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20 July 2009 : Column 970W—continued

Dermatology: Pharmacy

Mr. Burstow: To ask the Secretary of State for Health when he expects work to start on developing a future curriculum for pharmacists so that an improvement in the level of dermatology education can be included; and if he will make a statement. [287877]

Mr. Mike O'Brien: In the White Paper, "Pharmacy in England: Building on strengths-delivering the future" (Cm7341), we set out plans to ensure that the pharmacy undergraduate degree course and pre-registration training provides pharmacists with clinical competencies to deliver the services of the future. Since February 2009, we have been working with the Modernising Pharmacy Careers Programme Board to develop a new model for undergraduate and pre-registration training and proposals for improving pharmacist postgraduate training, including where this supports better patient access to more specialist services. The Board, led by the Chief Pharmaceutical Officer, brings together wide-ranging pharmacy expertise and experience from schools of pharmacy, professional regulation, hospital and community pharmacy, research and the United Kingdom pharmaceutical industry.

Dermatology: Training

Mr. Burstow: To ask the Secretary of State for Health if he require dermatology to be a mandatory part of medical student and GP training. [287876]

Ann Keen: The content of curriculum and quality and standard of training for medical students and general practitioners is not the responsibility of the Department but the responsibility of the appropriate professional regulatory body.

However, the Department is committed to working with the professional regulatory bodies, Royal colleges and others to promote high standards of education and training to ensure that students and doctors are equipped with the up-to-date knowledge, skills and attitudes essential for professional practice.

Diabetes: Health Services

Anne Milton: To ask the Secretary of State for Health how many people were treated for a diabetic ulcer in each of the last five years. [287376]

Ann Keen: The information requested is not collected in the requested format. Preventing the long-term complications of diabetes, including diabetic foot ulcers, is a key part of the Diabetes National Service Framework. This is supplemented by guidance from the National Institute of Health and Clinical Excellence on the prevention and management of foot problems in people with diabetes. This recommends that people with diabetes should have their feet examined by trained personnel as part of the annual review process. We continue to work with NHS Diabetes to support the national health service in the
20 July 2009 : Column 971W
provision and delivery of diabetes services. In June 2009, Diabetes UK in partnership with NHS Diabetes published Putting Feet First, which is guidance to support the management and prevention of diabetic foot disease in hospitals. A copy has already been placed in the Library.

Diamorphine

Sandra Gidley: To ask the Secretary of State for Health what his most recent assessment is of the adequacy of the stock of diamorphine for the treatment of patients with serious or terminal conditions. [287775]

Mr. Mike O'Brien: I refer the hon. Member to the written answer I gave the hon. Member for Torbay (Mr. Sanders) on 16 June 2009, Official Report, column 225W.

Drugs: Counterfeit Manufacturing

Mark Simmonds: To ask the Secretary of State for Health what assessment he has made of the merits of the European Commission's proposals on an amendment to Council Directive 2001/83/EC in relation to the prevention of the counterfeiting of medicinal products. [287812]

Mr. Mike O'Brien: The Government strongly support the overall aims of these proposals to strengthen the medicines supply chain from the growing threat from counterfeit medicines. In drawing up their position for the European Union negotiations, the Government have consulted widely on the European Commission's proposals and continue to discuss the implications of the detailed provisions with the relevant sectors of the pharmaceutical industry and other stakeholders.

Epilepsy: Medical Treatments

Sir Paul Beresford: To ask the Secretary of State for Health how many NHS trusts have implemented the clinical guidelines for the treatment of epilepsy set out by the National Institute for Health and Clinical Excellence in 2004. [288309]

Ann Keen: Information on the number of national health service trusts acting on the National Institute for Health and Clinical Excellence (NICE) guidance for the treatment of epilepsy is not collected.

I will shortly be writing to all the strategic health authority long-term condition leads drawing their attention to the importance of implementing the NICE guidance on epilepsy.

