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19 Mar 2008 : Column 1148W—continued


Hearing Impaired

Mr. Andy Reed: To ask the Secretary of State for Health what provision is made for deaf people to access services provided by his Department through call centres. [194949]

Mr. Bradshaw: The Department has a single public facing call centre. This has a textphone and accepts calls made using Typetalk.

Horton Hospital: NHS Treatment Centres

Tony Baldry: To ask the Secretary of State for Health what the residual value guarantee is in respect of the independent sector treatment centre at Horton hospital in Banbury. [193684]

Mr. Bradshaw: The residual value guarantee in relation to the Norton NHS Treatment Centre (GC4 North Oxford), procured through Wave 1 of the independent sector treatment centre (ISTC) programme, is £15.1 million. The contract runs until 31 December 2010. The assets at Horton to be acquired upon payment of the residual value include the ISTC building.

All ISTC contracts have been through a robust procurement and approvals process, with value for money being one of the criteria.


19 Mar 2008 : Column 1149W

Hospital Beds

Norman Lamb: To ask the Secretary of State for Health what (a) targets and (b) guidelines have been set for trusts to deal with delayed discharge; and what penalty is paid by trusts for delayed discharge of (i) patients with mental health problems and (ii) other patients. [194733]

Mr. Ivan Lewis: The ‘NHS Plan: A plan for investment—a plan for reform’ (Cm 48 18-1) contained the commitment to reduce widespread delayed discharges by 2004. Councils and their national health service partners have made significant progress in reducing delays in hospital. Between September 2001 and December 2007 the number of people over the age of 75 delayed in hospital reduced from 5,673 to 1,594, a reduction of 72 per cent. and total delays for the same period were reduced from 7,065 to 2,090, a reduction of 70 per cent. A copy of the NHS Plan is available in the Library.

Guidance on the implementation of the Community Care (Delayed Discharges etc) Act 2003, including the definition of, and procedures for notifying, delayed discharges was issued on 24 September 2003 as HSC 2003/009 and LAC (2003) 21. This guidance is still current and has not been amended.

NHS trusts to do not pay penalties for delayed discharges.

Hospitals: Parking

Daniel Kawczynski: To ask the Secretary of State for Health if he will bring forward legislative proposals to end the practice of charging fees to patients with blue disability badges at hospital car parks in England. [194681]

Mr. Bradshaw: Charging for car parking is a matter for individual national health service bodies. If they did not charge for car parking then funds for the maintenance and operation of the car park would have to be diverted from patient services. The Department has issued guidance advising NHS bodies to consider the needs of disabled users when planning their car parks and to offer concessions or free parking to those who have to use their car parks regularly, which may include some blue disability badge holders. We have no plans to change these arrangements.

Hospitals: Waiting Lists

Miss McIntosh: To ask the Secretary of State for Health what his most recent estimate is of the average waiting time for an operation in the NHS; and if he will make a statement. [195033]

Mr. Bradshaw: The average (median) waiting time for inpatient admission at the end of January 2008 was 4.7 weeks.

Hypertension: Drugs

Sir Nicholas Winterton: To ask the Secretary of State for Health how the cost-effectiveness of pulmonary arterial hypertension drugs is determined; and what assessments were made by the National Institute for Health and Clinical Excellence of potential quality of life improvements offered by such drugs. [194215]


19 Mar 2008 : Column 1150W

Dawn Primarolo: The National Institute for Health and Clinical Excellence (NICE) draws on a number of different sources of information to appraise the clinical and cost-effectiveness of drugs assessed through its multiple technology appraisals (MTA) process. The different sources of information are set out in more detail in NICE'S ‘Guide to the methods of technology appraisal’ which can be found at:

NICE'S appraisal of drugs for the treatment of pulmonary arterial hypertension is currently out for consultation and the appraisal consultation document sets out in detail the evidence for NICE'S draft recommendations.

NHS: Email

Mr. Stephen O'Brien: To ask the Secretary of State for Health how many staff registered for NHS mail in each month since its inception; and how many were active users in each month. [195261]

Mr. Bradshaw: The information requested is in the following table.

