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HEALTH

Alcohol-related Emergencies

Mr. Rosindell: To ask the Secretary of State for Health how many (a) binge drinking and (b) other alcohol-related emergency cases there were in hospitals in (a) England and (b) Romford and Havering in the last period for which figures are available. [219369]


 
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Dr. Ladyman: These data are held collectively by counts of finished admission episodes for in-patients for alcohol-related cases where the admission method was emergency. Figures for binge drinking are not held centrally.

The table shows data for finished admission episodes in England and Barking, Havering and Redbridge hospitals national health service trust, which operates in Romford and Havering.
Count of finished admission episodes (alcohol-related(16))—NHS hospitals in England 2003–04

Finished admission episodes
RF4Barking, Havering and Redbridge Hospitals NHS Trust563
England103,918


(16) ICD-10 codes = alcohol-related" as advised by NHS Information Authority clinical coding service. Counts include any of the records where the following listed codes are recorded in the primary or secondary field.
Primary diagnosis:
F10—Mental and behavioural disorders due to use of alcohol.
R78.0—Finding of alcohol in blood.
T51.0—Ethanol.
Secondary diagnosis:
F10—Mental and behavioural disorders due to use of alcohol.
R78.0—Finding of alcohol in blood.
X45—Alcohol poisoning and exposure to alcohol.
Y90—Evidence of alcohol involvement determined by alcohol level.
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. 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. As well as the primary diagnosis, there are up to 13 (six prior to 2002–03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
4. Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Source:
HES, Department of Health.




Ambulance Service

Chris Grayling: To ask the Secretary of State for Health what guidance he issues about the number of ambulances per head of population that should be on call at any one time. [219413]

Ms Rosie Winterton: No recent guidance has been issued about the number of ambulances per head of population that should be on call at any one time.

Each ambulance service should plan to provide appropriate resources to meet local demand. This may include resources in addition to ambulance provision, for example using community paramedics or emergency care practitioners.

The Ambulance improvement checklist" includes a section on information management, which refers for example to; matching supply and demand on an hourly
 
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basis by good use of information and establishing systems to analyse and predict demand and resulting capacity requirement throughout the trust on a dynamic basis. The checklist is intended as an aid to all national health service ambulance trusts and their staff to ensure that all possible steps are being taken to improve and streamline the care of patients presenting to emergency care, and is available on the Department's website at www.dh.gov.uk/assetRoot/04/05/07/60/04050760.pdf.

Aneurysm

Mr. George Osborne: To ask the Secretary of State for Health what plans he has to introduce an NHS national screening programme for aneurysm. [217954]

Miss Melanie Johnson: The United Kingdom national screening committee (NSC) is currently considering the feasibility of implementing a screening programme for
 
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abdominal aortic aneurysms, including the implications for the national health service. This follows a multi centre study funded by the Medical Research Council.

The NSC is expected to advise later in the year.

Cardiac Care (Essex)

Mr. Rosindell: To ask the Secretary of State for Health how many cardiac-related emergency cases have been treated in hospitals in Romford and Havering in each year since 1997. [219365]

Dr. Ladyman: A count of finished consultant episodes for in-patients for cardiac-related operations where the admission method was emergency at Barking, Havering and Redbridge Hospitals National Health Service Trust is shown in the table. The trust operates in Romford and Havering.

Counts do not include those elective patients who undergo an emergency treatment.
Count of finished consultant episodes for selected providers. Method of admission—emergency. Main operation—heart operations defined as OPCS-4 between K01 to K71. NHS Hospitals in England 1996–97 to 2003–04

RG4 Redbridge Healthcare NHS TrustRG7 Havering Healthcare NHS TrustRF4 Barking, Havering and Redbridge Hospitals NHS TrustTotal
1996–974874122
1997–984655100
1998–995262114
1999–20006540105
2000–01542074
2001–029797
2002–038282
2003–04208208




Notes:
1. A finished consultant episode is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
2. Figures are grossed for both coverage and missing/invalid clinical data, except for 2002–03 and 2003–04, which are not yet adjusted for shortfalls.
3. The main operation is the first recorded operation in the hospital episode statistics (HES) data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, eg time waited, but the figures for all operations count of episodes" give a more complete count of episodes with an operation.
Source:
HES, Department of Health.



CFS/ME

Mr. Luff: To ask the Secretary of State for Health what his most recent estimate is of the incidence of chronic fatigue syndrome/myalgic encephalomyelitis (a) in England and (b) in Worcestershire. [218902]

Dr. Ladyman: The Department does not hold the information requested on the incidence of chronic fatigue syndrome/myalgic encephalomyelitis.

Departmental Policies (Stourbridge)

Ms Shipley: To ask the Secretary of State for Health if he will set out, with statistical evidence relating as closely as possible to the Stourbridge constituency, the effects of changes to departmental policy since 1997 on the Stourbridge constituency. [219416]

Dr. Ladyman: The Government have put in place a programme of national health service investment and reform since 1997 to improve service delivery in all parts of the United Kingdom. There is significant evidence that these policies have yielded considerable benefits for the Stourbridge constituency.

For example:

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