(b) Ethnic Group
  2008-092009-102010-11
 EthnicityWholly attributablePartially attributableWholly attributablePartially attributableWholly attributablePartially attributable

A

British (White)

5,314

4,515

5,461

4,642

4,904

4,741

B

Irish (White)

13

10

11

13

10

17

C

Any other White background

136

125

150

132

140

143

D

White and Black Caribbean (Mixed)

29

40

27

35

32

42

E

White and Black African (Mixed)

5

8

9

5

8

8

F

White and Asian (Mixed)

17

26

7

32

10

29

G

Any other Mixed background

30

38

44

32

41

36

H

Indian (Asian or Asian British)

45

52

36

59

40

65

J

Pakistani (Asian or Asian British)

18

130

17

142

23

138

K

Bangladeshi (Asian or Asian British)

25

26

27

26

36

26

L

Any other Asian background)

14

56

34

56

30

66

M

Caribbean (Black or Black British)

27

44

32

48

33

54

N

African (Black or Black British)

21

55

41

61

32

87

P

Any other Black background

41

58

36

66

45

71

R

Chinese (other ethnic group)

5

8

6

10

8

8

12 July 2012 : Column 319W

12 July 2012 : Column 320W

S

Any other ethnic group

88

92

106

105

118

107

X

Not known

228

134

184

129

169

116

Z

Not stated

820

553

553

456

464

437

0

White

1

Black—Caribbean

2

Black—African

3

Black—Other

4

Indian

5

Pakistani

6

Bangladeshi

8

Any other ethnic group

9

Not given

(c) Gender
 2002-032003-042004-05
GenderWholly attributablePartially attributableWholly attributablePartially attributableWholly attributablePartially attributable

Male

2,901

2,566

3,236

2,612

3,380

2,823

Female

3,305

2,222

3,798

2,413

4,173

2,620

(c) Gender
 2005-062006-072007-08
GenderWholly attributablePartially attributableWholly attributablePartially attributableWholly attributablePartially attributable

Male

3,811

3,068

3,790

3,115

3,536

3,110

Female

4,727

2,824

4,641

2,939

4,731

3,138

(c) Gender
 2008-092009-102010-11
GenderWholly attributablePartially attributableWholly attributablePartially attributableWholly attributablePartially attributable

Male

2,974

2,935

2,923

2,915

2,657

2,906

Female

3,902

3,035

3,858

3,135

3,486

3,283

(1) Alcohol-related admissions The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO), which uses 48 indicators for alcohol-related illnesses, determining the proportion of a wide range of diseases and injuries that can be partly attributed to alcohol as well as those that are, by definition, wholly attributable to alcohol. Further information on these proportions can be found at: www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf The application of the NWPHO methodology has recently been updated and is now available directly from Hospital Episode Statistics (HES). As such, information about episodes estimated to be alcohol related may be slightly different from previously published data. (2) Socio-economic group The socio-economic group used is derived from the Index of Multiple Deprivation (IMD). IMD is a measure of multiple deprivation which ranks the relative deprivation of each area of England in a number domains (such as crime and income) and then combines the individual scores to produce a composite score for each area. The patient's residential postcode is then mapped to one of these areas, and summarised into 10 groups for presentation. The version of IMD used was published in 2004. For further details see: www.communities.gov.uk/documents/communities/pdf/131206.pdf (3) Ethnicity Ethnicity data may not be good enough to allow accurate analysis, including analysis of ethnic differences. Ethnic group was collected from 1 April 1995 to 31 March 2002 and Ethnic category, using the definitions in the 2001 census, from 1 April 2002. Patients are asked to select their category from a standard list, and some decline to do this. Data may therefore be incomplete and of poor quality. (4) It should be noted that there was a change in the ethnic categories during this period (2002-03) and while some providers adopted the new definitions others still used the old definition. Notes: 1. Assessing growth through time HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so are no longer included in admitted patient HES data. 2. Data quality HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England and from some independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain. 3. Activity included Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

12 July 2012 : Column 321W

Baby Care Units

Heidi Alexander: To ask the Secretary of State for Health what recent estimate he has made of the number of hospital trusts which are not meeting levels of care set out in his Department's Toolkit for High Quality Neonatal Services and the National Institute for Health and Clinical Excellence's quality standard for specialised neonatal care. [116631]

Anne Milton: No such estimate has been made.

It is for local hospital trusts and specialised commissioners to decide how best to use the guidance in the toolkit for high-quality neonatal services and the National Institute for Health and Clinical Excellence quality standard for specialist neonatal care. The toolkit and quality standard are good practice tools that can assist commissioners and hospital trusts in the delivery of safe, high quality neonatal services that achieve the best outcomes for babies.

We have made ‘reducing deaths in babies and young children', including perinatal and infant mortality, areas for improvement in the NHS Outcomes Framework for 2012-13. The Department will hold the NHS Commissioning Board to account for its performance against outcomes in the NHS Outcomes Framework.

