Dental Services

Ms Abbott: To ask the Secretary of State for Health how many people saw an NHS dentist at least once in (a) 2010 and (b) 2011. [94541]

20 Feb 2012 : Column 681W

Mr Simon Burns: Information is not available in the format requested.

The number of patients seen by a national health service dentist in the previous. 24 months, in England, is available in Table 3a of the “NHS Dental Statistics for England—2011/12, First quarterly report”. Information is available at quarterly intervals from 30 June 2009 to 30 September 2011.

Note that the ‘patients seen' measure shows the number of patients who received NHS dental care in the previous 24 months: an equivalent measure covering the 12 month period is not available.

This report, published on 24 November 2011, has been placed in the Library and is also available on the NHS Information Centre website at:

www.ic.nhs.uk/pubs/dentalstats1112q1

Dental Services: Cumbria

Tim Farron: To ask the Secretary of State for Health what estimate he has made of the number of NHS dentists required to meet demand for NHS dental care in (a) Cumbria and (b) Westmorland and Lonsdale constituency. [94896]

Mr Simon Burns: Decisions about the provision of local health services, including NHS dental care services, are a matter for the local national health service.

Details on future plans for investment in NHS dental care services in the Cumbria area can be obtained from Cumbria Teaching primary care trust.

Departmental Manpower

John Pugh: To ask the Secretary of State for Health how many staff were on his Department’s payroll in (a) June 2010, (b) June 2011 and (c) January 2012. [94544]

Mr Simon Burns: The numbers of civil servants on the Department’s payroll for specific dates are presented in the following table.

  Full-time equivalent staff

30 June 2010

2,596

30 June 2011

2,393

31 January 2012

2,311

Ministerial Policy Advisers

Ms Abbott: To ask the Secretary of State for Health whether the special advisers in his Department have declared any external employment in the last 12 months. [95443]

Mr Simon Burns: None of the special advisers has declared any external employment while working for the Department.

Procurement: Capital Bonds

Mr Thomas: To ask the Secretary of State for Health (1) what proportion of the total value of contracts issued or to be issued by his Department in 2011-12 have required successful organisations to put up a capital bond; and if he will make a statement; [94918]

20 Feb 2012 : Column 682W

(2) which contracts his Department has tendered or will tender in 2011-12 which require successful organisations to have a capital bond of more than £5 million; which contracts have not required such a bond; and if he will make a statement. [94934]

Mr Simon Burns: The Department does not keep central records of procurements where capital bonds have been or will be required. Inquiries have been made of the directorates across the Department that have responsibility for managing contracts, and they report that they do not routinely require capital bonds, have no record of their use in 2011-12 and have no plans to use them in the remainder of this period.

Doctors: Pay

Rosie Cooper: To ask the Secretary of State for Health (1) how many doctors working in clinical commissioning groups are being paid an hourly or sessional rate and also having an additional payment made either to themselves or their practice for the provision of locum cover; [95207]

(2) how many doctors working in clinical commissioning groups have had their hourly or sessional rate approved by the Treasury; [95208]

(3) whether a requirement exists for Treasury approval for any doctor working in clinical commissioning groups and receiving a payment that pro-rata would be higher than the salary of the Prime Minister; [95209]

(4) how many doctors working in clinical commissioning groups receive an hourly or sessional rate that, if paid on a full-time rate, would be higher than the salary of the Prime Minister; [95210]

(5) how many doctors working in clinical commissioning groups are being paid on (a) an hourly or (b) sessional rate. [95211]

Mr Simon Burns: Information on remuneration for doctors working for emerging clinical commissioning groups (CCGs) is not held centrally.

Once established, the governing body of a CCG will have the responsibility to determine remuneration, fees and allowances payable to employees of the CCG and to those that provide services to the CCG.

Each clinical commissioning group will have a limit on administrative spending placed upon it by the NHS Commissioning Board and it is up to each clinical commissioning group to determine how much of that envelope it spends on pay.

Eating Disorders

Ms Abbott: To ask the Secretary of State for Health how many cases of (a) anorexia and (b) bulimia were diagnosed in each region for patients of each (i) age group and (ii) sex in (A) 2010 and (B) 2011. [94504]

Paul Burstow: We have not collected the exact data requested. However, comprehensive statistics on the prevalence of eating disorders for 2007 can be found in the Adult Psychiatric Morbidity Survey and the following tables show breakdowns of the data collected in 2007 by age, gender and Government office region for eating disorders.

20 Feb 2012 : Column 683W

20 Feb 2012 : Column 684W

Screen positive for eating disorder in the past year, by region (1) and sex, 2007
Percentage
  Government office region Strategic health authority
SCOFF score North East North West Yorks and the Humber East Midlands West Midlands East of England London South West South East South East Coast South Central

Men

                     

Two or more(2)

3

4.8

2.7

2.7

4.6

3.1

2.8

3.7

3.6

3.1

4.1

Two or more with significant impact

0.6

0.9

0.4

1

0.4

0.6

1

0.4

0.8

                       

Women

                     

Two or more(2)

6.8

9.6

9.1

10.6

10.4

7.5

10.3

9.2

8.4

9.3

7.4

Two or more with significant impact

2.5

2.7

2.2

1.6

3.5

1.3

2.4

3.5

2.6

2.4

2.7

(1) This table provides data for regional analysis both by Government office region (GOR) and strategic health authorities (SHAs). The first eight columns represent GORs and SHAs of the same name, while the South East GOR (column nine) is divided into South East Coast SHA and South Central SHA, shown in the final two columns. (2) The ‘two or more’ group includes those with a SCOFF score of two or more and reporting significant impact. Note: The SCOFF screening tool for eating disorders was administered to respondents as part of the self-completion section of the interview. Endorsement of two or more items represented a positive screen for eating disorder. This threshold indicates that clinical assessment for eating disorder is warranted. Source: Adult Psychiatric Morbidity in England, 2007 Survey.
Screen positive for eating disorder in past year, by age and sex, 2007
Percentage
  Age group  
SCOFF score 16-24 25-34 35-44 45-54 55-64 65-74 75+ All

