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Centre for Emergency Preparedness and Response

Robert Key: To ask the Secretary of State for Health what assessment has been made of the likely effects on the operational response to a public health incident of the transfer of the Centre for Emergency Preparedness and Response from Porton Down to Terlings Park during the transfer period. [316907]

Gillian Merron: The business case for redevelopment or relocation of the Health Protection Agency's (HPA's) facilities at Porton Down will be considered by the Department when it is received. Any impact on the HPA's ability to respond to an emergency at any time during the proposed project will be part of the consideration.

Centre for Emergency Preparedness and Response: Olympic Games 2012

Robert Key: To ask the Secretary of State for Health what arrangements are in place for the Centre for Emergency Preparedness and Response to provide advice to the organisers of the London 2012 Olympics. [317195]

Gillian Merron: The Health Protection Agency as a whole, including the Centre for Emergency Preparedness and Response, has been working with the organisers of the Olympic and Paralympics games and central Government Departments, since 2005 to provide advice and expertise on health protection issues.

Dementia: Health Services

Sir Nicholas Winterton: To ask the Secretary of State for Health what guidance his Department issues to healthcare professionals on improvement of recognition rates for vascular dementia; and what progress has been made in implementing his Department's dementia strategies. [317929]

Phil Hope: Improving services for people with dementia including vascular dementia is a Government priority, and we have already identified it as a priority for the national health service in the operating framework. This will help to ensure that dementia is prioritised locally where further improvement may be needed.

Early diagnosis of dementia including vascular dementia is a key part of the National Dementia Strategy, which was published a year ago and will be implemented over a five-year period. The joint National Institute for Health and Clinical Excellence and Social Care Institute for Excellence clinical guideline for England provides guidance to health care professionals for all types of dementia.

Departmental Energy

Andrew Stunell: To ask the Secretary of State for Health what the estimated (a) amount and (b) cost was of energy used in his Department and its agencies in each year since 1997; what proportion of the energy used was generated from renewable sources in each of those years; and if he will make a statement. [317229]

Phil Hope: The amount and cost of energy used by the Department and its agencies and as reported as part of the Sustainable Development in Government annual exercise for the last five years is as follows:

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Core Department of Health
Consumption Kilowatt hour (kWh) 2004-05 2005-06 2006-07 2007-08 2008-09

Fossil Fuel


















% renewable






Cost (£)






NHS Purchasing and Supply Agency
Consumption KWh 2004-05 2005-06 2006-07 2007-08 2008-09

Fossil Fuel


















% renewable






Cost (£)






All data is weather corrected, and has been processed by the Building Research Establishment and signed off as part of the Sustainable Development in Government exercise.

Central Government Departments and their Executive agencies are required to report performance data on the amount of energy sourced from renewable sources annually as part of the Sustainable Development in Government (SDiG) reporting process. The Government had a target to source at least 10 per cent of electricity from renewables by 31 March 2008, which it has already achieved. The latest assessment of Government's performance against this target was published by the Office of Government Commerce (OGC) on the 18 December 2009, and is available on the OGC website

Information on reporting years prior to 2008-09 was collated and published by the Sustainable Development Commission (SDC) can be found on the SDC website

The information in this answer covers the Department's central administrative estate of Richmond House, Wellington House and Skipton House. The Department is a minor occupier in New Kings Beam House (HM Revenue and Customs) and Quarry House in Leeds (Department of Work and Pensions) and the data for these sites is not available to us. Reductions in 2005-06 and 2006-07 are due to the closure of one London building, Eileen House. From 2007-08, we included figures from our site in Nelson, Lancashire.

The data supplied for NHS PASA relates to energy used at their Reading, Chester and Sheffield sites. The Sheffield site was closed during 2007-08.

The Medicines and Healthcare products Regulatory Agency are unable to provide electricity data for 2004-07 or gas data for 2004-09 as the information is not available from their landlord. This information has not been used for the energy efficiency part of the Sustainable Development in Government exercise, as the gas figures are unknown.

Medicines and Healthcare Products Regulatory Authority
Consumption KWh 2007-08 2008-09

Fossil Fuel




1,672,16 4



1,672,16 4


% renewable



Cost (£)



(1) Not known
(2) Budget figure

Diabetes: Prisons

Mr. Dunne: To ask the Secretary of State for Health (1) what training his Department provides to (a) prison officers and (b) healthcare professionals on the management of diabetes in prisons; [316874]

(2) what assessment he has made of the effectiveness of healthcare services for people with diabetes in prison; [316875]

(3) what steps his Department has taken to prevent the development of type 2 diabetes among prisoners; [316876]

(4) how many adults in prison are being treated for each type of diabetes. [316877]

Phil Hope: Since April 2006, commissioning responsibility for prison health services has been fully devolved to the national health service primary care trusts (PCTs). PCTs work with the prison healthcare team to assess the health care needs of their population and develop services to meet those needs. There is no specific training for prison officers in the management of diabetes.

