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Mr. Burrowes: To ask the Secretary of State for Health pursuant to the answer of 8 March 2010, Official Report, column 57W, on drugs: rehabilitation, what medications are used as pharmacological treatments for drug dependency; and what drug dependency each is designed to treat. 
Gillian Merron: Pharmacological interventions are interventions that include prescribing for detoxification, stabilisation, maintenance and symptomatic relief of substance misuse as well as prescribing of medications to prevent relapse.
Recommended prescribing practices are outlined in "Drug misuse and dependence: UK guidelines on clinical management" (Department of Health 2007) and are supported by National Institute for Health and Clinical Excellence (NICE) technology appraisals. A copy has already been placed in the Library. "Drug misuse and dependence: UK guidelines on clinical management" (Department of Health 2007) also summarises the current NICE guidance on drug treatments for drug dependence.
Mr. Kemp: To ask the Secretary of State for Health whether he plans to bring forward proposals to regulate the sale of e-cigarettes; what progress has been made in the Medicines and Healthcare Products Regulatory Agency consultation exercise on e-cigarettes; and if he will make a statement. 
Mr. Mike O'Brien: 'A smokefree future: a comprehensive tobacco control strategy for England', published on 1 February 2010, sets out the Government's strategy for tobacco control and this included proposals for changes to the regulation of products containing nicotine. The Medicines and Healthcare products Regulatory Agency (MHRA) launched a full public consultation exercise alongside the publication of the strategy on whether and how to bring unlicensed nicotine containing products, such as electronic cigarettes, within the medicines licensing regime. Copies of the strategy and consultation document have been placed in the Library.
The consultation is ongoing until 4 May 2010 and the Government will take decisions about whether and how to regulate these products and timing once the consultation exercise has closed, responses to the consultation have been considered and risks and benefits of the options have been evaluated. The outcome of consultation will be published on the MHRA's website at:
To ask the Secretary of State for Health (1) what offers Great Ormond Street Hospital NHS Trust has made to Dr. Kim Holt to resolve her
grievance with the Trust; what agreement the Trust has sought from Dr. Holt in return; and what guidance his Department has given to (a) NHS London and (b) the Trust on steps to resolve the grievance; 
(2) what steps (a) his Department and (b) the NHS has taken to implement the recommendations of the independent investigation undertaken on behalf of NHS London into the employment of Dr. Kim Holt by Great Ormond Street Hospital NHS Trust; and if he will take steps to ensure full implementation of all recommendations in the report. 
Ann Keen: The Department would expect national health service organisations to adhere to relevant employment legislation and best practice human resources. Disciplinary and grievance issues in the NHS are dealt with at a local level in line with local policies and procedures. Therefore questions should be referred directly to the chief executive of Great Ormond Street Hospital NHS Trust.
Andrew Mackinlay: To ask the Secretary of State for Health (1) whether the negotiations between his Department's officials and the Government of the Isle of Man on the bilateral agreement on health services of 30 March 2010 included representatives of (a) the Ministry of Justice and (b) health ministries of Scotland, Northern Ireland and Wales; and if he will make a statement; 
(2) whether the negotiations between his Department's officials and the government of the Isle of Man on the bilateral agreement on health services of 30 March 2010 relate to the whole of the United Kingdom or to England only; and if he will make a statement. 
Gillian Merron: Negotiations, which were based on a United Kingdom wide approach, did not include representatives from the devolved Administrations, nor the Ministry of Justice. However, following negotiations, the Department of Health will be consulting with the devolved Administrations and the Ministry of Justice, before finalising the terms of any new reciprocal healthcare agreement with the Isle of Man.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much his Department has spent on commissioning reports on the summary care record of University College London; how many such reports his Department has commissioned to date; and if he will place in the Library a copy of the most recent report. 
Mr. Mike O'Brien:
The Department initially commissioned an independent evaluation of the summary care record early adopter programme. This work, carried out by a team at University College London (UCL), ran between May 2007 and April 2008. It resulted in two published reports, the Summary Care Record Independent Evaluation, and Evaluation of Data Quality Standards
within the Summary Care Record. Both reports have been published and are available at:
Further research has been commissioned from UCL, to assess the implementation and impact of the summary care record and HealthSpace, and to illuminate ongoing learning and lessons as summary care records begin to be implemented more widely. The outcome of this work is currently undergoing quality assurance and peer review and is due for publication later this year.
