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Ann Keen: Individual decisions about resuscitation, like all treatment decisions, are a matter for the health professionals and patients involved. Health professionals should discuss possible treatment options with patients, including, where appropriate, whether resuscitation should be attempted. If it is agreed that resuscitation should not be attempted, then this agreement should be noted in the persons medical records (a do not attempt resuscitation order). As with other treatments, a person with capacity can make an advance decision to refuse resuscitation, which must be followed if it is valid and applicable.
If the patient does not have the capacity to make the decision, then health professionals will need to make treatment decisions in line with the Mental Capacity Act. The decision must be made in the persons best interests, which includes consideration of the persons wishes and preferences and the persons medical condition and the likely success of resuscitation, in discussion with the persons family and friends.
The Ribble Valley constituency is covered by two PCTsCentral Lancashire PCT and East Lancashire PCT. There are five PCTs covering the Lancashire areaCentral Lancashire PCT; East Lancashire PCT; North Lancashire PCT; Blackpool PCT and Blackburn and Darwen PCT.
1. Hyndburn and Ribble Valley PCT became part of East Lancashire PCT on 1 October 2006.
Mr. Burns: To ask the Secretary of State for Health how many pharmaceutical licences have been awarded under Section 13 of the NHS (Pharmaceutical Services) Regulations 2005 in (a) West Chelmsford parliamentary constituency, (b) Chelmsford local authority area and (c) England. 
Phil Hope: One pharmacy application under regulation 13 of the 2005 regulations was granted in the period 2005-06 to 2006-07 in mid-Essex primary care trust (PCT) and its predecessor organisations (Chelmsford, Maldon and South Chelmsford and Witham, Braintree and Halstead PCTs)the local geographic area for which data is collected centrally. There were 542 such applications approved in England in the same period. Figures for 2007-08 will be published by the Information Centre for health and social care in due course.
To ask the Secretary of State for Health what steps his Department is taking to reduce
waiting times for physiotherapy for elderly and vulnerable patients. 
Ann Keen: Information about waiting times for physiotherapy is not collected centrally. 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 for improving health and to commission services accordingly. This process provides the means for addressing local needs within the health community including access to physiotherapy.
The national health service has seen historical levels of investment and a period of expansion in the work force to improve services and reduce waiting times since 1997. The number of physiotherapists employed in the NHS has increased by 41 per cent. since 1997, from 14,243 to 20,146 in 2007.
In the White Paper, Our Health our care, our say (CM 6737) (copies of which are available in the Library), we set out the future direction for health care, including access to physiotherapy. We have collaborated with the Chartered Society of Physiotherapy to pilot and evaluate self-referral to physiotherapy. The conclusions from these pilots will be included in a report to be published shortly.
Physiotherapy services are included in the 18-week patient pathway if their intervention forms part of a consultant-led pathway. The Allied Health Professions (AHP) Service Improvement Programme was undertaken to support AHP service improvement through information management. The outcomes of the programme are the Physiotherapy Pathway Improvement Tool and the Information Management Handbook for AHP Services. Both interactive documents build on good practice to provide guidance for benchmarking current practice, making improvements and monitoring progress. The tools are available on the 18 weeks website at:
The NHS Next Stage Review: Our Vision for Primary and Community Care outlined an intention to support the NHS and community clinicians in making radical change through the transforming community services programme (TCS). Copies of this publication are available in the Library. The clinical and service development workstream within TCS will focus on six clinical areas that will support the improvement of AHP services including physiotherapy for older and vulnerable people.
Barking and Dagenham
Bath and North East Somerset
Brighton and Hove
City of London
East Riding of Yorkshire
Hammersmith and Fulham
Isle of Wight
Isles of Scilly
Kensington and Chelsea
Kingston upon Hull
Kingston upon Thames
Newcastle upon Tyne
North East Lincolnshire
Redcar and Cleveland
Richmond upon Thames
Southend on Sea
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