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Heart Bypass Surgery
Mrs. Ballard: To ask the Secretary of State for Health how many people have been referred for heart bypass surgery in each health authority in the last three years. [10662]
Mr. Boateng: The latest available figures show the number of heart bypass operations carried out in each health authority which has a cardiac surgical unit, during the years 1992-93, 1993-94 and 1994-95. The tables show this information. Information on patients referred for treatment is not collected and data for actual treatment received are collected retrospectively.
Notes:
Data in this table are grossed for both covered and unknown/invalid clinical data.
The following operation codes have been used:
K40 Saphenous vein graft replacement of coronary artery.
K410 Other autograft replacement of coronary artery.
K42 Allograft replacement of coronary artery.
K43 Prosthetic replacement of coronary artery.
K44 Other replacement of coronary artery.
Source:
Department of Health, Hospital Episode Statistics (HES).
30 Jul 1997 : Column: 378
| Number | |
|---|---|
| A03 South Tees DHA | 29 |
| A13 Newcastle DHA | 758 |
| B11 East Riding DHA | 608 |
| B61 Leeds DHA | 671 |
| C03 Leicestershire DHA | 732 |
| C12 Sheffield DHA | 677 |
| D09 Huntingdon DHA | 852 |
| E09 Hillingdon DHA | 634 |
| E21 Kensington, Chelsea and Westminster DH | 601 |
| F35 East London and City DHA | 924 |
| F37 Camden and Islington DHA | 507 |
| G11 Greenwich DHA | 417 |
| G26 South East London | 1,356 |
| H12 Wandsworth DHA | 708 |
| J22 Southampton and SW Hants DHA | 709 |
| K41 Oxfordshire DHA | 799 |
| L10 Bristol and District DHA | 479 |
| M07 North Staffordshire DHA | 412 |
| M17 Coventry DHA | 852 |
| M25 South Birmingham DHA | 658 |
| N21 Liverpool DHA | 701 |
| P02 Blackpool, Wyre, Fylde DHA | 75 |
| P11 Central Manchester DHA | 57 |
| P12 South Manchester DHA | 176 |
| T05 National Heart and Lung Hospital | 1,069 |
| T07 Hammersmith and Queen Charlottes | 400 |
| England | 15,863 |
Notes:
Data in this table are grossed for both coverage and unknown/invalid clinical data.
The following operation codes have been used:
K40 Saphenous vein graft replacement of coronary artery.
K41 Other autograft replacement of coronary artery.
K42 Allograft replacement of coronary artery.
K43 Prosthetic replacement of coronary artery.
K44 Other replacement of coronary artery.
Source:
Department of Health, Hospital Episode Statistics (HES).
30 Jul 1997 : Column: 379
| Number | |
|---|---|
| A04 East Cumbria DHA | 1 |
| A13 Newcastle DHA | 809 |
| B13 East Yorkshire Health Authority | 629 |
| B61 Leeds DHA | 460 |
| C03 Leicestershire Health Authority | 627 |
| C08 Nottingham DHA | 3 |
| C12 Sheffield DHA | 460 |
| D09 Huntingdon DHA | 565 |
| E08 Harrow DHA | 1 |
| E09 Hillingdon DHA | 603 |
| E14 Riverside DHA | 1 |
| E17 Parkside DHA | 330 |
| F10 The City and Hackney DHA | 460 |
| F12 Tower Hamlets DHA | 604 |
| F22 Bloomsbury and Islington DHA | 414 |
| G11 Greenwich DHA | 465 |
| G13 West Lambeth DHA | 566 |
| G14 Camberwell DHA | 124 |
| G15 Lewisham and North Southwark DHA | 477 |
| H12 Wandsworth DHA | 759 |
| J10 Dorset DHA | 1 |
| J22 Southampton and South-west Hampshire DHA | 648 |
| K41 Oxfordshire DHA | 713 |
| L10 Bristol and District DHA | 456 |
| M07 North Staffordshire DHA | 348 |
| M17 Coventry DHA | 759 |
| M25 South Birmingham DHA | 575 |
| N21 Liverpool DHA | 605 |
| P02 Blackpool Wyre and Fylde DHA | 211 |
| P11 Central Manchester DHA | 52 |
| P12 South Manchester DHA | 268 |
| T05 National Heart and Lung Hospital | 1,041 |
| T07 Hammersmith and Queen Charlottes | 454 |
| England | 14,488 |
Notes:
Data in this table are grossed for both coverage and unknown/invalid clinical data.
The following operation codes have been used:
K40 Saphenous vein graft replacement of coronary artery.
K41 Other autograft replacement of coronary artery.
K42 Allograft replacement of coronary artery.
K43 Prosthetic replacement of coronary artery.
K44 Other replacement of coronary artery.
Source:
Department of Health, Hospital Episode Statistics (HES).
Heart Disease
Mrs. Ballard: To ask the Secretary of State for Health if he will list for each health authority, the numbers of those suffering from heart disease who are (a) male and (b) female in the most recent 12-month period. [10661]
Ms Jowell: The only accurate information on heart disease relates to death rates rather than to numbers of those affected. Tables and graphs showing the latest mortality rates from coronary heart disease by health authority are contained in the Public Health Common Data Set for England 1996, volume 1, copies of which are available in the Library.
However, in the 1994 health survey for England, one quarter of the people interviewed considered themselves to have some form of cardiovascular disorder, and 6 per cent. of men and 4 per cent. of women reported having had a heart attack or angina.
30 Jul 1997 : Column: 380
Mr. Singh:
To ask the Secretary of State for Health how many teenage girls have suffered adverse medical consequences as a result of being prescribed oral contraceptives in each of the last five years. [10486]
Mr. Milburn:
The information available from the yellow card scheme for adverse reaction reporting is shown in the table. The scheme is voluntary for doctors, dentists, coroners and hospital pharmacists and not all adverse drug reactions are reported. A report of a suspected adverse drug reaction does not necessarily mean that it was caused by the drug, other factors may be contributory.
| Year | Number of adverse drug reaction reports(22) in teenage girls where an oral contraceptive was a suspect drug |
|---|---|
| 1992 | 36 |
| 1993 | 31 |
| 1994 | 20 |
| 1995 | 34 |
| 1996 | 22 |
(22) Each report relates to one patient.
Mr. Singh: To ask the Secretary of State for Health (1) what is his Department's policy on the prescription of oral contraceptives to girls aged under 16 years without their parents' knowledge or consent; [10602]
- (2) what guidelines his Department has issued on prescription of oral contraceptives to teenage girls under the age of 16 years; [10601]
(3) what monitoring is undertaken to ensure adherence to his Department's guidelines on the prescription of oral contraceptives to teenage girls. [10487]
Ms Jowell: In March 1986, health circular HC(86)1 was issued to health authorities giving guidance on the provision of contraceptive advice and treatment to young people under 16, and to the circumstances in which such advice and treatment can be given without parental knowledge or consent. The circular sets out the criteria upon which a doctor or health professional must be satisfied before prescribing contraception. Copies of the guidance are available in the Library.
The Department of Health's guidance, and professional advice produced by organisations such as the BMA, make it clear that doctors must try to persuade a young person who is unwilling to allow parents or general practitioners to be informed of the importance of doing so. The General Medical Council has also issued guidelines for GPs on this issue. We will be discussing with the health professions and voluntary sector the development of standards to build upon good practice in contraceptive advice and treatment for young people.
30 Jul 1997 : Column: 381
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