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Mr. Jim Cunningham: To ask the Secretary of State for Health what steps the Government has taken to reduce health inequalities between the richest and poorest quartiles of the population since 1997. 
This Government have introduced the most comprehensive programme ever seen in this country to address health inequalities, including the first national public service agreement (PSA) targets to reduce inequalities as measured by infant mortality (by socio-economic classification) and life expectancy (by geographical area) by 10 per cent. by 2010.
putting a cross-government national health inequalities strategy in place to deliver the 2010 target, complemented by programmes such as NHS Health Trainers, NHS Life Check and Communities for Health;
launching the Health Inequalities Intervention Tool in August 2007; and
reviewing the success of the Inequalities Infant Mortality PSA target and committing to publish an implementation plan/good practice guidance shortly
Action to tackle health inequalities was strengthened further by the Secretary of States announcement last September that the Department will publish a comprehensive strategy next year for reducing health inequalities. This will address unjustified gaps in health status, fair access to national health service services for everyone and good outcomes of care for all.
Ann Keen: The provision of cardiac rehabilitation services is a matter for the local national health service, working in partnership with stakeholders and the local community. It is for NHS organisations to plan and develop services based on their specific local knowledge and expertise.
A new National Cardiac Rehabilitation Audit has been introduced across England, jointly sponsored by the British Heart Foundation and the Healthcare Commission. This will provide stronger evidence on effectiveness and encourage local areas to appraise and improve their provision of cardiac rehabilitation.
Furthermore, in July 2007, a British Heart Foundation-led campaign with the British Association of Cardiac Rehabilitation was launched, which together with the audit will raise the profile of rehabilitation and give impetus to the provision of rehabilitation services.
Dawn Primarolo: The Government encourages scientific research into HIV through long-standing partnerships between the Department of Health, the Department for International Development (DfID) and the Medical Research Council (MRC). The MRC receives its funding through the Department for Innovation Universities and Skills.
The Department has since 1986 supported a research programme on sexual health and HIV. The programme is managed on its behalf by the MRC, with advice from the Sexual Health and HIV Research Strategy Committee(1). In this way, the MRC is able to co-ordinate the work of the programme with its broader portfolio of national and international research on sexual health and HIV that aims to address the two challenges of protection from HIV transmission and treatment of those affected.
The Committee identifies research needs and priorities, stimulates new research, and advises on the value and relevance to the programme of proposals submitted to it for funding. Studies on HIV epidemiology, prevention and treatment have been a major part of the programme. Currently, around half of the studies funded are concerned with HIV, or HIV in the context of sexually transmitted infection more generally.
Other joint initiatives supporting and encouraging research on HIV include the MRC/DFID DART trial, one of the largest trials in Africa to evaluate two strategic approaches for the management of Antiretroviral Therapies; and the MRC/DFID Microbicides Development Programme, a partnership between the United Kingdom and sub-Saharan Africa to develop vaginal microbicides for the prevention of transmission of HIV infection.
Internationally, the European and Developing Countries Clinical Trials Partnership (EDCTP), which involves 16 European countries and 46 sub-Saharan African countries, aims to develop new clinical interventions to fight HIV/AIDS, malaria and tuberculosis.
(1) This Committee was established in 2002 when it replaced the Committee for the Epidemiological Study of AIDS.
The Department issued its Sex and Relationship Education (SRE) Guidance to all maintained schools in July 2000. Prior to this the basic requirements for sex education were covered by the 1996 Education Act. The guidance took account of the revised national curriculum published in 1999 and was developed in discussion with key stakeholders to make sure it covered all relevant issues. It sets out the framework within which schools should provide effective SRE at each of the four key stages. At secondary school level SRE should prepare young people for an adult life in which (among other things) they can:
be aware of their sexuality and understand human sexuality;
understand the reasons for having protected sex;
have sufficient information to protect themselves from HIV and other STIs.
