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Cancer Research

Vernon Coaker: To ask the Secretary of State for Health how much was spent on research into the causes and treatment of (a) prostate and (b) testicular cancer in (i) 1971, (ii) 1980, (iii) 1990 and (iv) 2000. [4274]

Yvette Cooper: I apologise to my hon. Friend for the delay in responding to this question. I refer my hon. Friend to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

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The main Government agency for research into the causes of and treatment for diseases is the Medical Research Council (MRC), which receives its funding via the Department of Trade and Industry. The Department's direct expenditure is on research into policy and the delivery of effective practice in health and social care. The Department's indirect expenditure provides national health service support funding for research commissioned by the research councils and charities that takes place in the NHS.

Figures are not available centrally for expenditure on prostate and testicular cancer research in 1971, 1980 and 1990. The MRC spent £340,000 on prostate cancer research in 2000–01. The Department's direct expenditure was £1,150,000 in 2000–01 but figures for the Department's indirect expenditure on prostate cancer research were not collected centrally in 2000–01. The MRC spent £220,000 on testicular cancer research in 2000–01. The Department had no direct expenditure in 2000–01 on testicular cancer research and figures for indirect expenditure were not collected for 2000–01.

Dialysis (East Lancashire)

Mr. Gordon Prentice: To ask the Secretary of State for Health what estimate he has made of the number of people in East Lancashire who will require dialysis in each year up to 2005. [3841]

Jacqui Smith: I apologise to my hon. Friend for the delay in responding to this question. I refer my hon. Friend to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

The estimated number of patients from East Lancashire requiring dialysis in the years up to 2005 are as follows:

HaemodialysisPeritoneal dialysisTotal
200111764181
200212367190
200312870198
200413573208
200513875213

Note:

The calculations were made using the Hennel, Wood and Mallick model and were based on the 1999 stock of renal patients and an annual uptake rate of 92 new patients per million. This is an uptake rate of 80 per million adjusted for the age distribution and ethnicity in the population of East Lancashire.


Pain Clinics

Harry Cohen: To ask the Secretary of State for Health if he will make it his policy for there to be a pain clinic in every major hospital; and if he will make a statement. [5311]

Mr. Hutton: I apologise to my hon. Friend for the delay in responding to this question. I refer my hon. Friend to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

Chronic pain services exist in 220 acute hospitals, 88 per cent. of acute hospitals in the United Kingdom.

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The Clinical Standards Advisory Group (CSAG) report on "Services for Patients with Pain" published in April 2000 highlighted variations between hospitals in quality and access to pain management services. Trusts should review the services they provide against the standards set out in the CSAG report and other guidance. In this review account should be taken of the needs of both adults and children, and include patients with acute pain resulting from sudden illness or accident, as well as post-operative pain and chronic pain. Trusts should also agree with commissioners the services and resources which are appropriate to meet local needs.

St. George's Hospital, Tooting

Mr. Cox: To ask the Secretary of State for Health how many people were treated at the accident and emergency department of St. George's hospital, Tooting, in 2000. [4881]

Mr. Hutton: I apologise to my hon. Friend for the delay in responding to this question. I refer my hon. Friend to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

In the financial year 1999–2000, St. George's Healthcare National Health Service Trust had a total of 82,718 accident and emergency attendances, 78,898 being first attendances.

Bed Blocking (Buckinghamshire)

Mr. Goodman: To ask the Secretary of State for Health how many operations have been cancelled in Buckingham, in each quarter in 2000 and 2001, as a result of hospital beds being occupied by (a) delayed discharge patients who were awaiting social services funding or assessment or (b) delayed discharge patients who had fully funded social services packages arranged. [5638]

Jacqui Smith: I apologise to the hon. Member for the delay in responding to this question. I refer the hon. Member to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

The information is not available in the format requested.

Drug Treatment Programmes

Paul Flynn: To ask the Secretary of State for Health what his estimate is of the level of participation of problem drug users in drug treatment programmes in each year since 1997. [5886]

Ms Blears: I apologise to my hon. Friend for the delay in responding to this question. I refer my hon. Friend to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

It is estimated that there were around 118,500 drug misusers in treatment in England in 2000–01 (from "Statistics from the Regional Drug Misuse Databases on drug misusers in treatment in England, 2000–01");

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comparable information is not available for earlier years. The number of users presenting to drug misuse agencies (including both doctors and other agencies) in England in each of the six month periods ending 31 March 1997 to 31 March 2001 is given in the table. Figures exclude treatment in prisons.

