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21 Mar 2007 : Column 1010W—continued



21 Mar 2007 : Column 1011W

21 Mar 2007 : Column 1012W
Count of finished admission episodes where the primary diagnosis was drug related**, by strategic health authority of treatment, 2001-02 to 2005-06 NHS Hospitals, England
Finished admission episodes
SHA Code SHA Description 2001-02 2002-03 2003-04 2004-05 2005-06

Q01

Norfolk, Suffolk and Cambridgeshire

3,932

3,709

4,375

4,020

4.664

Q02

Bedfordshire and Hertfordshire

1,139

1,115

1,226

1,594

1,663

Q03

Essex

1,289

1,277

1,606

2,100

2,241

Q04

North West London

1,214

1,354

1,894

2,014

2,728

Q05

North Central London

1,264

1,288

1,404

2,098

2,537

Q06

North East London

1,705

1,970

2,535

2,345

2,833

Q07

South East London

1,834

2,151

2,844

3,085

3,217

Q08

South West London

1,201

1,277

1,478

2,219

2,327

Q09

Northumberland, Tyne and Wear

4,395

4,209

4,021

4,310

4,875

Q10

County Durham and Tees Valley

2,520

3,564

3,511

3,840

4,165

Q11

North and East Yorkshire and Northern Lincolnshire

3,765

3,521

3,413

3,317

3,521

Q12

West Yorkshire

5,939

5,901

6,078

6,052

6,801

Q13

Cumbria and Lancashire

3,710

4,518

4,377

4,308

4,757

Q14

Greater Manchester

3,339

4,237

5,904

7,387

8,614

Q15

Cheshire and Merseyside

5,515

5,347

6,221

6,252

7,154

Q16

Thames Valley

3,057

2,858

3,371

3,646

3,540

Q17

Hampshire and Isle of Wight

3,698

3,692

3,678

3,633

4,234

Q18

Kent and Medway

1,640

1,774

2,382

2,804

3,475

Q19

Surrey and Sussex

1,752

2,911

3,404

3,920

4,992

Q20

Avon, Gloucestershire and Wiltshire

2,273

3,064

3,847

5,349

5,995

Q21

South West Peninsula

2,974

2,856

3,683

3,742

4,200

Q22

Dorset and Somerset

1,783

1,563

1,550

1,872

2,249

Q23

South Yorkshire

2,923

2,680

2,572

2,569

2,743

Q24

Trent

5,285

4,799

4,850

5,243

5,274

Q25

Leicestershire, Northamptonshire and Rutland

1,812

1,674

2,159

2,620

3,703

Q26

Shropshire and Staffordshire

2,539

2,534

2,918

2,723

2,780

Q27

Birmingham and the Black Country

4,651

5,478

5,934

5,875

6,504

Q28

Coventry, Warwickshire, Herefordshire and Worcestershire

2,468

2,403

2,516

2,933

3,748

Y

Not known

8,620

Total

88,286

83,704

93,751

101,928

115,534

Notes:
Finished admission episodes
A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Diagnosis (Primary Diagnosis)
The primary diagnosis is the first of up to 14 (7 prior to 2002-03) diagnosis fields in the Hospital Episodes Statistics (HES) data set and provides the main reason why the patient was in hospital.
Ungrossed Data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Data Quality
Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for health and social care liaises this brings about improvement over time, some shortcomings remain.
**Codes used as advised by data standards for drug related conditions, Connecting for Health:
The ICD-10 code categories for mental and behavioural disorders due to psychoactive substance use (including acute intoxication or abuse) are as follows:
Source:
Hospital Episodes Statistics (HES)f The Information Centre Health and Social Care
F11.- Mental and behavioural disorders due to use of opioids
F12.- Mental and behavioural disorders due to use of cannabinoids
F13.- Mental and behavioural disorders due to use of sedatives or hypnotics
F14.- Mental and behavioural disorders due to use of cocaine
F15.- Mental and behavioural disorders due to use of other stimulants, including caffeine
F16.- Mental and behavioural disorders due to use of hallucinogens
F17.- Mental and behavioural disorders due to use of tobacco
F18.- Mental and behavioural disorders due to use of volatile solvents
F19.- Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances
The ICD-10 code categories for poisoning (either self-inflicted or accidental) are as follows:
T36.- Poisoning by systemic antibodies
T37.- Poisoning by other systemic anti-infectives and antiparasitics
T38.- Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified
T39.- Poisoning by nonopioid analgesics, antipyretics and anorheumatics
T40.- Poisoning by narcotics and psychodysleptics [hallucinogens]
T41.- Poisoning by anaesthetics and therapeutic gases
T42.- Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
T43.- Poisoning by psychotropic drugs, not elsewhere classified
T44.- Poisoning by drugs primarily affecting the autonomic nervous system
T45.- Poisoning by primarily systemic and haematological agents, not elsewhere classified
T46.- Poisoning by agents primarily affecting the cardiovascular system
T47.- Poisoning by agents primarily affecting the gastrointestinal system
T48.- Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system
T49.- Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmotogical, otorhinolaryngological and dental drugs
T50.- Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
*Codes used as advised by data standards for alcohol related conditions, Connecting for Health:
F10 - Mental and behavioural disorders due to alcohol
K70 - Alcoholic Live Disease
T51 - Toxic Effect of Alcohol

Hospitals: Infectious Diseases

Mr. Lansley: To ask the Secretary of State for Health what assessment she has made of a link between contract cleaning services and levels of hospital-acquired infections in hospitals; when the assessment was made; and if she will make a statement. [123066]

Caroline Flint: Recent information suggests that there is currently no difference between in-house and out-sourced cleaning.

We have also studied the link between cleanliness and healthcare associated infections (HCAI) as measured by Metcillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile rates. Again, we found no evidence of a relationship with out-sourcing.

Current contract guidance makes it clear that quality must be considered alongside cost when deciding how to provide cleaning services.

Hyperactivity: Drugs

Mr. Lansley: To ask the Secretary of State for Health how many prescriptions for drugs to treat attention deficit hyperactivity disorder were issued in each year since 1997-98. [127831]

Caroline Flint: We do not hold data on the total number of prescriptions for drugs used to treat attention deficit hyperactivity disorder (ADHD). Information on the number of prescription items relating to drugs mainly associated with the treatment of ADHD and dispensed in the community in England is in the following table.


21 Mar 2007 : Column 1013W
Number of prescription items (000)

1997-98

197.6

1998-99

227.5

1999-2000

255.1

2000-01

264.4

2001-02

286.1

2002-03

340.0

2003-04

395.6

2004-05

444.2

2005-06

502.0

Source:
Prescription Cost Analysis (PCA) system

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