Domestic Violence and Sexual Offences

Bridget Phillipson: To ask the Secretary of State for Health what guidelines (a) his Department and (b) NHS England issue to medical staff on treating victims of domestic and sexual violence; and when those guidelines were last updated. [186855]

13 Feb 2014 : Column 835W

Jane Ellison: The Department and NHS England have not issued guidelines to health care staff. However, expectations for the provision of sexual assault public health services are set out in the “NHS public health functions agreements for 2013-14 and 2014-15”.

A number of training tools and information exists on improving identification and the staff response to domestic and sexual violence. A handbook for front-line professionals published by the Department in 2009 “Improving Safety, Reducing Harm” is being updated and will be made available this spring.

The National Institute for Health Care Excellence is expected to publish dedicated guidelines on domestic violence this spring which will cover identification and prevention, including tackling the factors that affect health and well-being.

Drugs: Rehabilitation

Diana Johnson: To ask the Secretary of State for Health how many people (a) entered and (b) completed drugs treatment in the last 12 months for which figures are available; and in each case how many people were treated for (i) opioid, (ii) cocaine, (iii) cannabis and (iv) amphetamine addiction. [187627]

Jane Ellison: There were 69,247 new presentations to adult treatment services in England in 2012-13. Of these, 25,065 were treated for opiates (only) as their primary substance; 17,881 for opiates and crack cocaine; 11,280 for cannabis; 7,372 for cocaine; 2,793 for crack (only) and 2,507 for amphetamines.

Of the 29,025 individuals successfully completing treatment in 2012-13, 8,402 were treated for opiates (only) as their primary substance; 4,947 were treated for opiate and crack cocaine; 7,085 for cannabis, 4,605 for cocaine; 1,352 for crack (only) and 1,478 for amphetamines.

The most recent available data are for the year 2012-13 available at:

www.nta.nhs.uk/uploads/annualdrugstatistics2012-13-statisticalreport.pdf

13 Feb 2014 : Column 836W

Health and Wellbeing Boards

Diana Johnson: To ask the Secretary of State for Health how many health and wellbeing boards include representatives of the criminal justice community. [187626]

Norman Lamb: Health and wellbeing boards have the flexibility to determine their own membership in a way that best meets the needs of their local communities.

The Health and Social Care Act 2012 sets a core membership that boards must include:

at least one councillor from the local authority;

the director of adult social services;

the director of children's services;

the director of public health;

a representative of the local Healthwatch; and

a representative of each relevant local clinical commissioning group.

Beyond this core membership, any other members considered appropriate by the local council may be included.

There is no requirement therefore on boards to include membership from the criminal justice community, and the Department does not keep information on the membership of individual boards.

However, membership is not the only way to engage with the work of boards. We expect boards will want to ensure that they have wider mechanisms in place to draw on the expertise of other groups when developing their joint health and wellbeing strategies and the joint strategic needs assessments on which they are based.

Hospitals: Greater London

Mr Thomas: To ask the Secretary of State for Health how many operations were cancelled on or after the day of admission in each NHS trust in London in each of the last five years; and if he will make a statement. [187625]

Jane Ellison: The information requested is shown in the following table. Responsibility for publishing this information transferred to NHS England on 1 April 2013.

Cancelled operations for non-clinical reasons, NHS organisations in London, 2008-09 to 2012-13
  Number of last minute cancellations for non clinical reasons
OrgIDName2008-092009-102010-112011-122012-13

