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Zyban

Mr. Hancock: To ask the Secretary of State for Health what guidelines have been given to health authorities for the prescribing of the drug Zyban; and which health authorities allow GPs to prescribe this drug. [134133]

Mr. Denham: The Department issued guidance to local smoking cessation co-ordinators on 28 June, which was copied to health authority prescribing advisers, copies of which have been placed in the Library. The NHS Plan announced that NICE will be asked to advise general practitioners on the most appropriate and cost-effective prescribing regimes for nicotine replacement therapy and Zyban, including duration and targeting. All general practitioners across England may prescribe bupropion (Zyban) to smokers motivated to quit for whom it is clinically appropriate.

Electro-Convulsive Therapy

Dr. Lynne Jones: To ask the Secretary of State for Health what plans he has to arrange for a further national survey of the use of electro-convulsive therapy before information from the Mental Health Minimum Data Set becomes fully available in 2003. [133946]

Mr. Hutton: There are no current plans to conduct a future national survey on the use of electro-convulsive therapy before information from the Mental Health Minimum Data Set becomes fully available in 2003. It is expected that more useful data and reliable information will be obtained from this source.

Prosorba Column

Ms Oona King: To ask the Secretary of State for Health what plans he has to seek advice from the National Institute for Clinical Excellence, regarding the prescribing of the Prosorba column. [133846]

23 Oct 2000 : Column: 86W

Mr. Denham: There are no current plans to refer the Prosorba column to the National Institute for Clinical Excellence.

NHS Service Agreements

Mr. Lilley: To ask the Secretary of State for Health if health authorities and primary care trusts are required to publish details of the service agreements they have commissioned with NHS trust hospitals. [133998]

Mr. Denham: Health authorities and primary care trusts are not required to publish details of the service agreements they have commissioned with NHS trust hospitals. Details of individual service agreements are not collected centrally, although the overall cost of such agreements will be contained within the health authorities' annual accounts.

Dementia

Mr. Denis Murphy: To ask the Secretary of State for Health what his Department's expenditure on medication treatment for dementia was in the most recent year for which figures are available; and what were (a) the expenditure, (b) the numbers treated and (c) the numbers awaiting treatment for each health authority area in the latest year for which figures are available. [133957]

Mr. Denham: Information on (a) expenditure and (b) number of prescriptions in England for the year 1999 is shown in the table. Information on the number of patients treated or waiting for treatment is not available.

Number of prescription items and the net ingredient cost of drugs dispensed in the community for dementia, 1999
England

Health authority in which the item was dispensedPrescription items (Thousand)Net ingredient cost (£000)
Hillingdon0.218.3
Kensington and Chelsea and Westminster0.112.1
Enfield and Haringey0.219.6
Redbridge and Waltham Forest0.113.2
Bedfordshire0.215.7
Berkshire0.216.7
Buckinghamshire0.14.7
Bexley and Greenwich0.217.0
Bromley0.19.6
Croydon0.226.8
East Kent0.340.9
West Kent0.223.1
Kingston and Richmond0.325.1
Lambeth, Southwark and Lewisham0.18.8
Merton, Sutton and Wandsworth0.214.6
East Surrey0.337.1
West Surrey0.782.1
East Sussex, Brighton and Hove0.544.8
West Sussex0.8100.2
Barking and Havering0.780.8
Barnet0.338.2
Brent and Harrow0.118.7
Camden and Islington0.330.8
Ealing, Hammersmith and Hounslow0.18.4
East London and The City0.112.6
North Essex1.095.4
South Essex0.441.4
South Lancashire0.03.4
Liverpool0.110.8
Manchester0.641.9
Morecambe Bay1.3109.8
St. Helens and Knowsley0.212.5
Salford and Trafford0.212.7
Sefton0.15.6
Stockport0.215.9
West Pennine0.430.4
Northamptonshire0.324.3
Oxfordshire0.110.3
Suffolk0.543.7
Barnsley0.05.3
North Derbyshire0.322.1
Southern Derbyshire0.331.9
Doncaster0.12.2
Leicestershire0.773.2
Lincolnshire1.4110.1
North Nottinghamshire0.216.0
Nottingham1.7153.1
Rotherham0.15.3
Sheffield0.464.5
Bury and Rochdale0.212.5
North Cheshire0.15.5
South Cheshire1.5109.4
East Lancashire0.321.7
North West Lancashire1.077.6
North and Mid Hampshire0.566.2
Portsmouth and South East Hampshire0.235.4
Southampton and South West Hampshire1.5128.5
Somerset0.553.2
South and West Devon0.335.8
Wiltshire1.0111.6
Avon0.218.0
Birmingham0.218.7
Wigan and Bolton1.3105.7
Wirral1.5100.3
Bradford0.214.6
County Durham and Darlington0.18.1
East Riding and Hull0.218.9
Leeds1.7109.0
Newcastle and North Tyneside0.225.9
North Cumbria1.194.4
South Humber0.112.6
Northumberland0.111.1
Sunderland0.225.2
Tees0.18.8
North Yorkshire0.321.6
Cornwall and Isles of Scilly0.981.1
Dorset0.218.0
North and East Devon0.216.8
Gloucestershire0.111.2
Coventry0.15.4
Shropshire0.114.1
Solihull0.18.3
North Staffordshire0.16.0
South Staffordshire0.110.1
Warwickshire0.15.7
Worcestershire0.224.5
East and North Hertfordshire0.225.0
West Hertfordshire0.15.5
Cambridgeshire0.325.7
Norfolk0.112.9
England34.63,214.4

