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4 Sep 2006 : Column 2185W—continued



4 Sep 2006 : Column 2186W
Hip replacement waiting times (mean and median) 2004-05 by London PCT and SHA of residence NHS hospitals, England
SHA of residence PCT of residence Median waiting time Mean waiting time

North Central London Strategic HA

Barnet PCT

172

175

North Central London Strategic HA

Camden PCT

178

187

North Central London Strategic HA

Enfield PCT

181

188

North Central London Strategic HA

Haringey Teaching PCT

153

164

North Central London Strategic HA

Islington PCT

140

143

North Central London Strategic HA

165

173

North East London Strategic HA

Barking And Dagenham PCT

193

200

North East London Strategic HA

City And Hackney Teaching PCT

129

137

North East London Strategic HA

Havering PCT

218

209

North East London Strategic HA

Newham PCT

119

135

North East London Strategic HA

Redbridge PCT

175

172

North East London Strategic HA

Tower Hamlets PCT

167

181

North East London Strategic HA

Waltham Forest PCT

215

206

North East London Strategic HA

180

186

North West London Strategic HA

Brent Teaching PCT

168

164

North West London Strategic HA

Ealing PCT

91

117

North West London Strategic HA

Hammersmith And Fulham PCT

101

119

North West London Strategic HA

Harrow PCT

67

111

North West London Strategic HA

Hillingdon PCT

126

141

North West London Strategic HA

Hounslow PCT

90

107

North West London Strategic HA

Kensington And Chelsea PCT

110

149

North West London Strategic HA

Westminster PCT

88

131

North West London Strategic HA

106

131

South East London Strategic HA

Bexley Care Trust

198

224

South East London Strategic HA

Bromley PCT

189

200

South East London Strategic HA

Greenwich Teaching PCT

180

197

South East London Strategic HA

Lambeth PCT

175

179

South East London Strategic HA

Lewisham PCT

128

154

South East London Strategic HA

Southwark PCT

169

170

South East London Strategic HA

182

194

South West London Strategic HA

Croydon PCT

176

171

South West London Strategic HA

Kingston PCT

166

171

South West London Strategic HA

Richmond And Twickenham PCT

122

131

South West London Strategic HA

Sutton And Merton PCT

195

181

South West London Strategic HA

Wandsworth PCT

206

177

South West London Strategic HA

167

166

Notes:
1. Time waited (days):
Time waited statistics from Hospital Episode Statistics (HES) are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
2. Ungrossed Data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Source:
Hospital Episode Statistics (HES), The Information Centre for Health and Social Care

OPCS codes for identifying hip replacement operations
Code

W37

Total prosthetic replacement of hip joint using cement

W38

Total prosthetic replacement of hip joint not using cement

W39

Other total prosthetic replacement of hip joint

W46

Prosthetic replacement of head of femur using cement

W47

Prosthetic replacement of head of femur not using cement

W48

Other prosthetic replacement of head of femur


4 Sep 2006 : Column 2187W

Mr. Lansley: To ask the Secretary of State for Health pursuant to her answer of 13 July 2006, Official Report, columns 2086-88W, on waiting times/lists, if she will make a statement on the differences between the averages given by the Korner aggregate returns and those given by the Hospital Episode Statistics. [87690]

Andy Burnham: A detailed analysis of the differences between the hospital episode statistics and Korner waiting times can be found in a Health Statistics Quarterly article at the following address: www.statistics.gov.uk/articles/hsq/HSQ24waiting-time.pdf.

A copy of the report has been placed in the Library.

Welfare Food Scheme

Dr. Kumar: To ask the Secretary of State for Health how many pregnant women in (a) England, (b) the Tees Valley and (c) Middlesbrough, South and East Cleveland have participated in the welfare food scheme since 2001. [87972]

Caroline Flint: The number of pregnant women in England who have received either milk tokens or healthy start vouchers since November 2004 is 111,422. Prior to November 2004, routine information on milk tokens was not collected centrally.

Data is not collected by constituency or district, therefore the information requested for Tees Valley or Middlesbrough, South and East Cleveland would be available only at disproportionate cost.

Jeff Ennis: To ask the Secretary of State for Health how many pregnant women have participated in the welfare food scheme in (a) Barnsley and (b) Doncaster since 2001. [88377]

Caroline Flint: Data relating to recipients of welfare food is not collated by constituency or district. Therefore, figures relating specifically to Barnsley or Doncaster would be available only at disproportionate cost.

Yellow Card Reporting System

Mr. Burstow: To ask the Secretary of State for Health how many adverse reaction reports were received through the yellow card reporting system for (a) all anti-psychotic drugs, (b) traditional anti-psychotic drugs and (c) atypical anti-psychotic drugs in 2005; and how many prescriptions there were for each type of drug for those aged (i) 50 to 64, (ii) 65 to 74 and (iii) 75 years and over. [88965]

Andy Burnham: The yellow card scheme is the United Kingdom system for collecting and monitoring information on suspected adverse drug reactions (ADRs). The scheme is run by the Medicines and
4 Sep 2006 : Column 2188W
Healthcare products Regulatory Agency (MHRA) and the commission on human medicines (CHM). The scheme relies upon voluntary reporting of suspected ADRs by health professionals. Marketing authorisation holders are legally obliged to report any serious suspected adverse reaction that comes to their attention to the MHRA/CHM.

The following tables contain the number of suspected ADR reports received via the UK yellow card scheme for (a) all anti-psychotic drugs, (b) traditional anti-psychotic drugs and (c) atypical anti-psychotic drugs in 2005; together with the estimated number of prescriptions written in the community in the UK for the 12 months ending 31 March 2006.

Table 1: Number of suspected ADR reports UK 2005
Age group All anti-psychotic drugs Traditional anti-psychotic drugs Atypical anti-psychotic drugs

All

2,567

100

2,467


Table 2: Estimated number of prescriptions written in the community between 1 April 2005 and 31 March 2006
Age group All anti-psychotic drugs Traditional anti-psychotic drugs Atypical anti-psychotic drugs

50 to 64

1,191,360

584,256

607,104

65 to 74

604,928

311,386

293,542

75 years and over

1,577,981

735,107

842,874


It is important to note that a report of an adverse reaction does not necessarily mean that it was caused by the drug. Many factors have to be taken into account in assessing causal relationships including temporal association, the possible contribution of concomitant medication and the underlying disease. Other factors such as the time since a drug was first marketed, media interest, the reason for prescribing or regulatory action can also influence the frequency of reporting. This means that reporting rates based on numbers of spontaneous reports and numbers of prescriptions are not true measures of the frequency of reactions or the ideal basis for comparisons between drug substances or classes. For these reasons, no firm conclusions can be drawn from a possibly higher reporting rate in 2005, of suspected adverse reactions with the more recently marketed atypical anti-psychotics, based on yellow card data, compared to more traditional anti-psychotics.


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