5C5

Newham PCT

0

2

R1H

Barts Health NHS Trust

991

RAL

Royal Free London NHS Foundation Trust

415

800

538

479

584

RAN

Royal National Orthopaedic Hospital NHS Trust

167

143

195

163

120

RAP

North Middlesex University Hospital NHS Trust

108

100

231

154

72

RAS

The Hillingdon Hospitals NHS Foundation Trust

114

227

161

148

151

RAX

Kingston Hospital NHS Foundation Trust

280

181

141

129

137

RC3

Ealing Hospital NHS Trust

166

62

92

112

131

RF4

Barking, Havering And Redbridge University Hospitals NHS Trust

732

344

363

368

400

RFW

West Middlesex University Hospital NHS Trust

62

73

43

45

77

RG2

Queen Elizabeth Hospital NHS Trust

194

RG3

Bromley Hospitals NHS Trust

323

RGC

Whipps Cross University Hospital NHS Trust

271

331

232

223

13 Feb 2014 : Column 837W

13 Feb 2014 : Column 838W

RGZ

Queen Mary's Sidcup NHS Trust

185

RJ1

Guy's And St Thomas' NHS Foundation Trust

686

459

432

377

464

RJ2

Lewisham And Greenwich NHS Trust

200

177

150

164

203

RJ6

Croydon Health Services NHS Trust

188

400

321

330

270

RJ7

St George's Healthcare NHS Trust

821

340

277

302

327

RJZ

King's College Hospital NHS Foundation Trust

323

187

249

316

587

RKE

The Whittington Hospital NHS Trust

94

116

83

56

102

RNH

Newham University Hospital NHS Trust

76

59

73

85

RNJ

Barts And The London NHS Trust

593

475

567

501

RP4

Great Ormond Street Hospital For Children NHS Foundation Trust

200

176

193

224

127

RP6

Moorfields Eye Hospital NHS Foundation Trust

288

178

228

188

125

RPY

The Royal Marsden NHS Foundation Trust

112

122

63

64

42

RQM

Chelsea And Westminster Hospital NHS Foundation Trust

167

155

91

88

83

RQX

Homerton University Hospital NHS Foundation Trust

114

103

41

37

37

RRV

University College London Hospitals NHS Foundation Trust

1,042

871

720

858

907

RT3

Royal Brompton And Harefield NHS Foundation Trust

291

226

267

335

358

RV8

North West London Hospitals NHS Trust

606

556

447

477

517

RVL

Barnet And Chase Farm Hospitals NHS Trust

612

378

305

398

324

RVR

Epsom And St Helier University Hospitals NHS Trust

394

297

243

218

271

RYJ

Imperial College Healthcare NHS Trust

758

631

642

672

710

RYQ

South London Healthcare NHS Trust

899

954

1,250

1,357

Notes: 1. The table shows the organisations as they existed, at the time of each collection. 2. A last minute cancellation is one that occurs on the day the patient was due to arrive, after they have arrived in hospital or on the day of their operation. 3. Some common non-clinical reasons for cancellations by the hospital include: ward beds unavailable; surgeon unavailable; emergency case needing theatre; theatre list over-ran; equipment failure; admin error; anaesthetist unavailable; theatre staff unavailable; and critical care bed unavailable. 4. An operation which is rescheduled to a time within 24 hours of the original scheduled operation should be recorded as a postponement and not as a cancellation. The QMCO collection does not record the number of postponements. Source: Department of Health dataset QMCO

Mr Thomas: To ask the Secretary of State for Health how many out-patient appointments were cancelled in each NHS trust in London in each of the last five years; and if he will make a statement. [187630]

Jane Ellison: Information on the number of out-patient appointments which were recorded as cancelled in each national health service trust in London between 2008-09 and 2012-13 has been placed in the Library.

Not all NHS trusts have provided data submissions to Out-patients Hospital Episode Statistics for the period covered. In addition, some recording practice of cancellations shows some variation.

Some providers do not record any cancellations, while others have changed recording practice in the period reported.

Meningitis

Sir Paul Beresford: To ask the Secretary of State for Health (1) what the average (a) length and (b) cost was, including all intensive care and surgical on-costs, of a hospital admission owing to a case of bacterial meningitis in the last 12 months; [R] [187578]

(2) what estimate he has made of (a) hospital costs, (b) care maintenance costs, (c) litigation costs, (d) morbidity costs, (e) other categories of cost and (f) total costs including all allowances of bacterial meningitis in each year from 2008 to 2013. [R] [187579]

Jane Ellison: Information on the average length of admission for patients with a primary diagnosis of bacterial meningitis in 2012-13 is shown in the following table.

Number of finished admission episodes (FAEs)l; mean and median length of stay2 for episodes with a primary diagnosis of bacterial meningitis3 in England (English NHS hospitals and English NHS commissioned activity in the independent sector) for the year 2012-13
 FAEsMean length of stay (days)Median length of stay (days)

2012-13

1,953

14.92

8

1 A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. 2 Length of stay (LOS) is the difference in days between the admission date and the discharge date (duration of spell), where both dates are given. LOS is based on hospital stays and only applies to ordinary admissions not day cases (unless otherwise stated). Information relating to LOS, including discharge method/destination, diagnoses and any operative procedures, is based only on the final episode of the spell. 3 The primary diagnosis is the first of up to 20 diagnosis fields in the hospital episode statistics (HES) data set and provides the main reason why the patient was admitted to hospital. The International Classification of Diseases (ICD)10 codes used are: G00 Bacterial meningitis, not elsewhere classified and as the primary or first secondary diagnosis: G01.X Meningitis in bacterial diseases classified elsewhere. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre.

