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Down's Syndrome

Baroness Masham of Ilton asked Her Majesty's Government:

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Baroness Andrews: We have no evidence of discrimination against people with Down's Syndrome. People with Down's Syndrome have the same rights of access to health and social services as anyone else. They should not be discriminated against simply because they have a learning disability. Where discrimination can be shown the provisions of the Disability Discrimination Act apply.

Children's National Service Framework

Lord Clement-Jones asked Her Majesty's Government:

    Which common childhood conditions will be addressed in the Children's National Service Framework.[HL2625]

Baroness Andrews: The Children's National Service Framework will set out standards for a wide range of children's and young people's services. Rather than address specific conditions, the standards are likely to outline what support should be available to children and their parents in managing a range of conditions and problems. This will emphasise the promotion of evidence-based clinical guidelines and will provide examples of good practice.

Paediatric Continence Services

Lord Clement-Jones asked Her Majesty's Government:

    What assessment they have made of the adequacy of paediatric continence services throughout the United Kingdom.[HL2626]

Baroness Andrews: A review of continence services was instituted in 1998 by the then Parliamentary Under-Secretary of State for Health (Mr Paul Boateng), leading to guidance which recognised that modest changes to continence services would have a significant impact on the quality of life for patients, in particular for children and older people.

The provision of these services in England is a matter for primary care trusts which are responsible for determining the level of services required to meet the needs of their local population.

Common childhood conditions, including paediatric continence, will be considered under the forthcoming National Service Framework for Children, Young People and Maternity Services, which is currently developing national standards. The new standards will help ensure that children and young people are able to access appropriate services at the

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right time and that they can take an active part in making decisions about their care.

Lord Clement-Jones asked Her Majesty's Government:

    What assessment they have made of the psychological and social impact of enuresis on a child with the condition.[HL2627]

Baroness Andrews: There is a well-documented association between enuresis and psychiatric disorder in community samples of children. The rate of psychiatric disorder is between two and six times higher in enuretic children than in controls, but over half of enuretic children have no psychiatric disorder. Psychiatric disorder is more common in those children with both daytime and night-time wetting and in children with other developmental problems. Where a child has enuresis associated with developmental or emotional difficulties, their needs should be fully assessed by a multi-professional team.


Lord Lea of Crondall asked Her Majesty's Government:

    When detailed results from the 2001 Census for local authorities in England and Wales will be published.[HL2743]

Lord McIntosh of Haringey: The national report on the 2001 Census for England and Wales is being laid before Parliament today. Copies are available in the Printed Paper Office and the report is also accessible on the national statistics website.

The report provides detailed statistics covering the wide range of topics included in the 2001 Census, and fills out the picture given by the key statistics report released on 13 February 2003 and the first results published on 30 September 2002. In particular, it shows many relationships between census topics, for example the links between age, social group and health.

The printed report comprises a set of 145 tables presenting statistics at the national level, and an accompanying CD contains the corresponding figures for England and Wales separately, English regions, and local authorities in England and Wales, along with software to view, manipulate and download the data. The CD contains the equivalent to the entire set of 1991 Census county reports, which were published in two printed volumes for each of the 55 counties in England and Wales over a 14-month period. The CD also contains an electronic version of the key statistics report released on 13 February.

A further set of tables covering migration and workplace statistics will be published in a supplementary report later in the summer.

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