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6 Oct 2008 : Column 457W—continued


Figures include both civil servants, consultancy support and secondees.

In addition, a further full-time member of staff is currently being recruited to support 2012 legacy work. This member of staff would represent-0.2 FTE on project management and 0.8 FTE on legacy planning.

Furthermore, the Department has also assigned an envelope of funding to each of the nine regions for the comprehensive spending review period. In 2008-09 each Regional Public Health Group (RPHG) will receive £100,000 for physical activity. This will be used as each region sees best, to put in place action plans working with partner organisations and stakeholders, though each RPHG has been tasked by the Department to develop a regional 2012 Health Legacy Action Plan that complements the national Legacy Action Plan to deliver a 2012 health legacy. It is likely that a proportion of this funding will be used to secure additional capacity to take forward programmes.

Our future staffing needs are currently being reviewed. The number of staff working on projects related to London 2012 is likely to increase over time.


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Associated public bodies: The Health Protection Agency

Current full-time equivalent members of staff working on projects related to London 2012 (as at 12 September 2008)

Project Management

1.0

Legacy planning

0.1

Project oversight

0.15

Financial oversight

0.05

Total

1.3


At present, there are no plans for any increase on current staff levels in relation to the 2012 Olympics at the Health Protection Agency. However, over the next four years some increase might be necessary.

Palliative Care

Mr. Stephen O'Brien: To ask the Secretary of State for Health what assessment he has made of the contribution of the National Gold Standards Framework Centre to the effective functioning of the Gold Standards Framework. [222440]

Dawn Primarolo: The National Gold Standards Framework Centre made an important contribution to the roll out of the Gold Standards Framework. This was recognised by the support they received through the Department’s £12 million National Health Service End of Life Care Programme, which ran from 2004 to 2007.

Patient Choice Schemes: Greater London

Andrew Mackinlay: To ask the Secretary of State for Health which of London’s NHS foundation trusts and teaching hospitals are not implementing the policy of allowing patients to use the choose and book appointments system; to what extent the implementation of this policy is being overseen by (a) Monitor, the independent regulator of NHS Foundation Trusts and (b) the Healthcare Commission; and if he will make a statement. [222388]

Mr. Bradshaw: All London NHS Foundation Trusts (NHSFTs) and teaching hospitals are using Choose and Book.

We are informed by the Chairman of Monitor (the statutory name of which is the Independent Regulator of NHSFTs) that during 2007-08, compliance with the requirement to implement and maintain systems to support Choose and Book was reported by NHSFTs to Monitor on a quarterly basis. In 2007-08, no NHSFT reported to Monitor that it did not have in place the systems in order to enable it to offer choice to patients.

The Healthcare Commission has an indicator ‘Convenience and Choice’ as part of the annual health check. It assesses trusts on the information that providers have on NHS Choices and the availability of appointment slots on Choose and Book for patients to book their appointment.

Pregnancy: Diabetes

Helen Southworth: To ask the Secretary of State for Health what measures his Department has put in place to support women with diabetes during pregnancy. [222671]


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Dawn Primarolo: While it is for national health service providers and commissioners to decide how best to meet the needs of pregnant women with diabetes, both the National Service Framework for Diabetes, and the National Service Framework for Children, Young People and Maternity Services include standards that refer specifically to diabetes in pregnancy. Commissioners should aim to provide services that meet these standards.

To support this, the National Clinical Director for Diabetes is currently working with key stakeholders to develop a project to support the NHS in improving outcomes for women with diabetes.

Prescription Only Medicines (Human Use) Amendment Order 2008

Mr. Streeter: To ask the Secretary of State for Health when he plans to implement the provisions of the Prescription Only Medicines (Human Use) Amendment Order 2008; and if he will make a statement. [222419]

Dawn Primarolo: The amendment order came into force on 1 April 2008. However, to fully implement the provisions allowing Nurse and Pharmacist Independent Prescribers to prescribe all controlled drugs, corresponding amendments to the Home Office’s Misuse of Drugs Regulations 2001 are also necessary. These amendments are expected to come into force later this year.

