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23 July 2007 : Column 815W—continued
Sandra Gidley: To ask the Secretary of State for Health how many people in England were dependent on a domiciliary oxygen system in their homes in each of the last 10 years. [151012]
Dawn Primarolo: The Department does not hold information on the number of people using the home oxygen service in England prior to 2006-07, as the information collected was based on the number of oxygen cylinders dispensed, not the number of patients using the service. However, information was available on the number of patients using the oxygen concentrator service under contracts with specialist suppliers. The 2004 estimate used to support procurement of the new service was that around 60,000 patients used the service (of which 20,000 used concentrators).
Data available from the new integrated service contract implemented from 1 February 2006 show that there are some 79,000 patients using oxygen at home.
Sandra Gidley: To ask the Secretary of State for Health what estimate he has made of the average delivery time for (a) routine and (b) emergency oxygen supplies to outpatients (i) before and (ii) after the introduction of the new home oxygen service. [151015]
Dawn Primarolo: Prior to the introduction of the new home oxygen service on 1 February 2006, there were no explicit requirements on those providing an oxygen cylinder service or an oxygen concentrator service to deliver a service urgently or within another specified period. Therefore, no data are available to assess average delivery time prior to that date.
The new service contract requires the service provider to meet specific response times for each oxygen service provided under the contract. These are:
emergency or urgent supply of oxygen to be delivered within four hours of receipt of an order from a healthcare professional;
an order supporting the discharge of a patient from hospital to be delivered on the day following receipt of the order or on a date specified by the healthcare professional in the order; and
an order for short burst oxygen therapy, long-term oxygen therapy, or an ambulatory oxygen service to be provided within three working days of receipt of an order either from a health care professional or from the patient directly (for re-supply).
Each supplier must meet these service requirements under the terms of the contract and delivery times are a key indicator used in monitoring supplier performance. There is no average delivery time. A supplier will either pass or fail in meeting these requirements. Current data show that suppliers are achieving around 99 per cent. compliance with this service requirement.
Hospitals: Admissions
Mr. Lansley: To ask the Secretary of State for Health what the mean length of stay was for patients admitted to hospital in each year since 1997-98 (a) in England and (b) broken down by strategic health authority area. [149487]
Mr. Bradshaw: Information has been placed in the Library.
Hospitals: Finance
Greg Clark: To ask the Secretary of State for Health pursuant to the answer of 16 July 2007, Official Report, columns 173-34W, on hospitals: finance, on what date in 2008 he expects the financial close of the Maidstone and Tunbridge Wells Pembury hospital private finance initiative scheme to take place. [151637]
Mr. Bradshaw: Financial close on the Pembury hospital private finance initiative scheme for Maidstone and Tunbridge Wells hospital NHS trust is expected by the end of March 2008.
Hospitals: West Sussex
Peter Bottomley: To ask the Secretary of State for Health what knowledge (a) the central NHS and (b) his Department had of the hurdles for hospital services set out in the current consultation in West Sussex in advance of the commencement of the consultation. [150130]
Dawn Primarolo: Proposals for service change and consultation on those proposals is a matter for the national health service locally.
We would expect any local proposals brought forward for consultation to have taken into account variety of issues and to be both financially and clinically viable.
Tim Loughton: To ask the Secretary of State for Health what plans he has for further disposals of land at the Southlands hospital site in Shoreham-by-Sea, West Sussex. [150366]
Mr. Bradshaw: The disposal of land at Southlands hospital site is a matter for the local national health service.
Influenza: Disease Control
Mr. Lansley: To ask the Secretary of State for Health if he will place in the Library a copy of the paper summarising the published scientific data currently available on pre-pandemic and pandemic vaccines presented to the meeting of the Joint Committee on Vaccinations and Immunisations on 14 February 2007. [152174]
Dawn Primarolo: A copy of the paper on pre-pandemic and pandemic influenza vaccines: summary of the evidence has been placed in the Library from the meeting of Joint Committee on Vaccinations and Immunisations on 14 February 2007.
