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Mr. Bradshaw: We do not hold central records of expenditure on English language classes. A survey to gather relevant information would involve disproportionate costs. Informally, we believe that a survey would identify very little or no expenditure on such classes.
Mr. Bradshaw: We do not collect this information centrally. Primary care trusts have a responsibility to ensure they provide, or secure provision of a high quality, sustainable service that meets the needs of their local population.
All out-of-hours services must be delivered to the national quality requirements, ensuring patients have access to consistently high quality and responsive care, regardless of where they live. Providers must deliver services that meet the quality requirements, as a contractual obligation. The requirements stipulate that:
patients will be guaranteed a general practitioner consultationincluding a home visit if there is a clinical need;
patients are treated by the clinician best equipped to meet their needs in the most appropriate location; and
services will be regularly audited to ensure that patients are receiving quality care.
Mr. Dismore: To ask the Secretary of State for Health how many (a) hospital doctors, (b) nurses, (c) GPs, (d) GP practice nurses, (e) nurse practitioners, (f) modern matrons, (g) community matrons and (h) NHS managers there were in Barnet in (i) 1997 and (ii) 2006-07; and if he will make a statement. 
The table shows the data held for Barnet and Chase Farm Hospitals NHS Trust, Barnet primary care trust and the Royal Free Hampstead NHS trust, which serve the Barnet area, and the former Barnet health authority. 1997 data is available only for the Royal Free Hampstead NHS trust, and Barnet health authority. Latest available data is for 2006.
Over 1.33 million people were employed in the NHS in England as at September 2006. Between September 1997 and 2006 the total number of NHS staff increased by over 280,000 (27 per cent.); the number of doctors and hospital dentists employed in the NHS in England increased by 35,993 (40 per cent.) to 125,612; the number of nurses employed in the NHS in England increased by 79,479 (25 per cent.) to 398,335; and the total number of qualified scientific, therapeutic and technical staff employed in the NHS in England increased by 38,200 (40 per cent.) to 134,498.
We are now moving away from year-on-year growth in the NHS workforce to more of a steady state where there is a closer match between demand and supply. The focus now is strengthening frontline capacity through increases in productivity and skill mix. In some cases, productivity gains may mean that fewer staff are needed to deliver the same service outcomes.
|All qualified nursing, midwifery and health visiting staff, medical and dental staff( 1) , general practitioners (GPs) (excluding retainers and registrars)( 2) and practice nurses in each specified organisation as at 30 September each specified year|
|(1) Excludes medical hospital practitioners and medical clinical assistants, most of whom are GPs working part time in hospitals. (2 )General medical practitioners (excluding retainers and registrars) includes GP Providers and GP Others. (3 )Data not available. The numbers of modern matrons were not collected until 2005, and community matrons were not collected until 2006. Note: 1. Due to a high number of organisation mergers in the Barnet area it is impossible to accurately map figures from predecessor to current trust organisation structures to provide data for 1997. The Royal Free Hampstead NHS trust has remained consistent, so figures are included. *The exception is GPs and their staff recorded in the former Barnet health authority in 1997 which is consistent with the current Barnet PCT. In 1997 there were 195 GPs (excluding retainers and registrars) and 135 Practice Nurses in Barnet Health Authority. 2. GP Census does not display nurse practitioners as a separate work area. Source: The Information Centre for health and social care Non-Medical Workforce Census. The Information Centre for health and social care Medical and Dental Workforce Census. The Information Centre for health and social care General and Personal Medical Services Statistics.|
Dr. Stoate: To ask the Secretary of State for Health what administrative arrangements have been put in place at departmental level to co-ordinate the delivery of new health care facilities and resources in the Thames Gateway growth area to meet the demands of new house building within the region. 
Mr. Bradshaw: The Thames Gateway Cross Government Board, comprising several officials from a number of Government Departments, including the Department, is responsible for the co-ordination of central Government investment in the Thames Gateway growth area, including the provision of health services.
Greg Mulholland: To ask the Secretary of State for Health whether he intends to make it his policy to consult further before making any final decision upon the details and impact of any revised option for the proposed changes to Part IX of the Drug Tariff when he considers the responses to the consultation Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliancesand related servicesto Primary Care. 
Mr. Ivan Lewis: The latest consultation closed on 28 December 2008. Ministers have agreed that the Department can meet with industry and other relevant parties to discuss the best way to conclude this review.
Tim Farron: To ask the Secretary of State for Health pursuant to the answer of 10 December 2007, Official Report, columns 710-11W, on pork, what minimum level of substantial change is required in order to permit the country in which a pork product was processed to be described as the country of origin on its labelling. 
Mr. Ivan Lewis: There is no definition of place of last substantial transformation/change in European Union law. However, the Food Standards Agency suggests in its Guidance on Country of Origin Labelling that, for example, the transformation of pork into bacon, ham or pies should be regarded as a treatment or process resulting in a substantial change, while simply slicing, cutting and/or packing meat does not amount to such a change.
Mr. Ivan Lewis [holding answer 14 January 2008]: The information is not available in the format requested. There are no mental health primary care trusts (PCTs). Furthermore, the Department does not hold information on the budgets of PCTs. However, the following tables shows the net operating costs, which relates to the size of the PCT, of all London PCTs and the spend on secondary mental illness from 2000-01 to 2006-07.
|London PCT||Net Operating costs||Spend on secondary mental illness||Net Operating costs||Spend on secondary mental illness||Net Operating costs||Spend on secondary mental illness||Net Operating costs||Spend on secondary mental illness|
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