Prescriptions: ICT

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what representations his Department has received from (a) hon. Members and (b) other interested parties in the last 12 months on the service provided by (i) ScriptSwitch Ltd and (ii) other systems used by clinicians to alert them to cheaper substitute medicines; [222510]

(2) what guidance his Department has issued to NHS organisations on the use of (a) ScriptSwitch and (b) other systems used by clinicians to alert them to cheaper substitute medicines; [222511]

(3) how much (a) his Department and (b) the NHS spent on ScriptSwitch in each of the last three years; [222512]

(4) what contractual arrangements there are between ScriptSwitch Ltd and (a) his Department and (b) the NHS; [222513]

(5) what assessment his Department has made of the effect of the use of ScriptSwitch on (a) patient safety, (b) patient safety with specific regard to those patients with co-morbidities, (c) quality of care, (d) prescribing costs and (e) clinical freedom to prescribe; and if he will make a statement. [222514]

Mr. Bradshaw: Following publication of the National Audit Office's May 2007 report Prescribing costs in primary care, the Department issued guidance entitled Strategies to Achieve Cost Effective Prescribing on 26 June 2007. This outlines advice to primary care trusts (PCTs) and general practitioner practices on how to consider releasing resources through so-called 'therapeutic switching' strategies. It gives details of a number of principles that should underpin any strategy, including the principle that decisions should be based on patients'
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individual clinical needs. The guidance has been placed in the Library and is available from the Department's website at:

We are aware that a commercially available prescribing support software tool provided by Scriptswitch Ltd has been adopted by a number of PCTs. The Department does not hold information on the numbers of PCTs using the tool, on individual contractual arrangements or on national health service expenditure on this product. The Department has not undertaken any assessment of the effects of the use of Scriptswitch by the NHS.

The Department is unaware of any other system similar to that provided by Scriptswitch Ltd. Apart from the questions asked by the hon. Member for Eddisbury, in the period 31 August 2007 to 1 September 2008 the Department received three written representations concerning Scriptswitch.

Psychiatry: Regulation

Anne Milton: To ask the Secretary of State for Health what the timescale is for (a) the consultation exercise on the regulation of psychotherapists, (b) the publication of the results of the consultation, (c) any decisions contingent on the consultation and (d) the implementation of those decisions. [222492]

Mr. Bradshaw: The Department is not currently consulting on the regulation of psychotherapists, however discussions on the scope of practice and the national occupational standards for psychotherapists are continuing. Once agreement has been reached we will publish proposals for public consultation.

Radiotherapy

Mr. Lansley: To ask the Secretary of State for Health with reference to the Cancer Reform Strategy's Impact Assessment, if he will break down the one-off transition costs for improving radiotherapy services by anticipated expenditure on (a) increasing capacity, (b) reducing cancer waits and (c) collecting and analysing outcomes data. [220991]

Dawn Primarolo: The one-off transitional costs of £394 million on page 3 of the Cancer Reform Strategy's Impact Assessment refer only to the cost of radiotherapy capacity.

Sexually Transmitted Diseases: Babies

Sandra Gidley: To ask the Secretary of State for Health how many babies were born with sexually transmitted infections in each of the last five years, broken down by disease. [222291]

Dawn Primarolo: Information is only currently available in genito-urinary medicine (GUM) clinics on the number of diagnoses made, not the number of patients diagnosed.

