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899W<br />

Written Answers<br />

1 DECEMBER 2010<br />

Written Answers<br />

900W<br />

Medical Schools: Public Expenditure<br />

Derek Twigg: To ask the Secretary of State for Health<br />

what estimate he has made of the number of medical<br />

school places that will be available in each year of the<br />

Comprehensive Spending Review period. [26543]<br />

Anne Milton: T<strong>here</strong> are no current plans to change<br />

numbers but they will be kept under review based on<br />

forecast future demand with the advice of the Centre<br />

for Workforce Intelligence.<br />

Methicillin Resistant Staphylococcus Aureus: Screening<br />

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

what progress has been made towards meeting his<br />

Department’s 2011 deadline for the screening of<br />

non-elective patients for MRSA. [26390]<br />

Mr Simon Burns: As outlined in the “NHS Operating<br />

Framework 2010/11”, t<strong>here</strong> is a requirement to introduce<br />

Methicillin-resistant Staphylococcus aureus screening.<br />

Good progress is being made by organisations to implement<br />

screening for this cohort of patients, with some organisations<br />

already having declared full implementation of the policy<br />

and all organisations planning to implement emergency<br />

screening for relevant emergency admissions within the<br />

expected time scale. Strategic health authorities will<br />

continue to monitor delivery towards the requirement<br />

by 31 December 2010.<br />

Methicillin-resistant Staphylococcus aureus<br />

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

what steps his Department is taking to reduce the<br />

incidence of MRSA. [26392]<br />

Mr Simon Burns: This Government are determined<br />

to do all they can to support the health and adult social<br />

care providers reduce Methicillin-resistant Staphylococcus<br />

aureus (MRSA). From the outset, through the Coalition<br />

Agreement, this Government made clear that they expected<br />

the national health service to adopt a zero tolerance<br />

approach to all health care associated infections (HCAIs),<br />

including MRSA.<br />

In the revision of the 2010-11 Operating Framework<br />

published in June, it was made clear that the NHS<br />

should continue prioritising the achievement of the<br />

MRSA objective. The successful implementation of this<br />

objective will deliver both an overall reduction nationally<br />

and, importantly, will reduce variation by moving all<br />

organisations towards the performance of the best.<br />

At the same time, the revision of the Operating<br />

Framework confirmed that it expected and required the<br />

NHS to implement MRSA screening of all relevant<br />

emergency admissions by the end of this year.<br />

[n terms of using the availability of data as a driver to<br />

supporting further reductions in MRSA, we have introduced<br />

weekly data publication of both MRSA blood stream<br />

infections and Clostridium difficile infections at hospital<br />

site level.<br />

We are also committed to ensuring that the NHS<br />

continue to have access to evidence based guidance in<br />

order that they can reduce the number of all HCAIs,<br />

including MRSA, through the implementation of effective<br />

infection prevention and control practices. This guidance<br />

is available on the Department of Health’s “Clean, Safe<br />

Care” website.<br />

The Health and Social Care Act 2008 “Code of<br />

Practice for health and adult social care on the Prevention<br />

and Control of Infections and related guidance”, which<br />

the Care Quality Commission use as a basis for assessing<br />

compliance with the registration requirement on cleanliness<br />

and infection control has been a driver for improvement<br />

in the hospital setting. The scope of the Code has<br />

already been extended to adult social care settings and<br />

will include primary care in due course so that we can<br />

ensure that all settings w<strong>here</strong> patients receive care and<br />

treatment operate comparable infection prevention and<br />

control practices.<br />

Methicillin-resistant Staphylococcus aureus: Screening<br />

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

what information his Department collates for the<br />

purpose of monitoring rates of MRSA. [26391]<br />

Mr Simon Burns: Methicillin-resistant Staphylococcus<br />

aureus (MRSA) bacteraemia are subject to mandatory<br />

reporting to the Health Protection Agency. The Department<br />

uses the outputs from this system to assess and monitor<br />

rates of MRSA bacteraemia at both national and local<br />

levels.<br />

Multiple Sclerosis: Health Services<br />

Liz Kendall: To ask the Secretary of State for Health<br />

(1) what the membership is of the independent scientific<br />

advisory group of the multiple sclerosis risk-sharing<br />

scheme; [26893]<br />

(2) how many patients have taken part in the multiple<br />

sclerosis risk-sharing scheme; and what estimate he has<br />

made of the cost to the public purse of administering<br />

drug treatments under the scheme; [26894]<br />

(3) which organisation is responsible for monitoring<br />

outcomes for patients involved in the multiple sclerosis<br />

risk-sharing scheme; and when the results of the<br />

scheme will be published. [26895]<br />

Mr Simon Burns: The scientific advisory group of the<br />

multiple sclerosis risk sharing scheme (MS RSS) comprises<br />

individuals with expertise in clinical research, epidemiology<br />

and trials and health economics. The group is chaired<br />

by Richard Lilford, Professor of Clinical Epidemiology<br />

at Birmingham university and receives specialist advice<br />

from neurologists who specialise in the treatment of<br />

multiple sclerosis.<br />

The MS RSS collects data from a cohort of over<br />

5,000 patients. T<strong>here</strong> are an estimated 12,000 people<br />

receiving drug therapy in the <strong>United</strong> <strong>Kingdom</strong> through<br />

the scheme. Total national health service spend in England<br />

on the four drugs covered by the scheme is estimated at<br />

£50 million a year. The Department contributes £200,000<br />

per year to running the scheme.<br />

Parexel Ltd, a specialist clinical research organisation,<br />

is responsible for data collection, management and<br />

analysis for the MS RSS. Analysis of four year data<br />

from the scheme is due to be completed in 2011.

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