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Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 4 March 2008, Official Report, column 2383W, on health trainers, how many health trainers there were in (a) each primary care trust and (b) the NHS in September 2006. 
Dawn Primarolo: In September 2006, figures for health trainers were not collected. The programme for 2006-07 was been rolled out across spearhead primary care trusts (PCTs) with 2007-08 seeing the programme expanded to all PCTs.
Mr. Kemp: To ask the Secretary of State for Health what estimate he has made of the take-up of influenza vaccinations by pensioners over 65 years old in (a) Houghton and Washington East constituency, (b) Tyne and Wear and (c) England in the last year for which figures are available. 
Dawn Primarolo: Influenza vaccine uptake is reported to the Department by primary care trusts (PCT) and strategic health authorities (SHAs) and is based on the number of patients registered at reporting general practitioners practices who were vaccinated between 1 September 2007 and 31 January 2008. Data are not collected by constituency.
Mr. Evans: To ask the Secretary of State for Health how many (a) inpatients and (b) outpatients treated in Lancashire hospitals were on dialysis following kidney failure in each of the last five years. 
Information on acceptance rates onto renal replacement therapies, the percentage of patients on each modality of treatment, and the referral to treatment times for such patients is collected by the UK
Renal Registry. The annual reports containing analysis of data from 1997 to 2006 can be found on the Renal Registrys website at:
Ann Keen: The requested information is not collected centrally. Data on the number of admissions to hospital where the primary reason was chronic kidney disease is collected. However, this does not take account of the time or location of diagnosis.
The Department has set up and is funding the National Institute for Health Research UK clinical research network to ensure patients and clinicians in all parts of the country can take part in and benefit from clinical research. The comprehensive clinical research network will provide support (through 25 local research networks) for studies in all areas of disease and clinical need, including renal medicine.
Table 1 shows how much was spent by adult social services departments in England on each category of services for adults aged 18-64 with learning disabilities in each year since 2001-02 to 2006-07. Adults aged 65 or over with learning disabilities cannot be separately identified. This information would have been recorded in the older people client group.
Table 2 shows how much was spent on all adults (including older people) and the proportion of expenditure on adults with learning disabilities aged 18-64 through adult social services in England each year since 2003-04 to 2006-07. Adults aged 65 or over with learning disabilities
cannot be separately identified. This expenditure would have been recorded in the older people client group.
Table 3 shows the estimated expenditure on learning disabilities through national health service specialised learning disability services each year since 2003-04 to 2006-07. We do not hold a breakdown of this expenditure on each category of services for adults with learning disabilities within the NHS.
It is for individual local authorities and NHS trusts to determine the level of funding available from their general allocations for the needs of people with learning disabilities, taking into consideration locally identified needs and assessments of individuals.
|Table 1: Gross current expenditure on adults aged 18-64 with learning disabilities, 2001-02 to 2006-07|
|(1) From 2002-03 onwards data includes expenditure related to clients formerly in receipt of preserved rights.|
(2) From 2002-03 onwards data includes expenditure related to clients formerly in receipt of preserved rights.
(3) Supporting People programme started in April 2003.
|Table 2: Adult social services and learning disability gross current expenditure 2003-04 to 2006-07|
|Table 3: Net estimated aggregate expenditure on learning disability for primary care trusts in England from 2003-04 to 2006-07|
|Financial year||Net expenditure (£000)|
1. Data for 2006-07 may not be comparable with previous years due to changes in data definitions.
2. Learning disability is defined as patients where the primary issue is the problem of learning disability.
Programme Budgeting Data, Department of Health
John Battle: To ask the Secretary of State for Health what his timetable is for implementing the recommendation on a national training scheme for mental health workers contained in the Management of Violence projects report. 
Mr. Ivan Lewis: The Department and National Institute for Mental Health in England (NIMHE) are committed to the accreditation of training and regulation of trainers in the prevention and management of aggression and violence and are currently working to ensure the introduction of an effective accreditation system as soon as is practicable.
The NIMHE issued the positive practice standards Developing Positive Practice to Support the Safe and Therapeutic Management of Aggression and Violence in Mental Health In-patient Settings in 2004. The National Institute for Health and Clinical Excellence published guidelines in 2005 entitled Short-term Management of Violence and Disturbed Behaviour in Psychiatric In-patient Settings and Emergency Departments. These guidelines state that all service providers should have a policy for training in physical intervention that specifies the frequency and level of training required.
On 8 February, consultation ended on definitive guidance by NIMHE, reflecting feedback on the two previous publications, entitled The National Minimum Standards for the Safe and Therapeutic Management of Aggression and Violence in Mental Health In-patient Settings. Responses to this consultation are being considered.
The NHS Security Management Service has developed training for all NHS staff in mental health and learning disabilities settings entitled The Promoting Safer and
Therapeutic Services Training Programme!. This does not include training in physical intervention techniques.
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