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It is for local primary care trusts (PCTs) to use the funds allocated to them to meet the health care needs of their local populations. A consultant or clinician may recommend the use of Cyberknife for the treatment of cancer but it would be for the PCT to agree to supply the treatment at NHS expense.
Phil Hope: We are informed by the Commission for Social Care Inspection (CSCI) that the numbers of nursing homes inspected in South Tyneside and England in each year since 2003-04 are as shown in the table. CSCI does not collect data for Tyne and Wear, which is not a council with adult social services responsibility area.
Information for the period between 2000 and that shown in the table is not held centrally. CSCI only has inspection records from the time of the establishment of its predecessor, the National Care Standards Commission (NCSC), in 2002. During the first months of NCSCs existence, there was a delay in registering some homes, so complete data for 2002-03 are not available.
|Number of nursing homes subject to inspection by CSCI in South Tyneside and England per year|
|Year ending 31 March||South Tyneside||England|
CSCI registration and inspection database, static data cut 2 May 2008.
Mr. Hepburn: To ask the Secretary of State for Health how many nursing homes inspected by the Commission for Social Care Inspection in (a) South Tyneside, (b) Tyne and Wear and (c) England received a (i) 0 star rating (poor), (ii) 1 star rating (adequate), (iii) 2 star rating (good) and (iv) 3 star rating (excellent) in each year since 2000. [Official Report, 20 November 2008, Vol. 483, c. 5MC.] 
The following tables show star ratings for nursing homes in South Tyneside and England. CSCI does not collect data for Tyne and Wear, which is not a council with adult social services responsibility area.
|1. Star ratings of nursing homes in South Tyneside|
|Number of homes|
|8 May 2008||13 October 2008|
|2. Star ratings of nursing homes in England|
|Number of homes|
|8 May 2008||13 October 2008|
CSCI Registration and Inspection database, 8 May 2008 and 13 October 2008 static cuts.
Ann Keen: The National Institute for Health and Clinical Excellence published intrapartum care guidelines in September 2007, which provide guidance on the information that women should receive on planning the place of birth.
Maternity Matters: Choice, Access and Continuity of Care in a Safe Service, which the Department published in April 2007, sets out guidelines on the choices that will be available to expectant mothers. A copy has been placed in the Library.
Phil Hope: The NHS Information Centre for health and social care collects and publishes data on the number of people receiving community based care which is either partly or wholly funded by councils with adult social services responsibilities (CASSRs) in England.
Provisional data from the P2f pro forma of the Referrals, Assessments and Packages of Care collection. Validated national level data are expected to be available in December 2008.
Greg Mulholland: To ask the Secretary of State for Health how many people over the age of 65 years were supported to live at home in (a) England and (b) each strategic health authority area in each of the last five years. 
Phil Hope: The NHS Information Centre for health and social care collects and publishes data on the number of people receiving community based care which is either partly or wholly funded by councils with adult social services responsibilities (CASSRs). Data are not collected centrally at strategic health authority level.
Information is shown in the following tables. Table 1 shows the number of people aged 65 and over receiving community-based care from CASSRs at 31 March 2004. Table 2 shows the same data for 31 March 2005 to 2008. Guidance relating to clients receiving services was restated for 2004-05 to only include clients who are assessed by social services and who have a care plan. In previous years, some councils included clients receiving services from grant-funded organisations without a community care assessment. Therefore data for 2004-05 onwards are not comparable with earlier data. Additional clarification was also given on the recording of some types of services. These amendments mainly affect clients receiving community-based services.
|Table 1: Total number of clients in England receiving community-based services at 31 March|
|Table 2: Total number of clients in England receiving community-based services at 31 March|
|(1) 2008 figures are provisional. Fully validated data will be available in February 2009.|
1. The England total is an estimate based on actual figures.
2. Figures are rounded.
RAP proforma P2s
Mr. Liddell-Grainger: To ask the Secretary of State for Health what proportion of dental patients were treated (a) by the NHS and (b) privately in (i) England and (ii) each primary care trust within the South West Strategic Health Authority in each financial year from 1997 to 2007. 
The number of patients registered with an NHS dentist as a proportion of the population, in England, as at 31 March, 1997 to 2006 is available in annex B of the NHS Dental Activity and Workforce Report, England: 31 March 2006. Information is provided by primary care trust (PCT) and by strategic health authority (SHA) where appropriate.
This information is based on the old contractual arrangements which were in place up to and including 31 March 2006. This report, published on 23 August 2006, has already been placed in the Library and is also available on the NHS Information Centre website at:
Under the new dental contractual arrangements, introduced on 1 April 2006, patients do not have to be registered with an NHS dentist to receive NHS care. The closest equivalent measure to registration is the number of patients receiving NHS dental services (patients seen) over a 24-month period. However, this is not directly comparable to the registration data for earlier years.
Information on the number of patients seen by an NHS dentist in England, over the previous 24-month period, as a percentage of the population is available in table C2 of annex 3 of the NHS Dental Statistics for England: 2006/07 report. Information is available for the 24-month periods ending 31 March, 2006 and 2007. This information is provided by SHA and by PCT.
The Dental Services Division (DSD) of the NHS Business Services Authority has recently issued patients seen information at PCT level. However, this was for management purposes. PCTs have recently raised some issues which suggest that the way in which patients are allocated to PCTs across the various quarters needs to be reviewed. This means that sub-national information on patients seen was not included in the Dental Statistics for England: 2007/08 report, published by the NHS Information Centre on 21 August 2008. The DSD has confirmed that this issue could only have a minimal impact on the national figures. They were therefore labelled as provisional pending the review. An update will be provided in the Dental Statistics for England: 2008/09 Q1 report in November 2008.
Mike Penning: To ask the Secretary of State for Health how many dispensing appliance contractors have been prosecuted for fraudulent use of dispensing licences in the last five years; and how many of those prosecutions related to the wrongful use of multiple licences for financial benefit. 
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