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12 Dec 2005 : Column 1802W—continued

Public Involvement

Mr. Baron: To ask the Secretary of State for Health what plans she has to publish the results of her Department's strategic review of patient and public involvement in health. [26854]

Ms Rosie Winterton [holding answer 10 November 2005]: The Department's review of patient and public involvement (PPI) in health is part of the wider White Paper consultation, Your health, your care, your say". The results of the review are being fed into the development of the White Paper proposals. The results of the PPI review activities will be made available in the new year and will appear on the Department's website on the policy page for patient and public involvement. Hard copies of the results will also be available on request.

Primary Care Trust Assets

Mr. Clappison: To ask the Secretary of State for Health how she expects (a) hospitals and (b) other assets providing clinical services owned by primary care trusts to be treated under her plans for commissioning a patient-led NHS. [28481]

Mr. Byrne: I refer the hon. Member to the reply I gave the hon. Member for Pendle (Mr. Prentice) today.

Hospital Facilities

Mr. Grogan: To ask the Secretary of State for Health which primary care trusts (PCTs) run (a) community and (b) other hospital facilities; and if she will list each such facility, broken down by PCT. [21918]

Mr. Byrne: The information requested is not centrally available.
 
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Health Services (West Lancashire)

Rosie Cooper: To ask the Secretary of State for Health what process will be used to transfer the services provided by primary care trusts to alternative providers in West Lancashire. [27703]

Mr. Byrne: In our proposals sent out on 28 July, we indicated that we were minded to require primary care trusts (PCTs) to reduce their service-provision functions by the end of 2008. Since that document, we have listened to stakeholders. The policy moving forward, in relation to service-provision, is that this will be a matter for PCTs to determine locally, so any move away from direct provision of services will be a decision for the localnational health service within the framework set out in the forthcoming White Paper and after local consultation, including professions allied to medicine.

We will support PCTs who want to do that, but we will not instruct PCTs to do it nor will we impose any timetable. What matters is getting the best services for each community—and that is what the White Paper will focus on.

Operations

Mr. Randall: To ask the Secretary of State for Health how many patients in (a) the Uxbridge constituency and (b) England received (i) laser eye surgery, (ii) cataract removal, (iii) bladder keyhole surgery, (iv) coronary artery bypass graft, (v) knee
 
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replacement, (vi) hip replacement, (vii) ingrown toenail operations and (viii) varicose vein treatment in the last year for which figures are available; and what the average cost was of each type of operation to the national health service. [29771]

Mr. Byrne: Data on the costs of national health service hospital services are gathered at healthcare resource group (HRG) level, and not at the level of individual procedures. These data are collected as part of the annual reference cost collection.

The following table shows the relevant HRG category aligned with the information requested for the following procedures:

All data come from the 2003–04 reference cost collection.

Information on laser eye surgery and ingrown toenail operations is not shown as these costs are not separately identified within the reference cost collection.
Hillingdon hospital NHS trustRoyal Brompton and Harefield NHS trust
England
HRGHRG descriptionDescriptionFCEs(47)FCEs(47)FCEs(47)National average (£)
B13Phakoemulsification Cataract Extraction and Insertion of LensCataract removal796276,004717
B14Non Phakoemulsification Cataract SurgeryCataract removal125,567793
E04Coronary BypassCoronary artery bypass graft99419,2157,131
G13Cholecystectomy >69 or with complications or comorbiditiesBladder keyhole surgery3911,1092,449
G14Cholecystectomy <70 without complications or comorbiditiesBladder keyhole surgery10236,4421,723
H04Primary Knee ReplacementKnee replacement20746,5855,306
H80Primary Hip Replacement CementedHip replacement13536,4674,750
H81Primary Hip Replacement UncementedHip replacement256,8524,603
Q11Varicose Vein ProceduresVaricose vein treatment26943,386967


(47)Finished Consultant Episodes (FCEs) as reported in 2003–04 Reference Cost Collection.
Source:
Reference Costs 2003–04. Own data.




