12 Oct 2005 : Column 547Wcontinued
IVF Treatment
Mr. Hancock:
To ask the Secretary of State for Health (1) what recent representations she has received about the variance in IVF treatment offered by primary care trusts; [16510]
(2) if she will commission research into the amount of provision of IVF treatment by each individual primary care trust; [16511]
(3) what the timetable is for the full implementation of the National Institute for Health and Clinical Excellence clinical guideline on treatment and assessment of people with fertility problems. [16512]
Caroline Flint:
This year, we have received 236 letters and 25 questions from hon. and right hon. Members about the provision of in vitro fertilisation treatment. It is for each primary care trust, in liaison with local health bodies and patient groups, to make decisions on the implementation of the National Institute for Health and Clinical Excellence's (NICE) guideline on fertility treatment, taking resources and local health care priorities into account. The extent to which NHS organisations comply with national guidance is considered by the Healthcare Commission during its review and performance assessment process. We have not set a time frame for the full implementation of the NICE guideline, though we have made clear that we expect the NHS to make progress towards it in the longer term.
Little Havens Children's Hospice
Bob Spink:
To ask the Secretary of State for Health how much NHS funding will be made available to Little Havens Children's Hospice in (a) 200506 and (b) 200607. [15603]
Mr. Byrne:
Children's hospice services are funded from a number of sources, including services commissioned by primary care trusts (PCTs) based on their assessment of children's needs and their priorities. They are best placed to make decisions on the local need for palliative care and are able to take into account the needs of individual families and their preferences. Local hospices need to engage their PCTs in the commissioning process. PCTs have received substantial increases in their baseline funding and there is no ceiling on the amount of funding they can provide for children's palliative care.
12 Oct 2005 : Column 548W
The information requested is not collected centrally. However, I understand that Castle Point and Rochford PCT, on behalf of all five PCTs in South Essex, gave Little Havens Hospice funding that totalled £30,197 in 200506. It is envisaged a similar amount will be available in 200607.
Live Births/Abortions (Essex)
Mr. Amess:
To ask the Secretary of State for Health how many (a) live births and (b) abortions there were in (i) Essex and (ii) Bedford and Hertfordshire strategic health authority in each year since 1976. [15628]
Caroline Flint:
The information requested is shown in the table.
Total number of abortions and live births for residents of Essexa and Bedfordshire and Hertfordshireb19762004
| Essexa
| Bedfordshire and
Hertfordshireb
|
| Abortions | Live births | Abortions | Live births
|
1976 | (32)2666 | (37)17879 | (39)2962 | (32)(5508130033)17968
|
1977 | 2763 | 17244 | 2924 | 17834
|
1978 | 2954 | 17958 | 3486 | 18894
|
1979 | 3230 | 19177 | 3654 | 20136
|
1980 | 3366 | 19607 | 3902 | 20638
|
| | | |
|
1981 | (33)n/a | 19032 | (40)3851 | 19897
|
1982 | n/a | 18140 | 3593 | 19265
|
| | | |
|
1983 | (34)1805 | 18267 | 3677 | 19340
|
1984 | 1997 | 18767 | 4198 | 19533
|
1985 | 2074 | 18953 | 4253 | 19870
|
1986 | 1879 | 19280 | 4381 | 20517
|
1987 | 2003 | 20253 | 4361 | 20971
|
1988 | 2462 | 20594 | 4788 | 21760
|
1989 | 2524 | 20411 | 4858 | 21424
|
1990 | 2447 | 20760 | 4801 | 21756
|
1991 | 2532 | 20556 | 4623 | 21566
|
| | | |
|
1992 | 2386 | 20385 | (32) 0 4102 | 21853
|
| | | |
|
1993 | (35)4260 | 20275 | (32)(5508130033)4301 | 21595
|
| | | |
|
1994 | 4031 | 19919 | (32)(5508130033)4143 | 21578
|
1995 | 3903 | 19162 | 4224 | 20750
|
| | | |
|
1996 | 4359 | 19214 | (32)(5508130033)4581 | 20872
|
| | | |
|
1997 | 4503 | 19181 | 4907 | (32)(5508130033)20776
|
| | | |
|
1998 | 4945 | (38)19097 | 5012 | 20802
|
1999 | 4586 | 18752 | 5255 | 20398
|
2000 | 4667 | 17919 | 4995 | 20281
|
| | | |
|
2001 | 4663 | 17784 | (32)(5508130033)5028 | 20029
|
| | | |
|
2002 | (36)4626 | 17827 | (32)(5508130033)5045 | 19842
|
2003 | 4772 | 18451 | 5466 | 20552
|
2004 | 4897 | 18887 | 5203 | 20904
|
a There were boundary changes in Essex and comparable data in some years are not available.
