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29 Oct 2007 : Column 1019W—continued


Mr. Burstow: To ask the Secretary of State for Health how many elderly people were diagnosed as suffering from malnutrition, broken down by (a) region, (b) age and (c) length of stay in a healthcare facility; and if he will make a statement. [160868]

Mr. Ivan Lewis: Information by region, age and length of stay in a healthcare facility is not held centrally.

The following table shows the available information for people aged 65 or more by length of hospital stay in each strategic health authority area in 2005-06. The figures include instances where there was either a primary or a secondary diagnosis of malnutrition. They would therefore include patients who were admitted to hospital for a reason other than malnutrition but were subsequently diagnosed as malnourished.


29 Oct 2007 : Column 1020W
Number and median length of hospital stays in which the patient age 65 and over had a primary or secondary diagnosis of malnutrition in the final (discharge) episode (ICD-10 codes between E40 to E46)—NHS hospitals in England, discharges in 2005-06
Strategic health authority (SHA) of residence Discharge episodes Median length of stay (days)

Norfolk, Suffolk and Cambridgeshire SHA

51

16

Bedfordshire and Hertfordshire SHA

29

18

Essex SHA

31

20

North West London SHA

53

23

North Central London SHA

28

28

North East London SHA

27

12

South East London SHA

36

27

South West London SHA

21

23

Northumberland, Tyne and Wear SHA

34

16

County Durham and Tees Valley SHA

12

7

North and East Yorkshire and Northern Lincolnshire SHA

19

18

West Yorkshire SHA

37

18

Cumbria and Lancashire SHA

20

20

Greater Manchester SHA

60

18

Cheshire and Merseyside SHA

32

26

Thames Valley SHA

36

18

Hampshire and Isle of Wight SHA

63

35

Kent and Medway SHA

29

15

Surrey and Sussex SHA

55

22

Avon, Gloucestershire and Wiltshire SHA

50

19

South West Peninsula SHA

65

14

Dorset and Somerset SHA

42

22

South Yorkshire SHA

20

12

Trent SHA

46

24

Leicestershire, Northamptonshire and Rutland SHA

34

13

Shropshire and Staffordshire SHA

24

10

Birmingham and the Black Country SHA

93

14

West Midlands South SHA

15

32

Wales

2

79

England—not otherwise specified

3

61

Unknown

6

21

England

1,073

19

Notes:
1. Discharges
A discharge episode is the last episode during a spell, where the patient is discharged from the hospital (this includes transfer to another hospital).
2. Length of stay (duration of spell)
Length of stay (LOS) is calculated as the difference in days between the admission date and the discharge date, where both are given. LOS is based on the whole of the hospital spell and therefore may not be linked to malnutrition entirely. LOS only applies to ordinary admissions, i.e. day cases are excluded (unless otherwise stated). Information relating to LOS figures, including discharge method/destination, diagnoses and any operative procedures, is based only on the final episode of the spell.
3. All diagnoses count of episodes
These figures represent a count of all finished consultant episodes where the diagnosis was mentioned in any of the 14 (seven prior to 2002-03) diagnosis fields in a HES record.
4. Diagnosis (primary diagnosis)
The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the (HES) data set and provides the main reason why the patient was in hospital.
5. Secondary diagnoses
As well as the primary diagnosis, there are up to 13 (six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
6. Malnutrition
Malnutrition is defined by a primary diagnosis between the ICD-10 codes E40-E46.
E40 Kwashiorkor
E41 Nutritional marasmus
E42 Marasmic kwashiorkor
E43 Unspecified severe protein-energy malnutrition
E44 Protein-energy malnutrition of moderate and mild degree
E45 Retarded development following protein-energy malnutrition
E46 Unspecified protein-energy malnutrition
Source:
Hospital Episode Statistics (HES) in the Information Centre for health and social care.

29 Oct 2007 : Column 1021W

Epsom and St. Helier Primary Care Trust: Personnel

Mr. Burstow: To ask the Secretary of State for Health what percentage of staffing costs was spent on agency staff in Epsom and St. Helier Primary Care Trust in each of the last 10 years; and if he will make a statement. [160862]

Dawn Primarolo: The information requested by the hon. Member for national health service staff salaries
29 Oct 2007 : Column 1022W
and non-NHS staff salaries and percentages at Epsom and St. Helier University Hospitals NHS Trust are provided in the following tables.

Epsom and St. Helier University Hospitals NHS trust was formed in 1999. Figures for the two predecessor trusts that formed it, Epsom Health Care NHS Trust and St. Helier NHS Trust are provided for 1997-98 and 1998-99.

1997-98 1998-99
Organisation code Organisation name NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage) NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage)

RA1

Epsom Health Care NHS Trust

32,498,700

1,449,454

4.27

34,234,209

2,548,974

6.93

RAZ

St. Helier NHS Trust

61,454,789

1,915,077

3.02

65,032,965

2,000,378

2.98

RVR

Epsom and St. Helier NHS Trust

5M7

Sutton and Merton PCT


1999-2000 2000-01
Organisation code Organisation name NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage) NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage)

RA1

Epsom Health Care NHS Trust

RAZ

St. Helier NHS Trust

RVR

Epsom and St. Helier NHS Trust

96,356,278

5,366,279

5.28

*

8,753,789

7.98

5M7

Sutton and Merton PCT


2001-02 2002-03
Organisation code Organisation name NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage) NHS salaries and wages (£) Non-NHS salaries and wages—Agency (£) Agency spend (percentage)

RA1

Epsom Health Care NHS Trust

RAZ

St. Helier NHS Trust

RVR

Epsom and St. Helier NHS Trust

112,660,180

12,725,023

10.15

116,297,994

6,623,636

5.39

5M7

Sutton and Merton PCT

33,336,796

1,827,001

5.20


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