---

11 Dec 2002 : Column 386W—continued

Correspondence

Mr. Burns: To ask the Secretary of State for Health when he will reply to the letter from the hon. Member for West Chelmsford of 8 August, reference PO1014287; and if he will make a statement on the reasons for the delay in replying. [84007]

Mr. Lammy [holding answer 2 December 2002]: A reply was sent to the hon. Member on 9 December.

Mr. Lloyd: To ask the Secretary of State for Health when his Department intends to reply to the letters from the hon. Member for Manchester, Central of 24 September regarding Miss AL, reference PO1016982, and of 10 September regarding Mr. DS, reference PO1016009. [85238]

Jacqui Smith [holding answer 5 December 2002]: Replies to my hon. Friend's correspondence concerning his constituents, Mrs. A Leslie and Mr. Steven, were sent on 25 November and 9 December respectively.

Deaf Children (Mental Health)

Mr. Paul Marsden: To ask the Secretary of State for Health how much was spent on mental health services

11 Dec 2002 : Column 387W

for deaf children in each year since 1997; and if he will make a statement on his Department's strategy for mental health services for deaf children. [86159]

Jacqui Smith: The mental health in-patient service for deaf children, adolescents and their families was dedicated as a national specialist service in April 1998 and has received departmental funding as follows:

1998–99: #640,000


1999–2000: #820,000


2000–01: #1.4 million


2001–02: #1.581 million

Details are also available on expenditure on the designated out-patient service for children and adolescents, the deaf child and family services provided by the South West London and St. George's Mental Health National Health Service Trust. This is shown in the following table. Information on spending on other services for deaf children, in other localities, is not collected centrally.

Deaf Child and Family Services—Out-patient South West London and St. George's Mental Health NHS Trust

	Total
1997–98
Child	323,763
Family	50,525
1998–99
Child	375,406
Family	38,732
1999–2000
Child	452,341
Family	24,696
2000–01
Child	429,684
Family	19,900

Deep Vein Thrombosis

Mr. John Smith: To ask the Secretary of State for Health (1) how many NHS patients treated for (a) a hip replacement, (b) a knee replacement and (c) a hip fracture contracted a deep vein thrombosis in each of the last five years; [85613]

(2) how many orthopaedic departments in the NHS have venous thromboembolism prevention protocols; [85612]

(3) how many (a) knee and (b) hip replacements were performed in the NHS in each of the last five years; and how many hip fractures were treated in the NHS in each of those years. [85618]

Mr. Hutton: The Department does not collect information centrally on prevention protocols for venal thromboembolism. Information is collected on the number of hip replacements, hip fractures, hip and knee operations where deep vein thrombosis was recorded and cases where hip fractures and deep vein thrombosis were recorded in the same episode.

The following tables show the information recorded on each of these in the last five years by national health service hospitals in England.

11 Dec 2002 : Column 388W

Finished consultant episodes (FCEs) where a hip replacement operation was recorded in NHS hospitals, England

	Number of hip replacements
1996–97	64,505
1997–98	62,257
1998–99	68,726
1999–2000	69,600
2000–01	73,444

FCEs where hip fracture was the main diagnosis in NHS hospitals, England

	Number
1996–97	62,194
1997–98	63,824
1998–99	64,967
1999–2000	66,321
2000–01	68,693

FCEs where Deep Vein Thrombosis was recorded in NHS hospitals, England

	Knee replacement	Hip replacement	Hip fracture
1996–97	280	316	355
1997–98	275	304	397
1998–99	317	350	384
1999–2000	354	327	406
2000–01	407	315	413

Notes:

1. The count is restricted to patients who were actually diagnosed with DVT within the same episode as if DVT developed after the patient had left the hospital, this will not show up in the record.

2. ICD-10 (diagnosis) code 180.2—Phlebitis and thrombophlebitis of other deep vessels of lower extremities.

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

4. A 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.

5. Data in these tables are grossed for both coverage and unknown/invalid clinical data.

Source:

Hospital Episode Statistics (HES), Department of Health

Delayed Admissions

Chris Grayling: To ask the Secretary of State for Health how many delayed admissions from ambulances to accident and emergency departments there were, in each ambulance trust in each of the past five years. [85763]

Mr. Lammy: The information requested is not available centrally.

Delayed Discharges

Mr. Burstow: To ask the Secretary of State for Health from where within the NHS budget the extra #100 million for social services budgets for tackling delayed discharge will come. [85231]

Jacqui Smith [holding answer 4 December 2002]: The funding will come from within the extra resources announced for the national health service as part of Spending Review 2002.

11 Dec 2002 : Column 389W

Mr. Burstow: To ask the Secretary of State for Health if his Department will provide a breakdown on the other reasons for the national and regional summaries of delayed discharge as referred to in Annex A of the reasons and numbers of delayed discharges. [85708]

Jacqui Smith: All the available information on delayed discharges for June 2002 is available in the Library. There is no further breakdown of the Xother" category.

Diabetes

Helen Jones: To ask the Secretary of State for Health (1) what facilities there are in each hospital in the North Cheshire hospitals trust for the treatment of diabetes; how many dedicated beds there are; and (a) how many beds and (b) what outpatient facilities will be available in each hospital under the plan XA vision for future services" drawn up by the trust; [85430]

(2) how many admissions there were to each hospital in the North Cheshire hospitals trust for (a) respiratory problems and (b) diabetes in each of the past five years. [85429]

Jacqui Smith [holding answer 5 December 2002]: The figures for hospital admissions are shown in the table.

Admissions, primary diagnosis as specified

	Warrington hospital	Halton general hospital
Diabetes
1996–97	561	67
1997–98	441	64
1998–99	773	75
1999–2000	781	62
2000–01	700	62
Respiratory
1996–97	2,735	791
1997–98	3,012	876
1998–99	3,373	968
1999–2000	2,985	1,005
2000–01	3,216	851

Notes:

ICD10 Codes Diabetes Problems E10-E14, P70, 024, E23, R73.

ICD10 Codes Respiratory Problems J00-J99.

Ungrossed data.

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

Source:

Hospital Episode Statistics (HES), Department of Health.

Warrington hospital currently has 244 acute medical beds including five coronary care, seven medical day beds and 21 transitional care beds. There are no dedicated diabetes beds, since diabetes patients can be admitted to any general medical bed. There are 28 respiratory care beds, although patients can be admitted to any general medical bed for respiratory care.

Halton hospital currently has 152 general medical beds. There are 28 respiratory and general medical beds on one ward, which take a mixture of respiratory and general medicine patients. Respiratory patients can be admitted to any of the general medical beds. There are no dedicated diabetes beds because diabetes patients can be admitted to any of the general medical beds.

11 Dec 2002 : Column 390W

There are outpatient clinics for diabetes at Warrington hospital four times a week, plus a foot clinic with podiatry support on alternate weeks. All diabetes clinics have specialist nurse input. There is no dedicated space for diabetes in outpatients; shared facilities are in use in the main outpatients department. There is an assessment area with an office and assessment room that is shared with the rehabilitation team, which is used by the specialist nurses for patient interviews and education sessions.

There are four diabetes clinics on the Halton site and an alternate weekly high-risk foot clinic with podiatry support. All diabetes clinics have specialist nurse input. There is no dedicated diabetes space in outpatients; shared facilities are in use in the main outpatients department.

The specialist nurses share an office that is used for patient interviews and education sessions.

There is no change in bed numbers for diabetes patients under the plan XA vision for future services". The plan does, however, identify the need for dedicated outpatient facilities on both sites, with improved facilities for patient consultation, education and interviews.

---