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12 Nov 2008 : Column 1189W—continued

Social Mobility

Sandra Osborne: To ask the Chancellor of the Duchy of Lancaster what assessment he has made of the implications of the Prime Minister’s Strategy Unit report Getting On Getting Ahead for his Department’s policy on social mobility. [234794]

Mr. Byrne: This discussion paper brings together the leading academic research on social mobility in preparation for an important White Paper coming out at the end of the year.

This paper provides a platform for Departments across Government to develop the policies that will give everyone a fairer chance of getting more and better jobs.

Significantly, the paper identifies the need to support people from childhood right up until they are on the job ladder and beyond. Supporting families and communities is highlighted as an important context throughout the analysis.

Health

Abortion

Dr. Naysmith: To ask the Secretary of State for Health what information his Department holds on the number of terminations of pregnancy in England in each of the last five years. [234629]

Dawn Primarolo: Abortion Statistics for England and Wales are published annually every June. Copies of previous statistics (including the 2007 data) have already been placed in the Library.


12 Nov 2008 : Column 1190W

Alcoholic Drinks: Misuse

James Brokenshire: To ask the Secretary of State for Health what the cost of treating patients with a primary or secondary diagnosis of excessive alcohol consumption was in each of the last 10 years. [232135]

Dawn Primarolo: The International Classification of Diseases does not include a diagnosis specifically related to ‘excessive alcohol consumption’. A 2008 paper by the Department ‘The cost of alcohol harm to the NHS in England: An update to the Cabinet Office (2003) study’ estimated the 2006-07 cost of hospital admissions where a primary or secondary diagnosis is wholly attributable to alcohol at £183 million in 2008-9 prices. A copy of this paper has been placed in the Library. Those diagnoses defined as wholly attributed to alcohol were:

Estimates of other hospital and non-hospital costs of treating patients with a primary or secondary diagnosis of excessive alcohol consumption are not available.

A Cabinet Office (2003) study Alcohol misuse: How much does it cost? estimated the cost of hospital admissions in 2000-01 at £126 million in 2001 prices. This used a different methodology to the Department's report’s and so the estimates are not directly comparable.

Data for other years are not available.

Carers

Mr. Evennett: To ask the Secretary of State for Health how many people were registered as carers in (a) Bexleyheath and Crayford constituency and (b) the London Borough of Bexley in each of the last five years. [234826]

Mike Penning: To ask the Secretary of State for Health how many people were registered as carers in Hemel Hempstead in each of the last five years. [234575]

Phil Hope: This information is not held centrally, as carers who support friends and family members are not required to register with local authorities.

Chlamydia

Anne Milton: To ask the Secretary of State for Health (1) what percentage of primary care trusts are taking part in his Department's National Chlamydia Screening Programme; [235087]

(2) what steps are being taken to reduce the incidence of chlamydia amongst people aged 16 to 24 years. [235108]


12 Nov 2008 : Column 1191W

Dawn Primarolo: Every primary care trust (PCT) in England is now offering chlamydia screening through the National Chlamydia Screening Programme (NCSP). Opportunistic screening is offered to all sexually active women and men, aged under 25 years, in a variety of health and non-health care settings. The Department has made increasing screening volumes and reducing chlamydia prevalence a priority for the national health service and it is included as a tier two indicator in the operating framework for 2008-09 to 2010-11.

To increase awareness of sexual transmitted infections and promote the use of condoms, we launched the Condom Essential Wear campaign in November 2006. Campaign tracking indicates that behaviour within the target audience has started to change and evidence suggests a shift in condom purchasing behaviour towards the target 18 to 24 age group.

Chronically Sick

John Bercow: To ask the Secretary of State for Health when he plans to publish his Department's review of strategy on managing chronic illnesses. [234655]

Ann Keen: The Department is not planning to publish a review of its strategy of managing long term conditions.

Contraceptives

Dr. Naysmith: To ask the Secretary of State for Health (1) what assessment his Department has made of the merits of greater uptake of long-acting contraception; [234630]

(2) what estimate his Department has made of the potential savings to the NHS through increased use of long-acting methods of contraception; and if he will make a statement; [234631]

(3) what proportion of the £26.5 million funding announced in February 2008 to improve young people's access to contraception he expects to be spent on long-acting reversible contraception; and if he will make a statement. [234632]

Dawn Primarolo: The National Institute for Health and Clinical Excellence (NICE) published guidance on the cost-effectiveness of long-acting reversible (LARC) methods of contraception in October 2005 which found that LARC methods are more cost-effective than the combined oral contraceptive pill even at one year of use.

NICE estimated that if 7 per cent. of women switched from the contraceptive pill to LARC methods the NHS could save an estimated £100 million each year by reducing unintended pregnancies by approximately 73,000.

The national health service has been asked to prioritise improving access to LARC methods of contraception as part of their plans for the additional £26.8 million additional funding allocated in 2008-09.

