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25 July 2007 : Column 1214W—continued


The definition of operations is not clear. A count of finished consultant episodes that include an operation (for OPCS codes A01-X59 and not known) at the trusts identified for Eastbourne and East Sussex. The ‘not known’ operation codes occur when an entry has been made in the operation field (thus indicating an operation has occurred). However, this entry does not match the valid OPCS4 codes.

The number of finished consultant episodes is shown in the table.

Count of finished consultant episodes with an operation (OPCS-4 codes between A01-X59 or and (operation code not known)) at three selected trusts, NHS hospitals, England
Trust 2005-06 2004-05 2003-04 2002-03

RXC

East Sussex Hospitals NHS Trust

60,010

52,566

53,067

50,037

RXD

East Sussex County Healthcare NHS Trust

64

78

52

94

RXH

Brighton and Sussex University Hospitals NHS Trust

63,290

59,271

50,954

52,661

Notes:
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.
FCE with an Operation
A count of FCEs with an operation is the number of episodes with at least one coded procedure field. More procedures are carried out than finished consultant episodes with an operation. For example, patients undergoing a cataract operation would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single finished consultant episode.
Data Quality
Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) 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.
Assessing growth through time
HES figures are available from 1989-90 onwards. During the years that these records have been collected, in 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.
Ungrossed Data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

Health Services: Research

Dr. Gibson: To ask the Secretary of State for Health when his Department expects to publish the results of its scoping study of the burden of disease that will inform future work on health priorities; how that study has been structured; and who is leading it. [150407]

Dawn Primarolo: The Department expects to receive the final report on the scoping study by the end of August. No decision has been taken about its publication.

The study is based on a review of existing datasets and has been commissioned from Dr. Stephen Green and Dr. Rebecca Miles of Oxford Healthcare Associates.


25 July 2007 : Column 1215W

Health Services: Tourism

Sandra Gidley: To ask the Secretary of State for Health what steps he is taking to promote travel health consultations. [150953]

Dawn Primarolo: The Department transferred the function of providing health advice to British travellers to the Health Protection Agency (HPA)/National Travel Health Network and Centre in 2003. Their responsibilities include providing evidence-based advice to travellers (including updating the 2001 Yellow Book Health Information for Overseas Travel), surveillance of imported infections and providing a telephone helpline.

The HPA are also directed under regulation 7(a) of the HPA Regulations 2005 to undertake the function of the designation of vaccinating centres in England for vaccination or revaccination against Yellow Fever for the purposes of the International Health Regulations 1969.

Travel advice for children is also contained in the booklet produced by the Department entitled ‘A guide to childhood immunisations for babies up to 13 months of age’, copies of which have been placed in the Library and which is also available at:

Health Trainers

Sandra Gidley: To ask the Secretary of State for Health how many (a) full and (b) part-time health trainers there are in each trust. [152228]

Dawn Primarolo: Health trainers are employed in a variety of settings and the plurality of employment models means that we do not collect data by individual primary care trust. We do not distinguish between full-time and part-time health trainers in the data we do collect. In total there are 1,200 health trainers employed across the country, with an additional 450 currently undergoing training within the British Army.

Sandra Gidley: To ask the Secretary of State for Health what estimate his Department has made of the cost of employing NHS accredited health trainers; and what estimate he has made of the number of health trainers needed to implement the scheme in all trusts. [152232]

Dawn Primarolo: The guide cost of employing a health trainer at band 3 under the “Agenda for Change” is £30,000, but this will vary considerably across trusts and depend upon the delivery models
25 July 2007 : Column 1216W
chosen, which may, for example, include volunteers. The numbers of health trainers engaged within each trust will vary, according to locally identified needs and priorities and it is not possible at this stage to estimate future total numbers.