Mr. Walker: To ask the Secretary of State for Health what steps his Department takes to ensure that children with a dual diagnosis of a mental health problem and (a) a learning disability and (b) an autistic spectrum disorder are recorded (i) in the Child and Adolescent Mental Health Services commissioning process, (ii) in children and young people's plans and (iii) in children's health needs assessments. 
Phil Hope: Each local Children and Young People's Plan must include an outline of key actions which specifically address the needs of children with disabilities. The Government published new Statutory Guidance on Children's Trusts on 22 March 2010 and make clear that in the case of children with autistic spectrum disorders (ASD) the plan could set out what arrangements are in place to commission services to meet the full range of their needs not just those relating to ASD.
'The Mental Health and Psychological Well-being of Children and Young People', Standard 9 of the National Service Framework for Children, Young People and Maternity Services, stated that the commissioning and delivery of a comprehensive Child and Adolescent Mental Health Service (CAMHS) should include regular assessments of local need of children and young people in the locality who are vulnerable or at risk. A copy of the document has already been placed in the Library.
A CAMHS dataset, to further strengthen needs assessment and inform the strategic planning process, is currently in development. The dataset will provide information for local use in commissioning and delivering CAMHS.
Mr. Walker: To ask the Secretary of State for Health whether there is an established national referral pathway to Child and Adolescent Mental Health Services for children with (a) mental health problems and (b) autistic spectrum disorders and co-occurring mental health problems. 
'The Mental Health and Psychological Well-being of Children and Young People', Standard 9 of the National Service Framework for Children, Young People and Maternity Services emphasised the need for clear pathways to be set out to show how the range of mental health needs of children and young people will be met. It is for commissioners and providers to develop local services to meet the needs of their populations informed by the National Service Framework and more recently, 'Keeping Children and Young People in Mind: The Government's Full Response to the Independent
Review of Child and Adolescent Mental Health Services (CAMHS)', published in 2010. Copies of both documents have already been placed in the Library.
The National Institute for Health and Clinical Excellence has published clinical guidelines and technology appraisals which cover the care, treatment and support that children and young people with mental health disorders and their families or carers should be offered. These guidelines will inform the development of local clinical guidelines, care pathways and protocols.
Mr. Walker: To ask the Secretary of State for Health how many specialist Child and Adolescent Mental Health Services have a remit to address the needs of children with (a) a learning disability, (b) an autistic spectrum disorder, (c) an eating disorder and (d) a physical or sensory disability. 
Phil Hope: "The Mental Health and Psychological Well-being of Children and Young People", Standard 9 of the National Service Framework for Children, Young People and Maternity Services, published in 2004 set out the policy framework for a comprehensive Child and Adolescent Mental Health Service (CAMHS). A copy has already been placed in the Library. This includes the need for specialised services for the full range of mental disorders including complex needs in conjunction with other agencies as appropriate, including learning disabilities.
The children's service mapping exercise in England in 2007-08 provided information on CAMHS teams providing services to children and young people with a learning disability or an autistic spectrum disorder. The mapping found that 685 CAMHS teams supported autistic spectrum disorder (ASD) children and young people and their families. Of these 108 CAMHS teams reported providing targeted work for children and young people with ASD. Additionally of the 349 community paediatric services 193 (55 per cent.) ran ASD clinics. The mapping found a total of 722 CAMHS teams (69 per cent. of all teams) provided specialist learning disability care.
We do not collect information on the number of specialist CAMHS services providing services to address the needs of children with learning disability, ASD, eating disorder and a physical or sensory disability.
Mr. Walker: To ask the Secretary of State for Health whether he plans to issue guidance on the commissioning of Child and Adolescent Mental Health Services for vulnerable groups other than looked-after children. 
Phil Hope: Guidance to support commissioners in playing their central role in securing improved outcomes for children, young people and their families "Securing better health for children and young people through world class commissioning: A guide to support delivery of Healthy lives, brighter futures: The strategy for children and young people's health" was published in 2009. A copy has already been placed in the Library.
