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5 Mar 2009 : Column 1766W—continued
Learning Disability: Social Services
Mr. Hancock: To ask the Secretary of State for Health what steps he plans to take to ensure that his Department's funding allocation for social care in the next comprehensive spending review period is adequate to meet the needs of adults with a learning disability. [260516]
Phil Hope: Her Majesty's Treasury have yet to announce the timing of the next spending review and make available the associated guidance. Within the remit given to us by the guidance, my Department plans to make the best possible case for adequate funding for all adults with social care needs—including those with a learning disability—based on available data and evidence.
Decisions on the outcome of spending reviews reflect priorities across the whole of Government, including the overall fiscal position.
Mr. Hancock: To ask the Secretary of State for Health how much funding he plans to transfer from the NHS to local government in the transfer to local authority social services departments of commissioning responsibilities for social care for people with learning disabilities. [260534]
Phil Hope: The transfer of specialist social care funding for people with learning disabilities will be made locally from primary care trusts (PCTs) to local authorities for the final two years of this spending review period, 2009-10 and 2010-11.
The figure will be based on returns made to the Department by 1 December 2008 with final agreement between PCTs and local authorities submitted to the Department from all areas by 31 March 2009.
Medicine: Channel Islands
Dr. Iddon: To ask the Secretary of State for Health (1) what analysis the Medicines and Healthcare Products Regulatory Agency has made of the compatibility of the Medicines (Human and Veterinary) (Bailiwick of Guernsey) Law, 2008 with the requirements of the European Medicines Directive; and if he will make a statement; [261011]
(2) pursuant to the answer of 4 February 2009, Official Report, column 1360W, on dietary supplements: EU law, what the outcome of the meeting between officials from Jersey and officials from the Medicines and Healthcare Products Regulatory Agency on 11 February 2009 to discuss implementation of the Medicines Directive in Jersey was; and if he will make a statement. [261012]
Dawn Primarolo: The Medicines and Healthcare products Regulatory Agency (MHRA) has reviewed the Medicines (Human and Veterinary) (Bailiwick of Guernsey) Law 2008 in respect of human medicinal products and believes that it is not consistent with the Medicines Directive 2001/83/EC. The meeting held on 11 February 2009 between officials from Jersey and officials from the MHRA opened discussions on the implementation of the Medicines Directive in Jersey, these discussions are ongoing.
Mental Health Services
Anne Milton: To ask the Secretary of State for Health (1) what the drop out rate for those who started a course of cognitive behavioural therapy was in each of the last three years; [260481]
(2) what assessment he has made of the merits of the administration of cognitive behavioural therapy treatments by clinical psychologists; [260482]
(3) how many cognitive behavioural therapy sessions the NHS provided on average to persons with (a) a mild disorder and (b) a serious disorder in the last 12 months. [260490]
Phil Hope: Improving Access to Psychological Therapies (IAPT) services consist of both qualified staff and trainees, the latter are required to attend state of the art training in the delivery of cognitive behavioural therapy (CBT) and are supervised by experienced psychological therapists with expertise in this therapy.
Current clinical psychology training courses are required to provide training in two evidence-based psychological therapies, one of which must be CBT. However, clinical psychologists trained in the past may not be sufficiently competent to deliver CBT to the standards required of IAPT. Therefore, before staff are employed in Improving Access to Psychological Therapy services and regardless of their professional background their previous training and experience is assessed to ensure that they are competent to provide cognitive behavioural therapy and supervise trainees; these assessments are reviewed by regional clinical leads.
Many different professions are trained to deliver cognitive behaviour therapy including counsellors, nurses, occupational therapists, psychiatrists, social workers, as well as counselling and clinical psychologists. In 2008, 21 per cent. of qualified staff employed in IAPT service were clinical psychologists.
The IAPT programme has been proactive in recruiting newly qualified clinical psychologists as trainees therapists within IAPT services and 10 per cent. of high intensity trainees were clinical psychology graduates in 2008.
Advertisements will shortly be issued to appeal to those graduating this summer. Furthermore, clinical psychology courses are reviewing with the Deaneries how they might fulfil the requirements of IAPT in the future.
