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22 Feb 2010 : Column 105W—continued


Options for collating this data more systematically are kept under review subject to cost effectiveness.

Mr. Harper: To ask the Secretary of State for Work and Pensions in which countries persons living abroad who are identified as having perpetrated benefit fraud reside. [316365]

Jonathan Shaw: UK nationals can, in certain circumstances, continue to receive some benefits while abroad, others will cease immediately. The Department for Work and Pensions is reminding people in the latest targeting fraud campaign and in leaflets of their responsibility to tell us if they are going abroad.

In addition we are increasing the number of countries with which we have arrangements for closer working and data sharing and employing Department for Work and Pensions officers based abroad.

Recent investigations have identified evidence of fraud in 51 cases in the following countries:

Thanet

Dr. Ladyman: To ask the Secretary of State for Work and Pensions if she will set out, with statistical information related as directly as possible to South Thanet constituency, the effects on South Thanet of her Department's policies and actions since 2000. [315632]

Jonathan Shaw: DWP leads the Government's response to some of the biggest issues facing the country-welfare and pension reform-and are a key player in tackling
22 Feb 2010 : Column 106W
child poverty(1). As the biggest delivery department in the UK, DWP makes a difference to millions of people every day, helping them to lead safer, fairer and more rewarding lives that are free from poverty. We want to give people more choice and control over their lives and are committed to providing greater choice and personalised support to everyone who needs it so they have the opportunity to get into and remain in work. We believe that work works. Even in economically challenging times we know that work works for the most vulnerable and the disadvantaged.

Support to find work

Through Jobcentre Plus, we are promoting work as the best form of welfare for people of working age. Since 2000, although the number of people unemployed in South Thanet has increased by 31 per cent. to 2,153, the number unemployed for more than one year has decreased by 21 per cent. to 280. From May 2000 to May 2009 the number of lone parents claiming income support in South Thanet has decreased by 24 per cent. to 1,070.

Our new deals have helped lone parents, the young unemployed, the long-term unemployed, disabled people, the over 50s and partners of unemployed people to move from benefit into work. Since their inception over 2.2 million people in Great Britain have found work with the support of the new deal, and 3,640 have been helped in South Thanet.

Support for children

We introduced a target to halve child poverty by 2010-11 on the way to eradicating it by 2020. Poverty is measured using a headline indicator of the proportion of children in households with an income below 60 per cent. of contemporary household median income before housing costs. This is in line with international best practice.

Statistics on the numbers of children living in poverty are not available at the constituency level. But the latest information for the south east Government office region shows that the proportion of children in poverty has risen from 14 per cent. to 15 per cent. since 2000.(2)

Support for older people

Figures from 2000 relating to support for older people could be obtained only at disproportionate cost. However, figures are available from 1997 and these are shown as follows.

Since 1997 our strategy has been to target help on the poorest pensioners while providing a solid foundation of support for all.

This year we will be spending over £13 billion more on pensioners than if we had continued with the policies that were in place in 1997. Around half of that money will go to the poorest third of pensioners.

In 1997 the poorest pensioners, who received income support, lived on £69 a week (£98 in today's prices). Today pension credit, which was introduced in 2003, means no pensioner needs to live on less than £130 a week, £198.45 for couples. As of May 2009 6,340 pensioners in South Thanet are benefiting from pension credit.

In 2007-08 there were 900,000 fewer pensioners living in relative poverty in UK compared to 1998-99 (measured as below 60 per cent. of contemporary median household income after housing costs).


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Statistics on the proportion of pensioners living in relative poverty are not available at the constituency level. But the latest data for the south east Government office region show that the number of pensioners in poverty fell from 23 per cent. to16 per cent. since 2000(3).

Pensioners in the UK also benefit from a range of additional support such as the winter fuel payment which this winter is worth £250 for households aged between 60 to 79 and £400 for households aged 80 or over. These payments provide vital reassurance to older people that they can afford to turn up their heating during cold weather. Prior to winter 1997-98 less than £60 million was spent helping pensioners meet their fuel bills-this year we will be spending around £2.7 billion on winter fuel payments alone. In 2008-09 22,070 people aged 60 and over benefited from winter fuel payments in South Thanet.

We have also taken steps to strengthen and protect the private pensions system to ensure people can continue to have confidence to save for their future through the establishment of the Pensions Protection Fund, the financial assistance scheme and a more powerful and proactive pensions regulator.

The protection system ensures that, unlike in 1997, people are not left without a pension even in the event that their employer becomes insolvent.

In total 733 people in the south east region are receiving compensation from the Pension Protection Fund (data not available at constituency level).(4)

We have also taken forward a radical package of pension reforms in the Pensions Acts of 2007 and 2008 which will deliver a fairer and more generous state pension and extend the opportunity of workplace pension saving to millions, many for the first time.

The state pension reforms begin to come into effect from 2010 and will mean around three quarters of women reaching state pension age in 2010 are expected to qualify for a full basic state pension compared to half without reform.

Support for disabled people and carers

Since 2001, we have significantly extended and improved civil rights for disabled people in areas such as employment, education, access to goods and services and transport. Disabled people in South Thanet will have benefited from these improvements. The Welfare Reform Act 2009 contains powers to increase choice and control for disabled adults, including disabled parents who are entitled to state support, enabling them to choose how certain state support is used to meet their individual needs. This will be trailblazed in up to eight local authority areas from late 2010. Older and less well off carers have gained extra help through the provisions within the National Carers Strategy.