Men

               

Two or more(1)

6.1

5.1

3.3

3.7

2

1.5

0.5

3.5

Two or more with significant impact

1.7

0.7

0.3

0.8

0.1

0.3

0.6

                 

Women

               

Two or more(1)

20.3

12.6

10

9.9

3.9

2.4

0.9

9.2

Two or more with significant impact

5.4

3.6

2.5

3.1

0.9

0.6

0.1

2.5

(1) The ‘two or more’ group includes those with a SCOFF score of two or more and reporting significant impact. Note: The SCOFF screening tool for eating disorders was administered to respondents as part of the self-completion section of the interview. Endorsement of two or more items represented a positive screen for eating disorder. This threshold indicates that clinical assessment for eating disorder is warranted. Source: Adult Psychiatric Morbidity in England, 2007 Survey.

Food Standards Agency: Expenditure

Austin Mitchell: To ask the Secretary of State for Health how much the Food Standards Agency spent on direct commissioning of scientific research projects in the last year for which figures are available; how much of this was spent on research into anecdotal reports of food intolerance; and what steps the agency takes to ensure the (a) value for money and (b) scientific credibility of such projects before commissioning them. [94696]

Anne Milton: The overall spend by the Food Standards Agency (FSA) on science and evidence gathering work in 2010-11, the last year for which figures are available, was £24.3 million. Further details on how this figure was divided between the strategic themes within the science and evidence portfolio are provided in the Annual Report of the Chief Scientist 2010-11, which can be found at:

www.food.gov.uk/multimedia/pdfs/publication/csr1011.pdf

In 2010-11, £63,930 was spent on one project on reported reactions to the sweetener aspartame.

The FSA ensures value for money in science and evidence work and the scientific credibility of research prior to commissioning through:

The development and publication of the Science and Evidence Strategy for 2010 2015, offering a clear vision of how to meet the challenges of delivering safer food for the nation, supported by the annual Forward Evidence Plan;

The co-funding of research, to the value of £5.2 million in 2010-11, and partnerships with other Government Departments and funding bodies such as the Research Councils in areas of joint interest;

A tendering process, including peer review of proposals by external experts to ensure that we commission the best quality research, and within a framework on governance and use of science, on which the FSA is advised by the independent General Advisory Committee on Science; and

Close monitoring of projects by programme managers and project officers.

Austin Mitchell: To ask the Secretary of State for Health with whom the Food Standards Agency has

20 Feb 2012 : Column 685W

contracted to undertake research into anecdotal reports of intolerance to dietary intake of low calorie sweeteners; how much it has spent on that project to date; what the total expenditure is likely to be by completion; what progress has been made on the project to date; and if the agency will ensure that the data from the study are made available to the European Food Safety Agency in time to inform its review of the science in this area. [94697]

Anne Milton: The Food Standards Agency (FSA) has commissioned Hull university to carry out the research on alleged adverse reactions to aspartame. To date £352,357 has been spent on this project.

A number of individuals who reported reactions after consuming aspartame, and of those who normally consume foods containing aspartame without reporting reactions, have been recruited. However, additional recruitment, which will increase costs, will be necessary and the FSA is currently in discussion with the contractors concerning the remaining work to complete the study.

The FSA is aware that the European Food Safety Authority (EFSA) is reviewing aspartame and that it is very interested in this particular United Kingdom study, the FSA will inform EFSA about the expected date the results will be available.

Genito-urinary Medicine

Ms Abbott: To ask the Secretary of State for Health what assessment he has made of how the indicators in his Public Health Outcomes Framework for sexual and reproductive health reflect the life course approach as set out in “Healthy Lives, Healthy People: transparency in outcomes, proposals for a public health outcomes framework”; and if he will make a statement. [95375]

Anne Milton: “Improving Outcomes and Supporting Transparency: a public health outcomes framework for England”, published on 23 January 2012, a copy of which has already been placed in the Library, contains indicators which, when taken together, will contribute to increasing healthy life expectancy and reducing health inequalities across the life course. Individual indicators within the framework may have more relevance to some age groups than others, according to evidence on where the greatest risks to health lie.

The Public Health Outcomes Framework contains indicators on reducing under-18 conceptions, on chlamydia diagnoses in the 15 to 24 age group and on reducing the number of people presenting with HIV at a late stage of infection. There is high-quality data available to measure these indicators, and all cover a range of significant risks.

Ms Abbott: To ask the Secretary of State for Health (1) what plans his Department has to include outcome indicators for sexual and reproductive health in its forthcoming sexual health policy document; [95369]

(2) whether he proposes that outcome indicators in the forthcoming sexual health policy document will take a life course approach as set out in “Healthy Lives, Healthy People: transparency in outcomes, proposals for a public health outcomes framework”; and if he will make a statement. [95370]

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Anne Milton: The sexual health policy document will set sexual health improvement in the context of health modernisation and the proposed new commissioning arrangements. It will promote the evidence base for improving sexual health, including behaviour change and links to wider public health issues. It will not contain any additional sexual health indicators, but will instead give service commissioners the evidence and tools they need to set locally-based indicators, should they wish to do so, to improve the sexual health of their local populations.

