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Health Services: Dementia

Mr. Lansley: To ask the Secretary of State for Health (1) how many memory clinics there are; and how many memory clinics he intends to establish by what date under the provisions of the National Dementia Strategy; [257560]

(2) how many staff he expects to be employed in each memory clinic, as referred to in the National Dementia Strategy; [257653]

(3) what estimate he has made of the average (a) initial start-up costs and (b) annual operating costs of a memory clinic; and how much he has allocated to memory clinics in each financial year until 2010-11. [257739]

Phil Hope: Decisions about the nature, number and funding of memory services will be made locally by primary care trusts, depending on local circumstances.

Health Services: Rural Areas

Mr. Wallace: To ask the Secretary of State for Health what studies his Department has undertaken into the costs of administering healthcare in rural locations. [254724]

Mr. Bradshaw: The cost of administering health care in rural locations has been considered by the Advisory Committee on Resource Allocation (ACRA). ACRA is an independent body that oversees the development of the weighted capitation formula, used to inform primary care trust (PCT) revenue allocations, and makes recommendations to ministers on potential changes to the funding formula prior to each allocations round. ACRA's latest report has been placed in the Library and at:

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_091484

Both ACRA and its predecessor, the Resource Allocation Group, have commissioned independent research into how the weighted capitation formula takes account of the issues faced in rural areas, both in terms of additional need for health care and the additional cost of providing health care in rural areas. In particular, ‘Combining Age Related and Additional Needs (CARAN) Report’ and ‘Review of Specific Cost Approach to Staff Market Forces Factor’, which consider the impact of rurality on health care needs and costs respectively.

In addition, ‘A Study of Costs of Providing Health Services in Rural Areas’, led to the introduction of the emergency ambulance cost adjustment , in recognition of the geographical cost differences found for emergency ambulance services.

These research reports have also been placed in the Library and can be accessed at:

www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Allocations/DH_4108515

Hepatitis

Mr. Amess: To ask the Secretary of State for Health how many (a) males and (b) females in each age group have been diagnosed with acute hepatitis (i) A, (ii) B, (iii) C, (iv) D, (v) E and (vi) G in each year since 1997. [254997]

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Dawn Primarolo: The available information is shown in the following tables. However, data for acute hepatitis C are not available, as surveillance data collected by the Health Protection Agency (HPA) do not distinguish between current and past infections or between recently acquired and chronic infections. The HPA does not collect data on hepatitis D as hepatitis D is a defective virus that replicates only in the presence of acute or chronic hepatitis B infection. The HPA also does not routinely collect data on hepatitis G as extensive worldwide investigation has failed to identify any association between the hepatitis G virus and hepatitis and its clinical significance is unknown.

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Laboratory confirmed cases of hepatitis A, England and Wales , by age group, 1997 to 2007
Age group /year	m	f	nk	t
1997
<14	130	115	7	252
15-24	133	54	<5	189
25-34	298	68	<5	368
35-44	162	41	<5	207
45-54	90	37	0	127
55-64	29	16	<5	46
>=65	33	41	0	74
Unknown	25	8	<5	35
Total	900	380	18	1/298
1998
<14	100	85	8	193
15-24	137	56	<5	196
25-34	240	70	<5	311
35-44	146	35	0	181
45-54	63	28	<5	92
55-64	28	20	0	48
>=65	29	27	<5	57
Unknown	14	12	0	26
Total	333	333	14	1,104
199 9
<14	169	167	11	347
15-24	167	107	9	283
25-34	200	102	<5	304
35-44	114	71	<5	187
45-54	69	45	<5	115
55-64	34	18	0	52
>=65	38	34	<5	74
Unknown	17	5	6	28
Total	808	549	33	1,390
2000
<14	95	95	<5	193
15-24	162	76	6	244
25-34	162	84	<5	249
35-44	87	41	<5	131
45-54	53	22	<5	77
55-64	23	19	<5	43
>=65	30	39	<5	70
Unknown	22	19	<5	42
Total	634	395	20	1,049
2001
<14	74	70	6	150
15-24	135	60	<5	197
25-34	129	44	<5	176
35-44	65	28	0	93
45-54	31	33	0	64
55-64	15	9	0	24
>=65	25	27	<5	56
Unknown	24	11	<5	36
Total	498	282	16	796
2002
<14	79	54	8	141
15-24	326	135	<5	463
25-34	323	107	<5	434
35-44	99	42	0	141
45-54	32	24	0	56
55-64	18	28	0	46
>=65	32	33	0	65
Unknown	<5	7	<5	11
Total	911	430	16	1,357
2003
<14	<5	<5	0	<5
15-24	14	<5	<5	19
25-34	29	6	<5	39
35-44	17	<5	<5	21
45-54	13	<5	<5	17
55-64	10	<5	0	13
>=65	7	0	<5	8
Unknown	<5	<5	<4	<5
Total	95	19	11	125
2004
<14	0	0	0	0
15-24	12	12	12	6
25-34	15	6	<5	25
35-44	14	<5	5	23
45-54	19	9	<5	30
55-64	12	8	<5	22
>=65	11	6	<5	18
Unknown	0	0	<5	<5
Total	83	45	22	150
2005
<14	<5	0	<5	<5
15-24	24	11	<5	37
25-34	35	16	5	56
35-44	28	11	<5	42
45-54	39	14	<5	57
55-64	40	10	6	56
>=65	63	8	0	71
Unknown	<5	<5	<5	7
Total	234	73	22	329
2006
<14	<5	0	<5	6
15-24	10	6	8	24
25-34	18	9	8	35
35-44	15	9	<5	28
45-54	23	8	8	39
55-64	44	11	5	60
>=65	71	24	<5	97
Unknown	<5	0	<5	<5
Total	187	67	38	292
2007
<14	0	<5	0	<5
15-24	8	5	<5	17
25-34	15	9	11	35
35-44	14	5	<5	23
45-54	11	<5	5	20
55-64	11	7	<5	20
>=65	31	9	6	46
Unknown	<5	0	<5	<5
Total	92	40	33	165
Note: 1. Where fewer than five cases were reported for a category, the table indicates the number of cases reported as <5 rather than the actual number in order to reduce the risk of deductive disclosure of an individual’s identity. Laboratory cases of acute hepatitis B, England and Wales, 1999-2003 Source: HPA

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