House of Commons Hansard Written Answers for 21 Feb 2005 (pt 35)

21 Feb 2005 : Column 128W—continued

Warships

Mr. Soames: To ask the Secretary of State for Defencewhat he expects the average age by 2009 of the Royal Navy's (a) frigate fleet and (b) destroyer fleet tobe. [216107]

Mr. Ingram: By 2009 the average age of a Royal Navy frigate will be around 15 years and of a destroyer around 25 years.

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Mr. Soames: To ask the Secretary of State for Defencehow many new (a) frigates and (b) destroyers will be delivered to the Royal Navy between 2005 and 2009. [216110]

Mr. Ingram: The first of class type 45 destroyer, HMS Daring, is planned to enter service in 2009. There are no plans to deliver any new Royal Navy frigates or destroyers before then.

HEALTH

Abortion

Jim Dobbin: To ask the Secretary of State for Health what plans he has to extend section 1(3a) of the Abortion Act 1967 to allow women to have abortions at home. [215176]

Miss Melanie Johnson: All abortions in England are currently carried out in a national health service hospital or an approved independent sector place. There are no current plans to change this.

Accident and Emergency Services

Mr. Flight: To ask the Secretary of State for Health what assessment he has made of the impact of the introduction of (a) the new general practitioner contract and (b) the four-hour waiting time target for accident and emergency attendances on the demand for accident and emergency services. [215137]

Ms Rosie Winterton: The available evidence shows no relationship between the new general practitioner contract and demand for accident and emergency (Aand E) services. Rising demand for emergency care is a trend that long predates this change or the four hour A and E target.

Factors involved in recent reported rises in demand include the better range of services now available, together with the improved reporting and increased patient satisfaction that the progress in cutting A and E waits has delivered.

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Mr. Michael Foster: To ask the Secretary of State for Health how many patients have been treated in accident and emergency departments in hospitals in Worcestershire in each year since 1997; and if he will make a statement. [215001]

Dr. Ladyman: Data were not collected centrally on an individual trust basis prior to 2000–01. The table shows the number of first attendances, follow up attendances and total attendances for the Worcestershire Acute Hospitals National Health Service Trust from 2000–01 up to and including the second quarter of 2004–05.

First attendances Follow up attendances Total attendances

2000–01⁽³⁸⁾ 115,644 6,702 122,346

2001–02⁽³⁸⁾ 114,966 7,302 122,268

2002–03⁽³⁹⁾ 116,366 7,556 123,922

2003–04⁽³⁹⁾ 120,407 7,406 127,813

2004–05 quarters 1 and 2⁽³⁹⁾ 66,892 2,006 68,898

Note:
The figures include attendances at major accident and emergency departments and minor injuries units. The figures include all type1 (major A and E), 2 or 3 (which include minor injuries units and walk-in-centres) A and E services that a trust provides.
Sources:
⁽³⁸⁾Department of Health form KH09.
⁽³⁹⁾Department of Health dataset QMAE.

	First attendances	Follow up attendances	Total attendances
2000–01⁽³⁸⁾	115,644	6,702	122,346
2001–02⁽³⁸⁾	114,966	7,302	122,268
2002–03⁽³⁹⁾	116,366	7,556	123,922
2003–04⁽³⁹⁾	120,407	7,406	127,813
2004–05 quarters 1 and 2⁽³⁹⁾	66,892	2,006	68,898

Mr. Chidgey: To ask the Secretary of State for Healthwhat plans he has to relocate the accident and emergency department at the Royal County Hospital, Winchester. [214573]

Ms Rosie Winterton [holding answer 9 February 2005]: In line with our policy of Shifting the Balance of Power, decisions about the configuration of local health services are made locally by primary care trusts in partnership with strategic health authorities and other local stakeholders. This process provides the means for addressing local needs within the health community, including the provision of accident and emergency services.

Mr. Flook: To ask the Secretary of State for Health how many people in (a) Taunton and (b) Somerset used accident and emergency services in each of the last five years. [214475]

Ms Rosie Winterton: The information requested is shown in the table.
Attendances at accident and emergency departments, minor injury units and walk in centres, national health service organisations in England, 2000–01 to quarter 2 (Q2) 2004–05

Up to Q2 2004–05 2003–04 2002–03 2001–02 2000–01

RA4 East Somerset NHS Trust 19,941 39,884 39,784 39,379 37,813

5FX Mendip PCT 13,780 23,046 4,690 19,449 —

5FW Somerset Coast PCT 15,324 28,801 — — —

5K1 South Somerset PCT 1,092 1,834 867 — —

RBA Taunton and Somerset NHS Trust 24,155 44,994 74,946 76,024 73,632

5FL Bath and North East Somerset PCT 16,289 28,383 14,473 13,850 —

5M8 North Somerset PCT 4,681 9,374 — — —

Total 99,578 183,292 145,189 158,437 111,445

Source:
Department of Health dataset QMAE/KH09.

