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7 Nov 2002 : Column 535Wcontinued
Mr. Hutton: The National Health Service is currently developing two shared financial service centres, in Leeds and Bristol. Approximately 40 NHS organisations will be moving over, in waves, to use these centres from April 2003 through October 2003.
Jacqui Smith: The National Health Service complaints procedure exists to deal with complaints from any patient using the NHS (including users of mental health services) who wishes to make a complaint about the service or treatment they have received. The complaints procedure applies to all NHS organisations and services.
Mr. Paul Marsden: To ask the Secretary of State for Health what proportion of mental health patients are delayed from hospital discharge in 200102 and what the reasons are for the delays; and if he will make a statement. 
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Jacqui Smith: Levels of funding provided by health and local authorities (LAs) for child and adolescent mental health services are not collected centrally. In the four years ending 31 March 2003, we will have made available #105 million of targeted central funding across the National Health Service and LAs in support of the Government's strategy, introduced in 1999, for developing child and adolescent mental health services. Health authorities will have been given #50 million and LAs #55 million. The latter includes provision for extended funding in support of 24 innovation projects to develop new approaches to mental health services for children and young people.
Jacqui Smith: The specialist mental health services strategy for Shropshire County and Telford & Wrekin recommended the redevelopment of in-patient mental health services alongside the development of a range of community mental health services. Shropshire County Primary Care Trust is now recruiting a project manager to lead the redevelopment programme and is establishing a project board to oversee the project. It is expected that the formal business case procedures will be undertaken in 2003, with a provisional target date of Spring 2006 for the redevelopment of in-patient mental health services. This will be subject to public consultation.
(3) what proportion of mental health patients have been given written information on (a) their condition, (b) their treatment, (c) their medical rights and (d) where to get help in an emergency in the last 12 months. 
Jacqui Smith: People with mental health problems whose care is co-ordinated under the care programme approach (CPA) should have information about their condition, treatment and how to get help in an emergency. Progress on achieving the target set within the 20012 service and financial framework for specialist mental health service users on enhanced CPA to have a written copy of their care plan continues to be monitored, although it is not broken down at strategic health authority level. Data from the first quarter of 2002, the first time such information was captured, suggest that around 85 per cent. of patients had a written care plan at the time of discharge. We expect both data quality and the rate to improve with time and further information on progress will be available in due course.
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Mr. Paul Marsden: To ask the Secretary of State for Health what assessment he has made of the effectiveness of community treatment orders on reducing the number of homicides by people diagnosed by mental health problems. 
Jacqui Smith: The introduction of community treatment orders will allow people to be treated in the setting which is most appropriate to their own individual needs by breaking the automatic link between compulsory treatment for a mental disorder and detention in hospital which exists under the current Mental Health Act 1983. This will also help to ensure that there are hospital beds available for those who most need them, whether to protect their own health and safety or that of others. There has been no assessment of the effectiveness of community treatment orders on reducing the number of homicides because this is not the intended purpose of the orders as proposed in the draft Mental Health Bill.
Ms Blears: 91 per cent. of men with testicular cancer survive five or more years. Testicular cancer is almost always curable if found early. We have recently worked with Cancer Research UK to produce a new leaflet for men, Testicular Cancer: Spot the Symptoms Early. The leaflet aims to promote testicular awareness for men, explaining that they should know what is normal for them, know what changes to look out for and to report any changes without delay.
Llew Smith: To ask the Secretary of State for Health what recent discussions he has had with counterparts in other countries whose nationals have participated in the monitoring of atmospheric nuclear weapons testing in respect of the impact the tests have been perceived to have had on the health of those exposed to radiation. 
Ms Blears: The international forum for debate on these issues is the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Members of the National Radiological Protection Board (NRPB), which advises the Government on radiation Risks, participate in UNSCEAR as members and use the data generated to inform NRPB's risk calculations.
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Mr. Burstow: To ask the Secretary of State for Health if he will estimate how many (a) children and (b) vulnerable adults that will be cared for by adults who had not received a Criminal Records Bureau check following the announcement of 1st November. 
Jacqui Smith: The announcement of 1 November made no changes to the requirements for people working with children to have an appropriate Criminal Records Bureau check. The measures being taken will help combat the delays in the checking process. New staff in adult care homes continue to need pre-employment CRB checks. CRB checks on existing staff have been postponed to 2004 but all other safeguards remain in place in respect of these workers, which include confirming previous employment history and taking up references.
Mr. Burstow: To ask the Secretary of State for Health when he expects (a) nurses supplied by agencies and (b) staff supplied by domiciliary care agencies will be required to have Criminal Records Bureau checks. 
Jacqui Smith: We intend to introduce the requirement for all nurses supplied by nurses agencies and all staff supplied by domiciliary care agencies to undergo a Criminal Records Bureau (CRB) check when we are confident that the CRB are able to cope with the demand.
Jeremy Corbyn: To ask the Secretary of State for Health what estimate he has made of the number of asylum seekers in each London borough who do not have access to a general practitioner; and if he will make a statement. 
Mr. Hutton: The Department has not made an estimation of the number of asylum seekers in each London Borough who do not have access to a general practitioner (GP). Asylum seekers are regarded as ordinarily resident in the United Kingdom and therefore entitled to free treatment by a GP. The use of initiatives such as local development schemes and personal medical pilots have assisted asylum seekers and other vulnerable sectors of the population accessing GPs and other primary care services.
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