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21 May 2004 : Column 1260W—continued

Health Service

Mr. Benton: To ask the Secretary of State for Health how many and what percentage of women in Bootle with suspected breast cancer saw a specialist within two weeks in each of the last five years. [171481]

Miss Melanie Johnson: The information requested is not collected on a constituency basis. The information in the table relates to national health service organisations serving the Bootle constituency.
 
21 May 2004 : Column 1261W
 

Waiting times for patients referred urgently by their GP with suspected breast cancer to 1st outpatient appointment: NHS Trusts in Crosby

	Quarter	NHS Trust	Percentage of patients seen in two weeks	Total patients seen	Patients seen in two weeks
1999–2000	1	Aintree Hospitals NHS Trust	76.2	101	77
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	80.4	97	78
1999–2000	2	Aintree Hospitals NHS Trust	88.2	102	90
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	100.0	166	166
1999–2000	3	Aintree Hospitals NHS Trust	95.0	120	114
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.5	210	209
1999–2000	4	Aintree Hospitals NHS Trust	100.0	118	118
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.5	209	208
2000–01	1	Aintree Hospitals NHS Trust	98.0	102	100
		Royal Liverpool Children's NHS Trust	92.6	190	176
2000–01	2	Aintree Hospitals NHS Trust	100.0	155	155
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	100.0	295	295
2000–01	3	Aintree Hospitals NHS Trust	100.0	155	155
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	100.0	270	270
2000–01	4	Aintree Hospitals NHS Trust	100.0	143	143
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	96.8	250	242
2001–02	1	Aintree Hospitals NHS Trust	99.4	157	156
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	98.2	276	271
2001–02	2	Aintree Hospitals NHS Trust	100.0	175	175
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	92.2	258	238
2001–02	3	Aintree Hospitals NHS Trust	100.0	225	225
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	84.7	320	271
2001–02	4	Aintree Hospitals NHS Trust	100.0	198	198
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	98.4	319	314
2002–03	1	Aintree Hospitals NHS Trust	100.0	234	234
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.0	307	304
2002–03	2	Aintree Hospitals NHS Trust	99.1	223	221
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.6	272	271
2002–03	3	Aintree Hospitals NHS Trust	99.6	255	254
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	96.7	391	378
2002–03	4	Aintree Hospitals NHS Trust	100.0	229	229
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	98.9	285	282
2003–04	1	Aintree Hospitals NHS Trust	100.0	221	221
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.4	320	318
2003–04	2	Aintree Hospitals NHS Trust	100.0	265	265
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	99.7	373	372
2003–04	3	Aintree Hospitals NHS Trust	100.0	271	271
		Royal Liverpool & Broadgreen University Hospitals NHS Trust	100.0	374	374

Source:
DH form QMCW.





 
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Mr. Borrow: To ask the Secretary of State for Health if he will make a statement on the levels of elective admission to the NHS in South Ribble in the past five years. [171269]

Miss Melanie Johnson: The information requested is shown in the table.
Count of in-year elective (waiting time, booked, planned) admissions—PCT of responsibility5F5 Chorley and South Ribble Primary Care Trust—NHS Hospitals, England 1998–99 to 2002–03. Excluding regular attenders.

PCT of responsibility	5F2 Chorley and South Ribble
1998–99	30,440
1999–2000	32,827
2000–01	34,386
2001–02	24,687
2002–03	32,671

Notes:
1.   An in-year admission is the first period of in-patient care under one consultant within one health care provider, excluding admissions beginning before 1 April at the start of the data year. Periods of care on-going at the end of the data year (unfinished admission episodes) are included. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
2.   Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
3.   PCT and strategic health authority (SHA) data was added to historic data-years in the HES database using 2002–03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of Treatment and SHA of Treatment is poor in 1996–97, 1997–98 and 1998–99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner practice and SHA of GP practice in 1997–98 and 1998–99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
Source:
Hospital Episode Statistics (HES), Department of Health.

Tony Cunningham: To ask the Secretary of State for Health how many rapid access chest pain clinics there are in Workington constituency. [170713]

 
21 May 2004 : Column 1264W
 

Miss Melanie Johnson: There are no rapid access chest pain clinics based in Workington. However, there is a clinic in Whitehaven.

Health Tourism

Mr. Yeo: To ask the Secretary of State for Health   what assessment his Department has made of the scale of health tourism; and if he will make a statement. [160665]

Mr. Hutton: The national health service has never been required to provide statistics on the number of overseas visitors treated under the provisions of the National Health Service (Charges to Overseas Visitors) Regulations 1989. It is therefore not possible to give a definitive assessment of the scale of this matter. Nevertheless, NHS staff operating the charging regime have told us that there are significant issues in some areas, which we are taking action to deal with. We are taking forward a study of 12 NHS trusts across England, the results of which will, over time, help to give us a better understanding of the level of inappropriate use of the NHS by overseas visitors.

