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11 Dec 2002 : Column 386Wcontinued
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. 
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. 
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.
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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. 
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:
200001: #1.4 million
200102: #1.581 million
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; 
(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. 
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.
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|Number of hip replacements|
|Knee replacement||Hip replacement||Hip fracture|
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 180.2Phlebitis 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.
Hospital Episode Statistics (HES), Department of Health
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. 
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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. 
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; 
|Warrington hospital||Halton general hospital|
ICD10 Codes Diabetes Problems E10-E14, P70, 024, E23, R73.
ICD10 Codes Respiratory Problems J00-J99.
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.
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.
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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.
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.
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