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13 Nov 2001 : Column: 683W
(3) what measures are being taken to screen patients for under-nutrition in (a) hospitals, (b) residential care and (c) the wider community; and if he will make a statement. 
Jacqui Smith [holding answer 6 November 2001]: In the NHS Plan, we made a commitment to reduce under-nutrition by developing a hospital nutrition policy to improve the outcome of care of patients by 2004. A number of measures and strategies are in place to manage, monitor and screen patients for under-nutrition in hospitals, residential care and the wider community. A full list of these initiatives has been placed in the Library.
We recognise that one of the most important factors in aiding hospital patients to gain improved health is through the provision of good quality nutritional food that the patient is able to eat and enjoy. Two reports published last yearfrom the Nuffield Trust and the British Association of Parenteral and Enteral Nutritionmade recommendations for hospital nutrition services encompassing both hospital food and artificial nutrition.
We are introducing housekeepers on to ward teams to work with the ward sister. One of the key responsibilities of the housekeeper is to ensure that patients are given encouragement and assistance in not only choosing suitable meals and snacks but also with eating if required. From 14 November, a housekeeping guide will be able on
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the national health service estates website. This guide has been compiled after consultation with NHS trusts and all staffing groups, ie dieticians, nurses, caterers, facilities, estates and hotel services. Patients have also been involved with the guide and have been instrumental in establishing the 11 patient-focused national service standards for housekeepers.
Mr. Andrew Turner: To ask the Secretary of State for Health to what extent each ambulance service in England met Government performance targets in the most recent year for which information is available; what the cost of each service was for that year; and what the cost per head of population of providing each service was in that year. 
Ms Blears [holding answer 6 November 2001]: Information about response times to emergency calls for all national health service ambulance trusts is contained in the Department of Health Statistical Bulletin "Ambulance Services, England 200001". A copy is in the Library and available at www.doh.uk/public/sb0115.htm.
|NHS trust||Expenditure (£000)||Per weighted head population (£)|
|Avon Ambulance Service NHS Trust||14,522||15.40|
|Beds and Herts Ambulance and Paramedic NHS Trust||23,902||16.02|
|Cumbria Ambulance Service NHS Trust||9,753||19.82|
|Dorset Ambulance NHS Trust||12,575||18.09|
|East Anglian Ambulance NHS Trust||33,029||16.36|
|East Midlands Ambulance Service NHS Trust||45,090||16.13|
|Essex Ambulance Service NHS Trust||27,242||18.24|
|Gloucestershire Ambulance Services NHS Trust||8,593||16.70|
|Greater Manchester Ambulance NHS Trust||35,195||12.55|
|Hampshire Ambulance Service NHS Trust||21,111||13.94|
|Hereford and Worcester Ambulance NHS Trust||12,080||19.02|
|Isle of Wight Healthcare NHS Trust||2,455||17.95|
|Kent Ambulance NHS Trust||21,743||14.46|
|Lancashire Ambulance Service NHS Trust||27,150||18.02|
|Lincolnshire Ambulance NHS Trust||17,660||18.80|
|London Ambulance Service NHS Trust||119,785||15.01|
|Mersey Regional Ambulance Service NHS Trust||30,248||12.01|
|North East Ambulance Service NHS Trust||29,127||17.47|
|Oxfordshire Ambulance NHS Trust||9,900||18.27|
|Royal Berkshire Ambulance Service Trust||13,970||19.19|
|S Yorks Met Amb and Paramed Serv NHS Trust||16,848||12.04|
|Shropshire's Community and Mental HS NHS Trust||6,340||15.87|
|Staffordshire Ambulance Service NHS Trust||16,218||16.09|
|Surrey Ambulance Service NHS Trust||19,518||20.55|
|Sussex Ambulance Service NHS Trust||27,872||18.19|
|Tees East and Nth Yorkshire Amb Serv NHS Trust||32,276||17.33|
|Two Shires Ambulance NHS Trust||18,835||16.75|
|Warwickshire Ambulance Service NHS Trust||9,328||20.34|
|West Midlands Ambulance NHS Trust||39,167||14.21|
|West Yorkshire Ambulance Service NHS Trust||45,173||20.82|
|West Country Ambulance Services NHS Trust||40,493||19.97|
|Wiltshire Ambulance Service NHS Trust||9,744||17.99|
Sandra Gidley: To ask the Secretary of State for Health, (1) pursuant to his answer to the hon. Member for North Devon (Mr. Harvey), on 25 April 2001, Official Report, columns 17172W, on hearing aids, what plans his Department has to ensure funding for the continued provision of digital hearing aids under the modernising NHS hearing aids services project throughout the financial year 200203; 
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Jacqui Smith: The evaluation of the modernisation project will be taken into account when considering further investment next year in a national health service hearing aid service, which includes the provision of digital hearing aids. The Department has received interim evaluation reports from the Institute of Hearing Research, and will continue to be updated on progress. Planning and decisions on modernisation and associated funding and resources are being kept under review until further data can start to be taken into account.
Ms Blears [holding answer 12 November 2001]: The United Kingdom comments on early drafts of the proposal for a directive on traditional medicinal products were set out in letters from the Medicines Control Agency (MCA) to the European Commission dated 18 December 2000 and 30 April 2001. Copies of these letters have been placed in the Library. The Commission has indicated that
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it expects shortly to adopt proposals for new provisions on traditional herbal medicinal products. We will decide what further representations may be required once we have assessed these updated proposals.
Mr. Heald: To ask the Secretary of State for Health if it is his policy that by 2004 all young people who experience a first episode of psychosis should be offered the choice of being prescribed atypical medicines. 
Jacqui Smith [holding answer 12 November 2001]: As indicated in the mental health policy implementation guide, early intervention in psychosis teams should use either low dose traditional or atypical antipsychotics in first line treatment and they should involve service users in decision making and monitoring of effects. The NHS Plan states that by 2004 all young people who experience a first episode of psychosis, such as schizophrenia, will receive the early and intensive support they need.
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