The position has been further reinforced following the recent review of the secondary curriculum undertakenat the request of the Departmentby the Qualifications and Curriculum Authority. SRE will
continue to place a strong emphasis on sexual activity, HIV and other STIs, and how high-risk behaviours affect the health and well-being of individuals, families and communities.
Mr. Burns: To ask the Secretary of State for Health whether changes have been made to (a) the definition of the term delayed discharges and (b) the procedures in determining a delayed discharge since the implementation of the Delayed Discharges Act 2003; and if he will make a statement. 
Mr. Ivan Lewis
[holding answer 6 December 2007]: Guidance on the implementation of the Community Care (Delayed Discharges etc) Act 2003, including the definition of and procedures for notifying delayed
discharges was issued on 24 September 2003 as Health Service Circular, HSC 2003/009 and Local Authority Circular, LAC (2003) 21. This guidance is still current and has not been amended.
Mr. Spring: To ask the Secretary of State for Health how many bed spaces there were on average at (a) Addenbrookes, (b) West Suffolk and (c) Ipswich hospitals in (i) 1997, (ii) 2002 and (iii) at the latest time for which figures are available. 
Mr. Ivan Lewis: The following table shows the average available and occupied beds for Addenbrookes Hospital National Health Service Trust, Ipswich Hospital NHS Trust and West Suffolk Hospitals NHS Trust in 1996-07, 2001-02 and 2006-07.
|Org name||Available beds||Occupied beds||Available beds||Occupied beds||Available beds||Occupied beds|
|(1 )Addenbrookes NHS Trust became Cambridge University Hospitals NHS Foundation Trust in July 2004|
Department of Health form KH03
Mr. Ivan Lewis: The information is not available in the format requested. The following table shows the average available beds for national health service trusts in the East of England between 1997 and 2007 (latest data available).
|Average daily available beds for NHS trusts in the East of England between 1997 and 2007. In 2000-01, East Hertfordshire NHS Trust and North Hertfordshire NHS Trust merged to form East and North Hertfordshire NHS Trust. In 2000-001, Mount Vernon and Watford Hospitals NHS Trust and St. Albans and Hemel Hempstead NHS Trust merged to form West Hertfordshire NHS Trust. Present trust names used onlyfor all trust name changes, refer to following notes|
RODBasildon and Thurrock General Hospitals NHS Trust (1997-08-2001-02), Basildon and Thurrock University Hospitals NHS Trust (2002-03-2004-05), Basildon and Thurrock University Hospitals NHS Foundation Trust (2005-06-present)
RGTAddenbrookes NHS Trust (1996-97-2004-05), Cambridge University Hospitals NHS Foundation Trust (2005-06-present)
RGPJames Paget Healthcare NHS Trust (1996-97-2004-05), James Paget University Hospitals NHS Foundation Trust (2005-06-present)
RC9Luton and Dunstabte Hospital NHS Trust (1996-97-2004-05), Luton and Dunstable Hospital NHS Foundation Trust (2005-06-present)
RQ8Mid Essex Hospitals NHS Trust (1996-07-2001-02), Mid Essex Hospital Services NHS Trust (2002-03-present)
RM1Norfolk and Norwich Health Care NHS Trust (1996-97-2000-01), Norfolk and Norwich University Hospital NHS Trust (2001-02-present)
RGMPapworth Hospital NHS Trust (1996-97-2004-05), Papworth Hospital NHS Foundation Trust (2005-06-present)
RGNPeterborough Hospitals NHS Trust (1996-97-2004-05), Peterborough and Stamford Hospitals NHS Foundation Trust (2005-06-present)
RAJSouthend Health Care NHS Trust (1996-97-2001-02), Southend Hospital NHS Trust (2002-03-2004-05), Southend University Hospital NHS Foundation Trust (2005-06-present)
RCXKings Lynn and Wisbech Hospitals NHS Trust (1996-97-2004-05), The Queen Elizabeth Hospital King's Lynn NHS Trust (2005-06-present)
Department of Health form KH03
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