The number of diagnoses made in babies born with a sexually transmitted infection in England, by infection for 2003-07 is shown in the following table:


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2003 2004 2005 2006 2007

Congenital syphilis, aged under 2 years

(1)

7

14

6

(1)

Gonococcal ophthalmia neonatorum, aged under 2 months

(1)

24

90

28

26

Chlamydial ophthalmia neonatorum, aged under 2 months

43

76

37

32

17

(1) Cell size of 1 to 4 and totals have been masked to protect deductive disclosure in accordance with Office for National Statistics guidelines.
Notes:
1. The data available from the KC60 statutory returns are for diagnoses made in GUM clinics only. Diagnoses made in other clinical settings, such as general practice, are not recorded in the KC60 dataset.
2. The information provided has been adjusted for missing clinic data.
3. Additional information on infants born with a sexually transmitted infection can be found on the Hospital Episode Statistics (HES) Service website www.hesonline.nhs.uk.
4. Some of the data from GUM clinics may be from referrals and therefore may also be counted in the HES dataset.
5. Not all infants born with a sexually transmitted infection would have been referred to a GUM clinic.
Source:
Health Protection Agency, KC60 returns

The number of babies born with HIV infection in England for 2003-07, is shown in the following table:

Confirmed mother to baby HIV transmission

2003

26

2004

33

2005

30

2006

23

2007

8

Note:
Additional information on reporting of infants born to HIV-infected women is available at www.nshpc.ucl.ac.uk. Since some infants with perinatally acquired HIV are diagnosed in later childhood, further reports are expected, particularly for 2006 and 2007.
Source:
National Study of HIV in Pregnancy and Childhood, reports to June 2008

Skin Cancer

Ben Chapman: To ask the Secretary of State for Health (1) what statistics his Department collects on the outcome of operations for skin cancer conducted by general practitioners; [224449]

(2) what the (a) training, (b) accountability, (c) audit and (d) governance arrangements are for GPs carrying out surgical treatments of skin cancer. [224491]

Mr. Bradshaw: Primary care trusts can enter into arrangements with a primary medical services contractor to carry out minor surgery, provided the contractor meets minimum requirements as set out in Primary Medical Services (Directed Enhanced Services) (England) Directions 2007. This includes requirements regarding training, accountability, audit and governance arrangements.


6 Oct 2008 : Column 462W

There is a nationally mandated accreditation process for general practitioners with special interest (GPwSIs). This is underpinned by a series of speciality specific guidance including one for dermatology and skin surgery.

Statistical information on the outcomes of operations for skin cancer conducted by general practitioners is not collected centrally.

Social Services: Foreign Workers

Mr. Stephen O'Brien: To ask the Secretary of State for Health how many people born outside the UK were employed in the care-related sector in each of the last 10 years. [222413]

Dawn Primarolo: Data on the place of birth of workers in the care-related sector is not held centrally.

Social Services: Powers of Entry

Mrs. Lait: To ask the Secretary of State for Health what representations his Department received on the grant to council staff of powers to enter private homes during its review of care law; and what work the Law Commission is undertaking on the issue. [222788]

Dawn Primarolo: No representations have been received by the Department. No decisions have been made on the extent of the Law Commission’s review of social care law. Terms of reference for any possible future work by the Law Commission have yet to be drafted and agreed between the Department and the Law Commission.

Social Services: Vetting

Mr. Stephen O'Brien: To ask the Secretary of State for Health whether care providers are informed when Criminal Records Bureau checks on their prospective employees are discovered not to have been correctly carried out; what estimate he has made of the number of such checks; and whether he plans to provide compensation to care providers for such cases. [222442]

Meg Hillier: I have been asked to reply.

All the quality control procedures at the Criminal Records Bureau (CRB) are geared to achieving the highest levels of accuracy. In addition, the CRB carries out a post disclosure accuracy check that analyses all aspects of the disclosure application and its issue. This check was introduced in 2007 and is based on a statistical sample of disclosure applications and from that sample it can be ascertained that the accuracy rate for 2006-07 is 99.94 per cent. and for 2007-08 is 99.98 per cent. No comparative data are available before these dates and the CRB does not collate information by specific sectors such as the care sector or providers.

If, as a result of this additional check, the CRB needs to correct a Disclosure, it does so free of charge to the employer and the applicant.


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