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Dr. Kumar: To ask the Secretary of State for Health what estimate his Department has made of the average time elapsing from diagnosis to start of treatment for cancer patients resident in (a) England, (b) the North East, (c) Tees Valley and (d) Middlesbrough South and East Cleveland constituency in each year since 1997. 
Ann Keen: Statistics on average waiting times between diagnosis and first treatment for cancer are not collected centrally. The cancer waiting time standard of a maximum wait of 31 days from diagnosis of cancer to first cancer treatment was introduced for all patients from December 2005. Statistics showing overall performance are published on a quarterly basis on the Department's website.
Performance of healthcare providers in NHS North East area against the cancer waiting times standard of a maximum of 31 days from diagnosis of cancer to first cancer treatment for quarter 1 of 2009-10.
|Healthcare provider||Percentage of patients receiving first cancer treatment within 31 days of cancer diagnosis|
Department of Health Cancer Waiting Times Statistics.
Mike Penning: To ask the Secretary of State for Health pursuant to the answer of 20 October 2009, Official Report, column 1338W, on dental services, what information his Department holds on the criteria used by dental practices to determine appropriate clinical intervals. 
Ann Keen: Historically dentists have tended to recall patients every six months. However guidance issued in 2004 by the National Institute for Clinical Excellence stated that dentists should have more flexible recall intervals, based on each patient's clinical needs, and that orally healthy adults might not need a check-up more than once every two years. Recalling healthy patients at shorter intervals than is clinically needed does not benefit these patients, and potentially blocks access to the national health service for others.
Phil Hope: The Department operates a homeworking scheme under which a person's home is formally designated as their regular place of work for some or all of the working week. Arrangements to work from home are made by local managers. Records are not kept centrally about this.
Homeworking is one of a number of arrangements that the Department provides to promote flexible working, including part-time working, flexitime schemes, job sharing, part year appointments, unpaid leave, and compressing the working week into less than five days. The use of information technology also allows many staff to work from home on an occasional basis.
Ann Keen: The information requested is a matter for East Kent Hospitals University NHS Foundation Trust. We have written to Mr. Nicholas Wells, chair of East Kent Hospitals University NHS Foundation Trust, informing him of the hon. Member's inquiries. He will reply shortly and a copy of the letter will be placed in the Library.
Alan Simpson: To ask the Secretary of State for Health (1) what scientific papers he has considered in respect of animal studies that document the effect of the consumption of genetically modified food on changes in the kidney, pancreas and spleen; 
(2) what recent international research he has evaluated on the effect on the consumption of genetically modified food on human health, with particular reference to the effects on (a) fertility, (b) immune dysregulation, (c) accelerated ageing, (d) gene disruption relating to cholesterol synthesis, (e) cell signalling, (f) protein formation (g) insulin regulation and (h) changes in the liver, kidney, spleen and gastrointestinal system. 
Malatesta et al., (2008), Histochem Cell Biol, 130, pp967-977
Kilic and Akay, (2008), Food and Chemical Toxicology, 46, pp1164-1170
Finamore et al., (2008), J Agric Food Chem. DOI: 10.1021/jf802059w
Lelimirov et al., (2008), Forschungsberichte der Sektion IV, Band 3/2008, published by the Austrian Ministry of Health.
The ACNFP considered these publications at its meetings in November 2008 and February 2009, and advised that it was not possible to draw any conclusions about cause and effect in these publications or to assess the significance of these reports for human health. The minutes of these meetings are available on the ACNFP website at:
Mark Simmonds: To ask the Secretary of State for Health (1) what (a) funding for (i) fees and (ii) expenses and (b) other assistance his Department has provided to each Royal College or Society for development of e-learning for health services; and if he will make a statement; 
Ann Keen: The Department does not provide funding to Royal Colleges or any society for the development of e-learning for health services. The Department's e-Learning for healthcare programme works in partnership with the Royal Colleges and societies, as well as other organisations, and they are eligible to have their expenses covered by the Department.
Mr. Hoyle: To ask the Secretary of State for Health how many (a) doctors and (b) nurses were registered as working in each primary care trust serving Lancashire and their predecessors in (i) 1997 and (ii) on the most recent date for which figures are available. 
Ann Keen: The information is not available in the format requested. The following table shows the number of doctors and qualified nursing staff working at the Central Lancashire Primary Care Trust (PCT), as at 30 September 2002 and 2008.
|All doctors and qualified nursing staff at the Central Lancashire PCT, as at 30 September each year|
|(1 )Excludes medical hospital practitioners and medical clinical assistants, most of whom are GPs working part-time in hospitals.|
Central Lancashire PCT was formed on 1 October 2006, following the merger of the Preston, Chorley and Ribble and West Lancashire PCTs.
The Information Centre for health and social care.
Sandra Gidley: To ask the Secretary of State for Health (1) what steps his Department is taking to ensure consistency in relation to the choice of providers offered in respect of NHS health checks by primary care trusts; 
(2) which primary care trusts are providing vascular checks in community pharmacy settings to ensure that they are accessible when other services may not be available, as referred to on page 18 of his Department's document, Putting prevention first, Vascular Checks: risk assessment and management: next steps guidance for primary care trusts; what assessment he has made of the accessibility of vascular checks in general practice settings to those in full-time employment; and if he will make a statement. 
Ann Keen: It is for primary care trusts to commission the necessary services, as they are best placed to understand the needs of their local population. Currently, no data are collected centrally by the Department on which settings primary care trusts (PCTs) are commissioning NHS Health Checks to take place in or on the accessibility of NHS Health Checks in general practitioner practices. The Pharmacy Services Negotiating Committee has however recently undertaken a survey of Local Pharmaceutical Committees (LPCs). Approximately two thirds of LPCs replied to the survey. The results showed that, of those primary care trusts that responded, 54 per cent. are either using or intending to use community pharmacy at this stage to help deliver their NHS Health Check programmes.
Sandra Gidley: To ask the Secretary of State for Health if he will place in the Library a copy of his Department's second phase of economic modelling for vascular checks which used a pharmacy setting as its basis, as referred to on page 15 of his Department's document, Putting prevention first, Vascular Checks: risk assessment and management: next steps guidance for primary care trusts. 
Ann Keen: The Impact Assessment for the NHS Health Check programme incorporates the results of the Department's second phase of economic modelling which took into account pharmacy as a setting for delivering the risk assessment element of the check. A copy of the Impact Assessment has been placed in the Library.
Phil Hope: The following table gives figures for the number of bed days for children on child and adolescent mental health (CAMHS) wards and for children aged under 16 and 16-17 on adult mental health wards.
|Quarter||Bed days-under 18s on CAMHS ward||Bed days-under 16s on adult ward||Bed days-16/17s on adult ward|
1. Data on this issue were first collected in 2005-06 but data up until Quarter 3 of 2005-06 are not comparable with the data for Quarter 4 2005-06 onwards as information was collected on a different basis.
2. For 2008-09 onwards it is not mandatory for NHS foundation trusts to submit returns but they may do so on a voluntary basis.
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