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|Strategic health authority of treatment||Dysfunctional Uterine Bleeding||Menorrhagia||Dysfunctional Uterine Bleeding||Menorrhagia|
|(1) Due to reasons of confidentiality, figures between 1 and 5 have been suppressed.|
Finished admission episodes
A finished admission episode is the first period of in-patient care under one consultant within one health care 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 (seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.
Selected primary diagnosis codes for Dysfunctional Uterine Bleeding* and Menorrhagia**
Dysfunctional Uterine Bleeding*
N93.8 Other specified abnormal uterine and vaginal bleeding
Includes dysfunctional or functional uterine or vaginal bleeding NOS
Menorrhagia is the term for excessive or frequent menstruation.
N92.0 Excessive and frequent menstruation with regular cycle
Includes Heavy periods NOS
N92.2 Excessive menstruation at puberty
Includes Excessive bleeding associated with onset of menstrual periods
N92.4 Excessive bleeding in premenopausal period
Includes Menorrhagia or metrorrhagia
N95.0 Post menopausal bleeding
Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCT's) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Hospital Episode Statistics (HES), the Information Centre for Health and Social Care.
Sandra Gidley: To ask the Secretary of State for Health what percentage of patients referred to hospital with dysfunctional uterine bleeding (menorrhagia) underwent (a) a hysterectomy and (b) ablation as an alternative to hysterectomy in each of the last five years, in each strategic health authority area. 
Sir Peter Soulsby: To ask the Secretary of State for Health how many (a) people aged under 25 years and (b) higher education students applied for assistance with their health costs through the HC1 form in 2005; and how many people from each category received such help. 
Caroline Flint: The following table provides an estimate of those claiming for help with their health costs via the HC1 form (based on 2005-06 data as figures are not available for the calendar year 2005).
Those in receipt of HC2 certificates receive full help consisting of free prescriptions, sight tests, NHS dental treatment, wigs and fabric supports and travel to receive national health service treatment under the care of a consultant. The HC3 certificate provides partial help with the cost of the above, with the exception of prescriptions which are not free.
|Under 25||All students including those under 25|
Prescription Pricing Division of the NHS Business Services Authority
David T.C. Davies: To ask the Secretary of State for Health how many (a) doctors and (b) nurses recruited to the NHS from outside the European Union (i) were found guilty of malpractice in each of the last five years and (ii) are being investigated for malpractice. 
Andy Burnham: The Department does not collect this information centrally. The General Medical Council and the General Nursing and Midwifery Council hold the register of doctors and nurses who practise in the United Kingdom, and make decisions on investigations and erasure from their registers.
Mr. Jamie Reed: To ask the Secretary of State for Health what rules govern the purchase of health services from hospitals by primary care trusts with more than one hospital from which to commission services. 
Andy Burnham: The NHS in England: operating framework for 2007-08 signalled the introduction of a new national health service contract for primary care trusts to use when commissioning acute secondary care services covered by payment by results (PbR), from NHS trusts, NHS foundation trusts and independent sector providers. The NHS contract for acute hospital services covers agreements between primary care trusts (PCTs) and providers for the delivery of acute hospital-based care. The contract enables patients to choose where they are referred for elective care, and hospitals will be paid by PCT commissioners according to PbR rules for the work they do.
The rules and principles relating to the operation of the contract are set out in Guidance on the NHS Contract for Acute Hospital Services for 2007-08. A copy of this document is available in the Library. All acute NHS trust will adopt the new contract from April 2007. The contract will be applied to NHS foundation trusts either from April 2007 or subsequently, from the earliest point at which their pre-existing contracts become invalid.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 2 March 2007, Official Report, column 1579W, on health services, if she will give a breakdown of her estimate that 90 per cent. of people's contacts with the health service take place outside hospitals. 
Andy Burnham: A breakdown of the 90 per cent. of contacts with the health service that take place outside hospital has been estimated as follows: 26 per cent. with the family doctor service, 59 per cent. prescription items dispensed in the community and 5 per cent. other services, including district nurses and other community based staff.
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