---

Roaccutane

Tim Loughton: To ask the Secretary of State for Health what assessment he has made of the possible side effects of the anti-acne drug Roaccutane. [59413]

12 Jun 2002 : Column 1326W

Mr. Lammy [holding answer 24 May 2002]: Roaccutane (isotretinoin) is licensed for the treatment of severe forms of acne. It has been associated with a number of serious side effects since evaluation of the clinical trial data at the time of licensing in 1982. These include dryness of the skin, eyes and mucous membranes, visual disturbances, liver disorders and increases in cholesterol levels.

The safety of all medicines on the UK market is continuously monitored by the medicines control agency. The product information includes the summary of product characteristics for prescribers and the patient information leaflet included in each pack of the medicine. These are also kept under continuous review to make sure that they provide the most up to date and relevant information to healthcare professionals and the public regarding the safe use of the medicine.

One of the key previous amendments to the product information was the strengthening of the warning relating to depression and other psychiatric reactions including suicide, which was approved in March 1998. The Committee on Safety of Medicines considered the issue of the Roaccutane and psychiatric reactions in September 2001 and advised that the existing wording adequately reflected the current level of knowledge with regard to these reactions.

Ritalin

Mr. Burstow: To ask the Secretary of State for Health what recent representations he has received regarding inappropriate use of the prescription of Ritalin for children. [60090]

Jacqui Smith: We have no record of recent representations on this subject. Methylphenidate (principal brand name Ritalin) is a controlled drug under Schedule 2 of the Misuse of Drugs Act and is licensed for the treatment of attention deficit hyperactivity disorder in children aged six years or older. Treatment should be under the supervision of a specialist in childhood behavioural disorders.

Mr. Burstow: To ask the Secretary of State for Health how many prescriptions of Ritalin were issued in each of the last five years for (a) attention deficit disorder and (b) attention deficit hyperactivity disorder in each (i) region and (ii) health authority. [60088]

Jacqui Smith: This information is not collected centrally in the form, or for the years, requested. The available data on the number of prescription items dispensed in the community (for example excluding items written and dispensed in hospitals) for methylphenidate hydrochloride by health authorities and regions for the period 1999 to 2001 are shown in the table, a copy of which has been placed in the Library. It should be noted that Ritalin, the brand name for a drug used mainly in the treatment of severe forms of childhood attention deficit and hyperactivity disorders, is the principal but not the only presentation of methylphenidate hydrochloride.

Hospital-acquired Infections

Tim Loughton: To ask the Secretary of State for Health what average time added to patient hospital-stays is from hospital-acquired infections. [59417]

12 Jun 2002 : Column 1327W

Mr. Lammy [holding answer 24 May 2002]: The data requested are not routinely collected.

Antipsychotic Medication

Mr. Burstow: To ask the Secretary of State for Health how many prescriptions were issued in 2001 for

12 Jun 2002 : Column 1328W

(a) atypical, (b) traditional and (c) all antipsychotic medication in each region and health authority for age groups (i) 0 to 15 years, (ii) 16 to 59 years and (iii) 60 years and over. [60630]

Jacqui Smith: The information is shown in the table.

Estimated number of prescription items (thousand) dispensed in the community in England for atypical, traditional and all antipsychotics by broad age group by health authorities and regions, 2001

