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Table 2: Individuals newly diagnosed with HIV in Islington PCT; by year of diagnosis and sex
		Year of diagnosis
Report type and sex		1990	1995	2000	2005	2008
HIV diagnoses	Men	25	29	12	28	8
	Women	5	17	13	28	6

Table 3: Individuals newly diagnosed with HIV in Islington PCT; by year and age at diagnosis
Report type and age at diagnosis		Year of diagnosis
		1990	1995	2000	2005	2008
HIV diagnoses	<20	<5	<5	<5	5	0
	20-34	18	26	15	21	7
	35-44	8	14	<5	20	<5
	45-54	<5	<5	<5	7	<5
	55+	<5	<5	<5	<5	<5

Table 4: Individuals newly diagnosed with HIV in Islington PCT; by year of diagnosis and probable route of infection
		Year of diagnosis
Report type and sex		1990	1995	2000	2005	2008
HIV diagnoses	Sex between men	20	18	7	15	<5
	Heterosexual contact	6	25	16	37	8
	Other	<5	<5	<5	<5	0

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Table 5: Individuals newly diagnosed with HIV in Islington PCT; by year of diagnosis and ethnicity
		Year of diagnosis
Report type and sex		1990	1995	2000	2005	2008
HIV diagnoses	White	14	19	10	13	5
	Black African	<5	10	10	30	<5
	Other	<5	<5	<5	9	<5
Notes: 1. Diagnoses are from reports received to end June 2009. Numbers; will rise as further reports are received. 2. Patients may live with HIV for many years before they are diagnosed. Therefore, new diagnosis data do not necessarily reflect recently acquired infections. 3. Areas when presented are area of diagnoses and not of residence. 4. Cells with counts under five have been masked to avoid the risk of deductive disclosure of an individual's identity. 5. AIDS diagnoses relate to a person's first diagnosis of an AIDS defining illness (subsequent diagnoses are not recorded). 6. AIDS diagnoses were not presented by sex, age, ethnicity or probable route of infection as numbers were too low. 7. With the Whittington hospital being the only major diagnosing site located within Islington Primary care Trust (PCT), it is highly probable that persons resident within Islington PCT are being diagnosed in neighbouring PCTs.

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Table 6: number of diagnosed HIV-infected patients accessing care, resident in Islington PCT, by age group: 2000, 2005 and 2008
	0-14	15-24	25-34	35-44	45-54	55+	Total
2000	10	9	234	276	58	22	609
2005	12	24	223	524	182	53	1018
2008	5	35	198	588	319	92	1,237

Table 7: number of diagnosed HIV-infected patients accessing care, resident in Islington PCT, by ethnic group: 2000, 2005 and 2008
	White	Black-Caribbean	Black-African	Black other	Indian/Pakistani /Bangladeshi	Other/mixed	Not known	Total
2000	465	6	72	11	6	44	5	609
2005	701	28	176	18	8	74	13	1,018
2008	823	38	206	21	14	101	34	1,237

Table 8: number of diagnosed HIV-infected patients accessing care, resident in Islington PCT, by route of infection: 2000, 2005 and 2008
	Sex between men	Injecting drug use	Heterosexual sex	Other	Not known	Total
2000	444	37	112	14	<5	608-611
2005	716	44	230	20	8	1,018
2008	823	47	281	18	68	1,237
Notes: 1. Cells with counts under five have been masked to avoid the ris;k of deductive disclosure of an individual's identity. 2. Data are not available for 1990 and 1995. 3. With the Whittington Hospital being the only major diagnosing site located within Islington PCT, it is highly probable that persons resident within Islington PCT are being diagnosed in neighbouring PCTs Source: Health Protection Agency

Home Care Services

Mr. Stephen O'Brien: To ask the Secretary of State for Health what assessment his Department has made of any unintended consequences of plans to provide free personal care at home for those in greatest need; and what steps his Department is taking to mitigate any such unintended consequences. [318191]

Phil Hope: The assessments made by the Department for the Personal Care at Home Bill are set out in the impact assessment, which has already been placed in the Library. The Department is committed to reviewing the policy within 12-18 months; any unintended or unforeseen consequences will be examined at that time.

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 3 February 2010, Official Report, columns 385-6W, on home care services, for what reason the Personal Social Services EX1 return cost of care per hour was not used in respect of the Personal Care at Home Bill. [318402]

Phil Hope: The latest Personal Social Services EX1 return (PSS EX1), provisional 2008-09 data, shows that, for adults and older people receiving home care, the hourly cost is £15 per hour (sample week activity).

The hourly cost of care used in the Personal Social Services Research Unit (PSSRU) model is based on this figure, but has been adjusted to £15.75 per hour at 2011-12 prices. We have used the PSSRU modelling, since it is specialist independent analysis, using a microsimulation model constructed to produce analyses for the Care and Support Green Paper and White Paper.

Mr. Stephen O'Brien: To ask the Secretary of State for Health what methodology was used to calculate the 6.54 figure for the average number of hours of personal care per week on page 16 of the Impact Assessment for the Personal Care at Home Bill. [318474]

Phil Hope: The figure of 6.54 hours per week is drawn from the Personal Social Services Research Unit (PSSRU) modelling, which is in turn rooted in current patterns of care. The PSSRU model shows an average package of community-based care for those in the critical Fair Access to Care Services category of around 8.7 hours per week. The PSSRU assumes, on the basis of Personal Social Services EX1 return (PSS EX1) data, that 74 per cent. of this package-around 6.5 hours per week-is home care. The Department then assumes that around 85 per cent. of the home care hours-around 5.5 hours per week on average-is personal care.

The cost estimate for the Personal Care at Home Bill implies eight hours of personal care per week for new entrants to publicly funded care. This is because the Department has made more generous allowance for the demand effects of free personal care than the PSSRU modelling.

Mr. Stephen O'Brien: To ask the Secretary of State for Health from which budgets he expects his
25 Feb 2010 : Column 753W
Department's contribution to the funding of free personal care at home to be made; and by how much in each such case. [318184]

Phil Hope: Changes to planned expenditure in 2010-11 to cover the Department's contribution to the funding of the Personal Care at Home Bill include nearly £50 million from indicative advertising and communications spending, over £60 million from management consultancy spending and over £20 million in reduced administration costs.

In addition, a saving of £62 million will be achieved by transferring responsibility for research activity from other departmental budgets to the Department's ring-fenced research and development budget. That budget will rise to over £1 billion in 2010-11. The research it currently funds will continue as planned.

Hospitals: Waiting Lists

Mr. Stephen O'Brien: To ask the Secretary of State for Health whether his Department has received recent reports that GPs in some areas are delaying referrals to hospital for treatment in order to meet waiting time targets. [318189]

Mr. Mike O'Brien: The Department is not aware of recent reports that general practitioners (GPs) in some areas are delaying referrals to hospital for treatment in order to meet waiting time targets.

GPs have a duty to ensure that patient referrals are based on clinical need. Our policy is clear: all patients should be treated without unnecessary delay according to their clinical need.

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