Previous Section Index Home Page

26 Feb 2008 : Column 1464W—continued


John Bercow: To ask the Secretary of State for Health how many sexual assaults have been reported on mixed sex wards since 1997. [183821]

Ann Keen: This information is not collected centrally.

John Bercow: To ask the Secretary of State for Health how many hospital beds are located in single sex wards. [183822]

Ann Keen: Information is not available in the format requested.

Hospitals: Cleaning Services

Norman Lamb: To ask the Secretary of State for Health whether the policy of hospital deep cleaning covers hospital supplied accommodation for nurses and junior doctors. [187112]

Ann Keen: The details of each trust's deep clean plan will vary according to local need and the configuration of local services. All trusts were required to submit and agree their deep clean plans with primary care trusts in their area and this process has been monitored and assessed by strategic health authorities.

Hospitals: Infectious Diseases

Mr. Lansley: To ask the Secretary of State for Health how many claims relating to healthcare associated infections the NHS Litigation Authority has dealt with in each year since 1997. [184513]

Ann Keen: Not all claims related to health care associated infection (HCAI) can be identified. The following table shows those claims where methicillin-resistant Staphylococcus aureus (MRSA) and/or Clostridium difficile ( C. difficile) are regarded as one of the injuries.

Information on HCAI-related claims prior to 1999 is not available due to the coding systems in place at that time, which do not allow analysis for HCAIs.

Claims data by notification year (notified to trust) for claims where MRSA and/or C. Difficile are recorded as one of the injuries (as at 31 December 2007) are as follows.


26 Feb 2008 : Column 1465W

26 Feb 2008 : Column 1466W
Number
Notification year Open claims Claims closed with no damages Claims settled with damages Total claims

1999-2000

0

1

1

2

2000-01

0

3

0

3

2001-02

0

2

8

10

2002-03

3

15

24

42

2003-04

4

34

28

66

2004-05

10

47

15

72

2005-06

35

50

12

97

2006-07

90

26

12

128

2007-08(1)

101

5

4

110

Total

243

180

107

530

(1) Denotes data to date for current period.
Source:
NHS Litigation Authority.

Mr. Lansley: To ask the Secretary of State for Health how many cases of healthcare associated infections were voluntarily reported to the Healthcare Protection Agency in each of the last five financial years for which figures are available, broken down by (a) type of infection and (b) trust. [184515]

Ann Keen: The following table gives data collected from the voluntary reporting system from 2002 to 2006 for the nine most common causes of bacteraemia (bacterial bloodstream infections) and for Clostridium difficile (C. difficile), which is associated with diarrhoea and not the blood stream. These data are not available by trust or by financial year.

These organisms are associated with infections that are transmitted mainly or partly within hospitals.

Organism 2002 2003 2004 2005 2006

Escherichia coli

12,709

15,052

15,741

16,961

18,079

Coagulase negative staphylococci

6,604

8,609

10,091

11,708

14,943

Staphylococcus aureus

12,895

14,603

14,173

14,065

13,648

MRSA (Percentage)

42.5

41.2

39.7

39.6

37.9

Enterococcus spp

4,421

5,611

5,887

6,477

7,109

Klebsiella spp

3,515

4,169

4,639

4,853

5,198

Streptococcus pneumoniae

4,163

5,135

4,526

4,971

4,553

Pseudomonas spp

2,382

2,969

2,897

3,069

3,477

Enterobacter spp

1,874

2,256

2,284

2,314

2,418

Proteus spp

1,662

1,882

1,818

1,805

1,845

C. difficile

26,357

33,201

40,414

47,022

51,145

Source:
Healthcare Protection Agency laboratory reports (voluntary reporting system).

The increase in bacteraemias is partly due to better reporting, surveillance and testing and may also reflect a changing hospital population, with more patients who are vulnerable to infection through conditions which compromise their immune systems being treated.

Incontinence: Medical Equipment

Mr. Todd: To ask the Secretary of State for Health how many responses have been received to the consultation on Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances; and if he will make a statement. [189022]

Dawn Primarolo: The Department has received 140 responses to the consultation on Arrangements under part IX of the Drug Tariff for the provision of stoma and incontinence appliances—and related services—to Primary Care which closed on 28 December 2007.

