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Health Trainers

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. [194738]

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.

We do, however, have an overall figure of health trainers recruited to the programme at that time, which stands at approximately 900. The vast majority of those were sited in spearhead PCTs.

Influenza: Vaccination

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. [197267]

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.

Influenza vaccine uptake for those 65 years and over was 77 per cent. for Sunderland Teaching PCT and 74 per cent. overall in England.

This information and influenza uptake information for all PCTs and SHAs has been placed in the Library and is also available at:

Kidney Patients: Lancashire

Mr. Evans: To ask the Secretary of State for Health how many kidney transplant operations were performed in Lancashire hospitals in each of the last five years. [198552]

Ann Keen: None. Kidney transplants are carried out in specialist centres. In the North West these are located at Manchester Royal Infirmary and the Royal Liverpool University Hospital.

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. [198553]

Ann Keen: The information requested is not collected centrally.

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
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Renal Registry. The annual reports containing analysis of data from 1997 to 2006 can be found on the Renal Registry’s website at:

Mr. Evans: To ask the Secretary of State for Health how many people were diagnosed with chronic kidney disease in Lancashire hospitals in each of the last five years. [198554]

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.

Mr. Evans: To ask the Secretary of State for Health how many clinical trials were conducted in Lancashire hospitals as part of kidney disease research in each of the last five years. [198555]

Dawn Primarolo: The information requested is not collected centrally.

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.

Mr. Evans: To ask the Secretary of State for Health how much was spent on kidney disease research in Lancashire hospitals in each of the last five years. [198556]

Dawn Primarolo: The information requested is not collected centrally.

Learning Disability: Adults

Mr. Harper: To ask the Secretary of State for Health (1) how much his Department spent on each category of services for adults with learning disabilities in each year since 2001-02; [197088]

(2) how much and what proportion of the (a) adult social care and (b) NHS budget was spent on people with a learning disability in each of the last four years. [197421]

Mr. Ivan Lewis: The information available is shown as follows.

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
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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.


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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
£000
2001-02 2002-03 2003-04 2004-05 2005-06 2006-07

Assessment and care management

116,666

136,821

152,659

176,183

205,392

201,293

Nursing home placements

(1)35,358

69,362

63,167

74,216

77,098

72,506

Residential care home placements

(2)935,917

1,161,765

1,174,039

1,293,325

1,393,556

1,459,134

Supported and other accommodation

139,678

153,734

163,464

181,996

191,179

228,296

Direct Payments

4,877

8,303

14,368

27,530

42,181

60,799

Home care

127,663

138,671

175,347

216,098

288,125

349,107

Day care

474,416

516,568

558,586

572,359

620,478

638,879

Equipment and adaptations

1,483

1,020

808

727

799

937

Meals

573

789

1,488

734

1,306

950

Other services to adults with learning disabilities

67,360

66,449

66,616

97,990

93,502

109,199

Total (excluding Supporting People)

1,903,991

2,253,481

2,370,541

2,641,158

2,913,618

3,121,100

Supporting People(3)

238,899

209,066

196,708

171,182

Total (including Supporting People)

2,609,441

2,850,224

3,110,326

3,292,281

(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.
Source:
PSSEX1

Table 2: Adult social services and learning disability gross current expenditure 2003-04 to 2006-07
2003-04 2004-05 2005-06 2006-07

Adult social services expenditure (£000)

12,775,914

13,696,392

14,494,908

15,014,838

Learning Disability (aged 18-64) expenditure (£000)

2,609,441

2,850,224

3,110,326

3,292,281

Learning Disability as a proportion of total adult expenditure (percentage)

20.4

20.8

21.5

21.9

Source:
PSSEX1

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)

2003-04

1,851,427

2004-05

2,067,667

2005-06

2,195,942

2006-07

2,334,321

Notes:
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’.
Source:
Programme Budgeting Data, Department of Health

Mental Health Services: Training

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 project’s report. [196226]

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
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Therapeutic Services Training Programme!. This does not include training in physical intervention techniques.


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