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|Health authorityof treatment||Description||Total episodes|
|Total||Thames Valley (39)||540|
(39) Thames Valley Strategic Health Authority was created in April 2002 by the merger of the three HAs quoted above.
1. Admissions are defined as the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
2. Figures have not yet been adjusted for shortfalls in data (i.e. the data is ungrossed).
3. The primary diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital.
Hospital Episode Statistics (HES), Department of Health, England.
Dr. Ladyman: We have not made an estimate of the number or proportion of people misdiagnosed with epilepsy in England over the last three years. However, recent reports from the Clinical Standards Advisory Group"Services for Patients with Epilepsy" (2000) and the Chief Medical Officer"On the State of the Public Health" (2001) showed that around 20 per cent. of people receiving inappropriate and unnecessary treatment. The National Institute for Clinical Excellence is developing a clinical guideline for the diagnosis, management and treatment of epilepsy, which is due in June 2004 and which will help address any shortfalls in current practice.
Mr. Kidney: To ask the Secretary of State for Health (1) what assessment he has made of the effectiveness of the Food Standards Agency's strategy for ensuring food safety through the testing of food samples at public analyst laboratories; 
Miss Melanie Johnson: It is the responsibility of the Food Standards Agency (FSA) to monitor the food sampling carried out under the Food Safety Act 1990 by local authorities. I am aware that the FSA has raised its concerns about the general decline in food sampling and the wide variation in sampling levels between
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authorities. Given the importance of food sampling and analyses as part of a local authority food law enforcement service, I am pleased to note that the FSA is taking forward a number of initiatives in close liaison with local authorities and the Association of Public Analysts to address these concerns and to ensure that food sampling contributes effectively to consumer protection. Initiatives include:
Auditing local authorities with low levels of sampling activity and requiring remedial action plans;
A specific audit programme focused on sampling arrangements including visits to Public Analyst and Health Protection Agency laboratories to help identify key actions necessary to address sampling activity;
Developing a UK Samples Database to help local authorities and the Agency target sampling programmes effectively; and
New guidance on food sampling for local authority enforcement officers.
Miss Melanie Johnson: It is not yet possible to determine the true impact of the Directive on the future continued availability of products currently on the United Kingdom market, which will depend on future developments on maximum limits and lists of permitted nutrients and nutrient sources. The Government recognise that some products will be lost from the UK market from 1 August 2005 because of restrictions on nutrient sources which will apply from that date.
Article 5 of Directive 2002/46/EC on Food Supplements sets out principles for setting European Union maximum limits for vitamins and minerals in food supplements, although no specific figures have yet been set. Discussion on maximum limits at EU level will follow publication of advice from the European Food Safety Authority. We do not expect the European Commission to issue its proposal on maximum limits before the end of this year.
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Mr. Hutton [holding answer 7 July 2003]: Subject to meeting minimum legislative requirements, as set out in the Health and Social Care (Community Health and Standards) Bill, national health service foundation trusts will have flexibility to ensure local accountability. A NHS foundation trust would be able to define its membership community to include patients in Wales and would have the flexibility to provide a place on the Board of Governors for Welsh commissioners if that was appropriate.
Mr. Hutton: The number of all general medical practitioners, all practitioners per head of population and all practitioners per 100,000 population in England as at 30 September 2002 is shown in the table.
|All Practitioners per head of population||0.0007|
|All Practitioners per100,000 population||65.4|
(40) All Practitioners includes CMS Unrestricted Principals, PMS Contracted GPs, PMS Salaried GPs, Restricted Principals, Assistants, GP Registrars, Salaried Doctors (para 52 SFA), PMS Other and GP Retainers.
Department of Health General and Personal Medical Services Statistics.
Government Actuary's Department (GAD) 2001 based resident population projections for mid year 2002.
Mr. Hutton [holding answer 15 July 2003]: This information is not held or collected centrallydata on the number of homeless people do not include information on how many are registered with a general practitioner and general practice registration data do not identify those who are homeless.
Andrew Mackinlay: To ask the Secretary of State for Health if he will make a statement about measures being taken to reduce the risk of babies being infected by Group B streptococcus; and if he will make a statement. 
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NSC has advised that there is insufficient evidence to demonstrate that routine screening of all pregnant women in the United Kingdom and treating those carrying Group B Streptococcus with intravenous antibiotics during labour would be beneficial. The NSC has however commissioned an assessment of the existing evidence on screening against the criteria used to assess potential screening programmes. At the adjournment debate on this issue on 9 July 2003, Ministers asked the NSC to review the position thoroughly as quickly as possible and to consider recommendations at its meeting in December 2003.
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