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Hospital Treatment Records

Mr. Jon Owen Jones: To ask the Secretary of State for Health how many patients who are Welsh residents have been treated in English hospitals in each of the last five years for which records are available; and if he will list (a) the top 10 procedures carried out on such patients and (b) the numbers of each procedure carried out. [117280]

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Mr. Hutton [holding answer 9 June 2003]: The data are shown in the tables.

The figures given for Finished In-Year Admissions should be used to replace those that I gave my hon. Friend the Member for Bridgend (Win Griffiths) on 3 June 2003, Official Report, column 20, which contained a definitional error and did not take account of improved methodology in compiling the data. I have written to my hon. Friend to apologise for the inadvertent error.

Finished in-year admissions

	Number of admissions
1997–98	38,806
1998–99	39,490
1999–2000	40,694
2000–01	41,221
2001–02	40,983

Note:

A finished in-year admission is that first episode of care in one health care provider, starting in the April to March period indicated.

Source:

Hospital Episode Statistics (HES), Department of Health

Most common operation procedures for Welsh residents by year from 1997–98 to 2001–02

Operation code	Operation description	1997–98	1998–99	1999–2000	2000–01	2001–02
K45	Transluminal Balloon Angioplasty of Coronary Artery	—	—	—	—	260
G45	Total Prosthetic Replacement of Hip Joint Using Cement	240	257	249	347	375
H22	Surgical Removal of Tooth	284	325	286	317	—
C79	Prosthesis of Lens	522	503	487	768	649
H25	Operations on Vitreous Body	293	323	259	—	—
X29	Extracapsular Extraction of Lens	—	—	—	—	267
W37	Diagnostic Fibreoptic Endoscopic Exam/Upper Gastrointestine	858	852	977	976	655
M45	Diagnostic Endoscopic Examination of Colon	279	258	284	273	—
C75	Diagnostic Endoscopic Examination of Bladder	612	563	591	663	662
C71	Diag.Endo. Exam/Lower Bowel Using Fibreoptic Sigmoidoscopy	255	372	433	499	383
K49	Contrast Radiology of Heart	853	1,023	1,282	1,517	1,517
F09	Continuous Infusion of Therapeutic Substance	444	746	834	851	1,063
K63	Connection of Thoracic Artery to Coronary Artery	—	—	—	285	289
Totals per year		4,640	5,222	5,682	6,496	6,120

Note:

Where figures are not shown for a procedure, this procedure did not rank in the top ten for that year

Source:

Hospital Episode Statistics (HES), Department of Health

Human Fertilisation and Embryology Authority

Mr. David Stewart: To ask the Secretary of State for Health (1) when the sixth edition of the Human Fertilisation and Embryology Authority's Code of Practice will be implemented; [119964]

(2) how many responses have been received by the Human Fertilisation and Embryology Authority on their current code of practice. [119966]

Miss Melanie Johnson [holding answer 17 June 2003]: Consultation on the sixth edition of the Human Fertilisation and Embryology Authority (HFEA) code of practice will close on 8 August 2003. The HFEA hopes to publish the new edition for implementation by clinics in the autumn.

The current code of practice was published in June 2001. The HFEA consulted stakeholders in clinics and professional bodies on the content of the code prior to publication.

Mr. David Stewart: To ask the Secretary of State for Health how many patients have been (a) interviewed and (b) visited by the Human Fertilisation and Embryology Authority in each of the last four years. [119965]

Miss Melanie Johnson [holding answer 17 June 2003]: The Human Fertilisation and Embryology Authority does not collect statistics on the number of patients it interviews.

Mental Health (Cornwall)

Matthew Taylor: To ask the Secretary of State for Health how much money has been spent on mental health services in Cornwall in each of the last 10 years. [119392]

Miss Melanie Johnson: Data on mental illness expenditure for primary care is not available. The table shows expenditure by the Cornwall and Isles of Scilly

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health authority area for secondary care mental health services commissioned from 1996–97 to 2001–02. Information on health authority expenditure before 1996–97 was not collected in the same format.

