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Mr. Stephen O'Brien: To ask the Secretary of State for Health what the total cost was to the NHS of treating patients with a (a) primary and (b) secondary diagnosis of (i) malnutrition, (ii) nutritional anaemias and (iii) other nutritional deficiencies in each year since 1997-98. 
Mr. Ivan Lewis:
In 2006 the Department launched its improving access to psychological therapies (IAPT) demonstration site programme. Following the success of these sites, the Secretary of State announced investment in October 2007 for the provision of psychological therapies, for people suffering from depression and anxiety disorders, rising to £173 million by 2011. This is in addition to the £146 million invested in 2006-07 by the national health service on psychological therapies for people with a range of mental health conditions, including those with more severe and enduring mental health problems who are
usually provided with services by specialist mental health teams. On 26 February 2008, I launched a national implementation plan to help the strategic health authorities to deliver the IAPT programme over the next three years.
Anne Milton: To ask the Secretary of State for Health pursuant to the answer of 25 February 2008, Official Report, column 1215W, on Seroxat, if he will issue new guidance on prescribing Seroxat. 
Dawn Primarolo: ( )Guidance on how to use paroxetine (brand name Seroxat) safely and effectively along with( )information on potential adverse effects is provided in the product information for( )prescribers (the summary of product characteristics) and in the patient information leaflet( )(PIL) which accompanies the medicine. These documents are authorised by the Medicines( )and Healthcare products Regulatory Agency (MHRA) at the time of licensing and updated( )through the life of the product as new information on potential adverse effects and benefits( )emerges.
The Committee on Safety of Medicines Expert Working Group on the safety of selective( )serotonin reuptake inhibitors (SSRIs) has undertaken a comprehensive review of the safety( )of this entire class of drugs, including paroxetine. This review examined all available( )evidence. In December 2004 the Expert Working Group published its conclusions including( )that the balance of risks and benefits of all SSRIs in adults remained positive in their( )licensed indications. This is consistent with the view of the regulatory authorities in Europe( )and the United States that benefits of SSRIs outweigh the risk of adverse drug reactions and( )that they are effective treatment for depressive illness and anxiety disorders.
The National Institute for Health and Clinical Excellence (NICE) published a clinical guideline on the( )management of depression in primary and secondary care in December 2004. NICE is in the( )process of updating this clinical guideline with updated guidance expected in June 2009.( )NICE also published a clinical guideline on the identification and management of depression( )in children and young people in September 2005.
Since the completion of the review by the Government's Expert Working Group on the( )safety of SSRIs and publication of its findings, updated prescribing advice has been issued( )in relation to Seroxat as new information has become available.
Anne Milton: To ask the Secretary of State for Health if he will ask the National Institute for Health and Clinical Excellence to assess the enriched culture method test for Group B Streptococcal infections. 
pregnant women should not be offered routine antenatal screening for( )group B streptococcus (GBS) because evidence of its clinical effectiveness and cost( )effectiveness remains uncertain.
A proposal for NICE to appraise the use of an enriched culture medium for the detection of( )GBS carriage in a subset of pregnant women with clinical risk factors has been submitted( )on behalf of the UK NSC GBS coordinating group. NICE are currently considering this topic( )as part of a wider assessment of the approach they should adopt in assessing proposals( )for appraisals of diagnostics.
Ann Keen: The new National Stroke Strategy, announced in December 2007, will modernise services and deliver the newest treatments for stroke across England. The Strategy emphasises the need to improve access to scans and stipulates that brain imaging should be performed in the next scan slot, or within 60 minutes of request during the out of hours period. We are asking all local stroke networks to ensure that any patient who could benefit from urgent care is transferred to an acute stroke centre that provides 24-hour access to scans and other specialist stroke care.
We have fully costed the proposals in the strategy, and this will be reflected in the allocation that goes to primary care trusts for next year. In addition, we have committed new funds totalling £105 million over the next three years. Some of that new funding will be used to develop demonstration sites for acute services that will enable us not only to show a step change in service provision in those areas, but also to provide lessons that can be shared. The £105 million is central fundingon top of money going into the NHS to support this change.
