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		2004-05		2005-06
	Strategic health authority of treatment	Dysfunctional Uterine Bleeding	Menorrhagia	Dysfunctional Uterine Bleeding	Menorrhagia
Q01	Norfolk, Suffolk and Cambridgeshire HA	193	2,351	171	2,492
Q02	Bedfordshire and Hertfordshire HA	60	1,290	83	1,193
Q03	Essex HA	282	1,408	235	1,422
Q04	North West London HA	49	1,473	50	1,738
Q05	North Central London HA	166	1,399	93	1,282
Q06	North East London HA	48	1,939	83	2,097
Q07	South East London HA	87	1,433	88	1,755
Q08	South West London HA	78	1,337	82	1,257
Q09	Northumberland, Tyne and Wear HA	290	1,884	193	1,926
Q10	County Durham and Tees Valley HA	248	1,460	319	1,452
Q11	North and East Yorkshire and Northern Lincolnshire HA	394	2,694	287	3,023
Q12	West Yorkshire HA	291	2,860	222	2,573
Q13	Cumbria and Lancashire HA	235	2,276	248	2,593
Q14	Greater Manchester HA	332	2,602	267	2,784
Q15	Cheshire and Merseyside HA	420	2,778	429	3,588
Q16	Thames Valley HA	165	2,408	172	2,811
Q17	Hampshire and Isle of Wight HA	279	1,513	241	1,596
Q18	Kent and Medway HA	233	1,490	334	1,776
Q19	Surrey and Sussex HA	203	2,241	235	2,509
Q20	Avon, Gloucestershire and Wiltshire HA	154	2,141	163	2,184
Q21	South West Peninsula HA	125	1,564	124	1,709
Q22	Dorset and Somerset HA	78	1,384	116	1,344
Q23	South Yorkshire HA	585	1,941	215	2,122
Q24	Trent HA	316	2,938	241	2,937
Q25	Leicestershire, Northamptonshire and Rutland HA	166	2,020	325	2,657
Q26	Shropshire and Staffordshire HA	131	2,623	79	2,207
Q27	Birmingham and the Black Country HA	280	2,923	273	3,303
Q28	Coventry, Warwickshire, Herefordshire and Worcestershire HA	217	1,730	212	1,839
Y	Not known	—	—	—	—
(1) Due to reasons of confidentiality, figures between 1 and 5 have been suppressed. Notes: 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** Menorrhagia is the term for excessive or frequent menstruation. N92.0 Excessive and frequent menstruation with regular cycle Includes Heavy periods NOS Menorrhagia NOS Polymenoirrhoea N92.2 Excessive menstruation at puberty Includes Excessive bleeding associated with onset of menstrual periods Pubertal menorrhagia Puberty bleeding N92.4 Excessive bleeding in premenopausal period Includes Menorrhagia or metrorrhagia Climacteric Menopausal Preclimacteric Premenopausal N95.0 Post menopausal bleeding Data Quality 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. Source: 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. [124951]

Caroline Flint: This information cannot be provided in the format requested.

HC1 Form

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. [108687]

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.

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	Under 25	All students including those under 25
HC1 claims	136,815	100,860
HC2 entitlements	72,731	57,213
HC3 entitlements	57,599	43,647
Source: Prescription Pricing Division of the NHS Business Services Authority

Health Professions: Foreign Workers

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. [128944]

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.

Health Services

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. [124108]

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.

The principles of patient choice apply equally to services provided by NHS foundation trusts which remain on the previous form of contract.

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. [127605]

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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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