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15 Oct 2007 : Column 922W—continued


Hearing Impaired: Waiting Times

Mark Hunter: To ask the Secretary of State for Health what the waiting times are for digital hearing aid (a) assessment and (b) fitting in the Stockport Primary Care Trust area. [157997]

Mr. Ivan Lewis: The latest figures for July 2007 indicate that the number of people waiting over 13 weeks for an audiology assessment at Stockport Primary Care Trust was 1,296. The Department does not collect data on the numbers of people waiting to be fitted with a hearing aid.

Hospital Beds

Norman Lamb: To ask the Secretary of State for Health what targets were set for delayed discharge of patients aged (a) below 65 years and (b) 65 years and over in each year since 1997. [157704]

Mr. Ivan Lewis: The national health service plan contained a commitment to reduce widespread delayed discharges by 2004.

Councils and their NHS partners have already made significant progress in reducing delays in hospital. Between September 2001 and June 2007 the number of people over the age of 75 delayed in hospital reduced from 5,673 to 1,627, a reduction of 71 per cent., and total delays for the same period reduced from 7,065 to 2,173, a reduction of 69 per cent.

Norman Lamb: To ask the Secretary of State for Health how many delayed discharges there were of patients aged (a) below 65 years and (b) 65 years and over nationally in each year since 1997, broken down by health trust. [157705]

Mr. Ivan Lewis: The information has been placed in the Library.

Influenza

Mr. Lansley: To ask the Secretary of State for Health what the cost was to the public purse of the Ipsos MORI research study on public engagement to inform the 2007 pandemic influenza national framework and supporting guidance, published on 30 May 2007; whether his Department is undertaking any other programmes of work to engage the public on plans to prioritise treatment in the event of an influenza pandemic; and if he will make a statement. [156772]

Dawn Primarolo: The cost of the research study on public engagement was £59,000. After the publication of the “National Framework for responding to an influenza pandemic” in the autumn, we will further test the public’s reactions to many issues in pandemic planning and decision-making. This will include issues of prioritisation of access, should that be necessary, to clinical countermeasures. Work continues on the design of a public engagement programme to facilitate this process.

Mr. Lansley: To ask the Secretary of State for Health if he will place in the Library a copy of the modelling referred to in the paper published on his Department's website on 8 August 2007 entitled Use of antiviral drugs in an influenza pandemic. [156774]

Dawn Primarolo: The modelling summary referred to in the antiviral paper has been placed in the Library and is available at:

Mr. Lansley: To ask the Secretary of State for Health what assessment he has made of the potential impact of an influenza pandemic on the (a) supply of and (b) demand for (i) blood and (ii) blood components; what steps he is taking to ensure an adequate supply of blood in the event of a pandemic; and if he will make a statement. [156778]

Dawn Primarolo: NHS Blood and Transplant (NHSBT), together with the Department modelling team, have created a series of planning assumptions based on the best available estimates of demand for blood, the experience within NHSBT and that of other blood services, and the best possible estimate of supply under these conditions. While supply is dependent upon donors continuing to make altruistic gestures during the pandemic the current estimate based on these assumptions is that, in the worst case scenario, supply could fall by about 20 to 30 per cent.

Likewise, the estimates that can be made for demand are based on best available evidence and current knowledge. NHSBT's conservative estimate is that current demand for red cells could fall by about 10 to 25 per cent., while the demand for fresh frozen plasma and platelets could reduce by lesser amounts, although it is possible that demand could fall further.


15 Oct 2007 : Column 923W

NHSBT has a well-developed emergency planning system, which includes specific plans covering pandemic influenza. NHSBT's plans are regularly reviewed and updated to keep them in line with the latest emerging guidance.

Mr. Lansley: To ask the Secretary of State for Health how many deaths resulting from influenza infection there were in each year since 1979; what the population coverage of seasonal influenza immunisation was in each year since 1979; and in which years since 1979 there were epidemics of seasonal influenza. [156780]

Dawn Primarolo: It is not possible to determine the precise number of deaths due to influenza in a population because influenza itself is rarely the direct cause of death. Influenza may be complicated by bacterial infections, such as pneumonia, or may worsen an underlying illness, such as heart disease, and death results from the subsequent illness. In addition, by the time someone whose illness began with influenza gets to hospital, or dies, no evidence is apparent that the individual had influenza.

As a result, estimates of the number of deaths resulting from influenza epidemics are based on the number of deaths from all causes occurring during a period when influenza is circulating in the community, from which is subtracted the total number of deaths that would have been expected to have occurred in the absence of on influenza epidemic. This is generally referred to as the number of excess deaths due to influenza.

