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16 Oct 2007 : Column 1064W—continued


16 Oct 2007 : Column 1065W

Paramedical Staff: Lancashire

Mr. Gordon Prentice: To ask the Secretary of State for Health how many (a) paramedics and (b) paramedics in training there are in Lancashire; and how many there were in each year since 2000. [157584]

Ann Keen: Information on the numbers of paramedics in training is not collected centrally. Numbers of paramedics in the North West Ambulance Service National Health Service Trust and predecessor organisations is set out in the following table.

Number

2000

945

2001

966

2002

902

2003

1,037

2004

1,037

2005

1,181

2006

1,175

Note:
In July 2006, Mersey Ambulance Service, Cumbria Ambulance Service, Greater Manchester Ambulance Service and Lancashire Ambulance Service NHS Trusts merged to form North West Ambulance Service NHS Trust.
Source:
The Information Centre for health and social care Non-Medical Workforce Census.

Radiotherapy

Mr. Lansley: To ask the Secretary of State for Health how many linear accelerators he expects to be available to the NHS in each year of the next 10 years. [156782]

Ann Keen: The Department does not routinely collect these data, the acquisition of resources is a matter for local determination based on local needs. However when final deliveries are completed, as part of the recent central procurement, there will be approximately 250 linear accelerators (linacs) installed in national health service trusts in England.

The National Radiotherapy Advisory Group report published in May 2007 has recommended that more linacs will be needed over the next 10 years. The recommendations in this report are being considered as part of the development of the cancer reform strategy.

Mr. Lansley: To ask the Secretary of State for Health whether all radiotherapy centres have plans in place to deliver the 4-tier skills mix model. [156783]

Ann Keen: All trusts with radiotherapy centres are being encouraged to review their skill mix following the recommendations made by the National Radiotherapy Advisory Group (NRAG) produced in May 2007, however radiotherapy staffing profiles need to be based on local needs and priorities.

Mr. Lansley: To ask the Secretary of State for Health how many radiotherapy departments have more than eight linear accelerators. [156784]

Ann Keen: Three(1) radiotherapy departments in England have more than eight linear accelerators on site. These are Christie Hospital NHS Foundation
16 Oct 2007 : Column 1066W
Trust, Clatterbridge Centre for Oncology NHS Foundation Trust and Leeds Teaching Hospitals NHS Trust. However, we do not hold information on whether all these machines are in routine clinical use. Some of these machines may be used for clinical research, training purposes or used as back up when another machine requires maintenance.

Mr. Lansley: To ask the Secretary of State for Health what the average number of fractions per linear accelerator was in the most recent period for which figures are available, broken down by radiotherapy facility. [156785]

Ann Keen: In 2005, a radiotherapy equipment survey was carried out by the National Cancer Services Analysis Team. Results from this survey were included in the report of the National Radiotherapy Advisory Group that was published in May 2007.

As set out in this report 39 out of 48 Trusts with radiotherapy facilities in England responded to the survey. The median radiotherapy centre gave 7,400 fractions per linac and 16 out of the 39 centres delivered more than 8,000 fractions per linac on average. A chart showing the range of productivity across the 39 radiotherapy facilities in England that responded to the survey has been placed in Library.

The radiotherapy equipment survey has recently been repeated and the updated information is currently being validated. A more up-to-date position should therefore be available by the end of October 2007.

Mr. Lansley: To ask the Secretary of State for Health how many linear accelerators were available to the NHS in the most recent year for which figures are available; and what average number of fractions per annum was delivered by each. [156786]

Ann Keen: The Department does not collect data in the format requested, however, the following information might be helpful.

The National Radiotherapy Advisory Group Report published in May 2007 indicated that there were 215 linear accelerators (linacs) in England in August 2006 and that the median radiotherapy centre gave 7,400 fractions per linac averaged across the centre.

