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HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data are also received from a number of independent sector organisations for activity commissioned by the English
NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Mr. Willetts: To ask the Secretary of State for Health (1) how many 18 to 21-year-olds were admitted to each (a) hospital and (b) university hospital for bulimia in each of the last 10 years; 
Mr. Gordon Prentice: To ask the Secretary of State for Health what estimate he has made of the number and percentage of restaurants which have been visited and inspected by local authority environmental health officers in the last 12 months for which figures are available. 
Dawn Primarolo: Local authority returns to the Food Standards Agency (FSA) for the period 1 April 2006 to 31 March 2007the latest available 12 month periodreported that there were 386,206 United Kingdom restaurant and catering businesses, of which 246,279 (63 per cent.) received an official control inspection or visit during that period.
Norman Lamb: To ask the Secretary of State for Health how many cases of food poisoning by (a) salmonella, (b) campylobacter, (c) E. coli and (d) other food-borne pathogens were recorded in each of the last five years. 
Dawn Primarolo: The number of laboratory-confirmed cases of United Kingdom-acquired salmonella, campylobacter, E. coli 0157, clostridium perfringens, and listeria monocytogenes infections in each of the last five years is shown in the following table.
| Source: Health Protection Agency, Health Protection Scotland, Communicable Disease Surveillance Centre Northern Ireland.|
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 23 February 2009, Official Report, columns 216-7W, on health services: Republic of Ireland, how much the Government has paid to the Republic of Ireland under the bilateral agreement in each year since the agreement came into force. 
Dawn Primarolo: The bilateral agreement between the United Kingdom and the Republic of Ireland has been in place since 1971. Data relating to payments made are not available going back this far. According to departmental data, under the terms of the agreement, the UK has paid the Republic of Ireland around €2 billion over last five years. The majority of these payments related to the provision of health care for around 50,000 pensioners that the UK pays for each year in the Republic of Ireland.
Mike Penning: To ask the Secretary of State for Health what steps were taken by his Department to consult NHS staff on the development of administrative systems within NHS hospital trusts in the last three years. 
Mr. Bradshaw: Over the past three years, the Choose and Book programme has conducted stakeholder engagement on the future development of the Choose and Book application via various stakeholder forums. Representatives from national health service hospital trusts are members of the National Clinical Reference Panel; National Design Steering Group; local and strategic health authority user groups; National Specialty Reference Group; and the clinical leadership team.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 26 February 2009, Official Report, column 1029W, on malnutrition, how many people were (a) admitted to and (b) discharged from each NHS hospital with a primary or secondary diagnosis of (i) malnutrition, (ii) nutritional anaemias and (iii) other nutritional deficiencies in each year from 1997-98 to 2007-08. 
Dawn Primarolo [holding answer 6 March 2009]: We regret the delay in placing this information in the Library. As set out in my earlier answer, the information requested requires intensive and time-consuming use of statistical information systems. A copy of the information has been placed in the Library.
Dr. Kumar: To ask the Secretary of State for Health what steps the Government has taken to publicise the availability of influenza vaccinations in (a) England, (b) the North East, (c) Tees Valley district and (d) Middlesbrough South and East Cleveland constituency. 
Dawn Primarolo: The Department ran the annual national influenza immunisation communications campaign with television, radio, and pharmacy bag advertising from early October to mid November 2008, and with online and public relations activity continuing into December. There was also additional radio advertising in late November/early December in the south east of England, where vaccine takeup was lower.
Mr. Hancock: To ask the Secretary of State for Health how much each local authority has spent on adult learning disability services in each year since 1997; and by how much each authority (a) exceeded or (b) underspent its budget for such services in each such year. 
Data on local authority expenditure on state funded care are collected and published by the NHS information centre for health and social care. Tables, showing the gross current expenditure by councils with adult social services responsibilities on adults aged
18 to 64 with learning disabilities as their primary client group between 1997-98 and 2007-08, in both cash and real terms respectively, have been placed in the Library.
Sir John Stanley: To ask the Secretary of State for Health if he will direct the Chief Executive of the Maidstone and Tunbridge Wells NHS Trust to reply to the outstanding issues raised by the right hon. Member for Tonbridge and Malling in his letters to him of 26 August 2008 and 11 December 2008 following the death of a child of his constituents. 
Ann Keen: We were concerned to learn about the delay in the hon. Member receiving a response from the Maidstone and Tunbridge Wells NHS trust. Departmental officials have investigated and we are assured that Maidstone and Tunbridge Wells NHS trust will respond to the hon. Member by 11 March 2009.
Mr. Lansley: To ask the Secretary of State for Health with reference to his Dementia Strategy, published on 3 February 2009, how many memory clinics there are in the NHS; how many memory clinics he intends to establish; and by what date. 
Phil Hope: Information on the number of memory clinics there are in the national health service is not collected centrally. The decisions about the establishment of memory services will be made locally by primary care trusts.
Mr. Garnier: To ask the Secretary of State for Health what the average daily cost of keeping a person in (a) high secure and (b) medium secure mental health accommodation was in the latest period for which information is available; and how many (i) beds and (ii) vacant beds there were in each type of accommodation on 31 January in each year from 2000 to 2009. 
The figure for medium secure beds is for NHS trusts and primary care trusts combined and is sourced from Schedule 4 of the 2006-07 Reference Costs (published February 2008).
|Beds currently available|
|Current occupancy rates at 30 September 2008|
This excludes patients on trial leave i.e. patients who are staying in medium security as part of their progression plan.
|Month/year||Beds||Occupancy rates (percentage)|
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