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David Taylor: To ask the Secretary of State for Health what plans his Department has to require (a) NHS hospitals, (b) private sector hospitals, (c) nursing homes, (d) residential homes and (e) other institutions to act upon the Food Standards Agency's guidance in respect of food provision for (i) older people and (ii) adults in institutions; and what the existing requirements are. 
Mr. Ivan Lewis: Subject to the passage of the Health and Social Care Bill through Parliament, the Care Quality Commission (CQC) will be responsible for regulating health and adult social care services.
It is our intention that providers of regulated services will need to meet a set of requirements, in order to gain and keep registration, including that of ensuring adequate nutrition for patients and service users. The CQC will develop and consult on the criteria it will use to assess compliance with the requirements.
We would expect the CQC to take account of relevant guidance, including that issued by the Food Standards Agency, in developing its criteria around nutrition. The CQC will make use of its sanctions and enforcement powers where it considers any services are unacceptably poor.
Mr. Evans: To ask the Secretary of State for Health how many people aged (a) under 18, (b) 18 to 25 and (c) 25 to 29 were diagnosed with liver disease in hospitals in Lancashire in each of the last three years. 
Dawn Primarolo: The information is not available in the format requested. The following table shows the total finished admissions to providers in Lancashire in which the patient had a primary or secondary diagnosis of alcoholic liver disease at the start of his/her stayfor under 18, 18 to 24 and 25 to 29 in the years 2004-05 to 2006-07.
|National health service hospitals England and activity performed in the independent sector in England commissioned by the English NHS|
|Under 18||18 to 24||25 to 29|
Hospital Episode Statistics (HES) has supplied provider data using:
Lancashire Teaching Hospitals NHS FT
East Lancashire Hospitals NHS Trust
Blackpool, Fylde and Wyre Hospitals NHS Foundation Trust
University Hospitals of Morecambe Bay NHS Trust
Calderstones NHS Trust
Lancashire Care NHS Trust
Finished admission episodes (FAE)
A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
HES are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS, there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in out-patient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
All diagnoses count of mentions
These figures represent a count of all mentions of a diagnosis in any of the 14 diagnosis fields in the HES data set. Therefore, if a diagnosis is mentioned in more than one diagnosis field during an episode, all diagnoses are counted.
ICD-10 Diagnosis Codes Used:
K70: Alcohol liver disease
Due to reasons of confidentiality, figures between 1 and 5 have been suppressed and replaced with * (an asterisk).
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
HES, The Information Centre for health and social care.
David Simpson: To ask the Secretary of State for Health what percentage of cases of (a) MRSA and (b) C. difficile infection in (i) England and (ii) each English region resulted in death in each of the last three years. 
Ann Keen: The requested information on the percentage of methicillin resistant Staphylococcus aureus (MRSA) and Clostridium difficile ( C. difficile) cases which led to death is not available as the surveillance system does not record outcomes.
The total number of reports of C. difficile infection and MRSA bacteraemia for England are collected via the mandatory surveillance system operated for the
Department by the Health Protection Agency (HPA). This information is available in the Library and also on the HPA website at:
The Office for National Statistics publishes analyses of deaths in England and Wales where MRSA or C. difficile is mentioned on the death certificate but these data do not indicate if the infection was acquired in hospital or elsewhere. The most recent data is published in Health Statistics Quarterly 37 spring 2008:
Mr. Stewart Jackson: To ask the Secretary of State for Health how many births per full-time equivalent NHS midwife there were in the Peterborough primary care trust area and predecessor trust area in each year since 2001; and if he will make a statement. 
Ann Keen: The information is not available in the format requested. The number of deliveries by primary care trust (PCT) can be provided but it is not possible to provide the number of full-time equivalent midwives by PCT.
|Number of deliveries per full-time equivalent midwife in the NHS Hospital trusts in the Peterborough area in each year since 2001|
|NHS trust||Number of deliveries( 1)|
|(1) The number of finished consultant episodes (FCEs) with an episode type of 2 (Delivery episode) or 5 (other delivery event). An FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Figures do not represent the number of patients, as a person may have more than one episode of care within the year. The number of deliveries is not the same as the number of births, as some deliveries result in multiple births.|
(2) Addenbrookes NHS Trust prior to 2004.