Mark Hunter: To ask the Secretary of State for Health what steps he is taking to improve the management of communication impairments in hospital stroke units; and if he will make a statement. 
Ann Keen: ( )The new National Stroke Strategy, announced in December, will modernise services and( )deliver the best treatment for stroke across England. The strategy emphasises the need( )for prompt access to specialist acute stroke units, with a multidisciplinary team on hand to( )provide for all an individual's needs.
Rehabilitation after stroke is effective. The strategy highlights the need for high quality( )specialist rehabilitation, including speech and language therapy, available as soon as( )possible after a stroke, following discharge, and for as long as it is needed. This includes( )access to speech and language therapy.
We have fully costed the proposals in the strategy, and this will be reflected in the( )allocation that goes out to primary care trusts for next year. In addition, we have( )committed central funds totalling £105 million over the next three years. Some of that new( )funding will be used
to train stroke specialist professionals, including allied health( )professionals. The £105 million is central fundingon top of money going into the( )national health service to support implementation of the strategy.
Mark Hunter: To ask the Secretary of State for Health what support his Department provides to voluntary sector organisations working with people with communication difficulties following stroke. 
Connectthe Communication Disability Network is the organisation leading on The( )Enabling New Connections project (now renamed Connect-ed). The project's overall aim is( )to explore and demonstrate how to forge a diverse, sustainable, self care community for( )people living with aphasia.
Thrive is the charity that is leading on the Just 20! project (now renamed Just 30! project)( )The objectives of the project are to provide a simple pocket guide with information on the( )benefits of gardening and other step-by-step activities, which would support( )improvements in health for those recovering from a stroke or from heart conditions.
Mr. Gale: To ask the Secretary of State for Health what proportion of his Department's translation and interpreting work is outsourced through framework agreements with commercial providers; and if he will make a statement. 
Mr. Bradshaw: ( )Total expenditure on translation services for the calendar year 2007 was £141,352.03 and of this figure £54,036.53 (38.2 per cent.) was commissioned from companies on the( )Department's translation services roster. The remaining expenditure was purchased( )through the Central Office of Information who may provide the service in-house or from( )the commercial sector.
Mr. Paul Goodman: To ask the Secretary of State for Health with reference to the answer of 28 February 2007, Official Report, column 1450W, on translation services, what assessment he has made of the reasons for the change in cost between 2005 and 2006. 
Mr. Bradshaw: Levels of requests for translation vary from year to year with expenditure for 2006 being higher than that in either 2005 or 2007 (£141,352.03). A possible explanation for the rise in 2006 is that the major consultation document Your Health, Your Care, Your Say was translated in that year at a cost of approximately £25,000.
Mr. Paul Goodman: To ask the Secretary of State for Health with reference to the answer of 28 February 2007, Official Report, column 1450W, on translation services, what the cost of such services was between 1st January and 31 December 2007. 
Bob Spink: To ask the Secretary of State for Transport how many serious road traffic accidents there were on the A130 between Sadlers Farm, Benfleet and Waterside Farm, Canvey Island in each of the last 10 years; how many such accidents resulted in (a) injuries and (b) fatalities in each such year; and how many of these accidents were caused by vehicles travelling (i) on to and (ii) off Canvey Island. 
Jim Fitzpatrick: The numbers of reported personal injury road accidents which resulted in (a) injuries (serious or slight) and (b) fatalities on the A130 between the roundabout at Sadlers Farm, Benfleet and the roundabout at Waterside Farm, Canvey Island in 1997 to 2006 are shown in the following table.
|Number of accidents|
|(a) Accidents resulting in injuries|
|Serious||Slight||(b)Accidents resulting in fatalities||Total|
Accidents are classified according to the severity of the most severely injured casualty involved in the accident.
|Number of accidents|
|N/NW from Waterside Farm||S/SE from Sadlers Farm||Both directions||Direction not known|
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