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The Department has no current plans to commission any research in this area, but keeps all new and emerging evidence under review.

Mr. Amess: To ask the Secretary of State for Health if she will amend the abortion notification form to distinguish between physical and mental health grounds for abortion; and if she will make a statement. [136803]

Caroline Flint: The section of the abortion notification form that requests information on grounds already requires doctors to distinguish between physical and mental health grounds for abortion.

The form was redesigned in 2002, following a consultation with stakeholders. We have no current plans to make further changes to the form.

Accident and Emergency Departments

Mike Penning: To ask the Secretary of State for Health how many hospitals in England had acute accident and emergency facilities and accepted acute admissions in each year since 1997; and if she will make a statement. [135349]

Andy Burnham: Information is not collected in the format requested. National health service trusts self-report the number of accident and emergency (A&E) services they provide against definitions provided by the Department for the three types of A&E on a quarterly basis. The information available is provided in the following tables.

Information on number of type one (major) A&E services is as follows:

Number of type one (major) A & E services

2001-02

196

2002-03

209

2003-04

208

2004-05

207

2005-06

203

2006-07

204

Note:
Position is at end March.
Source:
Department of Health QMAE dataset.

Prior to 2000-01 trusts submitted written information on whether or not they provided A&E services. They did not submit a count of the number of services provided. The following table shows information for the number of trusts that said “yes” to providing type one (major) A&E services for the period available.

Number of trusts reporting type 1 (major) A & E services

1996-97

205

1997-98

202

1998-99

194

1999-2000

186

2000-01

179

Note:
Position is at end March.
Source:
Department of Health KH03 dataset.

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Information on number of national health service trusts reporting emergency admissions via type 1 (major) A&E departments is as follows:

Number of trusts reporting emergency admissions via type 1 A&E departments

1996-97

205

1997-98

202

1998-99

194

1999-2000

186

2000-01

179

2001-02

168

2002-03

159

2003-04

155

2004-05

155

2005-06

155

2006-07

156

Source:
Department of Health, QMAE dataset.

This does not include planned admissions in acute specialities.

Accident and Emergency Departments: Admissions

Mr. Lansley: To ask the Secretary of State for Health which NHS organisations reported a large number of delays in the transfer of care for patients at accident and emergency who were brought by ambulance, referred to on page 12 of her Department's Winter Report 2006-07, published on 3 April 2007; for what reasons the delays in transfer of care occurred; and if she will make a statement. [135877]

Andy Burnham: The statement

in the Department's Winter Report 2006-07 arises from an assessment of information made available to the Department by strategic health authorities (SHAs) through routine winter self-reporting arrangements.

From the information made available to the Department the trusts which reported the largest numbers of ambulances waiting last winter for transfer of care were:

It is for local NHS organisations, overseen by SHAs, to ensure action locally in line with agreed escalation plans to overcome these operational problems. The reasons given for delays included instances of pressure on A&E departments and hospital beds from large numbers of patients attending, as well as temporary restrictions caused by infections.

Accident and Emergency Departments: Alcoholic Drinks

Mr. Nicholas Brown: To ask the Secretary of State for Health what percentage of admissions to NHS accident and emergency departments were alcohol-
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related in the most recent period for which figures are available. [135674]

Caroline Flint: Information on attendances at accident and emergency departments (A&E) for alcohol-related reasons is not held centrally. Listed as follows are admissions via accident and emergency to national health service hospitals in England for alcohol-related conditions. Also detailed are alcohol- related admissions as a percentage of total admissions via A&E.

Count of finished admission episodes where the patient was admitted via accident and emergency departments and count of finished admission episodes where the patient was admitted via accident and emergency with a primary or secondary diagnosis of alcohol-related illness for 2005-06.

NHS hospitals, England 2005-06
Number

Total admissions via A&E

3,387,499

Admissions with alcohol-related illness via A&E

149,865

Alcohol-related admissions as a percentage of total admissions via A&E

4.42

Notes:
These figures represent a count of all finished in year admission episodes where the method of admission was coded as 21 Emergency: via accident and emergency services, including the casualty department of the provider; or 28 Emergency: other means, including patients who arrive via the A and E department of another provider.
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.
All diagnoses count of episodes
These figures represent a count of all finished in-year admission episodes where the diagnosis was mentioned in any of the 14 (seven prior to 2002-03) diagnosis fields in a Hospital Episode Statistics (HES) record.
Diagnosis (primary diagnosis)
The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
Secondary diagnoses
As well as the primary diagnosis, there are up to 13 (six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
The following diagnosis codes were used: F10 Mental and Behavioural Disorders Due to Use of Alcohol; K70 Alcoholic Liver Disease; T51 Toxic Effect of Alcohol.
Data quality
HES are compiled from data sent by over 300 NHS Trusts and primary care trusts 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.
Ungrossed data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Source:
HES, The Information Centre for health and social care.

