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Ann Keen: The National Patient Safety Agency (NPSA) has issued a number of safer practice recommendations to the national health service during 2007 concerning high risk medicines and practices. The topics selected are informed or triggered by reports to the national reporting and learning system by the NHS.
Safer practice with anticoagulants
Promoting safer measurement and administration of liquid medicines via oral and other enteral routes
Safer use of injectable medicines
Safer use of epidural injections and infusions
Reducing the risk of hyponatraemia with intravenous infusions in children
In addition to these alerts, the NPSA issued three rapid response reports on medication topics between June and September 2007 to alert the NHS to medication risks and actions to minimise them. These included:
risk of confusion between cytarabine and liposomal cytarabine;
risk of confusion between non-lipid and lipid formulations of injectable amphotericin; and
fire hazard with paraffin-based skin products on dressings and clothing.
The NPSA is working with the local organisations, the Healthcare Commission, and Healthcare Purchasers to ensure that these safe practice recommendations are implemented. Health care organisations are also recommended to produce a medicine management report annually to describe local risks with medicines and how these risks are being managed.
Mr. Barron: To ask the Secretary of State for Health what estimate he has made of the rate of medication error in hospitals at each stage of the medication process; and if he will make a statement. 
Ann Keen: Estimates of the rates of medication errors in hospitals at each stage of the medication process have been made from published United Kingdom research. The results are not directly comparable and depend on the definition of medication error used in respective studies.
For example, most studies on medication errors during administration exclude the administration of injectable medicines and find an error rate of between 5-10 per cent. Where research have examined administration errors with injectable medicines, error rates of up to 49 per cent. have been reported.
|Stage of medication process||Estimates of rate of medication error (Percentage)|
|(1) No overall estimate.|
Ann Keen [holding answer 7 January 2008]: An appropriate diet, based on acceptable standards, requires good food with the right nutritional content, properly prepared and available when patients need it. The details of how that diet is provided are for local determination. Work to support trusts in delivering good food and nutritional care is provided via a wide range of mechanisms.
The national health service plan stipulated that dieticians should advise and check on nutritional values in hospital food. Nutritional information is available for all recipes in the national dish selector, and this can be used to assess local nutritional levels. Ingredients specifications for the recipes have been developed by the Purchasing and Supply Agency to ensure that wholesome, high quality and value-for-money ingredients are used.
The Food Standards Agency has published (voluntary) nutrient and food based guidance for major institutions. This guidance aims to assist caterers and consumers to achieve the Government's healthy eating recommendations. This advice feeds into the cross Government agenda on diet and food procurement. The Agency has also published example menus to assist caterers in meeting this guidance.
The quality of hospital food is measured annually via Patient Environment Action Team assessments. These showed an increase from 17 per cent. good in
2002 to over 46 per cent. excellent in 2007. (There was no excellent category in 2002, when a three-point scale was used).
To identify and deal with patients at risk, we have introduced protected mealtimes and have renewed the emphasis on nutritional screening. These two areas of work are being actively pursued by the National Patient Safety Agency.
My hon. Friend the Parliamentary-Under Secretary of State (Mr. Lewis) hosted two nutrition summits as part of his dignity in care work. A wide range of stakeholders attended. Following these summits, we launched the Nutrition Action Plan Improving Nutritional Care on 30 October 2007. There will be ongoing monitoring of how stakeholders and their work have contributed to the aims of the plan through a nutrition action plan delivery board. The delivery board will be accountable to my hon. Friend and will produce a progress report in summer 2008.
Mr. Yeo: To ask the Secretary of State for Health how many hospital-acquired infections there were in (a) the West Suffolk Hospital, (b) the Walnuttree hospital, Sudbury and (c) the Newmarket hospital in the most recent period for which figures are available. 
Ann Keen: Information is not available in the format requested as information is collected by national health service trust only. The following tables show the number of hospital acquired infections in West Suffolk Hospital trust for the three year period 2004-06 which is the latest data available.
|Name of NHS trust|
|Number of Clostridium difficile reports for patients||Cambridge University Hospitals NHS Foundation Trust||West Suffolk Hospitals|
Health Protection Agency (HPA)
|Name of NHS trust|
|Incidence of MRSA||Cambridge University Hospitals NHS Foundation Trust||West Suffolk Hospitals|
|Name of NHS trust|
|GRE( 1) bacteraemia reports||Cambridge University Hospitals NHS Foundation Trust||West Suffolk Hospitals|
|(1) Glycopeptide Resistant Enterococci blood stream infections|
John Mann: To ask the Secretary of State for Health what assessment he has made of the role of miners' welfares in combating diseases, with particular reference to chronic obstructive pulmonary disease. 
Ann Keen: In the financial year commencing 1 April 2007 the Department gave £34,000 from their Section 64 scheme to the Coal Industry Social Welfare Organisation for them to provide personal, community and social support services to mining and ex-mining communities and their residents, for those with problems resulting from chronic obstructive pulmonary disease (COPD).
The Department is also currently developing a national services framework for COPD, which will result in national standards and markers of good practice. It will improve the quality of and access to COPD services, reducing inequalities and reduce health care utilisation costs.
John Mann: To ask the Secretary of State for Health how many people have been diagnosed with chronic obstructive pulmonary disease in (a) Bassetlaw and (b) England; and what proportion of these worked in heavy industry such as mining. 
Ann Keen: The quality and outcomes framework (QOF) part of the General Medical Services contract requires practices to record patients diagnosed with chronic obstructive pulmonary disease (OPD). The number of patients for practices in Bassetlaw for the financial year 2006-07 was 2,153. The corresponding figure for England was 765,806.
Coverage of QOF
Patients will only contribute to the figures in QOF if they are registered with a general practice participating in QOF.
John Mann: To ask the Secretary of State for Health how many deaths there were as a result of (a) chronic bronchitis and (b) chronic obstructive pulmonary disease in the last year for which figures are available. 
The National Statistician has been asked to reply to your recent question asking how many deaths there were as a result of (a) chronic bronchitis and (b) chronic obstructive pulmonary disease in the last year for which figures are available. I am replying in her absence. (174677)
The latest figures available refer to deaths registered in England and Wales in the calendar year 2006. There were 23,319 deaths with an underlying cause of chronic obstructive pulmonary disease(1), of which 230 had an underlying cause of chronic bronchitis(2).
(1) Selected using the International Classification of Diseases, Tenth Revision (ICD-10) codes J40-J44.
(2) Selected using the International Classification of Diseases, Tenth Revision (ICD-10) codes J40-J42.
Ann Keen: The quality and outcomes framework (QOF) part of the General Medical Services contract requires practices to record patients diagnosed with chronic obstructive pulmonary disease (COPD). The prevalence in each primary care trust (PCT) for the year 2006-07 are shown in the following table.
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