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Mr. Lansley: To ask the Secretary of State for Health what national public health information his Department has provided to patients on the self-management of musculoskeletal conditions since publication of his Department's Musculoskeletal Services Framework on 12 July 2006. 
Ann Keen: In October 2006 the Department in conjunction with the Arthritis and Musculoskeletal Alliance (ARMA) published, Information for people with bone and joint problems, this document has been placed in the Library. The NHS Choices website also gives guidance on the self-management of long-term conditions which can be found at:
Mr. Lansley: To ask the Secretary of State for Health how many people with joint pain he estimates referred themselves to a (a) physiotherapist, (b) chiropractor and (c) osteopath without first visiting a GP in each year since 2005. 
Mr. Lansley: To ask the Secretary of State for Health what national data are available to support primary care trusts in benchmarking local intervention rates in trauma and orthopaedics, as referred to on page 46 of his Department's Musculoskeletal Services Framework of July 2006. 
Ann Keen: The 18 week programme has developed over 43 common commissioning pathways to support primary care trusts in commissioning services for their populations. In relation to trauma and orthopaedics pathways have been developed for carpal tunnel syndrome, hip, knee, shoulder and back pain which primary care trusts are using to plan for and manage demand for local services.
Dr. Stoate: To ask the Secretary of State for Health by what means the National Institute for Health and Clinical Excellence assesses the implementation of its guidelines; and whether there are any plans to change those procedures. 
Dawn Primarolo: The National Institute for Health and Clinical Excellence (NICE) does not routinely monitor the uptake or implementation of guidance by individual national health service organisations as this is currently the role of the Healthcare Commission.
NICEs clinical guidelines are developmental standards for NHS organisations and the Government expect them to be fully implemented over time. In 2006-07, NHS organisations were asked to assess themselves against the clinical and cost-effectiveness developmental standard which takes account of NICEs clinical guidelines. The self-assessments were independently validated by the Healthcare Commission and showed that 90 per cent. of NHS organisations were making excellent, good or fair progress towards implementing NICEs clinical guidelines.
From April 2009, the Care Quality Commission will take over from the Healthcare Commission and will consider, in discussion with stakeholders including NICE, how to take account of NICE guidance as it develops its compliance criteria.
Mark Hunter: To ask the Secretary of State for Health with reference to the answer of 23 October 2008, Official Report, columns 523-4W, on prostate cancer, when the most recent round of peer review visits were carried out; what percentage of prostate cancer patients are being managed by multi-disciplinary team meetings; and what percentage of primary care trusts are managing all their prostate cancer patients by multi-disciplinary team meetings throughout their care. 
Ann Keen: The most recent round of national cancer peer reviews took place from November 2004 to March 2007. Peer review looks at multi-disciplinary teams (MDTs) by cancer network not by primary care trust.
The most recent round of national cancer peer review showed that in 90 per cent. of local urology MDTs and in 94 per cent. of specialist urology MDTs, all new urological patients, including prostate cancer patients, were reviewed by the MDTs.
Mr. Lansley: To ask the Secretary of State for Health how many admissions to hospital for rheumatoid arthritis there were in each year since 1991-92, broken down by (a) sex, (b) age and (c) primary care trust area. 
Ann Keen: Unfortunately we are unable to provide time series data as far back as 1991-92 as the quality of coverage of primary care trust of residence reduces heavily. Data from 1996-97 to 2006-07 have therefore been placed in the Library.
Mike Penning: To ask the Secretary of State for Health what estimate he has made of the (a) number of regular smokers in (i) Hemel Hempstead and (ii) Hertfordshire and (b) number of people who have given up smoking in each of these areas over the last 12 months. 
Dawn Primarolo: Information is not available in the format requested. Data are available for West Hertfordshire Primary Care Trust (PCT) and East and North Hertfordshire PCT. Hemel Hempstead is covered by East and North Hertfordshire PCT.
Estimated prevalence of smokers among adults aged 16 and over, along with associated confidence intervals for West Hertfordshire PCT and East and North Hertfordshire PCT are available from Healthy Lifestyle Behaviours: Model Based Estimates, 2003-2005. 2006 Health Hierarchy and can be viewed at:
Information on the number of people who successfully quit smoking at the four week follow up (based on self report) in West Hertfordshire PCT and East and North Hertfordshire PCT in the last year 2007-08 are available from the Statistics on NHS Stop Smoking Services: England, April 2007 to March 2008, Table 3.5, pages 28-30. This publication has already been placed in the Library.
Mike Penning: To ask the Secretary of State for Health how many adults aged 35 years and over were admitted to hospital with diseases caused by smoking in (a) Hemel Hempstead and (b) Hertfordshire in (i) 1996-97 and (ii) 2006-07. 
Dawn Primarolo: Information is not available in the format requested. Data for 1996-97 are unavailable. Data is not collected for Hemel Hempstead and Hertfordshire. Data for East and North Hertfordshire Primary Care Trust (PCT) and West Hertfordshire PCT are available for 2006-07. Hemel Hempstead is covered by East and North Hertfordshire PCT.