1. Hospital Episode Statistics (HES)
2. The Information Centre for health and social care
3. The Information Centre for health and social care Non-Medical Workforce Census
Philip Davies: To ask the Secretary of State for Health what progress has been made in implementing the targets for the National Service Framework for Long Term Conditions in Shipley constituency. 
Ann Keen: It is for individual primary care trusts (PCTs), Bradford and Airedale Teaching PCT, within the national health service to develop locally the levels of service described in the National Service Framework for Long-term (Neurological) Conditions (the NSF). The NSF has a 10-year implementation programme from its publication in March 2005, with flexibility for organisations to set the pace of change locally to take account of differences in local priorities and needs.
Mr. Evans: To ask the Secretary of State for Health how many people aged (a) under 18, (b) 18 to 25, (c) 25 to 29 and (d) over 29 years were refused treatment for being drunk and disorderly in Lancashire hospitals in each of the last three years. 
Mr. Stephen O'Brien: To ask the Secretary of State for Health what plans he has to provide funding for local involvement networks to establish regional and national networks to monitor cancer networks, mental health services, ambulance services and other health services commissioned regionally and nationally. 
Ann Keen: While local involvement networks (LINks) will be independent and will have the power to develop their own priorities and agendas, they will need to develop relationships with a number of stakeholders to fulfil their statutory role effectively.
In certain circumstances, LINks may want to work in partnership to monitor services provided by, for example, cancer networks, mental health services or ambulance trusts, across more than one local authority boundary. LINks may also wish to work together in regional groups, or even nationally to share experience and findings. There is nothing to prevent LINks using some of their funding to establish local, regional or national networks if they so wish.
Saving Lives, Valuing Donors: A Transplant Framework for England published in 2003 and the National Service Framework for Renal Services published in 2004 set out the Departments key aims for organ and tissue transplantation over the following 10 years. A copy of both reports are available in the Library. Over the last five years, departmental funding (of £4.16 million in 2006-07), has supported a number of hospital based initiatives to increase donor rates such as donor liaison nurses, live donor co-ordinators, new non heart beating donor programmes and additional transplant co-ordinators and media campaigns. To build on these initiatives; the
Organ Donation Taskforce was established in 2006 to identify the barriers to donation and action to take to increase donor rates. On 16 January 2008, the Government accepted the taskforce recommendations and made £11 million extra funding available to support implementation from 2008-09.
Christopher Fraser: To ask the Secretary of State for Health with reference to the answer of 23 March 2007, Official Report, column 1202W, to the hon. Member for Tyne Bridge (Mr. Clelland), on prostate cancer, at which sites focusing on cancer information prescriptions were trialled; what the outcomes of such trials were; and if he will make a statement. 
Ann Keen: There are four information prescription pilots that provide cancer information; County Durham Primary Care Trust working with Macmillan Cancer Information and Support Centre, Queen Elizabeth Hospital at University Hospitals Birmingham NHS Foundation Trust working with Macmillan Cancer Support, CancerBACUP and Cancer UK, Nottingham University Hospitals NHS Trust working with the Mid Trent Cancer Network and the Royal Marsden NHS Foundation Trust working with South West London Cancer Network and CancerBACUP.
These pilots are among 20 information prescription pilots that have developed and delivered information prescriptions in different ways over the past year. A full evaluation report of all the information prescription pilots will be published in spring 2008.
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Bradford and Airedale Teaching PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The NHS operating framework for 2007-08 asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the National Service Framework for Long-term (Neurological) Conditions outlines commissioners' information requirements and a series of local and national actions designed to meet those needs.
Philip Davies: To ask the Secretary of State for Health what assessment he has made of whether the National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been fully implemented in Shipley constituency. 
Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Bradford and Airedale Teaching PCTs, within the national health service to commission services for their resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).
Edward Miliband: The Advisory Committee on Business Appointments intends to publish its ninth report covering the two-year period 1 April 2006 to 31 March 2008. It is planned to be published before the summer recess.
The Service Transformation Agreement (STA) published on 8 October 2007 is the implementation plan by which Government will deliver services that are better for customers, better for staff and better for the taxpayer. Fundamental to that is using the information we have to better effect. This work is continuing and it is too early to assess its effectiveness.
On 25 October the Prime Minister asked Richard Thomas and Dr. Mark Walport to carry out an independent review of the use and sharing of personal information in the public and private sectors. In addition, on 21 November, the Prime Minister asked the Cabinet Secretary to work with Departments to ensure that they, and all agencies, check their procedures for the storage and use of data.
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