		Up to Q2 2004–05	2003–04	2002–03	2001–02	2000–01
RA4	East Somerset NHS Trust	19,941	39,884	39,784	39,379	37,813
5FX	Mendip PCT	13,780	23,046	4,690	19,449	—
5FW	Somerset Coast PCT	15,324	28,801	—	—	—
5K1	South Somerset PCT	1,092	1,834	867	—	—
RBA	Taunton and Somerset NHS Trust	24,155	44,994	74,946	76,024	73,632
5FL	Bath and North East Somerset PCT	16,289	28,383	14,473	13,850	—
5M8	North Somerset PCT	4,681	9,374	—	—	—
Total		99,578	183,292	145,189	158,437	111,445

Alcohol Misuse

Sandra Gidley: To ask the Secretary of State for Health what assessment he has made of the incidence of alcohol-related problems in the under 60s. [214933]

Miss Melanie Johnson: The alcohol harm reduction strategy for England takes a cross Government approach to reducing harm caused by alcohol. Data is listed from hospital episode statistics where the primary diagnosis or cause code shows incidence of alcohol-

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related problems available specifically for the age range 'under 60s'.
Counts of finished in-year admissions where there was a primary diagnosis code or cause code for selected alcohol related diseases. Age at admission up to 60 years—national health service hospitals, England 2003–04

Primary diagnosis Admissions

F10.0—Acute intoxication 8,937

F10.1—Harmful use 2,012

F10.2—Dependence syndrome 8,946

F10.3—Withdrawal state 6,023

F10.4—Withdrawal state with delirium 858

F10.5—Psychotic disorder 370

F10.6—Amnesic syndrome 142

F10.7—Residual and late-onset psychotic disorder 52

F10.8—Other mental and behavioural disorders 52

F10.9—Unspecified mental and behavioural disorders 506

K70—Alcoholic liver disease 9,543

T51—Toxic effect of alcohol 1,424

Cause code

X45—Accidental poisoning by and exposure to alcohol —

Notes:
1.Finished in-year admissions—A finished in-year admission is the first period of in-patient care under one consultant within one healthcare provider, excluding admissions beginning before 1 April at the start of the datayear. 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.Diagnosis (primary diagnosis)—The primary diagnosis is the first of up to 14 (seven prior to 2002–03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.
3.Cause code—The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects.
4.Ungrossed data—Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Source:
Hospital Episode Statistics (HES), Department of Health

Primary diagnosis	Admissions
F10.0—Acute intoxication	8,937
F10.1—Harmful use	2,012
F10.2—Dependence syndrome	8,946
F10.3—Withdrawal state	6,023
F10.4—Withdrawal state with delirium	858
F10.5—Psychotic disorder	370
F10.6—Amnesic syndrome	142
F10.7—Residual and late-onset psychotic disorder	52
F10.8—Other mental and behavioural disorders	52
F10.9—Unspecified mental and behavioural disorders	506
K70—Alcoholic liver disease	9,543
T51—Toxic effect of alcohol	1,424

Cause code
X45—Accidental poisoning by and exposure to alcohol	—

Alzheimer's Disease

Dr. Gibson: To ask the Secretary of State for Health (1) if he will make a statement on the availability, in advance of the outcome of the appraisal by the National Institute for Clinical Excellence, of Ebixa on the NHS for advanced Alzheimer's disease; [214529]

(2) what guidance he has issued to (a) primary care trusts and (b) other funding organisations regarding the availability, in advance of the outcome of the appraisal by the National Institute for Clinical Excellence, of Ebixa on the NHS for advanced Alzheimer's disease; and if he will make a statement; [214530]

(3) what representations he has received regarding the availability of Ebixa for advanced Alzheimer's disease; and if he will make a statement. [214531]

Ms Rosie Winterton: National Institute for Clinical Excellence (NICE) Appraisal Guidance No. 19, relating to the use of Donepezil, Rivastigmine, and Galantamine for the treatment of patients with mild to moderate

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Alzheimer's disease, was issued in January 2001. This guidance is currently under review, and the revised version due for publication in July 2005 will include an assessment of Memantine Hydrochloride (Ebixa).

I have received a number of representations on the availability of Ebixa since the product received its license.

In August 1999, the Department issued Health Service Circular 1999/176, which asks national health service bodies to continue with local arrangements for the managed introduction of new technologies where guidance from NICE is not published at the time the technology first becomes available in the United Kingdom. These arrangements should involve an assessment of the available evidence.

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