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Winter Fuel Payments

Mr. Peter Ainsworth: To ask the Secretary of State for Work and Pensions (1) what estimate she has made of the proportion of recipients of the winter fuel payment who were (a) in fuel poverty when they received those payments and (b) no longer in fuel poverty as a result of having received those payments in each year since the implementation of the winter fuel payment scheme; and if she will make a statement; [317062]

(2) what estimate she has made of the proportion of recipients of cold weather payments who were (a) in fuel poverty when they received those payments and (b) no longer in fuel poverty as a result of having received those payments in each year since the implementation of the cold weather payment scheme; and if she will make a statement. [317063]

Angela Eagle: The information requested is not available.

Identifying those in fuel poverty is very difficult; however we know that the main contributing factors are energy efficiency of homes, energy prices and household income.

Both winter fuel and cold weather payments contribute to vulnerable households' incomes and provide reassurance that money will be available to contribute towards fuel bills. These payments form only part of a package of measures that the Government have put in place to tackle fuel poverty.

It is estimated that winter fuel payments help to keep around 200,000 households out of fuel poverty each year in the UK.

Winter Fuel Payments: Bexley

Mr. Evennett: To ask the Secretary of State for Work and Pensions how many residents of (a) Bexleyheath and Crayford constituency and (b) the London borough of Bexley have received cold weather payments since 1 November 2009. [317265]

Helen Goodman: Cold weather payment information is not available by constituency or local authority. It is only available by weather station and postcode.

Health

Accident and Emergency Departments

Chris Grayling: To ask the Secretary of State for Health what data accident and emergency departments are obliged to (a) collect and (b) return to his Department regarding causes of admission. [317827]

Mr. Mike O'Brien: Accident and emergency departments collect details about cause of admission. An extract of this data set is then collected centrally by the NHS Information Centre for health and social care as part of Hospital Episode Statistics and is published.

Two data items collected in Hospital Episode Statistics describe the cause of admission: "Patient group" picks out seven specific causes, namely road traffic accident, assault, deliberate self-harm, sports injury, firework injury, other accident, and brought in dead. "Clinical diagnosis" provides a wider range of categories for
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cause of admission. Details for these categories are published in the Clinical Diagnosis section of the Hospital Episodes Data Dictionary. A copy of this has been placed in the Library and is also available at:

No data on causes of admission are returned to the Department.

Alcoholic Drinks: Cancer and Strokes

Mr. Dismore: To ask the Secretary of State for Health (1) what the cost to the NHS was of treating strokes caused by the consumption of alcohol in the last year for which figures are available; [316281]

(2) what the cost to the NHS was of treating (a) depression and (b) dementia attributable to alcohol in the last year for which figures are available; [316284]

(3) what the cost to the NHS was of treating breast cancer attributable to alcohol consumption in the last year for which figures are available; [316287]

(4) what the causes are of (a) breast cancer and (b) heart disease; and what proportion of cases of each were attributable to each such factor in the last 12 months; [316288]

(5) what the cost to the NHS was of treating (a) breast cancer and (b) heart disease attributable to the consumption of alcohol in the last year for which figures are available; [316290]

(6) how many reported cases of stroke there were in the last year for which figures are available; and in how many such cases the consumption of alcohol was a direct causal factor; [316291]

(7) what the cost to the NHS was of treating cancer of the (a) mouth, (b) oesophagus and (c) larynx attributable to the consumption of alcohol in the last year for which figures are available. [316295]

Gillian Merron: The cost of treating specific alcohol-related conditions, such as breast cancer, heart disease, stroke or mental health conditions can be given only at a disproportionate cost. However, alcohol misuse is estimated to cost the national health service around £2.7 billion per annum, which is broken down in the following table.

Estimates of the annual cost of alcohol misuse to the NHS in England

Cost estimate (£ million)

Hospital in-patient and day visits

Directly attributable to alcohol misuse

167.6

Partly attributable to alcohol misuse

1,022.7

Hospital out-patient visits

272.4

Accident and emergency visits

645.7

Ambulance services

372.4

NHS GP consultations

102.1

Practice nurse consultations

9.5

Laboratory tests

n/a

Dependency prescribed drugs

2.1

Specialist treatment services

55.3

Other health care costs

54.4

Total

2,704.1


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There are a variety of direct risk factors that can lead to cancer and heart disease, but we know that tobacco, poor diet, genetics, such as a mutated BRC2 gene, and alcohol can cause cancer or heart disease in some individuals.

From work carried out by the North West Public Health Observatory we are able to estimate what the proportion of hospital admissions are due to alcohol consumption, this is know as the alcohol attributable fraction (AAF). The following table provides the AAFs for cancer of the oesophagus, cancer of the larynx, breast cancer. As there is no AAF for stroke, we have provided AAFs for haemorrhagic stroke, ischaemic stroke as a proxy and as there is no AAF for heart disease, we have provided AAFs for alcoholic cardiomyopathy, ischaemic heart disease, cardiac arrhythmias and heart failure as a proxy. There are no such appropriate proxy AAFs for dementia or depression.

AAFs for haemorrhagic stroke, ischaemic stroke, cancer of the lip, oral cavity and pharynx, cancer of the oesophagus, cancer of the larynx, breast cancer and hypertension, alcoholic cardiomyopathy, ischaemic heart disease, cardiac arrhythmias and heart failure
Percentage
Condition Alcohol attributable factor

Male Female

Haemorrhagic stroke

24

10

Ischaemic stroke

4

*-6

Cancer of the lip, oral cavity and pharynx

47

28

Cancer of the oesophagus

26

13

Cancer of the larynx

29

16

Breast cancer

n/a

7

Hypertensive disease

28

13

Alcoholic cardiomyopathy

100

100

Ischaemic heart disease

*-6

*-4

Cardiac arrhythmias

33

25

Heart failure

0.4

0.2

Source: Alcohol-attributable fractions for England, North West Public Health Observatory, 2008

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