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Renal Services

Mr. Crausby: To ask the Secretary of State for Health if he will make a statement on the provision of renal services in Bolton. [159835]

Mr. Denham: Following the further £1,248 million capital allocation in the north-west for dialysis developments in 2001-02, a proposal for a new dialysis facility at the Royal Bolton Hospital has been received in the Department. A decision based on clear criteria will be made on the allocations in the near future.

Food Poisoning

Mr. Cox: To ask the Secretary of State for Health how many reported food poisoning cases there were in England and Wales during the last 12 months. [160271]

Ms Stuart: For the 52 weeks ending 27 April 2001 there were 88,110 notified cases of food poisoning in England and Wales. However, this figure includes only cases who consult a doctor or who are identified during the investigation of outbreaks.

NHS Dentists

Mr. Paul Marsden: To ask the Secretary of State for Health how many NHS dentists were registered (a) in May 1997 and (b) on the latest date for which data are available; and if he will make a statement. [160366]

Mr. Denham: The number of General Dental Service principals on a health authority list, their assistants and vocational dental practitioners in England is shown in the table for 31 March 1997 and 31 December 2000.

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General Dental Service: number of dentists at March 1997 and December 2000--England

DatePrincipalsAssistantsVocational dental practitionersTotal
March 199715,30159149516,387
December 200016,2691,17561418,058

Walsgrave NHS Trust

Mr. Geoffrey Robinson: To ask the Secretary of State for Health what steps were taken by the Walsgrave NHS Trust management to investigate the surgical mistake that resulted in an anvil being left in a patient's rectum; and when the patient was informed of the mistake. [159611]

Yvette Cooper [holding answer sent 03 May 2001]: Our White Paper "A First Class Service" sets out a requirement for all organisations within the National Health Service to set up and implement a clinical governance framework, which identifies procedures to be followed when reporting and investigating clinical and untoward incidents. Such procedures should enable incidents to be investigated thoroughly in a culture of openness and reflection to ensure lessons are learnt and clinical practice improved.

In this particular case, a clinical incident report was completed on 10 December 2000. The head of nursing for theatres was asked to undertake a thorough investigation to review and revise the necessary trust theatre procedures.

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As a result of the investigation, the importance of following theatre-checking procedures was reinforced to theatre managers and staff, and all theatre procedures were reviewed and amended accordingly to reflect lessons learned through this incident.

The clinical director for surgery has ensured that junior doctors involved in colorectal surgery have a clear understanding of the operating mechanisms of the stapling gun. In addition, the Trust medical director also wrote to all consultant surgeons who carry out colorectal surgery reminding them of the need to be present throughout this kind of surgery.

The consultant surgeon responsible for his care informed the patient on 18 January 2001 that the anvil had been left in his rectum following the operation of 4 December 2000. The patient's wife and another family member together with the specialist stoma nurse were present during this discussion.

Mr. Geoffrey Robinson: To ask the Secretary of State for Health what has been the total cost incurred by the Walsgrave NHS Trust since the suspension of Mr. Barros D'Sa on account of that suspension, including the suspended surgeon's salary, disciplinary hearings and related procedures and legal and court costs. [159610]

Ms Stuart [holding answer 3 May 2001]: The total cost incurred by the University Hospitals Coventry and Warwickshire National Health Service Trust in regard to this matter was £171,605 at the end of March 2001. This cost includes elements relating to the salary of the suspended consultant, costs of locum cover, the setting up of an Inquiry Panel in accordance with HC(90)9, legal and court costs and mediation meeting costs.

The National Clinical Assessment Authority will issue new guidance to NHS organisations later this year on handling suspensions and will consider any outstanding cases which are still awaiting resolution.

Mr. Geoffrey Robinson: To ask the Secretary of State for Health what the average peri-operative mortality rates for rectal cancer operations were in (a) 1997, (b) 1998, (c) 1999 and (d) 2000 for (i) England, (ii) the West Midlands and (iii) Walsgrave NHS Trust excluding the St. Cross Hospital at Rugby. [159612]

Yvette Cooper [holding answer 3 May 2001]: The table shows a count of discharges from hospital for patients where the main operation was on the rectum and the main diagnosis was 'malignant neoplasm of rectum'. This information is for National Health Service hospitals in England, West Midlands and the Walsgrave Hospitals NHS Trust in 1996-97 to 1999-2000 and includes both emergency and planned operations undertaken in this period.

Live dischargesMortality
Walsgrave NHS Trust49(43)--
West Midlands73232
Walsgrave NHS Trust39(43)--
West Midlands69432
Walsgrave NHS Trust58(43)--
West Midlands68132
Walsgrave NHS Trust59(43)--
West Midlands67523

(43) Owing to reasons of confidentiality, figures between one and five at trust level are not normally published.


1. The main operation is the first of four operation fields in the Hospital Episode Statistics (HES) data set, and is usually the most resource intensive performed during the episode.

2. 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.

3. Figures in this table have not been adjusted for shortfalls in data.

4. The Walsgrave Hospitals NHS Trust became the University Hospitals Coventry and Warwickshire NHS Trust in 2000.

5. The statistics provided are whole trust statistics and include St. Cross Hospital in Rugby for the time it has been a part of the trust.


HES Department of Health

10 May 2001 : Column: 364W

The average peri-operative rates during the four year period 1996 to 2000 is:

Total dischargesMortalityRate percentage
Walsgrave NHS Trust216115.1
West Midlands2,9011194.1


The average number of deaths related to rectal cancer operations at the former Walsgrave Hospitals NHS Trust is less than three per year.


Department of Health

Heart Attack Statistics

Mr. Quentin Davies: To ask the Secretary of State for Health what the proportion of patients is who having suffered a heart attack (myocardial infarction) survive for five years; and what the equivalent figures are in (a) France, (b) Germany, (c) Sweden and (d) the USA. [160239]

Mr. Denham [holding answer 8 May 2001]: Data on the number of patients who survive for five years after having a heart attack are not routinely collected. Equivalent data for international comparisons are also not readily available. We have developed the National Service Framework for coronary heart disease, a 10-year strategy which deals with all aspects of coronary heart disease to provide a modern service with fair and fast access to high-quality services. One of the NSF's immediate priorities is to improve the use of effective medicines after heart attack (especially use of aspirin, beta-blockers and statins) so that 80 to 90 per cent. of people discharged from hospital following a heart attack will be prescribed these drugs.

We recognise the importance of better information and that is why we have funded, through the National Institute for Clinical Excellence, the Royal College of Physicians'

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Myocardial Infarction National Audit Project (MINAP), which will collect information on all people hospitalised with a heart attack. It is expected that MINAP will eventually link to mortality data through the United Kingdom central cardiac audit database, and provide information on survival rates.

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