Total active users Monthly registered accounts

31 December 2004

37,810

(1)

31 January 2005

46,537

8,727

28 February 2005

47,673

1,136

31 March 2005

55,213

7,540

30 April 2005

58,482

3,269

31 May 2005

59,677

1,195

30 June 2005

61,115

1,438

31 July 2005

62,597

1,482

31 August 2005

65,136

2,539

30 September 2005

67,722

2,586

31 October 2005

70,043

2,321

30 November 2005

72,105

2,062

31 December 2005

72,923

818

31 January 2006

75,581

2,658

28 February 2006

77,973

2,392

31 March 2006

80,183

2,210

30 April 2006

80,754

571

31 May 2006

83,788

3,034

30 June 2006

89,786

5,998

31 July 2006

93,871

4,085

31 August 2006

96,900

3,029

30 September 2006

99,343

2,443

31 October 2006

101,850

2,507

30 November 2006

104,503

2,653

31 December 2006

104,594

91

31 January 2007

106,791

2,197

28 February 2007

109,548

2,757

31 March 2007

113,160

3,612

30 April 2007

115,266

2,106

31 May 2007

118,223

2,957

30 June 2007

122,003

3,780

31 July 2007

126,115

4,112

31 August 2007

130,738

4,623

30 September 2007

133,646

2,908

31 October 2007

137,930

4,284

30 November 2007

142,313

4,383

31 December 2007

143,068

755

31 January 2008

146,711

3,643

29 February 2008

153,073

6,362

(1) The number of users registering for the service each month is a calculation based on: (current month active users) minus (last month active users).

19 Mar 2008 : Column 1151W

Palliative Care: South Yorkshire

Jeff Ennis: To ask the Secretary of State for Health whether National Institute for Health and Clinical Excellence guidance on supportive and palliative care has been implemented in Barnsley East and Mexborough constituency. [194435]

Mr. Ivan Lewis: It is for individual primary care trusts (PCTs), including Barnsley PCT, within the national health service to commission services for their resident population, including end of life care, based on assessments of local needs and priorities. The NHS has been required to set out action plans to achieve compliance with the National Institute for Health and Clinical Excellence recommendations on supportive and palliative care. Implementation is being monitored by strategic health authorities (SHAs).

Information on the rate of progress locally can be obtained through the Yorkshire and the Humber SHA.

Prescription Drugs: Side Effects

Jon Trickett: To ask the Secretary of State for Health (1) how many people have been admitted to hospital due to adverse reactions to prescription drugs in each of the last 10 years; [194115]

(2) how many deaths were due to adverse reactions to prescription drugs in each of the last 10 years; [194116]

(3) how many recorded incidents of adverse reactions to prescription drugs there were in each of the last 10 years. [194117]

Dawn Primarolo: Reports of suspected adverse drug reactions (ADRs) are collected by the Medicines and Healthcare products Regulatory Agency (MHRA) and Commission for Human Medicines (CHM) through the spontaneous reporting scheme; the Yellow Card Scheme. Approximately 20,000 reports of ADRs are reported to the MHRA/CHM through this scheme each year. The scheme collects ADR reports from across the whole United Kingdom and includes all medicines, including those from prescriptions, over-the-counter or general retail sales. Reports are also received for herbal medicines and other unlicensed medicines.

The following table shows the number of spontaneous UK suspected ADR reports received by the MHRA between 1997 and 2007 which had a fatal outcome and resulted in or prolonged hospitalisation.


19 Mar 2008 : Column 1152W
Year received by MHRA Number of spontaneous UK suspected ADR reports received Number of spontaneous UK suspected ADR reports received with a fatal outcome Number of spontaneous UK suspected ADR reports received which resulted in or prolonged hospitalisation

1997

16,627

447

2,484

1998

18,048

520

2,972

1999

18,484

564

3,212

2000

33,151

632

4,062

2001

21,456

647

3,015

2002

17,610

669

3,630

2003

19,216

735

4,381

2004

19,979

861

4,429

2005

21,856

1,018

4,577

2006

21,511

953

4,628

2007

21,600

1,031

4,545


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