Health

Ms Abbott: To ask the Secretary of State for Health what new resources he plans to provide areas with the highest rates of (a) obesity-related and (b) alcohol-related ill health. [94503]

Anne Milton: From 2013-14 the Department intends to allocate a ring-fenced public health grant; targeted for health inequalities; to upper-tier and unitary local authorities for improving the health and wellbeing of local populations.

The Advisory Committee on Resource Allocation has advised on the public health allocation formula, to inform the distribution of the public health grant across local authorities. Their recommendations will be published in the coming weeks.

It will be for local authorities to decide local spending priorities in light of their Joint Strategic Needs Assessments and joint health and wellbeing strategies.

Ms Abbott: To ask the Secretary of State for Health what plans his Department has to review and update the indicators set out in the Public Health Outcomes Framework; and if he will make a statement. [95368]

Anne Milton: The Public Health Outcomes Framework is intended to apply for a three-year period, but with annual reviews to reflect improved data quality and technical developments and to ensure continued alignment with the national health service and adult social care frameworks.

We will continue to work closely with a wide range of stakeholders in further developing the framework, including local government, the NHS, third sector organisations, professional groups and other interested parties.

Health Services: Cumbria

Tim Farron: To ask the Secretary of State for Health how much has been spent on (a) primary and (b) acute health care in (i) Cumbria, (ii) south Cumbria and (iii) Westmorland and Lonsdale constituency in each of the last 10 years. [94857]

Mr Simon Burns: Information showing the purchase of primary and secondary health care in each year since 2004-05 by primary care trusts (PCTs) in Cumbria is shown in the following table:

£000
Organisation Total primary health care purchased Total secondary health care purchased

2004-05

   

Carlisle and District PCT

38,209

99,050

Eden Valley PCT

21,728

61,213

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West Cumbria PCT

41,900

119,355

Morecambe Bay PCT

91,673

286,440

     

2005-06

   

Carlisle and District PCT

37,904

100,733

Eden Valley PCT

23,571

68,163

West Cumbria PCT

44,062

121,862

Morecambe Bay PCT

102,567

307,787

     

2006-07

   

Cumbria PCT

176,609

481,027

     

2007-08

   

Cumbria PCT

188,795

518,901

     

2008-09

   

Cumbria PCT

192,042

556,150

     

2009-10

   

Cumbria PCT

200,016

614,207

     

2010-11

   

Cumbria PCT

222,443

646,995

Notes: 1. The lowest level of detail at which financial data are collected by the Department for statutory accounting is by PCT. Data by constituency are not held centrally. 2. In 2006, Cumbria PCT was formed following a merger of four predecessor PCTs (Carlisle and District PCT, Eden Valley PCT, West Cumbria PCT and part of Morecambe Bay PCT). Morecambe Bay PCT was split across two PCTs. It is not possible to disaggregate the figures for the part which merged to become Cumbria PCT. 3. The figures provided for 2004-05 and 2005-06 are therefore the sum of the equivalent figures in the predecessor PCTs. 4. The figures are taken from the audited summarisation schedules, from which the NHS (England) Summarised Accounts are prepared. 5. In common with many other public and private sector organisations, the Department only holds accounting data at organisation level for seven years, and therefore 2004-05 is the first year for which data can be provided. Source: 2004-05 to 2010-11 PCT audited summarisation schedules

Tim Farron: To ask the Secretary of State for Health what steps his Department is taking to reduce inequalities in respect of (a) health outcomes and (b) life expectancy in Cumbria. [94898]

Anne Milton: The Government are committed to reducing health inequalities by tackling the differences in access to, and outcomes of, national health service treatment; addressing the wider, social causes of ill health and early death; and improving individual healthy lifestyles.

The public health white paper outlines a vision for a public health system that puts local authorities at its heart and announced the establishment of Public Health England. The two main principles include empowering individuals and communities to address their own health and well-being needs; and a commitment to a locally-driven system, with directors of public health and their colleagues in local authorities influencing and driving action in communities.

The Health and Social Care Bill proposes legal duties for NHS commissioners and the Secretary of State for Health around tackling inequalities. Subject to

20 Feb 2012 : Column 688W

parliamentary approval, the NHS Commissioning Board and clinical commissioning groups will each be under a duty to have regard to the need to reduce inequalities in access to, and the outcomes of, healthcare.

The Secretary of State will have a wider duty to have regard to the need to reduce inequalities relating to the health service (including both NHS and public health).

Responding to the analysis set out in the Marmot review of inequalities, Public Health England will also play a key role in tackling inequalities. From 2013-14, the Department intends to allocate a ring-fenced public health grant, targeted for health inequalities, to upper-tier and unitary local authorities for improving the health and well-being of local populations.

Within a broad strategy to tackle health inequalities across the country, the health needs of the most vulnerable people will be addressed through the Inclusion Health programme, which will focus on improving access and outcomes for vulnerable groups.

Subject to the passage of the Health and Social Care Bill, Public Health England is to be created in April 2013 and will deliver the Government's vision of a strong, integrated public health service encompassing the three domains of public health: health protection, health improvement and health services.

The NHS is responsible for action to reduce health inequalities locally. Information on local plans to tackle health inequalities and progress already made in Cumbria can be obtained from NHS Cumbria.

Health Services: Foreign Nationals

Chris Skidmore: To ask the Secretary of State for Health if he will place in the Library how much unpaid debt was owed to the NHS for the treatment of foreign nationals from each country in the latest period for which figures are available. [94851]

Anne Milton: The Department does not hold this information.

Health Services: Greater London

Mr Thomas: To ask the Secretary of State for Health who will provide strategic leadership for London's health services from April 2013; and if he will make a statement. [94897]

Mr Simon Burns: The key focus of strategic thinking in London, as elsewhere, will be the joint strategic needs assessment and joint health and well-being strategy produced by clinical commissioning groups and local authorities through Health and Well-being Boards.

