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Strokes
Mr. Jack: To ask the Secretary of State for Health (1) following the publication of "Saving Lives: Our Healthier Nation and the developing National Service Framework for older People" what priority will be accorded in (a) his Department's policy research and (b) the NHS Research and Development Programme to deal with strokes; and if he will make a statement; [149770]
- (2) pursuant to his answer of 9 January 2001, Official Report, columns 532-36W, on strokes, if he will indicate which of the stroke research projects listed are still in progress; and how much money was committed in (a) 2000 and (b) 2001 for each one. [149784]
Yvette Cooper: Through the National Health Service research and development programme for cardiovascular disease and stroke, one of a number of time-limited research programmes, the Department made a major investment in stroke research, commissioning 57 projects at cost of £11.8 million. The Department continues to support stroke research through the NHS health technology assessment programme (HTA) and the
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Department's policy research programme and other NHS research and development programmes. Research to underpin the national service frameworks is a priority for the Department and NHS research and development programmes. Future Departmental/NHS research on stroke is likely to be taken forward as part of the overall research strategy to support the National Service Framework for Older People and to meet the research needs of the National Institute of Clinical Excellence.
We are also providing support for stroke research through the Medical Research Council (MRC) who are always willing to consider well-designed research projects.
The following projects funded by the Department of Health and listed on 9 January 2001, Official Report, columns 532-36W, are still in progress.
- British Regional Heart Study: a prospective study into the causes of CHD, hypertension and stroke in a cohort of men now aged about 60-79
- Professor Peter Whincup, St. George's Hospital Medical School
- 2000--£79,011
- 2001--£104,304
- Contract renewed from end of 2000
- A related study in a cohort of women of similar age
- Professor Shah Ebrahim, University of Bristol
- 2000--£234,990
- 2002--£196,782
- Contract finishes at end of 2001
- The following ongoing projects are supported by the HTA Programme, and a figure is provided for the total cost of the projects. Figures for 2000 and 2001 spend are not available.
- Project title: Early prediction of rehabilitation needs following acute stroke
- Professor Philip Bath, University of Nottingham
- Cost: £87,766
- Start date November 1995 estimated publication early 2001
- A controlled comparison of alternative strategies in stroke rehabilitation
- Professor Lalit Kalra, Guy's, King's and St. Thomas' School of Medicine
- Cost: £499,778
- Start date April 95 estimated publication date late 2001
- A systematic review of the effectiveness, cost-effectiveness and barriers to implementation of thrombolytic and neuroprotective therapy for acute ischaemic stroke in the NHS
- Professor Peter Sandercock, University of Edinburgh
- Cost: £77,482
- Start date Feb 2000 estimated publication date late 2002
- What is the best imaging strategy for acute stroke?
- Dr. Joanna Wardlaw, University of Edinburgh
- Cost: £131,415
- Start date Feb 1999 estimated publication date late 2002
- Social-environmental, psychological and physical approaches to stroke rehabilitation
- Professor David Barer, University of Newcastle
- Cost: £371,264
- Dec 1995 estimated publication late 2001
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- FOOD--A multicentre international randomised trial to evaluate percutaneous endoscopic gastrotomy and nasogastric tube feeding in patients admitted to hospital with a recent stroke
- Dr. Martin Dennis, University of Edinburgh
- Cost: £357,411
- Feb 1999 estimated publication Late 2004
- The MRC are supporting the following ongoing projects. Figures for 2000 and 2001 are not available, and overall cost for each project is provided
- Surgical Trial in Intracerebral Haemorrhage
- Professor A. D. Mendelow, University of Newcastle
- Overall Cost: £892,712
- End date 26 Feb 2001
- Acute and Chronic Brain Injury--Mechanisms and Outcome
- Wolfson Brain Imaging Centre
- Professor J. D. Pickard, University of Cambridge
- Cost: £1,583,194
