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23 Apr 2007 : Column 963W—continued


Table 2 shows information on the number of optical practitioners (headcount) for 1997 for Greenwich and Bexley Health Authority (HA). The latest information available in Table 3 shows the number of optical practitioners (headcount) for Bexley Care Trust in 2005.

Table 2: Ophthalmic workforce for Greenwich and Bexley HA as at 31 December 1997
1997

Greenwich and Bexley HA

202

Notes:
1. Some practitioners included in this table may also have held a contract with another HA.
2. These figures do not take into account the level of activity (if any) of each practitioner.
3. Practitioners include Ophthalmic opticians and Ophthalmic Medical Practitioners.
Source:
The Information Centre for health and social care, Ophthalmic Statistics

23 Apr 2007 : Column 964W

Table 3: Ophthalmic workforce for Bexley Care Trust as at 31 December 2005
2005

Bexley Care Trust

48

Notes:
1. Some practitioners included in this table may also have held a contract with another PCT.
2. These figures do not take into account the level of activity (if any) of each practitioner.
3. Practitioners include Ophthalmic opticians and Ophthalmic Medical Practitioners.
4. The 2005 figures are affected by the changes in the General Ophthalmic Services (GOS) regulations introduced on 1 April 2005.
5. Work force figures for 2006 are not currently available. These will be published in summer 2007.
Source:
The Information Centre for health and social care, Ophthalmic Statistics

General practitioner data are not available at the specific years of 1997 and 2006 for Bexley. Data are only available at PCT level.

Table 4 shows number of general practitioners working within the Bexley Care Trust for years 2005 (latest data available) and 2001 (year the care trust was created).

Table 4: General medical practitioners (excluding GP registrars and GP retainers( 1) ) working in Bexley Care Trust, as at 30 September each year
Number (headcount) and full- time equivalents
2001 2005
Number FTE Number FTE

Bexley Care Trust

101

94

117

106

1 General medical practitioners (excluding GP Registrars and GP Retainers) includes Contracted GPs, GMS Others, PMS Others.
Note:
The Care Trust was created in 2001.
Source:
The Information Centre for health and social care, General and Personal Medical Services Statistics

Heart Diseases: Medical Equipment

David Taylor: To ask the Secretary of State for Health (1) why the cost of stent devices used in endovascular repair of aortic aneurysm is met by primary care trusts; and if she will make a statement; [122631]

(2) what recent representations she has received on the inclusion of the stent device used in endovascular repair of aortic aneurysm on the list of exclusions from payment by results funding. [122640]

Ms Rosie Winterton: In consultation with the national health service and industry, the list of drug and device exclusions from the payment by results has been increased. This ensures that care which includes the use of expensive drugs and/or devices is adequately rewarded. This is part of an annual cycle, which aims to ensure the tariff takes account of the introduction of new drugs and devices.

The payment by results team have had representations about the funding of endovascular repair of aortic aneurysms under tariff. These include queries direct from clinicians, and through a questionnaire issued last year to seek feedback from the NHS on the funding of specialised services. Aortic
23 Apr 2007 : Column 965W
stents are excluded from payment by results in order to help address these concerns. The Department has had no representations that the exclusion of aortic stents is inappropriate.

Hospitals: Infections

Mrs. May: To ask the Secretary of State for Health how many hospital-acquired infections were diagnosed in each year between 1997 and 2006, broken down by type of infection in each strategic health authority. [130986]

Mr. Ivan Lewis: The information requested is not available. The best available information is from the mandatory surveillance system, which provides data on
23 Apr 2007 : Column 966W
the number of reports of methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections (bacteraemias) from April 2001 to 31 March 2006, the number of reports of Clostridium difficile for patients aged 65 and over from January 2004 to September 2006 are shown in the table and the number of glycopeptide resistant enterococci (GRE) blood stream infections from 1 October 2003 to 30 September 2005.

Data has been extracted from “HCAI: Quarterly Reporting Results for Clostridium difficile Infections and MRSA Bacteraemia”, as published in January 2007. Data for glycopeptides resistant enterococci blood stream infections was extracted from the mandatory surveillance of the healthcare associated infection report 2006 published in July 2006.

Table 1: Annual counts of Clostridium difficile (January 2004 to September 2006)
SHA Number of C.difficile reports for patients > 65 years January to December 2004 Number of C.difficile reports for patients > 65 years January to December 2005 Number of C.difficile reports for patients > 65 years January to September 2006

East Midlands

2,483

3,812

4,021

East of England

5,418

5,953

4,856

London

6,065

7,358

5,850

North East

2,319

2,800

2,255

North West

5,351

6,359

5,357

South Central

3,351

3,458

2,630

South East Coast

4,096

4,511

3,850

South West

5,421

6,718

4,733

West Midlands

5,446

6,414

5,702

Yorkshire and the Humber

4,157

4,307

3,371

Total

44,107

51,690

42,625


Table 2: Annual counts of MRSA bacteraemia April 2001 to March 2006
April to March each year
MRSA bacteraemia reports
SHA 2001 - 02 2002 - 03 2003 - 04 2004- 05 2005- 06

East Midlands

543

494

519

450

433

East of England

754

713

684

725

678

London

1,616

1,707

1,682

1,392

1,321

North East

363

380

389

360

378

Northwest

867

934

975

1,016

1,030

South Central

439

447

467

426

451

South East Coast

539

551

578

583

600

South West

695

724

730

670

690

West Midlands

761

812

882

860

862

Yorkshire and the Humber

714

664

792

751

652

Total

7,291

7,426

7,698

7,233

7,095


Table 3: Annual counts of glycopeptide resistant enterococci blood stream infections from 1 October 2003 to 30 September 2005
1 October to 30 September each year
Glycopeptide resistant enterococci reports
SHA 2003- 04 2004-0 5

East Midlands

32

48

East of England

73

92

London

(1)229

(2)247

North East

3

4

North West

59

113

South Central

58

43

South East Coast

33

35

South West

38

58

West Midlands

72

89

Yorkshire and the Humber

31

28

Total

628

757

(1) 0ne trust missing data for all four quarters.
(2) 0ne trust missing data for two quarters.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 21 March 2007, Official Report, column 1012W, on hospitals: infectious disease,
23 Apr 2007 : Column 967W
if she will publish the evidential basis for her statement that recent information suggests no difference between in-house and contract cleaning with respect to hospital-acquired infections; when she first asked for studies into the possible links between hospitals with different cleaning arrangements and (a) MRSA and (d) clostridium difficile; when officials in her Department first received the results of these studies; and if she will place copies of the results of these studies in the Library. [130411]

Mr. Ivan Lewis: Preliminary statistical analysis suggests that, other things being equal, hospitals with contract cleaning do not have statistically significantly different rates of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia (bloodstream infection) to those with in-house cleaning. This is the result of on-going analysis by the Department into the relationship between MRSA rates and a variety of hospital characteristics, the results of which will be finalised and published later this year. Preliminary analysis also suggests that there is also no significant relationship between type of cleaning service and clostridium difficile rates.

This work was not formally commissioned but statistical analysis has been ongoing since 2004 and Ministers have been kept informed of emerging results since that time. This work forms part of ongoing work in the Department aimed at better understanding variations in health care associated infections and their implications for policy.


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