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889W Written Answers 1 DECEMBER 2010 Written Answers 890W (2) what steps his Department has taken to increase the standard of healthcare for people diagnosed with basophobia since 1990; and if he will make a statement; [26494] (3) whether he has made an estimate of the number of (a) men and (b) women in each age group in each health authority area who were diagnosed with basophobia in each of the last three years; [26495] (4) whether his Department has commissioned research into (a) basophobia and (b) conditions related to basophobia in the last three years; and if he will make a statement; [26496] (5) whether his Department has commissioned research into the (a) causes and (b) prevention of basophobia since 1990; and if he will make a statement. [26497] Paul Burstow: Basophobia, a fear of falling, is one of a large number of specific phobias that generally respond well to cognitive behavioural therapy (CBT) although it is important that physical health issues that might make someone more likely to fall, such as low blood pressure, are checked out before psychological treatment is started. CBT is now increasingly available on the national health service as a result of the Improving Access to Psychological Therapies programme which began in 2008 and is about half-way through its nationwide roll-out. The Chancellor announced further funding in the spending review to complete this roll-out by 2014-15. These local psychological therapies services, which are delivered in primary care, are ideal for patients with specific phobias like basophobia because of the ease with which therapists can link with the patient’s general practitioner. With regard to research into the condition, the usual practice of the Department’s National Institute for Health Research (NIHR) is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. British Medical Association: Competition Derek Twigg: To ask the Secretary of State for Health what representations he has received from the (a) British Medical Association, (b) Royal College of Nursing and (c) Royal Colleges on competition in the provision of health services. [26533] Mr Simon Burns: The Department received over 6000 responses to the White Paper consultation and these are being considered carefully. The Government’s response will be published in due course. The British Medical Association, Royal College of Nursing and other Royal Colleges responded to Government’s consultation document: “Liberating the NHS: Regulating healthcare providers”. A copy of the consultation document has already been placed in the Library. Details of their responses to consultation can be found at: British Medical Association: www.bma.org.uk/healthcare_policy/nhs_white_paper/ consultationpaperswp.jsp Royal College of General Practitioners: www.rcgp.org.uk/policy/liberating_the_nhs.aspx Royal College of Midwives: www.rcm.org.uk/college/policy-practice/consultations/pastconsultations/nhs-white-paper-consultations/ Royal College of Psychiatrists: www.rcpsych.ac.uk/policy/policyandparliamentary/projects/ live/whitepaper.aspx Cancer: Waiting Lists Derek Twigg: To ask the Secretary of State for Health (1) what estimate he has made of the average waiting time to see a cancer specialist in each year of the comprehensive spending review period; [26526] (2) what the average waiting time to see a cancer specialist was in each primary care trust area in England in the latest period for which figures are available. [26527] Paul Burstow: The Department has made no projections of performance for the all cancer two week wait and does not hold information on average waiting times for these services. In the most recent period for which statistics are available (Quarter 1 2010-11) 95.5% of patients urgently referred with suspected cancer by their general practitioner (GP) were seen within two weeks. Statistics on average waiting times for cancer services are not collected centrally. However, primary care trust (PCT) based performance statistics for the all cancer two week wait were published for the first time in September this year and can be found at the following link: www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsStatistics/DH_119478 The most recent statistics available are for the year 2009-10 and show that between 1 April 2009 and 31 March 2010 94.9% of patients urgently referred by their GP with suspected cancer were first seen by a specialist within two weeks. Information on the number of patients urgently referred by their GP with suspected cancer who were first seen by a specialist within two weeks, broken down by PCT in England, has been placed in the Library. Cataracts: Surgery Mike Weatherley: To ask the Secretary of State for Health what steps he is taking to widen choice for patients undergoing cataract surgery in the NHS; and if he will make a statement. [26281] Mr Simon Burns: We are committed to extending choice for all national health service patients and service users, including those who are referred for elective care such as cataract treatment. We are currently consulting on proposals for giving patients and service users greater choice and control over their care and we will publish our response along with more detailed policy proposals early next year. Chronic Obstructive Pulmonary Disease Nick Smith: To ask the Secretary of State for Health whether his Department made an estimate of the effect on the number of (a) emergency hospital admissions and (b) inpatient bed days of increasing the rate of early diagnosis for chronic obstructive pulmonary disease. [26125]

