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12 Mar 2008 : Column 481W—continued

Palliative Care: Standards

Mark Simmonds: To ask the Secretary of State for Health whether the National Institute for Health and Clinical Excellence's guidance on supportive and palliative care has been fully implemented in (a) Boston and Skegness, (b) Lincolnshire and (c) England. [193316]

Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Lincolnshire Teaching PCT, 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).

Information on the rate of progress locally can be obtained through the East Midlands SHA.

Polyclinics

Mr. Frank Field: To ask the Secretary of State for Health how many pilot polyclinics have been established; and on how many he has received reports of their effectiveness. [193590]

Mr. Bradshaw: This information is not collected centrally. It is for primary care trusts to commission and determine the clinical design of national health service services based on local health needs.

The term polyclinic can be used to define a range of possible health service models characterised by the co-location and integration of different services, including those traditionally provided in a hospital out-patient setting and diagnostic services. The evidence available from these types of service models is that they can prevent out-patient appointments and reduce hospital admissions. However, their effectiveness will depend on a range of local factors, including the local design of the services in question.


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Prostate Cancer

Christopher Fraser: To ask the Secretary of State for Health what steps his Department is taking to raise public awareness of prostate cancer. [192214]

Ann Keen: A pilot public awareness programme on the prostate, set in a primary care trust population, was completed in autumn 2006 and its impact on the local population and the effect it has had on local national health service services has been evaluated. A report based on the results of the pilot and the evaluation, including clear next steps, will be discussed shortly by the Prostate Cancer Advisory Group. The pilot was jointly funded by the Department and signatories to the Prostate Cancer Charter for Action. The Department provided £100,000 towards the pilot.

The Department has provided funding through the Section 64 scheme for the following organisations to increase public awareness of prostate cancer:

In addition, the Cancer Reform Strategy set out that we will establish a new National Awareness and Early Diagnosis Initiative. Led by the National Cancer Director, this initiative will bring together the national health service, representatives of local authorities, the Department, the National Cancer Research Institute and the research community, cancer charities and patients to coordinate a programme of activity to support local interventions to increase cancer symptom awareness and encourage earlier presentation.

Regional European Offices: Health

Robert Neill: To ask the Secretary of State for Health how much was spent by each of the regional health Brussels offices in the most recent year for which figures are available. [184645]

Dawn Primarolo: Decisions to fund and prioritise health in regional offices in Brussels are the responsibility of regional assemblies and local authorities, not the Department of Health.

Smoking: Finance

Dr. Gibson: To ask the Secretary of State for Health how much was spent on smoking cessation services in each primary care trust area in each of the last five years. [192362]

Dawn Primarolo: The information requested is not available centrally by primary care trust.

Information on expenditure on national health service stop smoking services by strategic health authority (SHA) is available in April 2006 to March 2007 and April 2005 to March 2006 from the publications shown as follows. These publications are available in the Library:


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For earlier years the figures at SHA level have not been published previously. SHA level expenditure on NHS stop smoking services for two years April 2004 to March 2005 and April 2003 to March 2004 are shown in the following table.

The figures for April 2002 to March 2003 are not available.


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Table 1: Total expenditure( 1) for NHS Stop Smoking Services by Government Office Region and Strategic Health Authority, 2003-04 and 2004-05 , England
Total expenditure (£000)
2003-04 2004-05

England

36,201

47,069

North East Government Office Region

2,297

2,895

County Durham and Tees Valley

908

1,269

Northumberland, Tyne and Wear

1,389

1,626

North West Government Office Region

5,597

7,135

Cheshire and Merseyside

1,816

2,523

Cumbria and Lancashire

1,446

1,713

Greater Manchester

2,335

2,899

Yorkshire and the Humber Government Office Region

3,744

4,702

North and East Yorkshire, Northern Lincolnshire

1,072

1,316

South Yorkshire

1,295

2,006

West Yorkshire

1,377

1,380

East Midlands Government Office Region

3,334

4,278

Leicestershire, Northamptonshire and Rutland

1,013

1,444

Trent

2,321

2,834

West Midlands Government Office Region

4,684

6,173

Birmingham and The Black Country

2,220

3,073

Shropshire and Staffordshire

1,277

1,581

West Midlands South

1,187

1,519

East of England Government Office Region

2,474

3,717

Bedfordshire and Hertfordshire

725

934

Essex

841

1,375

Norfolk, Suffolk and Cambridgeshire

908

1,408

London Government Office Region

5,942

8,095

North Central London

1,285

1,827

North East London

1,468

1,614

North West London

1,336

1,974

South East London

1,200

1,601

South West London

654

1,078

South East Government Office Region

4,544

5,767

Hampshire and Isle of Wight

847

1,275

Kent and Medway

795

1,405

Surrey and Sussex

1,594

1,477

Thames Valley

1,308

1,611

South West Government Office Region

3,586

4,308

Avon, Gloucestershire and Wiltshire

1,496

1,745

Dorset and Somerset

922

1,086

South West Peninsula

1,167

1,477

(1) Total expenditure excludes NRT and bupropion (Zyban) on prescription
Source:
Lifestyle Statistics. The Information Centre, 2007

Wheelchairs: Safety

Mr. Jim Cunningham: To ask the Secretary of State for Health what recent steps the Government has taken to improve the safety of NHS wheelchairs. [192862]

Dawn Primarolo: Since June 1998, new wheelchairs which are classed as medical devices and placed on the market must carry the CE mark indicating conformity with the Medical Device Regulations.

Before applying the CE mark the manufacturer must ensure that all risks are removed or minimised and any residual risks are acceptable when weighed against the benefit to the user. The manufacturer must inform users of the residual risks by means of labelling on the device and/or warnings contained in the user information material.

Users, carers, healthcare professionals and others are encouraged to report any safety related problems to Medicines and Healthcare products Regulatory Agency (MHRA) via the MHRA electronic reporting system on their website or by verbal or written contact. This was reinforced in January 2008 with the issue of a new Medical Device Alert aimed specifically at raising the awareness of the need to report incidents involving any type of medical device. MHRA considers all reports received based on the level of risk and carries out investigations accordingly. Where appropriate the MHRA also works with or refers cases to other regulatory bodies in the United Kingdom such as trading standards and also liaises as necessary with other UK Government Departments and Competent Authorities within Europe and also with the United States, Canada, and Australia.

Business, Enterprise and Regulatory Reform

Carers

Helen Jones: To ask the Secretary of State for Business, Enterprise and Regulatory Reform what estimate he has made of the cost to business of carers leaving the workforce in each of the last five years. [185995]


12 Mar 2008 : Column 485W

Mr. McFadden [holding answer 18 February 2008]: BERR does not calculate the cost to business of particular groups leaving the workforce.

Certification Quality Marks: Fraud

Mr. Jim Cunningham: To ask the Secretary of State for Business, Enterprise and Regulatory Reform what recent steps the Government have taken to counter fraudulent use of CE marking. [192914]

Mr. Thomas [holding answer 12 March 2008]: This is a matter for the relevant enforcement authorities; however, the United Kingdom is playing an active part in the current negotiations for new European measures that will, among other provisions, strengthen the protection for CE marking.


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