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4 Dec 2007 : Column 1112W—continued

—continued


Swords and Daggers

James Brokenshire: To ask the Secretary of State for the Home Department when she will introduce regulations to restrict the sale, re-sale and importation of samurai swords; and if she will make a statement. [170026]

Mr. Coaker: The Government issued a consultation paper in March 2007 seeking views on proposals to ban
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samurai swords and other offensive weapons. We expect to publish a summary of responses to the consultation paper before the end of the year, which will set out the Government’s intentions on introducing regulations to restrict the sale, re-sale and importation of samurai swords.

Health

Brent Teaching Primary Care Trust

Sarah Teather: To ask the Secretary of State for Health when he plans to publish the findings of the Taylor Review into the financial management of Brent Primary Care Trust. [167561]

Mr. Bradshaw: We have no plans to publish the findings of this review as this is a matter for the local national health service. However, we are informed by NHS London that the report has not yet been finalised and is going through due process.

I have asked the chair of Brent Teaching Primary Care Trust to write to the hon. Member regarding this matter.

Dental Services

Daniel Kawczynski: To ask the Secretary of State for Health whether he plans to make adjustments to the distribution of units of dental activity across different dental functions in light of the experience of the April 2006 dental contracts. [169262]

Ann Keen: Units of dental activity are essentially banded courses of treatment, weighted according to the relative average complexity of the three dental charge bands. The current weightings are derived from the previous general dental services fee-scale. Each fee included an element which reflected the relative time taken for the procedure and the expenses incurred. The weighted averaging inherent in the new system means some courses of treatment will involve more time and expense than the average for that band, others less. There are no plans to change the distribution of the existing weighted courses of treatment. However dentists’ working patterns under the new system are kept under review.

Daniel Kawczynski: To ask the Secretary of State for Health what assessment he has made of the effect of the April 2006 dental contract on the provision of maintenance dental activities, including screening for oral cancer, preventing decay and monitoring children’s dental growth and need for orthodontics. [169263]

Ann Keen: Preventive as well as diagnostic treatments are included in a Band 1 course of treatment as set out in Schedule 1 to the NHS (Dental Charges) Regulations 2005 (SI. 2005/3477 as amended). Under a Band 1 course of treatment dentists are required to undertake a clinical examination and diagnosis. Diagnosis includes checking for signs of oral diseases such as oral cancer and any issues with developing teeth and face including any need for orthodontic correction. A Band 1 course of treatment also provides for instruction in the prevention
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of dental and oral disease including dietary advice and dental hygiene instruction, surface application as primary preventive measures of sealants and topical fluoride preparations where clinically indicated. Epidemiological surveys of child dental health are generally undertaken by salaried dentists employed by primary care trusts.

Daniel Kawczynski: To ask the Secretary of State for Health what assessment he has made of the effect of the April 2006 dental contract on (a) existing and (b) newly-established dental practices. [169264]

Ann Keen: Dentists providing general dental services (GDS) at 31 March 2006 were entitled to a contract under the new arrangements and a contract value based on historic GDS gross earnings. This was designed to protect those income levels for a three year transitional period. The Department is not aware of significant differences in experience between existing and newly established providers of primary care dental services under the new dental system.

Daniel Kawczynski: To ask the Secretary of State for Health (1) what the total shortfall of units of dental activity (UDAs) was among NHS dentists in England who did not undertake the contracted number of UDAs in the financial year 2006-07; [169265]

(2) what average number of units of dental activity (UDAs) undertaken was as a percentage of the contracted number of UDAs for NHS dentists in England in the financial year 2006-07. [169266]

Ann Keen: Data released by the Dental Services Division of the Business Service Authority show that the total shortfall for national health service dental contracts delivering less than 100 per cent. of contracted activity in 2006-07 was 5.3 million units of dental activity. 94.8 per cent. of total contracted units of dental activity were delivered in 2006-07.

Mr. Vara: To ask the Secretary of State for Health how many (a) dentists and (b) orthodontists provided services to the NHS in each of the last five years, broken down by primary care trust. [169284]

Ann Keen: Numbers of national health service dentists at primary care trust (PCT) and strategic health authority (SHA) level 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 at parliamentary constituency level is available in Annex G.

This information is based on the old contractual arrangements. This report is available in the Library and is available at:

The numbers of NHS dentists at PCT and SHA level as at 30 June, 30 September, 31 December 2006 and 31 March 2007 are available in Table El of Annex 3 of the
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NHS “Dental Statistics for England: 2006-07” report. This information is based on the new dental contractual arrangements, introduced on 1 April 2006.

This report is available in the Library and is available at:

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.


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The numbers quoted in the above reports are headcounts and do not differentiate between full- and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.

In both of these reports, it is not possible to separately identify dentists undertaking orthodontic work.

Orthodontist information is only separately identifiable within the Hospital and Community Health Service (HCHS) of which PCTs are not a part. The following table shows HCHS data for England and SHA areas.

HCHS : Orthodontic dental staff by SHA area , England as at 30 September each year
N umber (headcount)
2002 2003 2004 2005 2006
All s taff Of which: Consultant All s taff Of which: Consultant All s taff Of which: Consultant All s taff Of which: Consultant All s taff Of which: Consultant

England

508

161

522

178

521

180

552

206

544

189

North East

Q30

30

11

37

10

33

9

35

9

36

7

North West

Q31

65

21

62

20

62

25

68

25

65

26

Yorkshire and The Humber

Q32

68

26

67

28

68

31

64

27

59

24

East Midlands

Q33

41

10

46

12

43

12

41

14

46

16

West Midlands

Q34

55

12

54

15

52

15

54

19

62

19

East of England

Q35

49

14

43

14

34

12

39

16

42

17

London

Q36

82

26

82

31

85

29

120

49

89

31

South East Coast

Q37

34

11

38

13

40

14

40

13

37

13

South Central

Q38

28

13

35

17

31

14

35

15

37

16

South West

Q39

56

17

58

18

73

19

56

19

71

20

Source:
The Information Centre for health and social care Medical and Dental Workforce Census

The methodology and frequency for reporting workforce information are being reviewed. The purpose of the review is to ensure that, following experience of the first year of the new dental contract, figures provide an appropriate measure of the workforce, given the way that the workforce reporting system is being used by PCTs. An update on the review will be provided in the “NHS Dentals Statistics for England, Quarter 2, 30 September 2007” publication, which is due to be published in February 2008.

Mr. Randall: To ask the Secretary of State for Health what percentage of people were registered with an NHS dentist in each year since 1997. [169677]

Ann Keen: The proportion of the population registered with an NHS dentist, in England, as at 31 March 1997 to 2006 is available in Annex B of the “NHS Dental Activity and Workforce Report, England: 31 March 2006”.

This information is based on the old contractual arrangements. This report was published on 23 August 2006 and has been placed in the Library and is also available at:


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