Information about the cost of a hospital admission owing to a case of bacterial meningitis is not available in the format requested. This is because the cost of

13 Feb 2014 : Column 839W

individual diagnoses or treatments are not collected centrally. Instead, reference costs for hospital admissions are collected by health care resource groups (HRGs), which are standard groupings of clinically similar treatments that use common levels of resource. Reference costs are the unit costs to national health service hospital trusts of providing defined services in a given financial year to NHS patients.

Information about the weighted average unit costs in 2012-13 of HRGs that included primary diagnoses of bacterial meningitis where no significant procedure was undertaken is shown in the following table. The costs will not be wholly representative of bacterial meningitis, because the HRGs also contain other diseases and disorders.

Healthcare resource group weighted average national average unit costs, 2012-13
 Weighted average unit cost (£)Activity

Adults (age 19 years and over)

2,315

23,613

Children (age 18 years and under)

2,196

13,219

Notes: 1. The costs shown include day cases, elective admissions, non-elective admissions and regular day or night admissions. 2. Unit costs and activity for the following HRGs were averaged for adults age 19 years and over: AA22C Cerebrovascular Accident, Nervous System Infections or Encephalopathy, with CC (complications and co-morbidities) Score 14+ AA22D Cerebrovascular Accident, Nervous System Infections or Encephalopathy, with CC Score 11-13 AA22E Cerebrovascular Accident, Nervous System Infections or Encephalopathy, with CC Score 8-10 AA22F Cerebrovascular Accident, Nervous System Infections or Encephalopathy, with CC Score 5-7 AA22G Cerebrovascular Accident, Nervous System Infections or Encephalopathy, with CC Score 0-4. 3. Unit costs and activity for the following HRGs were averaged for children age 18 years and under: (a) PA16A Major Infections with CC Score 1+ (b) PA16B Major Infections with CC Score 0. 4. Unit costs and activity for the following HRG for children age 18 years and under with additional diagnoses of cancer and agranulocytosis have not been included: (a) PA45Z Febrile Neutropenia with Malignancy. 5. It is not possible to identify any critical care costs associated with these episodes, which would have been recorded separately against other critical care HRGs. Source. NHS reference costs, 2012-13.

We have not made an estimate of costs relating to cases of bacterial meningitis from 2008 to 2013.

However, the Joint Committee on Vaccination and Immunisation (JCVI), the independent expert committee that advises the Government on all immunisation matters, has been considering cost-effectiveness analyses for meningococcal B vaccine which take account of relevant costs in relation to meningococcal B disease. JCVI is due to report back in March 2014 following its meeting on 11 and 12 February 2014.

Sir Paul Beresford: To ask the Secretary of State for Health how many confirmed cases of (a) bacterial meningitis and (b) meningitis B there were in each of the last five years for which data are available; and how many cases of each such category resulted in death. [R] [187584]

Jane Ellison: Public Health England (PHE) collects data on laboratory confirmed cases of invasive meningococcal disease which is a major cause of bacterial meningitis in England and Wales. The data do not distinguish between presentations of invasive

13 Feb 2014 : Column 840W

meningococcal, the most common presentations being meningitis and septicaemia. Cases are classified according to meningococcal capsular group including meningococcal group B.

Table 1 shows the number of cases of confirmed meningococcal disease (all capsular groups) and meningococcal capsular group B disease in the last five years for which data are available (2007-11).

Table 1: Confirmed meningococcal cases in England and Wales, PHE 2007-11
 Cases
 All capsular groupsCapsular group B

2007

1,283

1,096

2008

1,228

1,102

2009

1,030

917

2010

929

800

2011

926

756

These PHE data are available at:

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

PHE does not routinely publish data on deaths from meningococcal disease; however, the Office for National Statistics (ONS) publishes data on deaths registered in England and Wales with underlying causes. Table 2 shows the number of deaths with meningococcal disease as an underlying cause (2007-12).