891W Written Answers 1 DECEMBER 2010 Written Answers 892W Mr Simon Burns: The consultation on a strategy for services for chronic obstructive pulmonary disease, published earlier this year, included publication of an impact assessment which included estimates of the impact of the strategy as a whole on the numbers and costs of emergency hospital admissions. No explicit estimates were made relating to in-patient bed days, or to the specific impact of improving the rate of early diagnosis of the disease. The consultation documents have already been placed in the Library, and can be found on the Department’s website at: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/ en/Consultations/Liveconsultations/DH_112977 Nick Smith: To ask the Secretary of State for Health what recent assessment he has made of the stage of disease at which chronic obstructive pulmonary disease is most frequently diagnosed; and whether his Department holds information for benchmarking purposes on the diagnosis of that disease in other EU member states. [26128] Mr Simon Burns: The information the Department holds on the stage at which chronic obstructive pulmonary disease is diagnosed was published as part of the Department’s consultation on a strategy for services for chronic obstructive pulmonary disease in England and is included in the consultation impact assessment. The consultation documents have already been placed in the Library and can be found on the Department’s website at: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/ en/Consultations/Liveconsultations/DH_112977 The Department does not hold information for benchmarking purposes on the stage of diagnosis in other European Union member states. Clostridium Difficile Mr Watson: To ask the Secretary of State for Health what penalties may be imposed on NHS hospital trusts which fail to meet his Department’s targets for reducing the incidence of clostridium difficile. [26395] Mr Simon Burns: Poor performance in relation to Clostridium difficile is covered within the NHS Standard Contracts that commissioners are expected to use for NHS funded services as a basis for setting out their expectations in terms of performance by their providers. It falls into the Nationally Specified Events aspect of the contract, which introduces a sliding scale of deductions of up to 2% of the annual contract value if the provider breaches the number of cases of Clostridium difficile infections in a contract year compared with the previous year’s performance. The primary care trust is required to make the year-end deduction under the provisions of the relevant clause within the contract. Clostridium Difficile: Screening Mr Watson: To ask the Secretary of State for Health what steps he is taking to increase the proportion of patients screened for the early detection of clostridium difficile. [26394] Mr Simon Burns: For patients who develop diarrhoea, existing guidance, ‘Clostridium difficile infection: How to deal with the problem’, published by the Department and the Health Protection Agency, makes clear prompt testing is crucial. A copy has been placed in the Library. Expert advice is that screening of patients without symptoms for Clostridium difficile infection is unnecessary, as current evidence indicates that it is not clinically effective. Day Care: Greater London Lyn Brown: To ask the Secretary of State for Health whether he has made an estimate of the likely change in the number of (a) daycare centres and (b) residential homes in (i) West Ham constituency and (ii) Newham in the next 12 months. [26485] Mr Simon Burns: Care homes are operated by local councils or independent—private and charitable/ voluntary—organisations. Day care is not a regulated service; councils are free to take their own decisions on its provision. It is for local councils to ensure, through their planning and commissioning of all social care services, that there is sufficient capacity to meet local need. Therefore no such estimate has been made by the Department. In recognition of the pressures on the social care system in a challenging fiscal climate, the Government have allocated an additional £2 billion by 2014-15 to support the delivery of social care. This means, with an ambitious programme of efficiency, that there is enough funding available both to protect people’s access to services and deliver new approaches to improve quality and outcomes. Dental Services: Yorkshire and Humber Jason McCartney: To ask the Secretary of State for Health what steps his Department is taking to increase the number of NHS dental service centres available in Yorkshire and the Humber; and what steps he is taking to improve provision for emergency treatment. [26547] Mr Simon Burns: It is for primary care trusts to decide how local services, including dental access centres and urgent care, should develop to meet local needs and service priorities. Departmental Grants Anas Sarwar: To ask the Secretary of State for Health (1) what the monetary value of grants awarded by his Department was in 2009-10; and how much he expects to award in grants in (a) 2010-11 and (b) 2011-12; [27261] (2) what grants have been awarded by his Department in 2010-11 to date; what grants he plans to award in each of the next two years; what the monetary value is of each such grant; and to which organisations such grants are made. [27264] Paul Burstow: Information about grants awarded to voluntary organisations is routinely published on the Department’s website at: www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_118373