Figures are available and provided on the number of admissions in national health service hospitals for those aged 35 and over with a primary diagnosis of diseases that can be caused by smoking and estimates of the number of those admissions that are attributable to smoking.
The following table shows the number of admissions for those aged 35 and over with a primary diagnosis of various diseases that can be caused by smoking and estimates of the number of those admissions that can be attributed to smoking. Figures have been provided for 2006-07 in East and North Hertfordshire PCT and West Hertfordshire PCT. It is acknowledged that not all of the observed admissions included in the table will be
attributable to smoking as there are other contributory factors to these diseases. Therefore the relative risks of these diseases for current and ex-smokers, compared to non-smokers have been used to estimate smoking-attributable admissions.
|NHS( 1) hospital admissions( 2) for primary diagnosis( 3) of diseases that can be caused by smoking and those attributable to smoking, 2006-07|
|Observed admissions( 4)||Smoking attributable admissions( 5)|
|(1 )The data include private patients in NHS hospitals (but not private patients in private hospitals)|
(2 )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.
(3 )The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.
(4) Figures have not been adjusted for shortfalls in data. Observed admissions only includes those where gender was recorded.
(5 )Estimated attributable number, rounded to the nearest 100.
1. Figures exclude records where gender was unknown or not specified as relative risks used to calculate attributable admissions are gender specific.
2. Figures exclude records where country of residence was not confirmed as England.
NHS Information Centre for Health and Social Care
Mr. Stephen O'Brien: To ask the Secretary of State for Health what percentage of care services met each of the Commission for Social Care Inspections national minimum standards in (a) England and (b) each local authority area in 2007-08. 
Phil Hope: We are informed by the Commission for Social Care Inspection that information is available broken down by type of serviceeach has its own set of national minimum standardsfor the most recently completed inspection year, which ended on 31 March 2008.
(2) what assessment he has made of the effect of removing suicide audits from the star ratings performance assessment of primary care trusts in ensuring primary care trusts undertake comprehensive suicide audits; and if he will make a statement; 
No assessment on either the cost to primary care trusts (PCTs) in carrying out suicide audits or the effect of removing suicide audits from the Annual Health
Check performance assessment of PCTs has been made. The mental health National Service Framework, published in 1999, made it a requirement for all local services to develop a local system for suicide audit to learn lessons from suicides and take necessary action. We published a toolkit Suicide audit in Primary Care Trust localities in October 2006 to support them in this task. A copy has been placed in the Library. The information on the number of PCTs conducting suicide audits is not collected centrally.
Dawn Primarolo: Information on Bacillus Calmette-Guérin (BCG) vaccinations in London is available by primary care trust (PCT). The following PCTs in the London strategic health authority provide BCG vaccinations to all children:
City and Hackney;
Hammersmith and Fulham;
Kensington and Chelsea;
Waltham Forest; and
Lynne Featherstone: To ask the Secretary of State for Health whether the vaccines for (a) diptheria, (b) tetanus, (c) pertussis, (d) polio, (e) Haemophilus influenza type b, (f) pneumococcal conjugate, (g) meningitis C, (h) MMR and (i) HPV available for use by GPs are halal; what halal alternatives are available for those which are not; and if he will make a statement. 
Dawn Primarolo: Vaccines for diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, pneumococcal, Meningitis C, and HPV do not contain gelatine according to the summary of product characteristics provided by the manufacturers. Two MMR vaccines are available; one MMR vaccineMMRVAXPROcontains gelatine, the other MMR vaccinePriorixdoes not contain gelatine.
Vaccines that contain gelatine may not be considered halal. However, the Muslim Council of Britain supports the use of these vaccines and has always advised that vaccination must always be offered to all individuals identified to be at risk of communicable disease in order to prevent disease and deaths and have urged the Muslim community to continue to participate in the immunisation programmes to protect our children and adults from serious and potentially fatal infections.
David T.C. Davies: To ask the Chancellor of the Duchy of Lancaster which (a) food and (b) drinks suppliers have been used by his Department in each of the last three years; and how much his Department paid to each such supplier in each of those years. 
Mr. Scott: To ask the Chancellor of the Duchy of Lancaster which (a) food and (b) drinks companies have supplied the Prime Ministers Office in each of the last three years; and how much was paid to each of those suppliers in each of those three years. 
Kevin Brennan: The Prime Ministers Office forms an integral part of the Cabinet Office. The Cabinet Offices Total Facilities Management (TFM) contract is with EcovertFM. Other companies that have been used to supply food and drink can be provided only at disproportionate cost.
Treasury Ministers and officials receive representations from a wide range of organisations and individuals in the public and private sectors as part of the process of policy development and delivery. As was the case with previous Administrations, it is not the Governments practice to provide details of all such representations.
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