In addition, on 14 May I launched a public consultation on proposals to exclude overseas visitors from eligibility for free NHS primary medical services. We are also commissioning a study of the use of these services by overseas visitors which will inform our consideration of the responses to the consultation.

Heart Bypass Operations

Mr. Burstow: To ask the Secretary of State for Health how many heart bypass operations there were per million population in (a) England and (b) each strategic health authority in each year since 1997. [172700]

Miss Melanie Johnson: The information requested is shown in the table.

Heart bypass operations have increased in number over the past six years. However, angioplasty is increasingly being used to treat patients who would have undergone bypass surgery in the past and the procedures performed in national health service hospitals in England have increased from 17,291 in 1997–98 to 34,986 in 2002–03.
 
21 May 2004 : Column 1265W
 

All operations (ICD-10 K40-K46) Coronary Artery Bypass Grafts (CABGs). Count of Finished Consultant Episodes by Strategic Health Authority (SHA) of Residence. NHS Hospitals, England 1997–98 to 2002–03

SHA of Residence		1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03
Q01	Norfolk, Suffolk and Cambridgeshire HA	976	1,148	1,111	1,015	1,040	1,134
Q02	Bedfordshire and Hertfordshire HA	928	728	624	721	849	728
Q03	Essex HA	475	600	552	752	580	638
Q04	North West London HA	940	921	852	929	824	852
Q05	North Central London HA	397	415	410	357	417	405
Q06	North East London HA	496	575	528	698	616	591
Q07	South East London HA	586	620	506	460	500	517
Q08	South West London HA	447	446	476	501	593	566
Q09	Northumberland, Tyne and Wear HA	844	867	825	837	912	772
Q10	County Durham and Tees Valley HA	842	875	732	751	650	772
Q11	North and East Yorkshire and Northern Lincolnshire HA	417	874	868	878	844	1,070
Q12	West Yorkshire HA	975	1,108	916	977	1,097	998
Q13	Cumbria and Lancashire HA	1,137	1,158	1,045	1,179	1,232	1,437
Q14	Greater Manchester HA	1,050	1,160	1,185	1,301	1,395	1,515
Q15	Cheshire and Merseyside HA	996	1,018	1,084	1,104	1,137	1,421
Q16	Thames Valley HA	641	801	819	793	916	931
Q17	Hampshire and Isle of Wight HA	623	752	749	947	852	769
Q18	Kent and Medway HA	702	738	702	674	739	707
Q19	Surrey and Sussex HA	1,057	974	1,211	1,194	1,191	1,141
Q20	Avon, Gloucestershire and Wiltshire HA	829	1,012	1,117	1,048	1,073	940
Q21	South West Peninsula HA	660	795	941	987	1,061	918
Q22	Dorset and Somerset HA	586	656	592	568	502	494
Q23	South Yorkshire HA	518	523	630	632	639	769
Q24	Trent HA	652	1,044	1,039	1,088	1,025	1,124
Q25	Leicestershire, Northamptonshire and Rutland HA	626	690	625	560	615	588
Q26	Shropshire and Staffordshire HA	585	633	645	801	736	825
Q27	Birmingham and The Black Country HA	1,153	1,095	1,030	1,132	983	1,226
Q28	Coventry, Warwickshire, Herefordshire and Worcestershire HA	669	717	682	716	643	686
U	England Not Otherwise Specified	—	2	—	4	2	6
	England	20,807	22,945	22,496	23,604	23,663	24,540

Notes:
1. A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
2. Figures have not been adjusted for shortfalls in data (ie the data are ungrossed).
3. All operations count of episodes—these figures represent a count of all FCE's where the procedure was mentioned in any of the 12 (four prior to 2002–03) operation fields in a HES record. A record is only included once in each count, even if an operation is mentioned in more than one operation field of the record. Population figures are not available so only operation counts can be provided.
4. Strategic Health Authority (SHA) Data Quality—SHA data were added to historic data-years in the HES database using 2002–03 boundaries, as a one-off exercise in 2004. The quality of the data on SHA of treatment is poor in 1998–99, with over a third of all finished episodes having missing values in these years. Users of time series analysis including 1998–99 need to be aware of these issues in their interpretation of the data.
Source:
Hospital Episode Statistics (HES), Department of Health.

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