Table 2: Reported meningococcal deaths in England and Wales, ONS 2008-12
 Deaths

2007

75

2008

77

2009

60

2010

62

2011

69

2012

37

ONS does not publish data on deaths due to individual meningococcal capsular groups.

These ONS data are available at:

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2007/data-tables--2007.zip

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2008/data-tables--2008.zip

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2009/data-tables--2009.zip

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2010/dr-tables-2010.xls

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2011/dr-table5-2011.xls

www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2012/dr-tables-2012.xls

Sir Paul Beresford: To ask the Secretary of State for Health what estimate he has made of the potential annual cost of providing meningitis B vaccine to all 15-year-olds. [R] [187585]

13 Feb 2014 : Column 841W

Jane Ellison: The Joint Committee on Vaccination and Immunisation (JCVI), the independent expert committee that advises the Government on all immunisation matters, has not yet made a final recommendation about the use of the meningococcal B vaccine Bexsero.

The Department has not, therefore, estimated the potential annual cost of providing Bexsero to 15-year-olds.

JCVI is due to report back in March 2014, having reviewed additional evidence at its meeting on 11 and 12 February 2014.

Mental Health Services: Greater London

Mr Thomas: To ask the Secretary of State for Health how many mental health staff were employed by the NHS in each NHS trust in London in each of the last five years; and if he will make a statement. [187624]

Dr Poulter: Information on the numbers of mental health staff employed by each national health service trust in London in each of the last five years for which figures are available has been placed in the Library.

Ovarian Cancer

Bridget Phillipson: To ask the Secretary of State for Health (1) what discussions his Department has had with professional practitioner groups about screening ovarian cancer patients for the BRCA1 gene; [187213]

(2) what discussions his Department has had with professional practitioner groups about guidelines for ovarian cancer diagnosis and treatment. [187214]

Jane Ellison: There have been no departmental discussions with professional practitioner groups about screening ovarian cancer patients for the BRCA1 gene.

The following departmental discussions with professional groups about guidelines for ovarian cancer diagnosis have taken place:

2 February 2011: Joint All Party Parliamentary Group (APPG) on Cancer (Ovarian Cancer discussion);

1 October 2011: Pre-brief prior to Westminster Hall debate on ovarian cancer;

12 October 2011: Westminster Hall debate—the hon. Member for Pudsey (Stuart Andrew) ovarian cancer;

29 November 2011: Meeting with APPG on ovarian cancer; and

28 November 2012: Ovacome ovarian cancer services Parliamentary reception—photocall and drop in.

In addition I met with hon. Members from the APPG on Ovarian Cancer on 3 February for a general discussion which included screening and research.

Property

Ian Austin: To ask the Secretary of State for Health what the (a) name, (b) location, (c) floor space, (d) tenure status and (e) value is of properties (i) owned and (ii) occupied by (A) his Department and (B) agencies and public bodies accountable to him. [187288]

Dr Poulter: A list of the properties owned and occupied by the Department and its arm's length bodies (ALBs) as at 10 February 2014 has been placed in the Library. This does not include occupations in NHS Property Services premises.

13 Feb 2014 : Column 842W

Details of the Department and its ALBs property data are published on a quarterly basis and is available at:

http://data.gov.uk/dataset/epims

A list of the properties owned by NHS Property Services as at 10 February 2014 has been placed in the Library.

These are properties with the company, inherited from primary care trusts (PCTs) and strategic health authorities (SHAs) upon its establishment on 1 April 2013, when PCTs and SHAs were closed as part of the Government's reforms of the national health service.

Details of all properties within the portfolio of NHS Property Services are also available online at:

https://nhsps.micadipr.net/portals/default2.asp

Figures for the value of each property are not available.

Figures for the gross internal area of some properties are not currently available.

Pseudoxanthoma Elasticum

Nick de Bois: To ask the Secretary of State for Health what representations he has received on access to treatment for patients of pseudoxanthoma elasticum; and if he will make a statement. [R] [187535]

Norman Lamb: Further to my hon. Friend's debate on this subject on 18 October 2012, Official Report, column 591W, the Department has received eight representations on access to treatment for patients with pseudoxanthoma elasticum through the Department's ministerial correspondence unit.