In some cases where a wider geographical focus is needed, such as specialised commissioning, the NHS Commissioning Board will, working with others, provide leadership through its sub-national arrangements.

Health Services: Scotland

Cathy Jamieson: To ask the Secretary of State for Health when he last met the Cabinet Secretary for Health in the Scottish Government; and when he next plans to meet the Cabinet Secretary for Health in the Scottish Government. [95158]

20 Feb 2012 : Column 689W

Mr Simon Burns: The Secretary of State for Health last met with the Cabinet Secretary for Health in the Scottish Government on 10 February 2012. No further meetings have currently been arranged.

Health Visitors: Manpower

Ms Abbott: To ask the Secretary of State for Health how many health visitors there were in each (a) region and (b) primary care trust in terms of (i) headcount and (ii) full-time equivalent staff in (A) 2010 and (B) 2011. [94509]

Anne Milton: Information relating to 2011 will be available from April 2012.

A table containing data for 2010 has been placed in the Library.

Hospices: Finance

Brandon Lewis: To ask the Secretary of State for Health how much funding the Government have provided for hospices in each year since 2007. [94786]

Paul Burstow: The Department does not provide funding to adult hospices; this is the responsibility of primary care trusts. The Department has provided some capital funding support to hospices: £50 million in 2006, later increased to £54 million, most of which was allocated during 2007 to 2009, and £40 million in 2010-11.

The Department provides funding for children's hospices through the children's hospice and hospice-at-home grant scheme. Annual allocations are set out in the following table.

  £ million

2007-08

9

2008-09

9

2009-10

10

2010-11

10

2011-12

10

Hospitals: Cleaning Services

Ms Abbott: To ask the Secretary of State for Health whether he is planning a deep clean of hospitals in 2012. [94506]

Mr Simon Burns: There are no plans to undertake a national deep clean programme in the national health service. However, trusts' strategic and operational cleaning plans should make provision for ongoing deep cleaning activity. All hospitals are required to provide a clean and safe environment for healthcare to ensure their continuing registration with the Care Quality Commission. High standards of cleanliness support continued reductions in healthcare-associated infections.

Patients rightly expect hospitals to be clean and the new patient-led inspections of wards announced by the Prime Minster in January 2012 will provide them with a voice that can be heard in any discussion about local standards of care.

20 Feb 2012 : Column 690W

Hospitals: Food

Dan Byles: To ask the Secretary of State for Health what the average cost is of a meal provided to an in-patient in (a) NHS and (b) foundation trust acute hospitals. [94833]

Mr Simon Burns: The information is not available in the format requested.

In 2010-11, the Department collected data from national health service trusts for the average total daily cost for the provision of all meals and beverages fed to one patient per day. This cost relates to all meals and beverages provided to a patient in a day, not the cost of a single meal. For 2010-11, the average total daily cost across NHS acute hospital trusts was £8.39, and across foundation trust acute hospitals it was £8.32. The cost is inclusive of all pay and non-pay costs, including provisions, ward issues, disposables, equipment and its maintenance.

The information has been supplied by the NHS and has not been amended centrally. The accuracy and completeness of the information is the responsibility of the provider organisation.

Hospitals: Private Finance Initiative

John Pugh: To ask the Secretary of State for Health which hospitals that pay PFI charges (a) will and (b) will not receive additional financial support in 2012-13. [94545]

Mr Simon Burns: A review has been undertaken to analyse the extent to which private finance initiative (PFI) schemes are, in themselves, a determinant to why national health service providers may not be clinically or financially viable and where additional support may be needed to address this. This work has determined, so far, that the following organisations will need some additional support to enable them to be sustainable providers of high quality health care services:

Barking, Havering and Redbridge University Hospitals NHS Trust;

Dartford and Gravesham NHS Trust;

Maidstone and Tunbridge Wells NHS Trust;

North Cumbria University Hospitals NHS Trust;

Peterborough and Stamford Hospitals NHS Foundation Trust;

South London Healthcare NHS Trust; and

St Helens and Knowsley NHS Trust.

To meet the criteria for such support, this shortlist of affected trusts will need to demonstrate that they had met four key tests:

the problems they face should be exceptional and beyond those faced by other organisations;

they must be able to show that the problems they face are historic and that they have a clear plan to manage their resources in the future;

they must show that they are delivering high levels of annual productivity savings; and

they must deliver clinically viable, high quality services, including delivering low waiting times and other performance measures.

On the basis of meeting these requirements, these trusts will have access to the national support being made available. Some of this funding will be available from 2012-13 and the trusts who will receive this during this period will be determined following the conclusions of the ongoing review on a case-by-case basis for each organisation.

20 Feb 2012 : Column 691W

John Pugh: To ask the Secretary of State for Health how much additional financial support for hospitals with high PFI charges has been allocated to hospitals in (a) London and (b) other areas. [94546]

Mr Simon Burns: A review has been undertaken to analyse the extent to which private finance initiative (PFI) schemes are, in themselves, a determinant to why national health service providers may not be clinically or financially viable and where additional support may be needed to address this. This work has determined, so far, that the following organisations will need some additional support to enable them to be sustainable providers of high quality health care services:

London

Barking, Havering and Redbridge University Hospitals NHS Trust

South London Healthcare NHS Trust

Other areas

Dartford and Gravesham NHS Trust

Maidstone and Tunbridge Wells NHS Trust

North Cumbria University Hospitals NHS Trust

Peterborough and Stamford Hospitals NHS Foundation Trust

St Helens and Knowsley NHS Trust

For these the amounts that may be allocated to PFI schemes in London and other areas will be determined following the conclusions of the ongoing review on a case by case basis for each organisation.

