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Physical Activity Promotion

Mr. Greenway: To ask the Secretary of State for Health what progress has been made by health authorities in developing policies for promoting physical activity as required by the National Service Framework for Coronary Heart Disease. [152528]

Yvette Cooper: Policies for promoting physical activity are being developed locally. The National Service Framework for Coronary Heart Disease requires that by April 2001 all National Health Service bodies, working closely with local authorities, will have agreed and be contributing to the local programme of effective policies on increasing physical activity. The Department will assess progress after April.

Children on Adult Wards

Helen Jones: To ask the Secretary of State for Health what estimate he has made of the number of children in each health authority area who are currently being nursed on adult wards. [151943]

Yvette Cooper: The information requested is not collected centrally.

Heart Disease

Mr. Ruane: To ask the Secretary of State for Health what targets he has set to reduce heart disease over the next 10 years. [152624]

Yvette Cooper: We have set a target to reduce the death rate from coronary heart disease and stroke and related diseases in people under 75 by at least two fifths by 2010. The National Service Framework for coronary heart disease sets out a 10-year programme to transform the prevention and diagnosis of heart disease and the care and treatment of patients.

Mr. Ruane: To ask the Secretary of State for Health if he will list in descending order the health authorities with the highest incidence of heart disease; and if he will include the budget allocated for reducing the number of heart attacks in each of these authorities. [152623]

6 Mar 2001 : Column: 191W

Yvette Cooper: Information on the incidence of heart disease is not routinely available. Data are available showing admissions for heart disease and these provide some indication of levels of heart disease in the population. The health authorities which show the greatest number of hospital admissions for heart disease are shown in the table.

It is for health authorities in partnership with primary care groups/trusts and other local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services. In addition to existing resources in unified allocations, extra funding made available in 2000-01 includes £100 million for heart disease.

Finished consultant episodes (FCEs) where ischaemic heart disease is the main diagnosis (ICD10 codes I20-I25), by HA of residence NHS hospitals, England 1999-2000

Health authority of residenceFCEs
QD9 Birmingham HA7,210
QET Norfolk 7,027
QD8 Avon6,716
QCL Leicestershire6,297
QAM East Sussex Brighton and Hove6,015
QCM Lincolnshire6,015
QDP Tees5,965
QAX North Essex5,938
QDE County Durham5,925
QDH Leeds5,677
QER Cambridge5,630
QAF West Kent5,598
QDW Dorset5,401
QC2 Liverpool5,336
QAY South Essex5,003
QDV Cornwall and Isles of Scilly4,921
QAN West Sussex4,903
QDR North Yorkshire4,876
QDT Calderdale and Kirklees4,873
QCF Suffolk4,816
QCP Nottingham4,750
QDA Wigan and Bolton4,724
QCJ South Derbyshire4,709
QAW East London and The City4,704
QD6 South and West Devon4,532
QCW South Cheshire4,527
QAE East Kent4,487
QCX East Lancashire4,457
QC5 St. Helens and Knowsley4,375
QDF East Riding4,363
QAV Ealing Hammersmith and Hounslow4,266
QDJ Newcastle and North Tyneside4,234
QCR Sheffield4,207
QCC Northamptonshire4,135
QD3 Southampton and South West Hampshire4,036
QCY North West Lancashire3,953
QDX North and East Devon3,936
QEJ South Staffordshire3,891
QC6 Salford and Trafford3,872
QC9 West Pennine3,822
QA8 Buckinghamshire3,765
QDG Gateshead and South Tyneside3,702
QCN North Nottinghamshire3,691
QA7 Berkshire3,655
QD5 Somerset3,627
QD7 Wiltshire3,594
QAL West Surrey3,561
QC3 Manchester3,524
QD2 Portsmouth and South East Hampshire3,500
QAH Lambeth, Southwark and Lewisham3,427
QA5 Redbridge and Waltham Forest3,413
QCT Bury and Rochdale3,410
QEL Warwickshire3,401
QDY Gloucestershire3,398
QAJ Merton, Sutton and Wandsworth3,384
QDD Bradford3,361
QEH North Staffordshire3,361
QEQ West Hertfordshire3,314
QEN Worcestershire3,262
QAR Brent and Harrow3,258
QEP East and North Hertfordshire3,219
QDC Wirral3,097
QD1 North and Mid Hampshire3,091
QCE Oxfordshire3,077
QCG Barnsley2,989
QCK Doncaster2,941
QA6 Bedfordshire2,886
QEA Coventry2,847
QDQ Wakefield2,842
QCH North Derbyshire2,817
QDM Northumberland2,811
QDN Sunderland2,718
QAA Bexley and Greenwich2,671
QDL South Humber2,642
QCV North Cheshire2,614
QC1 South Lancashire2,550
QA4 Enfield & Haringey2,524
QDK North Cumbria2,468
QEF Shropshire2,464
QAP Barking and Havering2,438
QC7 Sefton2,341
QEE Sandwell2,268
QC4 Morecambe Bay2,173
QEK Walsall2,125
QC8 Stockport2,116
QEC Dudley2,062
QCQ Rotherham2,051
QAQ Barnet1,906
QAD Croydon1,901
QAK East Surrey1,878
QA3 Kensington, Chelsea and Westminster1,870
QAT Camden and Islington1,851
QEM Wolverhampton1,823
QAC Bromley1,755
QAG Kingston and Richmond1,561
QA2 Hillingdon1,450
QEG Solihull1,388
QED Herefordshire889
QD4 Isle of Wight808
Scotland254
Wales2,396
Not known1,812
Northern Ireland55
Total364,168

Notes:

An FCE is defined as a period of patient care under one consultant in one health care provider.

