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891W<br />

Written Answers<br />

1 DECEMBER 2010<br />

Written Answers<br />

892W<br />

Mr Simon Burns: The consultation on a strategy for<br />

services for chronic obstructive pulmonary disease,<br />

published earlier this year, included publication of an<br />

impact assessment which included estimates of the impact<br />

of the strategy as a whole on the numbers and costs of<br />

emergency hospital admissions. No explicit estimates<br />

were made relating to in-patient bed days, or to the<br />

specific impact of improving the rate of early diagnosis<br />

of the disease. The consultation documents have already<br />

been placed in the Library, and can be found on the<br />

Department’s website at:<br />

http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/<br />

en/Consultations/Liveconsultations/DH_112977<br />

Nick Smith: To ask the Secretary of State for Health<br />

what recent assessment he has made of the stage of<br />

disease at which chronic obstructive pulmonary disease<br />

is most frequently diagnosed; and whether his Department<br />

holds information for benchmarking purposes on the<br />

diagnosis of that disease in other EU member states.<br />

[26128]<br />

Mr Simon Burns: The information the Department<br />

holds on the stage at which chronic obstructive pulmonary<br />

disease is diagnosed was published as part of the<br />

Department’s consultation on a strategy for services for<br />

chronic obstructive pulmonary disease in England and<br />

is included in the consultation impact assessment. The<br />

consultation documents have already been placed in the<br />

Library and can be found on the Department’s website<br />

at:<br />

http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/<br />

en/Consultations/Liveconsultations/DH_112977<br />

The Department does not hold information for<br />

benchmarking purposes on the stage of diagnosis in<br />

other European Union member states.<br />

Clostridium Difficile<br />

Mr Watson: To ask the Secretary of State for Health<br />

what penalties may be imposed on NHS hospital trusts<br />

which fail to meet his Department’s targets for reducing<br />

the incidence of clostridium difficile. [26395]<br />

Mr Simon Burns: Poor performance in relation to<br />

Clostridium difficile is covered within the NHS Standard<br />

Contracts that commissioners are expected to use for<br />

NHS funded services as a basis for setting out their<br />

expectations in terms of performance by their providers.<br />

It falls into the Nationally Specified Events aspect of<br />

the contract, which introduces a sliding scale of deductions<br />

of up to 2% of the annual contract value if the provider<br />

breaches the number of cases of Clostridium difficile<br />

infections in a contract year compared with the previous<br />

year’s performance. The primary care trust is required<br />

to make the year-end deduction under the provisions of<br />

the relevant clause within the contract.<br />

Clostridium Difficile: Screening<br />

Mr Watson: To ask the Secretary of State for Health<br />

what steps he is taking to increase the proportion of<br />

patients screened for the early detection of clostridium<br />

difficile. [26394]<br />

Mr Simon Burns: For patients who develop diarrhoea,<br />

existing guidance, ‘Clostridium difficile infection: How<br />

to deal with the problem’, published by the Department<br />

and the Health Protection Agency, makes clear prompt<br />

testing is crucial. A copy has been placed in the Library.<br />

Expert advice is that screening of patients without<br />

symptoms for Clostridium difficile infection is unnecessary,<br />

as current evidence indicates that it is not clinically<br />

effective.<br />

Day Care: Greater London<br />

Lyn Brown: To ask the Secretary of State for Health<br />

whether he has made an estimate of the likely change in<br />

the number of (a) daycare centres and (b) residential<br />

homes in (i) West Ham constituency and (ii) Newham<br />

in the next 12 months. [26485]<br />

Mr Simon Burns: Care homes are operated by local<br />

councils or independent—private and charitable/<br />

voluntary—organisations. Day care is not a regulated<br />

service; councils are free to take their own decisions on<br />

its provision.<br />

It is for local councils to ensure, through their planning<br />

and commissioning of all social care services, that t<strong>here</strong><br />

is sufficient capacity to meet local need. T<strong>here</strong>fore no<br />

such estimate has been made by the Department.<br />

In recognition of the pressures on the social care<br />

system in a challenging fiscal climate, the Government<br />

have allocated an additional £2 billion by 2014-15 to<br />

support the delivery of social care.<br />

This means, with an ambitious programme of efficiency,<br />

that t<strong>here</strong> is enough funding available both to protect<br />

people’s access to services and deliver new approaches<br />

to improve quality and outcomes.<br />

Dental Services: Yorkshire and Humber<br />

Jason McCartney: To ask the Secretary of State for<br />

Health what steps his Department is taking to increase<br />

the number of NHS dental service centres available in<br />

Yorkshire and the Humber; and what steps he is taking<br />

to improve provision for emergency treatment. [26547]<br />

Mr Simon Burns: It is for primary care trusts to<br />

decide how local services, including dental access centres<br />

and urgent care, should develop to meet local needs and<br />

service priorities.<br />

Departmental Grants<br />

Anas Sarwar: To ask the Secretary of State for Health<br />

(1) what the monetary value of grants awarded by his<br />

Department was in 2009-10; and how much he expects<br />

to award in grants in (a) 2010-11 and (b) 2011-12;<br />

[27261]<br />

(2) what grants have been awarded by his<br />

Department in 2010-11 to date; what grants he plans to<br />

award in each of the next two years; what the monetary<br />

value is of each such grant; and to which organisations<br />

such grants are made. [27264]<br />

Paul Burstow: Information about grants awarded to<br />

voluntary organisations is routinely published on the<br />

Department’s website at:<br />

www.dh.gov.uk/en/Publicationsandstatistics/Publications/<br />

PublicationsPolicyAndGuidance/DH_118373

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