cost Benefit Analysis

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) with reference to the answer of 28 June 2006, Official Report, column 458W, on cost benefit analysis, if he will make available the results of the evaluation of demonstration sites; [164596]

(2) with reference to the answer of 28 June 2006, Official Report, column 459W, on cost benefit analysis, when the results referred to in the answer were published; and if he will place in the Library a copy of the results. [164601]

Mr. Bradshaw: The evaluation report of the demonstration sites was published on 23 October. A separate report, written by the subgroups overseeing the projects in six speciality areas, was published on the same day.

Both reports are available online. The evaluation report is available at:

The speciality subgroup report is available at:

Copies of both publications have been placed in the Library.

Departmental Consultants

Mr. Lansley: To ask the Secretary of State for Health if he will list all services purchased from consultants in 2006-07. [167836]

Mr. Bradshaw: The Department does not collect information on all the services purchased from consultants in the format requested. To do so would attract disproportionate cost.

A new system will be introduced in April 2008 called SHOWA, which will be able to gather such information for the Department.

Departmental Correspondence

Mr. Amess: To ask the Secretary of State for Health when his Department expects to reply to the letter of 28 February 2007 from the hon. Member for Southend West to Lord Hunt of Kings Heath enclosing an e-mail from Autumn Fredericks; what the reason for the time taken to reply is; and if he will make a statement. [165746]

Mr. Bradshaw: A reply was issued on 12 June 2007.

Departmental Expenditure

Mr. Lansley: To ask the Secretary of State for Health what written guidance on the Comprehensive Spending
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Review was (a) sent in 2007 by HM Treasury to his Department and (b) has been circulated internally within his Department. [162825]

Mr. Bradshaw: As is normal in the run-up to a spending review, HM Treasury provided numerous pieces of guidance to all Departments, including the Department of Health, on preparations and evidence for the 2007 comprehensive spending review.

Departmental Manpower

Norman Baker: To ask the Secretary of State for Health (1) how many reports have been made to his Department’s nominated officers under paragraph 16 of the revised Civil Service Code since its publication on 6 June 2006; [162434]

(2) how many allegations of victimisation for whistleblowing have been reported to his Department by departmental staff since 6 June 2006; [162435]

(3) when his Department’s whistleblowing procedures were reviewed to reflect the provisions in the revised Civil Service Code. [162436]

Mr. Bradshaw: I refer the hon. Member to the answer given the Parliamentary Secretary, Cabinet Office my hon. Friend the Member for Lincoln (Gillian Merron) on 19 November 2007, Official Report, column 596W.

Departmental Official Hospitality

David Taylor: To ask the Secretary of State for Health what entertainment or hospitality members of the Department’s management board have received in each of the last three financial years; and if he will make a statement. [164753]

Mr. Bradshaw: Paragraph 4.3.5 of the Civil Service Management Code sets out the rules on the registration of hospitality. The Government are committed to publishing an annual list of hospitality received by members of departmental boards. The first list for 2007 will be published as soon as it is ready after the end of the current calendar year.

Departmental Public Expenditure

Mr. Lansley: To ask the Secretary of State for Health when he intends to publish programme budgeting data for 2006-07 on his Department's website. [166426]

Mr. Bradshaw: England level programme budgeting expenditure data were published as part of the Department's resource accounts on 11 October 2007. Primary care trust level data were published on the Department of Health's website on 29 October 2007, and are available at:

Dermatology: Private Sector

Mr. Burstow: To ask the Secretary of State for Health how much his Department paid to private healthcare providers for dermatological services in 2006-07. [166496]

Mr. Bradshaw: Information is available on the total amount the Department and the national health
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service spend on contracts with independent sector treatment centres and other private sector bodies but this is not broken down in a way that allows spend on dermatological services to be determined.


Mr. Jim Cunningham: To ask the Secretary of State for Health how much the Government has allocated to research into diabetes since 1997. [167899]

Dawn Primarolo: Over the last 10 years, the main part of the Department’s total expenditure on health research has been devolved to and managed by national health service organisations. The NHS has reported spending from this funding in support of diabetes as follows:

£ million













These data were not collected centrally prior to 2001.

The Department now funds NHS research and development through the National Institute for Health Research (NIHR). The Institute’s 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. The NIHR is investing £20 million over five years in the network.

The Medical Research Council (MRC) is one of the main agencies through which the Government support medical and clinical research. The MRC is an independent body funded by the Department for Innovation, Universities and Skills.

MRC expenditure on research concerned with diabetes since 1999 has been:

£ million















Earlier comparable figures are not available.

Eastbourne Hospital: Hip Replacements

Mr. Waterson: To ask the Secretary of State for Health how many hip replacement operations were performed on patients over 65 at the Eastbourne district general hospital in each year since 1997. [165399]

Dawn Primarolo: The information is not available in the format requested. However, the information in the table shows data for the years 2002-03 to 2005-06 for
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East Sussex hospital NHS trust, which Eastbourne district general hospital is a part of. Data prior to 2002-03 are not available in readily accessible form.

Count of finished consultant episodes with a hip replacement operation performed on patients aged 65 years and over at East Sussex hospital national health service trust 2002-03 to 2005-06
NHS hospitals England
Finished consultant episodes









1. Codes used for hip replacement operations were: total prosthetic replacement of hip joint (W37—W39) and prosthetic replacement of head of femur (W46—W48).
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. Ungrossed data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
4. Finished consultant episode (FCE) with an operation
A count of FCEs with an operation is the number of finished consultant episodes where the procedures were mentioned in any of the 12 (four prior to 2002-03) operative procedure fields in a HES record. A record is only included once in each count, even if a procedure is mentioned in more than one operative procedure field of the record. Please note that more procedures are carried out than finished consultant episodes with an operation. For example, patients undergoing a cataract operation would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single finished consultant episode.
Hospital Episode Statistics (HES), The Information Centre for Health and Social Care

General Practitioners

Mrs. Gillan: To ask the Secretary of State for Health how many GPs are currently registered as having a special interest, broken down by specialty. [166503]

Mr. Bradshaw: There are currently more than 1,700 general practitioners with a special interest. Information to provide a breakdown by specialty is not available centrally.

General Practitioners: East Sussex

Mr. Waterson: To ask the Secretary of State for Health what average annual earnings for general practitioners in the East Sussex Downs and Weald Primary Care Trust were in each year since 1997. [165338]

Mr. Bradshaw: Information on the average annual earnings for general practitioners in East Sussex Downs and Weald Primary Care Trust is not held centrally.

General Practitioners: Location

Mr. Hoban: To ask the Secretary of State for Health what plans he has to encourage the location of GP practices on high streets. [164761]

Mr. Bradshaw: It is for primary care trusts to commission primary medical care services from general practitioners (GPs) and other providers that best meet
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local needs. Some of these services may be GP led health centres situated on high streets because of their convenient location and good transport links.

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