10 Jul 2000 : Column: 359W

Written Answers to Questions

Monday 10 July 2000

HEALTH

NHS Staff Vacancies

Mr. Cox: To ask the Secretary of State for Health how many vacancies for (a) doctors and (b) nurses there are in NHS hospitals in the Greater London area. [126268]

Mr. Denham: The information requested is provided in the table.

NHS Hospital and Community Health Services (HCHS): nursing, midwifery and health visiting staff and doctor vacancies(1) in NHS trusts, within the London Regional Office area, as at 31 March 1999

Total number (headcount)
Doctors90
Qualified nursing, midwifery and health visiting staff (2)2,350

(1) Three month vacancies

(2) Revised figures

Note:

Numbers rounded to nearest 10

Source:

Department of Health Recruitment, Retention and Vacancies Survey 1999


Carers Grant

Mr. Wyatt: To ask the Secretary of State for Health if the Carers Grant is additional to the amount county councils have already spent on respite care; how much Kent County Council will receive from the Carers Grant; and if he will make a statement. [126247]

Mr. Hutton: The carers special grant is allocated to local authorities to stimulate the diversity and flexibility of provision that enables carers to have a break from caring. Services funded in this way must be additional to any breaks services previously provided.

Kent County Council received a carers special grant of £530,713 in 1999-2000 and £1,264,352 in 2000-01.

These figures are in addition to the figure of approximately £197 million and £207 million which Kent received for the provision of personal social services, in 1999-2000 and in 2000-01 respectively, through the standard spending assessment. This money can also be spent on services which benefit carers.

Antidepressants

Dr. Naysmith: To ask the Secretary of State for Health what quantity of each (a) antidepressant and (b) benzodiazepine was prescribed by doctors in England in 1999. [127967]

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Ms Stuart: The information requested is given in the tables.

Benzodiazepines: number of prescription items dispensed in the community, England, 1999
Thousand

Drug groupPrescription item
Temazepam4,878
Diazepam4,108
Nitrazepam2,210
Lorazepam728
Chlordiazepoxide402
Oxazepam289
Lormetazepam246
Clonazepam231
Loprazolam200
Clobazam85
Total13,378

Notes:

1. Data cover all prescriptions dispensed in the community, i.e. by community pharmacists and appliance contractors, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered. Prescriptions written in hospitals and dispensed in the community are included. Information on items dispensed in hospitals is not available.

2. Benzodiazepines are contained within British National Formulary paragraphs 4.1.1, hypnotics and 4.1.2, anxiolitics. Also included are benzodiazepines within 4.8.1, drugs used in the control of epilepsy, and 4.8.2, drugs used in status epilepticus, as they are also used for anxiety relief. The therapeutic classifications are based on the British National Formulary No. 38, September 1999 version.

3. Figures may not add up due to rounding.


Antidepressants: number of prescription items dispensed in the community, England, 1999
Thousand

Drug groupPrescription item
Tricyclic and related antidepressant drugs
Amitriptyline Hydrochloride3,712
Dothiepin Hydrochloride3,254
Lofepramine Hydrochloride782
Clomipramine Hydrochloride481
Trazodone Hydrochloride383
Imipramine Hydrochloride362
Trimipramine Maleate249
Doxepin154
Nortriptyline145
Mianserin Hydrochloride62
Maprotiline Hydrochloride17
Protriptyline Hydrochloride9
Amoxapine6
Amitriptyline Embonate2
Viloxazine Hydrochloride1
Desipramine Hydrochloride0
Total for Tricylic and related antidepressant drugs9,619
Monoamine-Oxidase Inhibitors (Maois)
Phenelzine Sulphate37
Moclobemide36
Tranylcypromine Sulphate33
Isocarboxazid6
Total for Monoamine-Oxidase Inhibitors (Maois)112
SSRIs and related antidepressants
Fluoxetine Hydrochloride3,437
Paroxetine Hydrochloride3,145
Citalopram1,214
Sertraline Hydrochloride1,088
Fluvoxamine Maleate45
Total for SSRIs and related antidepressants8,929
Other antidepressant drugs
Venlafaxine Hydrochloride825
Flupenthixol Hydrochloride271
Mirtazapine167
Nefazodone Hydrochloride106
Reboxetine74
Tryptophan5
Total for other antidepressant drugs1,447
Total for all antidepressant drugs20,108

Notes:

1. Data cover all prescriptions dispensed in the community, i.e. by community pharmacists and appliance contractors, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered. Prescriptions written in hospitals and dispensed in the community are included. Information on items dispensed in hospitals is not available.

2. Antidepressants are contained within the British National Formulary section 4.3, antidepressant drugs. The therapeutic classifications are based on the British National Formulary No. 38, September 1999 version.

3. For reasons of confidentiality, drug groups where less than 50 prescription items were dispensed are not listed but the information is included in the total.

4. A "0" indicates less than 500 prescription items.


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Correspondence

Mr. Swayne: To ask the Secretary of State for Health when he will reply to the letter from Mrs. F. Butler of Augustine Road, Sheppey, dated 3 April. [128473]

Ms Stuart: A reply was sent to Mrs. Butler on 7 July.

Care Accommodation

Mr. Cox: To ask the Secretary of State for Health how many people were living in care accommodation under the provisions of the care in the community legislation on 1 May. [128875]

Mr. Hutton: Data are not currently held in the form requested. However, the table shows the number of places or registered beds available for people with mental health problems in residential homes or private nursing homes, hospitals and clinics.

England, as at 31 March 1999Number
Places in residential care homes for people with mental health problems38,200
Of which:
In Local Authority staffed homes3,500
In Private homes23,400
In Small homes2,500
In Voluntary homes--
Dual registered homes2,800
Registered beds in mental nursing homes6,100

Note:

Figures may not add because of rounding


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Macular Degeneration

Mr. Crausby: To ask the Secretary of State for Health (1) what assessment he has made of the speed of onset and progression of age-related macular degeneration; [128724]

Mr. Denham: It is estimated that age-related macular degeneration (AMD) affects one in 100 people over the age of 75, with some 500,000 people affected overall. There are two major types of AMD: wet and dry. Some 20 per cent. of patients have 'wet' AMD which is sometimes susceptible to laser treatment. Visudyne is a light-activated compound which has been used in a trial of an alternative photodynamic therapy. Visudyne has not yet been approved for use here or in the other countries of the European Union, but the EU Commission is expected to make a final decision on the approval of an application in the next few months. Visudyne is also among the topics we are considering for appraisal by the National Institute for Clinical Excellence (NICE) during the remainder of the current year and in later years. We will make an announcement as soon as possible.

Consideration of the need to review arrangements for screening, including wider use of Amsler grid tests, would follow any consideration by NICE.


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