Local PCTs are responsible for assuring the training of their workforce and the quality of care provided in primary care settings to their local population, which includes the offender population within publicly run prisons in their locality.

All clinical staff are regulated and subject to the same standards of practice including those providing care in prisons. The standards of care expressed in the New General Medical Services Quality Outcomes Framework will be monitored, as they are in general practice, across the prison estate following the roll out of a general practitioner (GP) clinical IT system.

There is no specific programme in prisons for the prevention of type II diabetes, however, in April 2009, PCTs began phased implementation of the NHS Health Check programme which aims to prevent diabetes, stroke, heart disease and kidney disease. The programme is a universal and systematic programme for everyone between the ages of 40-74 that do not already have an existing vascular disease. The purpose of a NHS Health Check is to identify an individual's risk of diabetes, coronary heart disease, stroke and kidney disease, for this risk to be communicated in a way that the individual understands, and for that risk to be managed by appropriate follow-up.
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It is the responsibility of local PCTs to consider their different communities, including offender populations, when doing so. NHS Health Checks can be carried out in a variety settings, including pharmacies, GP practices and other community settings such as prisons. This will help ensure access to the checks by prisoners.

The Department does not collect the numbers of adults in prison being treated for each type of diabetes.

Drugs: Misuse

Mr. Dai Davies: To ask the Secretary of State for Health by what mechanism the National Treatment Agency for Substance Misuse liaises with the Advisory Council on the Misuse of Drugs. [317555]

Gillian Merron: The secretariat of the Advisory Council on the Misuse of Drugs (ACMD), working together with the Department, which sponsors the National Treatment Agency for Substance Misuse (NTA), ensures that appropriate collaboration takes place between the ACMD and NTA on matters of mutual interest.

In addition, employees of the NTA have been or are ACMD members in a personal capacity. NTA staff have appeared before the Council as expert witnesses on particular drug misuse issues and the NTA has also attended public meetings of the ACMD, as a public stakeholder.

East Midlands Strategic Health Authority: Finance

Keith Vaz: To ask the Secretary of State for Health (1) how much NHS East Midlands spent on independent investigations relating to the care of patients in each of the last five years; [317366]

(2) what the total cost to NHS East Midlands was of the independent investigation into the death of Karen Godden, reference 2007/9913. [317377]

Phil Hope: This information is not collected centrally. However, this information may be available directly from East Midlands Strategic Health Authority.

Family Nurse Partnership Programme: Finance

Mrs. Maria Miller: To ask the Secretary of State for Health what estimate has been made of the cost to the public purse of delivering the Family Nurse Partnership nationwide. [317139]

Ann Keen: We are still testing the Family Nurse Partnership programme in England, and so are not yet in a position to estimate the costs of delivering it nationwide.


Alan Keen: To ask the Secretary of State for Health if he will set out, with statistical evidence relating as closely as possible to Feltham and Heston constituency, the effects on that constituency of changes to the Department's policies since 1997. [316671]

Mr. Mike O'Brien: The Government have put in place a programme of national health service investment and reform since 1997 to improve service delivery in all parts of the United Kingdom. 93 per cent. of people
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nationally now rate the NHS as good or excellent. The NHS constitution contains 25 rights and 14 pledges for patients and the public including new rights to be treated within 18 weeks, or be seen by a cancer specialist within two weeks and an NHS health check every five years for those aged 40-74 years.

There is significant evidence that these policies have yielded considerable benefits for the Feltham and Heston constituency. For example, figures for November 2009 show that in Hounslow Primary Care Trust (PCT):

In September 2009, at West Middlesex University Hospital NHS Trust, 98.9 per cent. of patients spent less than four hours in accident and emergency from arrival to admission, transfer or discharge.

Between September 1997 and September 2008 the number of consultants at West Middlesex University Hospital NHS Trust increased from 50 to 79. Between September 1997 and September 2008 the estimated number of nurses increased from 604 to 904.

92.8 per cent. of urgent GP referrals to West Middlesex University Hospital NHS Trust with suspected cancer are seen by a specialist within two weeks of the referral.

Although statistical information is not available at a local level, Feltham and Heston will have also benefited from national policies in other areas. For example since 1997, gross current expenditure on personal social services has increased by around 70 per cent. in real terms with around 105,000 households now receiving intensive home care and 3,076 new extra care housing units - exceeding the original target of 1,500 new extra care units.

Other strategies currently being implemented are:

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