The figures do not represent the number of patients, as one person may have several episodes within the year.

The main diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital.

Figures in this table are provisional (version 2) and have not yet been adjusted for shortfalls in data.

Source:

Hospital Episode Statistics (HES), Department of Health


6 Mar 2001 : Column: 192W

Mr. Ruane: To ask the Secretary of State for Health if he will list in descending order the 100 council wards with (a) the highest rate of heart disease and (b) the highest rates of death due to heart disease. [152622]

6 Mar 2001 : Column: 193W

Yvette Cooper: Information on the incidence of heart disease is not routinely available. We recognise the importance of better information, not least to ensure that we are able to identify and treat those with heart disease. That is why one of the early priorities for the National Service Framework for Coronary Heart Disease (CHD) is the systematic development and maintenance of practice-based CHD registers.

Data for the 25 health authorities with the highest rates of mortality from all circulatory disease, which includes all forms of heart disease, for men and women, are shown in the table. Information at council ward level on rates of death from specific causes is not collected.

Last week my right hon. Friend the Secretary of State announced new national health inequalities targets to reduce the health gap between children in different social classes and to reduce the difference in life expectancy between areas with the lowest life expectancy and the national average. This is not a short-term process, but it is only by tackling inequalities now that we can impact on the incidence of disease in the future.

Standardised Mortality Ratio (SMR) for all circulatory disease (ICD9 390-459), 1997-99: 25 health authorities with highest (worst) mortality rates

Health authoritySMR
Men
West Pennine130
Manchester128
Rotherham128
Liverpool125
Sandwell124
Wigan and Bolton122
St. Helens and Knowsley122
East Lancashire121
County Durham119
Bury and Rochdale118
Northumberland118
Barnsley117
Wolverhampton116
Tees116
Gateshead and South Tyneside114
North Staffordshire114
Doncaster113
Salford and Trafford113
Sunderland113
Birmingham112
East London and the City112
Bradford111
Coventry110
Wakefield110
North Cheshire110
Women
West Pennine128
East Lancashire126
Bury and Rochdale123
County Durham123
Northumberland122
Doncaster121
Wigan and Bolton120
Rotherham119
Manchester119
North Cumbria119
St. Helens and Knowsley116
Gateshead and South Tyneside116
North Cheshire116
Tees114
North Derbyshire113
Sunderland113
Sandwell112
Barnsley112
Morecambe Bay111
Coventry111
South Lancashire111
North Staffordshire111
South Staffordshire110
Liverpool110
Dudley110

Source:

Data from Department of Health Compendium of Clinical and Health Indicators 2000


6 Mar 2001 : Column: 194W

Mr. Ruane: To ask the Secretary of State for Health what progress has been made in reducing avoidable heart disease for under-65s; and if he will make statement. [152616]

Yvette Cooper: The number of deaths from coronary heart disease for the under-65s in England has decreased from 17,140 in 1995 to 14,158 in 1999 (the latest year for which figures are available). Advances in technology, new investment and an increased focus on prevention should reduce this number still further.

Mr. Ruane: To ask the Secretary of State for Health what steps he is taking to use the findings of the genome project to identify and reduce the risks of heart disease. [152621]

Yvette Cooper: As indicated in the NHS Plan, the Department, in association with the Medical Research Council and the Wellcome Trust, is planning to establish a prospective survey to investigate genetic and environmental influences on the development of the commoner diseases of adult life, including heart disease.

Mr. Ruane: To ask the Secretary of State for Health what assessment he has made of familial and hereditary factors in the occurrence of heart disease; and what measures he intends to introduce to reduce these factors. [152618]

Yvette Cooper: The Department, in association with the Medical Research Council and the Wellcome Trust, is planning to establish a prospective survey to investigate genetic and environmental influences on the development of the commoner diseases of adult life, including heart disease.

Heart disease risk is cumulative. The risk of heart disease can be significantly reduced, even for those individuals with a family history of heart disease, by stopping smoking, eating a low fat, low cholesterol diet and exercising regularly.

Many of the factors which influence the occurrence of heart disease are linked back to inequalities. Last week my right hon. Friend the Secretary of State announced new national health inequalities targets to reduce the health gap between children in different social classes and to reduce the difference in life expectancy between areas with the lowest life expectancy and the national average. This is not a short-term process--but it is only by tackling inequalities now that we can impact on familial and hereditary factors in the future.

6 Mar 2001 : Column: 195W


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