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The Department is participating fully in the Total Place initiative. I sit on the Ministerial Group overseeing Total Place. David Behan (Director General for Social Care, Local Government and Care Partnerships) and Mike Farrar (Chief Executive of North West Strategic
Health Authority) sit on the High Level Total Place Officials Group chaired by Sir Michael Bichard. The Department is also building links at working level to Total Place pilots as appropriate. We are working with the Department for Communities and Local Government, the Treasury, and local pilots to respond to recommendations and findings of Total Place as they emerge.
Anne Milton: To ask the Secretary of State for Health how many older people had a delayed discharge from hospital as a result of malnutrition in the latest period for which figures are available. 
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many patients have made a written request to view information in their medical record in each year since 1998; and how many of these requests were refused in each year. 
Mr. Stephen O'Brien: To ask the Secretary of State for Health whether a breach of the criteria established for the successful introduction of electronic patient records at the end of November 2009 constitutes a ground for the termination of local service provider contracts. 
Mr. Mike O'Brien:
All the national programme for information technology local service provider, and national
application service provider, contracts contain provisions appropriate to contracts of their size and complexity to address foreseeable delivery and service issues. This includes provision for the termination of the whole contract, or a part of the services provided by a contractor, depending on the materiality of any divergence from the strict terms of the contract. However, termination is a step that the Department will only contemplate after every opportunity, and all possible assistance had been given to enable a contractor to recover its position. Achievement of the published criteria for progress in delivery of the Lorenzo and Millennium care records systems by the end of November will be assessed on this basis.
Mr. Baron: To ask the Secretary of State for Health what representations his Department has received on the operation of the National Institute for Health and Clinical Excellence's supplementary advice on appraising treatments which may extend life, at the end of life, since 17 December 2008; and if he will make a statement. 
Mr. Mike O'Brien: Between 17 December 2008 and 29 October 2009, the Department has responded to five questions from hon. Members and noble Lords relating to the operation of the National Institute for Health and Clinical Excellence (NICE) end-of-life flexibilities.
Over the same period, the Department has received 495 pieces of correspondence relating to NICE, some of which will relate to the operation of the end-of-life flexibilities. Information on specific correspondence on the flexibilities could be provided only at disproportionate cost.
Mr. Baron: To ask the Secretary of State for Health to what medicines which (a) have been appraised and (b) are under appraisal by the National Institute for Health and Clinical Excellence's supplementary advice on appraising treatments which may extend life, at the end of life, adopted on 17 December 2008, has been applied; what estimate he has made of the total annual eligible patient population for each indication for each such medicine; what the outcomes were of each completed appraisal; and if he will make a statement. 
|Appraisal status||Appraisal title||Population (approx)( 1)||End of life criteria fulfilled for all or some of potentially eligible patient population||Recommendation|
|(1) Approximate number of people annually with the condition. This will not necessarily represent the number of patients eligible for treatment with the drug.|
National Institute for Health and Clinical Excellence
Mr. Marshall-Andrews: To ask the Secretary of State for Health what ex-gratia payments have been made by his Department to (a) persons adversely affected by thalidomide and (b) other NHS patients who have been adversely affected by NHS treatment. 
A final payment of £7 million was made in 1996. This payment was expressed by the then Health Ministers as being for the unique and tragic circumstances that surrounded the thalidomide disaster and did not constitute a tax offset.
There are three ex-gratia schemes in the United Kingdom that make payments to those infected with either HIV or hepatitis C via national health service supplied contaminated blood and blood products: The Macfarlane and the Eileen Trusts (for HIV) and the Skipton Fund (for hepatitis C). To the end of March 2009, around £50 million has been paid out via the Macfarlane and Eileen Trusts and almost £100 million has been paid out via the Skipton Fund.
Anne Milton: To ask the Secretary of State for Health how many people aged over 65 years received services under the Improving Access to Psychological Therapies programme in the latest period for which figures are available. 
Phil Hope: Improving Access to Psychological Therapies (IAPT) services are available to adults of all ages on the basis of need. These services are specifically for the treatment of mild to moderate depression and/or anxiety disorders.
The Department does not routinely collect national data about the age profile of those who have accessed the first phase of the national roll-out of IAPT services. However, following the end of the first full year of operation, the Department is currently undertaking a National Data Review to examine the impact of the new services. This will include identification of the age profile of people who have accessed these services.
Anne Milton: To ask the Secretary of State for Health (1) how many community treatment orders have been (a) challenged, (b) overturned after a challenge and (c) over-ruled following a second opinion; 
Phil Hope: Community treatment orders (CTOs) were introduced on 3 November 2008. In England between 3 November 2008 and 31 March 2009, CTOs were made on 2,134 occasions. During this period, there were 207 cases in which patients on community treatment orders were recalled to hospital. Information is not yet available centrally on the number of CTOs made and the number of recalls to hospital since April 2009.
As at 6 November 2009, the First-tier Tribunal in England has received 716 applications resulting in 22 discharges from CTOs. In addition, 23 patients have been discharged as a result of automatic references to the First-tier Tribunal. There is no procedure in the Mental Health Act 1983 by which CTOs can be over-ruled by a second opinion.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many courses the social care skills academy offers; how many enrolments that academy has recorded; and what the cost to the public purse of that academy was on the latest date for which figures are available. 
Phil Hope: The National Skills Academy for Social Care was launched on 13 October 2009. It will be working to develop training and learning practice on leadership, management and commissioning skills in adult social care.
It has launched a National Management Trainee Scheme, which has placed 20 graduates into employer organisations in the adult social care sector, for the first time, to develop future leaders for the sector. It is working with training providers to accredit and endorse training and will be commencing a pilot approach with these providers in the new year as well as working on delivering apprenticeships. The initial focus of the skills academy will be about improving the retention rates of those on social care courses.
|(1)Learning and Skills Council funding is to end June 2009. (2)Department of Health funding is for the full year.|
Mr. Bacon: To ask the Secretary of State for Health how much local service providers have been paid for the (a) set-up costs and (b) running costs of each of the Lorenzo systems deployed in NHS trusts; and what his latest estimate is of the average cost per site of deploying the Lorenzo software system. 
The total of payments made to the local service provider, to 30 September 2009, for deployment (set-up) activity to date for Lorenzo products is £434,400. In the same period, service charge (running cost) payments have totalled £27,117.
Mr. Bacon: To ask the Secretary of State for Health what his most recent estimate is of the highest number of live concurrent users of the Lorenzo software system at NHS Bury (a) at any one time and (b) on any one day. 
Mr. Mike O'Brien: As at 9 November 2009, the highest number of live concurrent users logged into the Lorenzo software system at the NHS Bury primary care trust (PCT) at any one time is 93. This occurred on the day the PCT went live with the system, on 3 November 2009.
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