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6 Apr 2005 : Column 1540W—continued
Alzheimer's Disease
Mr. Laxton: To ask the Secretary of State for Health if he will publish his directions to the National Institute for Clinical Excellence on determining the cost effectiveness of treatments; and if he will make a statement on the application of those directions to the evaluation of treatments for Alzheimer's disease. [224526]
Ms Rosie Winterton: All directions made under article 3 of the National Institute for Clinical Excellence (NICE) Establishment and Constitution Order 1999 and regulation 9 of the Order are available in the Library. None relate to evaluation of treatments of Alzheimer's disease.
Sandra Gidley: To ask the Secretary of State for Health if he will publish his Department's submission to the National Institute for Clinical Excellence review of treatment for Alzheimer's disease. [224731]
Ms Rosie Winterton: The Government's response to the National Institute for Health and Clinical Excellence consultation document, "Donepezil, Rivastigmine, Glanatamine and Memantine for the treatment of Alzheimer's Disease", was published on 22 March 2005 and is available in the Library and on Department's website at www.dh.gov.uk.
Cancelled Operations
Miss Kirkbride: To ask the Secretary of State for Health how many operations were cancelled at the Worcestershire NHS Trust hospital (a) for medical reasons and (b) because of a lack of beds in each year between 1997 and 2005. [224821]
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Dr. Ladyman: The information is not available in the format requested. The table shows cancelled operations for non clinical reasons at Worcestershire Acute Hospitals National Health Service Trust for the years 2001–02, 2002–03, 2003–04 and 2004–05 1 .
1 For the three quarters only to December of the financial year.
Notes:
1. Data prior to 2001–02 were only collected at health authority level. There is no breakdown by trust.
2. A last minute cancellation is one that occurs on the day the patient was due to arrive, after they have arrived in hospital or on the day of their operation. This includes patients who have not actually arrived in hospital and have been telephoned at home prior to their arrival.
3. Non-clinical reasons for cancellations by the hospital include: ward beds unavailable; surgeon unavailable; emergency case needing theatre; theatre list over-ran; equipment failure; admin. error; anaesthetist unavailable; theatre staff unavailable; and critical care bed unavailable. These examples are based on information from the Modernisation Agency's theatres project and do not necessarily cover all non-clinical reason.
Source:
Department of Health dataset QMCO and QMNG (2001–02).
Chronic Disease Management
Tim Loughton: To ask the Secretary of State for Health what steps he is taking to incorporate chronic kidney disease management in primary care services. [224718]
Ms Rosie Winterton: Part two of the national service framework for renal services was published in February 2005. It sets out new quality requirements for the identification and early management of people with, or at risk of, chronic kidney disease. It also identifies considerable scope for integrating care pathways for people with chronic kidney disease coronary heart disease and or diabetes, to reduce the impact of these interacting long-term conditions.
Clostridium Difficile
Mr. Burstow: To ask the Secretary of State for Health when he expects to publish the results of the most recent quarterly collection of statistics on clostridium difficile. [224596]
Miss Melanie Johnson [holding answer 4 April 2005]: The collection of data on clostridium difficile under the mandatory surveillance scheme started on 1 January 2004. The Health Protection Agency will be publishing annual data when a full year's data has been analysed later this year.
Cumulative data from the Health Protection Agency's voluntary reporting scheme on clostridium difficile are published regularly. Data for 2003 was published in February 2005 in the Communicable Disease Report (CDR) Weekly at: http://www.hpa.org.uk/cdr/archives/2005/cdr0705.pdf.
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Dentistry
Mr. Gordon Prentice: To ask the Secretary of State for Health how much has been spent on helping dentists to set up NHS practices in each year since 1999. [223797]
Ms Rosie Winterton: Primary care trusts (PCTs) help dentists to set up national health service practices in a variety of ways. We do not hold records centrally of all their initiatives. In helping dentists, PCTs have been able to draw on the £59 million we made available in 2004–05, of which £35 million was for grants to improve facilities, £15 million for local access initiatives and £9 million for use by the NHS dentistry support team to target assistance to PCTs with some of the most pressing access problems. PCTs can also offer dentists a personal dental services contract to set up a new practice. Under the terms of these contracts, dentists have a guaranteed level of earnings provided that they meet the agreed service requirements.
