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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
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 |
| Note: PCTs came into being from the April 2002 Source: Department of Health QF01 | ||
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.
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+ |
| 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+ |
| 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 |
| MRSA bacteraemia reports | ||||||
| April-March | ||||||
| Name of NHS Trust | 2001-02 | 2002-03 | 2003-04 | 2004-05 | 2005-06 | 2006-07 |
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