Estimates for excess deaths from influenza in England and Wales have been made by the Health Protection Agency for the 1988-89 to 2005-06 influenza seasons, and are given in the following table:

Estimated excess deaths due to influenza in England and Wales
Influenza season Number of excess deaths

1988-89

358

1989-90

26,945

1990-91

8,125

1991-92

5,967

1992-93

1,687

1993-94

14,544

1994-95

2,480

1995-96

16,241

1996-97

21,770

1997-98

0

1998-99

17,982

1999-2000

22,040

2000-01

1,067

2001-02

7,078

2002-03

6,559

2003-04

5,207

2004-05

1,795

2005-06

0


Flu vaccine uptake in those aged 65 and over since 2000-01 is shown in the following table. Data were not held centrally prior to 2000-01.


15 Oct 2007 : Column 924W
Uptake in those aged 65 and over (Percentage)

2000-01

65.4

2001-02

67.5

2002-03

68.6

2003-04

71.0

2004-05

71.5

2005-06

75.3

2006-07

74.0


Epidemic years have been classified as those in which "higher than average seasonal activity" has occurred. Since 1979, the following seasons would be classified as epidemic using this definition: 1989-90, 1993-94, 1996-97, 1998-99 and 1999-2000.

Influenza Pandemic

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 25 July 2007, Official Report, column 1223W, on influenza pandemic, whether any of the stockpile of A/H5N1 vaccines have been used; at what cost the stockpile was purchased; and what the shelf-life of the vaccine is. [156749]

Dawn Primarolo: None of the current stockpile of H5N1 vaccine has been used. The stockpile was purchased at a cost of £33.4 million. Vaccine from two different manufacturers has been stockpiled. Vaccine from one manufacturer has a shelf life of two years and the vaccine from the other has a shelf life of 12 months, and is subject to on-going stability testing by the National Institute for Biological Standards and Control and the manufacturers.

Mental Health Services

Anne Milton: To ask the Secretary of State for Health how many beds were available in England for those with mental health problems in each year since 1997; and if he will make a statement. [157607]

Mr. Ivan Lewis: This information is shown in the following table. The reduction in mental health bed numbers reflects the increasing provision by the national health service in England of treatment for patients with mental health conditions in primary care and community settings, without the need for hospital admissions.

Average daily beds available for acute mental health services in the national health service in England
Number

1996-97

37,640

1997-98

36,601

1998-99

35,692

1999-2000

34,173

2000-01

34,214

2001-02

32,783

2002-03

32,753

2003-04

32,252

2004-05

31,286

2005-06

29,802

2006-07

27,914

Source: Department of Health form KH03.

Anne Milton: To ask the Secretary of State for Health how many patients in England with mental health problems were prescribed (a) drug and (b) psychological treatment in each year since 1997; and if he will make a statement. [157608]


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Mr. Ivan Lewis: Around 7 million adults in England have a common mental health problem, with approximately 90 per cent. of these people being treated in primary care. However, information is not collected centrally about diagnoses for any condition in primary care, so reliable data are not available about the number of people who receive, or have received specific treatments, including those with mental health problems who have been prescribed drug treatments or psychological therapies.

We know that there is a significant level of unmet need for people suffering with depression and/or anxiety disorders. This is why the Government announced on 10 October their commitment to building a new psychological therapy service, with additional investment rising to £170 million over the next three years. By 2011, this service will help to treat 900,000 more people with depression, who would otherwise not have been treated.

Mentally Ill: Public Participation

Anne Milton: To ask the Secretary of State for Health how many representations his Department received from the voluntary sector about mental illness in each year since 1997; and if he will make a statement. [157609]

Mr. Ivan Lewis: This information is not collected by the Department.

The Department is committed to working with all mental health stakeholders. The voluntary and community sector has had and continues to have a positive role in both helping to shape policy and its implementation, and in delivering services to people with mental illness.

Mentally Ill: Suicide

Anne Milton: To ask the Secretary of State for Health how many suicides were committed by those with mental illness in England in each year since 1997; and if he will make a statement. [157606]

Mr. Ivan Lewis: The number of suicides by people in contact with mental health services in England in each year from 1997 to 2005 is as follows:

Number

1997

1,203

1998

1,253

1999

1,258

2000

1,248

2001

1,258

2002

1,246

2003

1,235

2004

1,280

2005(1)

1,149

(1) 87 per cent. complete.

Information on suicides by people in contact with mental health services is collected by the National Confidential Inquiry (NCI) into Suicide and Homicide by People with Mental Illness. The NCI is funded by the National Patient Safety Agency (NPSA) to ensure that everyone involved in mental health services learns and implements lessons from the factors associated
15 Oct 2007 : Column 926W
with serious mental illness. The Department has been and remains committed to taking appropriate action in response to the inquiry's findings.


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