Hull and East Yorkshire Hospitals NHS Trust: Overseas Visitors

Mr David Davis: To ask the Secretary of State for Health (1) what costs have been invoiced to foreign patients not entitled to free NHS care by Hull and East Yorkshire Hospitals NHS Trust in each of the last five years; [95581]

(2) what proportion of costs invoiced to foreign patients not entitled to free NHS care by Hull and East Yorkshire Hospitals NHS Trust have been written off in each of the last five years. [95588]

Mr Simon Burns: Trusts' accounts report total audited income from overseas patients under non-reciprocal arrangements(1), and bad debt and claims abandoned for overseas patients. As well as foreign nationals who are not ordinarily resident in the United Kingdom, the data include income from, and written off debt for, UK nationals who are not ordinarily resident here.

The value of bad debt and claims abandoned for overseas patients for Hull and East Yorkshire National Health Service Trust (HEY) for 2006-07 to 2010-11 is shown in the following table.

(1) This means the amount invoiced for national health service hospital treatment to overseas patients not entitled to free NHS care.

Financial year Bad debts and claims abandoned in respect of overseas patients (£)

2010-11

23,601

2009-10

4,706

2008-09

7430

2007-08

5,431

2006-07

0

Source: NHS Trust Audited Summarisation Schedules

20 Feb 2012 : Column 692W

HEY's accounts report no income related to overseas patients in the years in question. However, HEY has informed the Department that the income has been recorded in its accounts under the private patient income heading. My right hon. Friend may wish to approach HEY for further information.

Incontinence

Mr Woodward: To ask the Secretary of State for Health how many NHS operations to insert a transobturata tape procedure or tensions-free vaginal tape procedure polypropylene mesh bladder sling to treat stress urinary incontinence in women there have been in each of the last eight years; and how many (a) adverse event reports there have been associated with such slings and (b) operations to remove such slings in the same period. [95457]

Mr Simon Burns: The information is shown in the following tables:

Procedure 2006-07 2007-08 2008-09 2009-10 2010-11

Insertion of Transobturator Tape

2,580

5,045

5,750

5,569

5,426

Removal of Transobturator Tape

68

79

96

128

95

Insertion of Tension-Free Vaginal Tape

6,137

8,817

8,503

8,397

8,087

Removal of Tension-Free Vaginal Tape

287

417

506

475

508

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre. Activity in English national health service hospitals and English NHS commissioned activity in the independent sector

HES is unable to provide data for the years previous to 2006-07.

The Medicines and Healthcare products Regulatory Agency (MHRA) has received 107 incident reports since 2005 involving vaginal mesh tapes used for stress urinary incontinence (SUI) as follows:

  Adverse Incident Reports

2005

8

2006

25

2007

3

2008

18

2009

19

2010

15

2011

19

In addition, the MHRA has also had six reports in 2010, and 19 in 2011, where the device is unknown but we believe they are likely to relate to vaginal tapes for SUI.

Information Centre for Health and Social Care

Grahame M. Morris: To ask the Secretary of State for Health whether his Department plans to change the (a) function and (b) operation of the NHS Information Centre. [94782]

Mr Simon Burns: The Department’s consultation document “Liberating the NHS: An Information Revolution” set a clear vision for the Health and Social Care Information Centre to become a focal point for

20 Feb 2012 : Column 693W

information collected from national health service and social care organisations in England. A copy has already been placed in the Library. The Information Centre will help to join up information and make health and adult social care information more accessible for patients, service users and professionals. Provisions in part 9 of the Health and Social Care Bill are designed to support and clarify the Information Centre’s role and functions.

The intention is to streamline and simplify national health and adult social care information collections within a single organisation—the Information Centre. The centre’s remit will include social care, thus creating a clearer picture of care delivered and the outcomes achieved.

Innovation

Chi Onwurah: To ask the Secretary of State for Health what assessment his Department has made of the effect of value-based pricing on innovation. [95238]

Mr Simon Burns: Our plans for a new value-based pricing system for new medicines will be designed to encourage and support the development of innovative medicines that deliver significantly improved outcomes for patients and for society as a whole at a price that represents value for the national health service and for taxpayers.

The Department's impact assessment provides more detail on the possible impact of value-based pricing on innovation and is available at:

www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_122823.pdf

IVF

Karl McCartney: To ask the Secretary of State for Health what steps he has taken to encourage primary care trusts to adhere to the 2004 National Institute for Health and Clinical Excellence guideline on provision of three full cycles of IVF to eligible couples in the last 12 months. [95092]

Anne Milton: Primary care trusts are fully aware of their statutory commissioning responsibilities and the need to base commissioning decisions on clinical evidence and discussions with local general practitioner commissioners, secondary care clinicians and providers. The national health service deputy chief executive, David Flory, wrote to primary care trust commissioners last year to highlight to those involved in commissioning fertility services the importance of having regard to the National Institute for Health and Clinical Excellence fertility guidelines, including the recommendation that up to three cycles of in vitro fertilisation are offered to eligible couples where the woman is aged between 23 and 39.

Additionally, we support Infertility Network UK, a leading patient support organisation, to develop and promote standardised access criteria and to work in partnership with commissioners to encourage good practice in the provision of fertility services.

Kate Green: To ask the Secretary of State for Health what recent assessment he has made of the commissioning arrangements for IVF. [95407]

20 Feb 2012 : Column 694W

Anne Milton: The Government are supporting Infertility Network UK (INUK), the leading infertility support group, to undertake a primary care trusts liaison project. The purpose of this three-year project is to gauge the extent to which commissioners are following the recommendations of the National Institute for Health and Clinical Excellence fertility guideline and sharing good practice in their treatment of people with fertility problems. A final report from the project is due later this year.