Fujitsu

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) with reference to the answer of 5 November 2008, Official Report, columns 1199-1200W, for what reason each breach of contract notice to Fujitsu under the Local Service Provider contract was issued; [286966]

(2) with reference to the answer of 5 November 2008, Official Report, columns 1199-1200W, on NHS: information and communication technology, what definition of the term contractor event of default he uses; to which
20 July 2009 : Column 972W
suppliers and on what dates, each contractor event of default was issued; and for what reason each such notice was issued. [286967]

Mr. Mike O'Brien: I refer the hon. Member to the answers given on 12 January 2009, Official Report, columns 171-73W.

"Contractor event of default" is defined in Local Service Provider contracts, and covers a wide range of possible circumstances in which the supplier may fail or cease to be compliant with the supplier's obligations or duties as described in the contract. These include failure to achieve key milestones, level or quality of service failures, breach of confidentiality, loss of patient data, or insolvency.

Health Professions: Training

Anne Milton: To ask the Secretary of State for Health (1) how many (a) nurse return to practice course places and (b) health visitor return to practice course places were available in each of the last 10 years; [287890]

(2) how many applications for places on (a) nurse return to practice courses and (b) health visitor return to practice courses were received in each of the last 10 years. [287891]

Ann Keen: This information is not collected centrally.

Health Services: Buildings

Mark Pritchard: To ask the Secretary of State for Health what his policy is on the use of portable buildings for provision of medical and clinical services in acute hospitals. [287027]

Mr. Mike O'Brien: The Department does not produce policies on the use of portable buildings.

National health service organisations are locally responsible for the provision of facilities including temporary buildings. All clinical, cleanliness, safety and quality, requirements that apply to permanent buildings will also apply to temporary ones.

Health Services: Oxfordshire

Tony Baldry: To ask the Secretary of State for Health pursuant to the Draft Legislative Programme 2009, Cm 7654, page 70, who in Oxfordshire will have responsibility for ensuring (a) that patients receive (i) hospital treatment within 18 months and (ii) access to a cancer specialist within two weeks and (b) that people between the ages of 40 and 74 years of age receive free NHS health checks. [284937]

Mr. Mike O'Brien: Proposals will be brought forward in the autumn.

Health Services: Prisoners

Anne Milton: To ask the Secretary of State for Health how many prisoners received treatment for self- harm in each of the last five years. [287373]


20 July 2009 : Column 973W

Phil Hope: The number of prisoners who have received treatment for self harm in each of the last five years is not collected centrally by the Department.

Anne Milton: To ask the Secretary of State for Health how many prisoners received treatment for (a) drug misuse and (b) alcohol misuse in each of the last five years. [287374]

Phil Hope: The Department does not centrally collect the information on the number of prisoners who have received treatment for alcohol and drug misuse requested for each of the last five years.

However, mechanisms have been put in place as of 1 April 2009 and prisons are now collecting baseline data on the number of drug users in effective treatment. This will enable the Department to collect comparable data for the treatment of drug misuse from April 2010.

Health Visitors: Manpower

Ms Buck: To ask the Secretary of State for Health how many full-time equivalent health visitors were employed per 1,000 of the population in each primary care trust area in England in each year since 2002. [286612]

Ann Keen: Figures are not collected per 1,000 population. However, the following table outlines the number per 10,000.

It is for individual primary care trusts (PCTs) to determine how to use its funding to commission services to meet the health needs of their local populations. However, to support the Child Health Strategy and the Lord Laming recommendations on safeguarding, an 'Action on Health Visiting' programme was agreed at a joint Department of Health/Community Practitioners' and Health Visitors' Association (CPHVA) summit on 5 May 2009.

This will be taken forward in partnership with the CPHVA and other stakeholders. Action will be prioritised to increase workforce capacity and capability and to clarify the contribution of health visitors to the Healthy Child Programme, to working with vulnerable children and families and to safeguarding.