	Atypical Antipsychotics
			Aged 16 to 59 years
Health authority in which dispensed	Children aged 0–15 years	Elderly people aged 60 and over	Exempt	Charged(20)	Total
Eastern region
Bedfordshire	0.1	9.7	7.4	2.0	19.2
East and North Hertfordshire	0.4	12.5	9.1	2.8	24.8
Hertfordshire	0.3	17.2	14.3	4.8	36.6
Norfolk	0.2	10.1	13.9	2.7	26.8
North Essex	0.2	13.9	13.3	3.3	30.7
South Essex	0.3	12.4	8.7	2.0	23.5
Suffolk	0.2	12.5	6.2	2.0	20.9
Total for eastern region	1.8	88.3	73.0	19.6	182.6
London region
Barking and Havering	0.0	6.5	5.4	1.7	13.6
Barnet, Enfield and Haringey	0.0	17.5	16.5	3.2	37.3
Bexley, Bromley and Greenwich	0.1	11.5	8.3	2.1	22.0
Brent and Harrow	0.0	5.8	10.8	1.8	18.5
Camden and Islington	0.0	3.7	11.1	1.3	16.1
Croydon	0.0	6.7	7.7	1.4	15.8
Ealing, Hammersmith and Hounslow	0.0	9.1	13.5	2.1	24.7
East London and The City	0.1	6.9	17.5	1.5	26.0
Hillingdon	0.0	1.8	3.2	1.1	6.1
Kensington and Chelsea and Westminster	0.0	5.4	9.0	1.6	16.1
Kingston and Richmond	0.1	7.2	4.6	1.9	13.9
Lambeth, Southwark and Lewisham	0.2	13.0	17.6	2.0	32.8
Merton, Sutton and Wandsworth	0.1	10.9	12.4	2.8	26.1
Redbridge and Waltham Forest	0.2	7.8	8.5	1.5	18.1
Total for London region	1.1	114.0	145.9	26.0	287.0
North West region
Bury and Rochdale	0.0	6.4	8.4	1.3	16.1
East Lancashire	0.2	9.6	9.9	2.1	21.7
Liverpool	0.1	12.0	14.8	1.4	28.3
Manchester	0.1	9.3	17.4	1.2	28.0
Morecambe Bay	0.1	8.0	5.5	1.2	14.8
North Cheshire	0.0	3.8	4.5	0.7	9.0
North West Lancashire	0.0	11.4	10.3	2.6	24.3
Salford and Trafford	0.1	8.6	11.7	1.5	21.9
Sefton	0.0	6.6	9.0	1.2	16.8
South Cheshire	0.1	13.2	11.5	3.1	27.9
South Lancashire	0.0	5.3	5.1	1.3	11.8
St. Helens and Knowsley	0.0	7.3	10.0	1.5	18.8
Stockport	0.1	6.7	6.5	1.2	14.5
West Pennine	0.1	7.2	7.1	1.2	15.5
Wigan and Bolton	0.0	14.7	9.9	1.9	26.5
Wirral	0.1	8.4	10.4	1.7	20.6
Total for North West region	1.0	138.6	151.9	25.1	316.7
Northern and Yorkshire region
Bradford	0.0	9.7	8.6	1.2	19.6
Calderdale and Kirklees	0.2	11.3	11.7	2.2	25.5
County Durham and Darlington	0.1	9.2	10.0	1.8	21.1
East Riding and Hull	0.0	8.4	11.0	2.1	21.5
Gateshead and South Tyneside	0.2	7.2	5.4	1.0	13.7
Leeds	0.1	16.2	17.1	2.9	36.2
Newcastle and North Tyneside	0.3	17.3	15.2	1.8	34.6
North Cumbria	0.1	6.7	5.5	1.7	14.1