Public Appointments

Fiona Mactaggart: To ask the Secretary of State for Health (1) which paid public appointment contracts he has (a) renewed and (b) not renewed since May 2010; and how many posts were held by (i) women and (ii) men; [187021]

(2) what the titles are of the individual public appointments that have been made by his Department since May 2010; and which of those appointees were women. [187082]

Dr Poulter: I refer the hon. Member to the answer given on 11 February 2014, Official Report, column 607W, by the Minister for the Cabinet Office and Paymaster General, my right hon. Friend the Member for Horsham (Mr Maude).

Skin Cancer

Pauline Latham: To ask the Secretary of State for Health what discussions he has had with the National Institute for Health and Care Excellence on the ongoing technology appraisal of ipilimumab for the treatment of advanced melanoma. [186281]

Norman Lamb: Ministers have had no such discussions. The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for the development of its guidance.

13 Feb 2014 : Column 843W

Officials may discuss individual topics with NICE as part of the technology appraisal process, including at the topic selection stage.

Staff

Ian Austin: To ask the Secretary of State for Health what proportion of staff of (a) his Department and (b) agencies and public bodies accountable to him work outside of London; and in which local authorities such staff are located. [187269]

Dr Poulter: 38% of the Department's civil servants work outside of London. The following table provides the breakdown of the headcount of that 38% by region.

RegionTotal headcount of civil servants employed outside of London as at 31 December 2013

North East

1

North West

38

South East

18

Yorkshire and Humber

657

Other/Unknown or Unspecified

20

Source: Department of Health Business Management System 31 December 2013

The Department does not hold centrally the information requested in respect of its agencies and public bodies. The information was sought from the Department's Executive Agencies and Executive Non Departmental Public Bodies.

As at 31 December 2013, 70.5% of the staff in the Department's Executive Agencies and Executive Non-Departmental Public Bodies worked outside London.

The following table shows the numbers of staff in each location.

Executive Agencies and Executive Non Departmental Public Bodies (excluding NHS England)
RegionTotal number of staff by region

North West

1,194

North East

686

Yorkshire and the Humber

1,898

West Midlands

650

East Midlands

312

East of England

479

London

4,241

South East

954

South West

1,542

Scotland

28

Wales

6

Northern Ireland

0

NHS England has provided the following information based on its regional breakdown and national support centre staff, in the following table:

NHS England
RegionTotal number of staff per region

London (Regional and National Support Centre)

1,103

Midlands and East

1,244

North (Regional and National Support Centre)

2,518

South

1,238

13 Feb 2014 : Column 844W

Trauma

Ian Lucas: To ask the Secretary of State for Health pursuant to the answer of 4 September 2013, Official Report, column 147WH, what progress the National Institute for Health and Care Excellence has made in developing guidance relating to trauma. [186980]

Norman Lamb: As I set out in the debate on spinal injuries held in Westminster Hall, the National Institute for Health and Care Excellence (NICE) is developing a number of pieces of guidance on trauma. We understand that NICE expects to publish these between autumn 2015 and spring 2016. Updates on progress are regularly published on NICE's website at:

www.nice.org.uk

Young People: Crimes of Violence

Luciana Berger: To ask the Secretary of State for Health what assessment he has made of the effect on public health of youth violence; and if he will make a statement. [187574]

Jane Ellison: “Protecting people Promoting Health”, a document produced by the Department in 2012 sets out the extent, nature and impact of violence for England. It identifies effective action to reduce violence and sets out a public health approach to violence prevention in England, available at:

www.nwph.net/nwpho/Publications/Protecting%20People %20Promoting%20Health%20Web.pdf

Public Health England (PHE) is working with the Department and the Home Office on the health of young people involved in gang and youth violence. PHE will be producing a briefing for local areas on the mental health issues affecting gang members, recognising the importance of mental health problems for those joining gangs and those involved in gangs. The Home Office's Youth Violence and Health Working Group is working with the NHS Confederation on a briefing for local health and wellbeing Boards on the issues of violence and health.

PHE is also working with NHS England on the development of a new NHS information standard to enable accident and emergency departments to collect data on violent assaults and share these with community safety partnerships in local areas to better inform planning, response and prevention of violent incidents.

Defence

Aircraft Carriers

Angus Robertson: To ask the Secretary of State for Defence what assessment he has made of the benefits of the addition of a ski ramp to the Queen Elizabeth class aircraft carriers' radar cross-section. [187613]

Mr Dunne: An assessment of the effect of the addition of a ramp on the ship's radar cross-section was undertaken during the design phase of the Queen Elizabeth class aircraft carriers programme. The effect of the addition of a ramp on the radar cross-section of the ship is negligible. I am withholding details of the radar cross-section

13 Feb 2014 : Column 845W

of the Queen Elizabeth Class aircraft carriers, as release would, or would be likely to, prejudice the capability, effectiveness or security of the armed forces.