Notes:

1. Prescription Cost Analysis data are based on a full analysis of 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 in England. Total prescriptions include not only prescriptions originating from general practices in England but also from hospital doctors and dentists provided they were dispensed in the community. Also included are prescriptions written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The data do not cover drugs dispensed in hospital or private prescriptions. Health authority data cover prescriptions dispensed in that health authority.

2. The net ingredient cost is the basic cost of a drug and does not take account of discounts, dispensing costs, fees or prescription charges income.

3. Drugs used in the treatment of dementia are those defined in the British National Formulary (BNF) section 4.11, "Drugs for dementia".

4. North West Anglia Health Authority ceased to exist from 1 April 1999. The existing practices and contractors were reallocated to Cambridge and Norfolk Health Authorities.

5. Health authorities where the number of prescription items dispensed was less than 50 have been removed due to confidentiality issues


23 Oct 2000 : Column: 88W

Kidney Dialysis

Dr. Palmer: To ask the Secretary of State for Health how many patients, by age group, have received kidney dialysis in the last five available years; and what proportion of these are kidney patients in each age group. [133981]

Mr. Denham: The information available is derived from the United Kingdom Renal Registry and from provisional data collected in the renal survey commissioned by the Department of Health. It is estimated that 21,150 new adult patients were accepted for kidney dialysis between 1995 and 1999, although a small percentage of these patients will not have started dialysis. The age distribution of these patients at the time they were accepted for kidney dialysis is shown in the table:

Age rangePercentage of patients
18-243
25-346
35-4410
45-5414
55-6421
65-7429
75-8416
over 851

In addition, there were 420 new patients who were under 18 years old when they were accepted for kidney dialysis between 1995 and 1999.

Organ Transplants

Dr. Palmer: To ask the Secretary of State for Health if he will make a statement on how organ donation is co-ordinated nationally and locally in the UK. [133982]

Mr. Denham: Organ donation is co-ordinated locally by transplant co-ordinators who are employed by National Health Service trusts. The matching and allocation of organs on a United Kingdom-wide basis is co-ordinated by United Kingdom Transplant, a special health authority based in Bristol.

Dr. Palmer: To ask the Secretary of State for Health (1) what assessment he has made of how up-to-date the names and addresses on the NHS Organ Donor Register are; [133976]

23 Oct 2000 : Column: 89W

Mr. Denham: The Department has asked the United Kingdom Transplant to review the most effective ways to ensure all the data on the Organ Donor Register are up to date. This includes consideration of the information provided by the Driver and Vehicle Licensing Agency and general practitioners.

Access to the National Health Service Organ Donor Register is via a 24-hour service at United Kingdom Transplant. Transplant co-ordinators mainly employed by local transplant centres may access the Register and during 1999 did so on only a handful of occasions, although this is currently not formally recorded.

Dr. Palmer: To ask the Secretary of State for Health how many patients died in each year from 1995 to 1999 whilst on the waiting list for a (a) heart, (b) heart and lung, (c) lung and (d) liver transplant. [133979]

Mr. Denham: The number of patients in England dying from any cause while registered on the active transplant waiting list, 1995-1999 is given in the table.

England

19951996199719981999
waiting for:
(a) heart6466636056
(b) heart and lung3748342627
(c) lung(s)6053596872
(d) liver5755647471

Dr. Palmer: To ask the Secretary of State for Health how many people are currently awaiting (a) a kidney transplant, (b) a heart transplant, (c) a heart and lung transplant, (d) a lung transplant, (e) a liver transplant and (f) other forms of transplant; and if he will make a statement on the shortfall between the numbers of organs available for transplant and of people needing such organs. [133980]

Mr. Denham: The current active waiting list is as follows:

England

As of 3 October 2000 Number
(a) kidney3,950
(b) heart165
(c) heart/lung100
(d) lung203
(e) liver127
(f) other (solid organ)(13)85

(13) Mainly kidney + pancreas and pancreas


Dr. Palmer: To ask the Secretary of State for Health how many organ transplants were carried out in the last five years for which figures are available. [133978]

Mr. Denham: The number of solid organ transplants carried out from 1995 to 1999 is given in the table.

England

Number
19952,438
19962,253
19972,274
19981,993
19992,078


23 Oct 2000 : Column: 90W


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