Lung Diseases
Mr. Hepburn: To ask the Secretary of State for Health how many people were diagnosed with mesothelioma in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. [150556]
Angela Eagle: I have been asked to reply.
The information requested falls within the responsibility of the National Statistician, who has been asked to reply.
Letter from Colin Mowl, dated 23 July 2007:
The National Statistician has been asked to reply to your recent Parliamentary Question asking how many people have been diagnosed with mesothelioma in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. I am replying in her absence. (150556)
The most recent available figures for newly diagnosed cases of cancer registered in England are for the year 2004. Figures for patients diagnosed with mesothelioma in Jarrow constituency, South Tyneside county district, North East government office region (GOR) and England, from 1997, are given in the table below.
| Numbers of newly diagnosed cases of mesothelioma( 1) registered in Jarrow constituency, South Tyneside county district, North East GOR and England, 1997-2004. | ||||
| Jarrow constituency | South Tyneside county district | North East GOR | England | |
| (1) Figures selected using the International Classification of Diseases, Tenth Revision (ICD10) C45. | ||||
Members: Correspondence
Mr. Baron: To ask the Secretary of State for Health when he expects to reply to the letter from the hon. Member for Billericay, dated 31 May, on the subject of testosterone deficiency. [151823]
Ann Keen: A reply was issued on 19 July 2007.
Mesothelioma
Mr. Hepburn: To ask the Secretary of State for Health how many people were treated for mesothelioma in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. [150560]
Ann Keen: While we do collect figures on the number of people treated for mesothelioma, we do collect figures on finished consultant episodes where the primary diagnosis was mesothelioma.
The requested information is detailed in the following table, these figures relate only to admitted patients and do not include any patients who are treated for mesothelioma in accident and emergency but not admitted, patients treated in an out-patient setting or patients treated in the community. The figures are not for patients, as one patient may have had more than one episode.
| Count of finished consultant episodes where the primary diagnosis was Mesothelioma( 1) for selected organisations—national health service hospitals, England | ||||
| Finished consultant episodes | ||||
| North east strategic health authorities | ||||
| South Tyneside primary care trust (5KG) as PCT of residence | Northumberland, Tyne and Wear strategic health authority (Q09) as SHA of residence | County Durham and Tees Valley strategic health authority (Q10) as SHA of residence | England | |
| (1) The ICD-10 codes used in this analysis were as follows: C45 Mesothelioma D19 Benign neoplasm of mesothelial tissue Notes: 1. Finished Consultant Episode (FCE): An FCE is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year. 2. Ungrossed Data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). 3. 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. 4. Assessing growth through time: HES figures are available from 1989-90 onwards. During the years that these records have been collected the NHS there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in out-patient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time. 5. PCT and SHA data quality: PCT and SHA data were added to historic data-years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioners practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data. Source: HES, The Information Centre for health and social care | ||||
MRSA
Mr. Hancock: To ask the Secretary of State for Health (1) why MRSA is not a recognised cause of death; and if he will make a statement; [150538]
(2) if he will make it his policy to adopt the recommendations of the (a) World Health Organisation and (b) Office of National Statistics and allow MRSA to be cited on a death certificate as a contributory factor. [150539]
Angela Eagle: I have been asked to reply.
The information requested falls within the responsibility of the National Statistician, who has been asked to reply.
Letter from Colin Mowl, dated 23 July 2007:
The National Statistician has been asked to reply to your questions asking why MRSA is not a recognised cause of death and whether it will be policy to adopt the recommendations of the (a) World Health Organisation and (b) Office of National Statistics and allow MRSA to be cited on a death certificate as a contributory factor. I am replying in her absence. (150539, 150538)
Diseases caused by infection with Meticillin Resistant Staphylococcus Aureus bacteria (eg MRSA septicaemia, MRSA pneumonia, MRSA wound infection etc) are recognised as causes of death and can be cited on death certificates. The Office for National Statistics publishes annual statistics on deaths certified as due to or contributed to by MRSA.
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