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What estimate the Department of Health has made of the expected effect of an increase in the number of general practitioners with special interests on referrals to secondary care; and whether there will be changes in funding to reflect this. [HL137]
It is for local health commissioners, both primary care trusts and practice-based commissioners, to determine local servicesincluding general practitioners with special interests serviceswhich will best meet the needs of their local populations within the resources available to them, and to fund these services accordingly. The influence of community-based services on referrals to secondary care will be an important consideration in overall service planning at local level.
What consideration they have given to the research findings on the risk of prostate cancer among black men in the United Kingdom, published in the journal European Urology; and what action they are taking to address the finding that black men have both a poorer knowledge of prostate cancer and are at grossly increased risk of getting the disease. [HL32]
The Parliamentary Under-Secretary of State, Department of Health (Lord Darzi of Denham): The paper published in the journal European Urology was a result of the Prostate Cancer in Ethnic Subgroups (PROCESS) study, which was undertaken at the University of Bristol and funded by the department. This study, which cost nearly £300,000, shows that black men are three times more likely to develop prostate cancer compared to white men, but that they do not have worse outcomes. The researchers who undertook the PROCESS study are now considering follow-up studies which will help advise how best to take this issue forward, and the department is discussing with them the most appropriate funding stream for this work.
The results of the PROCESS study were discussed by the prostate cancer advisory group, chaired by Professor Mike Richards, the national cancer director, and are being taken into account as we revise the prostate cancer risk management programme, which will be relaunched in summer 2008.
With specific reference to prostate cancer treatment for black men, the National Health Service cancer action team (CAT) has appointed an associate director of patient experience. This post is being funded by the National Audit Office. Responsibilities of the post will cover equality issues for cancer, including prostate cancer, as follows:providing leadership on black and minority-ethnic (BME) group issues within the CAT;promoting the establishment of a forum of the key stakeholders working with BME communities and work with them to facilitate the sharing of good practice; and
Inequalities in cancer are also being considered as part of the development of the new cancer reform strategy, which we hope to publish by the end of the year. An equality impact assessment will also be published alongside the strategy.
The Parliamentary Under-Secretary of State, Home Office (Lord West of Spithead): If the Secretary of State wishes to contest an application for bail, he must file with the tribunal and serve on the applicant a written statement of his reasons for doing so.
Lord West of Spithead: The information requested could only be obtained by the detailed examination of individual case records at disproportionate cost. The Borders and Immigration Agency makes every effort to avoid splitting families and does so only in exceptional cases.
The policy on splitting families can be found in Chapter 58.7.1 of the Operational Enforcement Manual (OEM), which is publicly available on the BIA website at: www.ind.homeoffice.gov.uk/documents/oemsection e/44752?view=Binary.
Lord West of Spithead: The welfare of children detained with their families is reviewed on a continuous basis. For example, at Yarl's Wood, where families with children are held for longer periods, arrangements include the initial screening and assessment on a family's arrival at the centre; a weekly meeting attended by the removal centre's staff, crèche and education staff, healthcare professionals and the social workers seconded to work in the centre to identify whether any child's
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The variety of the different assessments and the fact that a child is often the subject of several means that it is possible neither to identify how many separate assessments have been made nor to attribute the release from detention to any one of them.
Quarterly snapshots are published in the quarterly asylum bulletin, showing the number of people detained under Immigration Act powers on the last Saturday of each quarter. Statistics on the total number of persons recorded as being removed from the UK upon leaving detention each quarter are also published in the quarterly asylum bulletin.
Information on the number of persons detained is published in the quarterly asylum bulletin, available in the House Library and on the Home Office Research Development and Statistics Directorate website at www.homeoffice.gov.uk/rds/immigration1. html.
