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Andrew Rosindell: To ask the Secretary of State for Health how much has been spent by the Barking, Havering and Redbridge NHS Trust on debt collection agencies in each of the last five years; and if he will make a statement. 
Andrew Rosindell: To ask the Secretary of State for Health how many foreign nationals who have not provided payment to the NHS towards the cost of their treatment have had children treated in (a) NHS trusts in England and (b) Barking, Havering and Redbridge NHS Trust in each of the last five years. 
Ann Keen: It is not possible to provide the information requested. Successive governments have not required the national health service to provide statistics on the number of foreign nationals seen, treated or charged under the provisions of the NHS (Charges to Overseas Visitors) Regulations 1989, as amended, nor any costs involved.
Andrew Rosindell: To ask the Secretary of State for Health if he will hold discussions with representatives from the Barking, Havering and Redbridge NHS Trust on payments owed to the Trust by foreign nationals. 
Ann Keen: The recovery of payment owed to national health service trusts by foreign nationals for treatment provided to them is a matter for the individual trust. The National Health Service (Charges to Overseas Visitors) Regulations 1989, as amended, set out the criteria for eligibility for free NHS hospital care. It is the legal responsibility of all hospital trusts to ensure that the eligibility of all patients seeking treatment is confirmed and, if they are not eligible for free healthcare, that the appropriate charges for treatment are levied and subsequently recovered. The Department has provided comprehensive guidance on implementation of the charging regulations to help the NHS to discharge their responsibilities.
Bob Russell: To ask the Secretary of State for Health how many people have (a) died and (b) contracted sepsis as a result of receiving bacterially contaminated transfused blood products in the last five years. 
Gillian Merron: Data on adverse reactions from blood products are collected by the Medicines and Healthcare products Regulatory Agency (MHRA), as for any medicinal product. MHRA has received no reports of infection arising from bacterial contamination of transfused blood products during the past five years.
Ann Keen: The numbers of national health service dentists, as at 31 March, 1997 to 2006 are available in Annex E of the NHS Dental Activity and Workforce Report England: 31 March 2006. Information is available by strategic health authority (SHA) and by primary care trust (PCT). Annex G contains information by parliamentary constituency.
This measure counted the number of NHS dentists recorded on PCT lists as at 31 March each year. 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:
The numbers of dentists with NHS activity during the years ending 31 March, 2007 and 2008 are available in Table G1 of Annex 3 of the NHS Dental Statistics for England: 2007-08 report. Information is provided by SHA and by PCT but is not available by constituency. This information is based on the new dental contractual arrangements, introduced on 1 April 2006. This report, published on 21 August 2008, has already been placed in the Library and is also available on the NHS Information Centre website at:
Following a recent consultation exercise, this measure is based on a revised methodology and therefore supersedes previously published workforce figures relating to the new dental contractual arrangements. It is not comparable to the information collected under the old contractual arrangements. This revised methodology counted the number of dental performers with NHS activity recorded via FP17 claim forms in each year ending 31 March.
Further work is currently being undertaken to determine whether the new definition used under the new dental contractual arrangements can be applied to the years under the old contractual arrangements to produce a consistent time series.
Both sets of published figures relate to headcounts and do not differentiate between full-time and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.
Mr. Mike O'Brien: Information is not collected on the number of patients treated at accident and emergency (A&E) departments. However, data on the number of attendances at A&E type 1 departments are available and published quarterly via the Department of Healths Quarterly Monitoring Accident and Emergency Services dataset. This includes patients who attended A&E but who were not subsequently treated and counts each attendance by the same patient separately.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many people with a learning disability were (a) admitted to hospital and (b) treated by hospital out-patient services in each of the last five years. 
Phil Hope: The Department does not hold these data centrally. However, the Government have given priority to access to health care for those with learning disabilities as stated in Valuing People Now, which was published in January 2009. A copy has already been placed in the Library.
Frank Cook: To ask the Secretary of State for Health what discussions he has had with the National Institute for Health and Clinical Excellence on its proposed review of guidance No. 152 on drug-eluting coronary stents; and if he will make a statement. 
Gillian Merron: No such discussions have taken place. The National Institute for Health and Clinical Excellence (NICE) has recently consulted on its plans to review its guidance on drug-eluting stents for the treatment of coronary artery disease. As a stakeholder, the Department has responded to that consultation. It is understood that NICE is considering the responses to its consultation exercise and will make a decision on the proposed review in due course.