Breast Cancer

Mr Leech: To ask the Secretary of State for Health how many women aged (a) 49 years and under, (b) 50 to 59, (c) 60 to 69, (d) 70 to 79, (e) 80 to 89 and (f) over 90 years had breast conserving surgical procedures in each (i) cancer network and (ii) primary care trust in each year since 1997 for which figures are available. [116432]

Paul Burstow: This information cannot be provided in the format requested. We have provided a count of finished consultant episodes (FCEs) for women with a primary diagnosis of breast cancer and a main or secondary procedure of partial excision of breast. The data have been presented by cancer network, primary care trust (PCT) of residence and by the selected age groups. This information has been placed in the Library.

FCEs should not be described as a count of patients as the same person may have been admitted on more than one occasion. Cancer network data are not available prior to 2009-10 and therefore data from 1997-98 to 2008-09 are provided at PCT level only.

Mr Leech: To ask the Secretary of State for Health how many people aged (a) 49 years and under, (b) 50 to 59, (c) 60 to 69, (d) 70 to 79, (e) 80 to 89 and (f) over 90 years received any active treatment for breast cancer in each (i) cancer network and (ii) primary care trust in each year since 1997 for which figures are available. [116433]

Paul Burstow: This information cannot be provided in the format requested. We have provided a count of finished consultant episodes (FCEs) with a primary diagnosis of breast cancer by cancer network, primary care trust (PCT) of residence and by the selected age groups. This information has been placed in the Library.

12 July 2012 : Column 322W

FCEs should not be described as a count of patients as the same person may have been admitted on more than one occasion. Cancer network data are not available prior to 2009-10 and therefore data from 1997-98 to 2008-09 are provided at PCT level only.

Cancer

Gordon Henderson: To ask the Secretary of State for Health (1) by what means cancer networks are funded; [116220]

(2) if he will take steps to ensure cancer networks can be supported beyond 2013 in order to continue to improve the quality of care across integrated pathways. [116222]

Paul Burstow: Funding to support cancer networks is mainly provided through what is called the Strategic Health Authority bundle. In addition to funding from the bundle, networks receive funding from other sources, such as their constituent primary care trusts or from one or more of their provider trusts.

We have made it clear that there will be a continual role for clinical networks, such as cancer networks, in the reformed national health service. The networks are a place where clinicians from different sectors come together to improve the quality of care across integrated pathways.

The cancer networks are a clear example of how this way of working delivers better quality care and we are continuing to fund the networks in 2012-13. From April 2013, the funding of the networks will be a decision for the NHS Commissioning Board (NHS CB). The NHS CB will also set levels of accountability.

A review of clinical networks is currently under way by the NHS CB Authority to consider the functions, structures and governance that will most effectively support commissioners to deliver improved quality and outcomes in the future.

Cancer: Males

Caroline Lucas: To ask the Secretary of State for Health what steps he is taking to raise awareness among young people and in schools of (a) testicular cancer and (b) other male cancers; and if he will make a statement. [116305]

Paul Burstow: ‘Improving Outcomes: A Strategy for Cancer’ set out a commitment to work with charities that represent patients with less common cancers, such as those affecting children and young people, to assess what more can be done to encourage awareness, appropriate referrals to secondary care and to diagnose such cancers earlier. During 2011, departmental officials met with 18 charities to hear their concerns on these issues, including two charities representing children and young people with cancer. The outcome of these discussions has been fed into the National Awareness and Early Diagnosis Initiative and is informing activity in this area.

Regarding awareness of testicular cancer, we would encourage men to be aware of any unusual changes and consult doctors early in order to ensure the maximum chance of a cure. The Department collaborated with

12 July 2012 : Column 323W

Cancer Research UK in the production of a testicular self-awareness leaflet, ‘Detecting Testicular Cancer: Spot The Symptoms Early’.

The Department has undertaken no other awareness activity among young people in relation to the other two male cancers. Both prostate and penile cancer primarily affect older men and the latter is also very rare.

The Department for Education (DFE) is responsible for matters concerning health education and awareness in schools. The current personal, social, health and economic (PSHE) education non-statutory framework includes the importance of healthy lifestyles. It provides opportunities for pupils to discuss health issues that teachers identify as being relevant to them, which could include cancer awareness and health advocacy. Many schools also use external organisations to provide young people with information about cancer including how to seek professional advice.

The DFE is currently reviewing PSHE education to identify the core body of knowledge that pupils need and to determine how it can support schools to improve the quality of all PSHE teaching. It will publish the outcome of the review later in the year.

Dental Services: Foreign Workers

John Pugh: To ask the Secretary of State for Health how many dentists-in-training there were in each of the last five years; and what proportion were not British citizens in each year. [116223]

Mr Simon Burns: This information is not held centrally. Information on the areas of residence of students admitted to dental schools over the last five years are included in the annual returns ‘Intake of Pre-clinical Medical Dental Students’, published by the Higher Education Funding Council for England, which have been placed in the Library.

