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Dr. Iddon: To ask the Secretary of State for Health (1) pursuant to the answer of 19 January 2009, Official Report, column 1196W on mental health services, how many primary care trusts provide computerised cognitive behavioural therapy approved by the National Institute for Health and Clinical Excellence (NICE) for the treatment of depression; and what steps he has taken to ensure that NICE Technology Appraisal 97 is implemented in all primary care trusts at the required level to meet known need; 
(3) pursuant to the answer of 19 January 2009, Official Report, column 1196W on mental health services, what assessment he has made of the levels of availability of psychological therapies approved by the National Institute for Health and Clinical Excellence for (a) guided self-help, (b) counselling, (c) computerised cognitive behavioural therapy and (d) behavioural activation and exercise. 
Phil Hope: Compliance with clinical guidelines published by the National Institute for Health and Clinical Excellence (NICE) forms part of the developmental standards for the national health service and NHS organisations are expected to move towards their full implementation. The Department recognises the important contribution of the effective provision of computerised cognitive behavioural therapy (cCBT) and primary care trusts (PCTs) are obliged to provide funding for NICE-recommended cCBT packages where clinicians want to use them, however, the Department does not collect information on the uptake of cCBT.
The core aim of the Departments Improving Access to Psychological Therapies (IAPT) programme is to support the NHS to implement the NICE guidelines and deliver effective treatment for people with depression and anxiety disorders.
£33 million for 2008-09;
a further £70 million to a total of £103 million in 2009-10; and
a further £70 million to a total of £173 million in 2010-11.
This funding will allow regional training programmes to deliver 3,600 newly trained therapists with an appropriate skill mix and supervision arrangements by 2010-11 and 900,000 people to access IAPT services.
The NHS Operating Framework 2008-09 states that to prepare for the new IAPT services being available more widely in the future, all PCTs need to plan how they will implement a stepped-care psychological therapies service. The first step is to carry out a needs assessment of their local population and scope their state of readiness to deliver IAPT services in preparation for becoming an IAPT site in the future. Strategic health authorities have committed to supporting and monitoring all PCTs in improving their psychological therapy services through routine commissioning. However, it is not possible to identify the availability of specific treatments, as information of this nature is not collected centrally.
Phil Hope: Information is not collected on the number of children and young people seeking access to Child and Adolescent Mental Health Services (CAMHS). However, the annual CAMHS Mapping Exercise conducted by Durham university for the Department of Health and the Department for Children, Schools and Families collects information on the caseload of CAMHS above the level of primary care (Tiers two to four). The following table details the total caseload (which includes active cases and consultations) for Tiers two to four CAMHS in each year since 2003 when annual mapping commenced.
The mapping exercise is voluntary and therefore participation, although consistently high, varies each year. Therefore, comparisons between years should be treated with care.
Mr. Willetts: To ask the Secretary of State for Health how many 18 to 21-year-olds were admitted to (a) all hospitals and (b) university hospitals for mental health conditions in each of the last 10 years, broken down by (i) hospital and (ii) type of condition. 
Mr. Bradshaw: Yes. There is a process in place regarding the transfer of patients from a national health service (NHS) hospital to an independent sector treatment centre. Provided this process is followed, all such patients will be covered by NHS indemnity arrangements.
Mr. Bradshaw: The Department does not cancel operations. However in February 2009, based on advice received from the NHS Litigation Authority, instructions were issued to the NHS trust to reschedule three planned operations.
Sandra Gidley: To ask the Secretary of State for Health how many doctors from Southampton General hospital have been seconded to the independent sector treatment centre in Southampton in each month since its establishment; and if he will make a statement. 
Mr. Djanogly: To ask the Secretary of State for Health what the development costs of the NHS Summary Care Record database have been; and what the estimated annual running costs of the database are. 
Mr. Bradshaw: The approach to deliver a summary care record (SCR) was defined by a taskforce that published its report in December 2006. A copy has been placed in the Library. This proposed the creation of the SCR from general practitioners' (GP) records uploaded from GP systems and stored on the spine database. Expenditure to 28 February 2009 to achieve this has amounted to £18.7 million.
Prior to the taskforce, the approach was for a personal health record to build up gradually over time as new systems were developed and deployed and to be a part
of the wider personal spine information services (PSIS) within the spine. PSIS was one of the original elements of the spine development along with transaction and messaging services, clinical spine application services, security and access controls, personal demographics service and directory services that support, not only SCR but all other clinical information flows. Costs specific to this earlier approach are not separately identifiable within the spine contract costs.
