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Ambulance Service

Mr. Burstow: To ask the Secretary of State for Health what the average number of 999 calls placed to the Ambulance Service was in each quarter of the last three years in each NHS region. [141561]

Ms Stuart [holding answer 18 December 2000]: Information about the number of 999 calls to National Health Service ambulance trusts in each NHS region for each of the last three years is contained in the Department of Health Statistical Bulletin "Ambulance Services, England 1999-2000". Copies are available in the Library and on the website

Electronic Health Records

Mr. Levitt: To ask the Secretary of State for Health in what ways (a) patients and (b) patient groups are involved in pilot projects for the development of electronic health records. [144701]

Ms Stuart: A key component of the Electronic Record Development and Implementation Programme, which was launched in November 1999, was the inclusion of patient representatives in the selection of the sites. The National Health Service Information Authority (NHSIA) has encouraged the sites to involve their own patient communities through appropriate local mechanisms. In some instances this has involved condition-specific patient groups or patient representatives on project boards.

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To support this process the NHSIA has appointed Marlene Winfield as Head of Stakeholder Relationships: Patients and Citizens, to consult national patient groups in order to ensure an appropriate level of patient involvement in the programme at both national and local levels.

Some sites have specific objectives in relation to involving patients, and have conducted patient surveys of attitudes to sharing information, confidentiality, the electronic health record, patient access and patient-held records and these results will be shared.

In addition, a project involving two general practices is also being supported by the NHSIA in the development and implementation of the electronic health record. The general practitioner's practices involved in the project are Hadfield Health Centre in Derbyshire and Bury Knowles Health Centre in Oxford, and are exemplars in their involvement of patients within the practice. The practices are exploring issues around patient self-monitoring and access to the electronic record at the time of consultation; use of electronic records and their migration to electronic and hand-held patient information integrated into the record.

Hospital Standards (Devon and Cornwall)

Mr. Breed: To ask the Secretary of State for Health if he will list the hospitals in Devon and Cornwall which failed to meet standards of basic hygiene according to the recent survey. [145365]

Mr. Denham: All hospitals in Devon and Cornwall achieved good or reasonable standards of hygiene in our initiative to improve standards of cleanliness in hospitals.

Hospitals in the South West Region are implementing action plans to improve standards of cleanliness and our continuing programme of work will ensure that these standards are maintained in the future.

Mr. Jim Norris

Dr. Harris: To ask the Secretary of State for Health what consideration he has given to the case of Mr. Jim Norris of Fife Health Board; and what estimate he has made of the implications of this case for (a) health authorities and (b) patients in England and Wales. [145692]

Ms Stuart: This is a matter for the Scottish Executive Health Department and does not set a precedent for patients in England and Wales. There are no implications for health authorities and patients in England. Issues relating to Wales are for the Welsh Assembly.

Fuel Costs (NHS)

Mr. Maclean: To ask the Secretary of State for Health what has been the total cost of petrol to the NHS for each of the past three years. [145878]

Mr. Denham: It is not possible to calculate the cost to the National Health Service of petrol over the last three years.

Ambulance Response Targets

Mr. Oaten: To ask the Secretary of State for Health if an ambulance authority will be deemed to have met the eight minute target time for an emergency if attendance is by a volunteer under the first responder scheme. [145530]

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Ms Stuart [holding answer 15 January 2001]: Yes, providing any volunteer in a first responder scheme is equipped with a defibrillator, trained in basic life support and acting as part of an ambulance service's response system. A fully staffed and equipped ambulance must also arrive within 14 minutes in urban areas or 19 minutes in rural areas. What matters is that patients with life- threatening conditions or injuries get an emergency response as quickly as possible. Clinical evidence proves conclusively that early defibrillation and resuscitation saves more lives. Achievement of the eight minute target could save 1,800 lives each year in people under 75 years suffering acute heart attacks.

Deep Vein Thrombosis

Mr. Barnes: To ask the Secretary of State for Health how many cases of deep vein thrombosis have been recorded in each health authority in England and Wales in the last year for which figures are available; and how many there were in the preceding five years. [146095]

Mr. Denham: The information requested has been placed in the Library.

The table shows the number of admissions to National Health Service hospitals in England in 1995-96 to 1999-2000 by health authority of residence for the diagnosis phlebitis and thrombophlebitis of other deep vessels of lower extremities.

The information relating to Wales is a matter for the devolved Administration.


Miss McIntosh: To ask the Secretary of State for Health what the prescription rate of herceptin is in the (a) North of England, (b) south-east of England, (c) United Kingdom and (d) rest of the European Union; and if he will make a statement. [145935]

Ms Stuart: The drug received its marketing authorisation on 28 August 2000, and information about its use is not yet available. We have asked the National Institute for Clinical Excellence to conduct an appraisal of Herceptin (trastuzumab) and vinorelbine for breast cancer. We expect NICE to issue guidance this summer.


Paddy Ashdown: To ask the Secretary of State for Health what the real increase was in (a) nurses' pay and

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(b) ancillary staff pay for each of the periods (i) 1978-79 to 1982-83, (ii) 1982-83 to 1986-87, (iii) 1986-87 to 1991-92, (iv) 1991-92 to 1996-97 and (v) 1996-97 to 2001-02; and if he will make a statement. [144596]

Mr. Denham [holding answer 18 January 2001]: The table details the real-terms increases in pay for nurses and ancillary staff between 1985-86 and 2001-02. 1985-86 is the earliest year for which comparable data are available.


Real increase
Nurses and midwivesAncillary staff
1985-86 to 1986-875.12.9
1986-87 to 1991-9213.91.8
1991-92 to 1996-973.21.2
1996-97 to 2001-02(4)6.54.1

(4) The pay offers for 2001-02 have been included although they are still to be formally accepted

The increases have been calculated using pay settlement data for each year. Figures for 1995-96 and 1996-97 are estimates as these pay settlements contained an element of local flexibility.

Hospital Beds (Somerset)

Paddy Ashdown: To ask the Secretary of State for Health how many hospital beds were in use by the (a) East Somerset NHS Trust and (b) Taunton NHS Trust for each year since 1985-86. [144598]

Ms Stuart [holding answer 18 January 2001]: The information requested is shown in the table. It shows the average daily number of available beds in wards open overnight for East Somerset National Health Service Trust and Taunton and Somerset NHS Trust from 1991-92 to 1999-2000.

Figures from 1985 are not available in the form requested as the two organisations existed as NHS trusts only from 1991-92; therefore it is not possible to provide earlier separate figures.

Prior to NHS trusts being established, bed numbers were collected by district health authority. To ensure as complete a picture as possible the table also includes figures for Somerset DHA for 1985 to 1992-93. For 1991-92 and 1992-93 the DHA figures are for the mental health and community units which gained trust status in 1993-94 (called Avalon in earlier years, now Somerset Partnership). For comparison the figures for England for the same period are also included.

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Average daily number of beds in wards open overnight, NHS trusts and units in Somerset Health Authority area and England, 1985 to 1999-2000

East Somerset NHS TrustTaunton and Somerset NHS TrustSomerset Partnership NHS Trust Somerset DHATotal for Somerset HA areaEngland


DH form KH03

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23 Jan 2001 : Column: 513W

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