Sir Paul Beresford: To ask the Secretary of State for Health pursuant to the answer of 10 March 2005, Official Report, column 1976W, on dentistry, whether Methods Consulting is under a contractual obligation to his Department to meet the target recruitment figure of 230 Polish dentists by October 2005; and what steps will be taken to meet any shortfall in the target figure. [223971]
Ms Rosie Winterton [holding answer 4 April 2005]: Methods Consulting has been contracted by the Department to recruit up to 230 dentists from Poland by the end of October 2005 to work in the national health service. The Department and Methods Consulting expect this figure to be achieved and Methods Consulting is managing the process accordingly.
Mr. Jim Cunningham: To ask the Secretary of State for Health how many people have received NHS dental treatment in Coventry, South in each year since 1997. [224086]
Ms Rosie Winterton [holding answer 4 April 2005]: The information requested is not available in the format requested. However, Coventry, South is served by Coventry primary care trust (PCT). The number of people in the PCT area, that were registered with a national health service dentist for the years 1997 to 2004 are as shown in table 1.
Source:
Dental Practice Board.
The drop in registrations between 1997 and 2004 is mostly attributable to the reduction in the re-registration period for patients from two years to 15 months. The figures also exclude the five dentists in personal dental service (PDS) schemes with 2,948 patients listed with them. The figures also exclude patients treated in dental access centres (DACs) who are
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not registered. In 2004, there were some 375,000 episodes of treatment in the 48 DACs then in operation in England.
Table 2 shows the breakdown of patients seen and treatments completed at the Warwickshire DAC, which opened in December 2001—up to and including data as of 31 January 2005.
| Number of patients seen | Number of courses completed | |
|---|---|---|
| 2000–01 | — | — |
| 2001–02 | 1,140 | 1,288 |
| 2002–03 | 2,107 | 2,812 |
| 2003–04 | 1,883 | 2,572 |
| (year to date) | 1,634 | 2,142 |
Source:
Dental Practice Board.
Mr. Viggers: To ask the Secretary of State for Health how many dentists in Gosport are accepting new NHS adult patients. [224881]
Ms Rosie Winterton: There are 80 dentists practising in the Fareham and Gosport Primary Care Trust (PCT) area as at 31 December 2004. Latest information from the national health service's website shows that there are currently no dentists accepting new NHS adult patients.
The NHS dentistry support team has been working with Fareham and Gosport PCT to assist it in tackling problems of local dental access. The PCT agreed a dental action plan with the support team, in August 2004, which it is now implementing. The plan will create in excess of 20,000 new NHS patient places together with 25,000 access session appointments. The PCT has received additional recurrent funds from the support team of £310,000 to support the delivery of the plan.
Sandra Gidley: To ask the Secretary of State for Health how many people in the Romsey constituency have been registered with an NHS dentist in each of the past 10 years. [224729]
Ms Rosie Winterton: Table 1shows the number of people in the Romsey constituency registered with a national health service dentist in the last 10 years.
| Number registered | |
|---|---|
| 1995 | 42,792 |
| 1996 | 37,587 |
| 1997 | 34,278 |
| 1998 | 30,965 |
| 1999 | 30,212 |
| 2000 | 28,790 |
| 2001 | 30,059 |
| 2002 | 28,663 |
| 2003 | 31,010 |
| 2004 | 28,727 |
Information has been provided by the dental practice board (DPB). The DPB defines areas based on dental practice postcodes within the current constituency
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boundaries. There are a small proportion of registrations nationally which could not be allocated to a constituency. The drop in registrations between 1997 and 2004 is mostly attributable to the reduction in the re-registration period for patients from two years to 15 months.
Unregistered patients in Romsey can obtain treatment from the Portsmouth and South East Hampshire dental access centre, which opened in 2001. Table 2shows the breakdown of patients seen and treatments completed at the Portsmouth and South East Hampshire dental access centre in each year since it opened.
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