Learning Disability: Advocacy

Richard Burden: To ask the Secretary of State for Health what assessment he has made of (1) best practice by local authorities for the provision of independent advocacy services for people with learning disabilities; [95141]

(2) independent advocacy services funded by local authorities in ensuring equal access to services by people with learning disabilities. [95142]

Paul Burstow: The Department of Health and the Department for Communities and Local Government make resources available to local authorities (LAs) for them to decide how they best support people with learning disabilities. Most LAs commission independent advocacy for people with learning disabilities as part of the support and services they offer them.

The Department has however funded the development of a ‘quality mark’ scheme, whereby an advocacy umbrella organisation, “Action for Advocacy”, will carry out an assessment of the quality of advocacy offered by advocacy organisations and will award a quality mark where an organisation meets certain standards. This is an innovative scheme, developed by the sector for the sector, with the aim of recognising quality where it exists and assisting all advocacy organisations to identify quality as an important part of their work. The quality mark is a form of assessment and the organisations which have achieved this are listed on the website of “Action for Advocacy”.

LAs are required under equality legislation to ensure that a variety of measures are available to enable equal access to services. Advocacy plays an important part in this.

Malaria

Ms Abbott: To ask the Secretary of State for Health how many cases of malaria there were in each region in (a) 2010 and (b) 2011. [94385]

Anne Milton: The Health Protection Agency's (HPA) Malaria Reference Laboratory conducts enhanced surveillance of malaria in the United Kingdom. Data are collected by county and have been aggregated to approximate regions for cases in 2010 as shown in the following table. Data will not be available for 2011 until March 2012.

  2010 malaria cases (all species)

East of England

183

London

828

South East

247

20 Feb 2012 : Column 695W

South West

44

North West

102

West Midlands

110

Yorkshire and the Humber

94

East Midlands

53

North East

8

   

Wales

30

Scotland

54

Northern Ireland

6

Other

2

Total

1,761

Further information about malaria in the UK is published on the HPA website at:

www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/Malaria/EpidemiologicalData/

Maternity Services: Expenditure

Ms Abbott: To ask the Secretary of State for Health how much was spent on maternity services in each (a) region and (b) NHS trust in (i) 2010 and (ii) 2011. [Official Report, 1 March 2012, Vol. 541, c. 1MC.] [94510]

Anne Milton: This information is not collected in the format requested. The Department collects accounting data based on commissioning, of secondary health care by financial year. Information regarding expenditure on the purchase of secondary health care relating to maternity services by strategic health authority (SHA) region and primary care trust in 2009-10 and 2010-11 is set out in the following tables.

Table 1: Expenditure on the purchase of secondary health care relating to maternity services by SHA region
£000
Region 2009-10 2010-11

North East SHA

101,419

114,257

North West SHA

329,607

346,241

Yorkshire and Humber SHA

268,088

262,697

East Midlands SHA

178,459

206,929

West Midlands SHA

258,973

277,764

East of England SHA

259,029

265,409

London SHA

462,634

479,526

South East Coast SHA

164,272

167,141

South Central SHA

174,318

179,337

South West SHA

210,592

233,049

Source: 2009-10 and 2010-11 PCT Audited Summarisation Schedules
Table 2: Expenditure on the purchase of secondary health care relating to maternity services by primary care trust (PCT)
£000
Organisation 2009-10 purchase of secondary health care: Maternity 2010-11 purchase of secondary health care: Maternity

Ashton, Leigh and Wigan PCT.

14,306

14,807

Barking and Dagenham PCT

87,335

2,733

Barnet PCT

217,662

22,577

Barnsley PCT

10,747

13,449

Bassetlaw PCT

5,414

5,488

Bath and North East Somerset PCT

6,651

7,075

Bedfordshire PCT

20,207

19,997

20 Feb 2012 : Column 696W

Berkshire East PCT

19,557

20,517

Berkshire West PCT

23,810

24,777

Bexley NHS Care Trust PCT

9,864

12,720

Birmingham East and North PCT

21,132

22,410

Blackburn with Darwen PCT(1)

7,672

0

Blackburn with Darwen Teaching Care Trust Plus PCT(1)

0

8,759

Blackpool PCT

5,297

4,973

Bolton PCT

15,303

15,885

Bournemouth and Poole PCT

15,996

16,306

Bradford and Airedale PCT

28,654

30,987

Brent Teaching PCT

17,563

17,399

Brighton and Hove City PCT

8,974

8,871

Bristol PCT

27,293

26,778

Bromley PCT

10,663

13,734

Buckinghamshire PCT

22,598

24,384

Bury PCT

9,836

9,566

Calderdale PCT

10,155

10,171

Cambridgeshire PCT

21,386

24,109

Camden PCT

15,481

12,756

Central and Eastern Cheshire PCT

18,790

23,164

Central Lancashire PCT

24,766

20,753

City and Hackney Teaching PCT

17,992

19,027

Cornwall and Isles of Scilly PCT

16,221

14,922

County Durham PCT

19,690

20,291

Coventry Teaching PCT

17,068

19,199

Croydon PCT

21,650

22,736

Cumbria PCT

14,812

14,104

Darlington PCT

3,691

3,783

Derby City PCT

16,336

14,628

Derbyshire County PCT

20,244

22,968

Devon PCT

29,703

41,385

Doncaster PCT

13,111

13,755

Dorset PCT

11,898

12,356

Dudley PCT

12,872

16,925

Ealing PCT

13,831

15,140

East and North Hertfordshire PCT(2)

