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13 Dec 2007 : Column 864W—continued


Health Services: Disadvantaged

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. [169329]


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Dawn Primarolo: Health inequalities targets are not set and monitored in terms of the richest and poorest quartiles of the population.

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.

National initiatives to deliver the PSA include:

Action to tackle health inequalities was strengthened further by the Secretary of State’s 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.

Heart Diseases: Health Services

Mr. Jim Cunningham: To ask the Secretary of State for Health what steps the Government plan to take to increase the availability of cardiac rehabilitation services. [173703]

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.

HIV Infection: Research

Mr. Jim Cunningham: To ask the Secretary of State for Health what steps the Government has taken to encourage scientific research into HIV since 1997. [170159]

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.


13 Dec 2007 : Column 866W

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.

HIV Infection: Young People

Mr. Jim Cunningham: To ask the Secretary of State for Health what steps the Government have taken to educate young people about HIV infection since 1997. [170158]

Beverley Hughes: I have been asked to reply.

Teaching about safer sex is one of the Government’s key strategies for reducing the incidence of HIV/AIDS and other sexually transmitted infections (STIs).

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:

The position has been further reinforced following the recent review of the secondary curriculum undertaken—at the request of the Department—by the Qualifications and Curriculum Authority. SRE will
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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.

Hospital Beds

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. [171843]

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
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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.

Hospital Beds: East Anglia

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. [167527]

Mr. Ivan Lewis: The following table shows the average available and occupied beds for Addenbrooke’s Hospital National Health Service Trust, Ipswich Hospital NHS Trust and West Suffolk Hospitals NHS Trust in 1996-07, 2001-02 and 2006-07.

1996-07 2001-02 2006-07
Org name Available beds Occupied beds Available beds Occupied beds Available beds Occupied beds

Addenbrooke’s NHS Trust(1)

1,287

1,135

1,280

1,102

1,048

912

Ipswich Hospital NHS Trust

816

638

769

644

700

594

West Suffolk Hospitals NHS Trust

685

506

679

566

494

413

(1 )Addenbrooke’s NHS Trust became Cambridge University Hospitals NHS Foundation Trust in July 2004
Source:
Department of Health form KH03

Hospital Beds: Eastern Region

Mr. Ruffley: To ask the Secretary of State for Health how many hospital beds there were in each primary care trust area in the East of England in each year since 1997. [170127]

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).


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13 Dec 2007 : Column 870W
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 only—for all trust name changes, refer to following notes
Org code Organisation 1996-07 1997-08 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07

RDD

Basildon and Thurrock University Hospitals NHS Foundation Trust

675

662

613

614

627

646.94

627

652

652

662

663.79

RC1

Bedford Hospital NHS Trust

476

455

459

450

451

459.67

471.9

525.36

511.64

433

431

RGT

Cambridge University Hospitals NHS Foundation Trust

1,287

1,302

1,277

1,257

1,269

1,280

1,026

1,034

1,032

1,068

1,048

RWH

East and North Hertfordshire NHS Trust

1,289

1173.5

1126.3

1049.2

1054.9

1,077

1,066

RC4

East Hertfordshire NHS Trust

646

622

603

600

RAQ

North Hertfordshire NHS Trust

653

641

676

674

RDE

Essex Rivers Healthcare NHS Trust

755

723

752

750

764

754.35

834

701.08

643

660

666.87

RQQ

Hinchingbrooke Healthcare NHS Trust

397

397

389

389

417

416.75

350.24

342.65

337.79

293.03

262.63

RGQ

Ipswich Hospital NHS Trust

816

761

738

733

781

769.21

766.62

782

755.71

746.44

699.59

RGP

James Paget University Hospitals NHS Foundation Trust

479

521

530

546

540

550.76

552.28

550.29

568.61

566.49

507.68

RC9

Luton and Dunstable Hospital NHS Foundation Trust

538

517

507

519

522

513.92

536.93

565.6

574.44

567.91

578.1

RQ8

Mid Essex Hospital Services NHS Trust

888

880

846

818

843

850.65

854.39

771.27

761.38

808.59

684.07

RM1

Norfolk and Norwich University Hospital NHS Trust

1,008

966

954

920

914

928

960.83

1017.1

1006.3

969.74

962.68

RGM

Papworth Hospital NHS Foundation Trust

183

189

184

181

177

186.74

193.4

196.73

201.41

209.81

212.78

RGN

Peterborough and Stamford Hospitals NHS Foundation Trust

765

722

690

676

687

684.54

767.93

776.66

747.47

647.44

613.94

RAJ

Southend University Hospital NHS Foundation Trust

776

770

757

754

728

727.72

713.26

746.43

767.76

764.78

770.46

RQW

The Princess Alexandra Hospital NHS Trust

381

365

361

346

623

628.62

546.81

498.41

498.35

514.36

484.53

RCX

The Queen Elizabeth Hospital King's Lynn NHS Trust

721

683

659

642

656

623.63

511.29

542.22

560.5

502.36

480.04

RWG

West Hertfordshire Hospitals NHS Trust

867

833.96

816

826.73

924.13

924.78

766.08

RQL

Mount Vernon and Watford Hospitals NHS Trust

761

621

616

548

RPW

St. Albans and Hemel Hempstead NHS Trust

506

476

436

378

RGR

West Suffolk Hospitals NHS Trust

685

713

673

664

687

678.79

638.31

676

630.77

570.42

494.12

Notes:
Name changes:
ROD—Basildon 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)
RGT—Addenbrookes NHS Trust (1996-97-2004-05), Cambridge University Hospitals NHS Foundation Trust (2005-06-present)
RGP—James Paget Healthcare NHS Trust (1996-97-2004-05), James Paget University Hospitals NHS Foundation Trust (2005-06-present)
RC9—Luton and Dunstabte Hospital NHS Trust (1996-97-2004-05), Luton and Dunstable Hospital NHS Foundation Trust (2005-06-present)
RQ8—Mid Essex Hospitals NHS Trust (1996-07-2001-02), Mid Essex Hospital Services NHS Trust (2002-03-present)
RM1—Norfolk and Norwich Health Care NHS Trust (1996-97-2000-01), Norfolk and Norwich University Hospital NHS Trust (2001-02-present)
RGM—Papworth Hospital NHS Trust (1996-97-2004-05), Papworth Hospital NHS Foundation Trust (2005-06-present)
RGN—Peterborough Hospitals NHS Trust (1996-97-2004-05), Peterborough and Stamford Hospitals NHS Foundation Trust (2005-06-present)
RAJ—Southend 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)
RCX—Kings Lynn and Wisbech Hospitals NHS Trust (1996-97-2004-05), The Queen Elizabeth Hospital King's Lynn NHS Trust (2005-06-present)
Source:
Department of Health form KH03

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