Armed Forces: Recruitment

Andrew Rosindell: To ask the Secretary of State for Defence (1) what proportion of Army officers are recruited from (a) Scotland, (b) England and Wales and (c) Northern Ireland; [187314]

(2) what proportion of the Army is recruited from (a) Scotland, (b) England and Wales and (c) Northern Ireland. [187316]

Dr Murrison: The proportion of Army officers and soldiers recruited from each country within the United Kingdom for 2013-14 is shown in the following table:

Percentage
 Regular
 OfficerSoldier

England

89.0

86.4

Scotland

6.6

6.5

Wales

2.8

4.7

Northern Ireland

0.5

1.9

Other

1.1

0.5

 Reserve
 OfficerSoldier

England

76.1

78.0

Scotland

10.1

11.1

Wales

4.3

3.7

Northern Ireland

5.1

6.3

Other

4.4

0.9

The locations shown reflect the contact addresses recorded and may not be the home address. 'Other' refers to non-UK contact addresses, or those not identifiable.

Armed Forces: Republic of Ireland

Andrew Rosindell: To ask the Secretary of State for Defence how many citizens of the Republic of Ireland are currently serving in the (a) Army and (b) Royal Navy. [187313]

Dr Murrison: The armed forces joint personnel administration system provides service personnel with an option to record their nationality. As of 1 October 2013 there were 460 Army personnel and 70 naval service personnel (Royal Navy, the Queen Alexandra's Royal Naval Nursing Service and the Royal Marines) who had recorded their nationality as Irish.

These figures have been rounded.

Cybercrime

Andrew Rosindell: To ask the Secretary of State for Defence how many attempted cyber attacks on his Department were recorded in the last 12 months. [187308]

13 Feb 2014 : Column 846W

Mr Francois: Within the Ministry of Defence there are technical, organisational, procedural and physical measures in place to protect against and mitigate the impact of cyber attacks. However, we do not comment on the specific detail of cyber security incidents.

Defence Munitions

Alison Seabeck: To ask the Secretary of State for Defence what plans he has for the outsourcing of Defence Munitions Plymouth. [187092]

Dr Murrison: The future of Defence Munitions Plymouth is being considered as part of the Weapons End-to-End Transformation Programme which is looking at optimising the weapons supply chain. The work is considering a number of options, but it is too early say what the outcome might be.

Libya

Andrew Rosindell: To ask the Secretary of State for Defence what involvement UK armed forces currently have in Libya. [187321]

Mr Francois: The UK has a defence advisory team in Tripoli of 24 personnel, commanded by a Brigadier, which works to support the UK/Libya relationship and provides advice through advisers embedded in the Libyan MOD, navy, air force, land forces and border security force. There is also a senior disarmament adviser working with the Government of Libya, the UN and international partners on disarmament issues.

The team also provides the platform for short-term training teams to support a variety of programmes, including strategic communication, developing explosive ordnance disposal schools, supporting the creation of a joint operational planning staff and naval training.

In November 2013, the UK also established a defence section within the British embassy, Tripoli with a defence attaché.

Military Bases: Hazardous Substances

Angus Robertson: To ask the Secretary of State for Defence which defence establishments are subject to Dangerous Substances and Explosive Atmosphere Regulations; and which establishment received a (i) stage 1 risk assessment and (ii) stage 2 risk assessment in the most recent period for which data are available. [187233]

Dr Murrison: A table showing all Ministry of Defence sites subject to the Dangerous Substances and Explosive Atmosphere Regulations, including details of the risk assessments carried out up to 14 January 2014, has been placed in the Library of the House. There is an ongoing programme to carry out risk assessments (stage 1 and/or 2) on those sites which still require them.

Military Exercises

Andrew Rosindell: To ask the Secretary of State for Defence (1) how many British service personnel have been killed in live fire exercises in each of the last five years; [187309]

13 Feb 2014 : Column 847W

(2) what steps he is taking to improve the safety of personnel during live fire exercises. [187310]

Dr Murrison: Between 1 January 2008 and 31 December 2012 (the latest date for which data are available), three UK regular armed forces personnel died while on live firing exercises, two in 2011 and one in 2012. Data for 2013 will be published in March 2014. All three of the fatalities were from the Army.