North Yorkshire	0.2	10.7	7.3	2.2	20.4
Northumberland	0.2	4.8	5.6	1.1	11.7
Sunderland	0.1	4.6	5.6	0.7	11.0
Tees	0.1	7.6	10.2	1.5	19.4
Wakefield	0.0	8.3	6.2	1.1	15.6
Total for Northern and Yorkshire region	1.7	122.1	119.2	21.4	264.4
South East region
Berkshire	0.1	11.2	10.4	3.6	25.3
Buckinghamshire	0.1	10.2	9.0	2.2	21.5
East Kent	0.4	10.8	12.1	2.3	25.7
East Surrey	0.0	4.5	4.3	1.9	10.7
East Sussex, Brighton and Hove	0.3	16.3	14.5	3.1	34.1
Isle of Wight, Portsmouth and South East Hampshire	0.1	15.1	10.4	2.9	28.5
North and Mid Hampshire	0.3	11.0	7.2	3.0	21.5
Northamptonshire	0.4	6.0	8.0	2.7	17.1
Oxfordshire	0.2	12.3	7.5	3.4	23.4
Southampton and South West Hampshire	0.2	13.0	10.6	2.9	26.8
West Kent	0.3	16.1	13.8	4.0	34.1
West Surrey	0.3	9.5	6.9	3.0	19.7
West Sussex	0.2	11.2	10.9	3.3	25.6
Total for South East region	3.0	147.2	125.6	38.4	314.2
South West region
Avon	0.1	15.8	16.0	3.3	35.2
Cornwall and Isles of Scilly	0.4	5.3	7.7	1.2	14.7
Dorset	0.1	9.3	9.8	3.0	22.2
Gloucestershire	0.1	6.0	6.4	2.0	14.6
North and East Devon	0.5	7.9	9.5	1.9	19.8
Somerset	0.4	8.4	5.6	1.2	15.6
South and West Devon	0.5	11.1	14.5	2.1	28.2
Wiltshire	0.2	12.4	8.6	2.4	23.6
Total for South West region	2.4	76.2	78.1	17.2	173.9
Trent region
Barnsley	0.0	2.7	3.1	0.9	6.7
Doncaster	0.1	2.6	3.4	0.6	6.8
Leicestershire	0.1	10.9	13.0	2.5	26.5
Lincolnshire	0.6	9.4	6.9	2.0	18.9
North Derbyshire	0.1	3.4	4.8	1.0	9.2
North Nottinghamshire	0.0	4.8	3.0	0.9	8.7
Nottingham	0.0	2.9	2.1	0.7	5.7
Rotherham	0.0	7.7	4.0	0.6	12.4
Sheffield	0.1	4.4	6.6	1.0	12.0
South Humber	0.2	3.5	4.6	0.8	9.2
Southern Derbyshire	0.1	4.6	5.4	1.5	11.6
Total for Trent region	1.3	56.9	57.0	12.4	127.6
West Midlands region
Birmingham	0.8	16.3	20.7	2.6	40.4
Coventry	0.1	8.7	8.7	1.5	19.0
Dudley	0.2	2.0	3.7	0.9	6.8
Herefordshire	0.0	0.9	2.0	0.4	3.3
North Staffordshire	0.1	7.2	5.2	1.5	14.0
Sandwell	0.1	2.3	3.8	0.7	6.9
Shropshire	0.2	6.7	4.5	1.4	12.8
Solihull	0.1	2.8	2.6	0.6	6.1
South Staffordshire	0.3	9.7	4.9	1.8	16.8
Walsall	0.1	4.7	3.5	0.6	8.8
Warwickshire	0.2	10.1	7.4	2.0	19.6
Wolverhampton	0.0	3.2	3.8	0.4	7.5
Worcestershire	0.4	6.7	5.0	1.4	13.5
Total for West Midlands region	2.6	81.3	75.9	15.8	175.5
England	14.8	824.6	826.7	175.9	1,841.9

