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The revenue component of the £370 million will be included in primary care trust allocations. The capital funding for improvements to cancer services is included within the total capital
funding available to the national health service. The detail of how this investment will be delivered will be agreed as part of the NHS capital planning process.
Mr. Lansley: To ask the Secretary of State for Health how much his Departments plans (a) to extend the 31 day standard to all cancer treatments, (b) to include all patients with suspected cancer in the 62 day pathway and (c) to ensure that all patients with breast symptoms seen within two weeks of referral are expected to cost in each year for which estimates have been made. 
Ann Keen: An impact assessment was published at the same time as the new Cancer Reform Strategy on 3 December 2007. A breakdown of costs associated with going further on cancer waits are detailed in the following table:
|Estimate for annual costs in £ million|
Mr. Willis: To ask the Secretary of State for Health what the frequency of inspection of care homes was in each year from 2001-02 to 2006-07; and how many homes failed to meet minimum standards for nutrition and medication in each year. 
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.
Up until April 2005, all care and nursing homes were required to be inspected twice yearly. From April 2005, CSCIs inspectors started using new ways of inspecting social care providers, based on the aims set out in the consultation document, Inspecting for Better Lives. The new inspection methodology is designed to place the people who use social care services and their experiences at the heart of the way CSCI inspects and regulates care services.
From April 2005, CSCI has carried out key inspections for care and nursing homes at a frequency determined by the quality of the service. A key inspection is a thorough, detailed inspection, under which CSCI will assess all of the key national minimum standards. For example, a poor quality service will receive a minimum of two key inspections a year, an adequate service will receive a minimum of one key inspection a year, a good service will receive a minimum of one key inspection every two years, and an excellent service will receive a key inspection a minimum of once every three years. CSCI also carries out random and thematic inspections, which are short, focused inspections on a specific theme or area.
The following table shows the percentages of care homes which failed to meet the National Minimum Standards (NMS) on meals and mealtimes and medication in each year from 2002-03. Information is not available for 2001-02; the NMS were introduced in April 2002.
CSCI inspectors rate homes performance against each standard and score it on a scale of one to four. Scores of three or four mean the standard has been met. Scores one or two mean the standard has not been met. However, the score of two indicates that the failure is due to a more minor issue.
|Percentage of care homes failing to meet selected NMS at 31 March each yearNMS|
|Meals and mealtimes||Medication|
CSCI Registration and Inspection database
Mr. Lansley: To ask the Secretary of State for Health what assessment he has made of the additional cost the NHS will incur to ensure that women in all primary care trusts receive the results of their cervical screening test within two weeks of it being taken. 
To ask the Secretary of State for Health how many (a) midwife-led, (b) consultant-led
and (c) other maternity units there were in each year since 1997; how many births there were in each type of unit in each year; and if he will make a statement. 
The following table gives details of the numbers of births and the percentages of those births in consultant units, general practitioner (GP) units, units led jointly by consultants, GPs and midwives and midwife or other units since 1997.
|Number of births||Consultant units||GP units||Units led jointly by consultants, GPs and midwives||Midwifery/other|
| Source : Hospital Episode Statistics|
David Lepper: To ask the Secretary of State for Health what steps he is taking to ensure that appropriate resources are available for NHS multi-disciplinary services for myalgic encephalopathy and chronic fatigue syndrome following the recommendations of the National Institute for Health and Clinical Excellence including on (a) provision of diagnostic and therapeutic options, (b) domiciliary services and (c) relevant training for health care professionals, including GPs. 
Ann Keen: It is the responsibility of local health bodies to commission services, funded from their general allocations, to meet the needs of those in their local population living with chronic fatigue syndrome/myalgic encephalomyelitis as detailed in the guidance produced by the National Institute for Health and Clinical Excellence.
Mr. Stewart Jackson: To ask the Secretary of State for Health what proposals he intends to implement to reduce the incidence of chronic obstructive pulmonary disease in Peterborough primary care trust area; and if he will make a statement. 
My right hon. Friend the Secretary of State (Alan Johnson) requested that a National Service Framework (NSF) should be developed for Chronic Obstructive Pulmonary Disease (COPD) following recommendations published in the CMOs annual report 2004.
The development of a NSF for COPD will result in national standards and markers of good practise. It will improve the quality of and access to COPD services, reducing inequalities and reduce healthcare utilisation costs. The NSF will also support the system reform and White Paper agendas, and fits in with recent legislation on the reduction of smoking and new home oxygen service.
Ann Keen: Community matrons were identified separately for the first time in the 2005 annual national health service work force census. The number of community matrons employed by each primary care trust (PCT) and trust since 2005 is shown in the following table.
Anecdotal evidence suggests there are more community matrons in post than the census suggests.
Based on recent discussions with a number of strategic health authorities (SHAs) we believe that the 2006 census is an undercount, with community matrons most likely being recorded in the census within other occupational groups.
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