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Bob Spink: To ask the Secretary of State for Health how many websites have been asked to remove advertisements for botulinum toxin, fillers and other non-surgical cosmetic procedures under the Medicines (Advertising) Regulations 1994. 
Mr. Mike O'Brien: The Medicines (Advertising) Regulations 1994 prohibit the advertising of prescription only medicines, including botulinum toxin products, to the public. These regulations are enforced by the Medicines and Healthcare products Regulatory Agency (MHRA). Fillers and cosmetic procedures are not covered by these regulations since they are not classified as medicines.
In 2009 to date, 189 advertisers have amended promotional materials relating to botulinum toxin products following MHRA action on complaints received. This includes 134 cases where the material reviewed consisted only of website information. Corresponding figures for the number of advertisers who amended their advertising for botulinum toxin products in 2006, 2007 and 2008 were 47, 125 and 75, respectively.
The following table shows the total gross current expenditure by Leeds local authority (LA) on mental health services for adults aged 18 to 64 years of age, since 2001, in both cash and real terms (where the figures are adjusted for inflation).
|Gross current expenditure-Cash terms (£000)|
|Gross current expenditure-Real terms (£000)|
|(1) Data for 2008-09 is provisional|
Andrew Mackinlay: To ask the Secretary of State for Health pursuant to the answer of 10 December 2009, Official Report, column 550W, on the Mental Capacity Act 2005, how his Department monitors the use of the power under the Mental Capacity Act 2005 to modify a situation pertaining to someone with disability in order to maximise their individual capacity; and if he will make a statement. 
The CQC has published guidance, 'Guidance for CQC staff and providers of registered care and treatment services-The Mental Capacity Act deprivation of liberty safeguards', which explains how the Mental Capacity Act affects the way regulated care, treatment and support services take decisions and provide care for people who cannot take some decisions for themselves.
Angela Browning: To ask the Secretary of State for Health if he will update the musculoskeletal services framework to incorporate the recommendations of the National Audit Offices report, Services for People with rheumatoid arthritis. 
Ann Keen: The Department has no plans to update the musculoskeletal services framework to incorporate the recommendations of the National Audit Office's report, "Services for People with Rheumatoid Arthritis".
The Department welcomes the National Audit Office's report into national health service provision of services for people with rheumatoid arthritis. The Government
are committed to improving care and outcomes for all people with long term conditions, including people with rheumatoid arthritis.
For example, the Department has published a good practice commissioning pathway for inflammatory arthritis which supports clinicians in identifying cases of rheumatoid arthritis and ensuring that they are set on the right pathway of care. This describes key symptoms, for example where patients should be referred for urgent treatment.
conditions and self care" which provides people living with long term conditions, including rheumatoid arthritis, with information about the choices that should be available to them locally to enable them to self care in partnership with health and social care professionals. The guide can be found on the NHS Choices website at:
Ann Keen: The Department has approved funding for three new national clinical audits that will collect data on falls and bone health in older people; hip fractures; and pain. These important new national audits, which have relevance for people with musculoskeletal conditions, were announced by the Healthcare Quality Improvement Partnership in September 2009.
Andrew Mackinlay: To ask the Secretary of State for Health pursuant to the statement of 30 November 2009, Official Report, column 855, on hospital trusts: Essex, (1) what the expected future role is of the tier of clinical leadership replaced by the new clinical leadership; what the cost of the former clinical leadership will be in the next 12 months; and if he will make a statement; 
Mr. Mike O'Brien: My right hon. Friend the Secretary of State has asked the chairman of Monitor (the statutory name of which is the Independent Regulator of NHS Foundation Trusts) to write to my hon. Friend and he will do so shortly. A copy of the letter will be placed in the Library.
To ask the Secretary of State for Health pursuant to the statement of 30 November 2009, Official Report, column 855, on hospital trusts: Essex, what regular updates on progress he plans to
provide to the House on improving care standards; how often he will provide them; and if he will make a statement. 
Monitor has indicated to me that its board will review the trust's progress every month and it will explicitly consider, and then take, whatever action is necessary to ensure that performance at Basildon and Thurrock University Hospitals NHS Foundation Trust improves on a sustainable and measurable basis.
Miss McIntosh: To ask the Secretary of State for Health (1) how much funding was allocated in respect of patients with social care and healthcare needs who are part-funded by the NHS and the local authority in each primary care trust area in each of the last three years; 
Phil Hope: The Department does not hold information on the amount of funding allocated for, or the amount of funding spent on, social care and health care services that are part funded by the national health service and local authorities (LAs).
LAs pay for social care services from their general funds, which they receive via a combination of Formula Grant from central Government and local taxation. Funding allocations from central Government to LAs are not ring-fenced; LAs are free to determine spending priorities locally to meet the needs of their populations.
Revenue allocations are made directly to primary care trusts (PCTs). Similarly, it is for PCTs to decide their priorities for investment locally, taking into account both local priorities and the NHS Operating Framework.
The number of national health service hospital and community health services staff in Gloucester for each specified staff group in each specified organisation as at 30 September 2002 to 30 September 2008, is given in the following table.
|National health service hospital and community health services (HCHS): NHS staff in each specified staff group in each specified organisation as at 30 September each year|
|Total specified organisations||2002||2003||2004||2005||2006||2007||2008|
|(1) Excludes medical hospital practitioners and medical clinical assistants, most of whom are GPs working part time in hospitals have been excluded to avoid double counting.|
(2) Gloucestershire PCT was formed in October 2006 from a complete merger of Cheltenham and Tewkesbury PCT, Cotswold and Vale PCT, and West Gloucestershire PCT. Figures from 2002-06 are an aggregate of these predecessor organisations.
Due to the high number of Trust mergers and the formation of PCTs in 2002 it is impossible to accurately map figures for these organisations prior to 2002.
GPs and GP practice nurses are only employed by PCTs.
The NHS Information Centre for health and social care Non-Medical Workforce Census.
The NHS Information Centre for health and social care Medical and Dental Workforce Census.
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