12 Jun 2002 : Column 1329W

	Traditional antipsychotics
			Aged 16 to 59 years
Health authority in which dispensed	Children aged 0–15 years	Elderly people aged 60 and over	Exempt	Charged(20)	Items personally administered	Total
Eastern region
Bedfordshire	0.1	10.8	9.1	2.6	0.1	22.7
East and North Hertfordshire	0.1	17.0	14.3	4.9	0.2	36.5
Hertfordshire	0.2	20.7	13.9	5.6	0.1	40.4
Norfolk	0.2	28.8	33.5	7.3	0.4	70.2
North Essex	0.3	22.7	17.0	4.3	0.1	44.5
South Essex	0.2	11.7	13.6	3.0	0.0	28.5
Suffolk	0.2	20.0	14.7	4.3	0.3	39.5
Total for eastern region	1.3	131.7	116.2	32.0	1.3	282.4
London region
Barking and Havering	0.2	7.8	6.0	1.9	0.0	15.9
Barnet, Enfield and Haringey	0.1	14.9	18.0	3.4	0.0	36.4
Bexley, Bromley and Greenwich	0.1	13.6	10.9	3.2	0.0	27.9
Brent and Harrow	0.0	7.4	8.7	1.9	0.0	18.1
Camden and Islington	0.0	5.2	14.1	1.4	0.0	20.7
Croydon	0.0	6.4	8.2	1.3	0.0	15.9
Ealing, Hammersmith and Hounslow	0.1	11.9	17.1	3.5	0.0	32.6
East London and The City	0.1	7.8	18.8	1.9	0.0	28.6
Hillingdon	0.1	4.4	3.6	0.9	0.0	8.9
Kensington and Chelsea and Westminster	0.0	3.5	6.8	1.1	0.0	11.4
Kingston and Richmond	0.0	5.7	4.4	1.5	0.0	11.6
Lambeth, Southwark and Lewisham	0.0	13.4	16.4	2.0	0.0	31.9
Merton, Sutton and Wandsworth	0.1	12.6	11.0	2.5	0.0	26.2
Redbridge and Waltham Forest	0.0	7.1	8.6	1.5	0.0	17.2
Total for London region	1.0	121.7	152.5	28.1	0.0	303.3
North West region
Bury and Rochdale	0.0	14.7	16.2	3.6	0.0	34.6
East Lancashire	0.1	15.5	20.4	3.3	0.0	39.4
Liverpool	0.1	12.0	21.8	2.0	0.0	35.9
Manchester	0.1	14.8	26.1	2.0	0.0	43.1
Morecambe Bay	0.0	13.1	9.7	2.6	0.1	25.5
North Cheshire	0.1	10.6	13.5	2.9	0.0	27.2
North West Lancashire	0.0	15.8	17.1	3.5	0.0	36.3
Salford and Trafford	0.1	23.1	19.3	3.0	0.0	45.6
Sefton	0.0	11.1	12.6	2.0	0.0	25.7
South Cheshire	0.1	18.8	15.2	3.6	0.0	37.8
South Lancashire	0.1	7.0	5.3	2.2	0.0	14.7
St. Helens and Knowsley	0.1	11.0	14.9	2.3	0.0	28.3
Stockport	0.0	17.1	13.4	3.4	0.0	34.0
West Pennine	0.0	12.9	15.8	2.4	0.0	31.2
Wigan and Bolton	0.1	16.0	15.4	3.2	0.0	34.8
Wirral	0.0	8.4	15.2	2.2	0.0	25.9
Total for North West region	1.2	222.0	252.2	44.3	0.2	519.9
				2
Northern and Yorkshire region
Bradford	0.0	12.8	16.1	2.8	0.0	31.8
Calderdale and Kirklees	0.1	16.8	12.4	3.1	0.0	32.3
County Durham and Darlington	0.2	22.1	19.1	3.5	0.1	45.1
East Riding and Hull	0.1	18.5	14.6	3.1	0.1	36.4
Gateshead and South Tyneside	0.1	10.7	10.9	1.9	0.0	23.7
Leeds	0.1	19.4	23.9	5.1	0.0	48.6
Newcastle and North Tyneside	0.0	11.5	15.8	2.4	0.0	29.8
North Cumbria	0.1	7.9	8.7	2.1	0.1	18.9