From the 39 centres out of 48 that responded to a radiotherapy equipment survey in 2004-05 undertaken by the National Cancer Services Analysis team, the annual average fractions per linear accelerator was 7,522. This included all linacs which were recorded as having been in routine clinical use for the whole year and excluded Cobalt units, machines used for backup, and two machines with very low activity levels less than 100 courses.

The radiotherapy equipment survey has been repeated and results should be available shortly.

Mr. Lansley: To ask the Secretary of State for Health what steps he is taking to increase the number of hybrid virtual environments on radiotherapy training sites. [156787]


16 Oct 2007 : Column 1067W

Ann Keen: In May 2007 we announced £5 million of capital funding to support the introduction of virtual skills training facilities to national health service trusts and universities where therapeutic radiography training is undertaken. The National Cancer Director wrote to trusts and universities supporting radiotherapy training on 6 October 2007 inviting them to apply for funding to allow them to procure the facilities.

Waiting Lists: Greater London

Sarah Teather: To ask the Secretary of State for Health what the average waiting times were for (a) general surgery, (b) ear, nose and throat surgery, (c) neurosurgery, (d) geriatric medicine and (e) general medicine in each London primary care trust in each of the last five years. [157390]

Mr. Bradshaw: The information requested has been placed in the Library.

Treasury

Cancer: North East Region

Mr. Hepburn: To ask the Chancellor of the Exchequer how many people (a) were diagnosed with
16 Oct 2007 : Column 1068W
and (b) died from (i) cancer and (ii) breast cancer in (A) Jarrow constituency, (B) South Tyneside and (C) the North East in each year since 1997. [156763]

Angela Eagle: The information requested falls within the responsibility of the National Statistician who has been asked to reply.

Letter from Karen Dunnell, dated 15 October 2007:

Table 1. r egistrations of newly diagnosed cases of all cancers( 1) and breast cancer( 2) : Jarrow parliamentary constituency, South Tyneside county district and the north east government office region, 1997-2004
Jarrow South Tyneside North east
All cancers( 1) Breast( 2) All cancers( 1) Breast( 2) All cancers( 1) Breast( 2)

1997

452

59

806

102

12,350

1,550

1998

441

43

838

95

12,902

1,691

1999

464

68

856

107

13,071

1,679

2000

454

60

886

119

13,087

1,673

2001

440

53

821

101

13,426

1,731

2002

469

61

860

103

13,558

1,713

2003

454

71

870

130

13,585

1,907

2004

434

58

866

117

13,213

1,974

(1) All cancers excluding non-melanoma skin cancer: I CD-10 COO-C97 excluding C44.
(2) Breast cancer is defined as code C50 in the International Classification of Diseases, Tenth Revision (ICD-10).
Source:
Office for National Statistics

Table 2. number of deaths where cancer( 1) , or breast cancer( 2) , was the underlying cause of death: Jarrow parliamentary constituency, South Tyneside county district, north east government office region, 1997-2006( 3)
Jarrow South Tyneside North e ast
All cancers( 1) Breast( 2) All cancers( 1) Breast( 2) All cancers( 1) Breast( 2)

1997

282

15

531

42

7776

610

1998

280

17

549

39

7901

571

1999

282

20

526

32

7530

545

2000

272

19

522

31

7469

518

2001

278

16

542

34

7811

557

2002

281

21

517

34

7695

515

2003

264

14

526

29

7650

477

2004

263

13

527

26

7629

524

2005

276

13

534

25

7648

553

2006

298

22

485

36

7667

532

(1) Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 140-208 for the years 1997 to 2000, and Tenth Revision (ICD-10) codes COO-C97 for subsequent years. The introduction of ICD-10 means that the numbers of deaths from cancer before 2001 are not completely comparable with later years.
(2) Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 174-175 for the years 1996 to 2000, and Tenth Revision (ICD-10) code C50 for subsequent years. The introduction of ICD-10 means that the numbers of deaths from this cause before 2001 are not completely comparable with later years.
(3) Figures are for deaths registered in each calendar year.
Source:
Office for National Statistics

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