Expenditure on mental illness£000

	Cornwall and Isles of Scilly area
2001–02	39,569
2000–01	33,966
1999–2000	26,647
1998–99	27,260
1997–98	24,519
1996–97	25,894

Primary Care Trusts

Andy Burnham: To ask the Secretary of State for Health what the cumulative net surplus or deficit from target was for each primary care trust in (a) 2003–04, (b) 2004–05 and (c) 2005–06. [117937]

Mr. Hutton: Primary care trusts do not have a target related to a cumulative net surplus or deficit.

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Private Finance Initiative

Chris Grayling: To ask the Secretary of State for Health what his policy is on the use by NHS trusts of new funding approaches for the development of premises under public-private partnerships outside present PFI arrangements. [116895]

Mr. Hutton: The Private Finance Initiative continues to help deliver the biggest hospital building programme in the history of the national health service.

We will continue to keep other methods and models of funding for capital investment under review.

Pay Costs

Mr. Norman: To ask the Secretary of State for Health pursuant to his answer of 7 March 2003, Official Report, columns 1273–74W, on staff numbers, what the total pay costs incurred by the (a) Medical Devices Agency, (b) Meat Hygiene Service and (c) Medicines Control Agency were in each year since 1997. [113378]

Mr. Hutton: The information requested is shown in the table.

Total pay costs incurred from 1996–97 to 2002–03£000

Agency	1996–97	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03
Medical devices agency (MDA)	4,224	4,394	4,610	4,688	4,752	5,086	(7)5,482
Meat hygiene service (MHS)	28,932	33,909	39,583	39,603	38,525	42,108	(8)44,765
Medicines control agency (MCA)	12,512	14,700	16,714	17,885	18,299	20,094	(9)21,856

⁽⁷⁾ Data from management accounts.

⁽⁸⁾ Subject to audit by the National Audit Office.

⁽⁹⁾ An estimate based on the unaudited management accounts and thus subject to change.

Post-cardiac Rehabilitation

Chris Grayling: To ask the Secretary of State for Health what provision is made in national service frameworks for post-cardiac rehabilitation. [119051]

Miss Melanie Johnson: Provision for cardiac rehabilitation is addressed in standard 12 of the national service framework for coronary heart disease. This states that,

"NHS Trusts should put in place agreed protocols/systems of care so that, prior to leaving hospital, people admitted to hospital suffering from coronary heart disease have been invited to participate in a multidisciplinary programme of secondary prevention and cardiac rehabilitation. The aim of the programme will be to reduce their risk of subsequent cardiac problems and to promote their return to a full and normal life".

LORD CHANCELLORS DEPARTMENT

Transsexuals

Mr. Ben Chapman: To ask the Parliamentary Secretary, Lord Chancellor's Department what plans the Lord Chancellor has to bring forward legislative proposals to ensure that transsexuals are accorded the same level of rights whether or not the end of the gender realignment process is clear. [118794]

Ms Rosie Winterton: The Government are committed to legislating as soon as possible to give transsexual people their Convention rights. We aim to publish a draft Bill later this Session with substantive legislation following when parliamentary time allows. The draft Bill will give legal recognition in their acquired gender to transsexual people who can demonstrate that they have taken decisive steps towards living fully and permanently in the gender acquired since they were registered at birth.

Changing legal identity is a serious step, with significant consequences. It is important that no one should embark upon formal recognition in the acquired gender without convincing evidence. We will therefore propose that applications should be scrutinised by an authorising body, given legal powers to assess medical evidence before the transsexual person is allowed to register in the new gender. In some cases, where the person undertook gender reassignment years earlier, and has lived successfully in the acquired gender, that assessment may be straightforward. In other cases, the authorising body will need to be assured that, in addition to meeting medical criteria, the transsexual person has lived successfully in the acquired gender for at least two years. The medical criteria may include medical treatments to modify the person's sexual characteristics, but the Government will not require

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surgery as a condition of registration in the acquired gender.

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