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Written Answers
Wednesday, 9th October 2002.
Northern Ireland: Police Officers
Lord Laird asked Her Majesty's Government:
- How many officers have left or retired from the police service in Northern Ireland each year since 1998; and how many were recruited in the same periods, including the Reserve Force.[HL5809]
The Lord Privy Seal (Lord Williams of Mostyn): The number of officers that have left or retired from the police service in Northern Ireland each year since 1998 and the number of officers recruited in the same periods, including the Reserve is illustrated in the tables below:
| Actual Date | Regular | Full-time Reserve | Part-time Reserve |
| 1998 | 215 | 166 | 86 |
| 1999 | 192 | 220 | 67 |
| 2000 | 207 | 169 | 79 |
| 2001 | 1,227 | 317 | 75 |
| 2002 | 423 | 309 | 46 |
| Grand Total | 2,264 | 1,181 | 353 |
| Date | Regulars | Full-time Reserve |
| 1998 | 183 | 121 |
| 1999 | 245 | 2 |
| 2000 | 38 | 2 |
| 2001 | 107 | 1 |
| 2002 | 387 | 0 |
| Grand Total | 960 | 126 |
Asylum Decisions
Lord Hylton asked Her Majesty's Government:
- What measures they have taken in recent months to improve the quality of initial decisions for individual asylum seekers.[HL5794]
The Parliamentary Under-Secretary of State, Home Office (Lord Filkin): Action to maintain and improve the quality of initial decisions on asylum applications is a continuous, iterative process. Recent initiatives include extra training on human rights and seminars by the Medical Foundation for the Care of Victims of Torture to better equip caseworkers to interview asylum applicants. Guidance to caseworkers and training needs are informed by, and updated in the light of, random sampling of initial decisions, emerging caselaw, policy changes, and feedback from internal and external stakeholders.
Asylum Accommodation Centres
Baroness Anelay of St Johns asked Her Majesty's Government:
- Which Ministers have visited the sites of proposed accommodation centres; which sites they visited; and on which dates those visits were made.[HL5810]
Lord Filkin: My honourable friend the Minister of State, Home Office (Beverley Hughes) visited the proposed sites at DSDC Bicester on 26 June 2002, RAF Newton on 2 July 2002 and Throckmorton Airfield, Pershore on 8 October.
"Life in the United Kingdom" Advisory Group
Baroness Anelay of St Johns asked Her Majesty's Government:
- (a) what progress has been made by the advisory group on naturalisation chaired by Sir Bernard Crick in determining the content of the naturalisation test; (b) what reports have been presented by the group to the Government; and (c) when the committee's final report will be published.[HL5813]
Lord Filkin: The "Life in the United Kingdom" Advisory Group has now held its inaugural meeting and has agreed to seek to publish an interim report by January 2003, followed by its final recommendations by Easter 2003. Sir Bernard Crick aims to provide me with the group's early thoughts on a programme structure which I shall share with noble Lords at Report stage of the Nationality, Immigration and Asylum Bill.
Personality Disorder: Academic Studies
Lord Lucas asked Her Majesty's Government:
- In the context of the draft mental health Bill, which of the academic studies of the prevalence of personality disorder (a) in the general population; (b) in primary care; and (c) in prisoners they believe to be most reliable.[HL5448]
The Parliamentary Under-Secretary of State, Department of Health (Lord Hunt of Kings Heath): An expert advisory group, set up with the agreement of Ministers to advise on delivering a strategy for the treatment of people with personality disorder, has reviewed a paper produced by Dr Paul Moran on the epidemiology of personality disorder, and ratified its findings. The studies quoted as follows, which are taken from Dr Moran's paper, provide the latest and most reliable information on the prevalence of personality disorder.
