Previous Section | Index | Home Page |
Mrs. Curtis-Thomas: To ask the Secretary of State for Health what assessment he has made of the contribution which (a) specialist stroke units and (b) conventional wards are making to the treatment of stroke sufferers. [100869]
Yvette Cooper: In October, the Royal College of Physicians published a report arising from the National Sentinel Audit of Stroke 1998, "Regional variations in stroke care". The Department, as part of the clinical effectiveness programme, funded this programme.
The New National Health Service and a First Class Service introduced a range of measures to raise quality and decrease unacceptable variations in service including the National Service Frameworks (NSFs). The NSF for
12 Jan 2000 : Column: 189W
older people was announced last year. A number of task groups are supporting the External Reference Group for this NSF and one of these is looking at strokes. The NSF will be evidence based, and where this is not possible it will be based on the consensus of best clinical practice. Findings from the National Sentinel Audit have been made available to the External Reference Group on strokes.
Dr. Cable:
To ask the Secretary of State for Health if he will make it his policy to monitor (a) outbreaks of MRSA in NHS acute trusts and (b) how NHS trusts prevent and control the MRSA infection. [102243]
Yvette Cooper:
Chief executives of National Health Service trusts are responsible for ensuring that there is an effective infection control programme within their trusts. Individual trusts manage arrangements for controlling hospital infection, including MRSA, in the light of local circumstances. This includes having an infection control team which has primary responsibility for all aspects of surveillance, prevention and control of hospital infection. The new risk management and organisational control standards for the NHS, which were launched on 22 November by my hon. Friend the Minister of State for Health, include standards for hospital infection control. These standards reinforce chief executives and trust board members' responsibilities. The Public Health Laboratory Service maintains a record of outbreaks of MRSA that are reported to it and publishes aggregated data at regular intervals.
Mr. Rowe:
To ask the Secretary of State for Health how much is being spent on research into the causes and elimination of MRSA in the current financial year. [102857]
Yvette Cooper:
The Department is currently spending £91,000 on a systematic review of isolation policies and screening practices in MRSA management, which started in April 1999. In addition, the Medical Research Council (MRC), which receives most of its income via grant in aid from the office of my right hon. Friend the Secretary of State for Trade and Industry, funds medical research as part of the Government's funding of the science and engineering base. The MRC spent a total of £433,383 on research related to MRSA in 1998-99 and has also agreed funding for two new projects in this area for 2000-01, totalling approximately £91,260. The Staphylococcal Reference Unit at the PHLS Central Public Health Laboratory is also engaged in research, estimated to cost £40,000, on why some strains of MRSA are epidemic.
Mr. Rowe:
To ask the Secretary of State for Health what is the estimated annual cost to the NHS of MRSA (a) in each of the last three financial years and (b) estimated for the current financial year; and how many NHS trusts in Kent are in financial difficulties as a result of MRSA. [102856]
Yvette Cooper:
The information requested is not held centrally. In any individual patient, it is usually very difficult to assess the contribution of any infection acquired in hospital on the outcome, since many patients are already seriously ill from other conditions.
Mr. Rowe:
To ask the Secretary of State for Health (1) how many NHS (a) beds and (b) wards are currently out of service due to MRSA; [102854]
12 Jan 2000 : Column: 190W
Yvette Cooper:
The information requested is not available centrally.
Mr. Rowe:
To ask the Secretary of State for Health how many patients died in 1997 and 1998 as a result of MRSA. [102858]
Yvette Cooper:
Methicillin resistant Staphylococcus aureus (MRSA) infection can take the form of many different diseases from trivial skin infections to pneumonia or septicaemia. Often the causative micro- organism is not specified on the death certificate. MRSA does not have a distinct code within the International Classification of Diseases used for encoding death registration data at the Office for National Statistics. Consequently there are no centrally held statistics on deaths from this cause.
Mr. Paul Marsden:
To ask the Secretary of State for Health how many babies were born HIV positive in each year from 1989 to 1999 in (a) Shropshire and (b) England; and if he will make a statement. [102390]
Yvette Cooper:
Between 1989 and 1999 there have been no reports of children with maternally acquired HIV infection born in Shropshire recorded in national surveillance data. The number of children with maternally acquired HIV infection reported in England as a whole is shown in the table. Also shown is the number of children for whom the reported infection status is indeterminate who were born to HIV infected mothers. This is high for recent years as it often cannot be established whether such a child is infected until it is eighteen months old.