Health Services

Heidi Alexander: To ask the Secretary of State for Health whether his Department plans to publish a commissioning outcomes framework for specialised services to measure the quality of commissioning of such services by the NHS Commissioning Board. [116632]

Mr Simon Burns: As set out in ‘Our NHS care objectives', the draft mandate to the NHS Commissioning Board, the Government intends that there should be robust and transparent arrangements to provide assurance about the quality of the services that the NHS Commissioning Board itself commissions, including specialised services. One of the proposed objectives in the draft mandate is for the board to put in place such arrangements so that the Department is able to hold the board to account for the quality of these services.

The intended purpose of the Commissioning Outcomes Framework is to provide assurance about the quality of services commissioned by clinical commissioning groups and the health outcomes achieved from these services. It is not, therefore, intended that the Commissioning Outcomes Framework would in itself cover the services directly commissioned by the board, but the board would publish information on the quality of specialised

12 July 2012 : Column 324W

services and other directly commissioned services alongside information from the Commissioning Outcomes Framework.

Heidi Alexander: To ask the Secretary of State for Health what progress his Department has made in reviewing clinical networks; and when he expects the review to conclude. [116633]

Mr Simon Burns: To date, over 800 stakeholders have contributed to work being taken forward by the NHS Commissioning Board Authority (NHS CBA) on the development of clinical networks. These include patients, clinicians, commissioners, providers, Royal Colleges and academics. The NHS CBA will publish its recommendations for clinical networks in the new health system by the end of July.

Rosie Cooper: To ask the Secretary of State for Health what mechanisms he plans to put in place to provide effective scrutiny of the decisions made by (a) the national Commissioning Board and (b) clinical commissioning groups. [116716]

Mr Simon Burns: The Government will set objectives in a mandate to the NHS Commissioning Board that it must seek to achieve.

The mandate is one part of a wider cycle of accountability for the NHS Commissioning Board. The Health and Social Care Act 2012 makes clear that the board must publish a business plan each year, setting out how it intends to carry out its functions and deliver the objectives and requirements in the mandate. The Secretary of State must keep the board's performance under review, including how it is performing against the mandate. The Act also states that the board must publish a report at the end of each year saying how it has performed and that the Secretary of State must then publish an assessment of the board's performance.

Besides these formal requirements, there will be an ongoing sponsorship relationship between the Department and the board, which will be outlined in a framework agreement. In particular, the Secretary of State will hold formal accountability meetings with the Chair of the board, normally every two months, and the minutes of these meetings will be published.

The NHS Commissioning Board will develop a commissioning outcomes framework to drive up quality and provide transparency and accountability about the quality of services that clinical commissioning groups (CCGs) commission for their patients.

While the board will be expected to give CCGs freedom to commission services tailored to the needs of their local population, CCGs will be accountable to the NHS Commissioning Board through an annual performance assessment. This will, in addition to reviewing progress against the commissioning outcomes framework, assess how well the CCG has met its financial duties and other statutory duties, including its duty to act consistently with the mandate. This will provide a direct line of accountability back to the expectations set out in the mandate. The board must publish a report annually summarising the results of all its performance assessments of CCGs.

12 July 2012 : Column 325W

Medical Equipment: Procurement

Rosie Cooper: To ask the Secretary of State for Health what guidance his Department has issued to NHS trusts on the criteria used to award tenders for the supply of medical devices. [116717]

Mr Simon Burns: The Department does not issue guidance to national health service trusts about the criteria used to award tenders for the supply of medical devices. The supply of medical devices is covered by the European Union public procurement regulations.

NHS

Rosie Cooper: To ask the Secretary of State for Health what guidance his Department has issued to NHS trusts on local flexibility within the national tariff. [116715]

Mr Simon Burns: The Department published a suite of documents on its website on 16 February 2012 to support the implementation of the Payment by Results national tariff for 2012-13. This included ‘Payment by Results Guidance’ for 2012-13, section 13 of which sets out guidelines for the application of local flexibilities to national tariffs.

The Department also published on 16 February 2012 a ‘Code of Conduct for Payment by Results in 2012-13’, section 10 of which refers to the application of flexibilities.

Both documents have been placed in the Library.

Rosie Cooper: To ask the Secretary of State for Health (1) if he will report on the progress of the cross-sector task and finish groups on implementation of the recommendations of his Department's Innovation, Health and Wealth report; [116718]

(2) how his Department plans to ensure that local NHS trusts and clinical commissioning groups fully implement the recommendations of its Innovation, Health and Wealth report. [116719]

Mr Simon Burns: Since publishing ‘Innovation Health and Wealth: accelerating adoption and diffusion in the NHS’ we have established 26 cross-sector ‘Task and Finish’ groups to lead implementation and progress is on track.

The NHS is mobilising to deliver the recommendations and the NHS Chief Executive has asked all primary care trust clusters to ensure plans are in place to deliver Innovation Health and Wealth.

Out of Area Treatment

Tom Greatrex: To ask the Secretary of State for Health pursuant to the answer of 21 June 2012, Official Report, column 1106W, on health services: reciprocal arrangements, how many patients registered at an address in (a) Scotland, (b) Wales and (c) Northern Ireland received treatment at a hospital in England in each month between May 2007 and May 2010. [116599]

Mr Simon Burns: The following tables show the number of finished admission episodes (in-patients), out-patient attendances (out-patient) and accident and emergency (A&E) attendances for patients identified as resident in Wales, Scotland and Northern Ireland Strategic Health Authorities between the dates requested.