Leukaemia: Drugs

Anne Milton: To ask the Secretary of State for Health whether the South West Surrey and Hampshire Cancer Network recommends Dasatinib for the treatment of imatinib-resistant chronic myeloid leukaemia. [186265]

Ann Keen: Dasatinib has been licensed for the treatment of chronic myeloid leukaemia (CML) with resistance or intolerance to imatinib mesylate. The National Institute for Health and Clinical Excellence (NICE) has not yet published guidance on the use of Dasatinib. Until NICE guidance is published, it is for primary care trusts (PCTs) to make decisions based on the evidence that is available on whether to fund drugs locally.

South East Coast strategic health authority has advised officials that Surrey, West Sussex and Hampshire Cancer Network has not produced any formal recommendations on the use of Dasatinib. It does, however, provide advice and recommendations to PCTs on an individual patient basis when requested to do so.

Maternity Services

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 13 December 2007, Official Report, column 875W, on maternity services, which trusts provided maternity services in each of the five years before 2005-06. [178009]

Ann Keen: We do not collect this information centrally. However, data for 2004-05 are in “NHS Maternity Statistics, England: 2004-05” copies of which are available in the Library. Copies of the 2002-03, 2001-02 reports are also available in the Library.

Andrew George: To ask the Secretary of State for Health pursuant to the oral answer to the hon. Member for Nuneaton (Mr. Olner) of 5 February 2008, Official
26 Feb 2008 : Column 1467W
Report
, column 784, on maternity services, what the evidential basis is for his statement that the UK is the safest country in the world in which to deliver babies. [186874]

Ann Keen [holding answer 18 February 2008]: The United Kingdom is one of the safest countries in the world in which to deliver babies. The Confidential Enquiry into Maternal and Child Health's publication, “Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer—2003-2005” published in December 2007 (copies of which have been placed in the Library) indicated that there were just under seven maternal deaths per 100,000 live births in the UK in the three years to 2005. The UK is very near to the top in any league table, with much lower death rates than the United States or France.

Maternity Services: Standards

Mr. Lansley: To ask the Secretary of State for Health pursuant to paragraph 2.50 of the NHS in England’s Operating Framework for 2008-09, how his Department defines ‘sufficient numbers of maternity staff and neo-natal teams to meet local needs’ in terms of (a) the population of a primary care trust and (b) the number of births at a maternity unit. [178304]

Ann Keen: It is for primary care trusts and national health service trusts to decide locally how to use their resources to provide services for the people for whom they are responsible, in line with the NHS Operating Framework. Staffing levels in maternity services vary throughout the country and are dependent on a range of factors including model of care and skill mix such as the use of maternity support workers.

Medical Records: Indian Subcontinent

Mr. Gale: To ask the Secretary of State for Health what estimate he has made of the percentage of NHS correspondence and typing of health service records of consultations that were sent to the Indian sub-continent for processing in the most recent period for which figures are available. [186657]

Mr. Bradshaw [holding answer 18 February 2008]: The effective management of patient records is the responsibility of the individual NHS organisation that creates them. Information is not held centrally on the number of national health service organisations that currently outsource aspects of patient record management, including the typing of patient records, to the Indian sub-continent. It is therefore not possible to make such an estimate.

Medical Treatments

Mark Simmonds: To ask the Secretary of State for Health whether his Department issues guidance to health care professionals on the involvement of patients in decisions on changing their medicinal regimes. [188289]

Dawn Primarolo: It is good practice for health professionals to involve patients in the decisions about their treatment, taking account of their values and beliefs.


26 Feb 2008 : Column 1468W

While the Department has not issued guidance itself, the establishment of Medicines Partnership promotes the concept of concordance—or shared decision making—to help patients take their medicines better and to help them get the most from their medicines. Medicines partnership has, over the years, worked both with professionals and members of the public to promote shared decision making.

The Department also supports Ask About Medicines Week, which continues to develop initiatives to empower members of the public to ask questions of health care professionals about the medicines prescribed for them and be involved in the decisions about the medicines prescribed for them.


Next Section Index Home Page