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Parkinson's Disease

Adam Price: To ask the Secretary of State for Health what actions he is taking to raise awareness of Parkinson's Disease. [43967]

Jacqui Smith: The National Service Framework (NSF) for long-term conditions (NSF) will have a particular focus on the needs of people with neurological disease, brain and spinal injury, as well as some of the common issues faced by people with a long-term condition. It will include services for people with epilepsy, Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease and other similar conditions.

10 Apr 2002 : Column 444W

Lung Cancer

Hywel Williams: To ask the Secretary of State for Health what steps are being taken to improve the early detection of lung cancer. [43945]

Yvette Cooper: Trials for lung cancer screening conducted in the United States and Czechoslovakia in the 1970s using chest x-rays and/or sputum cytology showed no reduction in cancer mortality. Recent research has shown that low dose spiral computer tomography (CT) scanning can identify lung cancer in asymptomatic individuals at high risk. While this research suggests that CT scanning may be a useful screening test for lung cancer, more research is needed. A proposal for a trial in the United Kingdom is being considered by Medical Research Council.

Domiciliary Oxygen Therapy

Dr. Evan Harris: To ask the Secretary of State for Health how must has been spent by (a) his Department and (b) each trust or health authority, in each of the last five years on each type of prescribed domiciliary oxygen therapy. [44301]

Ms Blears: The tables set out payments made for domiciliary oxygen therapy. The payments are made by the Prescription Pricing Authority, on behalf of HAs who are responsible for the provision of these services. The tables cover payments for services, hardware and concentrators between 1997–98 and 2001–02. Also included is the net ingredient cost of oxygen gas and masks in 1999–2000 and 2000–01; the only financial years for which data by health authority are available.