12 July 2012 : Column 326W

In-patient finished admission episodes (FAEs)
  ScotlandWalesNorthern IrelandTotal FAEs

2007

May

596

4,388

146

1,147,113

2007

June

648

4,196

144

1,104,802

2007

July

847

4,549

192

1,145,539

2007

August

658

4,234

139

1,112,277

2007

September

625

4,098

142

1,082,317

2007

October

652

4,398

149

1,193,763

2007

November

638

4,391

156

1,163,552

2007

December

525

3,764

108

1,038,820

2008

January

533

4,341

149

1,178,857

2008

February

518

4,149

140

1,136,323

2008

March

513

4,218

120

1,124,737

2008

April

589

4,552

145

1,183,865

2008

May

576

4,379

119

1,152,208

2008

June

676

4,574

155

1,159,465

2008

July

808

4,928

180

1,224,943

2008

August

645

4,346

144

1,107,367

2008

September

636

4,527

131

1,188,091

2008

October

638

4,937

155

1,245,045

2008

November

514

4,454

124

1,174,331

2008

December

630

4,379

109

1,156,641

2009

January

566

4,500

192

1,185,322

2009

February

473

4,127

161

1,110,094

2009

March

575

4,763

211

1,265,296

2009

April

600

4,559

157

1,176,322

2009

May

618

4,298

198

1,161,147

2009

June

688

4,754

175

1,233,630

2009

July

837

4,868

218

1,250,820

2009

August

697

4,416

175

1,134,941

2009

September

655

4,784

141

1,227,678

2009

October

625

4,917

154

1,263,743

2009

November

602

4,899

148

1,237,284

2009

December

576

4,512

147

1,195,749

2010

January

587

4,358

142

1,168,688

2010

February

544

4,357

144

1,159,192

2010

March

642

5,100

193

1,328,515

2010

April

674

4611

131

1,197,916

2010

May

608

4808

153

1,214,441

In addition, there were 14 FAEs relating to patients resident in Scotland during the period 2007-08 but the month of admission was unknown, so these records are not present in the table above.

Out-patient attendances
  ScotlandWalesNorthern IrelandTotal attendances

2007

May

1,239

16,077

232

4,587,402

2007

June

1,310

15,610

187

4,482,970

2007

July

1,412

16,366

191

4,657,427

2007

August

1,336

15,924

213

4,437,888

2007

September

1,199

15,236

209

4,401,026

2007

October

1,486

18,005

266

5,018,526

2007

November

1,363

17,357

218

4,892,107

2007

December

1,054

13,524

162

3,804,210

2008

January

1,344

17,823

216

5,007,974

2008

February

1,232

16,829

214

4,664,936

2008

March

1,207

15,156

175

4,300,343

2008

April

1,414

18,636

258

5,231,205

2008

May

1,262

16,881

243

4,736,639

2008

June

1,410

17,797

224

5,015,809

2008

July

1,551

19,048

264

5,356,906

2008

August

1,259

16,069

201

4,429,787

2008

September

1,529

19,185

235

5,254,169

2008

October

1,457

19,105

240

5,466,323

12 July 2012 : Column 327W

2008

November

1,416

18,101

246

4,996,065

2008

December

1,245

16,768

220

4,691,664

2009

January

1,301

17,742

254

5,184,452

2009

February

1,207

16,243

292

4,689,794

2009

March

1,460

19,107

368

5,554,413

2009

April

1,381

19,819

348

5,418,178

2009

May

1,221

18,049

249

5,117,063

2009

June

1,523

21,141

315

5,954,518

2009

July

1,589

21,546

348

5,893,611

2009

August

1,394

18,244

362

5,053,890

2009

September

1,565

21,559

419

5,924,923

2009

October

1,456

21,361

369

5,851,855

2009

November

1,352

20,970

355

5,842,119

2009

December

1,246

18,438

248

5,219,020

2010

January

1,195

18,078

273

5,235,358

2010

February

1,188

20,277

300

5,517,135

2010

March

1,500

23,461

377

6,386,367

2010

April

1,414

21,256

290

5,625,951

2010

May

1,332

20,253

281

5,589,873

A&E attendances
  ScotlandWalesNorthern IrelandTotal attendances

2007

May

1,149

3,444

149

1,085,820

2007

June

1,196

3,402

179

1,055,606

2007

July

2,125

3,446

276

1,066,035

2007

August

1,554

3,869

241

1,026,979

2007

September

1,182

3,297

146

1,008,982

2007

October

1,201

3,242

168

1,027,328

2007

November

907

2,903

148

998,048

2007

December

1,053

3,020

164

982,490

2008

January

844

2,688

150

975,036

2008

February

727

2,766

154

951,744

2008

March

961

3,067

170

1,049,448

2008

April

1,268

3,105

146

1,125,175

2008

May

1,358

3,636

194

1,235,891

2008

June

1,428

3,436

221

1,189,715

2008

July

2,251

3,709

355

1,199,422

2008

August

1,614

3,984

312

1,149,472

2008

September

1,348

3,346

211

1,131,584

2008

October

1,320

3,499

218

1,152,728

2008

November

883

3,126

202

1,121,270

2008

December

1,231

3,318

152

1,126,183

2009

January

866

2,927

142

1,072,069

2009

February

784

2,796

147

1,031,699

2009

March

1,016

3,371

168

1,258,864

2009

April

1,554

3,781

225

1,316,152

2009

May

1,346

3,789

227

1,365,253

2009

June

1,531

3,921

219

1,372,846

2009

July

2,627

4,197

456

1,372,436

2009

August

1,812

4,464

317

1,281,021

2009 .

