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Depression
Steve Webb: To ask the Secretary of State for Health how much her Department spent on (a) drug treatments and (b) therapeutic treatments for mild to severe depression in each year from 1997 to 2005 (i) in total and (ii) broken down by age. [89087]
Ms Rosie Winterton: The total cost of antidepressant medicines prescribed by the national health service in England between 1997 and 2005 is shown in table 1.
| Table 1:- NHS anti-depressant prescription medications in England 1997 to 2005 | |
| Value of antidepressant items prescribed on the NHS in England (£000) | |
| Source:
Prescription pricing authority of the Business Services Authority
(formerly known as the Prescription Pricing
Authority) | |
Age-based prescription data covering all age groups is not available. This information is collected only for those age groups where prescription charge exemptions exist: zero to 15 years; 16 to 18 years and in full-time education; and people aged 60 years or over, but not for other age categories.
Information about the spending on psychological therapies by the national health service in England is available for each year from 2001-02 to 2004-05 from the national survey of investment in mental health services reports and this is shown in Table 2. Information about spending on psychological therapies which were delivered in primary care is not held centrally by the Department, nor is information collected on spending on psychological therapies by age groups.
| Table 2: National survey of investment in mental health services: planned spending on psychological therapies | |
| Planned spending on psychological therapy services by the NHS in England 2001-02 to 2005-06 (not primary care) (£000) | |
| Source:
National survey of investment in mental health strategies 2001-02 to
2005-06 | |
Diagnostic Tests/Treatment
Steve Webb: To ask the Secretary of State for Health pursuant to her Department's publication of data on diagnostic tests' waiting times, if she will publish overall waiting times for patients from GP referral to the start of treatment. [88549]
Andy Burnham: The national health service will be required to report referral to treatment times from January 2007. The Department will publish this data later in 2007.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 27 June 2006, Official Report, column 323W, on diagnostic treatment (independent sector), what the reasons are for the delay in the start date beyond that set out in Health reform in England: Update and next steps, published 13 December 2005. [86210]
Mr. Ivan Lewis: Discussions are drawing to a close with bidders on all seven regional diagnostic schemes. Full services are expected to be provided from next year, but the first scheme may begin to provide some services from November 2006. The commencement date has moved from October to better meet local national health service needs.
Diamorphine
Mr. Mark Field: To ask the Secretary of State for Health what recent discussions she has had with the supplier to the NHS of diamorphine on ensuring its availability in all English hospitals. [89145]
Andy Burnham: I refer the hon. Member to the reply given on 18 July 2006, Official Report, column 374W.
Mr. Bone: To ask the Secretary of State for Health what discussions she has had on the potential for using poppies grown in Afghanistan to alleviate the shortage of diamorphine hydrochloride for medical use. [88365]
Andy Burnham: None. The shortage of diamorphine injection is due to production capacity constraints in relation to the finished product, and is not related to the availability of diamorphine raw material. There are no supply problems with diamorphine raw material.
Drug Eluting and Metal Stents
Dr.
Desmond Turner: To ask the Secretary of
State for Health what the rate of use of (a) drug eluting and
(b) bare metal stents is in the NHS; and what assessment she has
made of the effect on costs in the NHS of their use.
[87033]
Ms Rosie Winterton: National information on the rate of use of bare metal stents is not available.
Since the National Institute for Health and Clinical Excellence (NICE) published its guidance on the use of coronary artery stents in October 2003 there has been an increase in the use of drug eluting stents. This increase has been reflected by an adjustment to the national tariff of £25.5 million in 2006-07 to take account of the additional costs of implementing the NICE guidance.
Drug Treatment Rehabilitation Places
John Cummings: To ask the Secretary of State for Health how many (a) residential and (b) inpatient specialist drug treatment rehabilitation places there are in the northern region; and where each centre is located. [87864]
Caroline Flint: As there is no northern region as such, the following information represents the North West, North East and Yorkshire and Humber Government regions. Information relating to numbers of inpatient beds and treatment spaces is not available for any of these areas.
The National Treatment Agency's (NTA) online directory of residential rehabilitation services lists a total of 19 services located in the north west. The total number of beds in all of these services is 320.
The services are located in Crumpsall, Oldham, Wirral, two services; Ramsbottom, Chester, two services; Gisburn, two services; St Anne's on Sea, two services; Lancaster, Prestwich, Middleton, Collyhurst, Blackburn, Rochdale and Workington.
The total number of clients in residential rehabilitation in the north west in 2005-06, from national drug treatment monitoring system (NDTMS) was 624.
The NTA's recently-published review of inpatient treatment, Dr. Ed Day, 2005, found a total of 16 services providing inpatient treatment for drug misuse in the north west. These services are located in Oxton, Macclesfield, Gisburn, two services; Lancaster, Carlisle, Liverpool, Prestwich, Chester, two services; St Anne's on Sea, Biston, Hale, Preston, Ashton under Lyme and Collyhurst.
The total number of clients in inpatient treatment in the north west in 2005-06, from NDTMS, was 1095.
The NTA's online directory of residential rehabilitation services lists a total of three services located in the north east. The total number of beds in all of these services is 86.
The services are located in Middlesbrough, Tyne and Wear and Sunderland.
The total number of clients in residential rehabilitation in the north east in 2005-06, from NDTMS, was 95.
The NTA's recently-published review of inpatient treatment, Dr. Ed Day, 2005, found a total of seven services providing inpatient treatment for drug misuse in the North East.
These services are located in Consett, Middlesbrough, Newcastle, Durham, Darlington, South Shields and Sunderland.
The total number of clients in inpatient treatment in the north east in 2005-06, from NDTMS was 111.
The NTA's online directory of residential rehabilitation services lists a total of seven services located in Yorkshire and Humber. The total number of beds in all of these services is 176.