Table 1: Payments made to suppliers in England for oxygen concentrators
£000

Health authority1997–981998–991999–20002000–012001–02(128)
Avon269.3312.3286.3299.4325.8
Barking and Havering92.3106.5128.5139.4148.3
Barnet(129)102.9102.2103.5106.0
Barnet, Enfield and Haringey(129)235.2
Barnsley24.841.057.872.789.0
Bedfordshire84.298.2118.0129.8143.9
Berkshire118.7122.9115.0116.7134.5
Bexley and Greenwich(130)87.0110.588.691.1
Bexley, Bromley and Greenwich(130)157.0
Birmingham258.9268.5295.9323.2331.5
Bradford123.9158.8187.6197.2221.8
Brent and Harrow75.270.479.099.3113.2
Bromley(130)38.950.740.055.3
Buckinghamshire125.8122.3119.3114.9127.4
Bury and Rochdale116.8127.2142.3147.5150.6
Calderdale and Kirklees134.7155.4174.6194.1229.3
Cambridge and Huntingdon(131)61.562.5
Cambridgeshire(131)113.7134.5158.1
Camden and Islington155.0156.7161.2175.2182.3
Cornwall and Isles of Scilly264.9301.2279.8296.8303.9
County Durham220.4237.1261.5283.1321.7
Coventry58.868.082.297.8116.0
Croydon46.752.540.043.456.9
Doncaster95.6103.9122.0140.5165.0
Dorset164.1179.3142.0177.7209.9
Dudley119.4117.4110.3116.7134.6
Ealing, Hammersmith and Hounslow168.5155.7145.4144.4178.3
East and North Hertfordshire(132)93.6100.1100.5117.9
East Kent134.7124.3114.4128.9154.3
East Lancashire137.3156.5169.6174.3196.9
East London and City221.1239.8259.4283.0295.7
East Norfolk(131)130.9124.4
East Riding and Hull139.6159.3192.1199.0227.4
East Surrey23.827.629.236.659.7
East Sussex, Brighton and Hove133.7160.4143.2157.7170.5
Enfield and Haringey(129)67.887.996.5103.1
Gateshead and South Tyneside79.481.9109.1141.6179.2
Gloucestershire142.4151.7109.5123.7137.7
Herefordshire23.027.932.638.946.4
Hertfordshire(132)328.0
Hillingdon51.952.751.854.465.8
Isle of Wight(133)11.713.010.713.7
Isle of Wight, Portsmouth and South East Hampshire(133)157.5
Kensington, Chelsea and Westminster77.782.582.386.385.0
Kingston and Richmond35.540.132.745.058.2
Lambeth, Southwark and Lewisham215.8233.3215.0219.1230.8
Leeds176.5216.5254.5261.6304.1
Leicestershire222.4234.3255.6283.0298.5
Lincolnshire122.7146.6157.7167.8183.0
Liverpool143.9164.6183.3213.6230.5
Manchester114.5122.4133.4156.1163.1
Merton, Sutton and Wandsworth101.4121.0121.7126.8137.9
Morecambe Bay27.730.630.936.750.6
Newcastle and North Tyneside188.6223.7264.2296.6335.7
Norfolk(131)156.4183.0212.8
North and East Devon154.9153.4122.2128.0143.8
North and Mid Hampshire104.1110.792.096.0113.6
North Cheshire56.064.179.4101.3112.9
North Cumbria41.645.148.356.372.1
North Derbyshire74.177.782.299.4112.5
North Essex183.3193.7207.5226.3243.9
North Nottingham109.9123.5125.7132.1140.1
North Staffordshire176.5184.8205.3213.3227.0
North West Anglia(131)63.772.1
North West Lancashire137.5140.1150.2162.8188.9
North Yorkshire141.9167.7185.6200.8225.0
Northamptonshire118.1131.1141.8139.0169.1
Northumberland66.673.979.892.9123.5
Nottingham151.2165.7172.7209.1234.5
Oxfordshire107.8120.999.6101.0111.4
Portsmouth and South East Hampshire(133)97.2118.1109.5118.1
Redbridge and Waltham Forest82.091.898.2114.4121.8
Rotherham61.363.865.775.397.4
Salford and Trafford151.0147.8155.3157.7166.0
Sandwell102.6107.7115.7111.7119.2
Sefton93.692.784.286.198.1
Sheffield158.3181.7210.9235.4279.4
Shropshire111.2123.6130.9127.3137.0
Solihull68.369.373.872.278.2
Somerset122.1133.5126.3122.2161.6
South and West Devon165.7180.5156.3181.6201.1
South Cheshire153.5163.1180.2190.6210.3
South Essex118.9132.7162.6185.3217.6
South Humber68.192.1110.3108.4103.8
South Lancashire72.578.788.194.997.7
South Staffordshire184.2211.9222.7236.1269.5
Southampton and South West Hampshire173.4190.3135.3150.6171.0
Southern Derbyshire73.786.496.9108.3117.1
St. Helens and Knowsley113.4117.1134.7146.0163.9
Stockport100.6115.1106.899.6103.7
Suffolk113.1114.9125.8138.5157.5
Sunderland138.9153.5166.5182.3230.9
Tees109.9124.3148.8180.0250.2
Wakefield89.1102.7107.6107.1122.3
Walsall59.576.498.9116.9140.2
Warwickshire87.7100.0117.7131.4148.1
West Hertfordshire(132)139.9159.8175.7184.3
West Kent139.3167.7148.1163.1192.0
West Pennine140.1150.9182.7191.3187.3
West Surrey102.9119.698.8105.2117.5
West Sussex111.4129.9106.9126.1147.8
Wigan and Bolton138.6134.1137.2162.7175.8
Wiltshire159.3169.4117.8126.3138.9
Wirral127.3146.7169.6190.5205.1
Wolverhampton67.880.592.7102.8101.8
Worcestershire69.481.895.6106.3127.6
England11,578.712,738.413,148.014,339.916,118.8

(128) Provisional

(129) On 1 April 2001 Barnet health authority merged with Enfield and Haringey health authority to create the new Barnet, Enfield and Haringey health authority

(130) On 1 April 2001 Bexley and Greenwich health authority merged with Bromley health authority to create the new Bexley, Bromley and Greenwich health authority

(131) On 1 April 1999 North West Anglia health authority, Cambridge and Huntingdon health authority and East Norfolk health authority were replaced by Cambridgeshire health authority and Norfolk health authority

(132) On 1 April 2001 East and North Hertfordshire merged with West Hertfordshire to create the new Hertfordshire health authority

(133) On 1 April 2001 Isle of Wight health authority merged with Portsmouth and South East Hampshire health authority to create the new Isle of Wight, Portsmouth and South East Hampshire health authority.


