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|Month ending October 2008|
1. In-patient waiting times are measured from decision to admit by the consultant to admission to hospital.
2. Data no longer collected by specialty after 30 September 2007.
The Department quarterly waiting list statistics KH07
Mike Penning: To ask the Secretary of State for Health to what account was taken of experience in other countries using (a) Cervarix and (b) Gardisil in the appraisals undertaken to inform the decision to select Cervarix as the national Human Papilloma Virus vaccine. 
Dawn Primarolo: The award criteria for the evaluation of the contract to supply Human papillovirus (HPV) vaccine is set out as follows. These do not include criteria regarding experience in other countries.
Offers that reduce the risk of wastage if the vaccine is subject to temperatures above 8°C (this include the provision of temperature indicators and evidence based guidance on the stability of the vaccines at higher storage temperatures and subsequent safe administration.)
John Bercow: To ask the Secretary of State for Health how many hospital admissions for (a) unintended and (b) deliberate injury there were per 10,000 people aged under 19 years in the last 12 month period for which figures are available. 
|Count of admissions to hospital for unintended, deliberate and other injuries for under-19s, per 10,000 of the population (2006-07) (Activity in English NHS hospitals and English NHS commissioned activity in the independent sector)|
|External cause type||Finished admission episodes (age 0-18 inclusive)||Rate per 10,000 population|
1. Finished in-year admissions:
A finished in-year admission episode is the first period of inpatient care under one consultant within one health care provider, excluding admissions beginning before 1 April at the start of the data year. Finished in-year admission episodes are counted against the year in which the admission episode starts and finishes. Therefore, admission episodes that start and finish in different years are not countedfor most conditions this represents a small proportion of the total. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
2. Cause code:
The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. The field within HES counts only the first external cause code, which is coded within the episode.
3. Data quality:
Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data are 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.
4. Ungrossed data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
5. External cause codes:
(a) Unintended: V01-X59 (accidents), Y40-Y84 (complications of medical and surgical care), Y85-Y86, Y88 (sequelae of unintended causes), Y90-Y98 (supplementary factors). Excluding: X33-X39 (forces of nature) & X52 (prolonged stay in weightless environment).
(b) Deliberate: X60-X84 (intentional self-harm), X85-Y09 (assault), Y87.0-Y87.1 (sequelae of intentional self-harm and assault).
(c) Other: Y10-Y34 (undetermined intent), Y35-Y36 (legal intervention and war), Y87.2 (sequelae of undetermined intent), Y89 (sequelae of other external causes).
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care, 2006 Mid Year Estimates, 2001 Census based from: ONS Population Estimates Unit.
Derek Twigg: To ask the Secretary of State for Health (1) how many people required kidney dialysis in (a) Halton, (b) Cheshire and (c) Merseyside in the latest year for which figures are available; 
Information on the number of patients on dialysis is collected by the UK Renal Registry. The annual reports contain analysis of data from 1997 to 2006 and can be found on the Renal Registrys website at the following website:
Ann Keen: This information is not collected by the Department for the period for which it is requested. In 2005-06, expenditure on haemodialysis and peritoneal dialysis in England was estimated to be £430 million.
Information on the number of patients on dialysis is collected by the UK Renal Registry. The annual reports containing analysis of data from 1997 to 2006 can be found on the Renal Registrys website at the following website:
Mr. Hancock: To ask the Secretary of State for Health if he will increase levels of funding for local authorities to take account of the effect of the increasing number of people with learning disabilities on provision made by local authority social services departments. 
Phil Hope: The Valuing People Now strategy will be published early in the new year. In taking forward this strategy, we will continue to explore how to improve information on the number and needs of people with learning disabilities, in discussion with the Learning Disability Coalition and councils. This will enable better understanding of current and projected demands for this area and help to inform local needs assessments.
An extensive public engagement on care and support has just ended. This looked at the principles that should underpin reform for the provision and funding of care and support services to reflect the increasing pressure of rising need levels, including the increasing number of people with learning disabilities. The engagement will help inform the Care and Support Green Paper, which will also be published early in 2009.