20 July 2009 : Column 974W

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20 July 2009 : Column 976W

20 July 2009 : Column 977W

20 July 2009 : Column 978W

20 July 2009 : Column 979W
NHS hospital and community health services: Health visitors in En gland per 10,000 population by strategic health authority (SHA) area and by p rimar y care t rust (PCT) area as at 30 September each specified year

2003 2004 2005 2006 2007 2008

England

2.01

2.03

1.96

1.86

1.78

1.72

North East strategic health authority area

2.50

2.50

2.43

2.28

2.25

2.03

County Durham PCT

5ND

2.38

2.69

2.37

2.23

2.17

0.18

Darlington PCT

5J9

2.29

2.32

2.03

2.02

2.13

13.94

Gateshead PCT

5KF

2.11

2.06

2.11

2.23

2.07

1.91

Hartlepool PCT

5D9

2.81

3.15

3.44

1.62

1.43

1.28

Middlesbrough PCT

5KM

3.77

4.11

3.63

3.36

1.28

0.00

Newcastle PCT

5D7

2.46

2.47

2.47

2.25

2.56

2.37

North Tees PCT

5E1

2.27

2.22

2.07

2.10

1.96

1.75

North Tyneside PCT

5D8

2.36

2.14

1.87

1.70

2.59

2.29

Northumberland Care Trust

TAC

2.60

2.69

2.56

2.54

2.67

1.22

Redcar and Cleveland PCT

5QR

1.63

1.74

1.94

1.92

1.95

3.27

South Tyneside PCT

5KG

2.49

2.29

2.57

2.42

2.57

2.65

Sunderland Teaching PCT

5KL

2.57

2.19

2.50

2.45

2.41

2.04

North West strategic health authority area

2.33

2.43

2.40

2.36

2.20

2.15

Ashton, Leigh and Wigan PCT

5HG

2.67

2.46

2.65

2.79

2.69

2.73

Blackburn with Darwen PCT

5CC

3.90

3.71

3.35

3.13

3.11

3.43

Blackpool PCT

5HP

2.88

3.03

3.20

3.14

3.37

3.81

Bolton PCT

5HQ

2.41

2.42

2.38

2.38

2.56

2.44

Bury PCT

5JX

1.98

2.01

2.04

2.34

2.19

2.47

Central and Eastern Cheshire PCT

5NP

1.91

1.86

1.78

1.70

1.51

1.51

Central Lancashire PCT

5NG

2.44

2.61

2.56

2.55

2.12

1.88

Cumbria PCT

5NE

2.05

2.59

2.35

2.29

1.76

1.75

East Lancashire PCT

5NH

2.75

2.74

2.65

2.47

2.30

2.12

Halton and St. Helens PCT

5NM

1.87

1.96

1.96

1.71

1.66

1.92

Heywood, Middleton and Rochdale PCT

5NQ

2.71

2.49

2.51

2.50

2.63

3.09

Knowsley PCT

5J4

3.26

3.23

3.65

3.78

3.87

3.04

Liverpool PCT

5NL

2.36

2.28

2.31

1.96

2.14

2.02

Manchester PCT

5NT

2.23

2.16

2.40

2.55

2.56

2.23

North Lancashire PCT

5NF

1.51

1.53

1.41

1.47

1.50

2.19

Oldham PCT

5J5

1.51

2.74

2.62

2.36

2.27

1.87

Salford PCT

5F5

2.75

2.60

2.63

2.45

2.12

1.49

Sefton PCT

5NJ

1.82

1.92

2.04

1.94

1.91

1.66

Stockport PCT

5F7

3.35

3.96

3.72

4.04

2.17

1.95

Tameside and Glossop PCT

5LH

2.45

2.35

2.08

2.49

2.35

2.13

Trafford PCT

5NR

2.37

2.61

2.27

2.20

2.08

1.86

Warrington PCT

5J2

2.06

1.80

1.87

1.84

1.75

1.96

West Cheshire PCT

5NN

1.87

1.98

1.90

1.74

2.00

2.09

Wirral PCT

5NK

1.80

2.10

2.21

2.05

2.15

2.11

Yorkshire and the Humber strategic health authority areas

5JE

