§ Mr. Cotter
To ask the Secretary of State for Health (1) how much his Department spent on the treatment of diabetes and diabetic complications in each of the last three years, expressed(a) in absolute terms and (b) as a proportion of the total NHS budget; 
(2) if he will publish statistics relating to the comparative performance of diabetic clinics throughout the UK. 
§ Mr. Denham
We do not collect data in a way that enables us to distinguish the amount spent on the treatment of diabetes and diabetic complications. Owing to the complications, acute and chronic, which may arise 419W from diabetes, it would be a very complex task to derive the precise expenditure for diabetes. Nor do we currently collect information that would enable us to compare the performance of diabetic clinics.
As part of our programme to build a fairer and more modern National Health Service, we have launched national service frameworks to drive up quality, and reduce unacceptable variations in key service areas. My noble Friend the Lord Hunt of Kings Heath announced last week the commencement of work on a national service framework for diabetes. We would expect that the issues relating to the costs, and to the cost-effectiveness, of care provision for diabetes and its complications will become clearer as part of this work.
We shall publish the diabetes national service framework in 2001. It will set national standards, define service models and put in place strategies to support implementation, delivery and monitoring of performance.