- (a) The General Population Studies into the prevalence of personality disorder in the general population report prevalence figures ranging from 10 per cent to
- 13 per cent (de Girolamo & Dotto 2000). These studies have found that personality disorders are more common in younger age groups (particularly the 25 to 44 year age group) and equally distributed between males and females—although the sex ratio for specific types of personality disorder is variable (for example, antisocial PD is commoner in males).
- (b) Primary Care Epidemiological studies report that the prevalence of personality disorder in primary care lies between 10 and 30 per cent (Dilling et al 1989; Casey & Tyrer 1990).
- (c) Prison Population
NHS: Cancelled Operations
Lord Clement-Jones asked Her Majesty's Government:
- How many (a) cancelled operations in total; (b) operations cancelled on the day planned for the operation; and (c) operations cancelled and not rescheduled within one month, there were in each health authority in England for quarter three and quarter four of 2001–02. [HL5620]
Lord Hunt of Kings Heath: Data on the number of operations cancelled on the day of surgery during Q3 and Q4 2001–02 are not available. However, the number of operations cancelled, by the hospital, for non-clinical reasons, on, or after the day patient was due to be admitted; and the number of those patients who were not readmitted within 1 month of cancellation, broken down by health authority, are available in the Library.
NHS: Acute Hospital Services
Baroness Noakes asked Her Majesty's Government:
- Whether there are any circumstances in which strategic health authorities will enter into contracts for the supply of acute hospital services in England.[HL5622]
Lord Hunt of Kings Heath: Primary care trusts are responsible for planning and securing the provision of all the care and services that their population needs. This includes commissioning all acute services for their populations. Normally, the strategic health authorities' role is to ensure that each primary care trust has appropriate arrangements in place both for commissioning by itself and with others through consortia. It will also be represented on commissioning consortia for specialist services and provide support
and experience as well as ensuring consistency across primary care trusts. In cases of extreme failure by PCTs to fulfil their duties/functions, provision is made for an intervention order under Section 84A or a default order under Section 85 of the National Health Service Act 1977 as a result of which strategic health authorities could be directed to undertake the duties on behalf of the PCT.Hepatitis C
Lord Morris of Manchester asked Her Majesty's Government:
- What consideration they have given to the findings of the British Liver Trust's report Hepatitis C—The Public Stealth Disease; and what action they are taking in response to its call for concerted action to make the disease an urgent public health priority.[HL5774]
Lord Hunt of Kings Heath: The Department of Health published a consultation document Hepatitis C Strategy for England on 14 August 2002, in recognition of the importance of hepatitis C as a public health issue. The Chief Medical Officer's infectious disease strategy, Getting Ahead of the Curve, has also highlighted hepatitis C as a priority area requiring intensified action.
The hepatitis C strategy addresses many of the issues raised by the British Liver Trust report and proposes developing professional and public awareness of hepatitis C and strengthening services for its prevention, diagnosis and treatment. The proposals in the strategy are intended to form the basis of an action plan for hepatitis C, which is due to be produced by the end of 2002.
Services for hepatitis C in Scotland, Wales and Northern Ireland are the responsibility of the devolved administrations.
Lord Morris of Manchester asked Her Majesty's Government:
- What consideration they have given to the endorsement by the Scottish Medicine's Consortium of an advanced pegylated alfa interferon treatment for use in the National Health Service in Scotland for patients infected with hepatitis C; and whether they will make it available to patients elsewhere in the United Kingdom.[HL5775]
Lord Hunt of Kings Heath: We have asked the National Institute for Clinical Excellence to appraise the clinical and cost effectiveness of pegylated interferons compared with conventional interferons in the treatment and management of chronic hepatitis C infection. The institute expects to issue guidance in November 2003.
In August 1999, the Department of Health issued Health Service Circular 1999/176, which asks the National Health Service bodies to continue with local arrangements for the managed introduction of new
technologies where there is no guidance from NICE at the time the technology first becomes available. These arrangements should involve a local assessment of all the available evidence.
Treatment for hepatitis C in Wales and Northern Ireland is the responsibility of the devolved administrations.
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