891W<br />

Written Answers<br />

1 DECEMBER 2010<br />

Written Answers<br />

892W<br />

Mr Simon Burns: The consultation on a strategy for<br />

services for chronic obstructive pulmonary disease,<br />

published earlier this year, included publication of an<br />

impact assessment which included estimates of the impact<br />

of the strategy as a whole on the numbers and costs of<br />

emergency hospital admissions. No explicit estimates<br />

were made relating to in-patient bed days, or to the<br />

specific impact of improving the rate of early diagnosis<br />

of the disease. The consultation documents have already<br />

been placed in the Library, and can be found on the<br />

Department’s website at:<br />

http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/<br />

en/Consultations/Liveconsultations/DH_112977<br />

Nick Smith: To ask the Secretary of State for Health<br />

what recent assessment he has made of the stage of<br />

disease at which chronic obstructive pulmonary disease<br />

is most frequently diagnosed; and whether his Department<br />

holds information for benchmarking purposes on the<br />

diagnosis of that disease in other EU member states.<br />

[26128]<br />

Mr Simon Burns: The information the Department<br />

holds on the stage at which chronic obstructive pulmonary<br />

disease is diagnosed was published as part of the<br />

Department’s consultation on a strategy for services for<br />

chronic obstructive pulmonary disease in England and<br />

is included in the consultation impact assessment. The<br />

consultation documents have already been placed in the<br />

Library and can be found on the Department’s website<br />

at:<br />

http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/<br />

en/Consultations/Liveconsultations/DH_112977<br />

The Department does not hold information for<br />

benchmarking purposes on the stage of diagnosis in<br />

other European Union member states.<br />

Clostridium Difficile<br />

Mr Watson: To ask the Secretary of State for Health<br />

what penalties may be imposed on NHS hospital trusts<br />

which fail to meet his Department’s targets for reducing<br />

the incidence of clostridium difficile. [26395]<br />

Mr Simon Burns: Poor performance in relation to<br />

Clostridium difficile is covered within the NHS Standard<br />

Contracts that commissioners are expected to use for<br />

NHS funded services as a basis for setting out their<br />

expectations in terms of performance by their providers.<br />

It falls into the Nationally Specified Events aspect of<br />

the contract, which introduces a sliding scale of deductions<br />

of up to 2% of the annual contract value if the provider<br />

breaches the number of cases of Clostridium difficile<br />

infections in a contract year compared with the previous<br />

year’s performance. The primary care trust is required<br />

to make the year-end deduction under the provisions of<br />

the relevant clause within the contract.<br />

Clostridium Difficile: Screening<br />

Mr Watson: To ask the Secretary of State for Health<br />

what steps he is taking to increase the proportion of<br />

patients screened for the early detection of clostridium<br />

difficile. [26394]<br />

Mr Simon Burns: For patients who develop diarrhoea,<br />

existing guidance, ‘Clostridium difficile infection: How<br />

to deal with the problem’, published by the Department<br />

and the Health Protection Agency, makes clear prompt<br />

testing is crucial. A copy has been placed in the Library.<br />

Expert advice is that screening of patients without<br />

symptoms for Clostridium difficile infection is unnecessary,<br />

as current evidence indicates that it is not clinically<br />

effective.<br />

Day Care: Greater London<br />

Lyn Brown: To ask the Secretary of State for Health<br />

whether he has made an estimate of the likely change in<br />

the number of (a) daycare centres and (b) residential<br />

homes in (i) West Ham constituency and (ii) Newham<br />

in the next 12 months. [26485]<br />

Mr Simon Burns: Care homes are operated by local<br />

councils or independent—private and charitable/<br />

voluntary—organisations. Day care is not a regulated<br />

service; councils are free to take their own decisions on<br />

its provision.<br />

It is for local councils to ensure, through their planning<br />

and commissioning of all social care services, that t<strong>here</strong><br />

is sufficient capacity to meet local need. T<strong>here</strong>fore no<br />

such estimate has been made by the Department.<br />

In recognition of the pressures on the social care<br />

system in a challenging fiscal climate, the Government<br />

have allocated an additional £2 billion by 2014-15 to<br />

support the delivery of social care.<br />

This means, with an ambitious programme of efficiency,<br />

that t<strong>here</strong> is enough funding available both to protect<br />

people’s access to services and deliver new approaches<br />

to improve quality and outcomes.<br />

Dental Services: Yorkshire and Humber<br />

Jason McCartney: To ask the Secretary of State for<br />

Health what steps his Department is taking to increase<br />

the number of NHS dental service centres available in<br />

Yorkshire and the Humber; and what steps he is taking<br />

to improve provision for emergency treatment. [26547]<br />

Mr Simon Burns: It is for primary care trusts to<br />

decide how local services, including dental access centres<br />

and urgent care, should develop to meet local needs and<br />

service priorities.<br />

Departmental Grants<br />

Anas Sarwar: To ask the Secretary of State for Health<br />

(1) what the monetary value of grants awarded by his<br />

Department was in 2009-10; and how much he expects<br />

to award in grants in (a) 2010-11 and (b) 2011-12;<br />

[27261]<br />

(2) what grants have been awarded by his<br />

Department in 2010-11 to date; what grants he plans to<br />

award in each of the next two years; what the monetary<br />

value is of each such grant; and to which organisations<br />

such grants are made. [27264]<br />

Paul Burstow: Information about grants awarded to<br />

voluntary organisations is routinely published on the<br />

Department’s website at:<br />

www.dh.gov.uk/en/Publicationsandstatistics/Publications/<br />

PublicationsPolicyAndGuidance/DH_118373

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