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20 Jan 2009 : Column 1368W—continued


Dental Services

Mike Penning: To ask the Secretary of State for Health pursuant to the answer of 16 December 2008, Official Report, column 946, what the evidential basis is for the Parliamentary Under-Secretary for Health’s statement that access to NHS dentistry has improved since the new contract was introduced. [248330]

Ann Keen: Information on the number of patients seen in the 24 months ending March 2006, and the number of patients seen in the 24 months ending June 2008, is available in annex 3, table D1 of “NHS Dental Statistics, Q1 2008-09”. Information is available at primary care trust (PCT) level. This publication has already been placed in the Library, and is available on the NHS Information Centre website at:

These data show that there are many areas across the country where access has improved. In around 30 per cent. of PCTs the number of patients accessing national health service dental services has increased since the reforms were introduced in April 2006.

However, we recognise that more remains to be done. This is why we have appointed the independent review team chaired by Professor Jimmy Steele to help us look at what steps we can take to ensure that every person, wherever he or she lives, who actively seeks to access an NHS dentist can do so.

Dental Services: Gloucestershire

Mr. Drew: To ask the Secretary of State for Health how many dentists in (a) Stroud constituency and (b) Gloucestershire offer NHS treatment to (i) children and (ii) adults; how many patients are covered; and what percentage this is of the relevant population in each case. [247937]

Ann Keen: Information is not available in the format requested.

The numbers of dentists with national health service activity during the years ending 31 March, 2007 and 2008 are available in Table G1 of Annex 3 of the “NHS Dental Statistics for England: 2007-08” report. Information is provided by strategic health authority (SHA) and by primary care trust (PCT). This information is based on the new dental contractual arrangements, introduced on 1 April 2006.

Following a recent consultation exercise, this measure is based on a revised methodology and therefore supersedes previously published workforce figures relating to the new dental contractual arrangements. It is not comparable to the information collected under the old contractual arrangements. This revised methodology counted the number of dental performers with NHS activity recorded via FP17 claim forms in each year ending 31 March. This report, published on 21 August 2008, has already been placed in the Library and is also available on the NHS Information Centre website at:

These figures relate to headcounts and do not differentiate between full-time and part-time dentists, nor do they
20 Jan 2009 : Column 1369W
account for the fact that some dentists may do more NHS work than others, or between treatments for adults and children.

Under the new dental contractual arrangements, patients do not have to be registered with an NHS dentist to receive NHS care. The closest equivalent measure to ‘registration’ is the number of patients receiving NHS dental services (‘patients seen’) over a 24-month period. However, this is not directly comparable to the registration data for earlier years.

The number of patients seen in the previous 24 months in England, as at quarterly intervals, from 31 March 2006 to 30 June 2008 is available in Table Dl of Annex 3 of the “NHS Dental Statistics, Q1 2008-09” report. Table D2 contains information on the numbers of patients seen as a percentage of the population. Information is provided by PCT and SHA and is available by adult and child patients seen.


20 Jan 2009 : Column 1370W

This report, published on 27 November 2008, has been placed in the Library and is also available on the NHS Information Centre website at:

Departmental Redundancy

Justine Greening: To ask the Secretary of State for Health how many of his Department's staff who left under (a) an involuntary and (b) a voluntary exit scheme in each year since 2005-06 received a severance package of (i) up to £25,000, (ii) £25,001 to £50,000, (iii) £50,001 to £75,000, (iv) £75,001 to £100,000 and (v) over £100,000; and if he will make a statement. [242254]

Mr. Bradshaw: Information on the size of severance packages given to staff leaving the Department under involuntary and voluntary exit schemes in each year since 2005-06 are presented in the following table:

2005-06 2006- 07 200 - 08
£ Involuntary Voluntary Involuntary Voluntary Involuntary Voluntary

0-25,000

0

2

1

16

6

13

25,001-50,000

1

2

1

2

1

16

50,001-75,000

1

4

1

2

0

7

75,001-100,000

0

2

0

2

0

5

Over 100,000

6

15

5

9

3

25

Total

8

25

8

31

10

66


General Practitioners: Finance

Lorely Burt: To ask the Secretary of State for Health which GP surgeries will be upgraded using the £100 million of capital spending being brought forward; and to what standards such surgeries will be upgraded. [247836]

Mr. Bradshaw: I refer the hon. Member to the written answer I gave the hon. Member for South Cambridgeshire (Mr. Lansley) on 10 December 2008, Official Report, column 156W. As stated in the pre-Budget report, the key focus of investment will be to improve and extend training facilities in those areas that have historically had a lower provision of general practitioners (GPs).