September

1,405

3,739

182

1,298,934

2009

October

1,507

3,742

220

1,341,259

2009

November

1,017

3,384

192

1,275,185

2009

December

1,182

3,360

211

1,271,028

2010

January

923

2,906

156

1,198,195

2010

February

909

2,940

161

1,127,791

2010

March

991

3,318

180

1,349,636

2010

April

1,552

3,755

236

1,361,001

2010

May

1,443

4,041

255

1,443,785

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

12 July 2012 : Column 328W

It should be noted that for each of these measures, the number does not necessarily equate to the number of patients as it is possible for an individual to have more than one admission or attendance within the period.

Palliative Care

Tom Blenkinsop: To ask the Secretary of State for Health what estimate he has made of how much local authorities have spent on end of life care in each year since 2009 (a) by authority and (b) in total. [116607]

Mr Simon Burns: The information requested is not available centrally.

We are currently working through a number of Palliative Care Funding pilots to collect the data and information needed to help us develop a new per-patient funding system for palliative care, which we aim to have in place by 2015. The pilots include both health and social care services.

Tom Blenkinsop: To ask the Secretary of State for Health if he will assess the likely changes required to the NHS work force to enable more people to die at home should they wish. [116608]

Mr Simon Burns: The End of Life Care Strategy encourages commissioners and providers to develop the 24/7 community-based services which people need to be able to exercise the choice to be cared for and die at home. Decisions on what services to provide at a local level must rest with local commissioners who, working with patients and the public, are best placed to understand local need.

The strategy also recognised that delivering quality services to individuals, their families and carers required a cultural shift in attitude and behaviour related to end of life care within the health and social care work force. We have taken forward a number of initiatives to train and develop the end of life care workforce, and, in particular, those staff for whom end of life care is only a part of their responsibilities. These include the development of core competences and principles; publishing an e-learning package on end of life care, free to access for health and social care staff; and supporting communication skills training.

Departmental Pay

Rachel Reeves: To ask the Secretary of State for Health what the lowest hourly rate is paid to staff by his Department; how many members of staff based outside London are paid less than £7.20 per hour; and how many members of staff based in London are paid less than £8.30 per hour. [116377]

Mr Simon Burns: Civil servants in the Department are paid an annual salary on a monthly basis. The equivalent hourly rate is calculated from the monthly figure.

For the financial year 2011-12 the lowest equivalent hourly rate paid to civil servants in the Department was £8.91.

12 July 2012 : Column 329W

South London Healthcare NHS Trust

Joseph Johnson: To ask the Secretary of State for Health (1) if he will take steps to minimise uncertainty for NHS staff and patients arising from the decision to place South London Healthcare NHS Trust in trust special administration; [116243]

(2) under what timetable he proposes that the trust special administration process will achieve long-term clinical and financial suitability of health services provided by South London Healthcare NHS Trust; [116244]

(3) if he will take steps to ensure that the trust special administration process does not lead to South London Healthcare NHS Trust services being relocated to out-of-borough or central London hospitals that are hard to access for London borough of Bromley residents. [116245]

Mr Simon Burns: The Secretary of State for Health, my right hon. Friend the Member for South Cambridgeshire (Mr Lansley), earlier today announced details behind his decision to appoint a Trust Special Administrator to South London Healthcare NHS Trust.

The Trust Special Administrator's regime offers a transparent framework to provide rapid resolution to problems within a significantly challenged NHS trust. The Secretary of State's decision is based on the need to secure a route forward to deliver long-term sustainability and the protection of access to quality services for the people of south-east London.

We cannot prejudge the recommendations that will be made about what should happen to the organisation and the services it provides. That must be a matter for the appointed Trust Special Administrator. Staff and the public will be engaged in the administrator's process. The Secretary of State will make a final decision based on the administrator's recommendations, publishing that decision and the reasons for it in Parliament. We will do everything possible to bring this matter to a conclusion as quickly as possible.

Joseph Johnson: To ask the Secretary of State for Health (1) if he will take steps to ensure that the consultation on the future of the services at Orpington Hospital will proceed independently of any decision to place South London Healthcare NHS Trust in trust special administration; [116246]

(2) if he will take steps to ensure that health services prioritised in NHS South East London's Orpington Needs Assessment continue to be provided locally in Orpington rather than at Princess Royal, Farnborough or Queen Mary's, Sidcup. [116247]

Mr Simon Burns: The reconfiguration of services is a matter for the local national health service. NHS London expects consultation on the future of Orpington health services to launch on 16 July 2012, subject to local approval.