(32) Essex area health authority 19751980.
(33) Comparative data for Essex not available 198182.
(34) Includes district health authorities for Mid-Essex, North East and West Essex from 1983 to 1992.
(35) Includes health authorities for North Essex and South Essex from 1993 to 2001.
(36) Essex strategic health authority. From 2002, includes primary care organisations for Basildon, Billericay, Brentwood and Wickford, Castle Point and Rochford, Chelmsford, Colchester,
Epping Forest, Harlow, Maldon and South Chelmsford, Southend on Sea, Tendring, Thurrock, Uttlesford, Witham, Braintree and Halstead.
(37) Essex County 19761997.
(38) Includes Southend and Thurrock, Unitary authorities.
b There were boundary changes in Bedfordshire and Hertfordshire and comparable data in some years are not available.
(39) Includes Bedfordshire and Hertfordshire area health authorities 19751980.
(40) Includes district health authorities for Northern Bedfordshire, Southern Bedfordshire, North Hertfordshire, East Hertfordshire, North West Hertfordshire and South West Hertfordshire 19811991.
(41) Includes North Bedfordshire, South Bedfordshire, North West Hertfordshire, South West Hertfordshire district health authorities in 1992.
(42) Includes North Bedfordshire, South Bedfordshire, North West Hertfordshire, South West Hertfordshire and East and North Hertfordshire district health authorities in 1993.
(43) Includes Bedfordshire, North West Hertfordshire, South West Hertfordshire and East and North Hertfordshire district health authorities 19941995.
(44) Includes Bedfordshire, West Hertfordshire and East and North Hertfordshire Health Authorities 19962000.
(45) Includes Bedfordshire, Hertfordshire health authorities in 2001.
(46) Bedfordshire and Hertfordshire strategic health authority. From 2002 includes primary care organisations for Bedford, Bedfordshire Heartlands, Dacorum, Hertsmere, Luton, Northern Hertfordshire and Stevenage, Royston, Buntingford and Bishop's Stortford, South East Hertfordshire, St Albans and Harpenden, Watford and Three Rivers, Welwyn Hatfield.
(47) Includes Bedfordshire and Hertfordshire counties 19761996.
(48) Includes Luton unitary authority and Bedfordshire and Hertfordshire counties in 19972004.
Sources:
Data for abortions supplied by SD3G, Department of Health.
Data for live births supplied by the Office for National Statistics.
12 Oct 2005 : Column 549W
Mr. Amess:
To ask the Secretary of State for Health how many women in (a) Essex and (b) Bedford and Hertfordshire strategic health authority had an abortion in each of the last five years for which figures are available who already had had (i) one, (ii) two, (iii) three, (iv) four and (v) five previous abortions. [15470]
Caroline Flint:
The information requested is shown in the table.
Number of previous terminations to women resident in Bedfordshire and Hertfordshire and Essex strategic health authority (SHA) having terminations in 2002, 2003 and 2004.
| | Number of previous terminations
|
| SHA
| 0 | 1 | 2 | 3 | 4+
|
2002 | Bedfordshire and Hertfordshire | 3,562 | 1,111 | 287 | 62 | 20
|
2003 | Bedfordshire and Hertfordshire | 3,745 | 1,323 | 292 | 77 | 29
|
2004 | Bedfordshire and Hertfordshire | 3,571 | 1,239 | 309 | 53 | 31
|
2002 | Essex | 3,207 | 995 | 246 | 54 | 30
|
2003 | Essex | 3,347 | 1,075 | 264 | 59 | 27
|
2004 | Essex | 3,411 | 1,106 | 268 | 77 | 35
|
Notes:
1. Prior to 2002, information was published by health authority and boundaries have changed.
2. Numbers for five previous terminations are less than 10 and therefore too small to release, in accordance with guidance from the Office of National Statistics.
Mr. Amess:
To ask the Secretary of State for Health if she will list each method of abortion used in hospitals in England, broken down by (a) gestation limit and (b) date of introduction; and if she will make a statement. [15650]
12 Oct 2005 : Column 550W
Caroline Flint:
The Royal College of Obstetricians and Gynaecologists' (RCOG's) evidence-based clinical guideline, "The Care of Women Requesting Induced Abortion (2004)", sets out the recommended methods of abortion for each gestation band which practitioners are expected to follow.
Methods of termination are monitored through the forms sent to the Chief Medical Officer by practitioners for every termination of pregnancy they perform. A list of methods of abortion used in hospitals in England and Wales, by gestation, is contained within the statistical bulletin 2005/11 "Abortion Statistics, England and Wales: 2004", which is available on the Department website at www.dh.gov.uk/assetRoot/04/11/75/04117574.pdf. Copies are also available in the Library.
We do not hold information on when individual methods were introduced.