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Mr. Hepburn: To ask the Secretary of State for Health how many people suffer from cystic fibrosis in (a) the Jarrow constituency, (b) South Tyneside, (c) Tyne and Wear, (d) the North East and (e) the United Kingdom. 
Jacqui Smith: Data is not available in the form requested. Data on finished consultant episodes (FCEs) for cystic fibrosis by health authority area of residence is shown in the table. As of 1 April 2002, Gateshead and South Tyneside health authority, Newcastle and North Tyneside health authority, Sunderland health authority and Northumberland health authority became the new Northumberland and Tyne & Wear health authority; and County Durham and Darlington health authority and Tees health authority became the new County Durham and Tees Valley health authority.
|Health authority area||FCEs|
|County Durham and Darlington||139|
|Gateshead and South Tyneside||71|
|Newcastle and North Tyneside||148|
|All areas of residence||7,939|
Hospital Episode Statistics (HES), Department of Health
Mr. Lidington: To ask the Secretary of State for Health what estimate he has made of the change in costs incurred by NHS trusts and health authorities as a result of the introduction of the climate change levy. 
18 Apr 2002 : Column 1182W
|Year||Number of tuberculosis notifications in London (by region)||Number of tuberculosis notifications to West Sussex health authority|
A tuberculin skin test is carried out before BCG immunisation. The test assesses the individuals sensitivity to tuberculin protein. Those with a positive test are not given BCG. Those with strongly positive tests are referred to a chest clinic for assessment of the need for further investigation and treatment.
Jacqui Smith: I considered the application made to establish the South West Yorkshire Mental Health National Health Service Trust and approved it on the expectation that it will improve the quality of services provided to the people of Calderdale, Kirklees and Wakefield districts.
Jacqui Smith: People of working age in contact with specialist mental health and social care services have their care and treatment co-ordinated under the care programme approach (CPA). The key principles of the CPA are applicable to all service users: they have a right to the thorough assessment of all their needs, the development of a care plan and a review of the care by the professionals involved in their care. It is envisaged that written care plans should be drawn up with the involvement of the
18 Apr 2002 : Column 1183W
service users, and where appropriate their carer. Any refusal to accept treatment or medication should be noted in the care plan along with the service user's reasons for refusal. Service users should be given the opportunity to sign the agreed care plan and then receive a copy. Users or carers must also be able to ask for a review of care at any time and annual audit should ensure that reviews are carried out.
Further, any local audit of quality will need to include the views of service users, who should be given the opportunity to contribute to the setting of quality standards and measures. The views of service users are an effective indicator of the quality of services and must be included in any audit of service delivery.
Jacqui Smith: The direct cost to the Department of the inquiry into the personality disorder unit at Ashworth high security hospital was £2.3 million. This does not include the costs incurred by other statutory bodies involved in the inquiry, for example Ashworth hospital itself.
Jacqui Smith: I refer my hon. Friend to the answer I gave to the hon. Member for Aylesbury (Andrew Lidington) on 1 February 2002, Official Report, columns 62627W. Gross expenditure by councils in England on residential care for adults was £3,557 million in 200001. Future expenditure will depend on changes in costs as well as in demand.
Mr. Wood: To ask the Secretary of State for Health what plans he has to revise the guidelines used by local authorities to determine charges for residential care in order to make the charges more reflective of the services provided. 
Jacqui Smith: Government guidance on charges for residential accommodation is updated regularly. It is based on the principle that those people who are able to pay for their care should do so, while those who have limited income and assets contribute according to a fair financial assessment. Advice on the fees which local authorities should negotiate with care home owners is contained in "Building Capacity and Partnership in Care", an agreement between central government and the statutory and independent social and health care and housing sectors. The agreement states that fee setting
18 Apr 2002 : Column 1184W
should take into account the legitimate current and future costs faced by providers, the factors that affect these costs and the potential for improving performance and more effective ways of working.
Mr. Hutton [holding answer 17 April 2002]: Available information was published in a report, 'Modern Matrons in the NHS: a progress report', on 15 April 2002, showing that there are 1,895 nurses in modern matron posts across the NHS in England.
Jacqui Smith: There are now 10 councils with social services responsibilities subject to special measures by the social services inspectorate: Coventry, Hackney, Haringey, Lambeth, Lancashire, Merton, Newham, North East Lincolnshire, Peterborough and Sheffield.
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