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The Department does not hold information down to the level of health visitor students. Higher Education Statistics Agency information on the number of students who qualified from nursing courses, the category within which health visitor students are included, has been provided as an alternative.
Mrs. Maria Miller: To ask the Secretary of State for Health what the average vacancy rate for health visitors in each primary care trust was in the latest period for which figures are available. 
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what percentage of home help contact hours in each region were provided by (a) council authorities and (b) the independent sector according to the results of his Department's home help returns in the latest period for which figures are available; 
Phil Hope: Information on the number of people receiving home care/home help services during a sample week in September each year is collected on the HHl return and published by the NHS Information Centre for health and social care.
The following table shows the percentage of home help contact hours in each region provided by councils with adult social services responsibilities (CASSRs) and the independent sector during the sample week in September 2008.
|Hours provided||Percentage of hours|
HHl return, table 1.1.
Charles Hendry: To ask the Secretary of State for Health how much each hospice funded by his Department has received from his Department in the latest period for which figures are available; and what criteria his Department uses to determine its funding allocations to hospices. 
Funding for hospices comes from primary care trusts (PCTs), not from the Department. It is for individual PCTs to decide the level of funding they allocate to hospices, based on assessments of local
needs and priorities. The level of funding a hospice receives is a matter for negotiation between the local PCT and the hospice.
Mr. Lansley: To ask the Secretary of State for Health what data NHS trusts are required to collect to monitor levels of (a) use of mixed-sex accommodation and (b) standards of privacy and dignity provided for patients. 
Phil Hope: Annually, the national adult in-patient survey conducted by the Care Quality Commission (CQC) is used to measure patient experience relating to mixed sex accommodation and privacy and dignity. Nationally, there is no requirement to monitor occurrences of mixed sex accommodation.
"The Provider shall have a Mixed Sex Accommodation Reduction Plan, and shall comply with its obligations under that plan."
"The plan agreed in accordance with the Law and Guidance between the provider and the co-ordinating commissioner which sets out obligations, timescales and performance monitoring mechanisms to deliver substantial reductions in the number of patients sharing with members of the opposite sex sleeping or sanitary accommodation owned or controlled by the provider or a sub-contractor."
Because the Department is committed to keep patient experience at the heart of delivery, ahead of the next (2009) CQC annual in-patient survey outcome, it is currently exploring with strategic health authorities, arrangements that would provide indications of progress by the local national health service in delivering same-sex accommodation.
All capital development schemes, whether private finance initiative or publicly funded projects, are expected to comply with energy efficiency standards of 35 to 55 gigajoules per one hundred metres squared (Gj/100m(2)), and also with BREEAM Healthcare requirements (Building Research Establishment Environmental Assessment Method) to ensure healthcare facilities are constructed with sustainability and energy efficiency in mind. The Department provides guidance to assist the NHS and their partners in meeting this criteria.
This information is contained in the guidance document "Health Technical Memorandum 07-02: Encode-making energy work in healthcare", a copy of which has been placed in the Library, and which provides general energy
efficiency standards within health-care facilities. This guidance covers new build and refurbishment as well as the energy management of existing operational facilities and provides advice about pumps, fans and boilers. Capital project teams will make their own decisions about specific items of equipment, such as circulator pumps, to ensure they are appropriate to meet the needs, circumstances and efficiency of their particular schemes.
|Sunderland Primary Care Trust||England|
1. Time waited data has been provided where the main operation was a hip replacement operation.
2. Operative procedure codes were revised for 2006-07 and 2007-08. The 2008-09 and 2007-08 data uses OPCS 4.4 codes, 2006-07 data uses OPCS 4.3 codes, data prior to 2006-07 uses OPCS 4.2 codes. All codes that were in OPCS 4.2 remain in later OPCS 4 versions, however the introduction of OPCS 4.3 codes enable the recording of interventions and procedures which were not possible in OPCS 4.2. In particular, OPCS 4.3 and OPCS 4.4 codes include high cost drugs and diagnostic imaging, testing and rehabilitation. Some activity may have been coded under different codes in OPCS 4.2. These changes need to be borne in mind when analysing time series and may explain some apparent variations over time. Please note that care needs to be taken in using the newer codes as some providers of data were unable to start using the new codes at the beginning of each data year.
3. The quality and coverage of HES data have improved over time. The improvements in information submitted by the national health service 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 out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
4. Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period, whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
Hospital Episodes Statistics (HES), The NHS Information Centre for health and social care.
This information is not collected centrally. For pre-registration education, the United Kingdom regulatory body, the Nursing and Midwifery Council, sets standards of proficiency for all nursing courses.
Although continence is not identified separately, its management is implicit within several of the essential nursing skills which are required to be demonstrated.
Post-registration training is the responsibility of employers, who are best placed to understand the roles and responsibilities-and hence the training needs-of their staff. Specific post-registration training courses in continence and continence care are available and these are accessed according to local need.
As National Statistician, I have been asked to reply to your recent question asking what the most common cause of infant mortality is. (291646)
Infant mortality is defined as death under one year after live birth, and can be divided into neonatal deaths (less than 28. days after live birth) and postneonatal deaths (28 days but under one year). In England and Wales, neonatal deaths are registered using a special perinatal death certificate which enables reporting of relevant diseases or conditions in both the infant and the mother. For postneonatal deaths, a single underlying cause of death can be reported as for adults. ONS has developed a classification system producing broad cause groups to enable direct comparison of neonatal and postneonatal deaths.
Using this ONS classification, the most common cause of infant deaths is 'Immaturity related conditions'. This includes certain respiratory, cardiovascular and other conditions related primarily to the prematurity or low birthweight of the infant. In 2007 (the latest year for which figures are available), there were 1,346 infant deaths coded to 'Immaturity related conditions', 42 per cent of all infant deaths in England and Wales in that year.
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) how many people with a learning disability have been referred for further treatment as a result of an annual health check in the latest period for which figures are available 
Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what steps he plans to take to (a) monitor and (b) evaluate the effect of direct enhanced service annual health checks on people with a learning disability; 
We have commissioned an extraction of data from a sample of general practitioner (GP) practice clinical systems. This information will be used to inform
the continued commissioning of this Directed Enhanced Service through the GP contract arrangements.
We will also collect information to support a newly agreed Vital Sign indicator on the number of health checks completed in 2008-09. This will begin in October. This exercise will be repeated in May 2010 to collect retrospective information on the number of checks completed in 2009-10.
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