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2 Apr 2008 : Column 1088W—continued

Childbirth: Foreigners

Sandra Gidley: To ask the Secretary of State for Health how many non-UK residents from (a) other EU and (b) other countries gave birth in hospitals in England in each of the last five years, broken down by trust. [197856]

Dawn Primarolo: These data are not collected centrally.

Chiropody

Anne Milton: To ask the Secretary of State for Health (1) what assessment he has made of the merits of the development of a national service framework for podiatry services; [197255]

(2) what podiatry services are provided free at the point of delivery; and for which groups such services are provided; [197256]

(3) under what circumstances podiatry services are provided by (a) a foot health practitioner and (b) a regulated chiropodist or podiatrist. [197257]

Ann Keen: No assessment has been carried out centrally. Guidance for access to foot care services is included in the national service frameworks for older people, diabetes, and long-term conditions, and the “White Paper Our health, our care, our say: a new direction for community services”.

All national health service podiatry services are provided free of charge on the basis of assessed clinical need. It is for primary care trusts in partnership with local stakeholders, including practice based commissioners, local government and the public to determine how best to use their funds to meet national and local priorities
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for improving health and to commission services accordingly. This process provides the means for addressing local needs within the health community including the provision of podiatry services.

A foot health practitioner can only provide podiatry services if they are a registered podiatrist. The titles podiatrist and chiropodist are protected by law. Anyone using these titles must be registered with the Health Professions Council. It is also an offence to imply that someone is one of these professions, for example by stating that they provide podiatry services when they are not on the register.

Chlamydia: Screening

Anne Milton: To ask the Secretary of State for Health pursuant to the answer of 11 March 2008, Official Report, column 259W, on chlamydia screening, when his Department expects to announce which primary care trusts have met their targets for screening 15 per cent. of their 15 to 24 population in 2007-08. [197825]

Dawn Primarolo: Data for the National Chlamydia Screening Programme have been reported to the end of December 2007. Data for the final quarter, January 2008 to March 2008, will be reported to the Health Protection Agency in April and published in May.

Community Care: Finance

Mr. Lansley: To ask the Secretary of State for Health how much a district nurse home visit costs on average, exclusive of the cost of any treatment being administered. [196821]

Ann Keen: The information requested is not collected centrally. It is for local national health service organisations to commission services to meet local needs. This may include determining the cost of providing home visits by a district nurse.

Dental Services: Staffordshire

Mr. Jenkins: To ask the Secretary of State for Health how much his Department has spent on NHS dentistry in each Staffordshire constituency in each year since 1997. [195421]

Ann Keen: The Government's fundamental reform programme for primary dental care services was introduced from 1 April 2006. Primary care trusts (PCTs) were given responsibility for planning and commissioning primary dental services and provided with local, devolved, dental budgets.

North and South Staffordshire PCTs reported the following expenditure on primary dental care services in 2006-07, the first year of the new service arrangements. Data on expenditure by individual parliamentary constituency are not collected centrally.


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£000
Gross expenditure Income from dental charges paid by patients Net expenditure

National Health Service expenditure on primary dental care services, North Staffordshire PCT, 2006-07

6,483

1,818

4,665

NHS expenditure on primary dental care services, South Staffordshire PCT, 2006-07

22,574

5,734

16,840

Source:
Audited Primary Care Trust Summarisation Schedules 2006-07

Prior to April 2006, most primary dental care services were provided under former general dental service (GDS) arrangements. These were demand-led services where the pattern of dental expenditure was largely determined by where dentists chose to practice, and how much NHS work they chose to undertake. PCTs were not given fixed funding allocations, except in those areas where personal dental services (PDS) pilots were established to test alternative, local commissioning arrangements and new forms of contract remuneration.

Local level data on primary dental care expenditure prior to April 2006 is held by the Information Centre for health and social care, which is due to publish its report ‘NHS Expenditure for General Dental Services and Personal Dental Services: England 1997-98 to 2005-06’ in the near future. A copy will be placed in the Library following publication.

This report will give access to the available local-level information by PCT, strategic health authority and parliamentary constituency on expenditure on NHS primary dental care.

Dental Services: York

Hugh Bayley: To ask the Secretary of State for Health how many general dental practitioners providing NHS services there were in the City of York (a) at the latest date for which figures are available and (b) in each of the last 10 years. [197129]

Ann Keen: The number of national health service dentists, in England, as at 31 March, 1997 to 2006 are available in Annex E and Annex G of the “NHS Dental Activity and Workforce Report England: 31 March 2006”. Annex E provides information by strategic health authority (SHA) and by primary care trust (PCT). Annex G provides information by constituency.

This information is based on the old contractual arrangements, which were in place up to and including 31 March 2006. This report, published on 23 August 2006, is available in the Library and is also available at:

The numbers of dentists on open NHS contracts, in England, as at 30 June 2006, 30 September 2006, 31 December 2006 and 31 March 2007, are available, in
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table E1 of Annex 3 of the “NHS Dental Statistics for England: 2006-07” report. This information is based on the new dental contractual arrangements, introduced on 1 April 2006. This information is provided by SHA and by PCT. Information by constituency is not available under the new dental contractual arrangements.

This report, published on 23 August 2007, is available in the Library and is also available at:

The inclusion of dentists on trust-led contracts in the data collection following the 2006 reforms means that data collected since April 2006 cannot be directly compared with data collected under the previous system.

