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Mr. Bone: To ask the Secretary of State for Health pursuant to the answer of 13 November 2007, Official Report, column 178W, on health spending, how many finished consultant episodes there were in (a) 1996-97 and (b) 2007-08. 
Mike Penning: To ask the Secretary of State for Health how long on average patients requiring cardiac rehabilitation waited to be referred to each NHS hospital trust in England in the last year for which figures are available. 
Mr. Swire: To ask the Secretary of State for Health (1) how much has been spent on childrens hospices from (a) the public purse and (b) voluntary contributions in each of the last five years; 
Mr. Ivan Lewis: We do not collect centrally, information on the amount of money primary care trusts spend on hospices. Neither do we have any information on the amount of funding hospices receive from donations or from fees.
However, the Department has made available an additional £27 million over three years to be given to hospices as grants. Thirty six grants were awarded in October 2006 and a further 40 this summer. The final tranche will be awarded in 2008.
The National Service Framework for Children, Families and Maternity Services, published on 15 September 2004, set standards for local authorities, primary care trusts (PCTs) and national health service trusts to ensure that childrens palliative care services provide high quality, sensitive support. It remains a matter for PCTs to decide for themselves how that level of service can be provided.
Mike Penning: To ask the Secretary of State for Health what advice his Department provides to NHS trusts on safe travelling times for (a) heart attack and (b) stroke patients for emergency admissions; how many hospitals in England accept acute admissions; and how many hospitals which accept acute admissions have people in their catchment area living more than 10 miles from the hospital. 
Information on acute admissions is not collected in the format requested. At the end of June 2007, there were 155 national health service trusts reporting emergency admissions via type 1 (major) A&E departments. This does not include planned admissions in acute specialities. Information is not centrally collected in terms of how many hospitals which accept acute admissions have people in their catchment area living more than 10 miles from the hospital.
Only in some cases will the time taken between pick up of the patient and arriving at A&E be the most important consideration. In most cases it is the initial response, the treatment and diagnosis and quality of care, including specialist care, that matter most. Patients with severe trauma, appropriate heart attack and stroke victims may be best helped by being taken directly to specialist units, receiving care on the way to hospital. This may not be the nearest hospitalthe right place might often be a specialist unit where they see enough cases to maintain expertise and achieve the best outcomes.
Mr. Bradshaw: As the Prime Minister made clear, deep cleaning will occur in all hospitals, starting this winter, with resources allocated through the strategic health authorities (SHAs). All trusts will submit costed deep clean plans to their lead commissioners who will monitor performance against this plan, as per normal performance management arrangements, and SHAs will take an overview as to progress across their area.
Mr. Lansley: To ask the Secretary of State for Health how much annual budgets for Individual Learning Accounts for support staff were worth in each financial year since 1997-98 for which figures are available. 
Ann Keen: £180 million pump-priming funding was provided to strategic health authorities over three years from 2002-03 to 2005-06 to support staff in the lowest pay bands and career grades to take-up of national vocational qualifications and learning accounts. This has fulfilled the commitment made in the NHS Plan.
Mr. Stephen O'Brien: To ask the Secretary of State for Health what proportion of finished episodes of care with a primary diagnosis of (a) malnutrition and (b) nutritional anaemias had a secondary diagnosis of (i) coronary heart disease, (ii) stroke and transient ischemic attack, (iii) diabetes, (iv) chronic obstructive pulmonary disorder, (v) cancer, (vi) dementia, (vii) depression and (viii) chronic kidney disease in each year since 1997. 
Ann Keen: The following table shows the count of finished consultant episodes where the primary diagnosis was malnutrition or nutritional anaemia and the proportion of these that also had secondary diagnosis of either coronary heart disease, stroke and ischemic attack, diabetes, chronic obstructive pulmonary disorder, cancer, dementia, depression or chronic kidney disease, in each year from 1997-98 to 2005-06 (which are the latest data available).
|National health service hospitals, England|
|Finished consultant episodes with a primary diagnosis of malnutrition or nutritional anaemia||Finished consultant episodes with a primary diagnosis of malnutrition or nutritional anaemia and a secondary diagnosis of either coronary heart disease, stroke and ischemic attack, diabetes, chronic obstructive pulmonary disorder, cancer, dementia, depression or chronic kidney disease||Percentage|
1. 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.
2. 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.
3. Finished consultant episode (FCE)
A FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
4. Ungrossed data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Hospital Episode Statistics (HES), The Information Centre for health and social care.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many people were (a) admitted to and (b) discharged from hospital with a primary or secondary diagnosis of (i) malnutrition and (ii) nutritional anaemias in each year since 1997-98. 
|Count of finished in year admission and discharge episodes where there was a primary or secondary diagnosis of malnutrition (E40-E46 and O25)national health service hospitals, England, 2005-06 to 1997-98|
|Finished in year admission episodes||In year discharge episodes|
|Count of finished in year admission and discharge episodes where there was a primary or secondary diagnosis of nutritional anaemia (D50-D53)NHS hospitals, England, 2005-06 to 1997-98|
|Finished in year admission episodes||In year discharge episodes|
Mr. Meacher: To ask the Secretary of State for Health (1) how many patients being cared for by each Manchester Mental Health and Social Care Trust Community Services Home Team (a) have changed their support workers in the last four months, (b) have been discharged back to their GPs in the last four months, (c) no longer have a support worker and (d) have a care manager who is not permanently in the team; 
(4) how many patients have had their hospital discharge delayed because a community service is not available to them under the auspices of Manchester Mental Health and Social Care Trust Community Services; 
(5) how many patients being cared for by Manchester Mental Health and Social Care Trust Community Services in (a) north, (b) central and (c) south Manchester are receiving (i) acute home treatment as an alternative to admission and (ii) outreach services; 
(6) how many patients being cared for by Manchester Mental Health and Social Care Trust Community Services are (a) receiving an early intervention in psychosis service and (b) waiting to be admitted to hospital; 
Andrew George: To ask the Secretary of State for Health how many (a) consultant-led, (b) midwife-led and (c) other NHS maternity units there were in each region of England in the latest two periods for which figures are available. 
National statistics for maternity units are collected by trust instead of by individual unit so there are no regular data collections of units. The following table gives the number of units at a one off collection in March 2007.
|Region||Number of consultant-led units||Number of midwife-led units|
The Healthcare Commission
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