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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