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Ms Angela C. Smith: To ask the Secretary of State for Health what recent discussions his Department has had to encourage more widespread and innovative clinician-driven leadership in the commissioning process in respect of the patient journey for patients with rheumatoid arthritis. 
Mr. Jamie Reed: To ask the Secretary of State for Health (1) what estimate he has made of the cost to the NHS of treating victims of domestic violence in (a) Cumbria and (b) Copeland constituency in each year since 1997; 
The Department has conducted initial pilot work to explore the best way to collect data in an emergency department, a maternity hospital and a general practitioner surgery. Following that, the Department has undertaken feasibility pilots to test and develop a dataset template in accident and emergency departments to collect de-personalised data on domestic violence.
Mike Penning: To ask the Secretary of State for Health what estimate he has made of the cost to the NHS of treating victims of domestic violence in (a) Hemel Hempstead and (b) Hertfordshire in each year since 1997. 
The Department has conducted initial pilot work to explore the best way to collect data in an emergency department, a maternity hospital and general practitioner surgery. Following that, the Department has undertaken feasibility pilots to test and develop a dataset template in accident and emergency departments to collect de-personalised data on domestic violence.
Paul Holmes: To ask the Secretary of State for Health what arrangements are in place for organisations to respond to his Department's physical activity strategy for England, Be active, be healthy: a plan for getting the nation moving. 
We have established a cross-Government Physical Activity Programme Board, jointly led by Department of Health and Department of Culture, Media and Sport, to oversee deliver/of this plan, including progress against two million Legacy Action plan target, and to co-ordinate the regional/local delivery of physical activity alongside sport.
The Government are supporting the creation of physical activity alliance of organisations that share the common aim to deliver a shared vision of a healthier nation through physical activity. The physical activity alliance will add value to the local delivery of physical activity by co-ordinating the activities of its members at all levels and unlocking new resources, for example by working with private sector sponsors.
The Department is providing funding to County Sport and Physical Activity Partnerships (CSPAPs) to enable them to have an integral role in the delivery of national and regional physical activity strategies. The CSPAPs will be responsible for co-ordinating local programmes and investment to deliver physical activity and active recreation alongside sport.
Paul Holmes: To ask the Secretary of State for Health who the members are of the Interim Steering Group for the physical activity alliance as referred to in his Department's publication, Be active, be healthy: a plan for getting the nation moving. 
|Count of admissions( 1) to hospital for intentional self-harm( 2) , 2003-04 to 2007-08: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector|
|Deliberate (intentional self-harm)|
|(1) The technical term for what has been supplied is Finished Admission Episodes|
The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. The field within HES counts only the first external cause code which is coded within the episode.
(2) Cause codes used:
Deliberate (intentional self-harm): X60-X84 (intentional self-harm), Y87.0 (sequelae of intentional self-harm)
Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data is 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.
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Assessing growth through time
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.
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
To ask the Secretary of State for Health how many patients aged (a) under 10, (b) between 10 and 15, (c) between 16 and 18, (d) between 19 and 25 and (e) over 25 years old were admitted to hospital through accident and emergency departments in each
health trust with a primary or secondary diagnosis of injury caused by a blade or sharp or pointed implement in each of the last five years. 
Dawn Primarolo: Information has been provided on the number of hospital admissions with an external cause code of either 'Assault by sharp object' (x99) or 'Contact with knife sword or dagger' (w26) split by the separated age groups.
It is not possible to provide the data for 'each health trust' because this would result in the need to suppress the majority of figures (any number between one and five poses a risk that individuals may be identifiable). Therefore, the data is provided by strategic health authority (SHA) of treatment (based on the postcode of the main site of the SHA).
This data is limited to those with an admission method of 'Emergency: via Accident and Emergency (A&E) services, including the casualty department of the provider' and Emergency: other means, including patients who arrive via the A&E department of another healthcare provider.