The services are located in Scarborough, Harrogate, Bridlington, Sheffield, two services, Leeds and Hull.
The total number of clients in residential rehabilitation in Yorkshire and Humber in 2005-06 from NDTMS was 287.
The NTA's recently-published review of inpatient treatment, Dr. Ed Day, 2005, found a total of 14 services providing inpatient treatment for drug misuse in Yorkshire and Humber. These services are located in Barnsley, York, Sheffield, three services, Bradford, two services, Harrogate, Doncaster, Scarborough, Northallerton, Dewsbury, Rotherham and Whitby.
The total number of clients in inpatient treatment in Yorkshire and Humber in 2005-06, from NDTMS was 365.
Drugs
Dr. Cable: To ask the Secretary of State for Health how much was spent on drugs for NHS (a) in-patients and (b) out-patients in each of the last five years. [88694]
Andy Burnham: The table shows the estimated list price cost of drugs issued to in-patients and out-patients in hospitals in each year from 2001 to 2005.
| Estimated list price cost (£ billion) of medicines issued in hospitals in England | ||
| List price cost (£ billion) | ||
| In-patients | Out-patients | |
The information in the table does not take into account medicines prescribed in hospitals but dispensed in the community (on a FP10 (HP) form) or drugs dispensed in the community, primary care, in England.
The estimated
list price costs are based on published prices from the drug tariff and
other standard price
lists. Therefore this is not a true reflection of the actual expenditure
by hospitals as most purchases are made on contract with individual
manufacturers or wholesalers at lower
prices.
Hospitals assign drugs to inpatients/outpatients differently, for example take out drugs, therefore care must be taken with this data.
Echocardiography Services
Mr. Lansley: To ask the Secretary of State for Health what recent work has been undertaken by her Department to define future demand for echocardiography services. [87691]
Ms Rosie Winterton: The Department has not undertaken any specific recent work to define future demand for echocardiography services. However, there is a national target that by 2008 all patients will be treated within 18 weeks from general practitioner referral, and this will include diagnostics such as echocardiography. Reducing waiting times for diagnostics is central to delivering the 18-week patient pathway and the national health service began measuring waiting times for long wait diagnostic tests for the first time this year to assess the scale of the 18-week challenge.
Elective Care Work Force Resource Pack
Mr. Lansley: To ask the Secretary of State for Health (1) when her Department published the Elective Care Work Force Resource Pack; and if she will place a copy in the Library; [87686]
(2) when her Department published the Christmas tree work force plans for imaging and endoscopy; and if she will place a copy in the Library. [87687]
Andy Burnham: The 18-week work force resource pack was published in April 2006 and can be found at www.18weeks.nhs.uk. Copies have been placed in the Library. The pack includes support and advice on work force modelling (known as Christmas trees) for the 18-week work force including elective care and diagnostics (imaging, endoscopy, physiological measurement and pathology).
Emergency and Acute Admissions
Tim Farron: To ask the Secretary of State for Health what advice her Department provides to NHS Trusts on safe travelling times for (a) heart attack and (b) stroke patients for emergency admissions; how many hospitals in England accept acute admissions; and how many hospitals which accept acute admissions have people in their catchment area living more than one hour from the hospital. [88814]
Caroline Flint [holding answer 25 July 2006]: The national service framework (NSF) for coronary heart disease includes the recommendation that ambulance services put in place systems of care that transfer people with suspected heart attack to hospital in less than 30 minutes from the call. Response times are set for ambulance trusts to reach the scene of an incident.
The NSF standard,
which national health service organisations are working towards, is
that people with
heart attack are treated within 60 minutes of calling for professional
help. In most parts of the country, ambulance trusts are training
paramedics to treat patients with clot-busting drugs before arrival at
hospital. 58 per cent. of patients are currently treated within 60
minutes of calling for help compared with 24 per cent. before the
NSF.
The Department has not issued guidance on safe travelling times for stroke patients. However, revised guidance on management of stroke for ambulance services is due to be issued by the Joint Royal Colleges Ambulance Liaison Committee.
The Department does not collect hospital level data. Population data at hospital or trust level are not collected centrally as NHS trusts do not have specific catchment areas. However, the Department collects data that showed that 286 NHS organisations (NHS trusts, primary care trusts and care trusts) had beds in acute wards open overnight in England in 2004-05. This figure is not necessarily the number of trusts in England that accept acute admissions. Some trusts may accept acute admissions and not have a ward classified as acute.
Emergency Readmissions
Mr. Lansley: To ask the Secretary of State for Health how many emergency readmissions there have been in each quarter since 1997; and what the rate of patients readmitted as an emergency was for each quarter. [51929]
Ms Rosie Winterton: The data requested are shown in the table. Prior to 2002-03 data was only collected on a 75 and over age basis. This was expanded in 2002-03 to include all age ranges. Information is not collected on what proportion of readmissions may be due to something being amiss with the treatment in the previous hospital spell. Some patients and clinicians agree that it is better that the patient is discharged early and risk readmission.
Mr. Burstow: To ask the Secretary of State for Health how many emergency re-admissions there were in each quarter in 2005; and how many were of people aged (a) 0 to 10, (b) 11 to 18, (c) 19 to 65, (d) 66 to 75 and (e) over 75. [88964]
Ms Rosie Winterton: The information for 2005 is not yet available owing to primary care trust reconfiguration. It will be available once reconfiguration is complete.
In future information on
emergency re-admissions will not be available in the format requested.
The data will be available on the National Centre for Health Outcomes
Development (NCHOD) website at www.nchod.nhs.uk. The age ranges
collected are 0 to
15, 16 to 74 and over 75 and NCHOD would normally produce annual not
quarterly data.
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