10 Apr 2002 : Column 447W

Table 2: The net ingredient cost of oxygen gas (cylinders), masks and tubing dispensed in the community in England
£000

Health authority1999–20002000–01
Avon194.5249.7
Barking and Havering89.9106.8
Barnet(134)26.630.2
Barnet, Enfield and Haringey(134)
Barnsley66.189.1
Bedfordshire70.874.0
Berkshire63.273.1
Bexley and Greenwich(135)82.490.0
Bexley, Bromley and Greenwich(135)
Birmingham149.1136.1
Bradford133.6140.3
Brent and Harrow36.442.0
Bromley(135)36.342.0
Buckinghamshire100.596.3
Bury and Rochdale62.962.5
Calderdale and Kirklees120.9112.7
Cambridge and Huntingdon(136)
Cambridgeshire(136)56.456.8
Camden and Islington44.649.9
Cornwall and Isles of Scilly175.9204.2
County Durham141.1180.4
Coventry54.470.2
Croydon27.831.5
Doncaster69.177.1
Dorset83.999.9
Dudley42.447.8
Ealing, Hammersmith and Hounslow73.872.4
East and North Hertfordshire(137)64.174.8
East Kent108.1119.3
East Lancashire64.868.9
East London and City90.287.0
East Norfolk(136)
East Riding and Hull116.2143.7
East Surrey63.159.2
East Sussex, Brighton and Hove160.5155.4
Enfield and Haringey(134)78.376.1
Gateshead and South Tyneside214.5203.3
Gloucestershire57.970.6
Herefordshire25.627.9
Hertfordshire(137)
Hillingdon36.740.2
Isle of Wight(138)11.310.5
Isle of Wight, Portsmouth and South East Hampshire(138)
Kensington, Chelsea and Westminster30.533.8
Kingston and Richmond27.428.1
Lambeth, Southwark and Lewisham157.1138.7
Leeds157.1159.6
Leicestershire132.8146.1
Lincolnshire129.6123.9
Liverpool166.4180.3
Manchester119.4124.7
Merton, Sutton and Wandsworth75.377.9
Morecambe Bay29.145.5
Newcastle and North Tyneside163.3168.6
Norfolk(136)61.172.9
North and East Devon68.893.8
North and Mid Hampshire47.150.2
North Cheshire53.562.4
North Cumbria38.651.8
North Derbyshire44.550.8
North Essex155.4155.5
North Nottingham79.8100.9
North Staffordshire89.188.5
North West Anglia(136)
North West Lancashire169.0196.4
North Yorkshire117.2125.0
Northamptonshire115.8115.0
Northumberland124.4163.3
Nottingham75.487.7
Oxfordshire100.298.5
Portsmouth and South East Hampshire(138)45.548.1
Redbridge and Waltham Forest69.168.1
Rotherham67.169.7
Salford and Trafford128.1138.9
Sandwell42.746.0
Sefton74.896.0
Sheffield94.7102.7
Shropshire91.095.7
Solihull27.430.1
Somerset89.779.1
South and West Devon109.9111.2
South Cheshire114.8122.8
South Essex123.0135.4
South Humber87.093.7
South Lancashire96.698.9
South Staffordshire136.9146.9
Southampton and South West Hampshire62.277.2
Southern Derbyshire54.759.0
St. Helens and Knowsley121.3114.6
Stockport44.146.2
Suffolk68.586.3
Sunderland86.286.7
Tees271.4312.4
Wakefield57.456.3
Walsall58.154.6
Warwickshire64.079.7
West Hertfordshire(137)84.688.1
West Kent157.6175.0
West Pennine66.076.8
West Surrey88.185.3
West Sussex129.2139.6
Wigan and Bolton80.582.6
Wiltshire117.6124.5
Wirral67.187.2
Wolverhampton84.195.9
Worcestershire54.760.7
England8,837.79,583.5