Since 1996, the Army's ‘Land Accident Prevention and Investigation Team’ (LAIT) has investigated military accidents or incidents which cause or have the potential to cause death, serious injury or equipment loss. The LAIT makes recommendations to ensure appropriate remedial action is taken and to reduce the risk of recurrence. The LAIT is required to follow up recommendations within eight weeks to ensure remedial action has been taken.

Each of the three fatalities detailed above has been the subject of such procedures and the recommendations have been implemented.

Alongside any action taken by the LAIT, police, Health and Safety Executive or coroner, the appropriate chain of command can convene a detailed service inquiry if anything additional can be learned to prevent recurrence.

All three single services have robust lesson exploitation processes to disseminate best practice.

Ministry of Defence Police

Dr Offord: To ask the Secretary of State for Defence what steps his Department plans to take to ensure that the Ministry of Defence Police adhere to the College of Policing standards. [187329]

Dr Murrison: The Ministry of Defence Police works in close partnership with the College of Policing to ensure the maintenance of standards and professionalism in matters relating to policing, such as firearms, training, professional standards and recruitment.

Navy

Angus Robertson: To ask the Secretary of State for Defence whether plans to establish a Navy Safety Centre have been approved; and where this centre will be located. [187337]

Dr Murrison: The plans for the Navy Safety Centre have been approved and it is based in Navy Command Headquarters in Portsmouth. The Centre will achieve full operating capability by the end of 2014.

Nuclear Submarines

Jeremy Corbyn: To ask the Secretary of State for Defence what estimate he has made of the cost of nuclear liabilities associated with berthing and decommissioning submarines, decontamination of associated sites and storage of related nuclear materials, including disaggregation by (a) out-of service submarines, (b) in-service submarines and (c) Trident replacement submarines. [187144]

13 Feb 2014 : Column 848W

Dr Murrison: The nuclear liabilities provision contained within the Ministry of Defence Annual Report and Accounts for 2012-13 was £3.7 billion.

Within this total, the nuclear liabilities associated with berthing and decommissioning submarines, decontamination of associated sites and the storage of related nuclear materials are as follows:

Liability DescriptionLiability (£ million)

Afloat Storage

356

Submarine Dismantling

718

Decommissioning of Astute Boats 1 and 2 (reactor and hull)

50

Long term storage and processing of spent fuel

537

Other than the afloat storage liability relating to out-of-service submarines and the Astute boat decommissioning liability relating to in-service submarines, the provisions cannot be disaggregated.

It is too early in the life of the Trident replacement programme for liabilities to be accounted for.

Pay

Ian Austin: To ask the Secretary of State for Defence how many civil servants are on each pay grade in (a) his Department and (b) agencies and public bodies accountable to him. [187242]

Dr Murrison: Statistics relating to the pay grade of civil servants in the Ministry of Defence, (MOD) are contained within the Quarterly Civilian Personnel Report, available at the following link:

http://www.dasa.mod.uk/index.php/publications/personnel/civilian/quarterly-civilian-personnel-report/2014-01-01

Staff numbers by pay grade for the three trading funds of the MOD are set out in the following tables:

Defence Support Group
Pay BandStaff

SCS

4

PB1.L1

17

PB1.L2

41

PB2.L1

98

PB2.L2

194

PB3.L1

535

PB3.L2

993

PB3TTORR

21

PB4.L1

247

PB4.L2

236

AAP2

2

AAP3

1

APP1

20

APP2

19

APP3

7

Nurse

2

Total

2,437

United Kingdom Hydrographic Office
GradeNumber

SCS

3

C1

16

C2

63

B1

186

B2

256

13 Feb 2014 : Column 849W

B3

373

Al

157

A2

25

Contractor

60

Temp

25

Total

1,164

Defence Science and Technology Laboratory
Pay GradeNumber

9 (highest)

35

8

120

7

396

6

947

5

906

4

974

3

249

2

98

1

109

Total

3,834

Public Appointments

Fiona Mactaggart: To ask the Secretary of State for Defence (1) which paid public appointment contracts he has (a) renewed and (b) not renewed since May 2010; and how many such posts were held by (i) women and (ii) men; [187014]

(2) what the titles are of the individual public appointments that have been made by his Department since May 2010; and which of those appointees were women. [187075]

Dr Murrison: I refer the hon. Member to the answer given by the Minister for the Cabinet Office and Paymaster General, my right hon. Friend the Member for Horsham (Mr Maude) on 11 February 2014, Official Report, column 607W.


