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Mr. Cox: To ask the Secretary of State for Health if it is his policy to seek to encourage private developers who have purchased former hospital sites and land to provide low-cost housing in developments that they may undertake. 
Mr. Denham: My right hon. Friend the Secretary of State for the Environment, Transport and the Regions is responsible for setting the national policy guidance in respect of the provision of low-cost housing. Local authorities include policies in their development plans that reflect this guidance. It is for them to ensure that their policies are adhered to when considering proposals for redevelopment of former hospitals.
Mr. Cox: To ask the Secretary of State for Health what recent discussions he has had with each of the London borough councils on the growth in their spending on the provision of local social services for the present financial year. 
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Mr. Hutton: Ministerial colleagues and I meet frequently with representatives of local councils, including London authorities to discuss growth, which will increase by 10.7 per cent. in real terms from 2000-01 to 2003-04.
Mr. Hutton: Shropshire has 12 day centres for people with learning disabilities. These provide a range of opportunities including employment, leisure, therapeutic help and access to education. Some of the centres provide extra support or activities for people who have severe disabilities.
Most of these centres are small, but the two centres based in Shrewsbury are large centres each catering for between 70 to 90 people. As part of a three-year county-wide improvement plan, social services have increased the learning disability budget by 18 per cent. to modernise the service and to provide users in Shrewsbury with small local provision, which will be consistent with the type of provision available in the rest of the county.
A Joint Investment Plan for Learning Disability in Shropshire has been submitted for formal evaluation to the Department. This, together with the action plan drawn up in response to the recent Joint Review report, gives details of an overall strategy to improve and integrate health and social services provision and make it more responsive to service users needs.
Mr. Paul Marsden: To ask the Secretary of State for Health how many people with learning disabilities have been supported for each year since 1992 by Shropshire county council's social services; and if he will make a statement. 
|Year||Residents||Residential care||Nursing care|
DH forms RA6 and SR1
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The council also supports 481 people with a learning disability, at home. This figure is taken from the Personal Social Services Personal Indicator's for 1999-2000. Shropshire was placed at band 5 for this indicator, reflecting very good performance in this area. Shropshire was one of the first local authorities to complete the resettlement of people with learning disabilities from long stay hospitals.
Mr. Denham: To enable health authorities to manage flexibly the totality of resources available to them, there is limited earmarking of funds within allocations. For 2001-02 the national health service plan implementation programme identified the following sums included in allocations with an intention that they be spent on the purpose for which they were allocated:
|Cancer and coronary heart disease||450|
|Waiting times and access||423|
|Intermediate care and community equipment||188|
|Information management and technology||113|
These sums reflect national estimates of investment needed to deliver targets and milestones in implementing the NHS plan. They are intended as a guide for local health communities in ensuring that their own plans will meet these targets and milestones.
Yvette Cooper: The report of the second quinquennial review of the Human Fertilisation and Embryology Authority has been approved and copies have been placed in the Library today. This was a thorough review of the
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authority and its work which included wide consultation with the public, service users and providers. The report acknowledges the value of the authority's role in this highly sensitive area.
The report makes important recommendations. Work on introducing improved quality assurance systems is in hand and we are working with the authority to agree an implementation plan for the other recommendations.
Mrs. Brinton: To ask the Secretary of State for Health what action he is taking to address the incidence of stroke in ethnic minority groups, to identify and raise awareness among those at greatest risk and to provide accessible, culturally sensitive and appropriate prevention information. 
Given the higher prevalence of stroke in some minority ethnic communities, the NSFs recognise the need to ensure that integrated stroke services and stroke prevention advice should take into account the need for advocacy support, especially for those patients and carers for whom English is not their first language.
The Department is currently funding the Stroke Association to produce information packs on high blood pressure, effects of diet, risks from smoking and alcohol and the importance of exercise. The packs will specifically target Afro-Caribbean people and will be publicised and distributed through local community, church and health groups by the end of 2001.
As part of the Department's tobacco education campaign, a dedicated campaign focused on ethnic minority populations is being developed. The campaign will start in summer of this year and will be supported by a specialist Asian language helpline.
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|Stroke||CHD||All circulatory diseases|
|Percentage change 1996-98||-6.6||-11.0||-9.0|
Office for National Statistics
Mrs. Brinton: To ask the Secretary of State for Health what guidance he will be issuing on the development of stroke registers to identify those at greater risk of stroke; and when that guidance can be expected. 
The National Service Framework for Older People requires that individuals at particular risk of stroke should be identified and offered advice and support to make lifestyle changes. General Practitioner practices should build on registers being developed for the prevention of coronary heart disease as described in the Coronary Heart Disease National Service Framework (Standards 3 and 4) and put in place models of care. The milestone for the registers is April 2004.
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