North Yorkshire	0.3	21.3	14.3	4.7	0.2	40.8
Northumberland	0.0	8.1	7.3	1.6	0.1	17.1
Sunderland	0.1	6.4	5.4	1.1	0.0	12.9
Tees	0.2	18.4	17.5	2.3	0.0	38.4
Wakefield	0.0	8.9	9.5	2.3	0.0	20.7
Total for Northern and Yorkshire region	1.5	182.7	175.5	36.1	0.6	396.5
South East region
Berkshire	0.1	14.9	13.4	4.2	0.1	32.6
Buckinghamshire	0.2	12.5	10.4	3.9	0.1	27.2
East Kent	0.2	14.9	14.9	2.7	0.1	32.8
East Surrey	0.0	11.8	6.2	1.7	0.0	19.8
East Sussex, Brighton and Hove	0.1	21.6	23.2	4.1	0.1	49.1
Isle of Wight, Portsmouth and South East Hampshire	0.1	20.2	15.8	3.8	0.1	39.9
North and Mid Hampshire	0.3	11.2	8.5	3.5	0.1	23.6
Northamptonshire	0.2	14.4	13.6	3.7	0.0	31.9
Oxfordshire	0.1	9.8	8.2	3.1	0.2	21.4
Southampton and South West Hampshire	0.2	14.0	12.2	4.1	0.1	30.5
West Kent	0.2	18.0	19.7	5.5	0.1	43.4
West Surrey	0.1	12.5	9.6	3.6	0.0	25.8
West Sussex	0.1	28.8	13.5	4.5	0.1	47.0
Total for South East region	1.8	204.6	169.2	48.5	0.9	425.0
South West region
Avon	0.2	26.8	25.4	5.1	0.1	57.5
Cornwall and Isles of Scilly	0.1	15.5	16.0	2.9	0.2	34.7
Dorset	0.2	23.8	14.7	3.3	0.1	42.2
Gloucestershire	0.3	14.0	13.9	4.7	0.1	33.1
North and East Devon	0.1	14.8	11.9	3.1	0.2	30.0
Somerset	0.1	11.0	9.6	2.1	0.1	22.9
South and West Devon	0.1	19.6	21.7	3.1	0.2	44.7
Wiltshire	0.1	14.2	11.7	4.0	0.1	30.1
Total for South West region	1.1	139.7	124.9	28.3	1.1	295.2
Trent region
Barnsley	0.1	7.6	5.1	1.6	0.0	14.4
Doncaster	0.1	9.5	9.1	2.1	0.0	20.7
Leicestershire	0.1	21.2	22.2	4.8	0.1	48.3
Lincolnshire	0.1	23.0	16.5	5.8	0.2	45.6
North Derbyshire	0.1	14.3	10.5	2.1	0.0	27.0
North Nottinghamshire	0.1	13.5	8.5	2.1	0.1	24.3
Nottingham	0.1	19.2	15.2	4.3	0.1	38.8
Rotherham	0.1	15.6	7.5	1.1	0.0	24.4
Sheffield	0.2	16.2	15.0	3.2	0.0	34.6
South Humber	0.1	10.7	9.6	2.4	0.0	22.9
Southern Derbyshire	0.1	19.5	12.8	3.4	0.0	35.9
Total for Trent region	1.1	170.3	131.9	33.0	0.5	336.9
West Midlands region
Birmingham	0.6	24.5	34.7	4.1	0.0	63.9
Coventry	0.1	5.6	8.0	1.7	0.0	15.4
Dudley	0.0	11.2	8.8	2.6	0.0	22.6
Herefordshire	0.2	5.3	4.4	1.0	0.1	10.9
North Staffordshire	0.1	15.3	11.7	3.5	0.0	30.5
Sandwell	0.1	9.5	8.0	1.7	0.0	19.2
Shropshire	0.1	11.7	10.5	2.5	0.1	24.8
Solihull	0.1	3.5	3.5	1.2	0.0	8.2
South Staffordshire	0.1	15.9	11.1	3.0	0.1	30.1
Walsall	0.0	9.9	8.1	1.7	0.0	19.6
Warwickshire	0.0	12.1	9.4	3.5	0.1	25.1
Wolverhampton	0.1	8.4	7.0	1.1	0.0	16.5
Worcestershire	0.3	17.1	9.9	2.3	0.1	29.8
Total for West Midlands region	1.7	149.9	134.9	29.9	0.4	316.8
England	10.8	1,322.7	1,257.2	280.2	5.1	2,876.0