(134) On 1 April 2001 Barnet health authority merged with Enfield and Haringey health authority to create the new Barnet, Enfield and Haringey health authority

(135) On 1 April 2001 Bexley and Greenwich health authority merged with Bromley health authority to create the new Bexley. Bromley and Greenwich health authority

(136) On 1 April 1999 North West Anglia health authority, Cambridge and Huntingdon health authority and East Norfolk health authority were replaced by Cambridgeshire health authority and Norfolk health authority

(137) On 1 April 2001 East and North Hertfordshire merged with West Hertfordshire to create the new Hertfordshire health authority

(138) On 1 April 2001 Isle of Wight health authority merged with Portsmouth and South East Hampshire health authority to create the new Isle of Wight, Portsmouth and South East Hampshire health authority.

Notes:

1. The data from the Prescribing Analyses and Cost (PACT) system. The information is for the HA in which the prescription was written

2. Oxygen is described in the British National Formulary (BNF) section 3b. Oxygen masks are defined in the Prescription Pricing Authority pseudo BNF sect.

3. The net ingredient cost is the cost of oxygen before discounts and does not include any dispensing costs or fees.


10 Apr 2002 : Column 450W

Table 3: Payments made to pharmacies in England for oxygen services and hardware
£000

Health authority1997–981998–991999–20002000–012001–02(139)
Avon255.6265.2271.0281.6306.4
Barking and Havering139.4182.4188.8195.6204.1
Barnet(140)66.452.146.745.3
Barnet, Enfield and Haringey(140)183.5
Barnsley108.8114.1119.1113.0137.2
Bedfordshire107.2119.6121.4121.5128.9
Berkshire152.4142.4133.2143.4150.4
Bexley and Greenwich(141)150.6154.7153.9163.5
Bexley, Bromley and Greenwich(141)197.5
Birmingham193.1190.5196.8195.9197.8
Bradford146.2143.4155.7137.0175.4
Brent and Harrow128.6105.888.778.894.4
Bromley(141)46.648.144.053.7
Buckinghamshire123.1147.6137.2156.7168.9
Bury and Rochdale91.776.089.592.082.2
Calderdale and Kirklees205.7173.8186.5158.1175.0
Cambridge and Huntingdon(142)40.441.9
Cambridgeshire(142)90.098.7109.0
Camden and Islington71.671.783.270.572.1
Cornwall and Isles of Scilly209.8277.3286.9319.7327.1
County Durham174.4179.1181.9192.3198.7
Coventry62.282.395.990.495.8
Croydon40.558.557.561.865.1
Doncaster113.4102.6105.6102.2112.9
Dorset136.3144.4153.5149.9165.4
Dudley103.2104.393.698.693.6
Ealing, Hammersmith and Hounslow163.8126.4131.8124.7127.1
East and North Hertfordshire(143)114.7111.5112.8113.2
East Kent164.7165.6186.4203.2207.7
East Lancashire120.7121.3126.9130.6123.8
East London and City200.6150.9106.6117.8124.4
East Norfolk(142)86.6109.8
East Riding and Hull131.5174.2181.2208.0216.9
East Surrey73.798.497.194.9112.1
East Sussex, Brighton and Hove201.8249.8233.0230.9233.2
Enfield and Haringey(140)117.4131.8145.5139.8
Gateshead and South Tyneside136.6211.9201.8215.8212.8
Gloucestershire83.8131.4122.1120.3118.7
Herefordshire40.652.046.449.156.6
Hertfordshire(143)271.2
Hillingdon70.572.861.355.159.3
Isle of Wight(144)23.022.121.117.1
Isle of Wight, Portsmouth and South East Hampshire(144)117.8
Kensington, Chelsea and Westminster59.543.248.254.950.3
Kingston and Richmond62.062.869.463.567.4
Lambeth, Southwark and Lewisham253.0357.5321.4210.3224.9
Leeds146.2174.5176.7156.8173.0