Health: Schools

Sandra Gidley: To ask the Secretary of State for Health if he will make a statement on what progress has been made and what the timetable is for future steps towards all schools reaching healthy status by 2009 as described in the White Paper ‘Choosing Health’; and if he will make a statement. [152233]

Dawn Primarolo: As at 23 July, there were 10,280 schools (46 per cent.) who had gained the national healthy schools status and 90 per cent. of all schools in England have joined the national healthy schools programme. We are on track to meet our December 2007 milestone for there to be 55 per cent. of schools achieving national healthy schools status and 65 per cent. by December 2008. We expect that all schools will have achieved or be working towards the national healthy schools status by 2009 as set out in the ‘Choosing Health’ White Paper.

Henderson Hospital

Tim Loughton: To ask the Secretary of State for Health how many people were (a) referred to and (b) funded for treatment at the Henderson hospital in each of the last five years. [150651]

Mr. Ivan Lewis: This information is not held centrally. However, this information can instead be obtained direct from the South West London and St. George’s Mental Health NHS Trust.

Home Care Services

Sandra Gidley: To ask the Secretary of State for Health how many people received domiciliary care packages in each health trust in each of the last five years. [151010]

Mr. Ivan Lewis: The table shows the number of people aged 18 and over receiving home care services for each council with Social Services responsibilities area in England from 2001-02 to 2005-06. Information by health trust is not available centrally.


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25 July 2007 : Column 1222W
Number of clients aged 18 and over receiving home care( 1) by councils with Social Services responsibilities in England from 2001-02 to 2005-06 (CSSRs)
Rounded numbers
2001-02 2002-03 2003-04 2004-052 2005-062

England

597,000

581,000

589,000

584,000

596,000

Cumbria

7,440

6,440

5,540

5,700

6,100

Northumberland

7,380

6,540

5,750

5,360

5,120

Gateshead

3,130

3,040

3,180

3,040

2,820

Newcastle upon Tyne

4,960

5,450

5,570

5,740

4,890

North Tyneside

3,130

3,230

3,310

2,610

2,980

South Tyneside

4,350

(3)

(3)

2,800

2,960

Sunderland

6,560

6,510

6,180

5,580

6,150

Hartlepool

1,610

1,430

1,390

1,200

1,340

Middlesbrough

1,370

1,470

1,560

1,510

1,350

Redcar and Cleveland

1,130

1,720

1,500

1,670

1,580

Stockton on Tees

2,590

2,510

2,460

2,350

2,170

Durham

6,970

7,020

7,210

7,580

7,560

Darlington

1,130

1,110

1,110

1,020

1,120

Barnsley

3,560

3,310

3,290

4,860

6,020

Doncaster

3,400

2,930

2,570

2,410

2,570

Rotherham

3,370

3,270

3,130

3,040

3,300

Sheffield

5,780

5,880

6,330

7,010

6,080

Bradford

4,980

4,820

5,740

5,400

5,340

Calderdale

2,090

3,810

3,150

2,220

2,610

Kirklees

4,650

6,180

4,970

5,050

5,250

Leeds

13,490

12,480

10,490

9,170

5,070

Wakefield

3,760

3,310

3,360

3,360

3,120

East Riding

3,630

3,640

3,610

3,550

3,440

Kingston-upon-Hull

2,550

2,480

2,330

1,920

1,800

North East Lincolnshire

2,860

2,220

1,180

1,450

2,030

North Lincolnshire

1,650

2,190

2,600

2,880

1,980

North Yorkshire

5,750

5,990

5,710

7,110

8,180

York

2,070

2,680

2,730

2,520

2,550

Bolton

3,470

3,160

3,370

3,390

3,130

Bury

1,900

1,900

1,710

2,010

1,990

Manchester

(3)

(3)

(3)