2.26

2.25

2.19

2.10

1.99

1.90

Barnsley PCT

5NY

2.43

2.44

2.36

2.19

1.97

2.17

Bradford and Airedale Teaching PCT

2.71

2.55

2.43

2.61

2.48

2.39

Calderdale PCT

5J6

2.36

2.41

2.63

2.73

2.43

2.41

Doncaster PCT

5N5

2.42

2.54

2.65

2.44

2.54

2.58

East Riding of Yorkshire PCT

5NW

1.84

1.82

1.75

1.73

1.68

1.57

Hull Teaching PCT

5NX

2.53

2.75

2.71

2.63

2.55

2.34

Kirklees PCT

5N2

2.33

2.10

1.98

1.93

1.61

1.63

Leeds PCT

5N1

1.95

2.09

2.07

1.82

1.74

1.67

North East Lincolnshire Care Trust

TAN

2.37

2.34

2.13

2.23

2.23

2.21

North Lincolnshire PCT

5EF

1.96

2.26

2.04

2.32

2.36

1.91

North Yorkshire and York PCT

5NV

2.16

2.06

1.99

1.71

1.57

1.32

Rotherham PCT

5H8

2.40

2.24

2.34

2.16

2.14

1.98

Sheffield PCT

5N4

2.13

2.01

1.95

1.87

1.75

1.70

Wakefield District PCT

5N3

2.39

2.30

2.25

2.25

2.25

2.24

East Midlands strategic health authority area

1.78

1.80

1.75

1.75

1.65

1.58

Bassetlaw PCT

5ET

1.38

1.20

1.04

1.17

1.46

1.38

Derby City PCT

5N7

2.54

2.31

1.95

1.84

1.92

1.97

Derbyshire County PCT

5N6

1.87

1.93

1.98

1.89

1.93

1.86

Leicester City Teaching PCT

5PC

1.89

2.28

2.64

2.34

2.38

1.94

Leicestershire County and Rutland PCT

5PA

1.21

1.30

1.21

1.20

1.13

1.09

Lincolnshire Teaching PCT

5N9

1.71

1.69

1.60

1.57

1.55

1.62

Northamptonshire Teaching PCT

5PD

1.75

1.69

1.69

1.65

1.61

1.41

Nottingham City PCT

5EM

2.62

2.53

2.36

2.34

2.19

2.38

Nottinghamshire County Teaching PCT

5N8

1.69

1.73

1.57

1.91

1.38

1.25

West Midlands strategic health authority area

2.05

2.05

1.83

1.73

1.85

1.82

Birmingham East and North PCT

5PG

1.95

1.73

1.58

1.48

1.92

1.70

Coventry Teaching PCT

5MD

1.72

1.57

1.51

1.41

1.22

1.15

Dudley PCT

5PE

1.68

1.76

1.76

1.54

1.64

1.91

Heart of Birmingham Teaching PCT

5MX

1.46

1.28

1.26

1.34

2.66

2.46

Herefordshire PCT

5CN

1.94

1.91

1.23

1.27

1.42

1.09

North Staffordshire PCT

5PH

2.25

2.26

1.88

1.95

1.84

1.78

Sandwell PCT

5PF

2.13

2.47

2.46

2.15

2.24

2.22

Shropshire County PCT

5M2

2.06

2.10

2.02

1.79

1.61

1.47

Solihull Care Trust

TAM

2.10

2.44

2.21

2.32

2.43

2.12

South Birmingham PCT

5M1

1.73

1.63

1.60

1.80

1.58

1.75

South Staffordshire PCT

5PK

1.98

2.11

1.99

1.96

1.76

1.73

Stoke on Trent Teaching PCT

5PJ

3.77

3.06

2.65

2.40

2.31

2.69

Telford and Wrekin PCT

5MK

2.70

2.63

2.43

2.26

1.94

2.09

Walsall Teaching PCT

5M3

1.74

1.90

1.83

1.66

1.85

1.88

Warwickshire PCT

5PM

1.63

1.64

1.56

1.51

1.50

1.44

Wolverhampton City PCT

5MV

2.10

2.34

0.60

0.30

2.03

2.04

Worcestershire PCT

5PL

2.12

2.07

2.13

2.04

1.96

1.87

East of England strategic health authority area

1.64

1.75

1.73

1.64

1.51

1.47

Bedfordshire PCT

5P2

1.78

1.87