(2) how many patients are currently in intensive care due to MRSA. [102855]
Year of birth (9) | Infection status | Infected | Indeterminate or lost to annual follow up |
---|---|---|---|
1989 | -- | 12 | 3 |
1990 | -- | 38 | 7 |
1991 | -- | 31 | 13 |
1992 | -- | 46 | 11 |
1993 | -- | 39 | 17 |
1994 | -- | 37 | 15 |
1995 | -- | 39 | 13 |
1996 | -- | 34 | 20 |
1997 | -- | 39 | 24 |
1998 | -- | 22 | 43 |
1999(10) | -- | 6 | 98 |
(9) Numbers, particularly for recent years will rise as delayed reports are received.
(10) Reported by 31 October 1999.
Dr. Cable:
To ask the Secretary of State for Health what is the (a) NHS and (b) Social Service budget for alcohol rehabilitation programmes in the current year. [102552]
12 Jan 2000 : Column: 191W
Yvette Cooper:
There are no specific allocations to either the National Health Service or social services for alcohol rehabilitation. Health authorities purchase substance misuse services from general Hospital and Community Health Service allocations. Local authorities purchase the majority of alcohol services from the generality of community care funding. Information on what the authorities spend on alcohol services from these allocations is not collected centrally. In addition, the Drug and Alcohol Specific Grant provides £1.78 million in 1999-2000 to develop local voluntary sector services for drugs and alcohol.
Dr. Cable:
To ask the Secretary of State for Health what is the estimated cost to the NHS of alcohol-related illness and accidents for each of the last five years. [102559]
Yvette Cooper:
Estimates of the cost to the National Health Service of alcohol-related illnesses and injuries vary widely; the most recent academic estimate of which we are aware is for the costs of alcohol misuse in the NHS in England and Wales in 1992 and is reproduced in the table.
£ million | |
---|---|
Inpatient costs--direct alcohol diagnosis | 40.8 |
Inpatient costs--other alcohol related diagnosis | 120.2 |
General practice costs | 3.1 |
Total | 164.0 |
Source:
Health Education Authority: Health Update: Alcohol (1997)--after Godfrey, C and Hardman, G. (1994))
Dr. Iddon: To ask the Secretary of State for Health if he will list (a) the centres which are currently open for in-patient treatment for drug addiction within the NHS and (b) those that have closed in the last five years, with dates of closure. [102698]
Mr. Hutton: The 185 NHS Trusts in England that provided in-patient treatment for patients with a primary diagnosis of mental and behavioural disorders due to use of opioids--dependence syndrome (ICD10 F11.2), in 1997-98, are shown in the following list. Information is not available centrally on those that have closed in the last five years.
12 Jan 2000 : Column: 192W
12 Jan 2000 : Column: 193W
12 Jan 2000 : Column: 194W
Addenbrooke's NHS Trust
Aintree Hospitals NHS Trust
Airedale NHS Trust
Avalon Somerset NHS Trust
Barnsley Community and Priority Services
Barnsley District General Hospital
Bassetlaw Hospital and Community Services
Bath Mental Health Care NHS Trust
Bedford and Shires Health and Care
Birmingham Heartlands and Solihull
Birmingham Women's Healthcare
Blackburn Hyndburn and Ribble Valley Health Care
Blackpool Victoria Hospital
Blackpool Wyre and Fylde Community Health Services
Bradford Community Health
Bradford Hospitals NHS Trust
Brighton Health Care NHS Trust
Burnley Healthcare NHS Trust
Bury Health Care NHS Trust
Calderdale Healthcare NHS Trust
Camden and Islington Community Health Service
Central Manchester Healthcare
Central Nottinghamshire Healthcare
Chesterfield and North Derbyshire Royal Hospital
Chorley and South Ribble NHS Trust
City and Hackney Community Services
City Hospital NHS Trust
City Hospitals Sunderland NHS
Community Healthcare: North Durham
Cornwall Healthcare NHS Trust
Countess Of Chester Hospital
Derbyshire Royal Infirmary
Dewsbury Health Care NHS Trust
Doncaster Healthcare NHS Trust
Doncaster Royal Infirmary and Montaqu Hospital
Dorset Community NHS Trust
Dorset Healthcare NHS Trust
Dudley Group of Hospitals NHS
Dudley Priority Health NHS Trust
East Cheshire NHS Trust
East Gloucestershire NHS Trust
East Hertfordshire NHS Trust
East Surrey Hospital and Community Healthcare
East Wiltshire Health Care
Eastbourne and County Healthcare
Essex Rivers Healthcare NHS Trust
Exeter and District Community Health Services