- End date 31 Dec 01
- Functional and Metabolic Magnetic Resonance Imaging of the Brain During the Acute and Recovery Stages of Stroke
- Professor P. M. Mathews, University of Oxford
- Cost: £1,373,622
- End date 31 Jan 02
- The Cambridge Cerebrovascular Centre--genetic predisposition, vascular biology, Functional Imaging
- Professor J. D. Pickard, University of Cambridge
- Cost: £4,101,451
- End date 31 Jan 02
- Investigation of calpain function in slice cultures using noval fluorescent probes
- Professor M. Bradley, University of Southampton
- Cost: £156,100
- End date 30 Sept 02
- Brain Protection after Cerebral Ischaemia
- Professor J. McCulloch, University of Glasgow
- Cost: £221,212
- End date 7 Nov 02
- Intravenous Magnesium Efficacy in Stroke Study (IMAGES)
- Dr. K. R. Lees, University of Glasgow
- Cost: £1,394,970
- End date 30 Sept 03
- Asymptomatic Carotid Surgery Trial
- Miss A Halliday, St. Mary's Hospital
- Cost: £631,816
- End date 30 March 04
- Brain Damage Co-operative: from Mechanisms to Man
- Professor Mcculloch, University of Glasgow
- Cost: £209,586
- End date 3 April 04
- Neuronal pathways underlying CNS responses to injury and disease
- Professor N. J. Rothwell, University of Manchester
- Cost: £429,332
- End date 31 May 04
- The pathophysiology of clinical recovery and deterioration after ischaemic stroke: Studies with functional/physiologic
- Professor J. Baron, University of Cambridge
- Cost: £1,000,004
- End date 30 Nov 04
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- The CRASH trial (Corticosteroid randomisation after significant head injury)
- Dr. I. G. Roberts, Institute of Child Health (London)
- Cost: £2,210,337
- End date 31 Oct 05.
Insulin Pumps
Sandra Gidley: To ask the Secretary of State for Health (1) what his Department's most recent guidance is regarding use of insulin pumps; [149845]
- (2) how many health authorities provide funding for insulin pump therapy. [149844]
Ms Stuart: There has been no comprehensive evaluation of the place of insulin pumps in diabetes treatment. The Department has not issued specific guidance on their use.
However, if resources allow, hospital consultants may prescribe equipment such as insulin pumps as part of National Health Service treatment. Health authorities may provide such equipment, prescribed as part of NHS treatment, either permanently or on loan, and in these circumstances no charge may be made. It is for health authorities to make decisions about the best use of their resources on the basis of clinical priorities and local needs.
No information is collected centrally on which health authorities provide funding for insulin pump therapy.
Care Home Standards
Sandra Gidley: To ask the Secretary of State for Health when he will publish the final version of the national minimum standards for homes for older people; and if he will make a statement on the consultation process, including who was consulted, in formulating compensatory quality standards contained in the final version. [149843]
Mr. Hutton: We consulted extensively on the proposals for care homes for older people, set out in the consultation document "Fit For The Future?"; the formal consultation period ended in January 2000. Following this, we consulted provider organisations, and in particular smaller providers, and other interested parties, and achieved broad agreement for the flexibilities we announced last year. These decisions should ensure that any improvements in the quality of care homes necessary will be achieved smoothly, and that stability in the care homes sector and sufficient capacity is maintained while changes are made. We intend to publish the finalised standards shortly.
Compulsory Hospital Admissions
Dr. Lynne Jones: To ask the Secretary of State for Health how many compulsory admissions there were to hospital in England and Wales in each year between 1990 and 2000 under the powers in the Mental Health Act 1983. [150003]
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Mr. Hutton: The Department collects and publishes information annually relating to patients detained under the Mental Health Act 1983 on:
- Admissions to hospitals under the Act by section of the Act, sex and category of disorder as defined and required under the Act.
Changes in patient's legal status while in hospital.
Patients in hospital at the end of the year, by sex and category of disorder.
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