Tom Brake: To ask the Secretary of State for Health (1) what proportion of personality disorder placements made in 2008-09 were (a) private and (b) public sector placements; and what the cost was of each category of placement; 
(2) what the process is for monitoring the effectiveness of personality disorder placements in the (a) private and (b) public sector; what his most recent assessment is of that effectiveness in each case; and on what evidence he bases that assessment. 
Phil Hope: Information is not collected by the Department on the proportion or cost of personality disorder placements made in the private sector. Decisions on funding these clinical treatments are made by local and regional specialised commissioning groups and all placements and local service provision is funded through the patients primary care trust (PCT).
Information is not collected centrally on the effectiveness of personality disorder placements commissioned by PCTs from the private sector. The national Dangerous and Severe Personality Disorder (DSPD) programme is currently developing models of intervention in the national health service and National Offender Management Service. This programme is undertaking several research and evaluation projects, two of which are expected to deliver their results at the end of 2009.
Earlier evaluations in respect of other personality disorder/DSPD service developments were set out in the Departments 2003 guidance for NHS trusts, Personality DisorderNo Longer a Diagnosis of Exclusion. This guidance has been placed in the Library.
To ask the Secretary of State for Health (1) what assessment he has made of the potential for
allowing the use of a range of therapies for psychotherapy treatments for depression; and for what reasons guidelines from the National Institute for Health and Clinical Excellence restrict such treatments to cognitive behavioural therapy; 
(2) what forms of psychotherapy treatment for depression were considered by the National Institute for Health and Clinical Excellence as baselines to its guidance in psychotherapy treatments other than randomised controlled trials. 
Phil Hope: The Department has made no such assessment. The National Institute for Health and Clinical Excellence (NICE) clinical guideline Depression: Management of Depression in Primary and Secondary Care, published in 2004, identifies cognitive behavioural therapy as one of the principal treatments for depression but also recommends a number of other therapies for use alongside it, including counselling, interpersonal therapy and couples or family therapy.
NICE'S guidance is based on a thorough assessment of the available evidence and is subject to public consultation during its development. Full information on this clinical guideline is available on the NICE website at:
Anne Milton: To ask the Secretary of State for Health pursuant to the answer of 3 June 2009, Official Report, column 505W, on mental health services, whether the 3,159 average daily number of available beds in secure units in England includes privately provided beds. 
Anne Milton: To ask the Secretary of State for Health pursuant to the answer of 3 June 2009, Official Report, column 505W, on mental health services, what the average daily number of available beds in all secure units in England was in each of the last five years. 
Phil Hope: Data on the average daily number of mental health secure unit beds, and learning disability secure unit beds in national health service units in England over the last five years are set out in the following table.
|Average daily number of mental health and learning disability secure unit beds in NHS units|
| Note: The definitions of mental health and learning disability secure unit beds, for the purposes of the KH03 annual beds collection, are: Mental illnessOther ages, secure unit an Age Group Intended of National Code 8 Any age, a Broad Patient Group Code of National Code 5 Patients with mental illness and a Clinical Care Intensity of National Code 51 for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward. Learning disabilitiesOther ages, secure unit an Age Group Intended of National Code 8 Any age, a Broad Patient Group Code of National Code 6 Patients with learning difficulties and a Clinical Care Intensity of National Code 61 designated or interim secure unit. Source: Department of Health Dataset KH03(1).|
These figures do not represent the full level of secure services available to the NHS. Some low secure mental health services are not consistently defined and may well fall outside the definitions used for this data collection. These figures also show only NHS beds in NHS units and not those commissioned by the NHS and provided by independent sector providers.
Anne Milton: To ask the Secretary of State for Health pursuant to the answer of 3 June 2009, Official Report, column 505W, on mental health services, which 10 mental health hospitals had the highest average bed occupancy levels. 
Phil Hope: This information is not collected centrally. Information is collected by the Department on average daily bed numbers within individual national health service trusts, but not on average bed occupancy levels within trusts.
Phil Hope: The Government are fully committed to improving men's mental health services through the Gender Equality and Women's Mental Health Programme, within the National Mental Health Development Unit (NMHDU).
NMHDU has commissioned a scoping exercise to identify the specific mental health needs of men. From this a new programme will emerge, addressing men's mental health issues and the direction for further work.
Mr. Mike O'Brien: We are advised by the chairman of Monitor, the independent regulator of NHS foundation trusts, that bad debt as an operating expense is reported in the Consolidated Accounts for NHS Foundation Trusts. This report is produced annually by Monitor and laid before Parliament. Copies of each report are available from Monitor's website:
|Number of foundation trusts||Operating expenses: bad debt (£ million)|
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