4,710

4,610

Oldham

3,570

3,430

3,240

2,950

2,690

Rochdale

2,940

2,560

2,470

2,280

2,410

Salford

4,200

4,880

4,700

4,180

4,240

Stockport

4,530

2,840

3,120

3,180

2,860

Tameside

2,770

3,450

2,120

2,190

6,480

Trafford

2,800

1,940

2,510

2,480

2,650

Wigan

4,670

4,550

4,510

4,230

3,550

Knowsley

1,980

2,010

1,890

1,870

2,130

Liverpool

4,120

5,450

3,220

5,000

6,700

Sefton

2,890

2,700

2,710

4,300

3,380

St. Helens

1,870

2,250

2,170

2,170

2,260

Wirral

4,330

4,990

5,060

5,000

4,590

Cheshire

7,820

7,970

8,340

8,570

9,100

Halton

1,100

1,140

1,190

1,410

1,350

Warrington

1,650

2,100

2,310

2,560

2,600

Lancashire

11,880

13,740

15,910

16,840

17,410

Blackburn with Darwen

1,870

2,050

1,890

1,870

1,900

Blackpool

2,270

2,390

2,170

2,400

2,270

Warwickshire

6,380

6,430

6,060

6,800

5,570

Birmingham

(3)

(3)

(3)

(3)

10,140

Coventry

(3)

3,760

3,520

1,670

3,070

Dudley

4,960

3,920

3,800

3,800

3,690

Sandwell

(3)

3,710

3,540

3,260

3,120

Solihull

1,930

1,940

2,050

2,110

2,190

Walsall

4,410

3,860

3,070

3,100

3,240

Wolverhampton

3,590

3,530

3,400

3,510

3,590

Staffordshire

9,450

9,830

9,440

9,250

8,840

Stoke-on-Trent

2,480

3,950

3,680

3,110

3,020

Herefordshire

1,150

1,090

1,120

1,040

1,430

Worcestershire

3,610

5,910

5,860

5,620

5,470

Shropshire

2,430

2,560

2,690

2,200

2,620

Telford and Wrekin

1,350

1,510

1,520

1,580

1,960

Lincolnshire

6,470

6,770

6,290

5,950

6,270

Northamptonshire

10,170

5,930

5,850

7,950

8,780

Derbyshire

20,470

15,450

14,280

14,370

14,730

Derby

6,100

4,600

5,320

4,920

4,780

Leicestershire

5,910

6,030

6,190

6,320

6,530

Leicester

3,360

2,560

3,460

3,290

3,280

Rutland

250

430

450

180

440

Nottinghamshire

7,840

7,650

6,790

6,530

6,830

Nottingham

(3)

3,090

4,800

3,370

3,380

Hertfordshire

9,620

10,070

11,040

11,800

12,570

Norfolk

9,540

9,220

11,080

11,180

11,300

Oxfordshire

(3)

(3)

4,270

4,510

5,070

Suffolk

6,940

8,080

8,970

9,720

10,340

Bedfordshire

3,750

4,280

4,510

4,880

3,100

Luton

1,580

1,360

1,480

1,550

1,470

Buckinghamshire

4,470

4,260

3,940

4,150

4,050

Milton Keynes

1,970

2,130

2,310

1,880

2,030

Bracknell Forest

980

1,110

1,620

740

660

West Berkshire

1,320

1,230

1,290

1,320

1,420

Reading

1,840

1,780

1,630

1,510

1,530

Slough

1,190

940

980

1,040

1,060

Windsor and Maidenhead

1,200

1,080

1,160

1,090

1,080

Wokingham

840

1,090

1,140

1,180

1,190

Essex

(3)

(3)

(3)

(3)

13,070

Southend

1,610

2,700

2,050

2,070

2,420

Thurrock

1,490

1,460

1,400

1,170

1,180

Cambridgeshire

4,710

5,080

5,230

5,190

5,570

Peterborough

1,240

1,250

1,380

1,460

1,640

Camden

3,620

3,360

3,080

3,000

3,130

Greenwich

2,350

2,890

2,840

2,830

2,800

Hackney

(3)

1,860

(3)

2,330

2,290

Hammersmith and Fulham

3,080

3,020

3,300

3,160

3,060

Islington

2,300

(3)

