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9 Oct 2007 : Column 526W—continued
| Female patients | ||||
| 2005-06 | End 2010-11 | |||
| Catchment group | B aseline | L ower | M iddle | H igher |
Smoking: Public Houses
Charles Hendry: To ask the Secretary of State for Health what estimate he has made of the change in revenues of public houses in England since the introduction of the ban on smoking in public places; and if he will make a statement. [156172]
Dawn Primarolo: While it is still too early to make any definitive statement about the economic impact of the law which came into operation on 1 July 2007 in England, based on our regulatory impact assessment (RIA) we are not expecting a significant positive or negative impact on the industry.
The RIA is available in the Library and at:
www.dh.gov.uk/en/Policyandguidance/Healthandsocial caretopics/Tobacco/DH_076227
Social Services: Per Capita Costs
Matthew Taylor: To ask the Secretary of State for Health what the spending per head was on social services in (a) Cornwall, (b) the South West and (c) England in each year since 1979. [156315]
Mr. Ivan Lewis: There would be disproportionate costs incurred to produce this information across the whole time period requested. The following table shows the average per capita social services spending from 2000-01 to 2005-06 for England, the South West and Cornwall.
| England total | South West | Cornwall | |
| Notes: 1. The table shows total net cost of social services per head of population, this is the total spend excluding capital charges minus income received from client contributions and other income which includes income from the national health service. 2. In 2003-04 the Supported People Grant was introduced which should be taken into consideration when making comparisons over time. The expenditure information is actual spend and has not been adjusted for inflation. | |||
Teenage Pregnancy
Sandra Gidley: To ask the Secretary of State for Health whether his Department is on course to meet the 2010 target for halving the conception rate of under 18s. [152182]
Beverley Hughes: I have been asked to reply.
2005 under-18 conception rate data—published by the Office for National Statistics in February 2007—showed that since the 1998 baseline year, the under-18 conception rate in England fell by 11.8 per cent., to its lowest level for over 20 years. The under-16 rate fell by 12.1 per cent. over the same period.
Notwithstanding these achievements, we need to see faster progress in order to achieve the challenging target of halving the under-18 conception rate by 2010. Consequently, we have issued guidance to local authorities and primary care trusts, setting out the key features of local strategies in areas where teenage conception rates have fallen fastest. All areas have been asked to review their strategies against this guidance, with a view to raising all areas' performance to the levels of the best. If all areas had performed as well as the top quartile, the national reduction would be 26 per cent.—more than twice the 11.8 per cent. reduction that has actually been achieved.
Transplant Surgery
Mr. Laxton: To ask the Secretary of State for Health what steps are being taken to improve the rate at which human organs become available for transplant. [154358]
Ann Keen:
The Department launched ‘Saving Lives, Valuing Donors: A Transplant Framework for England’ in 2003 and the National Service Framework for Renal Services in 2004. These set out the Department's key aims for organ and tissue transplantation over the following 10 years. Government investment in hospital based funding has helped increase donor rates and an organ donor taskforce will report to Ministers in autumn 2007 on how organ donor rates can be further improved.
Following the publication of the Chief Medical Officer's annual report in July, the taskforce will also examine the potential impact on organ donation of introducing an opt out or presumed consent scheme.
Warrington Hospital
Helen Southworth: To ask the Secretary of State for Health how many (a) outpatient appointments and (b) operations there were at Warrington hospital in each of the last five years. [147388]
Mr. Bradshaw: The information is not available in the format requested. The tables show the number of out-patient appointments and the number of finished consultant episodes with an operation at North Cheshire Hospitals NHS Trust.
| Out - patient appointments, North Cheshire Hospitals NHS Trust, all specialties, 2001-02 to 2006-07 | |||||
| First attendances seen | First attendances DNA | Subsequent attendances seen | Subsequent attendances DNA | Total appointments | |
| Source: Department of Health form QMOP and QM08 | |||||
Count of finished consultant episodes (FCEs) with an Operation (OPCS-4 codes between A01-X59 or and (operation code not known)) as reported by the North Cheshire Hospitals NHS Trust (RWW). Note that this excludes procedures performed as outpatients.
| NHS Hospitals England | |
| Data year | Count of FCEs with an operation |
| Notes: 1. The NHS Information Centre has investigated with North West Strategic Health Authority and North Cheshire Hospitals NHS Trust the reason for the reported decrease in the number of FCEs with an operation. The main cause of this decrease is that between 2002-03 and 2004-05 the trust stopped recoding certain procedures as being performed in a day case setting and started recording them as being performed in outpatients. Information is not available centrally on total procedures performed in outpatients. Data reclassification issues are being picked up by the Information Centre and the Audit Commission. From April 2007 onwards the trust will revert to counting this activity as a day case. 2. 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. 3. Finished Consultant Episode (FCE) with an Operation A count of FCEs with an operation is the number of episodes with at least one coded procedure field. Please note that more procedures are carried out than finished consultant episodes with an operation. For example, patients under going 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. 4. 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. 5. Ungrossed data Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). Source: Hospital Episode Statistics (HES), The Information Centre for health and social care. | |
Wheelchairs
Daniel Kawczynski: To ask the Secretary of State for Health (1) what representations he has received from wheelchair users groups in relation to proposed changes to wheelchair provision and other community equipment services; [155953]
(2) what steps the Government are taking to prepare for future demand for wheelchair provision; [155954]
(3) if he will make a statement on proposed changes to the provision of wheelchairs and other such equipment for the disabled, currently being considered. [155955]
Mr. Ivan Lewis: The Prime Minister launched the Transforming Community Equipment and Wheelchair Services Programme in June 2006 to work collaboratively with stakeholders to develop a radical new model for delivery of community equipment and wheelchair services in England, which has users and carers at its heart. The intention was to look at the two services in parallel, but this has not been feasible.
Two potential models were developed for wheelchair services. However, without robust data it was not possible to make recommendations for the way forward. This is of particular concern in view of the successive reports over the last 20 years which have consistently argued for modernisation and investment in the wheelchair services. A further data gathering exercise was agreed, this will report back to the Ministers in December 2007.
The programme has engaged with users, carers and organisations that represent them since the beginning. This continues through the user representative group and a user and carer questionnaire.
We have been working with individual wheelchair users and carers of people who use wheelchairs as well as representatives of:
Action for Kids;
Muscular Dystrophy Campaign;
Multiple Sclerosis Society;
Spinal Injuries Association;
Em Power;
Whiz-Kidz;
Limbless Association;
National Forum Wheelchair User Groups; and
Motor Neurone Disease Association.
The questionnaire offers users and carers an opportunity to comment on the chairs they currently have and make suggestions for change. It is available on the CSED website at:
and through the third sector organisations both through their publications and websites. Wheelchair services are also helping reach those users and carers who are unable to access the web.
The analysis of the questionnaires will continue until the end of November and the results will feed into the development of the business case.
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