The Trust Special Administrator appointed to South London Healthcare NHS Trust will take into account responses to this consultation, so far as they are relevant, as he develops his own recommendations to the Secretary

12 July 2012 : Column 330W

of State to secure a sustainable future for services provided by the trust, assuming the consultation goes ahead.

Thalidomide

Mr Frank Field: To ask the Secretary of State for Health if he will bring forward proposals in the near future to provide permanent financial assistance at least at the existing rate of the health grant to all UK thalidomiders for the rest of their lives. [116250]

Paul Burstow: On 12 June, I met with my hon. Friend the Member for Elmet and Rothwell (Alec Shelbrooke), chair of the All Party Parliamentary Group, and representatives of the Thalidomide Trust and National Advisory Council to discuss these issues. At that meeting I emphasised that decisions about whether to extend the grant or provide any other form of funding would be made once there had been a thorough assessment of the second year evaluation.

Anas Sarwar: To ask the Secretary of State for Health (1) whether any account can be taken by the relevant assessing authority of the receipt of the pilot Health Grant during a review of the care package of a thalidomide survivor; [116615]

(2) what assessment his Department has made of the mortality rate of thalidomide survivors compared to the general population. [116630]

Paul Burstow: An individual's eligibility for statutory support is determined following assessment. Under section 47 of the National Health Service and Community Care Act 1990, local authorities have a duty to assess the needs of any person for whom the authority may provide or arrange the provision of community care services and who may be in need of such services.

Best practice guidance, ‘Prioritising need in the context of Putting People First: A whole system approach to eligibility for social care in England’, was published in 2010 and a copy has already been placed in the Library.

The care package in place and any review of this is dependent on the person's individual circumstances and preferences which should maximise an individual's choice in line with the personalisation of care.

No assessment has been made by the Department of the mortality rate of thalidomide survivors compared to the general population.

Tobacco: Packaging

Ian Paisley: To ask the Secretary of State for Health (1) for what reasons he is extending the consultation period on standardised tobacco packaging by one month; [116605]

(2) on what date he plans to publish his post-consultation report on standardised tobacco packaging; and when he will make an announcement on his Department's decision on that matter. [116606]

Anne Milton: As announced on 5 July 2012, Official Report, column 71WS, the Government has been asked to provide more time for people to respond to the consultation on standardised packaging of tobacco

12 July 2012 : Column 331W

products. The Government wants to maximise the opportunity that people have to provide their views and evidence.

The Government has therefore extended the consultation period for an extra month. The new closing date is 10 August 2012.

The Government has an entirely open mind on standardised packaging, and wants to know more about the possible benefits and consequences of taking action in this area.

Any decisions to take further policy action on tobacco packaging will be taken only after full consideration is given to consultation responses, evidence and other relevant information.

Cabinet Office

Cancer: Bexley

Mr Evennett: To ask the Minister for the Cabinet Office how many people with cancer were living in the London Borough of Bexley in the last period for which figures are available. [116694]

Mr Hurd: The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

Letter from Stephen Penneck, dated July 2012:

As Director General for the Office for National Statistics. 1 have been asked to reply to your recent question asking how many people with cancer were living in the London Borough of Bexley in the most recent period for which figures are available. [116694]

It is not possible to provide figures on the number of people living with cancer from cancer registration data. While the details of a cancer diagnosis are recorded and information is added to a record if a person dies, we do not record if and when a patient is considered to be cured.

The latest available figures for cancer registrations are for the year 2010. Please note that these numbers may not be the same as the number of people diagnosed with cancer, because one person may be diagnosed with more than one cancer.

There were 1,122 newly diagnosed cases of cancer in 2010 for people whose usual residence was in the London Borough of Bexley(1, 2).

The latest published figures on incidence of cancer in England are available on the National Statistics website:

http://www.ons.gov.uk/ons/rel/vsob1/cancer-registrations-in-england/2010/index.html

(1) Cancer is coded using the International Classification of Diseases Tenth Revision (ICD-10) as C00 to C97 excluding C44 non-melanoma skin cancer.

(2) Figures are based on boundaries as of May 2012.

Charity Commission

Simon Kirby: To ask the Minister for the Cabinet Office what steps people can take if they are dissatisfied with the service received from the Charity Commission. [117118]

Mr Hurd: The information requested falls within the responsibility of the Charity Commission, so I have asked the Commission's Head of Business Services to reply.

Letter from Nick Allaway, dated 11 July 2012:

12 July 2012 : Column 332W

I have been asked to respond to your written Parliamentary Question on what steps people can take if they are dissatisfied with the service received from the Charity Commission.

The Commission is committed to giving the best service we can. If someone needs to complain about a service we have provided we will ensure that their complaint is treated seriously, handled without bias or discrimination, we will also respect their confidentiality. The Charity Commission outlines its approach to how we deal with complaints about the service we have provided on our website.

Our approach in summary, is as follows:

Stage 1 Review—Initially, we will try to resolve a complaint within the area of the Commission the person is dealing with. The reviewer will look into the complaint and will aim to respond to the complainant within 30 working days, setting out the conclusions from their review and the reasons for the outcome.