1.85

1.74

1.63

1.67

Cambridgeshire PCT

5PP

1.12

1.41

1.28

1.14

1.03

0.75

East and North Hertfordshire PCT

5P3

1.55

1.60

1.78

1.63

1.42

1.52

Great Yarmouth and Waveny Teaching PCT

5PR

1.79

2.18

1.98

2.14

1.83

1.65

Luton PCT

5GC

2.67

2.75

2.56

2.28

1.54

1.89

Mid Essex PCT5PX

5PX

1.29

1.41

1.43

1.36

1.26

1.18

Norfolk PCT

5PQ

1.39

1.52

1.76

1.53

1.44

1.41

North East Essex PCT

5PW

1.32

1.27

1.36

1.41

1.22

1.14

Peterborough PCT

5PN

2.26

2.69

2.17

2.49

2.50

2.17

South East Essex PCT

5P1

1.85

1.89

1.97

1.97

1.91

1.65

South West Essex Teaching PCT

5PY

1.77

1.86

1.75

1.87

1.88

1.92

Suffolk PCT

5PT

1.62

1.69

1.49

1.48

1.21

1.44

West Essex PCT

5PV

1.51

1.59

1.65

1.60

1.38

1.44

West Hertfordshire PCT

5P4

1.84

1.84

1.79

1.47

1.67

1.50

London strategic health authority area

2.01

1.99

1.93

1.88

1.78

1.73

Barking and Dagenham PCT

5C2

2.20

2.17

2.04

1.99

1.82

1.26

Barnet PCT

5A9

1.66

1.47

1.43

0.96

0.69

0.75

Bexley Care Trust

TAK

1.93

1.85

1.84

1.87

1.78

1.96

Brent Teaching PCT

5K5

0.07

2.14

2.30

1.94

1.60

1.36

Bromley PCT

5A7

2.03

2.21

2.14

2.09

1.97

1.91

Camden PCT

5K7

1.16

1.48

1.17

1.22

0.97

1.19

City and Hackney PCT

5C3

1.87

1.62

1.56

1.90

1.86

2.17

Croydon PCT

5K9

1.71

1.72

1.76

1.74

1.69

1.63

Ealing PCT

5HX

2.11

1.90

1.99

1.94

1.86

1.82

Enfield PCT

5C1

1.67

1.57

1.56

1.48

1.45

1.36

Greenwich Teaching PCT

5A8

2.70

2.40

2.15

2.79

2.22

2.03

Hammersmith and Fulham PCT

5H1

2.94

3.04

3.13

3.09

2.82

3.21

Haringey Teaching PCT

5C9

2.25

1.88

1.88

1.46

1.70

0.21

Harrow PCT

5K6

1.73

1.69

1.68

1.14

1.47

1.43

Havering PCT

5A4

3.20

1.54

1.65

1.54

1.45

1.31

Hillingdon PCT

5AT

1.59

1.74

1.98

1.70

1.59

1.59

Hounslow PCT

5HY

1.69

1.63

1.28

1.24

1.25

1.45

Islington PCT

5K8

2.13

1.59

1.37

1.67

1.73

1.48

Kensington and Chelsea PCT

5LA

1.50

1.59

1.18

1.45

1.56

1.47

Kingston PCT

5A5

1.69

1.87

1.70

1.62

1.48

1.26

Lambeth PCT

5LD

2.35

2.27

2.07

1.90

1.43

1.43

Lewisham PCT

5LF

3.77

3.78

2.78

3.06

2.65

2.64

Newham PCT

5C5

1.88

1.46

1.61

1.63

1.68

1.36

Redbridge PCT

5NA

1.29

1.04

0.92

1.23

1.28

1.48

Richmond and Twickenham PCT

5M6

1.90

1.97

1.92

1.85

1.93

1.64

Southwark PCT

5LE

3.07

2.94

2.76

2.96

2.71

3.20

Sutton and Merton PCT

5M7

2.00

2.22

2.13

2.09

2.12

1.92

Tower Hamlets PCT

5C4

1.61

1.48

1.83

1.89

2.30

2.19

Waltham Forest PCT

5NC

1.83

2.05

1.97

1.87

1.65

1.89

Wandsworth PCT

5LG

2.41

2.32

2.59

2.11

1.87

1.68

Westminster PCT

5LC

2.03

2.60

2.52

2.47

2.48

1.97

South East Coast strategic health authority area

1.78

1.82

1.68

1.39

1.38

1.35

East Sussex Downs and Weald PCT

5P7

2.02

1.71

1.86

