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Sir Peter Soulsby: To ask the Secretary of State for Health what the average payment was to orthodontists supplying dental braces to those under the age of 18 years by the NHS in the latest period for which figures are available; and what comparison he has made with the average payment for such private work. 
Ann Keen: This information is not available. Since April 2006, primary care dentists including orthodontists are paid on the basis of the overall level of patient care they provide each year rather then on the basis of set fees for individual treatments. Primary care trusts set contract values and service level requirements locally. The levels of patient care delivered are then measured by weighting the courses of treatment provided by each dentist according to their relative complexity and whether they included the provision of any appliances including dental braces. The Department does not collect data on charges levied by dentists for private dental treatments.
Mike Penning: To ask the Secretary of State for Health on what dates officials in his Department held discussions with officials in the Welsh Assembly Government on the cross-border provision of urgent care services in the last 12 months; and what the content of these discussions was. 
Mr. Bradshaw: Primary care trusts are responsible for ensuring the provision of high quality urgent care services. The Department has not held any discussions with Welsh Assembly officials on the cross-border provision of urgent care services in the last 12 months.
Mr. Bradshaw: The following table summarises the recent developments to make national health service services more personalised. The Government are taking forward Lord Darzi's vision for personalised care as set out in his interim report, Our NHS, our future, copies of the interim report are available in the Library. Lord Darzi's final report will be published in the summer.
|Policy/initiative||What's been done|
Most patients who are referred for elective care will be able to choose to be treated by any NHS funded providerin essence, any provider that holds a standard NHS contract. This includes NHS foundation trusts, NHS acutes and many independent sector providers and their hospitals. This is free choice;
We also expect primary care trusts (PCTs) to improve care for people with long-term conditions (LTCs) and to ensure more choices for these patients. We expect PCTs to roll out choice to all people in their area with an LTC, with local flexibility on the pace and priorities, and we have supported this by publishing a model of care for long-term conditions, embedded in effective care planning, that provides good practice examples aimed at reducing inequalities; and
We are planning to issue a framework for commissioners in June 2008, which will describe care planning as a process, centred around the person, which supports and promotes personalisation. During 2008, we will bring forward a patients' prospectus that sets out how we will extend to all 15 million patients with a chronic or long-term condition access to a choice of "active patient or care at home optionsclinically appropriate to them and supported by the NHS.
NHS Choices is the NHS's online service for the publicthe digital wing of the NHS. Launched in 2007, it is a response to the 21(st) century challenges of delivering high-quality personalised services for all. It is regularly updated to provide more information to patients.
We are committed to giving people with mental health problems choice and a more personalised service, including making more information available about mental illness to help people manage their own care. In the last year, work has been on-going, both locally and nationally, to increase the level of choice offered to people with mental health problems.
Ann Keen: The World Class Commissioning Programme aims to dramatically transform the way health and care services are commissioned in this country. As commissioners, primary care trusts (PCTs) act on behalf of the public and patients. They are responsible for investing funds on behalf of their communities, and building local trust and legitimacy through the process of engagement with their local population. In order to make world class commissioning decisions that reflect the needs, priorities and aspirations of the local population, commissioners will need to engage with the public, and actively seek the views of patients, carers and the wider community. Decisions should be made with a strong mandate from the local population and other partners.
The Local Government and Public Involvement in Health Act 2007 contained important measures designed to strengthen the patient and public involvement system in England, including the introduction of local involvement networks (LINks) and the updated duty on NHS bodies to involve users of health services.
The Act established duties on health and social care services-providersincluding PCTsto respond to LINks when they report on the needs and experiences of local people in respect of their health and social care services.
LINks, together with the new duty on national health service bodies to involve, and to report on consultations, will play a vital role in encouraging and enabling a greater range of people to influence the commissioning and provision of health and social care bringing real accountability to the whole system, from commissioning to front-line care.
All of these changes are aimed at promoting open and transparent communication between communities and the health service, and will develop trust and confidence, increasing accountability to local people.
Mr. Ivan Lewis: The data are not currently collected. The Department will start monthly data collections on waits for audiology treatment, including the fitting of hearing aids, in May 2008 to cover treatment carried out in April 2008. We will publish these data as soon as they are of sufficiently robust quality.
Mr. Burns: To ask the Secretary of State for Health how much revenue was generated by charges imposed upon (a) staff, (b) patients and (c) others for the use of car parks at (i) Broomfield and (ii) St John's hospitals in Chelmsford in each of the last five years. 
Mr. Bradshaw: Hospital car parking charges are decided locally by individual trusts to help cover the cost of running and maintaining a car park. All trusts should have exemption and concessionary schemes in place to ensure that patients and carers who visit hospital regularly are not disadvantaged. They should also have sustainable public transport plans in place for staff and visitors.
The East of England Strategic Health Authority advises that the Mid Essex Hospital Services NHS Trust provide 15 minutes free parking to allow people to be dropped off and picked up at the hospital. In addition, it provides free parking to anyone holding a local authority blue disabled badge and offers reduced priced tickets to frequent users and a weekly ticket for longer-term users.
Data on the gross income that national health service trusts receive from car parking charges paid by staff and visitors have been collected since 2000. These data are provided by the NHS on a voluntary basis and have not been amended following their collection, nor have they been actively checked by the Department and therefore cannot be confirmed to be accurate or complete.
|Total gross income from staff parking||Total gross income from patient and visitor parking|
David Lepper: To ask the Secretary of State for Health what the 10 most common causes of childhood emergency (a) admissions to and (b) attendances at hospital were in each of the last five years. 
|Number of emergency admissions for the 10 most common primary diagnoses of children aged under 18 in each of the last five years, 2006-07 to 2002-03National health service hospitals England and activity performed in the independent sector in England commissioned by English NHS|
|Primary diagnosis||Total episodes|
1. Finished admission episodes (FAEs): An FAE 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.
2. Data quality: Hospital Episode Statistics (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.
3. 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 outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
4. Diagnosis (Primary Diagnosis): The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES dataset and provides the main reason why the patient was in hospital.
5. Ungrossed Data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
HES, The Information Centre for Health and Social Care
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