12 Jun 2002 : Column 1333W

	All antipsychotics
			Aged 16 to 59 years
Health authority in which dispensed	Children aged 0–15 years	Elderly people aged 60 and over	Exempt	Charged(20)	Items personally administered	Total
Eastern region
Bedfordshire	0.3	20.5	16.6	4.6	0.1	42.0
East and North Hertfordshire	0.5	29.5	23.5	7.6	0.2	61.3
Hertfordshire	0.5	37.8	28.2	10.4	0.1	77.0
Norfolk	0.4	38.9	47.4	9.9	0.4	97.1
North Essex	0.5	36.5	30.3	7.7	0.1	75.2
South Essex	0.5	24.1	22.3	5.1	0.0	52.0
Suffolk	0.4	32.6	20.9	6.3	0.3	60.4
Total for eastern region	3.0	219.9	189.2	51.5	1.3	464.9
London region
Barking and Havering	0.2	14.3	11.5	3.5	0.0	29.5
Barnet, Enfield and Haringey	0.2	32.4	34.5	6.6	0.0	73.6
Bexley, Bromley and Greenwich	0.2	25.1	19.2	5.3	0.0	49.8
Brent and Harrow	0.0	13.3	19.5	3.8	0.0	36.6
Camden and Islington	0.1	8.9	25.1	2.7	0.0	36.8
Croydon	0.0	13.1	15.8	2.8	0.0	31.7
Ealing, Hammersmith and Hounslow	0.2	21.0	30.6	5.6	0.0	57.3
East London and The City	0.2	14.7	36.2	3.4	0.0	54.6
Hillingdon	0.1	6.2	6.8	2.0	0.0	15.1
Kensington and Chelsea and Westminster	0.0	8.9	15.8	2.7	0.0	27.5
Kingston and Richmond	0.1	12.9	9.1	3.4	0.0	25.5
Lambeth, Southwark and Lewisham	0.3	26.4	34.0	4.0	0.0	64.6
Merton, Sutton and Wandsworth	0.2	23.5	23.3	5.3	0.0	52.3
Redbridge and Waltham Forest	0.3	14.9	17.1	3.0	0.0	35.3
Total for London region	2.1	235.6	298.4	54.1	0.0	590.3
North West region
Bury and Rochdale	0.1	21.2	24.6	4.9	0.0	50.7
East Lancashire	0.3	25.1	30.3	5.4	0.0	61.1
Liverpool	0.2	24.0	36.6	3.4	0.0	64.2
Manchester	0.2	24.1	43.6	3.2	0.0	71.1
Morecambe Bay	0.1	21.1	15.3	3.8	0.1	40.3
North Cheshire	0.1	14.4	18.0	3.6	0.0	36.2
North West Lancashire	0.0	27.2	27.3	6.0	0.0	60.7
Salford and Trafford	0.2	31.7	31.0	4.5	0.0	67.5
Sefton	0.0	17.7	21.6	3.2	0.0	42.5
South Cheshire	0.2	32.0	26.7	6.7	0.0	65.6
South Lancashire	0.2	12.3	10.5	3.5	0.0	26.5
St. Helens and Knowsley	0.1	18.3	24.9	3.8	0.0	47.1
Stockport	0.1	23.8	19.9	4.6	0.0	48.5
West Pennine	0.1	20.1	22.9	3.6	0.0	46.7
Wigan and Bolton	0.1	30.7	25.3	5.1	0.0	61.3
Wirral	0.1	16.8	25.6	3.9	0.0	46.5
Total for North West region	2.2	360.7	404.1	69.4	0.2	836.6
Northern and Yorkshire region
Bradford	0.1	22.5	24.7	4.1	0.0	51.4
Calderdale and Kirklees	0.3	28.1	24.0	5.3	0.0	57.8
County Durham and Darlington	0.3	31.3	29.1	5.4	0.1	66.2
East Riding and Hull	0.1	26.9	25.6	5.3	0.1	57.9
Gateshead and South Tyneside	0.3	17.9	16.3	2.9	0.0	37.4
Leeds	0.3	35.6	41.0	8.0	0.0	84.8
Newcastle and North Tyneside	0.3	28.8	31.0	4.2	0.0	64.4
North Cumbria	0.2	14.6	14.2	3.8	0.1	33.0
North Yorkshire	0.5	32.0	21.5	6.9	0.2	61.2
Northumberland	0.2	12.9	12.9	2.7	0.1	28.8
Sunderland	0.1	11.0	11.0	1.8	0.0	24.0
Tees	0.3	26.0	27.8	3.8	0.0	57.8
Wakefield	0.1	17.2	15.7	3.4	0.0	36.6
Total for Northern and Yorkshire region	3.2	304.8	294.8	57.5	0.6	660.9
South East region
Berkshire	0.2	26.1	23.8	7.8	0.1	58.0
Buckinghamshire	0.3	22.7	19.4	6.2	0.1	48.7
