Mr. Hunt: To ask the Chancellor of the Exchequer pursuant to the answer of 21 November 2007, Official Report, column 926W, on video games: research, for what reasons the information on HM Revenue and Customs research and development units for the computer games industry is not available; and what breakdown by industry sector and recipient can be provided of the allocation of £150 million by HMRC. 
Angela Eagle: Information on claims for R&D tax credits for the computer games industry is not available because the data is broken down by industry sector using the UK Standard Industrial Classification of Economic Activities (SIC), and the computer games industry is not identified as a separate sector in this classification.
No industry breakdown is available of the figure of £150 million, which relates only to the payable credit element of the R&D tax credit scheme. However, a breakdown is available for the National Statistics published on the total claims made for R&D tax credits and total support claimed. This shows that companies in the computer and related services sector accounted for over a fifth of the total 6,300 claims made for R&D tax credits in 2004-05, and a tenth of the £580 million of support in these 6,300 claims. Whilst many companies involved in the computer games industry may appear in this industry sector, some may have other classifications.
Mr. Gauke: To ask the Chancellor of the Exchequer how many tax credit claimants who ceased to be entitled to tax credit by reason of working less than 16 hours a week have been informed that overpayments will be remitted; and what the value was of the remittances made to such tax credit claimants. 
Jane Kennedy [holding answer 19 November 2007]: An amount of £186 million was remitted in the 2006-07 accounts in respect of this issue. The relevant notes to the 2006-07 Trust Statement can be found on page 100 of the HMRC Accounts published at http://www.hmrc.gov.uk/about/hmrc-06-07-acc.pdf.
David Mundell: To ask the Chancellor of the Exchequer how many young people were not in education, employment or training in Scotland in (a) 1997 and (b) the latest date for which figures are available, broken down by Westminster constituency. 
Mike Penning: To ask the Secretary of State for Health what the 10 most frequent causes of repeat visits to accident and emergency wards were in the latest period for which figures are available; and what estimate has been made of the avoidable costs which accrued from such visits. 
Mr. Bradshaw: Information on reasons for attendance at accident and emergency (A and E) departments is not routinely collected and therefore information is not available on causes of visits or repeat visits to A and E.
Mike Penning: To ask the Secretary of State for Health (1) how many air ambulances were operating in the UK in the latest period for which figures are available; what estimate he has made of their operating cost in that period; and how much of the cost was paid by the public purse; 
(2) what the average annual staff cost was of an air ambulance in the latest period for which figures are available; and what estimate he has made of the average annual (a) insurance and (b) running costs of an air ambulance. 
Mr. Bradshaw: The Department is not responsible for air ambulances, and does not routinely collect air ambulance data centrally. However, the Department has previously commissioned research into helicopter emergency ambulance services. The research undertaken estimated that there were 16 air ambulances operating across 14 organisations in England and Wales and that an the average annual operating costs of an individual air ambulance were around £0.8 million a year (based on data from 11 of the 14 organisations, ranging from 2000 to 2001-02). In addition, representatives from ambulance trusts and air ambulance charities are currently working together to seek to improve joint working practices and procedures and undertook a survey of air ambulance charities in August/September 2007 to which 14 air ambulance organisations responded. Those responses indicated that there were 24 helicopters and that the average expenditure per helicopter per annum was £0.8 million. Neither piece of work provided information on insurance costs.
Since 1 April 2002, the Department has made clear that it would normally expect the national health service to meet the cost of clinical staff on air ambulances, but the levels of such funding are not collected centrally. It is for NHS ambulance trusts to decide whether they provide any additional funding to the air ambulance charities.
Mark Pritchard: To ask the Secretary of State for Health if he will take steps to ensure that there is an appropriate number of West Midlands Ambulance Trust's ambulances in Shropshire to respond to emergency calls during the day and at night. 
Mike Penning: To ask the Secretary of State for Health what the average response time was for (a) air ambulances and (b) road ambulances in areas in which air ambulances operated in the latest period for which figures are available. 
Mr. Bradshaw: The information requested is not collected centrally. The ambulance response time data that is collected covers ground ambulances in England only. It does not include average response times, but does include data on performance, by each ambulance trust, against current national targets. The data is published annually. The latest statistical bulletin, Ambulance Services, England, 2006-07 was published in June 2007, a copy is available in the Library.
Mr. Spring: To ask the Secretary of State for Health what the average time taken to respond to an emergency telephone call by the ambulance service was in Suffolk in each of the last five years. 
The data that the Department does collect on ambulance response times is published on an annual basis in the statistical bulletin, Ambulance services, England. These documents are available in the Library and on the Information Centre for Health and Social Care website at:
Mr. Bradshaw: It is for primary care trusts to commission services that reflect the needs of the local population and to determine who to contract with to deliver these services. The Department does not collect information about contracts which are agreed locally between primary care trusts and providers.
|Units of blood collected( 1 ) (million units)
These figures are rounded to the nearest 10,000.
Mr. Willis: To ask the Secretary of State for Health what the procedure is for investigating complaints about standards of care and abuse and neglect in care homes; and what the procedure was before 2006. 
Mr. Ivan Lewis: All care homes are subject to the Care Homes Regulations 2001, which include a requirement that the provider has an effective complaints procedure. All residents have access to this. Normally, the expectation is that in the first instance the complaint should be raised with the provider. In addition, people whose care needs have been assessed by local authorities, or whose care is commissioned or funded by local authorities, have access to the statutory local authority social services complaints procedure. If the local authority response does not satisfy the complainant, they are entitled to refer the matter to the local government ombudsman.
People can also raise concerns with the Commission for Social Care Inspection (CSCI). CSCI welcomes representations about the standard of care in care homes and reports of suspected abuse, and will respond to these as appropriate. CSCI's role in doing
so is that of a regulator, where issues are raised that impact upon the safety of services and compliance by the provider with the regulations. However, CSCI does not have a role in resolving complaints for individuals.
In addition, anyone receiving national health service health care, irrespective of their circumstances, is able to make a complaint under the NHS complaints procedure, for example, care home residents registered with a general practitioner.
Mr. Ivan Lewis: The Commission for Social Care Inspection (CSCI) is responsible for all aspects of regulation and inspection of care homes in England, including those providing nursing care. CSCI employs inspectors with a range of professional skills for dealing with a mixed caseload, including approximately 300 inspectors who are registered nurses. Where possible, CSCI will assign inspectors with a nursing background to inspect nursing homes.
CSCI expects non-nurse inspectors to discuss any clinical issues arising at inspection with nursing colleagues in their team. As part of this process, CSCI has good practice guidance, known as clinical triggers, for inspectors in respect of several areas such as nutrition, continence management and medication. These triggers alert inspectors as to when it would be appropriate to instruct the service provider to contact local health services to arrange specialist nursing assessment for a resident or, to seek advice from a clinical colleague within CSCI to ascertain whether enforcement action may be necessary.
CSCI has a source of specialist nursing advice in its Head of Health Policy and Quality. CSCI also has a head pharmacist; where there are concerns around medication, a pharmacist inspector will inspect the service. All inspectors receive training in all methodologies and tools.
Mr. Ivan Lewis: The Commission for Social Care Inspection (CSCI) is responsible, under the Care Standards Act 2000 and associated Regulations, for all aspects of regulation and inspection of care homes providing nursing care.