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Ann Keen: The Cancer Reform Strategy, published in December 2007, sets out guidance to the local national health service on how to improve cancer prevention, speed up the diagnosis and treatment of cancer, reduce inequalities, improve the experience of people living with and beyond cancer, ensure care is delivered in the most appropriate settings and ensure patients can access effective new treatments quickly. A copy of the strategy has already been placed in the Library. It is for primary care trusts (PCTs) to use the funds made available to them and work in partnership with strategic health authorities, local services, cancer networks and other local stakeholders to deliver these aims. Information on the work being done in the Coventry area can be obtained direct from Coventry Teaching PCT.
Through the Cancer Reform Strategys National Awareness and Early Diagnosis Initiative, the Department, in partnership with Cancer Research UK, is co-ordinating a programme to support local interventions to increase cancer symptom awareness, and encourage people to seek help early.
Ann Keen: The vascular checks programme has been designed to be undertaken in a variety of settings to ensure that those who are not regularly in touch with formal health care can access the programme. Primary care trusts will commission the programme to reflect the needs of their population and how they access services. Primary care trusts may, therefore, commission the service from general practitioners, pharmacies or other providers which their target group access. This could include running the programme in a workplace setting.
Ann Keen: As part of preparing primary care trusts for implementation, the Department will make available a standard invitation letter and leaflet about the vascular checks programme. Until the national call and recall system is developed, primary care trusts will decide locally who and how to call people first. Current vascular checks type activity across the country suggests that for some populations other methods of invitation e.g. through telephone calls generate a better take up. Working through NHS Improvement, we are making available learning on this and other aspects of the programme across the country. Once the call and recall system is developed, people will recalled every five years for their check.
Norman Lamb: To ask the Secretary of State for Health (1) what steps his Department plans to take to measure the level of uptake of vascular risk assessment and measurements amongst people between the ages of 40 to 74 years; 
Ann Keen: Many primary care trusts, especially in spearhead areas, already have vascular checks type programmes in place. The implementation of the vascular checks programme will be phased during 2009-10. All primary care trusts will be expected to have undertaken some activity to support the programme during this period. We are working with strategic health authorities to ensure all primary care trusts implement the programme. We are developing an evaluation strategy that will provide information on the rate and mode of implementation. As part of the evaluation, we will look at uptake amongst groups less likely to participate in the programme and those particularly likely to benefit since they are inherently likely to be at higher risk. These groups will vary from primary care trusts to primary care trusts.
Norman Lamb: To ask the Secretary of State for Health (1) what steps his Department is taking in the implementation of the vascular checks programme (a) to ensure that hard-to-reach groups receive checks and (b) to evaluate uptake among these groups; 
Ann Keen: The vascular checks programme has the potential to reduce health inequalities and has been designed to form part of the Department's overall programme for tackling them. The assessment element of the programme has been designed to be undertaken in a variety of settings to help to ensure that everyone who is eligible can access the programme. In November 2008 the Department issued guidance to primary care trusts Next Steps' guidance for Primary Care Trusts which underlines the need for them to commission a programme that tackles and reduces health inequalities. A copy of the guidance has been placed in the Library.
Mr. Waterson: To ask the Secretary of State for Health what percentage of care home residents were asked to pay a top-up fee in (a) Eastbourne, (b) East Sussex and (c) England in each year since 2004. 
Information about top-up fees is not collected centrally. However, according to the Office of Fair Trading report, Survey of Older People in Care
Homes, published in May 2005, 33 per cent. of the 382 United Kingdom local authority funded residents interviewed said part of their fees were paid as a third party contribution or top-up.
Mr. Lansley: To ask the Secretary of State for Health how many and what percentage of care homes did not meet each of the National Minimum Standards for care homes in the year ended 31 March 2008. 
Phil Hope: I am informed by the Commission for Social Care Inspection (CSCI) that its inspectors assess the performance of care homes against each national minimum standard (NMS) and rate them on a four-point scale. A score of 4 indicates that a standard has been exceeded. A score of 3 shows that it has been met. A score of 2 denotes that the standard has not been met with minor shortfallsthis indicates that one of the numerous subsections in the standard has not been completely met. A score of 1 means the standard has not been met.
|Scores against NMS for care homes for younger adults as at 31 March 2008( 1)|
|Score1 Standard not met||Score-2 Standard not met with minor shortfalls||Score-3 Standard met||Score-4 Standard exceeded|
|(1) Data shown are for care homes which were active at 31 March 2008 and had been inspected against the NMS for care homes for younger adults at some point prior.|
Percentage scores are rounded to the nearest whole percentage point.
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