It is too early to say which GP surgeries will be upgraded.

Hospitals: Cleaning Services

Mr. Lansley: To ask the Secretary of State for Health how much hospital trusts in England have spent on cleaning in each financial year since 1997-98. [248442]

Ann Keen: The information is not available in the format requested.

The Department began the collection of cleaning spend data in 2000-01 from national health service trusts, through its Estates Return Information Collection (ERIC). The information available is shown in the following table.

Total expenditure on cleaning services (£ million)

2000-01

403

2001-02

418

2002-03

460

2003-04

493

2004-05

536

2005-06

616

2006-07

663

2007-08

720


These data have not been amended centrally and therefore its accuracy is the responsibility of the contributing NHS organisations.

The Department has a comprehensive programme of work in place to improve hospital cleanliness. Every hospital in England has already undertaken a deep clean, and the latest Healthcare Commission in-patient survey shows the NHS achieving its highest ever cleanliness rating with 93 per cent. of adults saying their ward was fairly clean or very clean. In the 2008 PEAT (Patient Environment Action Team) scores, over 98 per cent. of hospitals were rated Acceptable, Good or Excellent compared to 2000 when a third were rated as red.

A new national standard for monitoring cleanliness in health care environments is currently being developed with leading experts in the field of health care cleaning, and will be carried out under the auspices of the British Standards Institute.


20 Jan 2009 : Column 1371W

Hospitals: Disinfectants

Bob Spink: To ask the Secretary of State for Health (1) if he will investigate the effectiveness of disinfectant wipes using chlorine-based formulae against clostridium difficile; [246246]

(2) if he will commission research into the sporicidal effectiveness of (a) chlorine-based formulae and (b) quaternary ammonium-based formulae. [246253]

Ann Keen: The Department is currently commissioning research into the effectiveness of a number of commercial formulations that claim to be sporicidal which may include both chlorine and quaternary ammonium-based formulae.

Bob Spink: To ask the Secretary of State for Health if he will make it his policy to encourage NHS trusts to use chlorine-based wipes as disinfectants in hospitals; and if he will make a statement. [246254]

Ann Keen: Existing guidance recommends chlorine based disinfectants that have proven sporicidal activity. The Department will continue to stress the need to use appropriate disinfectant materials.

Bob Spink: To ask the Secretary of State for Health what criteria are used in the NHS to decide whether a disinfectant product is sporicidal; and if he will make a statement. [246255]

Ann Keen: Data demonstrating a pass for the British Standard BS EN13704:2002 test “Quantitative suspension test for the evaluation of sporicidal activity of chemical disinfectants used in food, industrial, domestic and institutional areas” are generally used to establish whether a chemical disinfectant has or does not have sporicidal activity. Purchase of disinfectant products is a matter for local national health service bodies.

Hospitals: Pigmeat

Mr. Swire: To ask the Secretary of State for Health what percentage of pork served in hospitals in (a) East
20 Jan 2009 : Column 1372W
Devon constituency, (b) the South West and (c) England was locally sourced in the last five years. [247562]

Mr. Bradshaw: The recently published Public Sector Food Procurement Initiative report by the Department for the Environment, Food and Rural Affairs for 2007-08 estimated that 99 per cent. of the pork sourced from the national health service Supply Chain's contracts was British and, within this, 47 per cent. of bacon sourced by NHS Supply Chain, was British. NHS Supply Chain calculate that approximately 75 per cent. of trusts purchase from their meat and poultry contract.

NHS trusts do not have to purchase from this central contract. They are able to award their own contracts and information about these contracts is not held centrally. To get accurate, up to date information from particular NHS regions or trusts, the hon. Member may wish to contact them direct.

