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22 Jun 2005 : Column 1106W—continued
Health Statistics (Coventry, South)
Mr. Jim Cunningham: To ask the Secretary of State for Health how many people in Coventry, South suffer from (a) dementia and (b) chronic obstructive pulmonary disease. [5170]
Ms Rosie Winterton [holding answer 21 June 2005]: The information is not collected centrally in the requested format. However, data on the numbers of residents in the Coventry city council area with a primary diagnosis of either dementia or chronic obstructive pulmonary disease (COPD) for 2003–04 are shown in the table.
| Diagnosis | Number of patients |
|---|---|
| COPD (J40 to J44) | 505 |
| Dementias (F00 to F03) | 105 |
Notes:
1. The data for 2003–04 have not yet been adjusted for shortfalls in data and unknown/invalid clinical data—are ungrossed.
2. Patient counts are based on the unique patient identifier HESID. The identifier is derived based on the patient's date of birth, postcode, sex, local patient identifier and national health service number, using an agreed algorithm. Where data are incomplete, HESID might erroneously link episodes or fail to recognise episodes for the same patient. Care is therefore needed, especially where duplicate records persist in the data.
3. Diagnoses are made using the tenth revision of the international classification of diseases (ICD). J40-J44 and F00-F03 are the relevant diagnostic codes in the ICD-10 for COPD and dementias, respectively.
4. The primary diagnosis is the first of up to 14 diagnosis fields in the hospital episode statistics (HES) data set and provides the main reason why the patient was in hospital.
Source:
HES, NHS Health and Social Care Information Centre.
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Hemel Hempstead Hospital
Mike Penning: To ask the Secretary of State for Health (1) if she will make a statement on plans for the transfer of staff employed at Hemel Hempstead hospital units; [3994]
(2) if she will make a statement on projected bed numbers for Hemel Hempstead Hospital; [3996]
(3) if she will make a statement on plans for property redevelopment at Hemel Hempstead Hospital; [3997]
(4) if she will make a statement on the entry-into-service date of the planned new accident and emergency unit at Watford. [3998]
Ms Rosie Winterton: The information requested is not held centrally. The reconfiguration of services in Hertfordshire are part of the wider reconfiguration of services in both Bedfordshire and Hertfordshire know as "Investing in Your Health". The strategic outline case for this major reconfiguration of services was approved in July 2004 by my right hon. Friend the then Member for Hamilton, North and Bellshill, now, Airdrie and Shotts (John Reid). The exact details regarding staff transfers, projected bed numbers, the entry into service of the planned new accident and emergency unit in Watford and any plans for property redevelopment at Hemel Hempstead Hospital will not be known in detail until the outline business case is completed, which is likely to be in January 2006.
Mike Penning: To ask the Secretary of State for Health if she will make a statement on plans to modify ambulance stationing patterns in relation to the transfer of Hemel Hempstead Hospital accident and emergency unit. [3999]
Ms Rosie Winterton: There are currently no plans to modify ambulance stationing patterns in relation to the transfer of Hemel Hempstead accident and emergency unit. Hemel Hempstead Hospital will retain its A and E unit, as set out in Bedfordshire and Hertfordshire Strategic Health Authorities' "Investing in Your Health" programme. The A and E unit will still be open, 24 hours a day, seven days a week, 365 days a year. The only change will be that it will no longer take major trauma cases.
HIV
Dr. Kumar: To ask the Secretary of State for Health if she will estimate how many people in (a) England, (b) the North East and (c) Middlesbrough South and East Cleveland constituency are HIV positive. [5848]
Mr. Byrne: The number of individuals with diagnosed HIV in 2003, the latest year for which data are available, were:
Middlesbrough council and Redcar and Cleveland borough council (equivalent together to Middlesbrough Primary Care Trust and Langbaurgh Primary Care Trust): 64 1
Estimates of undiagnosed HIV are only available at the national level. The number of adult individuals living with HIV in the United Kingdom in 2003,
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including those who are undiagnosed, has been estimated as 53,000. Of these, 14,300 of these (27 per cent.) were unaware of their infection.
1 Data on individuals with diagnosed HIV infection resident in England, Wales and Northern Ireland. Data is produced by country, Government Office region, strategic health authority, local authority and primary care trust, but not by parliamentary constituency.
Hospital Hygiene
Keith Vaz: To ask the Secretary of State for Health whether there has been a change in hospital cleanliness rates since the clean-hands policy and the use of alcohol gel was implemented. [3905]
Jane Kennedy: While it is well established that poor hand hygiene practices contribute to the spread of some healthcare associated infections it is too early to determine the effects of the "cleanyourhands" campaign on infection rates and on cleanliness, as it was only launched in September 2004. Research to evaluate implementation of the campaign is under way.
However, at this very early stage in implementation of the "cleanyourhands" campaign, figures show that the usage of alcohol-based hand rubs has increased steadily, with some trusts showing a marked increase of between 100 and 400 per cent. Further evidence from a repeat of previous observational audits on compliance, some two years following the pilot, show compliance in excess of 60 per cent.—a sustained improvement from the average of 28 per cent. reported before the campaign.
The national health service's hard work to improve infection control is shown by the 6 per cent. reduction in meticillin resistant Staphylococcus aureus (MRSA) blood stream infections for April to September 2004, compared with the same period in 2003.
Medical Practice Accommodation
Daniel Kawczynski: To ask the Secretary of State for Health (1) what steps are being taken to ensure that primary care trusts are able to give financial aid to all medical practices in need of approved accommodation; [3142]
(2) if she will take steps to ensure that primary care trusts give priority in funding new accommodation to those medical practices whose lease on their property is approaching its termination; [3143]
(3) what plans she has to increase the level of funding available to primary care trusts to find new properties for medical practices. [3144]
Mr. Byrne:
During the period 2003–04 to 2005–06, total funding to primary care trusts (PCTs) will have increased in cash terms by £12.7 billion or almost 31 per cent. Further substantial increases for PCTs will take the funding to £64 billion in 2006–07 and £70 billion in 2007–08. In addition, another £108 million was allocated in 2004–05 and 2005–06 specifically to fund improvements to primary care premises. Further funding of £83 million is to be made available in each year between 2005–06 and 2007–08 for premises growth. The proposed White Paper will consider the provision of
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accommodation as part of its review of services outside hospitals following a process of wide public consultation.
It is the responsibility of PCTs to plan, develop and improve services to meet the needs of local people and to decide how available funding should be prioritised.
Mental Health
Tim Loughton: To ask the Secretary of State for Health (1) what the proposed job savings from the Mental Health Act Commission are under her plans for merger with the Healthcare Commission; [4620]
(2) what the (a) status and (b) structure of the Mental Health Act Commission will be in the Healthcare Commission. [5497]
Ms Rosie Winterton: The powers to integrate the functions of the Mental Health Act Commission (MHAC) with the Healthcare Commission are contained within the draft Mental Health Bill. The Government are currently considering the Joint Committee on the draft Mental Health Bill's recommendations and will publish a response shortly.
In respect of recommendations pertaining to MHAC, the Government's consideration will take into account the implications of the plans to merge 11 public service inspectorates into four. The new inspectorates will cover justice and community safety, adult social care and health, children's services, education and skills and local services.
Mr. Burstow: To ask the Secretary of State for Health when she will respond to the report of the Joint Committee on the Draft Mental Health Bill. [5615]
Ms Rosie Winterton: The Department is currently considering the recommendations of the report of the Joint Committee on the Draft Mental Health Bill and a response will be published shortly.
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