In addition, guidance for commissioners on the requirements of public service agreement 12 indicator 4 on the extent to which local authorities and primary care trusts should work in partnership to commission a full range of early intervention services, delivered in
universal settings and through targeted services, for children experiencing mental health problem was published in 2009.
Phil Hope: "The Mental Health and Psychological Well-being of Children and Young People", standard 9 of the National Service Framework for Children, Young People and Maternity Services, published in 2004 set out the policy framework for a comprehensive child and adolescent mental health service (CAMHS). Further information is set out in "Keeping Children and Young People in Mind: The Government's full response to the independent review of CAMHS" published in 2010. Copies of both documents have already been placed in the Library.
the development and delivery of CAMHS for children and young people with learning disabilities;
appropriate accommodation and support for 16 to 17-year-olds;
availability of 24-hour cover to meet urgent mental health needs; and
joint commissioning of early intervention support.
Mr. Mike O'Brien: The information is not available in the format requested. Information is held centrally on number of prescribed items written and dispensed, by primary care trust (PCT), and not on the number of people prescribed drugs.
Prescribing information by PCT is available only from February 2005; with September 2009 being the most recent month for which data is presently available. Shropshire is covered by two PCTs, Shropshire county PCT and Telford and Wrekin PCT. Figures for the two PCTs combined for the calendar years 2005 to 2009 have been set out in the following table. The data 2005 and 2009 will be for incomplete years.
|Anti-psychotic drugs: British National Formulary (BNF) 4.21 and 4.2.2: Items prescribed in Shropshire county PCT and Telford and Wrekin PCT combined|
|(1) Figures are for nine months, January to September inclusive|
(2) Figures are for 11months, February to December inclusive
Defined as those recorded in paragraphs 4.2.1 (antipsychotic drugs) and 4.2.2 (antipsychotic depot injections) of the BNF. The number of items is given for the two paragraphs combined.
ePrescribing Analysis and CosT (ePACT) data
This information was obtained from the ePACT system, which covers prescriptions prescribed by general practitioners, nurses, pharmacists and others in England and dispensed in the community in the United Kingdom. For data at PCT level, prescriptions written by a prescriber located in a particular PCT but dispensed outside that PCT will be included in the PCT in which the prescriber is based. Prescriptions written in England but dispensed outside England are included. Prescriptions written in hospitals or clinics that are dispensed in the community, prescriptions dispensed in hospitals, dental prescribing and private prescriptions are not included in PACT data. It is important to note this as some BNF sections have a high proportion of prescriptions written in hospitals that are dispensed in the community. For example, BNF chapter 4, "Central Nervous System" has a fair proportion of items written in mental health clinics that are dispensed in the community-these prescriptions are not included in PACT data.
Prescriptions are written on a prescription form known as an FP10. Each single item written on the form is counted as a prescription item.
The Prescription Cost Analysis system uses the therapeutic classifications defined in BNF. No information on why a drug is prescribed is available and since drugs can be prescribed to treat more than one condition it is impossible to separate the different conditions that a drug was prescribed for.
Alan Simpson: To ask the Secretary of State for Health how many people are detained under the Mental Health Act 1983 in Nottinghamshire (a) in total and (b) in secure wards; and what the equivalent figures were in 2005. 
Phil Hope: Information on the number of people who spent time formally detained in a national health service hospital under the Mental Health Act 1983 during the year has been set out in the following table. This includes people who were detained in hospital during the year but whose formal admission was in a previous year.
These figures are taken from Nottinghamshire Healthcare NHS Trust's mental health minimum dataset annual returns. They exclude patients detained only in high secure beds at Rampton hospital, or by the trust's child and adolescent mental health service. The figures cannot be broken down between secure and other wards, and equivalent information is not available for independent hospitals in Nottinghamshire.
|Number of in - patients detained in hospital for Nottinghamshire Healthcare NHS Trust 2005-06 and 2008-09|
|Number of people formally detained|
1. Each person is counted only once. If a person was detained more than once in a year they are still counted once only.
2. "Formally detained" refers to people who spent at least one day formally retained in hospital under the Mental Health Act 1983 (or previous related legislation).
3. Background information for the Mental Health Act 1983 can be found via the link for the Mental Health Act Code of Practice at:
Mental Health Minimum Dataset annual returns
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