Hospital Readmissions

Tim Loughton: To ask the Secretary of State for Health how many hospital re-admissions within 28 days have taken place in each of the last 10 years; and how many were of patients aged over 65 years. [28447]

Mr. Byrne: The information requested is available only at a disproportionate cost. Similar information on annual trends in re-admission rates including rates for patients aged over 75 years for the six years from 1998–99 to 2003–04, is available on the National Centre for Health Outcomes Development website at www.nchod.nhs.uk.

Hull and East Yorkshire Hospitals Trust

Mr. Graham Stuart: To ask the Secretary of State for Health (1) how many operations have been performed by the Hull and East Yorkshire Hospitals Trust on behalf of other NHS trusts in each year since 1997; [32948]
 
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(2) how many patients have received treatment in private sector hospitals on referrals from the Hull and East Yorkshire Hospitals NHS Trust in each of the last five years; [32958]

(3) how many operations were carried out by other trusts on behalf of the Hull and East Yorkshire Hospitals Trust in each year since 1997, broken down by hospital. [32978]

Mr. Byrne: The information requested is not held centrally.

Mr. Graham Stuart: To ask the Secretary of State for Health what the end of year financial deficit or surplus for the Hull and East Yorkshire NHS Trust was in each year since 1997. [32949]

Mr. Byrne: Hull and East Yorkshire Hospitals National Health Service Trust was established in 1999. The table shows the information requested since 1999.
Financial deficit/surplus—Hull and East Yorkshire NHS Trust1999–2000 to 2004–05
£000

Hull and East Yorkshire Hospitals NHS TrustSurplus/(Deficit)
1999–200085
2000–0128
2001–024
2002–0318
2003–0417
2004–05(5,461)




Source:
NHS Trust Audited Summarisation Schedules 1999–2000 to 2004–05



Mr. Graham Stuart: To ask the Secretary of State for Health if she will list the financial management targets missed by the Hull and East Yorkshire Hospital Trust in the latest star rating appraisal. [32957]

Mr. Byrne: In the 2005 performance ratings, the Healthcare Commission awarded the Hull and East Yorkshire Hospitals National Health Service Trust as 'significantly underachieved' against the key target of financial management.

Healthcare Commission

Mr. Graham Stuart: To ask the Secretary of State for Health how many beds were available in the Hull and East Yorkshire Hospitals NHS Trust in the last period for which figures are available; and what the occupancy rate was in that period. [32959]

Mr. Byrne: The information requested is shown in the table.

The average daily number of available beds and occupancy rate for the Hull and East Yorkshire Hospitals National Health Service Trust for 2004–05.
Percentage

AvailableOccupancy rate
Beds open overnight1,46576.4
Wards open day only10681.4




Source:
Department of Health form KH03




 
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Mr. Graham Stuart: To ask the Secretary of State for Health what progress Hull and East Yorkshire Hospitals Trust has made in integrating services for stroke patients with community health providers and social services. [32963]

Mr. Byrne: The Hull and East Riding stroke service set up its organised stroke care in December 2000. This includes comprehensive facilities for stroke patients in community settings, including three inner city rehabilitation units working in partnership with private nursing home providers and a social services residential home. These are three, eight bedded units one at Rossmore Nursing Home, one at St. Marys Nursing Home and one at Alderson Resource (Social Services). The service has well established neurotherapists working in the community across the rehabilitation facilities.

Work is also underway in the East Riding to develop partnership working further with Social Services to provide day rehabilitation facilities utilising the skills of therapy and health care professionals working together with Social Services.

A service re-design is currently underway to strengthen community health provision for stroke patients further. Community stroke nurse specialists will work together with a team of stroke support workers to support the nurse consultant in stroke with the continuing physical and clinical requirements of stroke patients in community rehabilitation settings and also to develop more support in nursing and residential homes by providing training and expertise to support staff working in those settings.

The Hull and East Yorkshire Hospitals NHS Trust


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