26,386

0

East Lancashire Teaching PCT

17,725

18,187

East Riding of Yorkshire PCT

10,945

10,156

East Sussex Downs and Weald PCT

11,632

12,659

Eastern and Coastal Kent PCT

26,575

25,749

Enfield PCT

18,103

18,332

Gateshead PCT

4,745

7,081

Gloucestershire PCT

20,507

20,915

Great Yarmouth and Waveney PCT

5,521

7,466

Greenwich Teaching PCT

22,776

19,636

Halton and St Helens PCT

15,243

15,526

Hammersmith and Fulham PCT

12,368

11,114

Hampshire PCT

46,550

49,187

Haringey Teaching PCT

11,728

15,332

Harrow PCT

7,010

8,589

Hartlepool PCT

4,135

3,891

Hastings and Rother PCT

6,130

8,371

Havering PCT

8,688

10,184

20 Feb 2012 : Column 697W

Heart of Birmingham Teaching PCT

21,827

21,345

Herefordshire PCT

7,919

6,587

Hertfordshire PCT(2)

0

58,224

Heywood, Middleton and Rochdale PCT

12,862

11,852

Hillingdon PCT

10,809

15,001

Hounslow PCT

13,476

13,540

Hull PCT

17,481

13,908

Isle of Wight NHS PCT

6,244

3,605

Islington PCT

14,846

10,543

Kensington and Chelsea PCT

4,817

4,339

Kingston PCT

8,916

10,961

Kirklees PCT

25,131

23,994

Knowsley PCT

6,806

7,876

Lambeth PCT

21,666

22,603

Leeds PCT

43,244

35,893

Leicester City PCT

19,060

21,377

Leicestershire County and Rutland PCT

26,966

36,883

Lewisham PCT

24,006

24,006

Lincolnshire Teaching PCT

28,515

37,903

Liverpool PCT

24,436

28,166

Luton Teaching PCT

10,629

14,280

Manchester PCT

24,658

23,861

Medway PCT

12,089

11,551

Mid Essex PCT

12,806

14,897

Middlesbrough PCT

6,485

8,887

Milton Keynes PCT

14,029

13,578

Newcastle PCT

7,511

7,910

Newham PCT

27,358

25,936

Norfolk PCT

26,316

27,910

North East Essex PCT

14,683

14,831

North East Lincolnshire Care Trust Plus PCT

5,103

5,189

North Lancashire Teaching PCT

6,583

6,526

North Lincolnshire PCT

8,552

8,633

North Somerset PCT

9,114

9,061

North Staffordshire PCT

4,969

5,887

North Tyneside PCT

20,636

22,901

North Yorkshire and York PCT

27,441

27,763

Northamptonshire Teaching PCT

26,780

31,165

Northumberland Care PCT

8,912

9,369

Nottingham City PCT

13,663

14,035

Nottinghamshire County Teaching PCT

21,781

22,482

Oldham PCT

12,462

12,084

Oxfordshire PCT

20,383

22,224

Peterborough PCT

8,054

11,609

Plymouth Teaching PCT

9,051

12,115

Portsmouth City Teaching PCT

7,990

7,707

Redbridge PCT

9,649

10,413

Redcar and Cleveland PCT

4,902

6,658

Richmond and Twickenham PCT

9,413

11,139

Rotherham PCT

13,596

13,690

Salford PCT

11,502

14,815

Sandwell PCT

16,668

16,422

Sefton PCT

9,238

10,216

Sheffield PCT

36,928

36,955

Shropshire County PCT

8,843

9,338

20 Feb 2012 : Column 698W

Solihull NHS Care Trust PCT

8,744

9,707

Somerset PCT

19,692

23,798

South Birmingham PCT

19,424

20,087

South East Essex PCT

17,935

14,854

South Gloucestershire PCT

11,473

10,844

South Staffordshire PCT

30,398

31,928

South Tyneside PCT

4,064

4,425

South West Essex PCT

24,344

15,211

Southampton City PCT

13,157

13,358

Southwark PCT

23,369

23,017

Stockport PCT

12,029

14,446

Stockton-on-Tees Teaching PCT

9,210

9,195

Stoke on Trent PCT

11,692

12,519

Suffolk PCT

29,035

30,500

Sunderland Teaching PCT

7,138

9,866

Surrey PCT

49,248

49,444

Sutton and Merton PCT

16,532

21,986

Swindon PCT

8,747

9,171

Tameside and Glossop PCT

12,501

13,552

Telford and Wrekin PCT

7,437

7,895

Torbay Care PCT

5,634

7,330

Tower Hamlets PCT

19,691

18,457

Trafford PCT

16,297

17,358

Wakefield District PCT

17,000

18,154

Walsall Teaching PCT

15,850

15,429

Waltham Forest PCT

15,598

16,952

Wandsworth PCT

17,835

22,341

Warrington PCT

7,435

7,466

Warwickshire PCT

15,581

19,312

West Essex PCT

10,744

11,521

West Hertfordshire PCT(2)

30,983

0

West Kent PCT

25,468

27,287

West Sussex PCT

24,156

23,209

Western Cheshire PCT

12,358

16,268

Westminster PCT

6,939

6,283

Wiltshire PCT

18,612

20,993

Wirral PCT

16,690

16,031

Wolverhampton City PCT

13,807

16,598

Worcestershire PCT

24,742

26,176

(1) In April 2010 Blackburn with Darwen PCT became Blackburn with Darwen Teaching Care Trust Plus PCT. (2) In April 2010 East and North Hertfordshire PCT and West Hertfordshire merged to become Hertfordshire PCT. Source: 2009-10 and 2010-11 PCT Audited Summarisation Schedules

Mental Illness: Drugs

Tracey Crouch: To ask the Secretary of State for Health how many people have been prescribed antipsychotic drugs (a) in total and (b) while receiving treatment in hospital, by primary care trust area, in the latest period for which figures are available. [95153]

Mr Simon Burns: Information on the number of people prescribed antipsychotic drugs while in hospital is not collected centrally. Although information is not collected on the number of people prescribed a particular medicine in primary care, data are available for the number of prescription items prescribed and subsequently dispensed. The following table provides information for antipsychotic drugs as defined by the British National

20 Feb 2012 : Column 699W

Formulary, sections 4.2.1 “Antipsychotic Drugs” and 4.2.2 “Antipsychotic depot injections”, for the latest available 12-month period.