Mark Pritchard: To ask the Secretary of State for Health if he will make an assessment of the implications of the decision in the US case of Bailey Banks v. The Secretary of the Department of Health and Human Services for his Department's policy on the MMR vaccine. 
Dawn Primarolo: In 2007 the United States Court of Federal Claims made a ruling in favour of compensation to the father of Bailey Banks for his non-autistic developmental delay as a result of Acute Disseminated Encephalomyelitis (ADEM) following receipt of measles, mumps and rubella (MMR) vaccine. ADEM is an extremely rare condition that has been reported after rabies, diphtheria-tetanus-pertussis, smallpox, MMR, Japanese B encephalitis, pertussis, influenza and hepatitis B vaccines. The Bailey Banks case has no implications for MMR vaccine policy.
Mike Penning: To ask the Secretary of State for Health what (a) potential and (b) actual financial liability his Department accepts for the capital projects associated with independent sector treatment centres. 
Mr. Bradshaw: The Department has a duty to meet a residual value (RV) payment at contract expiry where such a payment exists under the terms of the contract. RV within the independent sector treatment centre (ISTC) programme relates to buildings and equipment (the assets) provided under the contract as part of the ISTC service.
The total capital liability due at current contract expiry is estimated at £229 million (total cost at expiry) across the ISTC programme. Contracts are due to expire at various points in time between 2009-10 and 2016-17.
Mike Penning: To ask the Secretary of State for Health what provision his Department has made for funding for (a) capital value projects and (b) revenue budgets associated with the first phase of independent sector treatment centres. 
Mr. Bradshaw: The first phase of the independent sector treatment centre (ISTC) programme was delivered and funded by the private sector. In the event that current contracts are not renewed, the Department would be required to pay any residual value in return for the buildings and equipment. This funding will be accommodated in the capital plan in the year in which the funding is required.
The Department allocates funding directly to primary care trusts (PCTs) based on the relative needs of their populations within the designated area, and in line with the change of pace in policy. A weighted capitation formula determines each PCT's target share of available resources. This enables them to commission similar levels of health services for populations in similar need, as well as reducing avoidable health inequalities. PCTs are responsible for funding activity provided by the ISTCs they sponsor, through their general funding allocation described above.
Mr. Lansley: To ask the Secretary of State for Health what proportion of prescription items dispensed by community pharmacists were dispensed to (a) people over 65 years old, (b) people under 18 years old, (c) people eligible for free prescriptions under the NHS low income scheme, (d) other people eligible for free prescriptions and (e) patients who can be charged for prescriptions (i) in England and (ii) in each primary care trust area in each year since 1997. 
Dawn Primarolo: It is not possible for NHS Prescription Services to provide data on the number of prescriptions issued free of charge to patients aged 65 and over as the age of the patient is not captured. Therefore, data have been provided for those patients who were exempt because they are aged 60 and over.
The information requested is shown in the following table. Estimates are based on a sample of one in 20 prescription forms and cover only those prescriptions dispensed by community pharmacists and appliance contractors in England. It is not possible to provide separate figures for community pharmacists. The figures exclude personally administered items and items dispensed by dispensing doctors.
|Prescription items dispensed by community pharmacists and appliance contractors in England by charged prescriptions and defined categories where no prescription charge is made, 1997 to 2007|
|Total prescription items dispensed (million)||Prescription items for people aged 60 and over (%)( 1)||Prescription items for children under 16 and 16-18 year olds in full-time education (%)( 2)||Prescription items under NHS Low Income Scheme (%)||Prescription items for other people eligible for free prescriptions (%)||Prescription items for people not exempt from the prescription charge (%)|
|(1) Estimates can be produced only for those aged 60 and over (i.e. the age at which the entitlement to free prescriptions starts) not 65 and over.|
(2) Estimates can be produced only for those aged under 16 or aged 16-18 and in full-time education.
Figures do not necessarily sum to 100 per cent. due to rounding
Prescription Cost Analysis (PCA)
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