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6 Mar 2006 : Column 1197W—continued
Cerebral Palsy
Mr. Stewart Jackson: To ask the Secretary of State for Health how many children in (a) the Norfolk, Suffolk and Cambridgeshire Strategic Health Authority area and (b) the Greater Peterborough Primary Care Partnership area have been diagnosed with cerebral palsy in the last five years. [56577]
Ms Rosie Winterton: The information requested is shown in the tables.
| Patient counts | |
|---|---|
| 2000–01 | 254 |
| 2001–02 | 276 |
| 2002–03 | 311 |
| 2003–04 | 350 |
| 2004–05 | 317 |
| Patient counts | |
|---|---|
| 2000–01 | 37 |
| 2001–02 | 41 |
| 2002–03 | 36 |
| 2003–04 | 59 |
| 2004–05 | 51 |
Notes:
General
All diagnoses of patients for cerebral palsy (ICD-10 G80 infantile cerebral palsy).
Age of start of episodes = under 17.
Patient counts
Patient counts are based on the unique patient identifier Hospital Episodes Statistics identification HESID. This 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. The patient count cannot be summed across a table where patients may have episodes in more than one cell.
All diagnoses count of patients
These figures represent a count of all patients where the diagnosis was mentioned in any of the 14 (seven prior to 2002–03) diagnosis fields in a HES record.
Diagnosis (primary diagnosis)
The primary diagnosis is the first of up to 14 (seven prior to 200203) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
Secondary diagnoses
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.
PCT, SHA data quality
PCT and SHA data were added to historic data years in the HES database using 2002–03 boundaries, as a one off exercise in 2004. The quality of the data on the PCT of treatment and SHA of treatment is poor in 1996–97, 1997–98 and 1998–99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner (GP) practice and SHA of GP practice in 1997–87 and 1998–99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.
Ungrossed Data
Figures have not been adjusted for shortfalls, that is the data are ungrossed.
Source:
Hospital Episode Statistics (HES), NHS Health and Social Care Information Centre.
6 Mar 2006 : Column 1198W
Chronic Fatigue Services
Dr. Desmond Turner: To ask the Secretary of State for Health (1) under what conditions funding will be added to the baseline for primary care trust budgets in 2006–07 for the newly established NHS chronic fatigue syndrome/myalgic encephalomyelitis services; [53671]
(2) if she will make a statement on the progress of establishment of NHS services for chronic fatigue syndrome/myalgic encephalomyelitis; [53672]
(3) what criteria were used in assessing applications from primary care trusts (PCTs) for funding in 2005–06 to establish new NHS chronic fatigue syndrome/myalgic encephalomyelitis services; and if she will list the PCTs which have established such services; [53673]
(4) how many chronic fatigue syndrome/myalgic encephalomyelitis patients have been seen to date by the NHS chronic fatigue syndrome/myalgic encephalomyelitis services; [53675]
(5) if she will take steps to ensure that further NHS chronic fatigue syndrome/myalgic encephalomyelitis services are established in 2006–07. [53676]
Mr. Byrne:
Since the announcement of the 8.5 million budget for developing new services for those with chronic fatigue syndrome/myalgic encephalomyelitis
6 Mar 2006 : Column 1199W
(CFS/ME), we have established 13 clinical network co-ordinating centres, 36 local multi-disciplinary teams, as well as 11 specialist children and young people's teams distributed across England. These new centres have been created to provide services for those with CFS/ME where there was no existing provision, each centre covers up to eight primary care trusts.
The latest figures show that 8,646 adults and 439 children and young adults have been seen. The new centres are expected to see 21,000 patients annually when working at full capacity.
Applications for funding to establish CFS/ME services were assessed by an investment steering group consisting of health professionals, as well as patient and carer representatives. The criteria used by the steering group included strategy and partnership working, the proposed service organisation and staffing structure, as well as the need to ensure an even geographic distribution of centres.
Future funding of CFS/ME services will be included within the resource allocations to primary care trusts to facilitate the continuation of the service once the ring-fenced period ends. CFS/ME services will therefore be considered as part of the future local planning of services.
National Health Service organisations are expected to demonstrate that they are making progress towards achieving the level of service quality described in the
6 Mar 2006 : Column 1200W
national service framework (NSF) for long-term conditions. The NSF sets out a clear vision of how health and social care organisations can improve the quality, consistency and responsiveness of their services and help improve the lives of people with neurological conditions, including CFS/ME. This may include taking steps to ensure the establishment of further CFS/ME centres, if there is a local need.
Colon Cancer
Mr. Clappison: To ask the Secretary of State for Health pursuant to the answer of 15 February 2006, Official Report, column 2110W, on colon cancer, how many people were diagnosed with bowel cancer between the age of (a) 40 and 49 years, (b) 50 and 58 years and (c) 58 and 69 years in each of the last five years. [56211]
John Healey: I have been asked to reply.
The information requested falls within the responsibility of the national statistician who has been asked to reply.
Letter from Colin Mowl, dated 6 March 2006:
The National Statistician has been asked to reply to your recent question concerning how many people were diagnosed with bowel cancer between the age of (a) 40 and 49 years, (b) 50 and 58 years and (c) 58 and 69 years in each of the last five years. I am replying in her absence. (56211)
The most recent available information on registration of newly diagnosed cases (incidence) are for the year 2003. Numbers of newly diagnosed cases registered in England by selected, non-overlapping age groups, are give in the table below.
(49) International Classification of Diseases, Tenth Revision (ICD-10) codes C18-C21.
Source:
Office for National Statistics.
Co-payment (NHS Services)
Mr. Baron: To ask the Secretary of State for Health (1) what recent representations she has received on the introduction of co-payment in the NHS, with particular reference to maternity services; [49615]
(2) what guidance she has issued to NHS organisations on the introduction of co-payments in the provision of NHS services; [49616]
(3) under what legislation co-payments for NHS maternity services would be introduced. [49617]
Mr. Byrne [holding answer 7 February 2006]: The Department has received three recent representations concerning the introduction of co-payment into maternity services in the National Health Service. To review all recent correspondence received by the Department could only be obtained at disproportionate cost.
Under S1(2) of the NHS Act 1977 health services provided under the Act shall be free of charge except in so far as the making and recovery of charges is expressly provided for by or under any enactment, whenever passed. Certain NHS bodies also have income generation powers contained in S7 of the Health and Medicines Act 1988, but such powers may only be used insofar as they do not significantly interfere with the performance of any duty under the 1977 Act or significantly disadvantage NHS patients.
The Department has provided guidance to the NHS where statutory provision has been made for charging for specific services, or for income generation. This guidance is available on the Department's website at www.dh.gov.uk.
There are no plans to introduce legislation to permit charging for any clinically necessary NHS maternity services.
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