Dr. Naysmith: To ask the Secretary of State for Health what measures he has in place to ensure that the £26.5 million funding announced in February 2008 to improve young people's access to contraception supports a full range of contraceptives, including long-acting reversible contraception. [234633]


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Dawn Primarolo: I refer the hon. Member to the written answer I gave to the hon. Member for Sutton and Cheam (Mr. Burstow) on 27 October 2008, Official Report, column 665W.

Dr. Naysmith: To ask the Secretary of State for Health (1) what records his Department holds on the proportion of primary care trusts that have undertaken a comprehensive audit of long-acting reversible contraception; [234634]

(2) what records his Department holds on the level of GP compliance with the recommendation in Clinical Guideline CG30 that women requiring contraception should be offered a choice of all methods, including long-acting reversible contraception. [234635]

Dawn Primarolo: Primary care trusts undertook a national baseline questionnaire of contraceptive services in 2006. The Department's document Findings of the Baseline Review of contraceptive Services (2007) has been placed in the Library.

Changes have been made to the NHS Quality and Outcomes Framework for 2009-10 for general practitioners (GPs) which include a reallocation of the points system to financially reward them for giving advice on contraception, particularly long-acting methods, to help prevent unintended pregnancies including teenage pregnancies.

Crohn's Disease

John Bercow: To ask the Secretary of State for Health what discussions he has held with the National Institute for Health and Clinical Excellence on its consultation on Crohn’s Disease—Infliximab (review) and Adalimumab; and when he expects it to publish its final appraisal determination. [234671]

Dawn Primarolo: The Department had no such discussions. The National Institute for Health and Clinical Excellence (NICE) held its second appraisal committee meeting on 22 October 2008 and, subject to consideration of the comments received in response to its consultation, NICE will issue its final appraisal determination in due course.

Further information can be obtained on NICE’s website at:

John Bercow: To ask the Secretary of State for Health what recent estimate he has made of the annual costs to the NHS of (a) anti-TNF therapies and (b) surgery in the treatment of Crohn’s disease. [234672]

Ann Keen: No estimate has been made.

John Bercow: To ask the Secretary of State for Health if he will collect data centrally on the number of people diagnosed with Crohn’s disease in the last 12 months. [234673]

Ann Keen: We have no plans to collect data on the number of people diagnosed with Crohn’s disease in the last 12 months.


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Dementia: Research

Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 4 November 2008, Official Report, columns 377-8W, on dementia: research, when he expects a complete set of dementia research expenditure data for 2007-08 to be available. [234366]

Dawn Primarolo: The analysis required to produce the data should be complete by the end of this month. I will write to the hon. Member as soon as the information he has requested becomes available.

Departmental NDPBs

Mike Penning: To ask the Secretary of State for Health what budget was allocated for the work of (a) Monitor, (b) the Standing Dental Advisory Committee and (c) the Doctors and Dentists Review Body in each of the last five years. [232433]

Ann Keen: The budget allocated for the work of Monitor was:

£

2004-05

16,011,000

2005-06

17,744,000

2006-07

12,552,000

2007-08

13,500,000

2008-09

16,175,000


There was no central budget allocated for the work of the Standing Dental Advisory Committee, members have been paid for travel expenses on an ad hoc basis for attending meetings.

The budget allocated for the work of the Doctors and Dentist Review Body was:

£

2004-05

0

2005-06

36,000

2006-07

41,000

2007-08

36,000

2008-09

38,000


Mike Penning: To ask the Secretary of State for Health how many paid officials work for (a) Monitor, (b) the Standing Dental Advisory Committee, (c) the Doctors and Dentists Review Body, (d) the NHS Litigation Authority, (e) the NHS Institute for Innovation and Improvement, (f) the NHS Business Services Authority and (g) the NHS Purchasing and Supply Agency. [232456]

Ann Keen: The information is as follows.


12 Nov 2008 : Column 1194W

Number

Monitor

89

Standing Dental Advisory Committee

0

Doctors and Dentist Review Body

0

NHS Litigation Authority

158

NHS Institute for Innovation and Improvement

182

NHS Business Services Authority

2,518

NHS Purchasing and Supply Agency

259


Diabetes

Keith Vaz: To ask the Secretary of State for Health what the rates of (a) type 1 and (b) type 2 diabetes were (i) in each of the last 10 years and (ii) at the most recent date for which information is available; and how often and by what mechanism the rate is measured. [235021]

Ann Keen: Information on the number of people with diabetes is available from the Quality and Outcomes Framework (QOF).

Figures for the last 10 years are not available. However, the following table shows the number of people recorded on diabetes registers (including both type one and type two diabetes) from 2004-05 to 2007-08, from the QOF. It should be noted that patients will contribute to the figures in QOF only if they are registered with a general practice participating in the QOF. QOF data are collected annually and only include people with diabetes aged 17 or over. Figures are not available broken down into type one and type two diabetes. The latest prevalence data are from June 2008.

Patients with a recorded diagnosis of diabetes

Number

2004-05

1,766,391

2005-06

1,890,663

2006-07

1,961,976

2007-08

2,088,335


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