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Mr. Hoyle: To ask the Secretary of State for Health what recent assessment his Department has made of the effects of regular exercise on the health of people aged (a) 18 to 25, (b) 26 to 49, (c) 50 to 69 and (d) 70 years old and more. 
Gillian Merron: The Chief Medical Officer's report "At least five a week"-Evidence on the impact of physical activity and its relationship to health-sets out the evidence for the health benefits of regular physical activity for children and adolescents, adults and older adults. It was published in 2004 and a copy of the report has already been placed in the Library.
To take in to account more recent research, the Department is currently working with Welsh Assembly Government, Public Health Agency for Northern Ireland and NHS Health Scotland to review the existing United Kingdom recommendations for the "dose" of physical activity required for general health benefits.
Phil Hope: A draft Prison Service Order (PSO) on guidelines for the management, treatment and care of prisoners who have or have had gender dysphoria is currently undergoing revision following the ruling of a recent Judicial Review in which the claimant, a pre-operative transgender prisoner, applied for Judicial Review of a decision of the defendant Secretary of State for Justice refusing to transfer her from a male prison to a female prison. The application was accepted and the outcome ruled in favour of the claimant.
There is no agreed date as yet for publication of the PSO. The final PSO will be comprehensive as it deals with very complex issues such as the general position in law on the Gender Recognition Act 2004 and Disclosure
of Information as well as general principles concerning the treatment of prisoners living 'in role', and guidance around searching. This PSO will ensure that all staff are fully aware and understand the protocols for managing prisoners who have or have had gender dysphoria.
Andrew Mackinlay: To ask the Secretary of State for Health (1) what (a) the total monetary value was of elective health treatment purchased from the NHS by the Isle of Man government in each of the last 20 years for which figures are available; and if he will make a statement; 
(2) with which (a) countries, (b) overseas territories and (c) other jurisdictions the National Health Service has reciprocal agreements comparable to the agreement between the NHS and the Isle of Man; and if he will make a statement; 
(3) on what statutory basis he cancelled the reciprocal agreement between the NHS and (a) Jersey and (b) Guernsey in respect of (i) Scotland, (ii) Northern Ireland and (c) Wales; and if he will make a statement; 
(4) what discussions (a) Ministers and (b) officials of his Department had with their counterparts in (i) the Northern Ireland Executive, (ii) the Scottish Executive and (iii) the Welsh Assembly Government on the discontinuance of reciprocal health arrangements between the NHS and (A) Guernsey and (B) Jersey with effect from 1 April 2009; and if he will make a statement; 
(5) what discussions (a) Ministers and (b) officials of his Department have had with their counterparts in the Scottish Executive on the discontinuance of reciprocal health arrangements between the NHS and the Isle of Man with effect from 1 April 2010; and if he will make a statement. 
Gillian Merron [holding answer for PQ301050 25 November 2009]: In addition to the Isle of Man, the United Kingdom Government currently have reciprocal healthcare agreements with Australia, Barbados, British Virgin Islands, Falkland Islands, Gibraltar, Montserrat, New Zealand, Russia, St. Helena, Turks and Caicos Islands, Armenia, Azerbaijan, Georgia, Kazakhstan, Moldova, Tajikistan, Turkmenistan, Uzbekistan, Ukraine, Serbia Montenegro, Croatia, Bosnia and Herzegovina and Macedonia.
The Overseas Territories of Anguilla, the British Virgin Islands, Montserrat, St. Helena and Turks and Caicos can each refer, to the national health service, four patients per year, specifically for elective treatment.
In the case of the Isle of Man and Gibraltar, a financial allocation is set aside each year and is made available for elective treatment following clinical referral.
The following table shows the allocation provided by the UK to the Isle of Man under the terms of the bi-lateral healthcare agreement. This allocation is used to fund elective NHS healthcare. The Isle of Man may also have commissioned elective treatment outside of the terms of the agreement but this information is not held by the Department of Health centrally.
|Allocation to Isle of Man|
Prior to 2004-05 allocation was uncapped
The agreement with the Isle of Man contained a six-month notice period; the UK Government exercised that right and a termination date of 31 March 2010 was agreed with the Isle of Man. The Department gave notice on the agreements with both the Channel Islands and the Isle of Man on behalf of the UK. Prior to this, departmental officials consulted with the Ministry of Justice and with officials from the devolved Administrations.
Chris Ruane: To ask the Secretary of State for Health what research his Department has (a) commissioned and (b) evaluated on the level of hand hygiene among (i) doctors, (ii) nurses, (iii) other NHS staff, (iv) patients and (v) visitors to hospitals in the last 10 years; and if he will make a statement. 
Gillian Merron: The Department's policy research programme has funded an independent four year research study to assess the implementation of the clean your hands campaign, its sustainability, and the impact on hand hygiene and on health care associated infection. The evaluation has shown that, as a result of the campaign, there has been a sustained change in hand hygiene behaviour in acute hospitals nationally, with a three-fold rise in procurement and use of alcohol hand rub and soap; and that there appears to be a strong association between reductions in methicillin-resistant Staphylococcus aureus bacteraemia and use of alcohol hand rub.
Mr. Amess: To ask the Secretary of State for Health what (a) amendments have been made to and (b) representations he has received on the Mental Capacity Act 2005 in the last 12 months; and if he will make a statement. 
Andrew Stunell: To ask the Secretary of State for Health what recent discussions he has had with the Secretary of State for Justice on services for people in the criminal justice system with mental health conditions; and if he will make a statement. 
Improving Health, Supporting Justice, the national delivery plan of the health and criminal justice programme board was published on 17 November. It includes the Government's response to Lord Bradley's review of people with mental health problems or learning disabilities in the criminal justice system.
Norman Lamb: To ask the Secretary of State for Health how much funding was allocated to the NHS research and development budget in each of the last five years; and how much such funding had not been disbursed at the end of each such financial year. 
|National health service research and development budget||Funding not disbursed to research and development at year end|
|(1) Includes £26 million reallocated to meet other departmental priorities.|
Mr. Mike O'Brien: Total revenue expenditure on clinical supplies and services taken from the national health service audited summarisation schedules was £4,922,822,000 in 2008-09, which is the latest period for which figures are available.
Revenue expenditure on clinical supplies and services is taken to include drugs, dressings, medical and surgical equipment, x-ray equipment and supplies, laboratory equipment, appliances (e.g. artificial limbs and wheelchair hardware) and the maintenance of equipment. The Department does not collect information that allows capital expenditure on medical equipment to be disaggregated from total capital expenditure.
Jon Trickett: To ask the Secretary of State for Health how many full-time equivalent (a) medical consultants, (b) other medical staff, (c) nurses, (d) other professional staff, (e) administrative and clerical staff and (f) auxiliary staff were employed by (i) Pontefract and Pinderfields NHS Trust and (ii) Dewsbury NHS Trust between 1996 and 2002. 
Ann Keen: The information is not available in the format requested. In 2002, Pinderfields and Pontefract NHS Trust and Dewsbury Health Care NHS Trust merged to form the Mid Yorkshire Hospitals NHS Trust. Therefore, the figures for the individual trusts are not available for 2002. The information that is available is shown in the following table:
|NHS hospital and community health services: NHS staff in each specified organisation by main staff group as at 30 September each year|
1. In 1996, Pontefract Hospitals NHS Trust and Pinderfields Hospitals NHS Trust merged to form Pinderfields and Pontefract NHS Trust. Figures for 1996 are an aggregate of these two predecessor organisations.
2. Full-time equivalent figures are rounded to the nearest whole number.
The Information Centre for health and social care
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