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30 Oct 2007 : Column 1225W—continued

Hospitals: Admissions

Mr. Lansley: To ask the Secretary of State for Health how many emergency readmissions to hospitals there were within 28 days of discharge in each year since 1997; and what percentage this figure represents of all live discharges. [160261]

Mr. Bradshaw: Currently the best computations of readmission rates are those released by the National Centre for Health Outcomes Development (NCHOD). Hospital Episode Statistics data is used in the derivation of these readmission rates, and are published on the NCHOD website at www.nchod.nhs.uk. There are eight years data from 1998-99 to 2005-06 at primary care trust level and trust level, for the age groups 0-15, 16-74 and 75 and over. These published data are indirectly standardised rates and exclude discharges for those coded as death, day cases, maternity spells, mental health specialties and those with a mention of cancer or chemotherapy for
30 Oct 2007 : Column 1226W
cancer anywhere in the spell. Full definitions are on the NCHOD website. Other analyses from this source could only be produced at disproportionate cost.

Hospitals: Finance

Mr. Neil Turner: To ask the Secretary of State for Health (1) when the results of the Advisory Committee on Resource Allocation’s report on funding formulas will be incorporated into the market forces factor for acute hospital trust payments and formula funding for primary care trusts; [159588]

(2) whether he has received the report from the Advisory Committee on Resource Allocation in respect of (a) market forces factor and (b) formula for allocating primary care trust funding. [159589]

Mr. Bradshaw: Advisory Committee on Resource Allocation (ACRA) is reviewing the weighted capitation formula in support of the revenue allocations to primary care trusts (PCTs) post 2007-08. This review covers the market forces factor.

ACRA’s work is ongoing, but once it is complete, ACRA will make recommendations to Ministers on proposed formula changes. Ministers will need to give due consideration to any proposed changes to the formula, as recommended by ACRA.

The date for announcing revenue allocations to PCTs post 2007-08 has not yet been determined. Documentation supporting the announcement will be published as soon as practically possible after the allocation announcement has been made.

In relation to payment by results, no decision has been made as to when the results of the ACRA’s report will be incorporated into the market forces factor adjustments for acute trusts under the payment by results system. The national tariff for 2008-09 will use the current market forces factor.

Hospitals: Waiting Lists

Mr. Skinner: To ask the Secretary of State for Health what the average waiting times were for (a) heart and (b) cancer operations in Bolsover constituency in each year since 2000-01. [161062]

Ann Keen: The information is not held centrally in the format requested.

For the area now served by Derbyshire county PCT median waiting times for cardiothoracic surgery and cardiology are as follows:

Median waiting time in weeks
Quarter ending Cardiothoracic surgery Cardiology

June 2002

13.2

11.7

March 2003

10.3

11.6

March 2004

8.4

8.5

March 2005

5.0

7.8

March 2006

5.7

4.5

March 2007

4

4.3

June 2007

3.5

4.5

Note:
PCTs came into being from the April 2002
Source:
Department of Health QF01

30 Oct 2007 : Column 1227W

Figures for March 2006 and earlier are based on the waiting lists of the following PCTs being combined together: (pre merger) Amber Valley, Chesterfield, Erewash, Derbyshire Dales and South Derbyshire High Peak and Dales, North East Derbyshire and Erewash.


30 Oct 2007 : Column 1228W

Figures for waiting time, in weeks, from referral to treatment for all cancers at the two acute trusts in Derbyshire are as follows:

Chesterfield Royal Hospital NHS Foundation Trust (previously Chesterfield and North Derbyshire Royal Hospital NHS Trust)
As at June 31 weeks or less 32 to 38 39 to 48 49 to 62 63 to 76 77 to 90 91 to 104 105+

2007

40

13

11

22

0

0

0

0

2006

51.5

23

14

21.5

1.5

0.5

0

0

2005

25

16

14

17

2

0

2

1

2004

32

12

6

10

2

1

1

4


Derby Hospitals NHS Foundation Trust
As at June 31 weeks or less 32 to 38 39 to 48 49 to 62 63 to 76 77 to 90 91 to 104 105+

2007

94.5

30.5

53

64

4.5

2

0

0.5

2006

96

30

40

55.5

5.5

9.5

3

7.5

2005

91

26

19

29

15

12

4

14

2004

67

23

26

22

13

15

8

25

Notes:
From Q2 2005-06 onwards there has been a change in the way the referral to treatment figures are calculated at trust level. Where two national health service organisations (Cancer Unit and Cancer Centre) are involved in the care of the patient this is taken into account by recording half the activity against the unit that initially sees the patient and half against the centre that provides the first definitive treatment. In the past all the activity was recorded against the centre that provided the first definitive treatment.
This change means that figures for trusts on referral to treatment in Q1 2005-06 are not comparable with Q3 2005-06 figures. However the national figures are still comparable.
Source:
DH Cancer Waiting Times Statistics

Infectious Diseases: North East Region

Dr. Kumar: To ask the Secretary of State for Health how many healthcare-acquired infections there were in (a) the North East, (b) the Tees Valley and (c) the area corresponding as closely as possible to Middlesbrough South and East Cleveland constituency in each of the last 10 years. [161650]

Ann Keen: The information is not available in the format required.

Mandatory surveillance of meticillin resistant Staphylococcus aureus (MRSA) blood stream infections commenced in April 2001, for Clostridium difficile in January 2004 and for glycopeptide-resistant enrterococci (GRE) in October 2003 for acute NHS Trusts in England.

Data have been extracted from the Health Protection Agencies report on regional and national analyses of the Mandatory Bacteraemia Surveillance Scheme for National Health Service Trusts in the North East. This can be found in the following tables.

Number of C. difficile reports for patients > 65 years
January-Decembe r
Region Name of NHS Trust 2004 200 5 200 6

North East

City Hospitals Sunderland

383

436

291

North East

County Durham and Darlington Acute Hospitals

291

531

464

North East

Gateshead Health

197

207

169

North East

North Tees and Hartlepool

157

251

371

North East

Northumbria Health Care

367

378

507

North East

South Tees Hospitals

316

476

563

North East

South Tyneside

238

156

103

North East

The Newcastle Upon Tyne Hospitals

370

365

497

Total

2,319

2,800

2,965



30 Oct 2007 : Column 1229W

30 Oct 2007 : Column 1230W
MRSA bacteraemia reports
April-March
Name of NHS Trust 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07

City Hospitals Sunderland

41

47

56

47

47

49

Count Durham and Darlington Acute Hospitals

30

40

38

47

36

64

Gateshead Health

11

20

36

16

28

31

North Tees and Hartlepool

21

19

15

13

30

36

Northumbria Health Care

45

74

67

66

78

52

South Tees Hospitals

120

96

69

67

76

57

South Tyneside

7

13

15

14

18

6

The Newcastle Upon Tyne Hospitals

88

71

93

90

65

74

Total

363

380

389

360

378

369


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