0.95

1.59

1.52

Eastern and Coastal Kent Teaching PCT

5QA

1.61

1.55

1.61

1.61

1.55

1.62

Hastings and Rother PCT

5P8

1.76

1.76

1.82

1.79

1.85

1.85

Medway PCT

5L3

2.08

2.43

2.29

2.15

2.10

1.84

Surrey PCT

5P5

1.57

1.59

1.48

1.31

1.22

1.11

West Kent PCT

5P9

1.81

1.76

1.56

0.54

0.59

1.06

West Sussex Teaching PCT

5P6

1.50

1.89

1.47

1.58

1.37

1.08

South Central strategic health authority area

2.05

1.86

1.82

1.67

1.57

1.40

Berkshire East Teaching PCT

5QG

1.92

1.76

1.77

1.73

1.72

1.44

Berkshire West PCT

5QF

1.83

1.84

1.84

1.79

1.70

1.48

Buckinghamshire PCT

5QD

2.60

2.36

2.07

1.54

1.64

1.59

Hampshire PCT

5QC

1.86

1.56

1.49

1.32

1.25

1.03

Isle of Wight Healthcare PCT

5QT

0.00

0.00

0.00

0.97

0.93

1.12

Milton Keynes PCT

5CQ

2.63

2.07

2.34

2.43

2.32

2.14

Oxfordshire PCT

5QE

2.21

2.15

2.13

1.94

1.79

1.79

Portsmouth City Teaching PCT

5FE

1.79

1.91

1.76

1.88

1.81

1.57

Southampton City PCT

5L1

2.08

2.61

2.27

2.36

1.47

1.10

South West strategic health authority area

1.81

1.89

1.84

1.69

1.64

1.61

Bath and North East Somerset PCT

5FL

2.00

2.15

1.97

1.89

1.87

1.71

Bournemouth and Poole PCT

5QN

1.27

1.77

2.05

2.00

1.77

1.90

Bristol Teaching PCT

5QJ

1.76

2.81

2.53

2.45

2.16

2.22

Cornwall and Isles of Scilly PCT

5QP

1.78

1.72

1.77

1.76

1.66

1.67

Devon PCT

5QQ

1.51

1.45

1.42

1.49

1.30

1.19

Dorset PCT

5QM

2.47

1.75

1.91

1.68

1.59

1.57

Gloucestershire PCT

5QH

2.07

2.12

1.93

1.09

1.70

1.73

North Somerset PCT

5M8

1.34

1.48

1.62

1.49

1.40

1.51

Plymouth Teaching PCT

5F1

2.65

2.45

2.31

2.08

1.91

1.85

Somerset PCT

5QL

0.87

1.55

1.84

1.81

1.60

1.41

South Gloucestershire PCT

5A3

2.46

2.32

1.42

1.29

1.48

1.49

Swindon PCT

5K3

2.17

1.95

1.66

1.90

1.87

1.48

Torbay Care Trust

TAL

1.80

0.00

1.76

1.69

1.50

1.60

Wiltshire PCT

5QK

1.78

1.62

1.63

1.48

1.44

1.45

Notes:
1. Figures are based on full-time equivalent health visitor figures.
2. PCT figures have been mapped to the current organisational structure.
3. 2008 population figures are not yet available. Figures have been calculated using workforce figures and population estimates from the previous year, so 2008 figures are calculated using 2008 census figures and 2007 population estimates.
4. A small number of health visitors are employed by NHS trusts for which population figures are not available. These staff are included in SHA area and England totals.
5. Figures are at one decimal place per 1,000 and two decimal places per 10,000.
Sources:
The NHS Information Centre for health and social care Non-Medical Workforce census. PCO Mid-Year Final Population Estimates, 2001 Population Census Based. ONS Population Estimates.

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