Stage 2 Review—If the person is unhappy with the outcome of the Stage 1 Review, they have one month in which they can ask for their complaint to be reviewed by a member of our Business Assurance Team. Depending on the nature of the complaint we may refer it to an independent reviewer. We aim to let people know the outcome of this stage within 20 days.

Next Steps—The Parliamentary and Health Service Ombudsman considers certain complaints about the service provided by a range of bodies, including the Commission.

I hope this information is helpful.

Simon Kirby: To ask the Minister for the Cabinet Office how many cases the Charity Commission has investigated in the last five years for which figures are available. [117119]

Mr Hurd: The information requested falls within the responsibility of the Charity Commission. I have asked the Commission's Head of Business Services to reply.

Letter from Nick Allaway, dated 11 July 2012:

I have been asked to respond to your written Parliamentary Question on how many cases the Charity Commission has investigated in the last five years for which figures are available.

When concerns are reported to us, we assess them against our published risk framework and decide on the most appropriate action to take. When serious concerns are reported, we may open a case or, in the most serious cases, a statutory inquiry under s.46 of the Charities Act 2011.

The number of investigations opened in each year is as follows:

2010/11: 144

2009/10: 180

2008/09: 168

2007/08: 170

2006/07: 303

The number of statutory inquiries opened in each year is as follows:

2010/11: 3

2009/10: 9

2008/09: 19

2007/08: 19

2006/07: 26

I hope this information is helpful.

Electronic Government

Tom Blenkinsop: To ask the Minister for the Cabinet Office what guidance he has issued to Government Departments and non-departmental public bodies on commercial advertisements on departmental websites. [116185]

12 July 2012 : Column 333W

Mr Maude: Individual Departments are responsible for content published on their website.

While no specific guidance has been issued in relation to commercial advertising on departmental websites, the standards of conduct set out in the Civil Service Code apply. Copies are available in the Library of the House.

Employment: Coventry

Mr Ainsworth: To ask the Minister for the Cabinet Office what the change was in the number of jobs in (a) Coventry and (b) Coventry North East constituency in the (i) public and (ii) private sector in each of the last four quarters. [116602]

Mr Hurd: The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

Letter from Stephen Penneck, dated July 2012:

12 July 2012 : Column 334W

As Director General for the Office for National Statistics, I have been asked to reply to your Parliamentary Question asking what the change was in the number of jobs in (a) Coventry and (b) Coventry North East constituency in the (i) public and (ii) private sector in each of the last four quarters. (116602)

The official estimates of public and private sector jobs are compiled from Work Force Jobs (WFJ) series. However, WFJ do not produce private / public sector job statistics at any geography smaller than Regional level, so private and public sector employment has been provided from the Annual Population Survey (APS).

Individuals in the APS are classified to the public or private sector according to their responses to the survey.

Table 1 shows the net changes in private and public sector employment from the APS in Coventry and Coventry North East constituency between the 12 month period ending in March 2012, (the latest available period) and the period one year earlier.

As with any sample survey, estimates from the APS are subject to a margin of uncertainty. A guide to the quality of the estimates is given in the table.

National and local area estimates for many labour market statistics, including employment, unemployment and claimant count are available on the NOMIS website at:

http://www.nomisweb.co.uk

Table 1: Net change(1) in private and public sector employment between the 12 month period ending March 2011 and March 2012
Thousand
 Private sector employment Public sector employment 
 12 months ending: 12 months ending: 
 March 20111 March 2012(2)Net changeMarch 20111 March 2012(2)Net change

Coventry

98

*101

3

42

**34

-8

Coventry North East

35

**38

3

11

***9

-1

1 Components are independently rounded. 2 Coefficients of Variation have been calculated for the latest period as an indication of the quality of the estimates. See Guide to Quality following. Guide to Quality: The Coefficient of Variation (CV) indicates the quality of an estimate, the smaller the CV value the higher the quality. The true value is likely to lie within +/- twice the CV—for example, for an estimate of 200 with a CV of 5% we would expect the population total to be within the range 180-220. Key: * 0 ≤ CV<5%—Statistical Robustness: Estimates are considered precise ** 5 ≤ CV <10%—Statistical Robustness: Estimates are considered reasonably precise *** 10 ≤ CV <20%—Statistical Robustness: Estimates are considered acceptable **** CV ≥ 20%—Statistical Robustness: Estimates are considered too unreliable for practical purposes CV = Coefficient of Variation Source: Annual Population Survey

Government Departments: Procurement

Michael Dugher: To ask the Minister for the Cabinet Office what proportion of Government procurement spend has been through the Contracts Finder website in each month since the website's launch. [116532]

Mr Maude: Contract Finder records potential contract value not total government procurement spend.

As part of this Government's transparency programme, Departments publish their direct spend data on a quarterly basis.

