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15 Sept 2003 : Column 620W—continued
Hospital-acquired Infections
Paul Flynn: To ask the Secretary of State for Health what changes have taken place in the number of deaths from MRSA in each of the past nine years; and what changes in the number of deaths he expects to occur in the next three years. [129237]
Ruth Kelly: I have been asked to reply.
The information requested falls within the responsibility of the National Statistician. I have asked him to reply.
Letter from Colin Mowl to Paul Flynn, dated 15 September 2003:
- The National Statistician has been asked to reply to your recent question asking what changes have taken place in the number of deaths from MRSA in each of the past nine years; and what changes in the number of deaths are expected to occur in the next three years. I am replying in his absence. (129237)
- Information on deaths from MRSA is not routinely available but a recent research study published in the British Medical Journal identified the number of death certificates that mentioned MRSA as the underlying cause of death or as a contributory cause for the years 1993–1998. The table below gives figures from the study for these years.
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| Number of deaths | |
|---|---|
| 1993 | 47 |
| 1994 | 88 |
| 1995 | 187 |
| 1996 | 290 |
| 1997 | 377 |
| 1998 | 398 |
The Office for National Statistics is currently in the process of updating this study to cover the period 1999–2002. The results of this analysis will be published next year.
It is impossible to put a firm figure to the number of people who die from MRSA because people are often very sick with a number of other conditions so the contribution of MRSA to the outcome in any particular case is uncertain. In addition, the underlying cause of death is most often the disease or injury which led them to be admitted to hospital, rather than the MRSA which may have complicated the course of the illness.
It is not possible to predict what the figures will be for the next three years.
Learning Disability Services
Mr. Oaten: To ask the Secretary of State for Health what the net expenditure was on learning disability by the national health service in each year since 1997–98. [126928]
Dr. Ladyman: The gross expenditure in the hospital and community health servicesince 1997–98 is shown in the table.
| Expenditure on learning disability | |
|---|---|
| 1997–98 | 1,324 |
| 1998–99 | 1,365 |
| 1999–2000 | 1,421 |
| 2000–01 | 1,486 |
It is not possible to exclude charges and receipts from the figures to produce a net expenditure figure. It is also not possible to determine the amount of primary care expenditure that is purely learning disability.
Lymphoedema
Mr. Laurence Robertson: To ask the Secretary of State for Health if he will make a statement on the treatment of lymphoedema sufferers in (a) England and (b) Gloucestershire. [129028]
Ms Rosie Winterton [holding answer 11 September 2003]: The National Institute for Clinical Excellence (NICE) has issued guidance on the use of drugs for non-Hodgkin's lymphoma and chronic myeloid leukaemia, but not on non-cancer related lymphoedema.
NICE has recently updated the "Improving Outcomes in Breast Cancer Guidance", and that guidance made some recommendations about lymphoedema. These include that cancer networks should agree guidelines for identification and management of lymphoedema and that a lymphoedema service, staffed by nurses and physiotherapists who have experience in dealing with this problem, should be available for all patients who experience arm swelling or discomfort.
15 Sept 2003 : Column 622W
In Gloucestershire, lymphoedema patients can access support from their general practitioner practice and community nursing staff. Lymphoedema patients with cancer can also access support from a practice-based dedicated specialist nurse.
Medicines and Health Care Products Agency
Mr. Oaten: To ask the Secretary of State for Health if he will list the consultants and their projects being used by the Medicines and Health Care Products Agency. [R] [128594]
Miss Melanie Johnson [holding answer 8 September 2003]: Consultants currently being used by the Medicines and Healthcare products Regulatory Agency and the projects they are being used on are as follows:
- Accenture—Design and build of IT applications.
Accenture—General Practice Research Database (GPRD) Accelerator Project.
Charles Mackenzie—Enhancements to website applications.
Hay Group—Design of Personal Development and Performance Management System.
Oxford Group—Delivery of Management and Leadership Training programme.
RedAnt Design—General Practice Research Database (GPRD) marketing and customer interface.
TK Consultancy—Design and build of medicines enforcement case investigation system.
Turner and Townsend—Post-merger co-location project.
Unipart Advanced Learning systems—enhancements to device adverse incidents tracking system.