2,310

2,600

2,630

Kensington and Chelsea

1,970

2,370

2,510

2,120

2,000

Lambeth

4,600

4,430

3,810

3,260

2,570

Lewisham

3,690

2,830

2,990

2,580

2,460

Southwark

3,810

3,340

2,810

2,920

2,900

Tower Hamlets

3,310

3,610

3,370

3,340

3,110

Wandsworth

5,070

4,350

4,260

4,070

3,700

Westminster

3,950

3,920

3,770

3,200

3,310

City of London

70

170

190

100

120

Barking and Dagenham

1,940

1,760

2,580

1,910

2,100

Barnet

2,850

2,850

2,510

2,500

2,540

Bexley

2,960

2,970

2,940

2,860

2,890

Brent

1,700

1,620

1,550

2,470

2,490

Bromley

6,430

4,160

(3)

4,300

3,840

Croydon

4,370

4,290

4,730

3,360

3,090

Ealing

3,730

3,170

4,010

2,950

4,170

Enfield

2,250

2,320

2,290

2,410

2,460

Haringey

2,010

2,000

2,040

1,890

1,930

Harrow

2,560

2,290

2,360

2,720

2,690

Havering

3,100

3,050

2,950

3,050

3,170

Hillingdon

2,440

2,210

2,290

2,300

2,020

Hounslow

890

1,750

1,660

1,740

1,960

Kingston-upon-Thames

1,610

1,850

1,510

1,590

1,510

Merton

1,490

1,540

1,910

1,940

1,960

Newham

2,610

3,000

2,930

2,570

2,530

Redbridge

3,550

3,830

4,030

2,340

2,470

Richmond-upon-Thames

1,490

1,370

1,370

1,500

1,610

Sutton

2,190

2,240

2,270

2,280

1,930

Waltham Forest

2,240

2,460

2,240

2,030

1,890

Isle of Wight

1,360

1,970

2,260

1,750

1,290

Surrey

(3)

(3)

(3)

4,920

5,320

West Sussex

6,820

4,310

7,520

6,690

6,980

Dorset

3,580

3,650

4,090

3,960

3,930

Bournemouth

2,010

1,060

990

1,140

1,300

Poole

1,690

1,640

1,490

1,460

1,550

Hampshire

10,730

10,660

11,690

13,270

11,460

Portsmouth

3,100

3,250

2,990

2,780

2,870

Southampton

3,510

3,520

5,280

3,650

4,100

East Sussex

4,500

4,160

5,160

4,400

4,280

Brighton and Hove

4,000

3,640

3,630

2,490

2,730

Wiltshire

3,590

4,660

5,640

7,160

6,720

Swindon

1,640

1,610

1,520

1,550

1,520

Kent

19,140

26,050

17,100

19,480

19,010

Medway Towns

2,690

2,740

2,680

3,070

3,000

Cornwall

7,620

8,420

8,920

9,620

9,960

Gloucestershire

5,010

4,570

5,970

4,960

5,580

Somerset

7,810

8,340

8,270

7,410

7,120

Isles of Scilly

20

20

20

20

30

Bath and North East Somerset

(3)

2,450

2,300

2,090

1,700

Bristol

6,150

5,950

5,580

5,120

4,300

North Somerset

2,050

1,990

1,730

1,190

1,880

South Gloucestershire

2,320

2,190

2,260

2,190

2,500

Devon

9,080

8,500

8,060

8,610

8,140

Plymouth

1,360

1,230

1,660

2,140

2,280

Torbay

2,580

2,290

2,210

2,030

2,190

(1) Home care covers both “home help/home care” and “overnight respite—clients home”
(2 )In 2004-05 restated guidance was issued to exclude people receiving services from grant funded organisations and who had not had a community care assessment. Therefore, data for 2004-05 onwards is not comparable to previous years.
(3 )Data not available.
Note:
Figures may not add up due to rounding.
Source:
RAP P2F

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