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27 Feb 2008 : Column 1732W—continued


Accident and Emergency Departments: Standards

Mr. Lansley: To ask the Secretary of State for Health to what factors his Department ascribes the increase in the number of people waiting more than four hours in accident and emergency departments indicated in the most recent quarterly figures. [188178]

Mr. Bradshaw: The A and E data at national level do not allow us to examine causes of poor performance.

It is for primary care trusts and strategic health authorities (SHAs) to work with national health service organisations to ensure they are providing an appropriate level of high quality care for patients. SHAs are actively engaged in this and working closely with challenged organisations to address issues that may arise which affect performance. These issues vary depending on local circumstances. All trusts need to be working to this operational standard.

Autism

Mr. Evennett: To ask the Secretary of State for Health how much was spent on services for adults with autism by each primary care trust in London in the last five years for which figures are available. [185734]

Mr. Bradshaw: This information is not held centrally.

However, the Government recently announced, through the comprehensive spending review, that local authority funding will increase by £2.6 billion by 2010-11 and national health service funding will increase from £35 billion in 1997-98 to £110 billion in 2010-11. It is for local NHS organisations to best determine how to allocate these funds.

Autism: Children

Mr. Jenkins: To ask the Secretary of State for Health (1) what funding is available to families with children diagnosed with autism to help them with medical expenses; [187731]

(2) what the (a) mean and (b) median waiting time was from diagnosis of children with autism to treatment in (i) 2004-05, (ii) 2005-06 and (iii) 2006-07; [187733]

(3) what expenditure the NHS incurred on the treatment and care of a child diagnosed in each level of autism spectrum in the last 12 months. [187861]

Mr. Ivan Lewis: It is for individual national health service trusts to determine the level of funding available from their general allocations for the medical needs of children with autism, taking into consideration locally identified needs and assessments of individuals.

We do not hold information centrally on waiting times or NHS expenditure for autism.

Autism: Training

Sarah Teather: To ask the Secretary of State for Health what training staff who undertake assessments through Fair Access to Care Services receive in autism spectrum disorders. [187233]

Mr. Ivan Lewis: Staff training is the responsibility of local authorities.


27 Feb 2008 : Column 1733W

“Better Services for people with an autistic spectrum disorder: A note clarifying current Government policy and describing good practice” was published on 16 November 2006. A copy is available in the Library. It clarifies the nature and intent of existing Government policy as it relates to adults with an autistic spectrum disorder.

Care Homes: Elderly

Mr. Lansley: To ask the Secretary of State for Health how many care homes for older people were found by the Commission for Social Care Inspection to be in breach of each of the national minimum standards in the last year for which figures are available. [188180]


27 Feb 2008 : Column 1734W

Mr. Ivan Lewis: We have been informed by the Commission for Social Care Inspection (CSCI) that its inspectors assess the performance of care homes against each national minimum standard (NMS) and rate them on a four point scale. A score of four indicates that a standard has been exceeded. A score of three shows that it has been met. A score of two denotes that the standard was almost met with minor shortfalls—this indicates that one of the numerous sub-sections in the standard has not been completely met. A score of one means the standard has not been met.

The following table shows the numbers of care homes for older people inspected and their performance against the NMS for the year ending 31 March 2007.

Residential care homes for older people—performance against NMS, year ending 31 March 200
Scores
NMS Homes evaluated against this standard 1 2 3 4

1

Information

9,989

259

1,921

7,541

268

2

Contracts

9,696

200

1,452

7,960

84

3

Needs assessments

10,522

222

1,473

8,426

401

4

Meeting needs

9,574

313

1,271

7,683

307

5

Trial visits

9,504

28

238

9,064

174

6

Intermediate care

2,078

86

164

1,745

83

7

Service users' plans

10,556

549

4,078

5,338

591

8

Healthcare

10,550

313

1,853

7,794

590

9

Medication

10,537

686

3,495

6,187

169

10

Privacy and dignity

10,531

131

936

8,849

615

11

Dying and death

9,201

68

964

7,686

483

12

Social contact and activities

10,542

279

2,203

6,841

1,219

13

Community contact

10,532

12

262

9,591

667

14

Autonomy and choice

10,520

89

787

9,079

565

15

Meals and mealtimes

10,543

131

1,372

7,938

1,102

16

Complaints

10,546

137

1,161

9,043

205

17

Rights

9,006

34

291

8,639

42

18

Protection

10,539

333

2,004

8,040

162

19

Premises

10,552

462

2,909

6,415

766

20

Shared facilities

9,685

128

1,124

7,875

558

21

Lavatories and washing facilities

9,666

281

1,761

7,305

319

22

Adaptations and equipment

9,569

230

1,841

7,310

188

23

Space requirements

9,485

67

647

8,388

383

24

Furniture and fittings

9,781

170

1,920

7,266

425

25

Heating and lighting

9,704

370

2,151

6,980

203

26

Hygiene and infection control

10,544

288

2,004

7,647

605

27

Staff compliment

10,535

357

1,667

8,181

330

28

Staff qualifications

10,093

189

2,032

6,968

904

29

Staff recruitment

10,512

724

2,518

7,074

196

30

Staff training

10,516

317

2,593

6,955

651

31

Day to day operation

10,520

320

1,985

7,390

825

32

Ethos

9,509

214

879

7,594

822

33

Quality assurance

10,511

462

2,692

6,795

562

34

Financial procedures

8,778

199

865

7,654

60

35

Service users' money

9,966

117

767

8,975

107

36

Staff supervision

9,860

562

2,688

6,449

161

37

Record keeping

9,485

478

2,684

6,238

85

38

Safe working practices

10,542

647

3,432

6,235

228

Note:
The total number of homes measured against NMS for older people was 10,565. Not all homes are evaluated against all standards at every inspection. Inspections may be themed and focus on particular aspects of a service.
Source:
CSCI NMS data—31 March 2007

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