Winton Nightingale—Management of staff restaurant contract.
Miss Melanie Johnson [holding answer 8 September 2003]: Professor Kent Woods, who has been appointed Chief Executive of the Medicines and Healthcare products Regulatory Agency (MHRA), will take up the appointment on 1 January 2004.
Waiting Lists/Times Trust
Mr. Burns: To ask the Secretary of State for Health how many people had been waiting for inpatient treatment in the Mid Essex Hospital Services Trust area in each of the last three months for which figures are available. [128871]
Dr. Ladyman: The number of patients waiting for elective in-patient admission at Mid Essex Hospital Services National Health Service Trust was 8,710 at the end of May 2003, 8,414 at the end of June 2003 and 8,299 at the end of July 2003.
- Source:
- Department of Health form KH07.
Mr. Burns: To ask the Secretary of State for Health how many people had been waiting 13 weeks or more for an outpatient appointment in the Mid Essex Hospital Services Trust area in the last two available quarters. [128872]
15 Sept 2003 : Column 623W
Dr. Ladyman: The number of patients still waiting for a first consultant out-patient appointment following general practitioner written referral at Mid Essex Hospital Services National Health Service Trust was 450 at quarter 4 2002–03 and 578 at quarter 1 2003–04.
- Source:
- Department of Health form QM80.
NHS Dentistry
Mr. Hepburn: To ask the Secretary of State for Health (1) how many NHS dental practices there were in (a) Jarrow constituency, (b) South Tyneside, (c) Tyne & Wear, (d) the North East and (e) the UK (i) in 1980, (ii) in 1990, (iii) in 2000 and (iv) on the latest dates for which figures are available. [128889]
15 Sept 2003 : Column 624W
- (2) many dental practices there were in (a) Jarrow constituency, (b) South Tyneside, (c) Tyne and Wear, (d) the North East and (e) UK (i) in 1980, (ii) in 1990, (iii) in 2000 and (iv) on the latest date for which figures are available. [128897]
Ms Rosie Winterton: The table gives the requested information for the number of general dental service (GDS) practices. The information is available from 1991. Information is given for 1995, 1996 and 2002 because of the changes in health administration areas.
No information is available currently on the number of totally private dental practices. The Office of Fair Trading Report, The private dentistry market in the U.K. states that about 210 practices are totally private (para 3.30).
| 1991 | 1995 | 1996(39) | 2000 | 2002 | 2003(40) | |
|---|---|---|---|---|---|---|
| England | 8,390 | 8,269 | 8,298 | 8,474 | 8,497 | 8,596 |
| Northern Region | 1,136 | 1,099 | — | — | — | — |
| Gateshead | 36 | 35 | — | — | — | — |
| Newcastle | 68 | 61 | — | — | — | — |
| North Tyneside | 33 | 30 | — | — | — | — |
| South Tyneside | 23 | 22 | — | — | — | — |
| Sunderland | 35 | 33 | — | — | — | — |
| Northern and Yorkshire Region | — | — | 2,201 | 2,176 | 2,149 | — |
| Gateshead and South Tyneside HA | — | — | 58 | 58 | 57 | — |
| Newcastle and North Tyneside HA | — | — | 89 | 95 | 93 | — |
| Sunderland HA | — | — | 33 | 32 | 33 | — |
| Northumberland, Tyne and Wear SHA | — | — | — | — | — | 230 |
| Gateshead PCT | — | — | — | — | — | 32 |
| Newcastle PCT | — | — | — | — | — | 61 |
| North Tyneside PCT | — | — | — | — | — | 28 |
| South Tyneside PCT | — | — | — | — | — | 23 |
| Sunderland Teaching PCT | — | — | — | — | — | 36 |
| Jarrow Constituency(41) | 12(42) | 11 | 12 | 12 | 12 | 11 |
(39) Following the move from Family Health Service Authority (FHSAs) to Health Authority (HAs) in 1996, results are available by HA rather than by FHSA.
(40) Following the move from Health Authority (HAs) to Primary Care Trusts (PCTs) in 2001, results are available by Stategic Health Authority (SHA) and PCT rather than by region and HA.
(41) Constituency defined by current boundaries
(42) 1990 figure.
Source:
Dental Practice Board
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