Further to the Written Answer by Lord Triesman on 5 June 2006 (WA 153-54), what is the latest acute malnutrition rate among Iraqi children under five; how this compares with the rate of 5.9 per cent in the UNICEF survey in 2000 during the oil-for-food regime; and what measures are being taken to reduce it other than by encouraging economic growth.[HL204]
The Parliamentary Under-Secretary of State, Department for International Development (Baroness Vadera): There are no fully reliable or up-to-date figures on child malnutrition in Iraq. The latest joint UNICEF-Government of Iraq multiple indicator cluster survey was published in March 2007. It reported a fall in malnutrition rates since 2000. The proportion of children who were too thin for their age had fallen from 5.9 per cent in 2000 to 4.8 per cent in 2006. The proportion of children too short for their
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The Government of Iraq have primary responsibility for ensuring the welfare of their own citizens, including children. However, the UN, led by UNICEF, continues to support the Iraqi Government to improve nutrition rates through infant feeding campaigns, the provision of medical supplies and other support. DfID is supporting humanitarian agencies providing emergency relief, including food assistance, to children and other vulnerable groups. Since 2003, DfID has committed over £130 million in humanitarian assistance, of which £15 million has been for this year alone.
Whether they are content, in light of their involvement in the establishment and operation of the Motor Insurers Bureau (MIB), that the MIB seeks to transfer fully or to share liability with the blue light services (police, fire and ambulance) when they are involved in road collisions with non-insured drivers and when they are operating within standard, approved operating guidelines. [HL287]
Lord Bassam of Brighton: All claims made to the Motor Insurers Bureau are dealt with in accordance with current liability law. We are satisfied that the correct procedures are being operated by the Motor Insurers Bureau.
What action they propose to take to ensure that the new police pension scheme does not adversely affect the ability of British Transport Police (BTP) to recruit high-quality staff, or limit opportunities for BTP staff to transfer to other police services. [HL250]
The Parliamentary Under-Secretary of State, Department for Work and Pensions (Lord McKenzie of Luton): The security services, and special forces, are subject to health and safety legislation, as are the police. However, the criminal enforcement provisions of this legislation do not apply to the former as Crown bodies.
Lord Bassam of Brighton: The British Transport Police assists Network Rail with prosecutions using the evidence gathered from enforcement cameras where they are installed at level crossings. For instance, the dedicated camera enforcement unit in the north-east has initiated more than 380 prosecutions so far this year.
Further to the Written Answer by Lord Bassam of Brighton on 24 October (WA 121), what hourly cost is attributed to a blocked lane of a motorway in the Defence Research Agency's report of heavy vehicle recovery practice. [HL271]
Lord Bassam of Brighton: The report by the Defence Research Agency used a computer model and estimated a range of delay costs for blocking one lane of a three-lane motorway for 65 minutes of £29 to £18,528. This range is for traffic flow rates of between 1,000 and 2,000 vehicles per lane per hour respectively.
Lord Bassam of Brighton: The Highways Agency does not have flat-rate costs for motorway closures. Instead, a cost must be determined on a case-by-case basis, as it is highly dependent on factors local to the individual stretches of motorway, including duration and time of closure. Such a cost would be in the order of £5,000 to £10,000 per lane per hour and is made up of two parts; the actual cost of the traffic management measures deployed, and the delay and changes in vehicle-operating costs to road users.
What estimates have been made of the contribution that travel planning and smarter choices initiatives will make towards the achievement of the carbon emission reduction targets in the Climate Change (Draft) Bill. [HL193]
Lord Bassam of Brighton: Our most recent estimate of the carbon dioxide (CO2) saving from smarter choices and travel planning is for an annual reduction in road transport CO2 of about 0.5 per cent in 2025, or about 0.5 million tonnes of CO2.
The Government are developing the evidence base further to inform future forecasts and decision-making. For example, earlier this year the smarter travel towns initiative reported very encouraging results, showing an increase of over 10 per cent in walking, cycling and public transport use among the targeted population and a commensurate decrease in car use. The final results from the sustainable travel towns will be available in 2009.
Lord Davies of Oldham: The total duty receipts of alcohol products (cider, beer, wine and spirits) can be found in the HM Revenue and Customs Beer and Cider Bulletin, Wine of Fresh Grapes or Made Wine Bulletin and Spirits Bulletin, which are available from the HM Revenue and Customs website addresses at:www.uktradeinfo.co.uk/index.cfm?task=bullbeerwww.uktradeinfo.co.uk/index.cfm?task=bullfresh www.uktradeinfo.co.uk/index.cfm?task=bullmade wine www.uktradeinfo.co. uk/index.cfm?task=bullspirits.
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