Forest Healthcare NHS Trust
Frenchay Healthcare NHS Trust
Frimley Park Hospital NHS Trust
Greenwich Healthcare NHS Trust
Guys and St. Thomas's NHS Trust
Haringey Health Care NHS Trust
Harrogate Health Care NHS Trust
Hartlepool and East Durham NHS Trust
Hastings and Rother NHS Trust
Heathlands Mental Health
Herefordshire Community Health
Hinchingbrooke Healthcare
Hounslow and Spelthorne Community & Mental Health
Isle Of Wight Healthcare NHS Trust
James Paget Hospital NHS Trust
Kent and Canterbury Hospitals
Kings Lynn and Wisbech Hospitals
Kingston Hospital NHS Trust
Lambeth Health Care NHS Trust
Lancaster Priority Services
Leeds Community and Mental Health
Leicestershire Mental Health Service
Lincoln and Louth NHS Trust
Lincoln District Healthcare
Mental Health Services of Salford
Mid Anglia Community Health
Mid Essex Community and Mental Health
Mid Essex Hospitals NHS Trust
Mid Sussex NHS Trust
Milton Keynes Community Health
Milton Keynes General Hospital
Norfolk and Norwich Health Care
North Durham Acute Hospitals
North East Essex Mental Health
North East Lincolnshire NHS Trust
North Hampshire Loddon Community
North Hertfordshire NHS Trust
North Kent Healthcare NHS Trust
North Lakeland Healthcare NHS Trust
North Manchester Healthcare
North Mersey Community NHS Trust
North Middlesex Hospital NHS Trust
North Staffordshire Combined Healthcare
North Staffordshire Hospital
North Tees Health NHS Trust
North West Anglia Healthcare
North West London Mental Health
Northallerton Health Services
Northampton Community Healthcare
Northern Birmingham Mental Health
Northern Devon Healthcare NHS
Northern General Hospital NHS
Northumberland Mental Health
Nottingham Healthcare NHS Trust
Nottingham University Hospital
Oldham NHS Trust
Oxleas NHS Trust
Pathfinder NHS Trust
Peterborough Hospitals NHS Trust
Pinderfields and Pontefract Hospitals
Plymouth Community Services
Portsmouth Healthcare NHS Trust
Portsmouth Hospitals NHS Trust
Preston Acute Hospitals NHS Trust
Priority Healthcare Wearside
Redbridge Health Care NHS Trust
Riverside Mental Health NHS Trust
Rochdale Healthcare NHS Trust
Rockingham Forest NHS Trust
Rotherham Priority Health
Royal Bournemouth and Christchurch Hospitals
Royal Hull Hospitals NHS Trust
Royal Liverpool and Broadgreen Hospitals
Royal United Hospitals, Bath NHS
Salford Royal Hospitals NHS Trust
Salisbury Health Care NHS Trust
Scarborough and NE Yorkshire
Scunthorpe and Goole Hospitals
Scunthorpe Community Health Care
Severn NHS Trust
Sheffield Community Health Service
Shropshire's Mental Health NHS
Solihull Healthcare NHS Trust
South Birmingham Mental Health
South Buckinghamshire NHS Trust
South Cumbria Community and Mental Health
South Devon Healthcare NHS Trust
South Downs Health NHS Trust
South Durham NHS Trust
South Kent Community Healthcare
South Kent Hospitals NHS Trust
South Lincolnshire Community and Mental Health
South Manchester University Hospitals
South Tees Acute Hospitals NHS
South Warwickshire Mental Health Services
Southend Community Care Service
Southend Health Care NHS Trust
Southern Derbyshire Mental Health
Southmead Health Services NHS
Southport and Formby Hospitals
St. Helens and Knowsley Hospital
St. James's and Seacroft University Hospital
St. Mary's Hospital NHS Trust
Stockport Healthcare NHS Trust
Surrey Heartlands NHS Trust
Swindon and Marlborough NHS Trust
Tameside and Glossop Acute Services
Tameside and Glossop Community & Priority Services
The Bethlem and Maudsley NHS Trust
The Foundation NHS Trust
The Mid Cheshire Hospital NHS
The Princess Royal Hospital
The Royal Free Hampstead
The Royal Victoria Infirmary and Assoc Hospitals
The Royal Wolverhampton Hospital
The United Bristol Healthcare
Tower Hamlets Healthcare NHS Trust
Trafford Healthcare NHS Trust
United Leeds Teaching Hospitals
Wakefield and Pontefract Community
Walsall Community Health NHS Trust
Walsall Hospitals NHS Trust
Walsgrave Hospitals NHS Trust
West Berkshire Priority Care Services
West Cumbria Health Care NHS Trust
West Herts Community NHS Trust
West Lancashire NHS Trust
West London Healthcare NHS Trust
Weston Area Health NHS Trust
Wigan and Leigh Health Services
Wirral and West Cheshire Community
Wirral Hospital NHS Trust
Worcestershire Community Healthcare
York Health Services NHS Trust.
Next Section | Index | Home Page |