Michael Dugher: To ask the Minister for the Cabinet Office (1) how many Government contracts have been published on the Contracts Finder website in each month since the website's launch; [116536]

(2) what proportion of Government contracts (a) by value and (b) in total have been published on the Contracts Finder website in each month since the website's launch; [116537]

(3) how many contracts have been placed on the Contracts Finder website since the website's launch; [116538]

(4) what proportion of contracts (a) by value and (b) in total listed on the Contracts Finder website have been awarded to small and medium-sized enterprises since the website's launch. [116539]

Mr Maude: As part of the Government's transparency agenda we publish on the Cabinet Office website information on the number of contracts published on Contracts Finder at:

http://www.cabinetoffice.gov.uk/resource-library/transparency-progress-reports

Between February 2011 and June 2012 details of 9,506 contracts have been published on Contracts Finder, of which 3,116 (33%) were awarded to SMEs.

New Businesses

Esther McVey: To ask the Minister for the Cabinet Office what assessment he has made of the (a) regional, (b) social class and (c) age profile of people setting up businesses in the last three years. [117062]

Mr Hurd: The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

12 July 2012 : Column 335W

Letter from Stephen Penneck, dated July 2012:

As Director General for the Office for National Statistics, I have been asked to reply to your recent Parliamentary Question to ask what assessment has been made of the (a) regional, (b) social class and (c) age profile of people setting up businesses in the last three years. [117062]

The requested information is available for part (a) regional only. Information for (b) social class and (c) age of profile of people setting up businesses is not available.

Annual statistics on the number of enterprise births are available from 2002 onwards in the ONS release on Business Demography at:

http://www.ons.gov.uk/ons/rel/bus-register/business-demography/2010/index.html

The table contains the latest statistics, which show the number of enterprise births by region from 2008 to 2010.

Table showing the number of enterprise births by Government office region, country and United Kingdom total for 2008 to 2010
 200820092010

North East

7,675

6,625

5,975

North West

27,465

23,920

22,705

Yorkshire and The Humber

18,675

17,005

16,630

East Midlands

16,785

14,860

14,325

West Midlands

20,585

18,245

17,805

East

25,975

23,535

22,580

London

57,955

50,575

52,755

South East

40,365

36,320

36,910

South West

20,865

17,950

17,835

Wales

9,220

8,325

7,505

Scotland

16,225

14,725

15,530

Northern Ireland

5,655

3,945

4,590

    

United Kingdom

267,445

236,030

235,145

Note: The above figures have been rounded to the nearest 5.

Prisoners: Voting Rights

Tom Blenkinsop: To ask the Minister for the Cabinet Office how many prisoners are registered to vote. [116186]

Mr Harper: Certain prisoners, such as those held on remand, can vote while in custody and are entitled to be on the electoral register. There is no central record of how many prisoners are registered to vote.

Public Expenditure: Cabinet Office

Cathy Jamieson: To ask the Minister for the Cabinet Office whether he expects his Department to underspend its budget for 2012-13; and what estimate he has made of any such underspend. [116476]

Mr Maude: The Office for Budget Responsibility forecast underspends in Departmental Expenditure Limits as part of their Economic and Fiscal Outlook in the autumn.

As part of the Transparency Agenda the Government publishes the full detail of plans and outturn for all Departments after the end of the financial year, usually in September. HM Treasury publish outturn data for all Departments from the COINS database, available on the Treasury website on a quarterly basis. Forecasts for 2012-13 outturn by Department will be published at Budget 2013.

12 July 2012 : Column 336W

Deputy Prime Minister

House of Lords Reform

Mr Andrew Turner: To ask the Deputy Prime Minister with reference to the House of Lords Reform Bill, Schedule 1, what estimate he has made of the number of (a) electors and (b) elected Members in each area; and if he will estimate the average ratio of electors to elected Members (i) overall and (ii) in each district. [116228]

Mr Harper: The most recent figures published by the Office for National Statistics show that there were 46,107,152 registered electors in the UK on 1 December 2011. They are distributed across the 12 electoral districts defined in Schedule 1 of the House of Lords Reform Bill as follows:

Electoral DistrictNumber of registered electors

East Midlands

3,381,552

Eastern

4,315,361

London

5,300,233

North East

1,986,809

North West

5,256,018

South East

6,354,105

South West

4,054,959

West Midlands

4,142,089

Yorkshire and the Humber

3,862,898

Scotland

3,941,592

Wales

2,298,569

Northern Ireland

1,212,967

One third of the total number of elected Members of the House of Lords (360) will be elected at each House of Lords election. The number of elected members to be returned for each electoral district at each House of Lords election is set out in Schedule 2 of the House of Lords Reform Bill.

The ratio of electors (as of 1 December 2011) to the full complement of elected members of the Lords is 128,075:1.

The number of electors (as of 1 December 2011) per elected member of the House of Lords for each district is as follows:

Electoral DistrictNumber of elected members in totalNumber of electors per elected member of the Lords

East Midlands

27

125,243

Eastern

33

130,769

London

42

126,196

North East

15

132,454

North West

42

125,143

South East

48

132,377

South West

33

122,878

West Midlands

33

125,518

Yorkshire and the Humber

30

128,763

Scotland

30

131,386

Wales

18

127,698

Northern Ireland

9

134,774