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Child Protection

Mr. Burstow: To ask the Secretary of State for Health (1) what steps were taken to act upon and disseminate recommendations from case reviews under the Children Act 1989 carried out between 1990 and 1999; [147137]

Mr. Hutton: Information is not collected on the numbers of case reviews that have been carried out in accordance with Chapter 8 of "Working Together to Safeguard Children" (1999). However, the lessons learned from reviews carried out under the terms of the predecessor guidance "Working Together Under the Children Act 1989", served to inform the contents of the revised guidance.

We currently collect the numbers of case reviews notified to us from the social care Regions. From this collection, we estimate that the total number of case reviews each year is in the range of 150-180 and has remained at this level for some time.

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Figures describing Part 8 notifications to the Department of Health in the period 1990 to 1995 were published in "Lost Innocents: a follow-up study of fatal child abuse". The study quoted non-accident child death over that period as follows:

YearNumber
1990-9155
1991-9245
1992-9359
1993-9454
1994-9554

In addition, we are now acting to deliver on the commitment, that was specified in the new guidance, to commission and publish national overview reports, at least every two years, which will draw out key findings from case reviews and their implications for policy and practice.

Staff Training

Mr. Laurence Robertson: To ask the Secretary of State for Health what training is given to NHS staff in (a) the cleanliness of hospitals and (b) preventing infections; and if he will make a statement. [149764]

Mr. Denham [holding answer 9 February 2001]: Last year, to help ensure that all National Health Service domestic and service staff receive appropriate training, we issued "Standards for environmental cleanliness in hospitals" jointly with the Infection Control Nurses' Association and the Association of Domestic Management. This is an effective audit tool that sets out how environmental cleanliness standards are maintained. It contains detailed criteria relating to the education and training of staff involved in the cleaning process, which ensure that they possess the competencies to meet agreed hygiene standards.

All staff, including those employed by support services will receive training in prevention and control of infection. There is also a programme of on-going education for existing staff, which includes updating on policies, feedback of audit results, and identification of action needed to correct any deficiencies.

MMR Vaccine

Miss Kirkbride: To ask the Secretary of State for Health when the Government advertising campaign to promote MMR take up will begin; and what form it will take. [151148]

Yvette Cooper: The Department has drawn up a plan in consultation with Health Promotion England (HPE), who manage the immunisation campaign on the Department's behalf, to provide information to the public about Measles Mumps Rubella vaccine. The aim will be to ensure that parents and health professionals have access to scientifically accurate information about the vaccine.

The information campaign will include leaflets and factsheets, training materials for health professionals, an information video, a TV advert, health professional seminars, an information pack and materials for the web,

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through NHSDirect.nhs.uk and immunisation.org.uk. The materials will be made available over the next few months.

Match Funding

Ms Buck: To ask the Secretary of State for Health which departmental programmes allow for the use of section 106 contributions from planning agreements as match funding; and if he will make a statement. [152495]

Mr. Denham: I refer my hon. Friend to the reply given by the Under-Secretary of State for the Environment, Transport and the Regions, my hon. Friend the Member for Stretford and Urmston (Ms Hughes), on 9 March 2001, Official Report, columns 361-62W.

Hearing Aids

Mr. Boswell: To ask the Secretary of State for Health how many (a) digital and (b) analogue hearing aids have been fitted under the NHS in the pilot areas for the modernisation of hearing services project since its inception. [152419]

Mr. Hutton: The modernising hearing aid services project has been fitting hearing aids since the first sites came on stream in September 2000. So far, the following number of hearing aids have been fitted:



This number does not take account of purchases made outside of the NHS Purchasing and Supply Agency contracts.

The numbers fitted will increase as the number of sites increase and as sites become more experienced. The intention is to fit between 24,000 and 29,000 digital aids during the lifetime of the project, which is due to finish at the end of March 2002.

Mr. Jim Cunningham: To ask the Secretary of State for Health from what date Coventry NHS trust will be included in the modernising NHS hearing aid services project. [153296]

Mr. Hutton: The Department will study the results of the modernising National Health Service hearing aid services pilot project when it reports. The project is planned to continue until 2002.

In line with the National Institute for Clinical Excellence (NICE) technology appraisal guidelines, health officials in Coventry are awaiting completion of the research projects. In the meantime, hospitals which fall outside the project, with the appropriate staff, training, equipment and experience, are already able to access the NHS Purchasing and Supply Agency contract for digital hearing aids.

Various manufacturers have been invited to give talks on hearing aid digital technology in Coventry and, in addition, a practical training day for staff has been arranged for May 2001.

Defibrillators

Mr. Borrow: To ask the Secretary of State for Health (1) what representations he has received from the

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Resuscitation Council UK on the decision to adopt a four-hour course for the Defibrillators in Public Places programme; [153058]

Yvette Cooper: The issue of training for people designated to use defibrillators installed under the Defibrillators in Public Places initiative has been given thorough and careful consideration by the Defibrillator Advisory Committee, which has supported the adoption of a four-hour training course covering basic life support and the use of automated external defibrillator devices.

The Defibrillator Advisory Committee is an expert external reference group which includes cardiology and resuscitation experts (including from the Resuscitation Council United Kingdom), representatives from voluntary aid societies, ambulance services, the police, and patients' interest groups.

The Resuscitation Council UK endorses guidelines for the practice of resuscitation recommended by the European Resuscitation Council (ERC). It has not, however, adopted the ERC's suggestion of a course based on a total of eight hours' tuition, which does not form part of the ERC's formal guidelines. The ERC's guidelines themselves are published in the full understanding that they may require modification to reflect circumstances that exist in individual countries.

The full membership of the Defibrillator Advisory Committee is as follows:


















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