East Kent	0.7	25.7	27.0	5.1	0.1	58.5
East Surrey	0.0	16.3	10.5	3.7	0.0	30.4
East Sussex, Brighton and Hove	0.4	37.9	37.7	7.2	0.1	83.2
Isle of Wight, Portsmouth and South East Hampshire	0.1	35.3	26.2	6.7	0.1	88.4
North and Mid Hampshire	0.6	22.2	15.7	6.5	0.1	45.1
Northamptonshire	0.5	20.5	21.6	6.4	0.0	49.0
Oxfordshire	0.3	22.0	15.8	6.5	0.2	44.8
Southampton and South West Hampshire	0.4	27.0	22.8	7.0	0.1	57.3
West Kent	0.5	34.0	33.4	9.5	0.1	77.6
West Surrey	0.4	22.0	16.4	6.6	0.0	45.5
West Sussex	0.3	40.0	24.5	7.8	0.1	72.5
Total for South East region	4.8	351.8	294.8	86.9	0.9	739.2
South West region
Avon	0.3	42.5	41.4	8.4	0.1	92.7
Cornwall and Isles of Scilly	0.5	20.8	23.7	4.1	0.2	49.4
Dorset	0.3	33.1	24.5	6.4	0.1	64.5
Gloucestershire	0.4	20.1	20.4	6.8	0.1	47.8
North and East Devon	0.6	22.7	21.4	4.9	0.2	49.8
Somerset	0.4	19.4	15.2	3.3	0.1	38.5
South and West Devon	0.7	30.8	36.2	5.2	0.2	73.0
Wiltshire	0.3	26.6	20.3	6.4	0.1	53.7
Total for South West region	3.5	215.9	203.1	45.6	1.1	489.2
Trent region
Barnsley	0.1	10.3	8.2	2.6	0.0	21.1
Doncaster	0.2	12.2	12.5	2.7	0.0	27.6
Leicestershire	0.2	32.1	35.2	7.3	0.1	74.8
Lincolnshire	0.7	32.4	23.4	7.8	0.2	64.5
North Derbyshire	0.1	17.7	15.2	3.1	0.0	36.2
North Nottinghamshire	0.1	18.3	11.5	3.0	0.1	32.9
Nottingham	0.1	22.1	17.3	5.0	0.1	44.6
Rotherham	0.1	23.3	11.5	1.8	0.0	36.7
Sheffield	0.3	20.6	21.5	4.2	0.0	46.6
South Humber	0.3	14.2	14.2	3.2	0.0	32.0
Southern Derbyshire	0.3	24.1	18.2	4.9	0.0	47.5
Total for Trent region	2.4	227.2	188.8	45.5	0.5	464.5
West Midlands region
Birmingham	1.4	40.8	55.3	6.7	0.0	104.3
Coventry	0.2	14.3	16.7	3.2	0.0	34.4
Dudley	0.2	13.2	12.5	3.5	0.0	29.4
Herefordshire	0.2	6.2	6.4	1.4	0.1	14.2
North Staffordshire	0.2	22.4	16.9	5.0	0.0	44.6
Sandwell	0.2	11.7	11.8	2.4	0.0	26.1
Shropshire	0.3	18.4	15.0	3.9	0.1	37.6
Solihull	0.2	6.3	6.1	1.8	0.0	14.3
South Staffordshire	0.4	25.6	16.0	4.8	0.1	46.9
Walsall	0.1	14.6	11.6	2.2	0.0	28.4
Warwickshire	0.3	22.2	16.8	5.4	0.1	44.7
Wolverhampton	0.1	11.6	10.8	1.6	0.0	24.0
Worcestershire	0.6	23.8	14.9	3.7	0.1	43.2
Total for West Midlands region	4.3	231.2	210.8	45.6	0.4	492.3
England	25.6	2,147.2	2,083.9	456.2	5.1	4,717.9

⁽²⁰⁾ Charged prescription items include those where a charge was made at the point of dispensing and where a patient has a pre-payment certificate.

Notes:

1. The analysis of the data for non-charged categories is based on a 1 in 20 sample of all exempt prescriptions submitted to the Prescription Pricing Authority by community pharmacists, appliance contractors, and dispensing doctors. Personally administered items are free of charge.

2. Antipsychotics are defined in the British National Formulary (BNF) paragraph 4.2.1, antipsychotic drugs. Atypical antipsychotics cover the drugs Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine contained within BNF 4.2.1.

12 Jun 2002 : Column 1337W

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