Redundancy

Angus Robertson: To ask the Secretary of State for Defence what assessment he has made of the effect of recent redundancies on the level of suitably experienced and qualified personnel. [187232]

Dr Murrison: I refer the hon. Member to the answer I gave on 22 January 2014, Official Report, column 220W, to the hon. Member for North Durham (Mr Jones).

Staff

Ian Austin: To ask the Secretary of State for Defence what proportion of staff of (a) his Department and (b) agencies and public bodies accountable to him work outside of London; and in which local authorities such staff are located. [187264]

Dr Murrison: The proportion of service personnel and civilians working outside London is shown in the following table:

13 Feb 2014 : Column 850W

Proportion of Ministry of Defence (MOD) personnel stationed outside London as at 1 October 2013
Percentage
 TotalUK regularsMOD civilians

Total outside London (Worldwide)

96.3

97.1

94.1

Total outside London (UK)

95.8

96.7

93.2

Data on the stationed location of MOD personnel by local authority area are available in Quarterly Location Statistics, accessible at the following link:

http://www.dasa.mod.uk/index.php/publications/personnel/combined/quarterly-location-statistics/2013-10-01

Trident

Jeremy Corbyn: To ask the Secretary of State for Defence (1) what recent estimate he has made of the cost at out-turn prices of the Trident replacement programme; [187135]

(2) what estimate he has made of the (a) expenditure and percentage share of his Department's procurement budget that the design and construction of the Trident replacement submarines will represent and (b) what the running costs and percentage share of his Department's overall spending of the existing Trident nuclear weapons system will be in each of the next 10 years; [187142]

(3) what the estimated annual expenditure and percentage share of his Department's procurement budget the design and construction of the Astute-class submarines will represent in each of the next 10 years. [187143]

Dr Murrison: Current forecast costs, including planned Submarine Enterprise Performance Programme efficiency measures, indicate that we remain within the 2006 White Paper estimates of £11 billion-£14 billion (at 2006-07 prices) for the Successor platform costs (assuming a four boat fleet). This equates to some £25 billion at out-turn prices.

I refer the hon. Member to the Ministry of Defence Major Projects Report for 2013, published today by the National Audit Office, which includes the latest estimate of costs for the Astute programme.

The in-service costs of the UK's nuclear deterrent, which include the Atomic Weapons Establishment's costs, are around 5-6% of the defence budget.

The Department's budget beyond 2015-16 has not been agreed and will be subject to consultation in the next spending review. Additionally, estimates on individual projects are subject to ongoing negotiations with industry. Therefore, I am withholding details of the proposed spending and annualised percentages at project level, as to release this information would be likely to impact upon the formulation of Government policy and future negotiations with industry. The Department annually publishes detail on equipment expenditure for the next 10 years in the Defence Equipment Plan. The latest version was published in 2012 (DMC00575 01-13) and I expect to publish the 2013 version in the near future.

13 Feb 2014 : Column 851W

Jeremy Corbyn: To ask the Secretary of State for Defence what the annual expenditure on the Trident nuclear weapons system, including all capital expenditure at HMNB Clyde, AWE Aldermaston and AWE Burghfield, has been since 2000. [187138]

Dr Murrison: Annual expenditure on the Trident nuclear weapons system, comprising D5 missile and warhead costs only, cannot be separately identified.

Certain costs, such as some expenditure at Her Majesty's Naval Base Clyde, relate to multiple activities, which cannot be broken down into individual elements.

Trident Missiles

Jeremy Corbyn: To ask the Secretary of State for Defence what recent estimate he has made of the cost

13 Feb 2014 : Column 852W

at out-turn prices of the D5 missile extension programme. [187136]

Dr Murrison: The current estimate of the cost of the Trident D5 Life Extension programme at out-turn prices is in the region of £250 million.

Jeremy Corbyn: To ask the Secretary of State for Defence what recent estimate he has made of the cost of developing and procuring a replacement missile for the Trident D5 missile for the remainder of the replacement submarine service life after 2042. [187137]

Dr Murrison: None.