The numbers quoted are headcounts and do not differentiate between full-time and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.

The methodology for reporting dental work force information since the introduction of the new contract on 1 April 2006 is currently under review. The review is to ensure that the figures provide an appropriate measure of the work force, given the way that the work force reporting system is being used by PCTs. The work force data provided in the 2006-07 report will therefore remain the latest available until this review is complete.

Both reports have been published by the Information Centre for health and social care.

Hugh Bayley: To ask the Secretary of State for Health what proportion of (a) adults and (b) children in (i) the City of York, (ii) Yorkshire and the Humber and (iii) England were registered with an NHS dentist in each of the last 10 years. [197130]

Ann Keen: Figures showing the proportion of the population registered with an national health service dentist, adults and children, in England, as at 31 March, 1997 to 2006 are available in Annex B of the “NHS Dental Activity and Workforce Report, England: 31 March 2006”. Information is provided by strategic health authority (SHA) and by primary care trust (PCT).

This information is based on the old contractual arrangements, which were in place up to and including 31 March 2006. This report, published on 23 August 2006, is available in the Library and also available at:

Under the new contractual arrangements, introduced on 1 April 2006, patients do not have to be registered with an NHS dentist to receive NHS care. The closest equivalent measure to ‘registration’ is the number of patients receiving NHS dental services (‘patients seen’) over a 24-month period. However, this is not directly comparable to the registration data for earlier years.

The number of adults and children seen by an NHS dentist as a percentage of the population, in England, are available in Table C2 of Annex 3 of the “NHS Dental Statistics for England: Quarter 2, 30 September 2007” report. Information is available for the 24-month periods ending 31 March 2006, 31 March 2007, 30 June
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2007 and 30 September 2007. The information is provided by SHA and by PCT.

This report, published on 28 February 2008, is available in the Library and also available at:

Both reports have been published by the Information Centre for health and social care.

The information requested is not available at constituency level.

Departmental Contracts

Mr. Hoban: To ask the Secretary of State for Health what contracts were awarded by his Department to (a) KPMG, (b) PricewaterhouseCoopers, (c) Ernst and Young, (d) McKinsey, (e) Deloitte and (f) other consultancy firms in each of the last 12 months; and what the (i) purpose and (ii) value was of each of these contracts. [196582]

Mr. Bradshaw: The Department does not collect information on contracts in the format requested. To do so would attract disproportionate cost.

Dermatology

Mrs. James: To ask the Secretary of State for Health what progress is being made in increasing the numbers of dermatologists working in the NHS. [197811]

Ann Keen: There were 444 dermatologists identified in the NHS work force census on 30 September 2007, that is an increase of 158 (17 per cent.) from 1997. The work force census on 30 September 2007 also showed that there were 250 doctors training in the dermatology speciality, this is an increase of 73 (41.2 per cent.) from 1997.

Dermatology: Finance

Mrs. James: To ask the Secretary of State for Health what funding his Department provided for dermatology care in the NHS in each year since 1997; and if he will make a statement. [197677]

Ann Keen: Funding for dermatology services forms part of the revenue allocations. The following table shows the revenue allocations made to health authorities from 1996-97 to 2002-03 and to primary care trusts (PCTs) from 2003-04 to 2008-09. It is for PCTs to determine how to use the funding allocated to them to commission services to meet the health care needs of their local populations.


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£000
Total England Allocation

1996-97

20,886,002

1997-98

21,816,441

1998-99

22,895,307

1999-2000

31,192,915

2000-01

34,234,888

2001-02

37,157,382

2002-03

41,468,469

2003-04

45,027,181

2004-05

49,328,244

2005-06

53,924,975

2006-07

64,309,595

2007-08

70,354,697

2008-09

74,197,471


Diabetes

Mr. Kemp: To ask the Secretary of State for Health how many people were diagnosed with (a) type 1 and (b) type 2 diabetes in (i) Tyne and Wear, (ii) the North East and (iii) England in each of the last 10 years. [197262]

Ann Keen: Data on the number of people with a specific type of diabetes are not available. The overall
2 Apr 2008 : Column 1094W
number of people with diabetes can be provided based on the read codes that are used in the Quality and Outcomes Framework (QOF). The QOF data for diabetes cover people over the age of 17. Data are only available for the financial years 2004-05, 2005-06 and 2006-07.

Tyne and Wear is not analogous to a national health service organisation. The sum of the primary care trusts of Newcastle, North Tyneside, Gateshead, South Tyneside and Sunderland is the closest we can provide.

In July 2006, strategic health authorities (SHAs) were restructured. We have provided for 2004-05 and 2005-06 the old SHAs that became the new North East SHA. Northumberland, Tyne and Wear SHA and County Durham and Tees Valley SHA became the North East SHA.

Area Diabetes list size

2004-05

Northumberland, Tyne and Wear SHA

51,408

County Durham and Tees Valley SHA

39,552

‘Tyne and Wear’

39,067

England

1,766,391

2005-06

Northumberland, Tyne and Wear SHA

54,970

County Durham and Tees Valley SHA

42,380

‘Tyne and Wear’

41,511

England

1,890,663

2006-07

North East SHA

101,690

‘Tyne and Wear’

43,111

England

1,961,976


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