Acute Hospital Services

Anne Milton: To ask the Secretary of State for Health pursuant to the oral answer of 24 April 2007, Official Report, column 778, on acute hospital services, what cost was incurred by Surrey Primary Care Trust
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in employing the Matrix consultancy for the purpose of producing the document “Squaring the Triangle” on the reconfiguration of health services in Surrey; and whether she plans to visit the Royal Surrey County Hospital in Guildford in 2007. [136890]

Caroline Flint: This is a matter for Surrey Primary Care Trust.

My right hon. Friend the Secretary of State has no current plans to visit the Royal Surrey County Hospital in Guildford in 2007.

Aerials: Health Hazards

Dr. Cable: To ask the Secretary of State for Health what process is in place to continue to review the potential health impacts of mobile telephone masts; and what plans she has to report any changes in the scientific assessment. [138084]

Caroline Flint: The Health Protection Agency’s Radiation Protection Division (HPA-RPD) continually monitors the health impact of mobile phone technologies. The research field was comprehensively reviewed in ‘Health Effects from Radiofrequency Electromagnetic Fields - Report of an independent Advisory Group on Non-ionising Radiation’ (Documents of the NRPB, Volume 14, No 2 2003).

This report concludes that the weight of evidence now available does not suggest that there are adverse health effects from exposures to radiofrequency (RF) fields below guideline levels, but the published research on RF exposures and health has limitations, and mobile phones have only been in widespread use for a relatively short time. The possibility therefore remains open that there could be health effects from exposure to RF fields below guideline levels; hence continued research is needed.

The report specifically mentions base stations (mobile telephone masts) saying exposure levels from living near to mobile phone base stations are extremely low, and the overall evidence indicates that they are unlikely to pose a risk to health.

The full report is available in the Library and also at the HPA website at:

The mobile telecommunications health research programme, jointly funded by Government and industry, is due to report later this year. Many of the studies supported under this programme have already been published and the details are available on its website at www.mthr.org.uk

AIDS: Medical Treatments

Mr. Hancock: To ask the Secretary of State for Health what progress she has made towards the target of universal access to treatment for all those with AIDS in the UK by 2010. [134507]

Caroline Flint: The national health service already provides access to treatment for HIV and AIDS for all people ordinarily resident in the United Kingdom, including refugees and asylum seekers. Data from
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the annual Survey of People with Diagnosed HIV indicated that in 2005 there were 47,517 individuals with diagnosed HIV seen for care in the UK.

Alcoholic Drinks: Misuse

Dr. Murrison: To ask the Secretary of State for Health if she will (a) publish a review of the Government's first alcohol strategy and (b) publish details of the second alcohol strategy; what procedure was used to consult on the second alcohol strategy; and what measures she plans to use to assess the performance of the alcohol strategies. [136737]

Caroline Flint: The Alcohol Harm Reduction Strategy for England was published in 2004. It contained a commitment for its review during 2007 and this review is under way. We expect to publish a renewed strategy very shortly; this will set out the progress made towards the goals of the 2004 strategy and indicate how the progress which has been made already will be built upon in the future.

The renewed strategy will set out the outcomes to be achieved. After publication, we will discuss how best to achieve the outcomes with stakeholders, and consult as appropriate on detailed proposals.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 2 May 2007, Official Report, column 1771W, whether her Department has made an assessment of the potential for fiscal incentives to promote responsible drinking. [137367]

Caroline Flint: Tax decisions are made by my right hon. Friend the Chancellor of the Exchequer, taking account of a range of factors, including health.

Alcoholic Drinks: Rehabilitation

Tony Lloyd: To ask the Secretary of State for Health what assessment she has made of the effectiveness of her Department’s alcohol treatment strategy; whether she has means to gather best practice from different parts of the country; and if she will make a statement. [139599]

Caroline Flint: The “Alcohol Harm Reduction Strategy for England” was published in 2004. It contained a commitment for its review during 2007 and this review is under way. We expect to publish a renewed strategy very shortly; this will set out the progress made towards the goals of the 2004 strategy and indicate how the progress which has been made already will be built upon in the future.

Ongoing liaison with stakeholders has meant that officials and Ministers from the Government Departments dealing with the different aspects of alcohol policy are aware of many examples of good practice, both at regional and local level. Along with developments in the evidence base, examples of good practice are an important component of the review of progress and will also be drawn upon to support work to achieve the outcomes being set out in the renewed strategy.


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