The ongoing service costs for the SCR are not calculated separately from the service costs for the whole of the spine. The anticipated future maintenance charges covering all the completed core functionality of the spine, for the remaining period of the contract, are in the following table.
|Financial year||Maintenance charge( 1) (£000)|
|(1) At 2009 prices, excluding VAT|
Phil Hope: The NHS Constitution for England, published on 21 January 2009, makes clear that staff have a right to work in an environment free from bullying, harassment, verbal or physical violence and unlawful discrimination on the basis of race, gender, sexual orientation, age, religion or belief and disability from patients, the public or staff. A copy of the publication has already been placed in the Library.
Every organisation should have in place a policy on equality and diversity enabling people from the widest range of backgrounds to join and progress through the organisation, and a zero tolerance approach to unlawful discrimination, bullying and harassment. The national health service provides a comprehensive service, available to all irrespective of disability, and has a wider social duty to promote equality.
Mr. Baron: To ask the Secretary of State for Health what progress he has made on the implementation of the recommendations of the Richards Report on improving access to medicines for NHS patients. 
Alan Johnson: The Department is making good progress on implementing all of the recommendations of the Richards report. For example, we have already implemented recommendations 1, 3 and 5, and with the forthcoming publication of the final guidance on additional private care, we will have implemented recommendations 7, 8, 9, 10 and 14. The remaining recommendations require ongoing work over the course of 2009, but in all cases this work is already under way.
Norman Lamb: To ask the Secretary of State for Health (1) how much was spent by each health trust in England on each type of energy purchased through the NHS Purchasing and Supply Agency contract in 2008-09; 
Mr. Bradshaw: Information on the amount spent or the units consumed by each trust on energy through the NHS Purchasing and Supply Agency (NHS PASA) contracts is not collected centrally. However NHS PASA manages energy frameworks used by approximately 85 per cent. of the national health service representing around 7.0 terra watt hours (tWh) of gas and 2.4 tWh of electricity, or about 10 per cent. of the United Kingdom public sector total. The profiles and spend for 2008-09 are as follows:
Gas: 206,679,735 Therms/£133,518,517;
Electricity Non Half Hourly: 202,448 Megawatt/£12,228,270; and
Electricity Half Hourly: 2,431,025 Megawatt/£173,869,036.
Mr. Burstow: To ask the Secretary of State for Health pursuant to the answer of 23 February 2009, Official Report, column 241W, on NHS: equality, when he expects the advisory group on the implications of age discrimination legislation for the NHS to publish its future programme of work; on what date the advisory group first met; for what reasons he expects that the advisory groups work will take 18 months to complete; and if he will make a statement. 
Phil Hope: The programme of work for the advisory group on tackling age discrimination in health and social care was published in the written ministerial statement issued on 11 November 2008, Official Report, columns 46-48WS. The advisory group held its first meeting on 26 January 2009. The groups remit includes consideration of age-specific issues in health and social care to inform secondary legislation which will apply the provisions of the Equality Bill in that sector, and also what help and guidance may be needed to support service providers to comply with the provisions of the legislation. It is estimated that this programme, including production of help and guidance, will take until summer 2010 to complete. Where it is possible and helpful to make any findings or conclusions available earlier than summer 2010, we will do so.
Mr. Baron: To ask the Secretary of State for Health what evaluation he has made of the results of his Department's consultation on draft guidance on NHS patients who wish to pay for additional private care; and when he expects to issue the guidance. 
Alan Johnson: The Department is currently considering the results of the consultation on national health service patients who wish to pay for additional private care. We will be issuing the final guidance, alongside a consultation response, shortly.
To ask the Secretary of State for Health which capital investment programmes in NHS
hospitals announced by the Government since 1997 have not been fulfilled; what the reason was in each case; and how much the capital investment was originally estimated to be in each case. 
Mr. Bradshaw: The information requested on centrally monitored schemes (capital value £10 million or over) is in the following table. All these schemes were taken forward as private finance initiative (PFI) proposals.
|Hospital build schemes cancelled||Reason for cancelling scheme||Original estimated capital valu e ( £ m illion )|
(1) These prospective PFI schemes subsequently went ahead using public capital.
(2) This prospective public capital funded scheme was re-tendered as a PFI scheme and opened to patients in January 2007.
(3) These schemes were incorporated into larger PFI schemes which are now under construction.
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