Information on average numbers of cognitive behaviour therapy sessions and drop out rates has not been collated nationally. New IAPT services collect the IAPT minimum data set which includes clinical outcomes measures and enables services manage patient care and monitor the flow of patients through services. The programme is currently developing a national data standard to enable the national collation of this data by 2011.
Mental Health Services: Elderly
Mr. Burstow: To ask the Secretary of State for Health what recent discussions he has had with (a) NHS organisations and (b) older people’s charities on (i) the commissioning of specialist in-reach services from older people’s mental health teams and (ii) the provision of mental health services for older people; and if he will make a statement. [260624]
Phil Hope: The Department has not held any recent discussions with national health service organisations and older people’s charities on the commissioning of specialist in-reach services from older people’s mental health teams and the provision of mental health services for older people.
Mesothelioma: Research
Lindsay Roy: To ask the Secretary of State for Health how much his Department is spending on research on mesothelioma in 2008-09. [260591]
Dawn Primarolo: I refer my hon. Friend to the reply I gave the right hon. Member for Leeds, West (John Battle) on 11 February 2009, Official Report, column 2082W.
NHS Treatment Centres: Southampton
Sandra Gidley: To ask the Secretary of State for Health how much his Department spent on legal services in relation to the contract for the new independent sector treatment centre in Southampton. [259939]
Mr. Bradshaw: Through the financial years 2006-07, 2007-08 and 2008-09, the Department has spent approximately £1 million on legal services for the Phase 2 independent sector treatment centre Hampshire and Isle of Wight scheme. This includes the contract for Southampton NHS Treatment Centre at the Royal Southampton Hospital and the Lymington part of the scheme which was withdrawn as a result of the revalidation process.
It is not possible to separate the costs for the Southampton contract itself, but legal costs for the entire scheme included advice on the procurement process, contract drafting and extensive negotiation with bidders. The proportion of legal costs to the contract value is in line with other public sector contracts with the private sector.
Sandra Gidley: To ask the Secretary of State for Health how many operations took place at the independent sector treatment centre in Southampton in each month since its establishment. [259947]
Mr. Bradshaw: The number of operations by month carried out at Southampton Independent Sector Treatment Centre since its opening is shown in the following table.
| Number of operations carried out at Southampton ISTC | ||
| Month | Number of operations | |
| (1) Includes activity undertaken in October 2008 | ||
NHS: Meals
Mr. Lansley: To ask the Secretary of State for Health what percentage of meals were recorded as untouched in Estates Return Information Collection data for each NHS organisation in England in each year since 2002-03. [260848]
Ann Keen: The information requested has been placed in the Library.
Food is left untouched or unserved for a variety of reasons, but generally this through the need to provide sufficient food to ensure a choice is available or through changing requirements of patients after the food orders have been made, for example changed clinical status, being discharged, moved or absent for treatment.
Since 2004-05, the data provided have not been collected on a mandatory basis and therefore will not be complete.
The data have been provided by national health service organisations to the Department and have not been amended centrally. The completeness and accuracy of these data are the responsibility of the provider organisation. Where no data or zero data was provided, the NHS trust has been omitted for brevity.
NHS: Research
Mr. Jamie Reed: To ask the Secretary of State for Health what (a) medical research and (b) research on the development of medical treatment is being funded by the Department of Health. [261087]
Dawn Primarolo: The Department funds research and development through the National Institute for Health Research, a virtual institute set up to deliver the Government's health research strategy. The Institute provides the national health service infrastructure needed to promote patient involvement in health research and to translate scientific discoveries into new treatments; and supports programmes under which research focussed on improving health and care is commissioned. Details can be found at:
NHS: Working Hours
Mr. Lansley: To ask the Secretary of State for Health on what date his Department commissioned Sheffield University to conduct research on the effects of the EU working time directive on the NHS; on what date the completed report was submitted to his Department; and if he will place in the Library a copy of that report. [259383]
Ann Keen: In November 2008, Sheffield university was commissioned by the Department to undertake a study on the effects of the European working time directive on the national health service.
