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David Taylor: To ask the Secretary of State for Health what steps he plans to take to enhance public and patient confidence in each of the seven Government Professional Health Reform Implementation Programme work streams. 
Mr. Bradshaw: We are proposing an event specifically for patient and public representatives in new year 2008 once all of the working groups have met. The purpose of the event will be to present the programme as a whole to representatives and to seek their feedback. This is in addition to the continuing involvement of patient and public representatives in the working groups and the National Advisory Group meeting. We are also planning to increase the number of public and patient representatives at the next National Advisory Group meeting.
Mr. Lansley: To ask the Secretary of State for Health how much additional funding his Department has provided for NHS communicators to support the End waiting, change lives campaign, broken down by financial year. 
|The Hillingdon Hospital NHS Trust|
|Total (available)||Total (occupied)|
Department of Health form KH03
National health service organisations will decide locally what constitutes the best configuration of health care services and facilities for their populations, working in conjunction with clinicians, patients and other stakeholders.
In some localities, services may be provided in large centralised hospitals, while others may offer the same services in a community setting. The number, type and configuration of wards will depend on the range and extent of services to be provided.
Mr. Stephen O'Brien: To ask the Secretary of State for Health whether trusts are able to rent hospital accommodation to (a) persons who are not junior doctors and (b) persons who are not health professionals. 
In addition, NHS trusts have income generation powers under the National Health Service Act 2006 allowing them to raise additional income by marketing any spare capacity provided it does not, to any significant extent, interfere with the performance by trusts of their functions. These powers include supplying accommodation to any person.
Daniel Kawczynski: To ask the Secretary of State for Health (1) what guidance he has issued on NHS hospitals levying car parking charges on disabled parking bays; and if he will make a statement; 
Mr. Bradshaw: The Department issued revised guidance to the national health service in December 2006 entitled Income Generation: Car Parking ChargesBest Practice for Implementation on the issues to be considered when setting up a car parking scheme or when reviewing existing ones, including what charges to impose and what concessions to consider. This guidance strongly encourages the NHS to be sensitive to those patients who have to use their car parks regularly, by, for instance, offering them reduced price or free car parking. The guidance also stresses the importance of considering the needs of disabled users.
There is no statistical information collected on the number of NHS trusts in England which charge disabled badge holders for parking at their hospitals. It is therefore not possible to provide this information.
Dr. Kumar: To ask the Secretary of State for Health how many hospitals in (a) England and (b) Teesside follow his Departments guidance on providing car parking concessions for patients travelling regularly for treatment; and what steps he has taken in relation to hospitals which do not follow the guidance. 
Mr. Bradshaw: There is no statistical information collected on the number of hospitals in England that provide car parking concessions for patients travelling regularly for treatment. It is therefore not possible to provide this information.
Guidance issued to the national health service in December 2006 entitled Income Generation: Car Parking ChargesBest Practice for Implementation strongly encourages national health service bodies to be sensitive to those patients who have to use their car parks regularly, by, for instance, offering them reduced price or free car parking. However, NHS bodies are autonomous organisations and are not statutorily obliged to implement this best practice. It is for individual NHS bodies to set the level of charges on their premises, taking account of all the relevant local factors.
Anne Milton: To ask the Secretary of State for Health (1) what the evidential basis is for the statement on page 7 of the consultation document Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliancesand related servicesto Primary Care that there are indications that underlying manufacturing costs have gone down; 
Arrangements for reimbursement of these remained largely unchanged for 20 years and information obtained through the consultation process to date indicates that efficiencies have been achieved in the manufacturing process. If this is not the case, the current consultation gives all parties the opportunity to provide evidence to the contrary.
The proposed levels of reimbursement for catheter, continence and stoma-related appliances was set by using a pricing model that is set out in annex C of the consultation document entitled Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliancesand related servicesto Primary Care. Revised proposals.
Within each subcategory, the market share for products is measured as a percentage of total annual net ingredient cost spend. To determine the pricing model benchmark price, products with very low market share are excludedas they may not represent a valid benchmark for pricing comparison. In relation to stoma and incontinence appliances, the Department proposed that products of less than 0.1 per cent. of market share should be excluded for benchmarking purposes.
This model was applied to the 5,000 plus items that are listed in parts IXA, B and C. As proposed, these items have been classified into 228 categories. To identify the date that the items that were at the benchmark price were first listed in the Drug Tariff could be done only at disproportionate cost to the Department. Information provided during meetings and in correspondence and has been offered commercial in confidence.
Jeremy Wright: To ask the Secretary of State for Health under what circumstances a patient's wishes expressed as a section 10 opt-out from the summary care record are expected to be overridden. 
Mr. Bradshaw: The Data Protection Act 1998 makes it clear that a section 10 request should only be overridden where the purpose served by processing the data is sufficiently important to warrant doing so even where it is accepted that substantial harm or distress is being caused. We do not expect there to be many, if any, circumstances where this would arise in the case of an individual who is competent to make decisions. We are, however, taking legal advice, and consulting with the Department for Children, Families and Schools, about the position in respect of those that lack competence, where all decisions should be taken in the individual's best interests.
To ask the Secretary of State for Health whether it will be lawful for the secondary users
database to be searched at the request of the police and for the police to be provided with the identity of individuals whose medical records contain specific information. 
Mr. Bradshaw: Data from the secondary uses service will only be disclosed to the police where it is in the overriding public interest, for example to prevent, or support detection of, extremely serious crimes, where there is statutory authority, or where the courts have made an order requiring disclosure.
Mr. Bradshaw: The data controller for information held within the secondary users service is the Department. Other organisations lawfully permitted access to data held within the secondary users service will be data controllers in common for the subset of data that they can access.
Mr. Bradshaw: With regard to detailed care records provided as part of the national health service care records service, the Department is data controller in common with the NHS organisations providing health care to patients. Although key data controller responsibilities such as overall network and technical system security are managed through the Department's contracts, most data controller responsibilities will be discharged by local organisations. However, there may be occasions, for example due to an organisation ceasing to exist or function, where the Department is the sole data controller for the data concerned.
However, midwives are employed primarily by acute trusts, so the figures shown are for all organisations which employ midwives in the London Strategic Health Authority area. The non-medical workforce census, which the figures are taken from, is collected as at 30 September.
|National health service hospital and community health services: Qualified midwifery staff in the London Strategic Health Authority area by organisation as at 30 September each specified year|
|n/a = not applicable|
(1) More accurate validation processes in 2006 have resulted in the identification and removal of 9,858 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.
Data are presented for NHS organisations in existence for each year.
The Information Centre for health and social care Non-Medical Workforce Census.
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