Leicestershire169.5199.3205.3213.0212.5
Lincolnshire139.2138.0167.3156.1169.6
Liverpool295.7314.2326.8339.3315.6
Manchester162.9172.5194.3185.2192.8
Merton, Sutton and Wandsworth131.3141.0169.7154.0148.5
Morecambe Bay52.857.349.558.664.8
Newcastle and North Tyneside168.1194.1233.0201.2204.8
Norfolk(142)109.7117.3123.1
North and East Devon118.5126.3137.3143.4158.0
North and Mid Hampshire74.784.275.372.159.8
North Cheshire93.5104.8111.3116.4128.2
North Cumbria47.048.947.258.768.4
North Derbyshire65.975.875.587.496.4
North Essex264.0275.9284.4258.5279.2
North Nottingham133.5141.2162.2231.5237.7
North Staffordshire124.1132.6142.6145.7161.4
North West Anglia(142)72.778.0
North West Lancashire303.1275.1280.0279.1280.8
North Yorkshire191.7220.0179.9188.7200.5
Northamptonshire161.0172.8161.2156.0188.9
Northumberland113.2126.9129.4170.9183.3
Nottingham78.494.4114.2128.1161.2
Oxfordshire111.9114.7120.1124.3130.8
Portsmouth and South East Hampshire(144)113.3108.5104.097.2
Redbridge and Waltham Forest119.9120.8131.0137.4144.3
Rotherham97.391.5102.5113.5107.5
Salford and Trafford224.5224.8222.7251.4247.5
Sandwell80.977.482.184.783.3
Sefton149.1144.7161.6153.7159.8
Sheffield128.0138.3144.7142.8120.8
Shropshire97.6119.6120.7125.3158.7
Solihull39.738.041.439.452.7
Somerset104.7120.3130.6129.2135.7
South and West Devon170.1225.9233.4228.6242.3
South Cheshire192.8211.2209.1222.3222.3
South Essex226.4251.6306.2284.8376.7
South Humber98.9120.8130.3142.7156.2
South Lancashire175.7162.3173.8166.8173.7
South Staffordshire181.9184.8200.9202.4207.1
Southampton and South West Hampshire102.5107.9114.7113.9129.1
Southern Derbyshire74.172.774.874.982.6
St. Helens and Knowsley140.9169.9189.1169.7168.9
Stockport72.370.477.077.284.8
Suffolk116.899.4109.4109.9141.6
Sunderland117.4113.8137.6116.4129.8
Tees302.1311.8354.7353.3393.0
Wakefield85.196.176.969.071.8
Walsall82.690.583.892.0103.5
Warwickshire102.680.7109.4130.2117.7
West Hertfordshire(143)140.3137.0134.8111.8
West Kent276.8282.5315.6294.3290.4
West Pennine94.693.5100.2115.0119.0
West Surrey118.0152.3124.6160.5154.8
West Sussex156.9147.3151.5153.6169.2
Wigan and Bolton163.4174.9175.5175.0177.2
Wiltshire146.9163.3172.0174.1201.2
Wirral114.4136.7132.0136.8154.2
Wolverhampton131.9122.5118.7120.2121.2
Worcestershire83.178.489.282.687.3
England13,014.513,875.414,282.914,364.615,191.1

(139) Provisional

(140) On 1 April 2001 Barnet health authority merged with Enfield and Haringey health authority to create the new Barnet, Enfield and Haringey health authority

(141) On 1 April 2001 Bexley and Greenwich health authority merged with Bromley health authority to create the new Bexley, Bromley and Greenwich health authority

(142) On 1 April 1999 North West Anglia health authority, Cambridge and Huntingdon health authority and East Norfolk health authority were replaced by Cambridgeshire health authority and Norfolk health authority

(143) On 1 April 2001 East and North Hertfordshire merged with West Hertfordshire to create the new Hertfordshire health authority

(144) On 1 April 2001 Isle of Wight health authority merged with Portsmouth and South East Hampshire health authority to create the new Isle of Wight, Portsmouth and South East Hampshire health authority


10 Apr 2002 : Column 451W


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