It is the responsibility of local councils to determine how much of their funding is allocated between different local priorities, including adult social care and, therefore, services for people with learning disabilities.
Mr. Clifton-Brown: To ask the Secretary of State for Health what guidance his Department provides to healthcare trusts on the release of medical records to representatives of deceased people. 
Mr. Bradshaw: Access to the health records of a deceased person is governed by the Access to Health Records Act 1990. Guidance to trusts and the public on how to access such records is provided in the form of frequently asked questions on the Departments website and can be found at:
Mr. Amess: To ask the Secretary of State for Health (1) what (a) amendments have been made to and (b) recent representations he has received on the Mental Capacity Act 2005; and if he will make a statement; 
(2) which (a) statutory instruments, (b) departmental circulars and (c) other documents he (i) has issued and (ii) plans to issue in the next 12 months consequential on the provisions of the Mental Capacity Act 2005; and if he will make a statement. 
Phil Hope: The Mental Capacity Act 2005 has been amended under the Mental Health Act to introduce the Deprivation Of Liberty Safeguards which will come into force on 1 April 2009. It was also used to introduce a small amendment to increase access to the Independent Mental Capacity Advocate service.
Officials are working on the implementation of both the Mental Capacity Act 2005 and the subsequent amendments and they have been involved in consultations on the new code and the development of training and forms and monitoring. They are working closely with stakeholders from a range of organisations.
Three statutory instruments have been laid in relation to the amendments to the Mental Capacity Act brought about by the Mental Health Act. In addition, the code of practice for the Deprivation of Liberty Safeguards, a Local Authority Circular and a letter to the NHS have been issued.
2008 No. 1858
Mental Capacity, England: The Mental Capacity (Deprivation of Liberty: Standard Authorisations, Assessments and Ordinary Residence) Regulations 2008
Made: 9 July 2008; came into force: 3 November 2008
2008 No. 1315
Mental Capacity, England
The Mental Capacity (Deprivation of Liberty: Appointment of Relevant Person's Representative) Regulations 2008
Made: 14 May 2008; Laid 20 May 2008; came into force: 3 November 2008
2008 No. 2368
Mental Capacity, England
The Mental Capacity (Deprivation of Liberty: Appointment of Relevant Person's Representative) (Amendment) Regulations 2008
Made: 5 September 2008; Laid 12 September 2008; came into force: 3rd November 2008
Under the Amendment to the MCA, brought about by the MHA, the Lord Chancellor has issued a code of practice for the Deprivation of Liberty Safeguards (which is subject to the negative parliamentary process) and which was published in August 2008.
John Bercow: To ask the Secretary of State for Health how many (a) crisis resolution, (b) assertive outreach and (c) early intervention teams in the field of mental health there were at the end of March 2008. 
Norman Lamb: To ask the Secretary of State for Health whether he plans to bring forward proposals to amend the Mental Health Act 2007 to include mental capacity as a condition of compulsory treatment in light of the NHS constitution. 
Phil Hope: The Government have no plans to amend the Mental Health Act 2007 (or the Mental Health Act 1983) to make compulsory treatment under that legislation conditional on a person either having, or lacking, capacity to consent.
Phil Hope: This information is not held centrally. However, the Government are committed to delivering a significant expansion of appropriately trained and accredited psychological therapists to build on these existing services and provide access to people across the country who experience the debilitating conditions of depression and/or anxiety disorders.
Training this new work force will take time, so Improving Access to Psychological Therapies (IAPT) services will be implemented carefully over the next few years. This process started with the first 37 primary care trust areas implementing their new services in November this year and the Department expects that by 2011 half of England will have access to these services.
We are investing significantly in the IAPT programme, with annual funding rising to £173 million in the third year, to train 3,600 extra therapists and treat up to 900,000 more people in those three years.
John Bercow: To ask the Secretary of State for Health what recent progress has been made in training therapists under the Improving Access to Psychological Therapies programme; and if he will make a statement. 
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