Number of users presenting for treatment to drug misuse agencies in England during the six month periods ending 31 March 1997 to
31 March 2001

Number
March 199725,925
September 199721,996
March 199823,916
September 199828,599
March 199928,499
September 199930,545
March 200031,815
September 200033,093
March 200133,234

Source:

Statistics from the Regional Drug Misuse Databases, Department of Health


Trivax Vaccines

Norman Baker: To ask the Secretary of State for Health which health authorities inoculated children with Wellcome's Trivax vaccines that came from (a) batch 3741 and (b) batch 3732; how many children were so vaccinated; how many adverse reactions were reported in respect of each batch, including fatalities; if he will take steps to trace those who have been inoculated with vaccines from these batches; and if he will make a statement. [5695]

Yvette Cooper [holding answer 20 July 2001]: I apologise to the hon. Member for the delay in responding to this question. I refer the hon. Member to the reply that my right hon. Friend the Secretary of State gave my hon. Friend the Member for Blackpool, North and Fleetwood (Mrs. Humble) on 5 March 2002, Official Report, column 192W.

Batches 3741 and 3732 of Diphtheria, Tetanus and Pertussis (DTP) vaccine are believed to have been manufactured and distributed in Eire in the late 1960s and early 1970s. At that time DTP vaccine was not provided by the Department but was either purchased by local health authorities or obtained by general practitioners (GPs) from local retail pharmacists. Thus, information on whether batches 3741 and 3732 were supplied to United Kingdom doctors is not held centrally. Should such vaccines have been issued, the only information on who might have received them will depend on GPs or local health authority clinics maintaining records that will be now over 30-years-old. The Department has asked the then manufacturer's present owners, GlaxoSmithKline, to investigate their records. The National Institute for Biological Standards and Control has also been asked to investigate whether they tested these vaccines.

Extensive investigation of the safety of pertussis vaccines was undertaken during the 1970s and early 1980s following negative publicity about brain damage following pertussis immunisation. In 1981 a major report was published by the Committee on Safety of Medicines and the Joint Committee on Vaccination and Immunisation which investigated pertussis vaccine, including suspected adverse

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reactions to the vaccine. The report of this investigation was published in 1981 ("Whooping Cough", HMSO, ISBN 0 11 3207646) and advises on page 47 that


The Yellow Card database has been interrogated for reports of suspected adverse reactions to the vaccine batches 3714 and 3723 which were available between 1968 and 1971. No such reports have been identified. For reports received in the late 1960s and early 1970s, full data are not available for all reports. For those reports where full information is available, the batch number of the suspected vaccine is not always provided. The Yellow Card used at that time did not specifically ask reporters to provide information on batch numbers. The Yellow Card used currently asks specifically for information on batch and since 1992, where this information has been provided by the reporter, there has been full electronic capture of this information on the database.

Investigation of reports of suspected adverse reactions following pertussis containing vaccines (principally DTP vaccine) reveals no rise in reactions during the period when, if they were used in the UK, batches 3741 and 3732 might have been given (late 1960s and early 1970s) (see table).

Breakdown of reports of suspected adverse reactions

YearNumber of reports received
196492
196569
196642
196763
196840
196944
197036
197144
197237
197319
197437
197515
197646
1977127
1978143
1979168
1980209

Note:

Suspected adverse reaction reports for pertussis containing vaccine collected via the Committee on Safety of Medicine's Yellow Card Scheme


These figures represent suspected adverse reactions associated with single and multi-component pertussis- containing vaccines. It should be noted that a report of a suspected adverse reaction does not necessarily mean that it was caused by the vaccine. Many vaccines are administered in combination and in these circumstances it may be difficult to ascribe the cause of the reaction to an individual vaccine.

Adverse reporting rates are influenced by many factors, including the extent of use of a drug or vaccine and any publicity about the vaccine.

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