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Mr. Andrew Turner: To ask the Secretary of State for Health what proportion of people in each primary care trust area (a) have been assessed for a personal health budget, (b) are in receipt of payment from a personal health budget, (c) have declined to use a personal health budget and (d) are awaiting assessment for a personal health budget. 
During this programme, pilot sites have selected the conditions and groups they wish to include, based on their local circumstances. The number of people involved will also be decided locally, as sites develop their proposals.
However, as we said in 'NHS 2010-15: From good to great', in the longer term our ambition is that everyone who could benefit from a personal health budget should be offered one. A copy of the publication has already been placed in the Library. While this will be informed by the outcome of the evaluation, this could ultimately mean that millions of national health service patients will benefit.
Mrs. Curtis-Thomas: To ask the Secretary of State for Health pursuant to the answer of 22 March 2010, Official Report, column 122W, on health services: Merseyside, what steps his Department is taking to increase access to healthcare services for people with learning difficulties; and what assessment he has made of progress made by Sefton Primary Care Trust in this regard. 
'Valuing People Now (VPN)', a copy of which has already been placed in the Library, sets out a three-year cross-government strategy for people with learning disabilities. One of the priorities in VPN is
about ensuring that people with learning disabilities get access to better health care services. A number of initiatives have been put in place, including the publication of guidance to ensure mainstream health care meets the needs of people with learning disabilities. In addition, all strategic health authorities (SHAs) have started to implement a self-assessment framework which brings together people who plan and deliver health care services with people with learning disabilities, families and carers. On a local and regional level, SHAs and primary care trusts (PCTs) judge how well health services are meeting the needs of people with learning disabilities and plan for improvements.
Hugh Bayley: To ask the Secretary of State for Health what new (a) medical treatments, (b) surgical procedures, (c) drugs, (d) other therapies and (e) other services for patients have been introduced by (i) York Hospital NHS Trust, (ii) Selby and York Primary Care Trust and (iii) North Yorkshire and York Primary Care Trust in the last five years. 
Ann Keen: The information requested is not held centrally. The information may be available directly from the organisations named. Selby and York Primary Care Trust (PCT) now forms part of North Yorkshire and York PCT.
Chris McCafferty: To ask the Secretary of State for Health what guidance his Department issues to (a) GPs, (b) primary care trusts and (c) NHS trusts on cardiac rehabilitation; and if he will make a statement. 
Ann Keen: The national service framework (NSF) for coronary heart disease (CHD) (March 2000) sets out a ten year framework for action to prevent disease, tackle inequalities, save more lives, and improve the quality of life for people with heart disease. A copy has already been placed in the Library. Chapter Seven of the NSF for CHD issued appropriate guidance to the national health service regarding the provision of cardiac rehabilitation services. Implementation of this guidance is a matter for the local NHS, working in partnership with stakeholders and the local community. It is for NHS organisations to plan and develop services based on their specific local knowledge and expertise.
The Department has worked with NHS Improvement and the Cardiac Networks on a number of national priority projects on cardiac rehabilitation. Guidance has been published on risk assessment, pathway improvement and sharing good practice. This is available at:
The Department's Strategic Commissioning Development Unit is leading work to develop a commissioning pack for cardiac rehabilitation. This is for use by primary care trusts to enable them to commission quality services and encourage providers to deliver
healthcare services more productively. This will support commissioners to manage the delivery of cardiac rehabilitation services more effectively. The pack will be available in summer 2010.
Chris McCafferty: To ask the Secretary of State for Health what consideration he has given to the introduction of a GP Quality Outcomes Framework for cardiac rehabilitation; and if he will make a statement. 
Mr. Mike O'Brien: The Department has not considered the introduction of a Quality Outcomes Framework (QOF) indicator for cardiac rehabilitation. The prioritisation of potential indicators for inclusion in the QOF is the responsibility of the National Institute for Health and Clinical Excellence (NICE).
NICE will open its online topic suggestions facility twice a year to allow stakeholders to submit suggestions for new indicators. The facility is currently closed and will be opened for the next round of suggestions in the
autumn. A similar facility is also available which allows stakeholders to comment on existing indicators. This is available on their website at:
Justine Greening: To ask the Secretary of State for Health how many people aged (a) under 18 and (b) 18 years and older were admitted to hospital through an accident and emergency department with external cause code W54 as a result of being bitten or struck by a dog in London in each year from 2007-08 to 2009-10. 
Mr. Mike O'Brien: Information is collected on people admitted to hospital as an in-patient with a cause of injury recorded as being bitten or struck by a dog. This does not include people only attending accident and emergency (A&E) for treatment. Data are available only for the years 2007-08 and 2008-09.
|A count of finished admission episodes( 1) through accident and emergency( 2) as a result of being bitten or struck by a dog (W54( 3) ) in London strategic health authority of residence( 4) , 2007-08 to 2008-09, by age|
|Activity in English NHS hospitals and English NHS commissioned activity in the independent sector|
|Under 18||18 and over||Not known|
|(1) Finished admission episodes A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. (2) Method of admission We have defined accident and emergency admissions as finished admissions where the method of admission was: 21 = Emergency: via A&E services, including casualty department of provider. It should be noted that the following emergency admission methods have not been included as they are not related to admissions via A&E: 22 = Emergency: via general practitioner (GP) 23 = Emergency: via Bed Bureau, including the Central Bureau 24 = Emergency: via consultant out-patient clinic 28 = Emergency: other means, including patients who arrive via the A&E department of another health care provider. (3) Cause code A supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. Only the first external cause code which is coded within the episode is counted in HES. Cause code used: W54 = Bitten or struck by dog. (4) SHA/primary care trust (PCT) of residence SHA or PCT containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment. PCT/SHA data quality In July 2006, the NHS reorganised strategic health authorities (SHA) and primary care trusts (PCT) in England from 28 SHAs into 10, and from 303 PCTs into 152. As a result data from 2006-07 onwards are not directly comparable with previous years. Data have been presented for those SHA/PCTs which have valid data for the breakdown presented here. As a result some SHA/PCTs may be missing from the list provided. Assessing growth through time HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in out-patient settings and so no longer include in admitted patient HES data. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.|
Mr. David Davis: To ask the Secretary of State for Health how many people convicted of murder in each year since 1990 had received specialist mental health care services in the 12 months prior to their conviction. 
Phil Hope: Precise annual data on the number of homicides or serious injuries in England committed by people with mental illness is not collected centrally. However, the National Confidential Inquiry into Suicide and Homicides reports 50-70 homicides per year in England and Wales committed by current mental health patients and by others who had been in touch with mental health services in the 12 months prior to the homicide.
Most severely mentally ill people are not violent to others and very few are a risk to the general population.
Independent investigations of homicides involving people with a severe mental illness have found that not all such incidents are foreseeable or preventable.
To ask the Secretary of State for Health how many medical procedures had been undertaken in
respect of NHS patients in each wave 1 independent sector treatment centre on the latest date for which figures are available. 
|Treatment centre name||Provider name||Procedures (discharges)||Diagnostic procedur es||Primary care episodes|
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