The report was delivered 4 March 2009 to the Department. The Department will now consider this information together with the partner organisations who jointly commissioned the work and publish as soon as all comments are on board.
Surgery: Young People
Mr. Amess: To ask the Secretary of State for Health whether a doctor is required to inform the parents of a child aged between 13 and 16 years in cases where the child requires an operation, other than termination of pregnancy; what guidance has been issued by his Department on this issue; and if he will make a statement. [259049]
Ann Keen: Doctors are not required to inform the parents of a child aged between 13 and 16 years where it is believed that the child requires an operation, and should not do so where this would breach the confidentiality of a child judged to be competent who has requested that parents should not be informed. It is best practice, however, for a doctor to encourage a child to involve parents in decisions about care and treatment, and where a child lacks competence the doctor must act in the best interests of the child, which would normally mean that parents should be told.
Guidance on confidentiality has been provided by the Department in its publication “Confidentiality: NHS Code of Practice” which is available at:
A copy has already been placed in the Library.
Teenage Pregnancy
Dr. Kumar: To ask the Secretary of State for Health what assessment his Department has made of programmes intended to reduce the number of teenage pregnancies. [260790]
Dawn Primarolo: I refer the hon. Member to the written answer I gave on 3 March 2009, Official Report, column 1457W, to the hon. Member for Guildford (Anne Milton).
Home Department
Antisocial Behaviour
Mr. Jim Cunningham: To ask the Secretary of State for the Home Department what recent steps the Government is taking to tackle anti-social behaviour. [258856]
Mr. Alan Campbell [holding answer 2 March 2009]: Tackling antisocial behaviour has been a top priority for this Government since 1997. Under leadership of the Home Office Departments across Government (including the Ministry of Justice, the Department for Children, Schools and Families, and the Department for Communities and Local Government) are working together to combat it. Over the past 10 years we have introduced a wide range of tools and powers to tackle antisocial behaviour which are being used by practitioners to bring relief to communities across the country.
Last year we announced new initiatives for tackling ASB focusing on early intervention. These included the publication of a definitive guide for ASB practitioners and the establishment of a new action squad to help police and local agencies make full use of all the tools and powers available to tackle antisocial behaviour. We also introduced premises closure orders to allow police forces and local authorities to take action on premises which cause significant and persistent disorder or serious nuisance to the community. Strengthening the supportive and preventative tools is very important and from February this year we have introduced mandatory one-year review
of antisocial behaviour orders (ASBOs) and extended the use of individual support orders (ISOs) for young people. The NAO report on Tackling Antisocial Behaviour in 2006 confirmed that our approach works. It found that 65 per cent. of people desisted from ASB after one intervention and nine out of 10 had desisted after three interventions.
Antisocial Behaviour Orders
Mr. Burstow: To ask the Secretary of State for the Home Department how many antisocial behaviour orders have been issued in the last five years in Greater London; and how many persons to whom such orders have been issued have demonstrated antisocial behaviour in that period. [258711]
Mr. Alan Campbell: The latest available data on the number of antisocial behaviour orders (ASBOs) issued is up to the end of 2006. Between 2002 and 2006 there were 1,498 ASBOs issued at all courts in Greater London. Details of the behaviour that led to the ASBO being made is not recorded centrally.
Antisocial Behaviour: Fixed Penalties
Miss McIntosh: To ask the Secretary of State for the Home Department what assessment she has made of the effect of the introduction of penalty notices for disorder on the efficiency of police forces in England and Wales. [260065]
Mr. Coaker: We have made no overall assessment. It is a matter for the individual judgment of police officers and police community support officers whether they issue such notices under the guidance and instructions issued by their chief officers taking account of the Police Operational Guidance for Penalty Notices for Disorder issued by the Home Office in March 2005.
The “Diary of a Police Officer” was a study undertaken by PA Consulting in 2001 and published as Police Research Paper 149 in November 2001. Calculations based on the “Diary of a Police Officer” indicate that the time saved in issuing a PND compared to arrest and case preparation is about 7.6 hours for each PND issued in custody. A PND issued on the street would save 9.9 hours for each PND.
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