Prescription items for antipsychotic drugs prescribed in England and dispensed in the community in the UK, December 2010 to November 2011
Primary care trust (PCT) Number of prescription items

Ashton, Leigh and Wigan

58,624

Barking and Dagenham

24,564

Barnet

39,843

Barnsley

37,136

Bassetlaw

11,074

Bath and North East Somerset

24,447

Bedfordshire

48,949

Berkshire East

54,222

Berkshire West

55,297

Bexley Care Trust

18,692

Birmingham East and North

54,215

Blackburn with Darwen Teaching Care Trust Plus

22,670

Blackpool

37,611

Bolton

56,344

Bournemouth and Poole Teaching

46,562

Bradford and Airedale Teaching

86,381

Brent Teaching

41,553

Brighton and Hove City

64,588

Bristol

67,604

Bromley

24,368

Buckinghamshire

46,916

Bury

39,113

Calderdale

28,436

Cambridgeshire

74,601

Camden

27,803

Central and Eastern Cheshire

66,251

Central Lancashire

63,411

City and Hackney Teaching

31,731

Cornwall and Isles of Scilly.

66,787

County Durham

89,954

Coventry Teaching

70,973

Croydon

38,417

Cumbria Teaching

91,386

Darlington

25,786

Derby City

37,788

Derbyshire County

85,612

Devon

105,020

Doncaster

32,365

Dorset

40,713

Dudley

46,976

Ealing

43,488

East Lancashire Teaching

55,762

East Riding of Yorkshire

32,244

East Sussex Downs and Weald

52,932

Eastern and Coastal Kent

92,755

Enfield

38,393

Gateshead

36,931

Gloucestershire

82,619

Great Yarmouth and Waveney

46,614

Greenwich Teaching

34,581

Halton and St Helens.

48,011

Hammersmith and Fulham

24,426

Hampshire

168,286

Haringey Teaching

46,214

Harrow

25,317

Hartlepool

15,712

Hastings and Rother

37,826

Havering

26,406

Heart of Birmingham

44,830

Herefordshire

23,045

20 Feb 2012 : Column 700W

Hertfordshire

118,972

Heywood, Middleton and Rochdale

44,778

Hillingdon

32,381

Hounslow

33,186

Hull Teaching

46,455

Isle of Wight NHS

25,221

Islington

28,235

Kensington and Chelsea

20,208

Kingston

19,234

Kirklees

65,268

Knowsley

35,171

Lambeth

48,617

Leeds

125,620

Leicester City

56,691

Leicestershire County and Rutland

70,560

Lewisham

42,169

Lincolnshire

113,016

Liverpool

106,809

Luton

26,311

Manchester

134,786

Medway

32,575

Mid Essex

48,728

Middlesbrough

29,861

Milton Keynes

23,913

Newcastle

69,085

Newham

46,980

Norfolk

146,908

North East Essex

59,540

North East Lincolnshire Care Trust Plus

29,502

North Lancashire Teaching

57,391

North Lincolnshire

22,413

North Somerset

30,822

North Staffordshire

28,034

North Tyneside

40,431

North Yorkshire and York

77,734

Northamptonshire Teaching

112,063

Northumberland Care Trust

48,758

Nottingham City

34,815

Nottinghamshire County Teaching

59,032

Oldham

39,669

Oxfordshire

75,584

Peterborough

23,406

Plymouth Teaching

47,395

Portsmouth City Teaching

36,803

Redbridge

28,866

Redcar and Cleveland

22,606

Richmond and Twickenham

26,614

Rotherham

28,174

Salford

61,278

Sandwell

43,667

Sefton

63,443

Sheffield

79,327

Shropshire County

35,641

Solihull

24,710

Somerset

53,776

South Birmingham

57,292

South East Essex

41,695

South Gloucestershire

21,061

South Staffordshire

69,913

South Tyneside

26,299

South West Essex

44,645

Southampton City

47,244

Southwark

32,318

20 Feb 2012 : Column 701W

Stockport

53,296

Stockton-on-Tees Teaching

20,078

Stoke on Trent

40,288

Suffolk

73,199

Sunderland Teaching

57,839

Surrey

115,890

Sutton and Merton

45,022

Swindon

28,751

Tameside and Glossop

43,475

Telford and Wrekin

22,327

Torbay Care Trust

24,178

Tower Hamlets

51,635

Trafford

40,091

Wakefield District

53,000

Walsall Teaching

43,110

Waltham Forest

34,085

Wandsworth Teaching

44,424

Warrington

27,516

Warwickshire

58,198

West Essex

32,307

West Kent

86,455

West Sussex

109,184

Western Cheshire

35,585

Westminster

30,108

Wiltshire

50,400

Wirral

57,373

Wolverhampton City

45,519

Worcestershire

76,072

Unidentified

3,804

England total(1)

7,588,083

(1) Does not include 120,792 hospital prescription items dispensed in the community, which cannot be allocated to individual PCTs. Source: Prescribing Analysis and CosT tool (PACT) system.