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The December 2008 CMO winter update, which is sent to all doctors registered with the General Medical Council in England, also highlighted the 'Think CO' campaign and the need to raise awareness and consider CO in differential diagnoses. This is available at:
Ann Keen: Children, families and stakeholders have been engaged in developing the strategy over the summer, and the proposals are being aligned with other activity and recommendations from key reviews such as the CAMHS review. We expect to be in a position to publish the Child Health Strategy soon. Addressing the needs of disabled and terminally ill children will be part of this strategy.
Mr. Hancock: To ask the Secretary of State for Health how much has been spent on (a) cognitive behavioural treatment, (b) aerobic exercise and (c) mitochondrial testing for patients diagnosed with myalgic encephalopathy/chronic fatigue syndrome in each year since 1997. 
Ann Keen: Guidelines for the Prevention and Management of Clostridium, difficile infection by a Department of Health/Public Health Laboratory Service Joint Working Group were published in 1994. These guidelines advise that "patients with diarrhoea and suspected of infection should be isolated". The guidelines are available on the Health Protection Agency (HPA) website, link:
Further detail on isolation is available in the Guidance on Isolating Patients with Healthcare Associated Infection published by the Department of Health as part of the "Saving Lives" programme in 2007. As this document emphasises,
the correct and timely placement of infected patients (suspected or proven infection) into single rooms can be very effective in reducing the overall numbers of infected patients; it can also reduce the risk of colonisation in other patients within the ward.
Chris Ruane: To ask the Secretary of State for Health with reference to the answer of 26 November 2008, Official Report, column 2055W, on coastal areas, what matters have been raised by his Departments representation on the cross-departmental working group; and at what level his Department is represented at the groups meetings. 
The cross-departmental working group is looking at English coastal towns. The Department has raised the role of the Joint Strategic Needs Assessment set out in the Local Government and Public Involvement in Health Act 2007 to facilitate stronger local partnerships, including coastal towns, to improve health and social care and reduce inequalities. The Departments Health Inequalities Spearhead Council programme includes coastal towns.
Simon Hughes: To ask the Secretary of State for Health what guidance his Department provides to community nurses on the co-ordination of their work with people employed by social services departments. 
Ann Keen: No guidance has been issued centrally. It is for local national health service organisations in partnership with local authorities to commission high quality services and to integrate health and social care. The Nursing and Midwifery Council's The code: Standards of conduct, performance and ethics for nurses and midwives makes the commitment for members to work with others to protect and promote the health and well-being of those in their care, their families and carers, and the wider community.
Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 9 December 2008, Official Report, column 68W, on continuing care: standards, how many people were in receipt of continuing care in (a) England, (b) each strategic health authority area and (c) each primary care trust area in each (i) quarter and (ii) year since 1998. 
Mr. Bradshaw: This Department supports and aims to meet the Government's targets to reduce carbon emissions and improve the energy efficiency of the Government estate. We have been working with the Carbon Trust to identify energy saving measures, and will shortly be embarking on a Carbon Management Programme throughout our core estate and in our arms length bodies.
The Department does not currently keep a record of itemised purchases so are unable to break down the figures as requested, though the vast majority of furniture is obtained by the Office of Government Commerce (OGC) framework main contracted supplier, Kinnarps, who are Swedish based. The Department does not hold figures for earlier than 2001-02.
Mr. Hoban: To ask the Secretary of State for Health with reference to the answer of 3 November 2008, Official Report, column 78W, on departmental ICT, what the (a) expected completion date and (b) estimated cost of each of the projects listed was at their outset. 
Mr. Bradshaw: The projects listed in my previous answer were those over £100,000 currently being undertaken by the Department, the Medicines and Healthcare products Regulatory Agency (MHRA) and the NHS Purchasing and Supply Agency (PASA). The original expected completion date and estimated cost details are listed as follows:
|Name of organisation||Name of project||Total estimated cost of project at outset (£000)||Estimated delivery date of project at outset|
|(1) The HPI is an IT programme, rather than a single project. It has been set up to provide information and data services to enable the DH to manage the national immunisation programme. It also provides tools to facilitate the management of surveillance information as part of the DH pandemic preparedness measures. The programme was initially established in 2004 to collect flu update data from GPs with a budget of £485,000. The programme has expanded since that point, providing national immunisation data related to a number of vaccinations including influenza, pneumococcal and HPV, as well as surveillance and pandemic preparedness initiatives. Further development and support of the application will be ongoing, to reflect the evolving immunisation and panflu preparedness programmes. The website is being produced and maintained as part of this programme. It does not have a given date.|
(2 )The figure of £150,000 relates to the original scope of the Pharmacy Replacement project. This was subsequently expanded.
This corrects information given to the hon. Member on 3 November 2008, Official Report, column 78W.
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