Injuries: Firearms

James Brokenshire: To ask the Secretary of State for Health how many finished admission episodes there were for gunshot wounds in each NHS trust in each of the last 10 years. [246823]

Mr. Bradshaw: Information is collected on the number of finished admission episodes to hospital. A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

The following table provides data on finished admission episodes for gunshot wounds by each strategic health authority area of residence. It is not possible to provide a response to this question for each national health service trust as the numbers involved are mostly very small and many of them would need to be suppressed in order to preserve confidentiality. The ICD-10 codes used to identify a gunshot wound are included in the background notes to the table.

It is important that the footnotes and clinical codes are consulted when interpreting the data in the table.


20 Jan 2009 : Column 1373W

20 Jan 2009 : Column 1374W
Total number of admissions to hospital where the patient had a cause code of a gunshot wound* broken down by Strategic Health Authority (SHA) of residence for the last 10 years: Activity in English NHS hospitals and English NHS commissioned activity in the independent sector
Number of admissions

SHA of residence 2006 - 07 2005 - 06 2004 - 05 2003 - 04 2002 - 03 2001-02 2000-01 1999-2000 1998-99 1997-98

Q01

Norfolk, Suffolk and Cambridgeshire SHA

32

29

42

23

42

30

45

49

31

Q02

Bedfordshire and Hertfordshire SHA

19

16

41

26

21

26

25

14

15

Q03

Essex SHA

21

26

27

29

25

27

37

32

24

Q04

North West London SHA

50

43

71

52

32

29

26

18

35

Q05

North Central London SHA

31

25

38

29

51

29

23

14

22

Q06

North East London SHA

64

48

69

74

59

47

41

26

24

Q07

South East London SHA

75

52

55

55

56

45

38

42

43

Q08

South West London SHA

34

21

23

21

21

13

23

13

18

Q09

Northumberland, Tyne and Wear SHA

22

31

35

30

47

52

49

51

41

Q10

County Durham and Tees Valley SHA

28

22

25

39

37

28

28

35

31

Q11

North and East Yorkshire and Northern Lincolnshire SHA

41

35

46

41

47

40

29

32

15

Q12

West Yorkshire SHA

69

64

82

83

101

67

63

54

57

Q13

Cumbria and Lancashire SHA

42

54

51

57

63

62

52

44

53

Q14

Greater Manchester SHA

101

108

111

115

123

110

146

96

97

Q15

Cheshire and Merseyside SHA

108

98

116

85

97

69

74

72

58

Q16

Thames Valley SHA

29

23

34

31

36

37

37

23

27

Q17

Hampshire and Isle of Wight SHA

27

24

34

19

32

27

32

23

26

Q18

Kent and Medway SHA

26

33

32

30

47

28

14

20

24

Q19

Surrey and Sussex SHA

39

44

40

28

42

27

25

39

31

Q20

Avon, Gloucestershire and Wiltshire SHA

40

39

40

43

48

31

39

27

34

Q21

South West Peninsula SHA

22

27

36

26

24

29

31

24

25

Q22

Dorset and Somerset SHA

28

14

14

11

29

14

13

23

15

Q23

South Yorkshire SHA

50

55

40

62

61

48

42

38

24

Q24

Trent SHA

52

46

74

83

69

46

66

63

54

Q25

Leicestershire, Northamptonshire and Rutland SHA

19

22

25

16

28

28

27

25

32

Q26

Shropshire and Staffordshire SHA

23

14

25

29

28

29

37

28

30

Q27

Birmingham and the Black Country SHA

67

73

76

89

86

62

59

27

50

Q28

West Midlands South SHA

38

44

37

28

21

24

26

22

18

Q30

North East SHA

71

Q31

North West SHA

278

Q32

Yorkshire and the Humber SHA

138

Q33

East Midlands SHA

96

Q34

West Midlands SHA

172

Q35

East of England SHA

103

Q36

London SHA

209

Q37

South East Coast SHA

73

Q38

South Central SHA

57

Q39

South West SHA

79

U

England — Not otherwise specified

3

15

7

13

8

8

0

2

Other/Unknown/Foreign SHAs

36

21

26

18

25

39

18

23

13

38

Total

1,315

1,233

1,163

1,370

1,287

1,420

1,122

1,170

987

994


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