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9 Jan 2008 : Column 614W—continued
NHS trust debt held by the Department may be written off by the Secretary of State. Such a write-off would constitute a loss to the Exchequer and would as
a consequence be reported in the Department's Resource Accounts. Any write-off exceeding £20 million requires HM Treasury approval. In such cases, in advance of the remission of debt, HM Treasury presents a minute to the House of Commons to give the particulars of the remission and to explain the circumstances.
The financing arrangements for financially challenged trusts are being considered as part of the review process for these trusts.
Nicotine Patches
Mr. Lansley: To ask the Secretary of State for Health what the evidential basis is for the statement on page 37 of his Department's Cancer Reform Strategy, that some primary care trusts have enabled pharmacists to supply nicotine replacement therapy through (a) voucher schemes and (b) patient group directions; and if he will list the primary care trusts which have done so. [174767]
Dawn Primarolo: In 2005-06, 2,522 community pharmacies in England were locally commissioned by the primary care trusts (PCTs) in the following table to provide national health service stop smoking services. We are aware that, as part of these services, some PCTs have enabled pharmacists to supply nicotine replacement therapy to patients and the public through voucher schemes and patient group directions but information on which PCTs have done so is not collected centrally.
PCTs contracting with community pharmacies to provide stop smoking services at 31 March 2007
Ashton, Leigh and Wigan
Barnsley
Bath and North East Somerset
Bedfordshire
Berkshire East Teaching
Berkshire West
Bexley Care Trust
Birmingham East and North
Blackburn with Darwen Teaching
Blackpool
Bournemouth and Poole Teaching
Brighton and Hove City Teaching
Bristol Teaching
Bromley
Bury
Camden
Central Lancashire
City and Hackney Teaching
Cornwall and Isles of Scilly
Croydon
Derby City
Derbyshire County
Devon
Doncaster
Dorset
Dudley
Ealing
East and North Hertfordshire
East Sussex Downs and Weald
Eastern and Coastal Kent Teaching
Enfield
Great Yarmouth and Waveney Teaching
Halton and St. Helens
Hammersmith and Fulham
Hampshire
Haringey Teaching
Harrow
Hastings and Rother
Heart of Birmingham Teaching
Herefordshire
Hillingdon
Hounslow
Hull Teaching
Isle of Wight Healthcare
Islington
Kensington and Chelsea
Kingston
Knowsley
Lambeth
Leeds
Leicester City Teaching
Lewisham
Lincolnshire Teaching
Liverpool
Luton Teaching
Manchester
Medway Teaching
Mid Essex
Middlesbrough
Milton Keynes
Newcastle
Newham
North Somerset
North Staffordshire
North Tyneside
North Yorkshire and York
Northamptonshire Teaching
Northumberland Care Trust
Nottingham City
Nottinghamshire County Teaching
Oldham
Redcar and Cleveland
Richmond and Twickenham
Rochdale, Heywood and Middleton
Rotherham
Salford Teaching
Sandwell
Sefton
Sheffield
Shropshire County
South Birmingham
South East Essex
South Staffordshire
South West Essex Teaching
Southwark
Stockport
Stoke on Trent Teaching
Suffolk
Sunderland Teaching
Surrey
Sutton and Merton
Swindon
Tameside and Glossop
Telford and Wrekin
Tower Hamlets
Trafford
Walsall Teaching
Wandsworth
Warrington
Warwickshire
West Essex
West Hertfordshire
West Kent
West Sussex Teaching
Westminster
Wiltshire
Wirral
Wolverhampton City.
Source:
The Information Centre for health and social care
Nurseries: Infectious Diseases
Andrew Stunell: To ask the Secretary of State for Health if he will consider issuing guidance on the notification of infectious diseases in nursery establishments. [176931]
Dawn Primarolo: The Health Protection Agency (HPA) has issued “Guidance on infection control in schools and other child care settings”, which also includes nurseries. This guidance draws attention to the statutory duty of registered medical practitioners to report notifiable infectious diseases to the proper officer of the local authority under the Public Health (Control of Disease) Act 1984 and the Public Health (Infectious Diseases) Regulations 1988. It is available on HPA’s website at:
A copy has been placed in the Library.
Nurses
Dr. Stoate: To ask the Secretary of State for Health what guidance his Department has issued on the provision of cancer clinical nurse specialists. [174253]
Ann Keen: The Department has not issued any specific guidance on the provision of cancer clinical nurse specialists.
However, the Cancer Reform Strategy addresses the issue of clinical nurse specialists. The strategy, published on 3 December 2007, sets out the important role clinical nurse specialists have to play in improving the experience of people with cancer. It also noted that commissioners and providers should give particular consideration to the role of these nurses.
In addition, the National Institute for Health and Clinical Excellence has also identified clinical nurse specialists as core members of multidisciplinary teams in their Improving Outcomes series of cancer service guidance.
The Cancer Reform Strategy reiterated the need to fully implement this guidance across the national health service.
Dr. Stoate: To ask the Secretary of State for Health what discussions his Department has had with (a) professional and (b) patient representatives on the use of cancer clinical nurse specialists. [174255]
Ann Keen: The Department has had no discussions with professional and patient representatives specifically on the use of cancer clinical nurse specialists.
However, the issue of cancer clinical nurse specialists was discussed by a number of advisory groups during the development of the Cancer Reform Strategy. These groups included both professional and patient representatives. The strategy was published on 3 December 2007. It set out the important role the clinical nurse specialist has to play in improving the experience of people with cancer. It also noted that commissioners and providers should give particular consideration to the role of these nurses.
In addition, the National Institute for Health and Clinical Excellence has also identified clinical nurse specialists as core members of multidisciplinary teams in their Improving Outcomes series of cancer service guidance.
The Cancer Reform Strategy reiterated the need to fully implement this guidance across the national health service.
Obesity
Mr. Lansley: To ask the Secretary of State for Health how many finished consultant episodes relating to obesity there were for (a) patients aged under 18 years and (b) patients aged over 18 years in (i) England and (ii) each strategic health authority area in each year from 1997-98 to 2006-07. [175038]
Dawn Primarolo: The information requested has been placed in the Library.
Pregnancy
Ms Keeble: To ask the Secretary of State for Health what estimate he has made of the cost per live birth of (a) antenatal care, (b) childbirth and (c) post-natal care for the first year. [173591]
Ann Keen: The antenatal and post-natal costs requested are not collected centrally.
The following table shows the national average unit costs of different childbirth events, as calculated from costs reported by national health service trusts, NHS foundation trusts and primary care trusts (PCTs) through the 2005-06 Reference Costs collection exercise. Costs are in 2005-06 prices.
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