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John Bercow: To ask the Secretary of State for Health what recent progress has been made by SHiFT in its work to tackle discrimination in (a) employment and (b) the media against people with mental health problems. 
Phil Hope: SHIFT was originally launched in 2004 by National Institute for Mental Health in England (NIMHE) as a five-year programme but has now been extended to run until 2011 to work alongside Time to Change, a new £18 million charity sector-led anti-stigma and well-being social marketing campaign. SHIFT's work complements that of Time to Change by focusing on two key audiencesemployers and the media.
The work in employment is aimed at improving the recruitment and retention of people with mental health problems. For example, SHIFT has distributed to public and private sector employers more than 30,000 copies of the SHIFT Line Managers Resource, giving guidance to managers on handling mental health problems in the workplace.
An independent expert panel, the SHIFT review panel, has been set up to review guidance on mental health and employment and help guide employers through the wealth of existing advice. A website signposts employers to the most appropriate resource. The panel, hosted by the Sainsbury Centre for Mental Health, includes experts from academia, business and the public sector.
Training on reporting mental illness and suicide is being delivered to postgraduate students at journalism training colleges and the SHIFT Speakers Bureau, a bank of people willing to talk about their real life experiences of mental illness, has become an essential resource for journalists and a way of ensuring that peoples voices are heard.
Dawn Primarolo: The National Treatment Agency for Substance Misuse (NTA) is a special health authority within the NHS, established by Government in 2001 to improve the availability, capacity and effectiveness of treatment for drug misuse in England.
The NTA has achieved significant improvements in access to services and is now focusing on improving the quality of treatment in order to maximise the benefit to individuals, families and communities. The NTA also plays an important role in advice and guidance on the quality of and, since April 2008, monitoring access to alcohol treatment.
(1) Note that although the NTA was established in April 2001, staff began to be appointed only from July 2001 onwards.
Mr. Bacon: To ask the Secretary of State for Health whether the Newcastle-upon-Tyne Hospitals NHS Foundation Trust is on schedule to go live with its electronic patient management and care record system. 
Mr. Bradshaw: We understand that Newcastle upon Tyne hospitals NHS foundation trust has no reason to believe that it will not go live with its new patient management and care record system next year as planned. The trust is working closely with its commercial partner, and in collaboration with NHS Connecting for Health, to ensure that all project timescales are met.
Dr. Richard Taylor: To ask the Secretary of State for Health what rights (a) foundation trust members and (b) members of the public have to attend meetings of (i) boards of directors and (ii) boards of governors of their local foundation trust. 
Mr. Bradshaw: The National Health Service Act 2006 requires that the constitution of a national health service foundation trust must provide for meetings of the board of governors to be to open to the public. There is no equivalent provision for meetings of the board of directors. This would be a matter for each trust. Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) has however issued a Code of Governance for National Health Service foundation trusts which advises directors to follow a policy of openness and transparency in their proceedings and decision making, unless this conflicts with a need to protect the wider interests of the public or the trust, including commercial-in-confidence matters.
Mr. Bradshaw: We anticipate that the main build of Lorenzo release 2.0, containing care management functionality, will be available for ongoing testing in the United Kingdom by the end of December 2008.
Mr. Bacon: To ask the Secretary of State for Health how many users of the Lorenzo system there are at the (a) Morecambe Bay Hospitals NHS Trust, (b) Bradford Teaching Hospitals NHS Foundation Trust and (c) South Birmingham Primary Care Trust; and what the average number of concurrent users of the Lorenzo product was at each of those trusts in the last month for which figures are available. 
Mr. Bradshaw: At Morecambe Bay hospitals NHS trust there is currently limited clinical usage in a single ward, with 10 system users. At South Birmingham primary care trust, the system is being used by the podiatry team, involving 14 users. Bradford teaching hospitals NHS foundation are preparing to go live in the new year and there are therefore no live system users at present.
Mr. Bacon: To ask the Secretary of State for Health on what dates (a) Department of Health officials received a demonstration of the Lorenzo software product and (b) local service provider contracts were signed under the National Programme for IT in the NHS for the Lorenzo software product; and what the planned delivery date for the Lorenzo software product was when those contracts were signed. 
Mr. Bradshaw: Lorenzo release 1.0 and components of release 2.0 were first demonstrated to NHS Connecting for Health officials in India during 2007, followed by a number of demonstrations to NHS clinicians, officials and to some Public Accounts Committee members in the UK in 2008. More general demonstrations of the software have been provided since September 2008 to national health service staff.
The original relevant local service provider contracts signed in 2003 did not refer specifically to the Lorenzo product by name but to an integrated care service. A later contract reset on 8 January 2007 covered a two-release strategy for Lorenzo with the following release key milestones:
Lorenzo release 3.530 June 2008; and
Lorenzo release 4.030 June 2009.
Mr. Lansley: To ask the Secretary of State for Health (1) what the size of the (a) high risk, (b) significant risk, (c) moderate risk and (d) low risk maintenance backlog was in each NHS trust in England in each year since 1997-98; 
The Department collects data on backlog maintenance annually from national health service trusts through its estates return information collection (ERIC). These data have not been amended centrally and therefore their accuracy is the responsibility of the contributing NHS organisations.
Mr. Burstow: To ask the Secretary of State for Health how many finished consultant episodes there were for (a) paediatric and (b) adolescent obesity treatment in (i) England and (ii) each strategic health authority in each year since 1997. 
Mr. Burstow: To ask the Secretary of State for Health how many surgical procedures to treat obesity were carried out on the NHS in (a) England, (b) each region and (c) each strategic health authority area in each year since 1997. 
Dawn Primarolo: Data on finished consultant episodes (FCEs) with a primary diagnosis of obesity as well as a main procedure of bariatric surgery are provided in the following table. Data are available between 1997-98 to 2006-07.
|Count of FCEs with a primary diagnosis of obesity* and a main procedure of bariatric surgery** broken down by strategic health authority of residence for 1997-98 to 2006-07|
|Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector|
|Strategic health authority||2006-07||2005-06||2004-05||2003-04||2002-03||2001-02||2000-01||1999-2000||1998-99||1997-98|
Finished Consultant Episode (FCE)
1. A FCE is defined as a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which the FCE finishes. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.
Number of episodes in which the patient had a (named) primary diagnosis
3. These figures represent the number of episodes where the diagnosis was recorded in the primary diagnosis field in a HES record.
4. The main procedure is the first recorded procedure or intervention in the HES data set and is usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, e.g. time waited, but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedure.
5. HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS 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.
Assessing growth through time
6. 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. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
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 out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
7. Figures have not been adjusted for shortfalls in the data, i.e. the data are ungrossed.
Primary Care Trust (PCT)/Strategic Health Authority (SHA) data quality
8. PCT and SHA data was added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
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